The Longitudinal Associations Between Outness and Health Outcomes Among Gay/Lesbian Versus Bisexual Emerging Adults.

Sexual minorities are at increased risk for substance use and mental health problems. Although previous studies have examined the associations between outness and health outcomes, few have used longitudinal designs or examined differences across subgroups of sexual minorities. To address these gaps,...

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Publicado en:Archives of Sexual Behavior Vol. 48; no. 4; pp. 1111 - 1127
Autores principales: Feinstein, Brian A., Dyar, Christina, Li, Dennis H., Whitton, Sarah W., Newcomb, Michael E., Mustanski, Brian
Formato: journal article
Publicado: Springer Nature May2019
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2019
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      pub: Springer Nature
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        10.1007/s10508-018-1221-8
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        atl: The Longitudinal Associations Between Outness and Health Outcomes Among Gay/Lesbian Versus Bisexual Emerging Adults.
      aug:
        au:
          Feinstein, Brian A.
          Dyar, Christina
          Li, Dennis H.
          Whitton, Sarah W.
          Newcomb, Michael E.
          Mustanski, Brian
        affil:
          Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N Michigan Ave., #14-047, 60611, Chicago, IL, USA
          Department of Psychology, University of Cincinnati, Cincinnati, OH, USA
          Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
      su:
        Sexual minorities
        Sexual orientation
        Drug abuse
        LGBTQ+ people
        Mental health of bisexual people
      sug:
        subj:
          Sexual minorities
          Sexual orientation
          Drug abuse
          LGBTQ+ people
          Mental health of bisexual people
      keyword:
        Bisexual
        Gay/lesbian
        Mental health
        Outness
        Substance use
        Bisexual
        Gay/lesbian
        Mental health
        Outness
        Substance use
      ab: Sexual minorities are at increased risk for substance use and mental health problems. Although previous studies have examined the associations between outness and health outcomes, few have used longitudinal designs or examined differences across subgroups of sexual minorities. To address these gaps, the current study examined sexual orientation and gender as moderators of the longitudinal associations between outness and substance use (cigarettes, marijuana, illicit drugs, and alcohol) and mental health (depression and anxiety). Data were from a sample of 169 sexual minority emerging adults (98 women and 71 men) who provided self-report data at four times over 3.5 years. Results indicated that sexual orientation moderated the within-person associations between outness and changes in health. For bisexual individuals, being more out was associated with increases in marijuana use, illicit drug use, and depression. In contrast, for gay/lesbian individuals, being more out was associated with decreases in illicit drug use and it was not significantly associated with changes in marijuana use or depression. Additionally, outness was not significantly associated with changes in cigarette use, alcohol use, or anxiety for gay/lesbian or bisexual individuals, and gender did not moderate any of the associations. In sum, being more open about one's sexual orientation had negative consequences for bisexual individuals but not for gay/lesbian individuals. Professionals who work with sexual minorities need to be aware of the potential risks of being open about one's sexual orientation for bisexual individuals. Interventions are needed to facilitate disclosure decisions and to promote the health of sexual minorities.
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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