Gay Community Stress Scale with Its Cultural Translation and Adaptions in Taiwan

Chung-Ying Lin; Yu-Te Huang; Chiu-Hsiang Lee; Chia-Wei Fan; Cheng-Fang Yen

doi:10.3390/ijerph191811649

Gay Community Stress Scale with Its Cultural Translation and Adaptions in Taiwan

Int J Environ Res Public Health. 2022 Sep 15;19(18):11649. doi: 10.3390/ijerph191811649.

Authors

Chung-Ying Lin^{1

2

3

4}, Yu-Te Huang⁵, Chiu-Hsiang Lee^{6

7}, Chia-Wei Fan⁸, Cheng-Fang Yen^{9

10

11}

Affiliations

¹ Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.
² Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.
³ Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.
⁴ Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.
⁵ Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong RM543, China.
⁶ Department of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan.
⁷ Department of Nursing, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
⁸ Department of Occupational Therapy, AdventHealth University, Orlando, FL 32803, USA.
⁹ Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan.
¹⁰ Department of Psychiatry, School of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
¹¹ College of Professional Studies, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan.

Abstract

The present study aimed to adapt the Gay Community Stress Scale (GCSS) into the traditional Chinese version for measuring gay community stress experienced. Additionally, we examined its psychometric propensities among gay and bisexual men (GBM) in Taiwan. In total, 736 GBM participated in this study and completed the 35-item traditional Chinese version of the GCSS (29 items from the original GCSS and six items from the results of the focus group interviews among GBM in Taiwan); the Measure of Internalized Sexual Stigma for Lesbians and Gay Men (MISS-LG); the State-Trait Anxiety Inventory (STAI); and the Center for Epidemiological Studies Depression Scale (CES-D). Exploratory factor analysis results suggest a five-factor structure (i.e., Sex, Status, Competition, Exclusion, and Externals) for the 32-item traditional Chinese version of the GCSS among Taiwanese GBM; three items were deleted due to low factor loadings (i.e., <0.3). The five-factor "Externals" were not observed in the original GCSS. Moreover, the concurrent validity of the traditional Chinese version was supported by the positive correlations with MISS-LG, STAI, and CES-D. In conclusion, the traditional Chinese version of the GCSS showed relatively satisfactory psychometric properties. However, further research is needed to investigate the reasons for the possible etiology account for the different factor structures between the traditional Chinese version and the original GCSS.

Keywords: Taiwan; bisexual men; gay; mental health; stress.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Bisexuality
Female
Homosexuality, Female*
Humans
Male
Psychometrics
Reproducibility of Results
Sexual and Gender Minorities*
Surveys and Questionnaires
Taiwan
Translations

Grants and funding

This study was supported by grants from the Ministry of Science and Technology, Taiwan (MOST 110-2314-B-037-065-MY3) and Kaohsiung Medical University Hospital (grants KMUH110-0R70). The funding agency did not have a role in this study.