David Matthew Doyle

Social Stigma and Sexual Minorities’ Romantic Relationship Functioning A Meta-Analytic Review

To bolster knowledge of determinants of relationship functioning among sexual minorities, the current meta-analysis aimed to quantitatively review evidence for the association between social stigma and relationship functioning as well as examine potential moderators. Thirty-five studies were identified, including 130 effect sizes (39 independent; N = 10,745). Across studies, evidence was found for a small but significant inverse association between social stigma and relationship functioning. Furthermore, this association was moderated by stigma type (with more deleterious associations for internalized relative to perceived stigma) and dimension of relationship functioning (with more deleterious associations for affective relative to cognitive and negative relative to positive). Evidence for demographic moderators (region, sex, race, age) was generally mixed although important limitations related to unique characteristics of study samples are discussed. We conclude by highlighting the importance of social stigma for relationship functioning and point toward directions for future research and policy action.

Perceived discrimination and well-being in gay men: the protective role of behavioural identification

Gay men regularly experience both individual and structural prejudice and discrimination, which have been shown to negatively impact well-being. The current study examined the potentially protective role of behavioural identification, a dimension of group identity, as a mediator of the relationship between perceived discrimination and well-being among gay men. The results revealed that behavioural identification mediated a positive indirect relationship between perceived discrimination and self-esteem, suppressing the negative association between these two variables. A similar pattern of results was obtained for positive affect. Implications of these results with regard to public policies targeting gay men are addressed.

Love on the Margins The Effects of Social Stigma and Relationship Length on Romantic Relationship Quality

National data on romantic relationships reveal a prominent gap between members of devalued and dominant groups in the United States, with devalued group members experiencing less positive relationship outcomes. However, little research examines how social stigma affects relationship quality for members of devalued groups and moderating factors have generally not been explored in the literature. In the current studies, we experimentally examined the effects of social stigma on relationship quality among women (Study 1) and African Americans (Study 2) as well as whether these effects differed based upon relationship length (Studies 1 and 2). Results showed that individuals involved in shorter relationships reported lesser relationship quality after social stigma was made salient, while those involved in longer relationships reported somewhat greater relationship quality after social stigma was made salient. Implications for future research on social stigma and relationship quality as well as moderating factors are discussed.

Anxiety sensitivity and racial differences in sleep duration: Results from a national survey of adults with cardiovascular disease

Although Blacks sleep between 37 and 75min less per night than non-Hispanic Whites, research into what drives racial differences in sleep duration is limited. We examined the association of anxiety sensitivity, a cognitive vulnerability, and race (Blacks vs. White) with short sleep duration (<7h of sleep/night), and whether anxiety sensitivity mediated race differences in sleep duration in a nationally representative sample of adults with cardiovascular disease. Overall, 1289 adults (115 Black, 1174 White) with a self-reported physician/health professional diagnosis of ≥1 myocardial infarction completed an online survey. Weighted multivariable logistic regressions and mediation analyses with bootstrapping and case resampling were conducted. Anxiety sensitivity and Black vs. White race were associated with 4%-84% increased odds, respectively, of short sleep duration. Anxiety sensitivity mediated Black-White differences in sleep duration. Each anxiety sensitivity subscale was also a significant mediator. Implications for future intervention science to address sleep disparities are discussed.

Modeling racial disparities in physical health via close relationship functioning: A life course approach

OBJECTIVE The aim of the present study was to test a life course model in which racial disparities in physical health between Caucasian and African Americans are driven by disparities in close relationship functioning. This model also examined relative evidence for intergenerational transmission of relationship functioning and ongoing exposure to prejudice and discrimination as two pathways that might shape adult relationship functioning. METHOD A sample of 523 Caucasian and African American men and women were prospectively tracked from a birth cohort initiated in the 1960s. Reports of parental relationship functioning were obtained from participants and their mothers in adolescence. In midlife, participants completed measures of perceived discrimination (lifetime and everyday discrimination), close relationship functioning (relationship strain and support) and physical health (self-rated health, resting heart rate and systolic blood pressure). RESULTS As hypothesized, close relationship functioning was a strong predictor of physical health in adulthood. Furthermore, we observed that perceived discrimination over the life course was linked to impaired relationship functioning. Evidence for intergenerational transmission of relationship functioning was more equivocal. CONCLUSION Racial disparities in physical health may be maintained via social factors throughout the life course. Although such factors have sometimes been considered outside the purview of the medical field, it is vital that researchers and clinicians begin to more fully address the implications of social forces in order to remediate racial health disparities.

Stigma Consciousness Modulates Cortisol Reactivity to Social Stress in Women

The aim of the current study was to examine whether stigma consciousness shapes cortisol responses to social stress among women in the lab. Undergraduate women (N = 45) completed background measures and then participated in a public speaking task, with assessments of cortisol prior to the stressor as well as 20- and 40-minutes post stressor onset. Results from multilevel models revealed that women higher in stigma consciousness evidenced blunted cortisol reactivity following social stress across the study session compared to women lower in stigma consciousness. This interaction was robust to adjustment for a number of covariates, including demographic (e.g., age), physiological (e.g., menstrual cycle) and psychological (e.g., depressive symptomatology) factors. Potential explanations for observed cortisol patterns are discussed, including hypo-reactivity of the hypothalamic-pituitary-adrenal (HPA) axis and elevated anticipatory stress. To conclude, implications for health disparities research are considered.