• Yu-Te Huang, Mu-Hong Chen, Huei-Fan Hu, Nai-Ying Ko, and Cheng-Fang Yen.
• Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.
• J Formos Med Assoc. 2020 Jan 1; 119 (1 Pt 1): 150-156.

PurposeThe aims of the study were to examine the role of mental health in peoples' attitude toward same-sex marriage in Taiwan, as well as the moderating effects of gender, age, and sexual orientation on the association between mental health and attitude toward same-sex marriage.MethodsIn total, 3235 participants were recruited through a Facebook advertisement. Each participant completed a questionnaire assessing attitude toward same-sex marriage and a 5-item Brief Symptom Rating Scale (BSRS-5). Multiple regression analysis was performed to investigate the association between mental health and attitude toward same-sex marriage.ResultsPoor mental health was significantly associated with a low level of support for same-sex marriage. Age and sexual orientation moderated the association between mental health state and support for same-sex marriage. A significant association between poor mental health and a low level of support for same-sex marriage was observed only in older participants but not in younger participants. Moreover, a significant association between poor mental health and a low level of support for same-sex marriage was indicated only in heterosexual participants but not in non-heterosexual participants.ConclusionOur findings suggest that poor mental health was significantly associated with opposition to same-sex marriage. This relationship is more pronounced among older and heterosexual people.Copyright © 2019 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.

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