We conducted a multilevel meta-analysis of 390 effect sizes from 167 studies with 157,923 participants examining the relationship between connectedness with lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) communities and health-related outcomes, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We conducted our initial search in January 2023 in APA PsycInfo, ERIC, Medline, and Open Dissertations, selecting studies that (a) measured LGBTQ+ community connectedness, (b) measured health, and (c) provided an estimate of the relationship between LGBTQ+ community connectedness and health. We found that connectedness with LGBTQ+ communities promotes mental health (r = .11), well-being (r = .17), and physical health (r = .09). Conversely, we found that connectedness with LGBTQ+ communities promotes substance use among younger participants, likely through behavioral engagement with LGBTQ+ others. We found that connectedness with LGBTQ+ communities was related to less mental health and more suicidality for younger people, likely because younger LGBTQ+ people seek out connectedness in response to this psychological distress. We also found that connectedness was not as health-promoting for LGBTQ+ individuals with multiple marginalized identities and that psychological feelings of belongingness with LGBTQ+ communities are generally more health-promoting than behavioral community engagement. Results from a narrative review and moderation meta-analyses suggested that, contrary to predictions made by minority stress theory, connectedness with LGBTQ+ communities does not buffer the relationship between minority stressors and health. Rather, meta-analytic mediation analyses suggested that proximal minority stressors negatively impact health-related outcomes by reducing connectedness with LGBTQ+ communities and that distal minority stressors are often less impactful on health-related outcomes because they promote connectedness with LGBTQ+ communities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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何时与 LGBTQ+ 社区建立联系有帮助以及为什么会有帮助：联系与健康相关结果之间关系的荟萃分析。


我们对 167 项研究的 390 个效应量进行了多层次荟萃分析，涉及 157,923 名参与者，研究了与女同性恋、男同性恋、双性恋、跨性别者和酷儿/质疑 （LGBTQ+） 社区的联系与健康相关结果之间的关系，遵循系统评价和荟萃分析的首选报告项目指南。我们于 2023 年 1 月在 APA PsycInfo、ERIC、Medline 和 Open Dissertations 中进行了初步检索，选择了 （a） 测量 LGBTQ+ 社区联系，（b） 测量健康，以及 （c） 提供 LGBTQ+ 社区联系与健康之间关系的估计值的研究。我们发现与 LGBTQ+ 社区的联系可以促进心理健康 （r = .11）、幸福感 （r = .17） 和身体健康 （r = .09）。相反，我们发现与 LGBTQ+ 社区的联系促进了年轻参与者的物质使用，这可能是通过与 LGBTQ+ 其他人的行为参与。我们发现，与 LGBTQ+ 社区的联系与年轻人的心理健康水平降低和自杀倾向增加有关，这可能是因为年轻的 LGBTQ+ 人群在应对这种心理困扰时寻求联系。我们还发现，对于具有多重边缘化身份的 LGBTQ+ 个体来说，联系并不能促进健康，并且对 LGBTQ+ 社区的归属感心理通常比行为社区参与更能促进健康。叙述性审查和节制荟萃分析的结果表明，与少数族裔压力理论的预测相反，与 LGBTQ+ 社区的联系并不能缓冲少数族裔压力源与健康之间的关系。 相反，荟萃分析中介分析表明，近端少数族裔压力源通过减少与 LGBTQ+ 社区的联系而对健康相关结果产生负面影响，而远端少数族裔压力源通常对健康相关结果的影响较小，因为它们促进了与 LGBTQ+ 社区的联系。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。