Disclosure of Sexual Orientation and Subsequent Substance Use and Abuse Among Lesbian, Gay, and Bisexual Youths: Critical Role of Disclosure Reactions
Disclosure of Sexual Orientation and Subsequent Substance Use and Abuse Among Lesbian, Gay, and Bisexual Youths: Critical Role of Disclosure Reactions
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DOI：
10.1037/a0014284
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发表时间：
2009-03-01
影响因子：
3.4
通讯作者：
Hunter, Joyce
中科院分区：
文献类型：
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作者：
Rosario, Margaret;Schrimshaw, Eric W.;Hunter, Joyce
关于公开性取向是否促进女同性恋者、男同性恋者和双性恋者(LGB)使用较少物质的研究一直不一致。其中一个原因可能是，披露信息会导致接受和拒绝反应。本报告纵向考察了156名LGB青少年(14岁，21岁)对披露的反应类型是否与药物使用和滥用有关。披露的数量和接受或中性披露反应的数量都与药物使用或滥用无关。然而，即使在控制了人口统计因素、社会合意性和情绪困扰之后，对披露的拒绝反应的数量也与当前和随后使用酒精、香烟和大麻有关。此外，研究发现，接受反应可以缓和或保护年轻人免受酒精使用中拒绝反应的负面作用，但不会影响其他物质。这项研究表明，对于理解I、GB青少年的物质使用情况，关键不是披露本身，而是对披露反应的接受和拒绝反应的数量。此外，结果表明，为了最大限度地有效，预防和治疗药物使用的努力应该解决排斥反应。
Research on whether disclosure of sexual orientation promotes lower substance use among lesbian, gay, and bisexual (LGB) individuals has been inconsistent. One reason for this may be that disclosure results in accepting and rejecting reactions. The current report longitudinally examines whether the types of reactions to disclosure are associated with substance use and abuse among 156 LGB youths (ages 14 21). Neither the number of disclosures nor the numbers of accepting or neutral disclosure reactions were associated with substance use or abuse. However, the number of rejecting reactions to disclosure was associated with current and subsequent alcohol, cigarette, and marijuana use, even after controlling for demographic factors, social desirability, and emotional distress. Further, accepting reactions were found to moderate or protect youths from the negative role of rejecting reactions on alcohol use, but not other Substances. This research indicates that, rather than disclosure per se, it is the number of accepting and rejecting reactions in response to disclosure that are critical to understanding substance use among I,GB youths. Further, the results suggest that to be maximally effective, substance use prevention and treatment efforts should address rejecting reactions.