Impact of active concealment of stigmatized identities on physical and psychological quality of life
Impact of active concealment of stigmatized identities on physical and psychological quality of life
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DOI：
10.1016/j.socscimed.2017.09.024
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发表时间：
2017-11-01
影响因子：
5.4
通讯作者：
Lawner, Elizabeth K.
中科院分区：
文献类型：
--
作者：
Quinn, Diane M.;Weisz, Bradley M.;Lawner, Elizabeth K.
尽管有理论支持披露（或“外在性”）与具有可隐藏的污名化身份的人的积极健康结果之间的关系，但使用外在性来预测健康的研究得出了微弱甚至不一致的关系。在当前的研究中，我们认为，经常隐瞒的需要预示着对健康的负面影响，而不是暴露。从亚马逊 Mechanical Turk 招募的成年人样本报告了精神疾病、慢性身体疾病或少数性取向 (N = 288) 的隐瞒情况。对参与者的公开程度（一般情况和特定其他人）、主动隐瞒身份的频率以及身体和心理生活质量（根据 WHOQOL-BREF 衡量）进行了调查。所有调查均于 2014 年在美国的 IP 地址中完成。结果显示，主动隐瞒的程度可预测自我报告的心理（beta = 032，p < 0.001）和身体生活质量（beta = -0.28，p < 0.001），高于一般的外露程度和对特定他人的外露程度，而这两者都不是模型中隐藏的显着预测因素。通过研究主动隐瞒的必要性，研究人员可能能够更好地预测和干预，以改善具有可隐瞒的污名化身份的人的健康结果。 (C) 2017 Elsevier Ltd. 保留所有权利。
Despite theoretical support for the relationship between disclosure (or "outness") and positive health outcomes for people with concealable stigmatized identities, research using outness to predict health elicits weak to inconsistent relationships. In the current research we argue that it is the need to frequently conceal that predicts negative health consequences, rather than outness.A sample of adults recruited from Amazon's Mechanical Turk reported on mental illness, chronic physical illness, or minority sexual orientation (N = 288) concealment. Participants were surveyed on their levels of outness (in general and to specific others), their frequency of active concealment of the identity, and their physical and psychological quality of life (as measured by the WHOQOL-BREF). All surveys were completed from IP addresses in the United States in 2014. Results showed that the extent of active concealment predicted self-reported psychological (beta = 032, p < 0.001) and physical QOL (beta = -0.28, p < 0.001) over and above general levels of outness and outness to specific others, neither of which were significant predictors with concealment in the model. By examining the need for active concealment, researchers may be better positioned to predict and intervene to improve health outcomes for people with concealable stigmatized identities. (C) 2017 Elsevier Ltd. All rights reserved.