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Beyond ‘Help-Seeking,’ Toward ‘Engagement’: Understanding Barriers To Mental Health Equity Among Sexual Minority Individuals, Elliot Spengler Dec 2021

Beyond ‘Help-Seeking,’ Toward ‘Engagement’: Understanding Barriers To Mental Health Equity Among Sexual Minority Individuals, Elliot Spengler

Doctoral Dissertations

The finding that 57.4% of adults living in the United States with a diagnosable mental health disorder do not receive mental health care (Substance Abuse and Mental Health Services Administration, 2018) opens important questions as to what structural and individual factors contribute to this “treatment gap” and individuals’ willingness and/or ability to seek out traditional mental health care. Sexual minority (SM) individuals experience inequitable mental health outcomes and report more unmet mental health needs and more barriers to health care than heterosexual individuals. Thus, there is a need to understand the process of mental health care engagement (MHCE) for SM …


Exploring The Influence Of Gendered Racism On Salivary Alpha Amylase Activity Among Black Women, Erica J. Peppers Aug 2021

Exploring The Influence Of Gendered Racism On Salivary Alpha Amylase Activity Among Black Women, Erica J. Peppers

Doctoral Dissertations

This study tests Lewis and colleagues’ (2017) biopsychosocial model of gendered racism, which extends the biopsychosocial model of perceived racism (Clark et al., 1999) to gendered racism by investigating the role of gendered racial microaggressions (e.g., subtle gendered racism) in autonomic nervous system (ANS) dysregulation among Black women. Specifically, the association between the stress and frequency of gendered racial microaggressions and sAA activity, including total sAA output, diurnal slope, and waking sAA as indicators of ANS dysregulation were examined among Black women (N = 90, Mage = 19 years, SD = 5.02). Four types of gendered racial microaggressions unique …