Durso Laura E, Meyer Ilan H
The Williams Institute at UCLA School of Law, Los Angeles, CA.
Sex Res Social Policy. 2013 Mar 1;10(1):35-42. doi: 10.1007/s13178-012-0105-2. Epub 2012 Nov 29.
The present study sought to identify patterns and predictors of disclosure of sexual orientation to healthcare providers among lesbian, gay, and bisexual (LGB) adults.
Respondents were 396 self-identified LGB individuals ages 18-59, recruited from diverse community venues in New York City, with equal numbers of men and women and Whites, Blacks, and Latinos. Respondents were interviewed at baseline and 1-year follow-up. We assessed the relationships among disclosure of sexual orientation, demographic characteristics, health, and minority stress.
Rates of nondisclosure to healthcare providers were significantly higher among bisexual men (39.3%) and bisexual women (32.6%) compared with gay men (10%) and lesbians (12.9%). Bivariate and multivariate logistic regression models predicting disclosure of sexual orientation indicated that patient age, level of education, immigration status, medical history, level of internalized homophobia, and degree of connectedness to the LGB community were significant factors, along with sexual identity. Nondisclosure of sexual orientation was related to poorer psychological wellbeing at one year follow-up.
Our findings suggest that interventions targeting sexual minorities ought to carefully tailor messages to subpopulations. In particular, interventionists and clinicians ought to be mindful of differences between bisexually- and gay/lesbian-identified individuals.
本研究旨在确定女同性恋、男同性恋和双性恋（LGB）成年人向医疗服务提供者披露性取向的模式及预测因素。
研究对象为396名自我认定为LGB的18至59岁个体，从纽约市不同社区场所招募，男女数量相等，包括白人、黑人和拉丁裔。研究对象在基线和1年随访时接受访谈。我们评估了性取向披露、人口统计学特征、健康状况和少数群体压力之间的关系。
与男同性恋者（10%）和女同性恋者（12.9%）相比，双性恋男性（39.3%）和双性恋女性（32.6%）向医疗服务提供者隐瞒性取向的比例显著更高。预测性取向披露的双变量和多变量逻辑回归模型表明，患者年龄、教育程度、移民身份、病史、内化恐同程度、与LGB社区的联系程度以及性身份都是重要因素。在1年随访时，隐瞒性取向与较差的心理健康状况有关。
我们的研究结果表明，针对性少数群体的干预措施应根据亚群体精心调整信息。特别是，干预者和临床医生应注意双性恋者与男同性恋者/女同性恋者之间的差异。
