Department of Psychological Science, Central Connecticut State University, New Britain, Connecticut, USA.
Department of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut, USA.
LGBT Health. 2023 Jan;10(1):51-61. doi: 10.1089/lgbt.2021.0446. Epub 2022 Sep 13.
This study evaluated the characteristics associated with sexual orientation disclosure among HIV-negative Black sexual minority men (BSMM) in the greater Atlanta, Georgia area. Survey data were collected from 475 HIV-negative BSMM from 2017 to 2019 as part of a larger behavioral intervention study focused on stigma, prejudice, and HIV-testing uptake. Participants reported their levels of sexual orientation disclosure globally, to their community, and to their family. Data were analyzed using one-way analysis of variance and multinomial logistic regression to determine whether demographic, minority stress, substance use, and mental health were associated with sexual orientation disclosure globally, to community members, and to family members. Findings revealed that participants with older age, bisexual identity, and higher levels of internalized homophobia had higher odds of global, community, and family sexual orientation nondisclosure. Furthermore, participants with higher levels of resilience had lower odds of partial sexual orientation disclosure compared with their fully disclosed counterparts. These findings reveal variations associated with sexual orientation disclosure across varying contexts among HIV-negative BSMM, particularly among family member disclosure.
本研究评估了与佐治亚州亚特兰大地区的 HIV 阴性黑人性少数群体男性（BSMM）的性取向披露相关的特征。这项研究从 2017 年至 2019 年期间，从 475 名 HIV 阴性 BSMM 中收集了调查数据，这些数据是作为一项专注于耻辱感、偏见和 HIV 检测参与度的更大行为干预研究的一部分。参与者报告了他们在全球范围内、在社区中以及在家庭中披露性取向的程度。数据分析采用单因素方差分析和多项逻辑回归，以确定人口统计学、少数群体压力、物质使用和心理健康是否与全球、社区成员和家庭成员的性取向披露相关。研究结果表明，年龄较大、具有双性恋身份和内化同性恋恐惧症程度较高的参与者，其全球、社区和家庭性取向不披露的可能性更高。此外，具有更高韧性水平的参与者与完全披露的参与者相比，部分性取向披露的可能性较低。这些发现揭示了 HIV 阴性 BSMM 中不同背景下性取向披露的差异，特别是在家庭成员披露方面。
