Elevated physical health risk among gay men who conceal their homosexual identity
Elevated physical health risk among gay men who conceal their homosexual identity
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DOI：
10.1037/0278-6133.15.4.243
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发表时间：
1996-07-01
影响因子：
4.2
通讯作者：
Visscher, BR
中科院分区：
文献类型：
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作者：
Cole, SW;Kemeny, ME;Visscher, BR
本研究调查了222名HIV血清阴性男同性恋者中感染性和肿瘤性疾病的发病率，他们参加了艾滋病心理社会自然史研究。在5年的随访期内，那些隐瞒自己同性恋身份的人患癌症（比值比= 3.18）和几种传染病（肺炎、支气管炎、鼻窦炎和肺结核;比值比= 2.91）的发病率明显较高。这些影响不能归因于年龄、种族、社会经济地位、压抑性应对方式、健康相关行为模式（例如，药物使用、锻炼）、焦虑、抑郁或报告偏差（例如，消极情感，社会期望）。结果是在先前数据的背景下解释的，这些数据将隐藏的同性恋身份与其他身体健康结果联系起来（例如，艾滋病毒进展和心身疾病学）和理论联系心理抑制身体疾病。
This study examined the incidence of infectious and neoplastic diseases among 222 HIV-seronegative gay men who participated in the Natural History of AIDS Psychosocial Study. Those who concealed the expression of their homosexual identity experienced a significantly higher incidence of cancer (odds ratio = 3.18) and several infectious diseases (pneumonia, bronchitis, sinusitis, and tuberculosis; odds ratio = 2.91) over a 5-year follow-up period. These effects could not be attributed to differences in age, ethnicity, socioeconomic status, repressive coping style, health-relevant behavioral patterns (e.g., drug use, exercise), anxiety, depression, or reporting biases (e.g., negative affectivity, social desirability). Results are interpreted in the context of previous data linking concealed homosexual identity to other physical health outcomes (e.g., HIV progression and psychosomatic symptomatology) and theories linking psychological inhibition to physical illness.