ASSOCIATION BETWEEN SOCIAL POLICY, STIGMA, SOCIAL ACCEPTANCE, AND MENTAL HEALTH AMONG OLDER MEN WHO HAVE SEX WITH MEN

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Abstract Background Older MSM (Men who have Sex with Men) often face discrimination and marginalization due to ageism and homophobia, impacting their psychological well-being. This study investigates the influence of social factors on the psychological well-being of older MSM, considering variations in social policy and cultural contexts across China, Hong Kong, and Taiwan. Methods A comparative approach was utilized, gathering data (N=453) from older MSM in the aforementioned regions. Measures assessing social policy, stigma, social acceptance, and psychological well-being were employed. Control variables, such as age, education level, and income, were included to mitigate potential influences. The data were analyzed using descriptive statistics, ANOVA, and regression analysis. Results The findings demonstrate significant negative effects of stigmatization across all three regions. F-statistics indicate the regression models’ overall significance: China (F = 69.583, p < 0.001), Hong Kong (F = 51.971, p < 0.001), and Taiwan (F = 57.725, p < 0.001). This highlights stigmatization’s strong influence on dependent variables in each region. Additionally, high adjusted R-squared values suggest substantial explained variance: China (Adj R2 = 0.632), Hong Kong (Adj R2 = 0.514), and Taiwan (Adj R2 = 0.565), emphasizing the model’s ability to account for variability in dependent variables. Conclusion The study underscores the need for targeted interventions and policy changes to combat stigma and promote social acceptance, thereby enhancing the psychological well-being of this vulnerable population.

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