Structural Stigma and 7-Year Improvement in Life Satisfaction among Diverse Groups of Sexual Minority Individuals: A Repeated Cross-Sectional Study across 28 Countries

Structural stigma toward sexual minority individuals, in the form of discriminatory laws and prejudicial population attitudes, varies widely across countries and is associated with psychosocial health outcomes. Yet, the association of changes in country-level structural stigma over time, as has recently characterized many European countries, with such outcomes is largely unknown. Using data from sexual minority respondents (2012: n=82,668; 2019: n=96,576) living in 28 European countries, this study analyzes the association between change in structural stigma from 2012 to 2019 and change in life satisfaction among sexual minority individuals during the same period. Results showed that life satisfaction had improved among sexual minority individuals in all countries between 2012 and 2019 (beta = 0.33, 95% confidence interval: 0.30, 0.36), but the improvement was stronger among those living in higher-stigma, compared to lower-stigma, countries and more as a function of changing laws than attitudes. Changes also varied by relationship status; the strongest improvement in life satisfaction as a function of decreased structural stigma was found among partnered sexual minority individuals. The findings support the relevance of structural stigma for sexual minority individuals' life satisfaction and call for further research to understand the differential impact of structural stigma across sexual minority subgroups.