Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
BMC Public Health. 2022 Aug 1;22(1):1465. doi: 10.1186/s12889-022-13815-4.
The mediators of the association between familial attitudes toward sexual orientation and internalized homonegativity among lesbian, gay, and bisexual (LGB) individuals have not been well examined.
A cross-sectional survey study was carried out to examine the (i) associations of familial sexual stigma and family support with internalized homonegativity among young adult LGB individuals in Taiwan, and (ii) mediating effect of self-identity disturbance and the moderating effect of gender. Self-identified LGB individuals (N = 1000; 50% males and 50% females; mean age = 24.6 years) participated in the study. Familial sexual stigma, family support, self-identity disturbance, and internalized homonegativity were assessed. Structural equation modeling was used to examine relationships between the variables.
The results indicated that familial sexual stigma was directly associated with increased internalized homonegativity, and indirectly associated with increased internalized homonegativity via the mediation of self-identity disturbance among LGB individuals. Family support was indirectly associated with decreased internalized homonegativity via the mediation of low self-identity disturbance. The direct association between family support and internalized homonegativity was only found among lesbian and bisexual women but not among gay and bisexual men.
Program interventions for familial sexual stigma, family support, and self-identity disturbance are warranted to help reduce internalized homonegativity among LGB individuals.
家庭对性取向的态度与女同性恋、男同性恋和双性恋（LGB）个体内化的同性恋消极态度之间的关联的中介因素尚未得到很好的研究。
本横断面调查研究旨在检验：（i）在台湾的年轻成年 LGB 个体中，家庭性污名和家庭支持与内化的同性恋消极态度之间的关联；（ii）自我认同困扰的中介作用以及性别的调节作用。自我认同的 LGB 个体（N=1000；50%为男性，50%为女性；平均年龄为 24.6 岁）参与了这项研究。评估了家庭性污名、家庭支持、自我认同困扰和内化的同性恋消极态度。结构方程模型被用于检验变量之间的关系。
结果表明，家庭性污名与内化的同性恋消极态度呈直接正相关，且通过自我认同困扰的中介作用与内化的同性恋消极态度呈间接正相关。家庭支持与内化的同性恋消极态度呈间接负相关，其通过低自我认同困扰的中介作用产生关联。家庭支持与内化的同性恋消极态度之间的直接关联仅在女同性恋和双性恋女性中存在，而在男同性恋和双性恋男性中不存在。
需要对家庭性污名、家庭支持和自我认同困扰进行干预，以帮助减少 LGB 个体的内化的同性恋消极态度。
