We simultaneously examined the effects of individual- and couple-level minority stressors on mental health among people in same-sex relationships. Individual-level minority stressors emerge from the stigmatization of sexual minority individuals; couple-level minority stressors emerge from the stigmatization of same-sex relationships. Dyadic data from 100 same-sex couples from across the United States were analyzed with actor–partner interdependence models. Couple-level stigma was uniquely associated with nonspecific psychological distress, depressive symptomatology, and problematic drinking, net the effects of individual-level stigma and relevant sociodemographic controls. Analyses also show that couple-level minority stress played unique roles in critical stress processes of minority stress proliferation: minority stress expansion and minority stress contagion. The inclusion of couple-level stress constructs represents a useful extension of minority stress theory, enriching our capacity to deepen understandings of minority stress experience and its application in the study of well-being and health inequalities faced by vulnerable populations.

我们同时研究了个人和夫妻少数群体压力源对同性关系人心理健康的影响。个人层面的少数群体压力源于对性少数群体的侮辱。夫妻级少数派压力源于同性关系的污名化。使用演员-伴侣相互依存模型分析了来自美国各地的100对同性伴侣的二元数据。夫妻级别的污名与非特异性心理困扰，抑郁症状和饮酒困难有独特的联系，净影响了个人级别的污名和相关的社会人口统计学控制。分析还表明，夫妻级别的少数群体压力在少数群体压力扩散的临界压力过程中发挥了独特的作用：少数人的压力扩大和少数人的压力传染。包含夫妻水平的压力结构代表了少数族裔压力理论的有用扩展，丰富了我们加深对少数族裔压力经验的理解的能力，并将其应用于研究弱势群体所面临的福祉和健康不平等问题。