Multilevel Analysis of Sociopolitical Contexts, Social Support, Mental Health, and Alcohol Use Among Partnered Sexual Minority Latino Men in the U.S

Objective The objective of this paper is to examine how state-level characteristics relate to social support and mental health outcomes among Latino sexual minority men in the U.S. Methods Multilevel linear regression analyses were used to estimate the effect of social support and contextual-level characteristics on mental health and alcohol use among Latino sexual minority men ( n = 612). Individual-level data were collected via a national, online survey between November 2018 and May 2019. State-level data were drawn from the 2019 American Community Survey and the Human Rights Campaign’s 2018 State Equality Index score cards. Results The interaction between friend support and supportive LGBTQ+ policies was associated with anxiety ( B = 1.77; 95% CI 0.69, 2.85; p = 0.001) and depression ( B = 2.25; 95% CI 0.99, 3.50; p