{"id":"https://openalex.org/W7214176111","doi":"https://doi.org/10.31234/osf.io/t4xkm_v2","title":"Structural Stigma and LGBTQ+ Youth Mental Health","display_name":"Structural Stigma and LGBTQ+ Youth Mental Health","publication_year":2026,"publication_date":"2026-09-22","ids":{"openalex":"https://openalex.org/W7214176111","doi":"https://doi.org/10.31234/osf.io/t4xkm_v2"},"language":"en","primary_location":{"id":"doi:10.31234/osf.io/t4xkm_v2","doi":"https://doi.org/10.31234/osf.io/t4xkm_v2","is_oa":true,"landing_page_url":"https://doi.org/10.31234/osf.io/t4xkm_v2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401687","display_name":"PsyArXiv (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.31234/osf.io/t4xkm_v2","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5032533878","display_name":"Erica Marie Szkody","orcid":"https://orcid.org/0000-0003-4959-1895","observed_orcids":["https://orcid.org/0000-0003-4959-1895"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Erica Szkody","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-4959-1895","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086974608","display_name":"Steven Hobaica","orcid":"https://orcid.org/0000-0001-7760-277X","observed_orcids":["https://orcid.org/0000-0001-7760-277X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Steven Hobaica","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025053300","display_name":"Laura K. Jans","orcid":"https://orcid.org/0000-0003-1812-7555","observed_orcids":["https://orcid.org/0000-0003-1812-7555"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Laura Jans","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116803956","display_name":"Tyra Bergstrom","orcid":"https://orcid.org/0000-0002-1853-1577","observed_orcids":["https://orcid.org/0000-0002-1853-1577"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tyra Bergstrom","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-1853-1577","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067819153","display_name":"Ya\u2010Wen Chang","orcid":"https://orcid.org/0000-0003-4416-7489","observed_orcids":["https://orcid.org/0000-0003-4416-7489"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ya-Wen Chang","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-4416-7489","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087483658","display_name":"Arielle C. Smith","orcid":"https://orcid.org/0000-0003-4679-1808","observed_orcids":["https://orcid.org/0000-0003-4679-1808"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Arielle C. Smith","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-4679-1808","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5044342414","display_name":"Jessica Lee Schleider","orcid":"https://orcid.org/0000-0003-2426-1953","observed_orcids":["https://orcid.org/0000-0003-2426-1953"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jessica L. Schleider","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-2426-1953","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10652","display_name":"Racial and Ethnic Identity Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/structural-stigma","display_name":"structural stigma","score":1.0},{"id":"https://openalex.org/keywords/lgbtq-youth","display_name":"LGBTQ youth","score":0.9990000128746033},{"id":"https://openalex.org/keywords/youth-mental-health","display_name":"youth mental health","score":0.7699999809265137},{"id":"https://openalex.org/keywords/depression-severity","display_name":"depression severity","score":0.7599999904632568},{"id":"https://openalex.org/keywords/anxiety-levels","display_name":"anxiety levels","score":1.0},{"id":"https://openalex.org/keywords/substance-use","display_name":"substance use","score":0.9240000247955322},{"id":"https://openalex.org/keywords/access-to-mental-health-care","display_name":"access to mental health care","score":0.9570000171661377},{"id":"https://openalex.org/keywords/project-implicit","display_name":"Project Implicit","score":0.6779999732971191},{"id":"https://openalex.org/keywords/human-rights-campaigns","display_name":"human rights campaigns","score":0.9800000190734863}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.804099977016449},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.7444999814033508},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.6003999710083008},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5684000253677368},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5321999788284302},{"id":"https://openalex.org/C188198153","wikidata":"https://www.wikidata.org/wiki/Q1613840","display_name":"Limiting","level":2,"score":0.46459999680519104},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.4399000108242035},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4293999969959259},{"id":"https://openalex.org/C2991912374","wikidata":"https://www.wikidata.org/wiki/Q400711","display_name":"Substance use","level":2,"score":0.4124999940395355},{"id":"https://openalex.org/C2781437451","wikidata":"https://www.wikidata.org/wiki/Q1137326","display_name":"Social stigma","level":3,"score":0.38089999556541443},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.3668999969959259},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.3273000121116638},{"id":"https://openalex.org/C48103436","wikidata":"https://www.wikidata.org/wiki/Q599031","display_name":"State (computer science)","level":2,"score":0.32580000162124634},{"id":"https://openalex.org/C105538184","wikidata":"https://www.wikidata.org/wiki/Q16253960","display_name":"Middle Eastern Mental Health Issues & Syndromes","level":4,"score":0.29919999837875366},{"id":"https://openalex.org/C2779060110","wikidata":"https://www.wikidata.org/wiki/Q4812457","display_name":"At risk mental state","level":3,"score":0.29910001158714294},{"id":"https://openalex.org/C545805344","wikidata":"https://www.wikidata.org/wiki/Q1338364","display_name":"Mental health law","level":3,"score":0.29580000042915344},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.266400009393692},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2637999951839447}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.31234/osf.io/t4xkm_v2","doi":"https://doi.org/10.31234/osf.io/t4xkm_v2","is_oa":true,"landing_page_url":"https://doi.org/10.31234/osf.io/t4xkm_v2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401687","display_name":"PsyArXiv (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.31234/osf.io/t4xkm_v2","doi":"https://doi.org/10.31234/osf.io/t4xkm_v2","is_oa":true,"landing_page_url":"https://doi.org/10.31234/osf.io/t4xkm_v2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401687","display_name":"PsyArXiv (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"sustainable_development_goals":[{"score":0.9789000153541565,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.8974000215530396,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7218513204","https://openalex.org/W7117416120","https://openalex.org/W2559484797","https://openalex.org/W4406641790","https://openalex.org/W4307384202","https://openalex.org/W4407206736","https://openalex.org/W4388233208","https://openalex.org/W2944479460","https://openalex.org/W4381684803","https://openalex.org/W6944181768"],"abstract_inverted_index":{"Structural":[0],"stigma":[1,19,52,122],"has":[2,16],"been":[3],"shown":[4],"to":[5,43,92,102,117,148],"have":[6],"negative":[7],"consequences":[8],"on":[9,18,60,156],"LGBTQ+":[10,72,82,169],"youth's":[11],"mental":[12,35,68,98,157],"health.":[13,36],"Most":[14],"research":[15],"focused":[17],"at":[20,54,123,142],"the":[21,38,45,55,75,113,124,143,149],"national":[22],"or":[23],"state":[24,58,127,150],"level,":[25],"limiting":[26],"understanding":[27],"of":[28,47,50,120],"how":[29],"local":[30],"institutions":[31],"and":[32,57,62,67,100,112,126,164],"environments":[33],"influence":[34],"In":[37],"current":[39],"study,":[40],"we":[41,79,105],"sought":[42],"examine":[44],"association":[46],"multiple":[48],"layers":[49],"structural":[51,121,137],"(e.g.,":[53],"county":[56,125,144],"levels)":[59],"depression":[61],"anxiety":[63],"severity,":[64],"substance":[65,165],"use,":[66],"healthcare":[69],"access,":[70],"for":[71,168],"youth":[73,83],"in":[74],"United":[76],"States.":[77],"Thus,":[78],"recruited":[80],"609":[81],"(Mage":[84],"=":[85,88],"15.6,":[86],"SDage":[87],"1.17;":[89],"71.9%":[90],"White)":[91],"complete":[93],"survey":[94],"measures":[95],"about":[96],"their":[97],"health":[99,158],"access":[101],"care.":[103],"Further,":[104],"extracted":[106],"2023":[107],"data":[108],"from":[109],"Project":[110],"Implicit":[111],"Human":[114],"Rights":[115],"Campaign":[116],"create":[118],"factors":[119],"levels.":[128],"Consistent":[129],"with":[130],"existing":[131],"literature,":[132],"our":[133],"results":[134],"demonstrate":[135],"that":[136],"stigma,":[138],"particularly":[139],"when":[140],"examined":[141],"level":[145],"(as":[146],"opposed":[147],"level),":[151],"may":[152],"exert":[153],"significant":[154],"impacts":[155],"outcomes":[159],"such":[160],"as":[161],"depression,":[162],"anxiety,":[163],"use":[166],"severity":[167],"youth.":[170]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-09-25T00:00:00"}