Table 5.

Associations between hypothesized predictors and poorer mental health^a.

Predictors	Poorer mental health (PHQ-4b)
	Coefc	95% CI	P value
Community engagement	–3.03	–3.19 to –2.87	<.001
Comfort with provider	–2.19	–2.23 to –2.15	<.001
Sexual stigma	2.48	2.42 to 2.54	<.001
Provider discrimination	3.15	2.94 to 3.35	<.001

^aRegression models also adjusted for income, education, relationship status, urbanicity (urban vs rural), racial/ethnic minority status, health insurance, and region (Global North vs Global South) as covariates. In sensitivity analyses omitting urbanicity and region, results were similar with respect to magnitude and level of significance of estimates.

^bPHQ-4: Patient Health Questionnaire-4.

^cCoef: regression coefficient.