ArticlePDF Available

News Media Representations of Social Service Agencies (SSAs) in Singapore during COVID-19 Pandemic (Social Service Research Centre)


Abstract and Figures

An exploratory study on how the local news media reported on the type of challenges experienced by SSAs during the pandemic. Social Service Research Centre
Content may be subject to copyright.
MARCH 2022
Editor’s Note
by Dr. Rosaleen Ow
Minority Stress, Community Connectedness and Mental Health: A Study of Lesbian,
Gay and Bisexual Young Adults (LGB) in Singapore
by Abel Peh
Keywords: LGB, minority stress, mental health, community connectedness
News Media Representations of Social Service Agencies in Singapore during COVID-
19 Pandemic A Corpus Linguistics Approach
by Dr. Gerard Chung
Keywords: News, new media, COVID-19, pandemic, social service agencies, Singapore, corpus linguistics, text data
Upcoming SSR Events
March 2022 Issue 1 | 2
by Dr. Rosaleen Ow
In this first Issue of Snippet 2022, the article “Minority Stress, Community Connectedness and Mental Health: A Study of
Lesbian, Gay and Bisexual Young Adults (LGB) in Singapore” by Abel Peh examined the effects of minority stress among
LGB persons on their psychological well-being. The study is novel in its attempt to identify the protective effects of
community connectedness. Using a quantitative cross-sectional study design, the study found that higher levels of minority
stress were associated with poorer mental health outcomes among LGB persons. Community connectedness also
significantly reduced the associations between microaggression and psychological distress. The article will add to the dearth
of systematic research on this subject in the Asian context and will be of help to social service practitioners working with
these client groups.
The second article in this issue will be of broad interest to the wider social service community. News Media Representations
of Social Service Agencies (SSAs) in Singapore during COVID-19 Pandemic by Gerard Chung describes an exploratory
study on how the local news media reported on the type of challenges experienced by SSAs during the pandemic. The
analyses used a collection of text data from a total of 1,095 English-language newspaper articles published in the three main
news sources in Singapore. The study found a significant increase in news on SSAs during the pandemic highlighting
problems such as service disruptions, funding problems, and manpower issues. This image of “social services-in-distress”
was, however, balanced by news on SSAs’ expertise, active collaborations, and continuity in providing essential services.
The many client groups represented in the news also represent the complexity of issues and the diverse client groups that
SSAs in Singapore engage with. The paper argues for SSAs to take on a more proactive media strategy to promote their
work and services and to advocate for the needs of clients.
This second article as well as many other local and international studies have shown how the pandemic has impacted
clients and social services and will possibly change the future landscape for social service delivery. Our upcoming SSR
Conference 2022 “Post-Pandemic Challenges and Planning for Social Services” will initiate an important dialogue among
policy-makers, social service professionals, and researchers to envision the future of social services in the post-pandemic
period. We welcome you to sign up for this conference here.
Enjoy the read and best wishes for a fruitful new year!
March 2022 Issue 1 | 3
Minority Stress, Community Connectedness and Mental Health:
A Study of Lesbian, Gay and Bisexual Young Adults (LGB) in
by Abel Peh
Social Service Scholar, National Council of Social Service
Keywords: LGB, minority stress, mental health, community connectedness
This article seeks to examine the effects of minority stress on psychological well-being and to explicate the potential
moderating effects of community connectedness on this relationship through a quantitative cross-sectional study.
Public discourse surrounding lesbian, gay and bisexual (LGB) issues in Singapore tends to be shrouded in polarised
debates surrounding Section 377A of the Penal code with queer activists fiercely advocating for legal change on one end,
while conservative religious groups pushing back on the other (Han, 2018). Notwithstanding the necessity of such discourse,
its unintentional polarising effects could result in casting complex LGB experiences to a simple for-against or right-wrong
dichotomy. In doing so, it risks distracting many from the lived realities of LGB persons, who by virtue of their sexual
orientation face a disproportionate amount of stress. Beyond the veil of labels such as Pink Dot and White Wear Campaign
are the lesser heard stories of everyday prejudice and stigma faced by sexual minorities.
While a wealth of literature suggests that the experience of minority stress (Meyer, 2003) can lead to poorer mental health
outcomes, the bulk of these studies herald from the West, with few in Asia and none in Singapore. This dearth of local
research could be attributed to the lack of public data on sexual identity and how topics of sexuality remain largely taboo and
divisive (Ong, 2021; Mathews et al., 2019). Moreover, most academic studies on minority stress have also been focused on
examining the causal relationships between minority stress processes and mental well-being, with few going beyond to
explicate the potential moderating effects of group-level resources such as community connectedness. Lastly, in measuring
minority stress, most studies also do not delineate overt forms of discrimination from its relatively more subtle and implicit
form of microaggression.
In view of these research gaps, this study aims to contribute to the scarce local literature on LGB issues by (1) examining
the effects of minority stress on psychological distress and (2) to explicate the potential moderating effects of community
connectedness on this relationship.
March 2022 Issue 1 | 4
Theoretical Framework: The Minority Stress Model
Figure 1
Note: Illustration of the Minority Stress Model.
Figure 1: The Minority Stress Model, adapted from “Prejudice, Social Stress, and Mental Health in Lesbian, Gay, and Bisexual Populations:
Conceptual Issues and Research Evidence,” by I. H. Meyer, 2003, Psychological Bulletin, 129(5), p. 674-697. Copyright 2003 by the American
Psychological Association
The Minority Stress Model (see Figure 1) postulates that sexual minority individuals experience unique and often chronic
stressors arising from their stigmatised sexual identities, and these can implicate negatively on mental health outcomes
(Meyer, 2003). Meyer identified two distal stressors: Discrimination and Victimisation, and three proximal stressors:
Internalised Homophobia, Concealment of Sexual Identity, and Rejection Anticipation. In this study, the domain of
Victimisation is excluded in consideration of the construct’s limited applicability in the Singapore context. Given high levels of
safety where the overt experience of physical violence and aggression is rare, it is conceivable that LGB individuals would
experience low levels of victimisation. In addition, this study has delineated overt forms of discrimination from its more subtle
form of microaggression. In the following sub-sections, I will elaborate on these concepts.
Discrimination. Discrimination refers to the experience of external, objective stressful events and conditions, and which can
have psychologically injurious effects on the individual. Numerous studies have established that the experiences of
discrimination can impact negatively on the mental well-being of LGB persons (Craney et al., 2018; Eisenberg et al., 2019).
Meta-analyses have also found discrimination events as having significant positive associations with psychological distress,
with a small-to-medium effect size (Newcomb & Mustanski, 2010; Schmitt et al., 2014).
Microaggression. Studies have shown that discrimination towards sexual minority persons is increasingly adopting more
subtle forms known as “microaggression” (Jewell & Morrison, 2010; Nadal, Whitman, Davis, Erazo, & Davidoff, 2016). These
are often unintentional acts of discrimination that may come in the form of “everyday verbal, nonverbal, and environmental
slights, snubs, or insults” (Sue, 2010, p.3) that inadvertently marginalise sexual minority groups. Overall, research has
March 2022 Issue 1 | 5
evidenced how LGB-based microaggressions can lead to poorer mental health and psychiatric morbidity (Woodford et al.,
2014; Woodford et al., 2015; Nadal et al., 2012).
Internalised Homophobia. Internalised homophobia refers to the process through which negative societal attitudes about
homosexuality are directed towards, and internalised by the individual (Meyer, 2003; Szymanski et al., 2008). Even before
one can become aware of their own minority status, they would have been socialised and exposed to anti-homosexual
attitudes and as they become cognisant of their own same-sex attraction, these previously acquired heterosexist ideas
become applied to their appraisals of the self (Meyer, 1995). The negative effects of internalised homophobia had been
widely reported where higher levels of internalised homophobia were found to be positively correlated to poorer mental
health outcomes (Newcomb & Mustanki, 2010; Szymanski et al., 2008; Hoy-Ellis, 2015, Frost, 2011).
Concealment of Sexual Identity. Concealment of sexual identity refers to the manner through which individuals hide their
minority identity so as to avoid prejudiced responses associated with disclosure. These may include behaviours such as
monitoring speech, mannerisms and dressing. In the short-term, concealment of identity as a means of coping can have
stress-ameliorative effects by shielding individuals from being visible targets of discrimination (Frost et al., 2007). However,
in the longer-term, the prolonged hiding of one’s sexual identity can be psychologically demanding and could induce coping
fatigue and often, the distress arising from such constant fear of discovery exceeds the stress-moderating effects of the
short term (Pachankis, 2007; Cohen et al., 2016; Lehavot & Simoni, 2011; Pistella et al., 2016).
Rejection Anticipation. Rejection anticipation refers to how sexual minority individuals appraise potentially prejudicial
situations and hence become hypervigilant so as to avoid the perceived consequences of being discovered (Meyer, 1995).
Such hypervigilance can be a result of direct or indirect experiences of rejection that impact on their sensitivity to rejection
(Feinstein, 2019). Living in constant fear of being rejected can result in extremely stressful hypervigilance that requires
considerable amounts of energy for adaptation (Christie & Allport, 1954). Overall, the negative impacts of rejection
anticipation on psychological distress have been well-documented (Feinstein et al., 2012; Feinstein, 2019).
Moderating Protective Factor: Community Connectedness. In his model of minority stress, Meyer (2003) saw minority
status as not only associated with stressors but can also serve as an important group-level coping resource that has the
potential of moderating the negative effects of minority stress (Major & O’Brien, 2005; Meyer, 2003). Community
connectedness refers broadly to a sense of belonging or in-group affiliation to the greater community consisting of other
sexual minorities (Frost & Meyer, 2012; Meyer, 2003). Having strong community affiliation can offer members an avenue to
mutually validate their experiences and to provide an affirmative reappraisal of distressing situations thereby abating the
negative effects minority stress has on mental health (Meyer, 2003). In general, research has shown that among sexual
minority individuals who are more connected, these affiliations reduced the negative effects of discrimination,
microaggression, and internalised homophobia on ill-mental health (Szymanski & Owens, 2009; Lee et al., 2019; Salfas et
al., 2019; Kaniuka et al., 2019; Puckett et al., 2015).
LGB Mental Health Research in Asia and Singapore
Current literature on minority stress and the mental well-being of sexual minorities tends to be skewed towards Western
societies, with only a handful of studies conducted in Asia. Of the few in Asia, meta-analyses undertaken by Sun et al.
(2020) as well as Wei et al. (2020) both found high prevalence of mental health issues such as depression, anxiety and
suicidal behaviours among Chinese gay men. In addition, a South Korean study with more than 2,000 LGB individuals
reported that among respondents with lower levels of community connectedness, there is a significant positive association
between sexuality-based discrimination and depressive symptoms (Lee et al., 2019). Closer to home, a cross-sectional
study involving 3,263 undergraduates from five ASEAN countries (Indonesia, Malaysia, Myanmar, Thailand, and Vietnam)
March 2022 Issue 1 | 6
found that lesbian, gay, bisexual and transgender (LGBT) students were more likely to report depression and suicide
attempts as compared to their heterosexual peers (Peltzer & Pengpid, 2016). Such finding coheres with a separate research
study by Lian and colleagues (2015) that saw high prevalence of suicidal ideation and attempts among LGB youths in Hanoi,
Shanghai, and Taipei.
In contrast, research on LGB mental health is scant in Singapore. Of the few available LGB-related studies, they tend to
adopt a sociological or political lens to understanding issues such as gay rights, political movement, and sexual citizenship
(Oswin, 2019; Zubillaga-Pow & Yue, 2012; Chua, 2015; Phillips, 2014). Meanwhile, other health studies tend to focus
exclusively on the experiences of gay and bisexual men and are targeted at specialised health topics such as sexualised
substance use (Tan et al., 2018; Tan; 2020) and sexually transmitted diseases (Tan et al., 2020).
Purpose of the Study
Consequently, this study seeks to answer the following research questions:
(1) Is there an association between levels of minority stress and levels of psychological distress among LGB young adults in
Singapore and
(2) Does LGB community connectedness have a moderating effect on the relationship between certain minority stressors
internalised homophobia, discrimination events, microaggression and psychological distress?
This is a quantitative cross-sectional study pursuing a descriptive and explanatory purpose. Participants were recruited via
convenience and snowball sampling through social media, word of mouth, and major LGBT community groups. To be
eligible for the study, participants must be a Singapore citizen, between the ages of 18 and 35 years old, and identify as
either lesbian, gay or bisexual. The final sample comprised of 469 participants aged 18 to 35 years old (M=26.8, SD=4.44).
Sociodemographic characteristics collected for this study were age, gender, sexual identity, ethnicity, level of education,
income and perceived level of religiosity.
Independent Variables
To measure sexual minority stress, specific sub-scales from the LGBT Minority Stress Measure (Outland, 2016) were
adapted. All questions were answered on a five-point Likert scale.
Discrimination Events. This subscale asks about experiences of discrimination, prejudice, and unfair treatment in various
settings such as in the workplace and school. An example of a question includes “I have been treated unfairly by teachers,
colleagues or supervisors because I am lesbian/gay/bisexual”.
Microaggression. This subscale asks about day-to-day micro-discrimination an LGB person faces as a result of their sexual
minority status, as well as situations that may be perceived as prejudicial, but may not have been intended as such by the
wrongdoer. An example of a question includes “I have been told that I am not really lesbian/gay/bisexual because I am
confused or looking for attention”.
March 2022 Issue 1 | 7
Identity Concealment. This subscale measures the extent to which the individual conceals their sexual identity. Questions
consider the internal process individuals go through before deciding what, how much, to whom, and when to disclose their
sexual identity. An example of a question includes “I limit what I share on social media, or who can see it, because I do not
want others to know I am lesbian/gay/bisexual”.
Internalised Homophobia. This subscale measures the negative and heterosexist attitudes individuals hold towards
themselves. An example of a question includes I have tried to stop being lesbian/gay/bisexual”.
Rejection Anticipation. This subscale examines the extent to which LGB individuals find themselves having to worry about
being a target of discriminatory regard and having to be hypervigilant as they appraise potentially prejudicial situations. An
example of a question includes “I worry about what will happen if people find out I am lesbian/gay/bisexual”.
Dependent Variable
Psychological Distress. To measure mental well-being, the Kessler Psychological Distress Scale (K10) was adopted
(Kessler et al., 2003). This 10-item scale measures symptoms of anxiety and depression in the past 30 days.
Community Connectedness. To measure community connectedness, the Community Connectedness/Affiliation Scale as
part of the Urban Men’s Health Study (UMHS; Barrett & Pollack, 2005; Frost & Meyer, 2012) was adapted. The scale
measures three distinct components of the LGB community: Closeness, Positivity, and Focus on the societal issues faced
collectively by the community (Frost & Meyer, 2012). Questions include “You feel you’re a part of Singapore’s LGB
community” and “Participating in Singapore’s LGB community is a positive thing for you”.
Data Analysis
Multivariable ordinary least square linear regression was performed to examine the association between minority stress
processes and psychological distress, and to determine whether community connectedness moderated the association
between specific minority stressors (namely, discrimination events, microaggression and internalised homophobia) and
psychological distress. In each of the three interaction models, covariates of age, gender, sexual identity, ethnicity, income,
and religiosity were included. Significant interactions were probed and plotted to examine the nature, strength, and direction
of effects. Only data from participants who had complete information for all variables were included in the analytical model
March 2022 Issue 1 | 8
Demographic Characteristic
Table 1
Table 1: Sociodemographic Characteristics, Levels of Psychological Distress and Minority Stress by Sexual Orientation Group.
Table 1 displays the summary statistics of the sample’s demographic characteristics (N=469). The average age of
participants was 27 years old, and the study yielded equally high responses across all sexual orientation groups: gays
(37%), lesbians (26%) and bisexuals (37%). The study also comprised a racially diverse and representative sample (79%
Chinese, 8.5% Malays, 7.1% Indians, and 5% Others) consistent with national-level data (Singapore Government, 2019). A
large majority of respondents had at least a post-secondary education (99%), were non-religious (54%), and earned below
the median income of $3000 (54%).
March 2022 Issue 1 | 9
Study Findings
Overall, results in Table 2 provide strong support for the primary hypothesis that higher levels of minority stress are
associated with poorer mental health outcomes, with microaggression having the largest effect, followed by rejection
anticipation and internalised homophobia. Results also revealed that community connectedness significantly moderated the
influence of microaggression on psychological distress. Specifically, at low levels of microaggression, being more connected
to the community reduces their levels of distress. However, interestingly, at high microaggression levels, it was observed
that being more connected is associated with greater distress relative to those less connected.
Table 2
Table 2: Results for Regression of Psychological Distress by Individual Minority Stress Processes and Demographic Characteristics
Effects of Distal Stress Processes on Psychological Distress
Experiences of microaggression had the largest effect on psychological distress (see Table 2). This significant positive
association is consistent with prior studies. The prevalence of microaggression also coheres with a community study by
Oogachaga (2012) which found microaggression as the most prevalent form of prejudice, and where individuals who have
experienced sexuality-based discrimination reported significantly higher incidences of suicidal ideation. Discrimination
events, in contrast, was not found to be significantly associated with psychological distress.
March 2022 Issue 1 | 10
Effects of Proximal Stress Processes on Psychological Distress
Study findings found rejection anticipation and internalised homophobia to be strong factors of poor mental health (see
Table 2). These significant positive associations are consistent with previous studies. Identity concealment, on the other
hand, was not found to be significantly associated with psychological distress.
Moderating Effects of Community Connectedness
Table 3
Table 3: Results for Regression of Psychological Distress with Moderation of Community Connectedness
March 2022 Issue 1 | 11
Microaggression × Community Connectedness. While the findings revealed community connectedness as having a
significant moderating effect on the influence of microaggression on psychological distress (see Table 3), the direction and
effect of this moderation only partly support our second hypothesis that psychological distress will be lower among
respondents with higher levels of community connectedness.
Figure 2
Figure 2: Levels of psychological distress by levels of microaggression experienced examined at three levels of community connectedness
As seen in Figure 2, at low levels of reported microaggression, microaggression had the strongest negative association with
psychological distress for respondents with high levels of community connectedness. This stress-buffering effect that arises
from being more connected to the community converges with prior studies (Szymanski & Owens, 2009). However, at higher
levels of microaggression, having strong connections to the community no longer acts as a stress-ameliorating factor but
seems to ‘exacerbate’ the effects of microaggression such that individuals who were more connected experience higher
levels of distress. In other words, while respondents with low levels of microaggression and high levels of connectedness
had the best mental health scores, the buffering effects of community connectedness decline as the experience of
microaggression increases, such that individuals who are most connected experience highest levels of distress.
This unexpected finding should be interpreted with caution: it is likely not community connectedness per se that presents as
a risk factor for poor mental health, but that being connected is associated with being more ‘out’, and this increased visibility
subjects individuals to being more visible targets of sexuality-based prejudice. Furthermore, highly connected individuals,
who by virtue of their strong attachment to, and identification with the community, are also more likely to experience
heightened sensitivity to potential negative regard. Consequently, any attack targeted at the community is likely to be taken
more personally and seriously and this is particularly so for individuals whose membership to the community is a central
part of their identity.
March 2022 Issue 1 | 12
Discrimination Events × Community Connectedness. Contrary to our hypothesis, the associations between (1)
discrimination events and psychological distress, as well as (1) internalised homophobia and psychological distress, were
not significantly moderated by community connectedness.
Implications of the Study
Implications on Social Work Practice
Study findings reflect the importance for social workers to assess minority stress among LGB clients and be cognisant of
how stress processes such as microaggression, internalised homophobia and rejection anticipation can impact the
experience of psychological distress. In view of the large effect of microaggression on distress levels, while it is not possible
for practitioners to “reduce” the experience of microaggression considering how it is a distal stressor that is independent of
the individual, practitioners can instead equip clients with adaptive coping skills that could reduce its ill-effects. For instance,
the learning of emotional regulation techniques and how they can respond to prejudice without putting themselves at greater
emotional vulnerability.
In addition, social workers should actively work towards minimising potential sources of rejection that could arise from the
therapeutic relationship. Often, as a result of internalised homophobia and previous rejection experiences, LGB clients could
embrace themselves for potential disrespect and rejection even before stepping foot into the agency. It is hence helpful for
practitioners and their organisations to reassure clients of non-discriminatory practices, and to foster an environment where
LGB individuals feel safe to disclose their sexuality and experiences. Such efforts may include reviewing the semantics used
in intake forms as well as equipping practitioners with a language repository sensitive to the LGB experience. These
adjustments not only embody respect to the varied experiences of LGB persons but also provide practitioners with
invaluable information for assessment.
Study findings have also shown that being more connected to the LGB community could yield positive stress-ameliorative
effects. This emphasises the importance for social workers to explore opportunities where LGB individuals can foster a
sense of belonging and where they can reap benefits arising from group support. That said, practitioners should conduct this
sensitively and in tandem with the comfort level of clients. For instance, for a LGB youth who prefers not to or is not yet
ready to “come out”, being exposed to formal LGB networks could induce greater stress. Instead, workers can explore varied
options with them (e.g., tapping onto other informal and casual networks) where they can still reap benefits arising from
group support but need not compromise on their desire for privacy.
Moreover, practitioners working with clients who are highly connected to the LGB community should also take note of the
potential distress associated with it specifically, possible prejudice experiences stemming from increased visibility as well
as possible emotional strain from over-identification. In these situations, rather than discouraging clients from further
developing these connections (considering how they could still reap stress-buffering benefits), practitioners should focus on
equipping them with adaptive strategies that can abate the ill-effects of discriminatory regard and help them develop and
maintain healthy boundaries between the ‘self’ and the community.
While micro-level interventions are necessary, one might argue that they are at best mitigative in nature. Their efficacy is
largely limited by systemic structures such as heterosexist norms that could weigh heavily on the experiences of LGB
individuals. Consequently, counselling should go in tandem with greater upstream efforts targeted at preventive work. These
may include public education aimed at helping individuals become more aware of the nuances in LGBT issues, and thereby
foster a culture of empathy. Such increased sensitivity and appreciation for differences can yield rippling effects in the long
March 2022 Issue 1 | 13
Implications for Future Research
First, future studies may benefit from exploring other indirect pathways of moderation. Research has increasingly shown how
minority stress processes can interact with one another to affect health outcomes: for instance, experiences of
microaggression can heighten one’s sense of anticipation rejection, and these, in turn, affect decisions to conceal one’s
identity, which then reinforce internalised homophobia. (Moe, 2016; Kaniuka et al., 2019) Second, future research design
could also incorporate a dimension of minority stress theory not covered in this study: the characteristics of sexual identity.
This includes examining identity prominence, valence, and integration (Ashmore et al., 2004). These are important
dimensions of sexual identity that could implicate health outcomes, beyond minority stress processes and group-level social
support. As much as possible, research should also account for the intersectionality of minority identities (e.g., race and
sexuality) as studies have increasingly shown how this can confer individuals with double stigma, limit their coping
resources, and thereby putting them at higher risk of distress (Meyer, Schwartz, & Frost, 2008). Finally, future studies could
attempt to overcome the limitations of a cross-sectional study by adopting a longitudinal study this would enrich literature
by more confidently establishing potential causality, and to control for cohort confounds if any.
This study was not without limitations and its findings should be interpreted in consideration of the following: First, as the
sample was recruited with the intention and incentive to further understand issues within the LGB community, responses
may be prone to social desirability bias. Respondents who wish to use this platform to counteract existing stigma may be
reluctant to disclose experiences undesirable to the community. Second, as data was collected through LGBT organisations
and student groups, it may have resulted in biased participation from LGB members who were already socially connected
within the community and who were also more likely to be comfortable with their sexual identity. These individuals could
differ in important characteristics from members unconnected to these networks, such as experiencing lower levels of
identity concealment and having higher community connectedness. Third, as with other cross-sectional studies, findings
should not be taken as evidence for causality between the investigated minority stress processes and psychological
distress. It is possible that increased psychological distress could also foster a heightened sense of minority stress.
Moreover, as the data only represents a snapshot of the population at the time of the study, it is unable to capture changes
in mental health and the experiences of minority stressors across time which could potentially introduce cohort
With data collected from 469 LGB young adults in Singapore, this study has provided a wealth of information about the
demographics of self-identified LGB young adults in Singapore which is valuable in a climate where public data on sexuality
is scarce, and where research on the intersections of sexuality and mental health is rare. This study has also distinguished
the effects of microaggression from overt discrimination events a component relatively absent in existing studies on
minority stress.
The findings from this study lend good empirical justification for future social work interventions. Specifically, the study has
found a statistically significant and positive relationship between minority stress and psychological distress, with
microaggression having the largest effect, followed by rejection anticipation and internalised homophobia. This reinforces (1)
the importance for social workers to be cognisant of how minority stress can impact on clients’ mental well-being, (2) the
necessity in fostering a non-judgmental environment where clients feel safe to disclose their experiences, and (3) the
importance of engaging in upstream efforts such as equipping social work students with the knowledge and skills necessary
March 2022 Issue 1 | 14
to render culturally sensitive services. Lastly, the study also extends the importance of recognising the complexity involved in
the interaction between community connectedness, microaggression, and psychological distress.
This Honours thesis is in part fulfilment of the requirements for the degree of Bachelor of Social Sciences (Honours) Social
Work at the National University of Singapore.
March 2022 Issue 1 | 15
Ashmore, R. D., Deaux, K., & McLaughlin-Volpe, T. (2004). An Organizing Framework for Collective Identity: Articulation and
Significance of Multidimensionality. Psychological Bulletin, 130(1), 80114.
Barrett, D. C., & Pollack, L. M. (2005). Whose Gay Community? Social Class, Sexual Self-Expression, and Gay Community
Involvement. The Sociological Quarterly, 46(3), 437456.
Christie, R., & Allport, G. W. (1954). The nature of prejudice. The American Journal of Psychology, 67(4), 742.
Chua, L. J. (2015). Mobilizing gay Singapore: Rights and resistance in an authoritarian state. Philadelphia: Temple
University Press.
Cohen, J. M., Blasey, C., Taylor, C. B., Weiss, B. J., & Newman, M. G. (2016). Anxiety and related disorders and
concealment in sexual minority young adults. Behavior Therapy,47(1), 91101.
Craney, R. S., Watson, L. B., Brownfield, J., & Flores, M. J. (2018). Bisexual womens discriminatory experiences and
psychological distress: Exploring the roles of coping and LGBTQ community connectedness. Psychology of Sexual
Orientation and Gender Diversity, 5(3), 324337.
Ceatha, N., Mayock, P., Campbell, J., Noone, C., & Browne, K. (2019). The Power of Recognition: A Qualitative Study of
Social Connectedness and Wellbeing through LGBT Sporting, Creative and Social Groups in Ireland. International Journal of
Environmental Research and Public Health, 16(19), 3636.
Chan, R. C. H., Operario, D., & Mak, W. W. S. (2020). Bisexual individuals are at greater risk of poor mental health than
lesbians and gay men: The mediating role of sexual identity stress at multiple levels. Journal of Affective Disorders, 260,
Eisenberg, M. E., Gower, A. L., Rider, G. N., McMorris, B. J., & Coleman, E. (2019). At the intersection of sexual orientation
and gender identity: variations in emotional distress and bullying experience in a large population-based sample of U.S.
adolescents. Journal of LGBT Youth, 16(3), 235254.
Ferraro, K. F., & Farmer, M. M. (1996). Double Jeopardy to Health Hypothesis for African Americans: Analysis and Critique.
Journal of Health and Social Behavior, 37(1), 27.
Friedman, R. C. (1999). Homosexuality, Psychopathology, and Suicidality. Archives of General Psychiatry, 56(10), 887.
Frost, D. M., Parsons, J. T., & Nann, J. E. (2007). Stigma, Concealment and Symptoms of Depression as Explanations for
Sexually Transmitted Infections among Gay Men. Journal of Health Psychology, 12(4), 636640.
Frost, D. M. (2011). Social Stigma and its Consequences for the Socially Stigmatized. Social and Personality Psychology
Compass, 5(11), 824839.
Frost, D. M., & Meyer, I. H. (2012). Measuring Community Connectedness among Diverse Sexual Minority Populations.
Journal of Sex Research, 49(1), 3649.
March 2022 Issue 1 | 16
Feinstein, B. A., Goldfried, M. R., & Davila, J. (2012). The relationship between experiences of discrimination and mental
health among lesbians and gay men: An examination of internalized homonegativity and rejection sensitivity as potential
mechanisms. Journal of Consulting and Clinical Psychology, 80(5), 917927.
Feinstein, B. A. (2019). The rejection sensitivity model as a framework for understanding sexual minority mental health.
Archives of Sexual Behavior.
Herek, G. M., Gillis, R. J., & Cogan, J. C. (2009). Supplemental Material for Internalized Stigma Among Sexual Minority
Adults: Insights From a Social Psychological Perspective. Journal of Counseling Psychology, 56, 4343.
Hoy-Ellis, C. P. (2015). Concealing Concealment: The Mediating Role of Internalized Heterosexism in Psychological
Distress Among Lesbian, Gay, and Bisexual Older Adults. Journal of Homosexuality, 63(4), 487506.
Han, S. (2018). Wear White: The mediatized politics of religious anti-LGBT activism in Singapore. Nordic Journal of Religion
and Society, 31(1), 4157. DOI: 10.18262/issn.1890-7008-2018-01-03.
Jewell, L. M., & Morrison, M. A. (2010). But Theres a Million Jokes About Everybody . . .: Prevalence of, and Reasons for,
Directing Negative Behaviors Toward Gay Men on a Canadian University Campus. Journal of Interpersonal Violence,
25(11), 20942112.
Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., ... Zaslavsky, A. M. (2003). Screening for
Serious Mental Illness in the General Population. Archives of General Psychiatry, 60(2), 184.
Kaniuka, A., Pugh, K. C., Jordan, M., Brooks, B., Dodd, J., Mann, A. K., ... Hirsch, J. K. (2019). Stigma and suicide risk
among the LGBTQ population: Are anxiety and depression to blame and can connectedness to the LGBTQ community
help? Journal of Gay & Lesbian Mental Health, 23(2), 205220.
Lehavot, K., & Simoni, J. M. (2011). The impact of minority stress on mental health and substance use among sexual
minority women. Journal of Consulting and Clinical Psychology,79(2), 159170.
Lian, Q., Zuo, X., Lou, C., Gao, E., & Cheng, Y. (2015). Sexual Orientation and Risk Factors for Suicidal Ideation and
Suicide Attempts: a Multi-centre Cross- Sectional Study in Three Asian Cities. Journal of Epidemiology, 25(2), 155 161.
Lee, H., Park, J., Choi, B., Yi, H., & Kim, S.-S. (2019). Association between Discrimination and Depressive Symptoms
Among 2,162 Lesbian, Gay, and Bisexual Adults in South Korea: Does Community Connectedness Modify the Association?
Journal of Homosexuality, 68(1), 7087.
Meyer, I. H. (1995). Minority Stress and Mental Health in Gay Men. Journal of Health and Social Behavior, 36(1), 38.
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues
and research evidence. Psychological Bulletin, 129(5), 674697.
March 2022 Issue 1 | 17
Major, B., & O'Brien, L. T. (2005). The Social Psychology of Stigma. Annual Review of Psychology, 56(1), 393421.
Meyer, I. H., Schwartz, S., & Frost, D. M. (2008). Social patterning of stress and coping: Does disadvantaged social statuses
confer more stress and fewer coping resources? Social Science & Medicine, 67(3), 368379.
Moe, J. L. (2016). Wellness and distress in LGBTQ populations: A meta-analysis. Journal of LGBT Issues in Counseling,
10(2), 112129. doi:10.1080/15538605.2016.1163520
Newcomb, M. E., & Mustanski, B. (2010). Internalized homophobia and internalizing mental health problems: A meta-
analytic review. Clinical Psychology Review, 30(8), 10191029.
Nadal, K. L., Skolnik, A., & Wong, Y. (2012). Interpersonal and Systemic Microaggressions Toward Transgender People:
Implications for Counseling. Journal of LGBT Issues in Counseling, 6(1), 5582.
Nadal, K. L., Whitman, C. N., Davis, L. S., Erazo, T., & Davidoff, K. C. (2016). Microaggressions toward lesbian, gay,
bisexual, transgender, queer, and genderqueer people: A review of the literature. Journal of Sex Research,53(4 5), 488
Oogachaga. (2012). (rep.). Impact of Homophobia and Transphobia on LGBTQ Individuals in Singapore. Retrieved from
922d6acb96e284/1522938567268/Homophobia_Transphobia_Summary_Repo rt_May2012.pdf
Outland, P. L. (2016). Developing the LGBT minority stress measure. Colorado State University. Libraries.
Oswin, N. (2019). Global city futures. Desire and development in Singapore. University of Georgia Press.
Ong, J. (2021, February 3). Singapore still conservative on moral, sexuality issues, but more liberal since 2002: IPS survey.
The Straits Times. conservative-on-moral-sexuality-
Pachankis, J. E., & Goldfried, M. R. (2004). Clinical Issues in Working With Lesbian, Gay, and Bisexual Clients.
Psychotherapy: Theory, Research, Practice, Training, 41(3), 227246. 3204.41.3.227
Preacher, K. J., Curran, P. J., & Bauer, D. J. (2006). Computational Tools for Probing Interactions in Multiple Linear
Regression, Multilevel Modeling, and Latent Curve Analysis. Journal of Educational and Behavioral Statistics, 31(4), 437
Pachankis, J. E. (2007). The psychological implications of concealing a stigma: A cognitive-affective-behavioral model.
Psychological Bulletin,133(2), 328 345.
Phillips, R. (2014). And I Am Also Gay: Illiberal Pragmatics, Neoliberal Homonormativity and LGBT Activism in Singapore.
Anthropological 56(1), 45-54.
Puckett, J. A., Levitt, H. M., Horne, S. G., & Hayes-Skelton, S. A. (2015). Internalized heterosexism and psychological
distress: The mediating roles of self-criticism and community connectedness. Psychology of Sexual Orientation and Gender
Diversity, 2(4), 426435.
March 2022 Issue 1 | 18
Peltzer, K., & Pengpid, S. (2016). Minority stress among lesbian, gay, bisexual and transgender (LGBT) university students
in ASEAS countries: associations with poor mental health and . Gender and behaviours, 14(3).
Pistella, J., Salvati, M., Ioverno, S., Laghi, F., & Baiocco, R. (2016). Coming-out to family members and internalized sexual
stigma in bisexual, lesbian and gay people. Journal of Child and Family Studies,25(12), 3694
Szymanski, D. M., Kashubeck-West, S., & Meyer, J. (2008). Internalized Heterosexism. The Counseling Psychologist, 36(4),
Szymanski, D. M., & Owens, G. P. (2009). Group-Level Coping as a Moderator Between Heterosexism and Sexism and
Psychological Distress in Sexual Minority Women. Psychology of Women Quarterly, 33(2), 197205.
Sue, D. W. (2010). Microaggressions in everyday life: Race, gender, and sexual orientation. John Wiley & Sons
Salfas, B., Rendina, H. J., & Parsons, J. T. (2019). What is the role of the community? Examining minority stress processes
among gay and bisexual men. Stigma and Health, 4(3), 300309.
Sun, S., Pachankis, J. E., Li, X., & Operario, D. (2020). Addressing Minority Stress and Mental Health among Men Who
Have Sex with Men (MSM) in China. Current HIV/AIDS Reports, 17(1), 3562. 00479-w
Tan, R., Wong, C., Chen, M., Chan, Y., Ibrahim, M., Lim, O., Chio, M., Wong, C., Chan, R, Chan, L. & Choong, B. (2018).
Chemsex among gay, bisexual, and other men who have sex with men in Singapore and the challenges ahead: A qualitative
study. International Journal of Drug Policy 61, 31-37.
Tan, R. K., O'Hara, C. A., Koh, W. L., Le, D., Tan, A., Tyler, A., ... Wong, M. L. (2020a). Social Capital and Chemsex
Initiation in Young Gay, Bisexual, and Other Men Who Have Sex With Men: the Pink Carpet Y Cohort Study.
Tan, R., Kaur, N., Chen, M., Wong, C. (2020b). Developing a Typology of HIV/STI Testing Patterns Among Gay, Bisexual
and Queer Men: A Framework to Guide Interventions. Qualitative Health Research 30(4),
Woodford, M. R., Kulick, A., Sinco, B. R., & Hong, J. S. (2014). Contemporary heterosexism on campus and psychological
distress among LGBQ students: The mediating role of self-acceptance. American Journal of Orthopsychiatry, 84(5), 519
Woodford, M. R., Kulick, A., & Atteberry, B. (2015). Protective factors, campus climate, and health outcomes among sexual
minority college students. Journal of Diversity in Higher Education, 8(2), 7387.
Wei, D., Wang, X., You, X., Luo, X., Hao, C., Gu, J., ... Hou, F. (2020). Prevalence of depression, anxiety and suicide among
men who have sex with men in China: a systematic review and meta-analysis. Epidemiology and Psychiatric Sciences, 29.
Zubillaga-Pow, J., & Yue, A. (2012). Queer Singapore: Illiberal Citizenship and Mediated Cultures. Hong Kong University
Press, HKU.
March 2022 Issue 1 | 19
News Media Representations of Social Service Agencies in
Singapore during COVID-19 Pandemic A Corpus Linguistics
by Dr. Gerard Chung, PhD, MSW
Research Fellow, Social Service Research Centre, NUS
Keywords: News, new media, COVID-19, pandemic, social service agencies, Singapore, corpus linguistics, text data
This paper describes an exploratory study on how the local news media had reported on social service agencies (SSAs) in
Singapore during the COVID-19 pandemic such as the type of challenges and issues experienced and the client groups they
Key Challenges Faced By SSAs in the Pandemic
In 2021 amid the COVID-19 pandemic, the National Council of Social Service (NCSS) in Singapore put out a report titled
“Emerging stronger together” which captured the spirit and vision for SSAs in this challenging journey. The report by the
“Beyond COVID-19” task force (NCSS, 2021) outlined the task force’s recommendations on the strategic capabilities which
the social service sector would need to build to emerge a stronger sector in the medium to long term. The recommendations
were a result of several studies initiated by the task force to understand the challenges experienced by SSAs during the
pandemic, including a survey with executive directors and social service professionals from the SSAs in Singapore.
In the report, five key challenges faced by SSAs were identified: First, SSAs identified digitalization and IT infrastructure to
support service delivery as a challenge in sustaining operations during the pandemic. An upside is that most SSAs see
digitalization as an advantage and hope to maintain their organization’s digital transformations in service delivery. Manpower
issues were the second challenge highlighted by SSAs. Staff and volunteer shortages, increased workload, and difficulties
with hybrid work arrangements were mentioned. Third, fundraising and funding sustainability was also a challenge for many
SSAs with the survey finding that 67% of SSAs in the sample reporting a decrease in cash donations and 41% incurring a
deficit in the last three months. The last two challenges involved service delivery continuity and the lack of leadership and
organizational management capabilities.
These challenges faced by the SSAs caught the attention of the local news media and how the media portrays these
challenges can construct public opinions to influence the role of SSAs. The aim of this study is to understand news media
representations of SSAs and the challenges and issues experienced during the pandemic.
News Media Representations of SSAs and its Impact on SSAs
Why are news media representations of SSAs important? Understanding news media representations of social services and
social service professionals has been an area of interest in many western countries such as the United Kingdom (UK),
Sweden, Ireland, and the United States (Blomberg, 2019; Cordoba, 2017; Gaughan & Garrett, 2012; Leedham, 2021; Reid
& Misener, 2001; Staniforth & Beddoe, 2017; Zugazaga et al., 2006). A positive media portrayal of social services could
March 2022 Issue 1 | 20
influence SSAs’ effectiveness in service delivery and engagements (Reid & Misener, 2001), especially since most people do
not often come into contact with social service professionals such as social workers and counsellors (Zugazaga et al., 2006).
In Singapore, most people form their opinions or get information about SSAs through what they read or hear in online or
printed newspapers, television, or word of mouth. The social work profession, for instance, has long been concerned with
how it is represented in the media as this can potentially influence service effectiveness, their engagements with clients,
staff retention, funding for services, and staff recruitment (Legood et al., 2016; Zugazaga et al., 2006). Media
representations of the social work profession can have an impact on the conduct and professional practice of social work
and influence the public esteem in which social workers are held (e.g., child protection services; Leedham, 2021). By
informing and influencing the mood of public opinion, media portrayal may ultimately affect social policy concerning social
services, social service professionals, and their clients. News media representations of SSAs could have an even greater
impact during a crisis such as a pandemic.
People’s Need for Orientation during a Crisis
In times of crises, people turn to news sources because they feel the need for information to understand the causes and
immediate consequences of the crisis and to know how to reach for safety (Van Aelst et al., 2021). For instance, Althaus
(2002) found that in the week after the 9/11 terrorist attacks in the USA, the amount of television network audiences
doubled. Several other studies on a range of acute events confirm that people turn to the news in times of crises (see Van
Aelst et al., 2021). The role of the news media is vital in crises because it can fill people’s needs with immediate and relevant
Depending on the nature of the crisis, the news media can fulfil different functions. For sudden and acute events like natural
disasters, people turn to news sources to get guidance on safety. For slower developing events like economic crises or
pandemics, people desire news to understand the causes and long-term consequences for society (Van Aelst et al., 2021).
The COVID-19 pandemic, scholars such as Van Aelst et al. (2021) had argued, created a need for both: people were
anxious to know about the immediate dangers of this fast-spreading threat; there was also a surge in the need to know how
the virus and its public health measures were impacting the society and the actions to mitigate the impact. This need among
people for orientation in times of crises is explained in a concept in media studies known as the “need for orientation” (Van
Aelst et al., 2021). In particular, people’s need for orientation would surge if the crisis was perceived to be of high relevance
and high uncertainty.
This need for available and immediate information, according to media systems dependency theory (Ball-Rokeach, 2010), is
generally perceived as best satisfied by the mass media because it offers speed of transmission and structural
connectedness to “expert” sources of information (Van Aelst et al., 2021). In other words, the news media is perceived as
important by people as they are seen as a reliable source for swift and accurate expert information, especially in times of
high uncertainty and unrest. In the COVID-19 pandemic, uncertainty about the virus and the health and socioeconomic
consequences can trigger anxieties that people try to cope with by seeking for sense-making information and guidance by
relying more than usual on local news media sources.
Aims of the Study
Since the beginning of the COVID-19 pandemic, journalists in Singapore have shifted to a health crisis mode of news
coverage. The COVID-19 pandemic in Singapore had been addressed and written about from almost every possible angle:
family life, parenting, education, social welfare, health, economics, science, public health, sports, and even celebrity news.
Given the scale of impact of COVID-19 in Singapore, this paper explored how local news media had reported about SSAs in
Singapore during the COVID-19 pandemic. I took a broad descriptive approach in understanding the representations of
March 2022 Issue 1 | 21
SSAs in the news during the pandemic rather than on specific cases or critical discourse analysis of the role of SSAs. This
study used a methodology of corpus linguistics, that is, computer-based empirical analyses of language use by employing
large collections of written text (Leedham, 2021), to quantitatively answer the following questions:
1. What was the average amount of news on SSAs every month during the COVID-19 pandemic?
2. What words and parts-of-speech such as verbs and adjectives were used in the news during the
3. What news topics about SSAs garnered more news attention during the pandemic?
4. What client groups were featured in the news on SSAs during the pandemic?
The analyses used a collection of text data from a total of 1,095 English-language newspaper articles published in the three
main news sources in Singapore: The Straits Times, Today, and Channel NewsAsia. This section explains the process of
building the corpus. Further descriptions on preprocessing and analyzing the text are in the appendix. Codes for replication
are provided at
Building the Corpus
The online database of newspapers in Nexis Uni was used to search for any print and online articles based on the following
inclusion criteria: (1) published up to one year before 1st February 2020 (date of the first article published about COVID-19 in
Singapore) and up to December 2021 (a period of three years from 2019 to 2021), (2) contained key phrases such as “social
service*”, “community service*”, or “voluntary welfare” in the title or anywhere in the article, (3) Singapore-based news (i.e.,
news of COVID-19 not about Singapore are excluded), and (4) published in the English language.
The initial search produced 1,435 articles. Based on the inclusion criteria and the removal of duplicates, the total number of
articles was reduced to 1,095 (325 articles in the pre-COVID-19 period defined as one year before 1st Feb 2020; 770 articles
in the COVID-19 period up to December 2021). Text from each article was also tokenized at sentence-level and only those
sentences that contained at least one of the key phrases were extracted. This produced a corpus comprising of 1,993
sentences out of the set of 1,095 news articles.
March 2022 Issue 1 | 22
Q1. What was the average amount of news on SSAs every month during the COVID-19 pandemic?
Figure 1: Number of news every month
Increase in news on SSAs during the pandemic compared to pre-pandemic.
The number of news articles that mentioned “social service agencies” increased considerably from January 2020 after the
first case of COVID-19 was detected in Singapore. As shown in Figure 1, this trend tapers off with the ending of the “Circuit-
breaker” partial lock-down in June 2020 and with the transition into Phase 1 Safe-reopening. The monthly number of news
then showed a decreasing trend from Phase 2 Safe Transition to Phase 3 Safe Nation. But with the return to Phase 2
(heightened alert) in July 2021, local media attention on SSAs picked up again and the number of news articles showed an
increasing trend up to November 2021.
These trends clearly show that the amount of media attention on SSAs was related to the tightening or loosening up of
public safety measures for COVID-19. Despite the changing trends, subsequent calculations found that the average number
of news published on SSAs every month was significantly higher
during the pandemic period (mean, M = 33, standard
deviation, SD = 14) compared to the pre-pandemic period (M = 25, SD = 10). This is equivalent to almost a 32% increase in
the amount of news on SSAs published during the pandemic relative to pre-pandemic. I also examined the number of
sentences mentioning SSAs in each article and found that on average, the number of sentences per article mentioning
SSAs is significantly higher
during the pandemic (M = 63, SD = 34) than in pre-pandemic (M = 42, SD = 21). Certainly,
Non-parametric Wilcoxon signed-rank test indicated that this difference is statistically significant (p = .008)
Non-parametric Wilcoxon signed-rank test indicated that this difference is statistically significant (p = .02)
March 2022 Issue 1 | 23
counting the number of news articles each month or the number of sentences in each article are not the most accurate
metrics to assess the media influence of news. But increased reporting within a short period or a clustering of references to
SSAs are likely to leave a stronger impression of SSAs on the newsreaders.
In a crisis like the COVID-19 pandemic where there is high uncertainty and wide-ranging effects, people’s need for
information to understand the effects of the event and to know how to seek for help becomes greater. In later sections, I
found that most of the news during the pandemic helped readers to know the kinds of help available and how to access the
services offered by SSAs (e.g., essential services and help hotlines). Hence, there was an increase in the media attention
given to SSAs because of the high media value of such news, which helped to meet readers’ “needs for orientation” during a
Q2. What words and parts-of-speech such as verbs and adjectives were used in the news during the pandemic?
Figure 2: Word stems used more during pandemic
“Shelter*”, “support*”, “fund*”, and “senior*” word stems were used more in news during the pandemic.
To identify the words that increased in use during COVID-19, the number of times that words
appeared in the news were
compared between the pandemic and the pre-pandemic period. Every word in the corpus was first reduced to its linguistic
root form using word stemming (e.g., “families” and “family” will be reduced to “famili”; “addiction” and “addicted” to “addict”).
Subsequently, each word stem’s frequency in the corpus was calculated. Figure 2 shows that word stems such as “shelter”,
“support”, “fund”, “senior”, and “famili” (e.g., supporting, supportive, funds, funding, senior citizens, families) were used more
More accurately, I generated and analyzed n-grams phrases (1 to 3-grams; e.g., senior, activity, activity_centre, senior_activity_centre) since n-
grams better capture semantic contexts than single words (i.e., 1-gram). For instance, “domest_worker”
March 2022 Issue 1 | 24
during the pandemic compared to the pre-pandemic period. The increase for “shelter”, “support”, and “fund” was close to
100% more during the COVID-19 period relative to the pre-pandemic period.
Figure 3: Word stems used lesser during pandemic
On the other hand, some keywords were used lesser in the news on SSAs during the pandemic. In Figure 3, words related
to word stems such as “addict” (e.g., addictions, addicted addicts), “disabl” (disability, disabled), “debt”, and “domest_worker”
were less used in news during the pandemic compared to the pre-pandemic period. Notably, the word stem “addict” had a
79% decrease in use during the pandemic indicating that less references were made of addiction in the context of news on
SSAs. These results are again found in the next section where I examined the topics of the news.
Verbs and adjectives that were used more in SSA news during the pandemic.
A more informative way to understand how words are used in newspaper text is to tag each word in accordance with a
particular part of speech (POS). In the English language, some of the main POS are adjectives and verbs. In this analysis, I
used the Universal tagset for POS tagging and only tagged adjectives and verbs.
March 2022 Issue 1 | 25
Figure 4: Adjectives used more during pandemic
From Figure 4, we see that the adjectives (i.e., words that describe an attribute of a noun) that increased in news usage
during the pandemic period include “national” and “essential”. Subsequent investigations indicate that the “national
adjective often refers to national entities such as National Council of Social Services or National Care Hotline while
“essential” often refers to “essential aid” or “essential services”. Other popular adjectives used in the news described client
groups. These include “senior”, “homeless”, “vulnerable”, and “rough” (e.g., rough sleepers). The three adjectives “near”,
“additional”, and “more” were often used to describe social service delivery and availability such as “nearest family service
centre”, “additional funding”, and “more support for families”.
March 2022 Issue 1 | 26
Figure 5: Verbs used more during pandemic
Verbs convey action. Thus, tagging words to verbs can help us to understand what actions were often referred to in the
news on SSAs. The popular verb “say” was frequently used to quote or cite SSAs or social service practitioners when
interviewed by journalists for their views of specific social issues (“social service agencies say the greatest need is tackling
the isolation faced by vulnerable groups like the elderly”). In the next section, results showed that the “expertise of SSAs”
was a popular news topic in news on SSAs. Other verbs (“continue”, “support”, “help”, “apply”) that increased in use during
the pandemic referred to help schemes and services that families and individuals can use to cope in the pandemic.
March 2022 Issue 1 | 27
Q3. What news topics about SSAs garnered more news attention during the pandemic?
Figure 6: New topics percentages during pandemic
Figure 7: New topics percentages comparing pandemic and pre-pandemic
March 2022 Issue 1 | 28
News during the pandemic gave more attention to SSAs’ expertise role, collaborations,
service suspensions, and funding.
To understand what news topics were reported on SSAs, I manually read 1,470 sentences (from 829 articles or 75% of the
corpus) and categorized news topic(s) for every instance. The classification was guided by existing studies that used
qualitative thematic approaches to analyze news portrayal of social services (e.g., Leedham, 2021; Blomberg, 2019).
Figure 6 shows that the most prevalent topic reported about SSAs in the news during the pandemic was focused on the
expert role of SSAs. Instances of this include news citing social service professionals’ opinions and knowledge about a
social problem (“social service agencies and befriending services told The Straits Times they are worried about the elderly
like Mr Yuen during the pandemic”). Other news reported about social service professionals offering their expertise as
members of task forces to tackle social problems in the community such as family violence. This media emphasis on the
expert role of SSAs in Singapore contrasts with a recent study in Australia that found that the majority of news media
content relating to social work did not cite social workers, concluding that there is an absence of social workers from the
public image of the profession (Cordoba, 2017).
Another prevalent news topic during the pandemic was the collaborations of SSAs with other stakeholders such as
governmental agencies, corporate organizations, or the community. Besides participating in task forces, SSAs are also
frequently reported in the news to be actively involved in collaborations to tackle diverse social issues including marriage
preparations, poverty, ageing, family violence, and even neighbours’ disputes (“feuding neighbours living in Bukit Merah will
be linked by a neighbourhood police centre to a social service agency at an early stage before the dispute escalates and
ends up in court”). SSAs were often cited by the news on their desire to collaborate with the community (e.g., “neighbours
can serve as the first line of help for people with hoarding problems, alerting social service providers to issues, Ms Goh said,
adding: "we cannot do this alone.").
The remaining topics reported in the news on SSAs were similar to the reported challenges described in the “Emerging
stronger together” report by the Beyond COVID-19 task force. The COVID-19 pandemic and public health measures
including the “Circuit-breaker” partial lock-down had led to challenges in service delivery for SSAs that include service
suspensions, restrictions to services leading to higher service demands, funding difficulties, and manpower issues such as
reduced staff hiring and volunteers, social service professionals’ burnt-out and mental health issues. A recent survey with
frontline social workers from various SSAs across Singapore found that during this pandemic, a high percentage of social
workers experienced symptoms related to depression, anxiety, and stress (Seng et al., 2021).
When the percentage prevalence of topics during the pandemic period was compared to the pre-pandemic period (see
Figure 7), it was, therefore, not surprising to see that relative to the pre-pandemic period, there was a large increase in
percentage points for topics such as “service suspensions”, “service demands”, “helplines” (e.g., National Care Hotline), and
digitalization in SSAs. However, it was surprising to find that there was lesser focus on SSAs’ role of expertise,
collaborations, and future development plans for the sector during the pandemic relative to the pre-pandemic period. Though
this study cannot adequately explain this, one possible explanation is that with the ongoing pandemic, journalists gave more
editorial space to reporting news (e.g., service disruptions) on the immediate effects of the pandemic which had more media
value. It is also possible that due to service suspensions or restrictions in the social service sectors, this resulted in fewer
opportunities for SSAs to engage in collaborations and partnerships during the pandemic.
March 2022 Issue 1 | 29
Balanced or mostly positive portrayals of SSAs.
Overall, the news on SSAs during the pandemic has been mostly neutral or positive about the image or role of SSAs. While
news on service suspensions or manpower issues may create public images of a social service-in-crisis, the majority of the
news continue to emphasize the continued presence and the expertise of SSAs, their ongoing collaborations with
stakeholders to tackle social issues, the availability of help despite restrictions (e.g., National CARE hotline and essential
services), and funding support (e.g., NCSS’s Invictus pandemic fund) for SSAs to continue to deliver critical services. The
media portrayal of SSAs in Singapore seem to be more balanced in presenting an image of the negative as well as the
positive things that happen in the social service sectors. This has not been the case in other countries such as Sweden
(Blomberg, 2019) where “social service-in-crisis” was the dominant theme in media portrayal of SSAs. Or such as in the UK
where an analysis of 2,000 news articles of social services and social workers found them to be “overwhelmingly negative
and critical”. (Franklin, 1998, p. 5)
Q4. What client groups were featured in the news on SSAs during the pandemic?
Figure 8: Client groups in news during pandemic
March 2022 Issue 1 | 30
Figure 9: Client groups in news comparing pandemic and pre-pandemic
Client groups reported in the news during COVID-19.
In Figure 8, clients with financial difficulties, those with shelter needs such as rough sleepers, and elderly persons were the
three client groups that were featured the most in the news during the pandemic. These three groups together garnered
almost 40% of the news focus. Comparing these results with the pre-pandemic period give us additional insights (see Figure
9). First, the three client groups increased in news focus during the pandemic when compared to pre-pandemic. Elderly
persons and those experiencing financial difficulties had about 5 to 6% more attention in the news. Second, family violence
had an increase of 2% compared to the pre-pandemic period. The risk for family violence was higher during the pandemic
because as some studies in Singapore had found, there were increased marital conflicts, higher parenting stress, and
increased use of harsh parenting during the pandemic (Chung, Chan, et al., 2020; Chung, Lanier, et al., 2020).
Third, persons with addictions, those with mental health issues, youths, migrant workers, and persons with disabilities or
special needs had the least media attention in news on SSA during the pandemic. This was even lesser relative to the pre-
pandemic period. In Singapore, the prevalence rate of persons with disabilities ranges from 2.1% to 13.3% depending on the
age category of the population group (Ministry of Family and Social Development, 2018). The COVID-19 pandemic has the
potential to significantly increase the daily challenges of people with disabilities and may have a greater impact compared to
the general population. Partial lockdowns such as the Circuit-breaker and social distancing measures can also be risky for
the development of individuals’ mental health issues. Substance use and addictive behaviours (e.g., overeating, gambling,
alcohol) may increase as ways to cope with the stress, isolation, and anxiety wrought by the pandemic. I note that the
smaller media attention given to these client groups in news about SSAs does not imply that SSAs did not engage these
groups. Instead, the needs of these groups were not as publicized in the news on SSAs during the pandemic. Proactive
media strategies should be considered by SSAs to improve public attention to these needs, to the appropriate services and
to the role of SSAs in engaging these client groups.
March 2022 Issue 1 | 31
Finally, the many client groups represented in the news both in the pre-pandemic and pandemic period represent the
complexity of issues and the diverse client groups that SSAs in Singapore engage with and deliver services to. This
challenges the conclusions present in other literature of other countries suggesting that media news were mostly focused on
social services working with children, particularly of children in child protection situations (e.g., Leedham, 2021).
What are the key findings from this analysis of news on SSAs in Singapore during the pandemic?
A significant increase (+32%) in the number of news on SSAs during the pandemic.
Increase in the use of words related to “shelter”, “support”, “fund”, “famili” and “senior”.
Increase in the use of adjectives that describe national entities (“National”; e.g., NCSS or National Care hotline),
that describe client groups (“senior”, “homeless”, “vulnerable”), and those that describe accessibility to/availability of
services (“more”, “near”, “additional”).
Increase in the use of verbs that describe actions about how client groups can access services and help given by
SSAs (“apply”, “continue”, “help”, “support”, “receive”) and verbs related to the “voice” of social service professionals
that demonstrate their expertise (“say”).
News topics about SSAs during the pandemic include service suspensions and restrictions, funding matters,
manpower issues (staff recruitment, staff burnt-out, volunteers), and the digitalization of service delivery.
Two news topics with the highest prevalence were SSAs’ expertise role and collaborations with other stakeholders.
Though, relative to pre-pandemic, these two topics were given lesser focus during the pandemic.
Client groups with financial difficulties, shelter needs, and senior citizens were the three most featured groups
garnering almost 40% of the news’ attention during the pandemic.
Clients with addictions, mental health issues, and disabilities or special needs had the least news attention during
the pandemic. This was also lesser compared to the pre-pandemic period.
The many client groups represented in the news represent the complexity of issues and diverse client populations
that SSAs engage with.
For many Singaporeans and residents living here, the local news are significant sources of information on the role of SSAs.
The proliferation of online media opens up more opportunities for readers to access this news. News media are seen as a
reliable source for fast and accurate expert information, particularly in times of high uncertainty. During the pandemic where
there was high uncertainty about its development and effects, individuals’ need for information about SSAs becomes even
more relevant and critical to make sense of the situation and to get guidance for help. What this study found is that the news
media had uplifted the role of SSAs as experts to be trusted in times of anxiety. And despite the challenges, SSAs continued
to provide critical services to diverse client groups, particularly those with financial difficulties or shelter needs, and the
elderly. While news on service suspensions and manpower problems represented an image of social service-in-crisis, this
was also balanced with positive news of SSAs such as new funding support for SSAs, expertise of SSAs, active
collaborations, continuity of essential services, ongoing efforts to digitalize services, as well as future plans to develop the
social service sector to meet future challenges.
March 2022 Issue 1 | 32
News media and their journalists play an important role in shaping public opinions and understanding of the role of SSAs in
Singapore. This has one important implication for SSAs. SSAs can consider a more proactive media strategy to promote its
image and services, not merely for the sake of improving its profile, but to improve engagement with clients, service delivery
as well as to advocate for the needs of clients. The media’s positive representations of SSAs can influence public
acceptance of social service practices, improve social service professionals’ job esteem and their engagements with clients
and colleagues (Legood et al., 2016). This, consequently, can affect people’s interests in joining the profession and also
staff retention in the social service sectors. Negative portrayals of SSAs might affect clients’ motivations in using social
services, especially in times of crises where people who need help have to trust in the SSAs. In this pandemic, the smaller
media attention given to client groups such as people with addiction problems, those with disabilities, and those with mental
health issues can limit public awareness and consequently, support for these groups. It might also reduce their willingness to
get help.
What does a proactive media strategy look like?
This may include considering the material interests of news media companies, understanding the process of news creation,
and building relationships with news journalists (Cordoba, 2017)
. Knowing what social service professionals think about
public perceptions is also important. To my best knowledge, no study in Singapore has looked at how social service
professionals experience public perception. One study in the UK interviewed social workers and they recommended that
more needed to be done actively to identify and utilise success stories, and provide a more accurate insight into the role and
the extensive training of those in the profession (Legood et al., 2016). A future study should be conducted to understand
how social service professionals here experience public perception and explore what are the ways to promote SSAs and
social service profession in Singapore. Brawley and Martinez-Brawley (1982)’s paper on teaching social workers to use the
news media for public education purposes is old but remains a useful guide. They suggest that SSAs can take the initiative
to establish contact with journalists to form a relationship for future productive communications. Social service professionals
can learn to write press releases that journalists can then take and easily write the actual news. Beside news, online
podcasts and forums, the radio, television shows, magazines, and editorials are also good avenues to comment on social
issues, talk about their services, or to advocate for client groups. The belief is that SSAs and social work practitioners can
and should play a public education role in the context of their own practice.
The National Association of Social Workers (NASW) in the US has often been cited as a case study of a successful proactive media approach
where NASW developed the NASW’s National Communications Network and the website. For many years, NASW has
actively developed and maintained positive relationships with the media through different initiatives such as media monitoring, providing
consultation, industry awards, and support for filmmakers and journalists.
March 2022 Issue 1 | 33
Preprocessing the Text
The text was preprocessed before executing any analysis. Text preprocessing is important in preparing the textual data for
any computations
. I removed punctuation and numbers, converted all letters to lower case, and stemmed words by
removing all prefixes and suffixes to reduce all the words to their root words (e.g., “talking” & “talks” become “talk”; addiction,
addicted, & addicts become addict). Stop words (e.g., “and,” “the,” and “is”) were also removed from the corpus because
they do not contribute to words’ contextual meanings or the identification of topics.
In a “bag of words” approach in text-as-data analysis, words are analyzed as individual units, and their relationships to
sentiments or to documents are examined. However, text-as-data analyses can also be based on the relationships between
words, whether examining which words tend to follow others immediately, or that tend to co-occur within the same
documents. N-grams is a technique in batural language processing (NLP) that can be used to investigate these
neighbouring sequences of words in a document or sentence. N-grams are contiguous sequences of n items from a given
sample of text. In this study, I used up to 3-grams allowing the analysis to capture up to a window of 3 words in a sequence
(e.g., circuit_breaker, senior_activity_centres; national_help_hotline).
Tokenization is another technique in NLP where words or text features are represented as numbers so that quantitative
computations can be done. Depending on the specific analysis, the raw text in this study is either tokenized as words/N-
grams or as sentences. Parts of speech (POS) using the Universal tagset for POS in the SpacyR package in R was also
used to tag words to whether it is an adjective or a verb.
Additional preprocessing was done depending on the unique characteristics of the corpus. For instance, I converted all
variations of COVID-19-related phrases (e.g., COVID, COVID19, coronavirus) to COVID19 for standardization. For certain
analyses, the phrases “social service agencies”, “voluntary welfare organizations, and “community service agencies” were
removed from the corpus because these phrases described a shared context for all the articles and thus would not
contribute to answering the research questions.
All text pre-processing and analyses were done in the R statistical software using the quanteda, spacyr, and tidytext
packages. Visualizations were done with the ggplot package. Data cannot be publicly shared because of the intellectual
property restrictions stipulated by Nexis Uni. All codes and detailed descriptions on downloading the data from Nexis Uni are
provided at
See discussion on text preprocessing in Chung, G., Rodriguez, M., Lanier, P., & Gibbs, D. (2021, May 11). Text-mining open-ended survey
responses using structural topic modeling: A practical demonstration to understand parents’ coping methods during COVID-19 pandemic in
March 2022 Issue 1 | 34
Althaus, S. L. (2002). American News Consumption during Times of National Crisis. PS: Political Science and Politics, 35(3),
517521. JSTOR.
Ball-Rokeach, S. J. (2010). Media System Dependency Theory. In The International Encyclopedia of Communication. John
Wiley & Sons, Ltd.
Blomberg, H. (2019). “We’re not magicians!” On the use of rhetorical resources in Swedish news media narratives portraying
the social services and social workers. Qualitative Social Work, 18(2), 229246.
Brawley, E. A., & Martinez-Brawley, E. E. (1982). Teaching Social Work Students to Use the News Media for Public
Education Purposes. Journal of Education for Social Work, 18(2), 7683.
Chung, G., Chan, X. W., Lanier, P., & Ju, P. W. Y. (2020). Associations Between Work-Family Balance, Parenting Stress,
and Marital Conflicts During COVID-19 Pandemic in Singapore [Preprint]. Open Science Framework.
Chung, G., Lanier, P., & Wong, P. Y. J. (2020). Mediating Effects of Parental Stress on Harsh Parenting and Parent-Child
Relationship during Coronavirus (COVID-19) Pandemic in Singapore. Journal of Family Violence.
Cordoba, P. S. (2017). Representations of Social Work in the Australian News Media. Australian Social Work, 70(4), 453
Franklin, B. (1998). Hard Pressed. The Manson Group, Reed Business Information.
Gaughan, L., & Garrett, P. M. (2012). The ‘most twisted and unaccountable force in the state’? Newspaper accounts of
social work in the Republic of Ireland in troubled times. Journal of Social Work, 12(3), 267286.
Leedham, M. (2021). ‘Social Workers Failed to Heed Warnings’: A Text-Based Study of How a Profession is Portrayed in UK
Newspapers. The British Journal of Social Work, bcab096.
Legood, A., McGrath, M., Searle, R., & Lee, A. (2016). Exploring How Social Workers Experience and Cope with Public
Perception of Their Profession. British Journal of Social Work, 46(7), 18721889.
Ministry of Family and Social Development. (2018, November 19). Total number of persons with disabilities in Singapore.
Media Room.
National Council of Social Services. (2021). Emerging Stronger TogetherA Guide Beyond COVID-19. National Council of
Social Services.
Reid, W. J., & Misener, E. (2001). Social work in the press: A cross-national study. International Journal of Social Welfare,
March 2022 Issue 1 | 35
Seng, B. K., Subramaniam, M., Chung, Y. J., Syed Ahmad, S. A. M., & Chong, S. A. (2021). Resilience and stress in
frontline social workers during the COVID-19 pandemic in Singapore. Asian Social Work and Policy Review, 15(3), 234243.
Staniforth, B., & Beddoe, E. (2017). Five years in the news: A media analysis of Child, Youth and Family in two daily
newspapers (20082012). Aotearoa New Zealand Social Work, 29(4), 518.
Van Aelst, P., Toth, F., Castro, L., Štětka, V., Vreese, C. de, Aalberg, T., Cardenal, A. S., Corbu, N., Esser, F., Hopmann, D.
N., Koc-Michalska, K., Matthes, J., Schemer, C., Sheafer, T., Splendore, S., Stanyer, J., Stępińska, A., Strömbäck, J., &
Theocharis, Y. (2021). Does a Crisis Change News Habits? A Comparative Study of the Effects of COVID-19 on News
Media Use in 17 European Countries. Digital Journalism, 9(9), 12081238.
Zugazaga, C. B., Surette, R. B., Mendez, M., & Otto, C. W. (2006). SOCIAL WORKER PERCEPTIONS OF THE
Journal of Social Work Education, 42(3), 621636.
March 2022 Issue 1 | 36
The Snippet Team
Check out other Snippet publications here!
Editorial Team
Review Editor: Dr. Rosaleen Ow
Executive Editor: Dr. Gerard Chung
Editorial Assistants: Nurul Fadiah Johari and Sandy Chen
Questions for us? Want to write for us?
Contact us at:
NUS Social Service Research Centre
Faculty of Arts and Social Science
National University of Singapore
The Shaw Foundation Building, Block AS7,
Level 3, 5 Arts Link,
Singapore 117570
Phone: 6601-5019
Upcoming SSR Events
SSR Conference 2022: Post-Pandemic Challenges and Planning for
Social Services
Date: Tuesday, 15 March 2022
Time: 9:15AM 5:15PM
Venue: Online (Zoom)
Register here:
Guest of Honour: Ms Sun Xueling, Minister of State (MSF, MOE)
Keynote Speaker: Dr. Gerard Ee, Chairman (AIC)
Panel 1: Community and social development in the post-pandemic era
Panel 2: Mitigating the effects of COVID-19 on the well-being of the youth
and elderly
Panel 3: Digital inclusion in COVID-19 times and beyond
Connect with Us
Check out updates on SSR events and more on our social media!
ResearchGate has not been able to resolve any citations for this publication.
Full-text available
Previous research has indicated that social workers are portrayed negatively in the UK press, particularly in child protection cases. But what is the nature of this negativity? And are social workers also mentioned in more positive contexts? To explore these questions, a collection of three months of newspaper articles was compiled (early May to early August 2019), using the seed term ‘social worker(s)’. Almost 1,000 occurrences were located and categorised as ‘positive’ (6 per cent of instances), ‘negative’ (25 per cent) or ‘neutral’ (69 per cent). Further classification of negative instances indicates these concern social workers’ perceived failure to act rather than perceived over-zealous behaviour (ratio 5:2). Findings also suggest that the press tend to hold social workers to a higher moral standard in their everyday lives than is the case for other members of society. Understanding how social workers are portrayed in the press is important for practitioners in terms of recruitment, job satisfaction and retention. In addition, as newspapers are the major source of information on social work for members of the public, greater awareness could reduce the societal tendency towards finding individuals to blame.
Full-text available
Background: Young gay, bisexual, and other men who have sex with men (YMSM) are especially vulnerable to the risks associated with sexualized substance use, or ‘chemsex’. Engaging in chemsex established as a major risk factor for Human Immunodeficiency Virus (HIV) acquisition, and is thus a public health issue of increasing urgency. This paper attempts to explore the association between measures of social capital and patterns of sexualized substance use among a sample of YMSM in Singapore. Methods: Results of this study were derived from baseline data of the Pink Carpet Y Cohort Study in Singapore, comprising a sample of 570 HIV-negative YMSM aged 18 to 25 years old. Latent class analysis was employed to identify classes with similar patterns of sexualized substance use, and multinomial logistic regression was employed to examine associations between class membership and measures of social capital. Logistic regression was employed to examine associations between measures of social capital and past sexualized substance use. Results: Latent class analysis revealed three classes of YMSM based on their histories of sexualized substance use, which we labelled as ‘substance-naïve’, ‘substance-novice’, and ‘chemsex’. Participants with a later age of sexual debut were increasingly less likely to be in the substance novice and chemsex classes, compared to the substance-naïve class; they were also less likely to report sexualized alcohol, poppers and methamphetamine use. Connectedness to the lesbian, gay, bisexual and transgender (LGBT) community was negatively associated with sexualized methamphetamine use, while outness to family was positively associated with sexualized methamphetamine and erectile dysfunction drug use. Conclusions: Varying measures of social capital such as an earlier age of exposure to sexual networks or family-related stress may predispose YMSM to greater opportunities for sexualized substance use, while on the other hand, community connectedness may be protective. Future interventions should target YMSM who become sexually active at an earlier age to reduce the risks associated with sexualized substance use.
Full-text available
Because of the Coronavirus (COVID-19) pandemic, “Circuit-breaker” safety distancing was implemented in Singapore from April to May 2020. Schools and workplaces were closed and parents had to balance telecommuting with parenting responsibilities. Coupled with the high degree of economic uncertainty and reduced social support, these circumstances are hypothesized to increase parenting stress. Based on the Parental Stress Model, this study aims to understand how parents’ perceived impact of COVID-19 increased harsh parenting and reduced parent-child relationship closeness through the mediating effects of parenting stress. We collected data from 258 parents living in Singapore using online surveys disseminated through Facebook and community organizations. Our predictor was the perceived impact of COVID-19. Parental stress (mediator) was measured with the Parental Stress Scale. Two outcomes were used: parent-child relationship closeness and harsh parenting (spanking, yelling). Using mediation analysis in the SEM framework, we tested the indirect effects using bias-corrected bootstrap confidence intervals. Our results indicated that parenting stress was a significant mediator in the relationship between the perceived impact of COVID-19 and (a) parent-child closeness (indirect effect = −.30, Bootstrap 99% CI[−.59, −.11]) and (b) harsh parenting (indirect effect = .58, Bootstrap 99% CI[.25, .94]). The impact of COVID-19 and stay-home orders can increase parenting stress. This, in turn, has a negative impact on parenting by affecting parents’ relationship with their children and increasing the use of harsh parenting. Given that these are risk factors for potential child abuse, supporting parents and mitigating the impact of COVID-19 are important.
Full-text available
Objective: To identify profiles of parents' work-family balance (WFB) and social support and examine their links with parenting stress and marital conflict. Background: As part of the "Circuit-breaker" social distancing measure to address COVID-19, the government of Singapore closed schools and workplaces from April-May 2020. Although this helped reduce transmission rates, for working parents, this period had been a challenging experience of working from home while providing care for children full-time. Problems in the work-home interface can have a significant impact on parenting and marital harmony.
Full-text available
Aims Chinese men who have sex with men (MSM) are at high risk for depression, anxiety and suicide. The estimated prevalence of these problems is essential to guide public health policy, but published results vary. This meta-analysis aimed to estimate the prevalence of depressive symptoms, anxiety symptoms and suicide among Chinese MSM. Methods Systematic searches of EMBASE, MEDLINE, PsycINFO, PubMed, CNKI and Wanfang databases with languages restricted to Chinese and English for studies published before 10 September 2019 on the prevalence of depressive symptoms, anxiety symptoms, suicidal ideation, suicide plans and suicide attempts among Chinese MSM. Studies that were published in the peer-reviewed journals and used validated instruments to assess depression and anxiety were included. The characteristics of studies and the prevalence of depression and anxiety symptoms, suicidal ideation, suicide plans and suicide attempts were independently extracted by authors. Random-effects modelling was used to estimate the pooled rates. Subgroup analysis and univariate meta-regression were conducted to explore potential sources of heterogeneity. This study followed the PRISMA and MOOSE. Results Sixty-seven studies were included. Fifty-two studies reported the prevalence of depressive symptoms, with a combined sample of 37 376 people, of whom 12 887 [43.2%; 95% confidence interval (CI), 38.9–47.5] reported depressive symptoms. Twenty-seven studies reported the prevalence of anxiety symptoms, with a combined sample of 10 531 people, of whom 3187 (32.2%; 95% CI, 28.3–36.6) reported anxiety symptoms. Twenty-three studies reported the prevalence of suicidal ideation, with a combined sample of 15 034 people, of whom 3416 (21.2%; 95% CI, 18.3–24.5) had suicidal ideation. Nine studies reported the prevalence of suicide plans, with a combined sample of 5271 people, of whom 401 (6.2%; 95% CI, 3.9–8.6) had suicide plans. Finally, 19 studies reported the prevalence of suicide attempts, with a combined sample of 27 936 people, of whom 1829 (7.3%; 95% CI, 5.6–9.0) had attempted suicide. Conclusions The mental health of Chinese MSM is poor compared with the general population. Efforts are warranted to develop interventions to prevent and alleviate mental health problems among this vulnerable population.
Full-text available
Purpose of Review Men who have sex with men (MSM) in China experience elevated risks of mental health issues in comparison to the general population in China, which contribute to vulnerability to HIV/STI risks and can comprise the effectiveness of HIV prevention efforts. A conceptual framework for understanding this mental health disparity is minority stress theory, which posits that experiences of external prejudice events (i.e., distal stressors) and internal stress processes such as internalized homophobia and concealment (i.e., proximal stressors) contribute to sexual minorities’ elevated risk of psychological distress. To deepen the understanding of mental health among Chinese MSM and explore the potential utility of minority stress theory in this population, this paper synthesizes research evidence regarding prevalent mental health issues as well as how minority stress may be linked to psychological health in Chinese MSM. Recent Findings Results indicate that Chinese MSM experience a high prevalence of several mental health issues including depression, anxiety, suicidal behaviors, and alcohol dependence. Summary This review further reveals minority stress to be an important determinant of psychological distress among Chinese MSM, though evidence is mixed regarding the relationship between proximal minority stress and psychological health. Nonetheless, there is a lack of mental health services and interventions focusing on MSM in China. Culturally relevant, competent, and LGBT-affirmative mental health interventions are needed for Chinese MSM. To guide future intervention research, we provide considerations for reducing minority stress and promoting psychological health among Chinese MSM.
As early as 1974, Ball‐Rokeach presented the first in a series of papers that would unfold the concepts and assumptions of media system dependency (MSD) theory (Ball‐Rokeach 1974). The paper was titled “The information perspective.” Its basic premise was that media effects flow from the information resources of the media system that are implicated in the everyday life requirements of people (micro), groups or organizations (meso), and other social systems (macro) to act meaningfully in ambiguous or threatening social environments. Thus, this paper launches the argument that the media system is best viewed as an information system whose powers vis‐à‐vis effects rest on the scarcity or exclusivity of their information resources – the creation/gathering, processing, and dissemination of information. Media information spans classical news and entertainment genres.
Exogenous shocks like the COVID-19 pandemic unleashes multiple fundamental questions about society beyond public health. Based on the classical concept of ‘need for orientation’ and the literature on the role of the media in times of crisis, we investigate to what extent the COVID-19 pandemic affected news consumption in comparative perspective. Based on a two-wave panel survey in 17 mostly European countries, our study targets the role of both legacy news brands (TV, radio, newspapers) and so-called contemporary news media (Internet-based and social media) during this global health crisis. Our results show an overall rise of news use across countries, but only for some types of news media. We find an increase of TV news consumption, and a higher reliance on social media and the Internet for news and information. This indicates that in times of crises and an unusually strong need for orientation, people mainly turn to news sources that are easily available and offer a more immediate coverage. Furthermore, we find the rise in news use to be mainly present among those who already have a higher level of trust in legacy media and among people that were more concerned about the impact of the pandemic.
As social work under normal circumstances is already a stress-laden helping profession, this study intended to examine the level of psychological distress among the frontline social workers during the COVID-19 pandemic and whether resilience and organizational support played a part in mitigating their psychological distress. Frontline social workers from various social service sectors across Singapore were surveyed using two standardized measurements to assess resilience (Connor-Davidson Resilience Scale 25) and psychological distress (Depression Anxiety and Stress Scale 21). A self-designed questionnaire comprising 10 items measured “personal” and “work-related” support at the organization. Sociodemographic data were captured using a structured questionnaire. The results showed that the frontline social workers, although resilient, were psychologically distressed in all the three areas of depression, anxiety and stress. The results indicated that those working in the Family Service Centers (FSC) were the most affected. Significant correlations were observed between psychological distress, resilience, and organizational support. Organizations must be mindful that support can help frontline staff who are usually younger and less experienced during challenging times such as the pandemic. Building the resilience of social workers will prepare them for their daily challenges and those that accompany unexpected situations.
• Summary: This article investigates how newspapers in the Republic of Ireland are delivering ‘social work news’ during a period of professional flux and evolving economic crisis.