Sexology Lab, Department of Psychiatry, Jagiellonian University Medical College, Krakow, Poland.
Center for Evaluation and Analysis of Public Policies, Institute of Sociology, Jagiellonian University, Krakow, Poland.
J Sex Med. 2019 Jun;16(6):860-871. doi: 10.1016/j.jsxm.2019.03.274. Epub 2019 Apr 30.
Minority stress is an important risk factor for sexual problems in gay and bisexual men. It remains unclear whether and to what extent this stress is associated with the sexual quality of life in these groups.
To investigate the significance of minority stress as a factor explaining the sexual quality of life in gay and bisexual men.
The analysis is based on data collected in an Internet study on the sexuality of Polish gay, bisexual, and straight men. Multiple regression analysis was used to investigate the importance of minority stress in explaining the sexual quality of life in a group of 1,486 non-heterosexual men in the context of other predictors, including demographics, the level of current sexual function, sexual patterns and experiences, and mental and physical health. We used the Sexual Minority Stress Scale based on Ilan Meyer's Minority Stress Model, with its subscales relating to internalized homophobia, expectation of rejection, concealment, and sexual minority negative events. The level of sexual functioning was evaluated using 2 scales, the International Index of Erectile Functioning and the Premature Ejaculation Diagnostic Tool. Data on the remaining predictors were obtained using a survey that we developed.
The men's sexual quality of life as rated on the Sexual Quality of Life Scale for Men was a dependent variable.
Internalized homophobia (β = -0.28; P < .001) and sexual minority negative events (β = -0.09; P < .001) were statistically significant predictors of sexual quality of life in non-heterosexual men. Internalized homophobia (β = -0.28; P < .001) and erectile function (β = 0.29, P < .001) turned out to be the strongest predictors. Sexual orientation (gay vs bisexual) and its interactions with individual processes of minority stress were statistically nonsignificant.
To evaluate and improve the sexual quality of life of non-heterosexual men, it is necessary to consider not only their sexual function, but also the minority stress they experience, particularly internalized homophobia.
STRENGTHS & LIMITATIONS: The major strengths of the study include a large sample size, a comprehensive assessment of minority stress, and the previously understudied Central European cultural context. The major limitations are the nonrepresentative sampling, retrospective data collection, and cross-sectional design.
Internalized homophobia predicts poorer sexual quality of life in gay and bisexual men in Poland. Grabski B, Kasparek K, Müldner-Nieckowski Ł, et al. Sexual Quality of Life in Homosexual and Bisexual Men: The Relative Role of Minority Stress. J Sex Med 2019;16:860-871.
少数群体压力是男同性恋和双性恋者出现性问题的一个重要风险因素。目前尚不清楚这种压力是否以及在何种程度上与这些群体的性生活质量有关。
探讨少数群体压力作为解释男同性恋和双性恋者性生活质量的因素的意义。
本分析基于在一项关于波兰男同性恋、双性恋和直男性行为的互联网研究中收集的数据。采用多元回归分析，在包括人口统计学、当前性功能水平、性行为模式和经验以及心理健康和身体健康等其他预测因素的情况下，研究少数群体压力在解释 1486 名非异性恋男性的性生活质量方面的重要性。我们使用了基于 Ilan Meyer 的少数群体压力模型的少数群体压力量表，其分量表涉及内化的恐同、被拒绝的预期、隐瞒和少数群体的负面事件。性功能水平使用国际勃起功能指数和早泄诊断工具 2 个量表进行评估。使用我们开发的调查获得关于其余预测因素的数据。
男性性生活质量由男性性生活质量量表评分作为因变量。
内化的恐同（β=-0.28；P<.001）和少数群体的负面事件（β=-0.09；P<.001）是男同性恋和双性恋男性性生活质量的统计学显著预测因素。内化的恐同（β=-0.28；P<.001）和勃起功能（β=0.29，P<.001）是最强的预测因素。性取向（同性恋与双性恋）及其与少数群体压力个体过程的相互作用无统计学意义。
为了评估和改善非异性恋男性的性生活质量，不仅需要考虑他们的性功能，还需要考虑他们所经历的少数群体压力，特别是内化的恐同。
本研究的主要优势包括样本量大、对少数群体压力进行全面评估以及对以前研究较少的中欧文化背景进行研究。主要局限在于非代表性抽样、回顾性数据收集和横断面设计。
在波兰，内化的恐同预测男同性恋和双性恋者的性生活质量较差。Grabski B、Kasparek K、Müldner-Nieckowski Ł 等人。同性恋和双性恋男性的性生活质量：少数群体压力的相对作用。性医学杂志 2019；16：860-871。
