Stigma and mental health of homosexuals in palopo city: a correlation study

Abstract

This study explores the correlation between stigma and mental health issues among homosexual individuals in Palopo City, Indonesia. Homosexuality remains a highly stigmatized and marginalized subject in many societies, particularly in conservative regions where cultural and religious beliefs influence attitudes towards sexual minorities. The objective of this research is to understand how stigma, both external and internalized, affects the mental well-being of homosexuals in Palopo. Utilizing a qualitative research approach and literature review method, this study examines existing research, case studies, and theories on stigma and mental health in the context of sexual minorities. The findings reveal that homosexual individuals in Palopo experience significant psychological distress due to societal rejection, discrimination, and exclusion. Internalized stigma, characterized by self-hatred and low self-esteem, is prevalent among this group and is linked to various mental health challenges, including depression, anxiety, and suicidal ideation. Moreover, the literature suggests that societal attitudes towards homosexuality in Palopo, influenced by conservative values, exacerbate these mental health issues, leading to a cycle of isolation and poor mental health outcomes. The study also highlights the importance of education, legal reforms, and supportive communities in mitigating stigma and improving mental health outcomes for homosexuals in the region. This research provides valuable insights for policymakers, mental health professionals, and advocacy groups aiming to address the mental health needs of sexual minorities in conservative regions.

Keywords
  • Stigma
  • Mental health
  • Homosexuality
References
  1. Colella, A., & Santuzzi, A. (2024). Known and unknown mental illness: Uncovering the multiple routes to workplace inequities. Journal of Management, 50(3), 898–927.
  2. Dagar, C., Pandey, A., & Navare, A. (2022). How yoga-based practices build altruistic behavior? Examining the role of subjective vitality, self-transcendence, and psychological capital. Journal of Business Ethics, 175(1), 191–206.
  3. El Sayed, S., Shokry, D., & Gomaa, S. M. (2021). Post‐COVID‐19 fatigue and anhedonia: A cross‐sectional study and their correlation to post‐recovery period. Neuropsychopharmacology Reports, 41(1), 50–55.
  4. Ertorer, S. E. (2024). Racism and mental health: Examining the psychological toll of Anti-Asian Racism during the COVID-19 pandemic. Genealogy, 8(3), 98.
  5. Fang, M., Li, G., Kang, X., Hou, F., Lv, G., Xu, X., Kong, L., & Li, P. (2021). The role of gender and self-esteem as moderators of the relationship between stigma and psychological distress among infertile couples. Psychology, Health & Medicine, 26(10), 1181–1194.
  6. González Sanguino, C., Santos-Olmo, A. B., Zamorano, S., Sánchez-Iglesias, I., & Muñoz López, M. (2023). The stigma of mental health problems: A cross-sectional study in a representative sample of Spain. International Journal of Social Psychiatry, 69(8), 1928–1937.
  7. Haas, S. M., & Lannutti, P. J. (2024). “They are giving folks permission to discriminate and hate”: A 4-year longitudinal analysis of perceived impact of the Trump administration on LGBTQ+ individuals and relationships, 2017–2020. Sexuality Research and Social Policy, 21(1), 62–75.
  8. Harvery, M., Froude, E. H., Foley, K., Trollor, J. N., & Arnold, S. R. C. (2021). Employment profiles of autistic adults in Australia. Autism Research, 14(10), 2061–2077.
  9. Kano, M., Jaffe, S. A., Rieder, S., Kosich, M., Guest, D. D., Burgess, E., Hurwitz, A., Pankratz, V. S., Rutledge, T. L., & Dayao, Z. (2022). Improving sexual and gender minority cancer care: patient and caregiver perspectives from a multi-methods pilot study. Frontiers in Oncology, 12, 833195.
  10. Kauser, S., Keyte, R., Mantzios, M., & Egan, H. (2022). A qualitative exploration into experiences and attitudes regarding psychosocial challenges, self-compassion, and mindfulness in a population of adults with cystic fibrosis. Journal of Clinical Psychology in Medical Settings, 29(4), 898–910.
  11. Khotlele, E. P. (2023). Teaching Through Life’s Challenges–Development And Implementation of a Stress-Management Intervention to Enhance the Psychological Well-being of Primary School Teachers in Mamelodi. University of Pretoria (South Africa).
  12. Kim, E., Park, H., Cho, Y., Jeon, K., & An, H. (2024). Invisibility and stigma: Experiences of transgender and gender non-conforming individuals in South Korea. Archives of Sexual Behavior, 53(1), 77–90.
  13. Kim, M., Liu, S., Lee, Y., Shrader, C.-H., & Kanamori, M. (2022). COVID-19 related racial discrimination in small Asian communities: A cross sectional study. Journal of Immigrant and Minority Health, 1–10.
  14. Labrague, L. J. (2021). Psychological resilience, coping behaviours and social support among health care workers during the COVID‐19 pandemic: A systematic review of quantitative studies. Journal of Nursing Management, 29(7), 1893–1905.
  15. Lim, H. J., Moxham, L., Patterson, C., Perlman, D., Lopez, V., & Goh, Y. S. (2020). Students’ mental health clinical placements, clinical confidence and stigma surrounding mental illness: A correlational study. Nurse Education Today, 84, 104219.
  16. Lingiardi, V., & Nardelli, N. (2024). Negative Attitudes to Lesbian Women and Gay Men: Persecutors and Victims. In Emotional, Physical and Sexual Abuse: Impact on Individuals, Couples, Children and Minorities (pp. 233–250). Springer.
  17. Lourenco Calling, N. (2020). Stigmatization and Discrimination: A Qualitative Case Study of the Transgender Community in Brazil.
  18. Mallory, C., Vasquez, L. A., Brown, T. N. T., Momen, R. E., & Sears, B. (2021). The impact of stigma and discrimination against LGBT people in West Virginia.
  19. McCombie, C., Austin, A., Dalton, B., Lawrence, V., & Schmidt, U. (2020). “Now It’s just old habits and misery”–understanding the impact of the Covid-19 pandemic on people with current or life-time eating disorders: a qualitative study. Frontiers in Psychiatry, 11, 589225.
  20. Mercer, S., & Gregersen, T. (2020). Teacher wellbeing. Oxford University Press.
  21. Mørk, G., Magne, T. A., Carstensen, T., Stigen, L., Åsli, L. A., Gramstad, A., Johnson, S. G., & Bonsaksen, T. (2020). Associations between learning environment variables and students’ approaches to studying: a cross-sectional study. BMC Medical Education, 20, 1–8.
  22. Nair, B., Khan, S., Naidoo, N., Jannati, S., Shivani, B., & Banerjee, Y. (2024). Progressive muscle relaxation in pandemic times: bolstering medical student resilience through IPRMP and Gagne’s model. Frontiers in Psychology, 15, 1240791.
  23. Pan, S., Wang, L., Zheng, L., Luo, J., Mao, J., Qiao, W., Zhu, B., & Wang, W. (2023). Effects of stigma, anxiety and depression, and uncertainty in illness on quality of life in patients with prostate cancer: a cross-sectional analysis. BMC Psychology, 11(1), 129.
  24. Parrott, S., Billings, A. C., Buzzelli, N., & Towery, N. (2021). “We all go through it”: Media depictions of mental illness disclosures from star athletes DeMar DeRozan and Kevin Love. Communication & Sport, 9(1), 33–54.
  25. Rantanen, T., Gluschkoff, K., Silvennoinen, P., & Heponiemi, T. (2021). The associations between mental health problems and attitudes toward web-based health and social care services: evidence from a Finnish population-based study. Journal of Medical Internet Research, 23(9), e28066.
  26. Soyobi, V. Y., Obohwemu, K. O., & Suberu, P. O. (2024). Prevalence of Common Medical Conditions Among Children Residing in Orphanages in Kaduna State, Nigeria. Global Journal of Clinical Medicine and Medical Research [GJCMMR], 2(10), 1–12.
  27. Tsang, E. Y. (2020). A sisterhood of hope: How China’s transgender sex workers cope with intimate partner violence. International Journal of Environmental Research and Public Health, 17(21), 7959.
  28. Vagheei, S., Hashemi, B. M., Kashani Lotfabadi, M., Salarhaji, A., Vagheei, N., & Feizi, M. (2018). The relationship between empathy and stigma towards psychiatric disorders among nursing students. Future of Medical Education Journal, 8(2), 38–43.
  29. van Wyk, E. S., & Kagee, A. (2023). Coping with mental health problems and medication adherence challenges among persons receiving antiretroviral therapy. AIDS and Behavior, 27(7), 2243–2254.
  30. Wald, H. S. (2020). Optimizing resilience and wellbeing for healthcare professions trainees and healthcare professionals during public health crises–Practical tips for an ‘integrative resilience’approach. Medical Teacher, 42(7), 744–755.
  31. Wang, X., & Cheng, Z. (2020). Cross-sectional studies: strengths, weaknesses, and recommendations. Chest, 158(1), S65–S71.