ArticleNature human behaviour2026
Association of traumatic experiences with depressive symptoms among LGBTQ+ population in China.
Article in Nature human behaviour, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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15 authors.
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Abstract
Trauma is a major contributor to mental health disparities among LGBTQ+ individuals, yet evidence from non-Western contexts remains limited. Using baseline data from 8,384 participants in the TREASURE cohort in Chengdu, China, we examined associations between trauma exposure (adverse childhood experiences, lifetime trauma and LGBTQ+-related adversities) and depressive symptoms. Trauma exposure was highly prevalent (92.7%), particularly LGBTQ+-related adversities (87.3%). Depressive symptoms were observed in 30.2% of participants and were associated with trauma exposure (adjusted odds ratio = 11.00, 95% confidence interval, 7.39-16.39), exhibiting a dose-response relationship: each additional traumatic event is associated with 10% higher risk of depressive symptoms (95% confidence interval, 9-11%). Sequential mediation analysis suggested that unfavourable behavioural factors such as smoking (mediated proportions, 14.99-40.23%), lower social support (7.91-33.08%) and negative coping (1.79-37.66%) may mediate these associations. Despite limitations including non-representative, cross-sectional and self-reported data, our findings highlight that trauma exposure is ubiquitous and associated with depressive symptoms among Chinese LGBTQ+ individuals.
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