性活跃程度高的男同性恋者和双性恋男性的性取向认同发展轨迹与心理健康：一项潜在增长曲线分析。
Trajectories of sexual identity development and psychological well-being for highly sexually active gay and bisexual men: A latent growth curve analysis.
作者信息
Rendina H Jonathon, Carter Joseph A, Wahl Logan, Millar Brett M, Parsons Jeffrey T
机构信息
The Center for HIV/AIDS Educational Studies & Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY, USA.
Department of Psychology, Hunter College of the City University of New York (CUNY), New York, NY, USA.
出版信息
Psychol Sex Orientat Gend Divers. 2019 Mar;6(1):64-74. doi: 10.1037/sgd0000308. Epub 2018 Sep 20.
OBJECTIVE
Examining sexual identity development-the process through which sexual minorities discover and disclose their sexual orientations-within a minority stress framework may help to contextualize sexual and mental health disparities among gay and bisexual men. Research on sexual identity development has typically focused on ages of achieving specific milestones (i.e., awareness, identification, sexual experience, and disclosure), though differences in onset and speed of the process and impact of these trajectories on healthy functioning in adulthood are understudied.
METHOD
We analyzed cross-sectional data from 374 highly sexually active gay and bisexual men in NYC. Using latent growth curve modelling, we examined trajectories of sexual identity development through the four primary milestones. We next examined their associations with childhood and background characteristics, adult experiences of sexual minority stress, and adult mental health.
RESULTS
Gay sexual identity and greater childhood gender nonconformity were associated with earlier reported onset of sexual identity development and younger age was significantly associated with faster progression through the developmental process. The model showed that faster progression through sexual identity development was associated with higher levels of sexual orientation-based discrimination, emotion dysregulation, sexual compulsivity, and anxiety and depression in adulthood.
CONCLUSIONS
These findings support the need for a comprehensive and developmentally-informed model of adulthood functioning among gay and bisexual men that considers trajectories of sexual identity development-including onset and duration-as potential precursors to mental health difficulties in adulthood. Given the early onset of sexual identity development and potential lifelong sequelae, early prevention programs promoting positive sexual identity development are warranted.
目的
在少数群体压力框架内研究性取向认同发展——性少数群体发现并公开其性取向的过程——可能有助于解释男同性恋者和双性恋男性在性健康和心理健康方面的差异。性取向认同发展的研究通常集中在达成特定里程碑的年龄（即意识、认同、性经历和公开），不过对于该过程的起始和速度差异以及这些轨迹对成年期健康功能的影响仍研究不足。
方法
我们分析了来自纽约市374名性活跃程度高的男同性恋者和双性恋男性的横断面数据。使用潜在增长曲线模型，我们研究了性取向认同发展在四个主要里程碑上的轨迹。接下来，我们研究了这些轨迹与童年及背景特征、性少数群体压力的成年经历以及成年心理健康之间的关联。
结果
同性恋性取向认同和童年时期更高的性别非顺应性与更早报告的性取向认同发展起始相关，而更年轻的年龄与在发展过程中更快的进展显著相关。该模型表明，在性取向认同发展过程中更快的进展与成年期更高水平的基于性取向的歧视、情绪失调、性强迫以及焦虑和抑郁相关。
结论
这些发现支持需要一个全面的、考虑到性取向认同发展轨迹（包括起始和持续时间）的、基于发展情况的男同性恋者和双性恋男性成年功能模型，将其作为成年期心理健康问题的潜在先兆。鉴于性取向认同发展的早期起始以及潜在的终身后果，有必要开展促进积极的性取向认同发展的早期预防项目。
Zotero 插件