1 Department of Psychology, Virginia Commonwealth University , Richmond, Virginia.
LGBT Health. 2015 Sep;2(3):243-9. doi: 10.1089/lgbt.2014.0110. Epub 2015 May 29.
A growing body of research has begun to examine wellness behaviors in sexual minority women. While a number of constructs have been associated with wellness behaviors in this population, including outness, social support, and mental health, no research has attempted to forge the specific and unique connections among them. The aim of the current study was to construct a theoretical chain among these variables leading to wellness behaviors among an ethnically diverse sample of sexual minority women.
A sample of 150 ethnically diverse, cisgender women identifying as lesbian, bisexual, queer, or an "other" non-heterosexual sexual orientation completed a web-administered national survey. Scales assessed participants' outness, social support, mental health, and wellness behaviors.
In a series of simultaneous, multiple regressions, outness to one's family was positively associated with wellness behavior and social support; social support from one's family and friends was positively associated with mental health; and depression was negatively associated with wellness behaviors. Two multiple mediational models generally suggested a cascading influence of outness to one's family on wellness behaviors through social support from one's family and depression.
The study is one of the first to find potentially cascading links among personal, social, and mental health variables with health behaviors in a sample of diverse lesbian, bisexual, and queer (LBQ) women. It thereby illuminates a number of potential targets for health promotion interventions in this population.
越来越多的研究开始研究性少数群体女性的健康行为。虽然许多结构已与该人群的健康行为相关联，包括出柜、社会支持和心理健康，但没有研究试图建立它们之间的具体和独特联系。本研究的目的是在一个种族多样化的性少数女性样本中，构建这些变量之间通向健康行为的理论链条。
一个由 150 名种族多样化、顺性别、认同为女同性恋、双性恋、酷儿或其他非异性恋性取向的女性组成的样本完成了一项网络管理的全国性调查。量表评估了参与者的出柜、社会支持、心理健康和健康行为。
在一系列同时的多元回归中，向家人出柜与健康行为和社会支持呈正相关；来自家人和朋友的社会支持与心理健康呈正相关；而抑郁与健康行为呈负相关。两个多重中介模型普遍表明，通过家庭的社会支持，出柜对家人的影响对健康行为有级联影响。
该研究是为数不多的研究之一，它在一个多样化的女同性恋、双性恋和酷儿（LBQ）女性样本中发现了个人、社会和心理健康变量与健康行为之间潜在的级联联系。它因此阐明了在这一人群中进行健康促进干预的许多潜在目标。
