Deciding to Come Out to Parents: Toward a Model of Sexual Orientation Disclosure Decisions

2017 ◽  
Vol 57 (3) ◽  
pp. 783-799 ◽  
Author(s):  
Erika L. Grafsky
Keyword(s):  
Sexual Orientation ◽  
Disclosure Decisions ◽  
To Come ◽  
Sexual Orientation Disclosure

scholarly journals The role of country-level structural stigma on sexual orientation disclosure and discrimination in health care settings among lesbian, gay, and bisexuals across Europe

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Bränström ◽  
J E Pachankis
Keyword(s):  
Health Care ◽  
Sexual Orientation ◽  
Health Care Providers ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Care Providers ◽  
Health Care Settings ◽  
Country Level ◽  
Disclosure Of Sexual Orientation ◽  
Sexual Orientation Disclosure

Abstract Background The national climate surrounding sexual minorities (i.e., those self-identifying as lesbian, gay, or bisexual [LGB]) varies greatly worldwide. Recent Cross-European studies have shown that country-level structural stigma is a strong determinant of sexual minority individuals health risk behaviors and mental health. The consequences of the significant country-level variation in structural stigma on sexual minorities’ experiences of health care discrimination and disclosure of sexual orientation to health care providers have not been previously investigated. Methods In 2012, 86 000 sexual minority individuals (aged 18 years and older) from all 28 European Union countries responded to questions concerning discrimination in health care settings and sexual orientation disclosure to health care providers (EU LGBT survey). Structural stigma was assessed using a combination of national laws and policies affecting sexual minorities and a measure of sexual minority acceptance among citizens of each country. Results Disclosure of sexual orientation to health care providers were much more common in low stigma coutries (e.g., the Netherlands, Sweden, UK) compared to high stigma coutries (e.g., Lithuania, Latvia, Slovakia). Experiences of discrimination in health care settings were more common among LGB indiviudals who were open about their sexual orientaiton and increased by degree of country-level structural stigma. Conclusions Disclosure of sexual orientation and experiences of discrimination in health care settings varies greatly among LGB individuals in Europe largely due to structural stigma surrounding sexual minorities. Main messages These findings highlight the importance of eliminating legislation, policies, and national attitudes that promote the unequal treatment of sexual minorities in currently unsupportive European countries.

scholarly journals Black Sexual Minority Men’s Disclosure of Sexual Orientation Is Associated With Exposure to Homonegative Religious Messages

2018 ◽  
Vol 13 (1) ◽  
pp. 155798831880643 ◽  
Author(s):  
Jonathan Mathias Lassiter ◽  
Russell Brewer ◽  
Leo Wilton
Keyword(s):  
Sexual Orientation ◽  
Sexual Minority ◽  
Clinical Work ◽  
The United States ◽  
Geographic Region ◽  
Religious Communities ◽  
Western Society ◽  
Church Members ◽  
Region Of Residence ◽  
Sexual Orientation Disclosure

Previous research has highlighted the homonegative atmospheres of many religious communities in Western society and their harmful impact on Black sexual minority (SM) people’s mental and physical health. However, few studies have examined the relationship between sexual orientation disclosure to church members and exposure to homonegative religious messages in religious settings. This online quantitative study investigated this relationship among a sample of 320 Black SM men. The participants for this study were recruited nationally from across the United States and had a mean age of 34 years. Descriptive statistics and linear regression analyses were conducted. Findings indicated that sexual orientation disclosure to church members was significantly associated with exposure to homonegative religious messages, even when controlling for geographic region of residence and denominational affiliation. Black SM men who had higher levels of disclosure were exposed to fewer homonegative religious messages. The implications of these findings for health research and clinical work with Black SM men are discussed in detail.

scholarly journals Family Relationships and Sexual Orientation Disclosure to Family by Gay and Bisexual Men in Jamaica

2016 ◽  
Vol 28 (4) ◽  
pp. 306-317 ◽  
Author(s):  
Yohann White ◽  
Theo Sandfort ◽  
Kai Morgan ◽  
Karen Carpenter ◽  
Russell Pierre
Keyword(s):  
Sexual Orientation ◽  
Family Relationships ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual ◽  
Sexual Orientation Disclosure

Health care access, health care utilisation and sexual orientation disclosure among Black sexual minority men in the Deep South

Sexual Health ◽  
2020 ◽  
Vol 17 (5) ◽  
pp. 421
Author(s):  
Ying He ◽  
Derek T. Dangerfield II ◽  
Errol L. Fields ◽  
Milton R. Dawkins ◽  
Rodman E. Turpin ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Orientation ◽  
Health Care Access ◽  
Healthcare Providers ◽  
Health Care Utilisation ◽  
Sexual Minority Men ◽  
Care Access ◽  
Care Utilisation ◽  
Minority Men ◽  
Sexual Orientation Disclosure

Background Black gay, bisexual, and other sexual minority men (BSMM) account for 39.1% of new HIV infections among men who have sex with men and 78.9% of newly diagnosed cases among Black men. Health care access, health care utilisation and disclosing sexuality to providers are important factors in HIV prevention and treatment. This study explored the associations among sexual orientation disclosure, health care access and health care utilisation among BSMM in the Deep South. Methods:Secondary analysis of existing data of a population-based study in Jackson, Mississippi, and Atlanta, Georgia, was conducted among 386 BSMM. Poisson regression models were used to estimate prevalence ratios (PR) between sexual orientation disclosure to healthcare providers, health care access and health care utilisation. Results:The mean (±s.d.) age of participants was 30.5 ± 11.2 years; 35.3% were previously diagnosed with HIV and 3.7% were newly diagnosed with HIV. Two-thirds (67.2%) self-identified as homosexual or gay; 70.6% reported being very open about their sexual orientation with their healthcare providers. After adjustment, BSMM who were not open about their sexual orientation had a lower prevalence of visiting a healthcare provider in the previous 12 months than those who were very open with their healthcare provider (PR 0.42; 95% confidence interval 0.18–0.97). Conclusion:Clinics, hospitals and other healthcare settings should promote affirming environments that support sexuality disclosure for BSMM.

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