Mental health correlates of sexual orientation concealment and disclosure in the California Quality of Life Survey
Methods: Sexual minority participants in the California Quality of Life Survey (n = 2,014) indicated whether they had disclosed their sexual orientation and, if so, the age at which this occurred. Diagnoses of major depressive disorder and generalized anxiety disorder were derived from the Composite International Diagnostic Interview Short Form (CIDI-SF).
Results: Closeted men (n = 90) were significantly less likely to be classified as depressed than out men (n = 980; OR = .41 95% CI: .17-.99). The opposite effect was found for closeted (n = 52), compared to out (n = 892), women, although not significantly so. Recently out men were significantly more likely to be diagnosed with generalized anxiety disorder than men who had been out for longer (OR = .18; 95% CI: .08-.44). Recently out women were less likely to be depressed than women who had been out longer (OR = 1.91; 95% CI: .94-3.89).
Conclusions: These findings document the mental health correlates of sexual orientation concealment and disclosure in a population-based sample. Results will be discussed in terms of the unique experiences of sexual minority men and women both in and out of the closet.
Learning Areas:Diversity and culture
Social and behavioral sciences
Describe the use of a large population-based survey of mental health among sexual minorities to determine the mental health correlates of sexual orientation concealment and disclosure. Compare the unique experiences that sexual minority men and women face when concealing and disclosing their sexual orientation.
Keyword(s): Lesbian, Gay, Bisexual and Transgender (LGBT), Mental Health
Qualified on the content I am responsible for because: I have been the principal investigator or co-investigator of multiple federally funded grants focusing on the health and mental health of LGBT individuals. I have published 20 peer reviewed journals on LGBT health, serve on the editorial board of three respected professional journals, and have served as a reviewer for over 30 peer-reviewed journals.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.