Is Being Out About Sexual Orientation Uniformly Healthy? The Moderating Role of Socioeconomic Status in a Prospective Study of Gay and Bisexual Men
Is Being Out About Sexual Orientation Uniformly Healthy? The Moderating Role of Socioeconomic Status in a Prospective Study of Gay and Bisexual Men
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DOI：
10.1007/s12160-013-9575-6
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发表时间：
2014-02-01
影响因子：
3.8
通讯作者：
Huebner, David M.
中科院分区：
文献类型：
--
作者：
McGarrity, Larissa A.;Huebner, David M.
隐藏性取向所带来的压力可能是造成女同性恋、男同性恋、双性恋（LGB）个体健康差异的一个机制。然而，在不同的社会背景下，公开自己的性取向可能并不都是健康的。目前的研究测试了社会经济地位较低（SES）的同性恋和双性恋男性是否比社会经济地位较高的男性更不健康。利用男同性恋和双性恋男性（N = 564，年龄在18-72岁）的纵向数据，我们检验了外出与身体健康之间的关系是否因社会经济地位的不同而不同。SES显著调节了外出与医生就诊、非处方药使用和身体症状之间的关联。外向预示着高经济地位男性的身体健康益处，但低经济地位男性的健康问题。通常的假设是，公开一个人的性取向都是健康的，但对于地位较低的群体来说，这种假设可能不太准确（或不准确）。未来的研究应该探索社会经济地位作为少数民族压力和LGB健康差异的背景。
Stress associated with concealing sexual orientation is a possible mechanism for health disparities among lesbian, gay, bisexual (LGB) individuals. However, disclosing one's sexual orientation might not be uniformly healthy across social contexts.The present study tested whether being out is less healthy for gay and bisexual men of lower socioeconomic status (SES) relative to higher SES men.Using longitudinal data on gay and bisexual men (N = 564, ages 18-72), we examined whether the association between outness and physical health differs by SES.SES significantly moderated associations between outness and physician visits, nonprescription medication use, and physical symptoms. Outness predicted physical health benefits for higher SES men but health problems for lower SES men.The common assumption that disclosing one's sexual orientation is uniformly healthy may be less accurate (or inaccurate) for lower status groups. Future research should explore SES as context for minority stress and LGB health disparities.