■行为健康方面的性少数群体差异(例如,心理健康和物质使用)是公认的。然而,性认同是动态的,和变化在整个生命过程中是常见的(例如,认同单性[男女同性恋]标签,后来认同多性[酷儿,泛性,等。]label).这项研究评估了性少数人群的行为健康风险是否与性认同变化相吻合。
■在一个为期3年的美国全国性少数群体成年人概率样本中,在性少数群体身份变化之间评估了协会(一贯的单性[N=400;44.3%加权],一贯多性[N=239;加权46.7%],单性到多性[N=19;4.2%加权],和多性到单性[N=25;4.8%加权])和五个行为健康指标(心理困扰,社会福祉,过去一个月心理健康不良天数,有问题的酒精使用,以及其他药物的使用有问题),控制人口统计学特征和基线行为健康。
■在女性参与者中,单性到多性身份改变(vs.一贯的单性认同)与更大的心理困扰(B=3.41,SE=1.13)相关,较低的社会幸福感(B=-0.61,SE=0.25),以及过去一个月中心理健康状况不佳的天数(B=0.69[Bexp=1.99],SE=0.23)。在男性参与者中,多性到单性的身份改变(vs.一贯的多性身份)与较低的社会幸福感相关(B=-0.56,SE=0.25),身份改变(无论类型如何)通常与酒精和其他药物使用问题增加相关.
■性认同改变是少数人性行为健康研究的重要考虑因素,有变化(与一致性)是行为健康受损的重要风险因素。预防和治疗干预措施可能需要针对性少数群体男性和女性提供不同的信息。
UNASSIGNED: Sexual minority disparities in behavioral health (e.g., mental health and substance use) are well-established. However, sexual identity is dynamic, and changes are common across the life course (e.g., identifying with a monosexual [lesbian or gay] label and later with a plurisexual [queer, pansexual, etc.] label). This study assessed whether behavioral health risks coincide with sexual identity change among sexual minority people.
UNASSIGNED: Associations in a 3-year U.S. national probability sample of sexual minority adults were assessed between sexual minority identity change (consistently monosexual [N=400; 44.3% weighted], consistently plurisexual [N=239; 46.7% weighted], monosexual to plurisexual [N=19; 4.2% weighted], and plurisexual to monosexual [N=25; 4.8% weighted]) and five behavioral health indicators (psychological distress, social well-being, number of poor mental health days in the past month, problematic alcohol use, and problematic use of other drugs), controlling for demographic characteristics and baseline behavioral health.
UNASSIGNED: Among female participants, monosexual-to-plurisexual identity change (vs. consistently monosexual identity) was associated with greater psychological distress (B=3.41, SE=1.13), lower social well-being (B=-0.61, SE=0.25), and more days of poor mental health in the past month (B=0.69 [Bexp=1.99], SE=0.23). Among male participants, plurisexual-to-monosexual identity change (vs. consistently plurisexual identity) was associated with lower social well-being (B=-0.56, SE=0.25), and identity change (regardless of type) was generally associated with increased problematic use of alcohol and other drugs.
UNASSIGNED: Sexual identity change is an important consideration for sexual minority behavioral health research, with changes (vs. consistency) in identity being an important risk factor for compromised behavioral health. Prevention and treatment interventions may need to tailor messaging to sexual minority men and women differently.