Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally bisexual men.
Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally bisexual men.
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DOI：
10.1037/a0031272
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发表时间：
2013-02
影响因子：
5.9
通讯作者：
Parsons, Jeffrey T.
中科院分区：
文献类型：
--
作者：
Schrimshaw, Eric W.;Siegel, Karolynn;Downing, Martin J., Jr.;Parsons, Jeffrey T.
尽管双性恋男性的心理健康水平低于男同性恋者，但很少有研究调查导致双性恋男性心理健康的因素。双性恋男性不太可能披露，更可能隐瞒（即，一种隐藏的欲望），他们的性取向比男同性恋者。理论表明，这可能会对他们的心理健康产生不利影响。本报告研究了与披露和隐瞒性取向有关的因素，披露和隐瞒与心理健康的关系，以及潜在的中介因素（即，内化的同性恋恐惧症，社会支持）与心理健康的这种关联。在纽约市招募了203名不向女性伴侣透露同性行为的非同性恋、行为双性恋男性的种族多样性样本，以完成一套自我报告措施。隐瞒与较高的收入，异性恋身份，与妻子或女朋友生活，与女性发生性关系的频率较高，与男性发生性关系的频率较低有关。更大的隐瞒，但不向朋友和家人透露，与较低的心理健康水平显着相关。多重中介分析显示，内化同性恋恐惧症和一般的情感支持显着介导的隐瞒和心理健康之间的关联。研究结果表明，隐瞒和披露是独立的结构之间的双性恋男子。此外，他们认为，解决对隐藏，情感支持和内化同性恋恐惧症的担忧的干预措施可能比那些专注于促进披露的措施更有利于提高双性恋男性的心理健康。
Although bisexual men report lower levels of mental health relative to gay men, few studies have examined the factors that contribute to bisexual men’s mental health. Bisexual men are less likely to disclose, and more likely to conceal (i.e., a desire to hide), their sexual orientation than gay men. Theory suggests that this may adversely impact their mental health. This report examined the factors associated with disclosure and with concealment of sexual orientation, the association of disclosure and concealment with mental health, and the potential mediators (i.e., internalized homophobia, social support) of this association with mental health. An ethnically-diverse sample of 203 non-gay-identified, behaviorally-bisexual men who do not disclose their same-sex behavior to their female partners were recruited in New York City to complete a single set of self-report measures. Concealment was associated with higher income, a heterosexual identification, living with a wife or girlfriend, more frequent sex with women, and less frequent sex with men. Greater concealment, but not disclosure to friends and family, was significantly associated with lower levels of mental health. Multiple mediation analyses revealed that both internalized homophobia and general emotional support significantly mediated the association between concealment and mental health. The findings demonstrate that concealment and disclosure are independent constructs among bisexual men. Further, they suggest that interventions addressing concerns about concealment, emotional support, and internalized homophobia may be more beneficial for increasing the mental health of bisexual men than those focused on promoting disclosure.
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