THE EFFECTS OF HOMOPHOBIA, PARTNERSHIP, SEXUAL SELF-LABELS, AND INVOLVEMENT OF LGBT CENTER ACTIVITY ON COMING OUT  IN VARIOUS SOCIAL RELATIONSHIPS AMONG CHINESE GAY MEN

Objectives

The present study explored the factors that influenced the likelihood of 503 Chinese gay men’s choice of coming out in different social relationships in a Chinese cultural context.

Methods

The current study reports on data from a cross-sectional survey analyzing the relationships between the choice of coming out of a homosexual individual’s social relationships and its relation to demograph-ics, internalized homophobia, sexual self-label, and attendance at lesbian, gay, bisexual and transgender (LGBT) center activity using a multivariate logistic regression model.

Results

Other-oriented identity was a predictor of outness to close friends, friends, relatives, and colleagues. The greater the frequency of attendance to LGBT center activities, the more likely the participants were to choose to come out to their parents, relative, and friends. Other demographic data, such as age, education, number of siblings, and partnership, are also factors related to outness in different social relationships.

Conclusions

The factors related to coming out are varied in different social relationships, which implies that individuals use different principles in different social relationships. The present study provides further evidence that mental health professionals should work with LGBT centers to help homosexual individuals with their iden-tity development and to develop individualized assistance strategies based on different social relationships.

Chinese; coming out; gay men; LGBT

1. Herek GM, Mclemore KA. Sexual prejudice. Ann RevPsychol 2013;64(1):309–33.

2. Milesjohnson T, Wang Y. “Hidden identities”: Perceptions of sexual identity in Beijing. Br J Sociol 2017;69(5):323–51. https://doi.org/10.1111/ 1468-4446.12279.

3. Zheng L, Su Y, Zheng Y. The intersection of gender and sexuality: Sexism shapes men’s same-sex sexu-ality in terms of self-label identification and partner choice in China. Sex Roles 2017;77(1–2):125–34. https://doi.org/10.1007/s11199-016-0697-8.

4. Newcomb ME, Mustanski B. Internalized homophobia and internalizing mental health problems: A meta-analytic review. Clin Psychol Rev 2010;30(8):1019–29. https://doi.org/10.1016/j. cpr.2010.07.003.

5. Xu W, Zheng L, Xu Y, Zheng Y. Internalized homophobia, mental health, sexual behaviors, and outness of gay/bisexual men from Southwest China. Int J Equity Health 2017;16(1):36. https://doi. org/10.1186/s12939-017-0530-1.

6. Wandrey RL, Mosack KE, Moore EM. Coming out to family and friends as bisexually identified young adult women: A discussion of homopho-bia, biphobia, and heteronormativity. J Bisexual 2015;15(2):204–29. https://doi.org/10.1080/1529971 6.2015.1018657.

7. Baiocco, R, Ioverno, S, Cerutti, R, Santamaria, F, & Laghi, F. Suicidal ideation in Spanish and Italian lesbian and gay young adults: The role of internal-ized sexual stigma. Psicothema 2014;26(4):490–6. https://doi.org/10.7334/psicothema2014.1.

8. Morrow SL. Career development of lesbian and gay youth: Effects of sexual orientation, coming out, and homophobia. J Gay Lesbian Soc Serv 1997;7(4):1–

15. https://doi.org/10.1300/J041v07n04_01.

9. Ren Z, Hood Jr RW. Internalized homophobia scale for gay Chinese men: Conceptualization, factor structure, reliability, and associations with hypothe-sized correlates. Am J Mens Health 2018;12(5):1297–

306. https://doi.org/10.1177/1557988318768603.

10. Ren Z, Howe CQ, Zhang W. Maintaining “mianzi” and “lizi”: Understanding the reasons for formality marriages between gay men and lesbians in China. Transcult Psychiatry 2019;56(1):213–32. https://doi. org/10.1177/1363461518799517.

11. Hu X, Ying W. LGB identity among young Chinese: The influence of traditional culture. J Homosexual 2013;60(5):667–84. https://doi.org/10.1080/0091836 9.2013.773815.

12. Wah-Shan C. Homosexuality and the cultural politics of Tongzhi in Chinese societies. JHomosexual 2001;40(3–4):27–46. https://doi.org/10.1300/J082v40n03_03.

13. Perrin-Wallqvist R, Lindblom J. Coming out as gay: A phenomenological study about adolescents disclosing their homosexuality to their parents. Soc Behav Personal Int J 2015;43(3):467–80(14). https://doi.org/10.2224/sbp.2015.43.3.467.

14. Baiocco R, Fontanesi L, Santamaria F, et al. Negative parental responses to coming out and family func-tioning in a sample of lesbian and gay young adults. J Child Fam Stud 2015;24(5):1490–500. https://doi. org/10.1007/s10826-014-9954-z.

15. Kirby S. American gay and lesbian student leaders’ perceptions of job discrimination. Equal Oppor Int 2006;25(2):126–40. https://doi. org/10.1108/02610150610679547/full/html.

16. Clain SH, Leppel K. An investigation into sexual orientation discrimination as an explanation for wage differences. Appl Econ 2001;33(1):37–47. https://doi.org/10.1080/00036840122961.

17. Puckett JA, Woodward EN, Mereish EH, Pantalone DW. Parental rejection following sexual orienta-tion disclosure: Impact on internalized homopho-bia, social support, and mental health. LGBT Health 2015;2(3):265–9. https://doi.org/10.1089/lgbt.2013.0024.

18. Coleman E. Developmental stages of the com-ing out process. J Homosexual 1982;7(2–3):31–43. https://doi.org/10.1300/J082v07n02_06.

19. Dubé EM, Savin-Williams RC. Sexual identity development among ethnic sexual-minority male youths. Dev Psychol 1999;35(6):1389. https://doi. org/10.1037/0012-1649.35.6.1389

20. Cant B. Exploring the implications for health pro-fessionals of men coming out as gay in healthcare settings. Heart Lung Circul 2010;14(1):9–16. https://doi.org/10.1111/j.1365-2524.2005.00583.x.

21. Griffith KH, Hebl MR. The disclosure dilemma for gay men and lesbians: “Coming out” at work. J Appl Psychol 2002;87(6):1191–9. https://doi. org/10.1037/0021-9010.87.6.1191.

22. Baiocco R, Laghi F, Pomponio ID, Nigito CS. Self-disclosure to the best friend: Friendship quality and internalized sexual stigma in Italian lesbian and gay adolescents. J Adolesc 2012;35(2):381–7. https://doi. org/10.1016/j.adolescence.2011.08.002

23. Garcia, Luis I. Factors influencing disclosure of sexual orientation among HIV-positive Latino gay and bisexual men. Thesis – Gradworks; The George Washington University-United State ProQuest Dissertations Publishing, 2010. 3396544.

24. Weber-Gilmore G, Rose S, Rubinstein R. The impact of internalized homophobia on outness for lesbian, gay, and bisexual individuals. Prof Couns Res Pract 2011;1(3):163–75.

25. Herek GM, Cogan JC, Gillis JR, Glunt EK. Correlates of internalized homophobia in a commu-nity sample of lesbians and gay men. J Gay Lesb Med Assoc 1998;2:17–26.

26. Clausell E. The interpersonal and mental health implications of the coherence of coming out narra-tives for a sample of gay men in committed roman-tic relationships [Internet]. University of Illinois at Urbana-Champaign; 2011. Available from: http://hdl.handle.net/2142/26257/2019/dec/12

27. Munoz-Plaza C, Quinn SC, Rounds KA. Lesbian, gay, bisexual and transgender students: Perceived social support in the high school environment [Internet]. High School J 2002;85(4):52–63. https://www.jstor.org/stable/40364353.

28. Corrigan PW, Larson JE, Hautamaki J, et al. What lessons do coming out as gay men or lesbi-ans have for people stigmatized by mental illness?Community Ment Health J 2009;45(5):366–74. https://doi.org/10.1007/s10597-009-9187-6.

29. Bie B, Tang L. Chinese gay men’s coming out narra-tives: Connecting social relationship to co-cultural theory. J Int Intercult Commun 2016;9(4):351–67. https://doi.org/10.1080/17513057.2016.1142602.

30. Hieu SP, Ng JA. The intersecting ethnic identity on LGB with internalized homophobia and coming out in Malaysia. Final year thesis, Universiti Tunku Abdul Rahman (UTAR), Malaysia; 2015.

31. Hwang KK. Chinese relationalism: Theoretical construction and methodological considerations. J Theory Soc Behav 2000;30(2):155–78. https://doi. org/10.1111/1468-5914.00124

32. Yang K-S. Theories and research in Chinese per-sonality: An indigenous approach.In: Kao HSR, Sinha D, editors. Asian perspectives on psychology. New Delhi, India: Sage; 1997. p. 236–62.

33. Wu J. From “long yang” and “dui shi” to tongzhi: Homosexuality in China. J Gay Lesb Psychother 2003;7(1–2):117–43. https://doi.org/10.1300/J236v07n01_08

34. Zheng L, Hart TA, Zheng Y. The relationship between intercourse preference positions and per-sonality traits among gay men in China. Arch Sex Behav 2012;41(3):683–9. https://doi.org/10.1007/s10508-011-9819-0

35. Sommantico M, De Rosa B, Parrello S. Internalized sexual stigma in Italian lesbians and gay men: The roles of outness, connectedness to the LGBT com-munity, and relationship satisfaction. J Sex Marital Ther 2018;44(7):641–56. https://doi.org/10.1080/009 2623X.2018.1447056

36. Jaramillo-Jaramillo J, Restrepo-Pineda JE, Pantoja-Bohórquez CP, Martínez-Grisales KJ. Participation in LGBTQ organizations in Colombia: Motivations and impacts. J Gay Lesb Soc Serv 2019;31(4), 476-500, https://doi.org/10.1080/10538720.2019.1642820

37. Pistella J, Salvati M, Ioverno S, Laghi F, Baiocco R. Coming-out to family members and internalized sexual stigma in bisexual, lesbian and gay people. J Child Fam Stud 2016;25(12):3694–701. https://doi. org/10.1007/s10826-016-0528-0

38. Tropp LR, Pettigrew TF. Relationships between intergroup contact and prejudice among minority and majority status groups. Psychol Sci 2005;16(12):951–

7. https://doi.org/10.1111/j.1467-9280.2005.01643.x

39. Wang Y, Wilson A, Chen R, Hu Z, Peng K, Xu S. Behind the rainbow, “Tongqi” wives of men who have sex with men in China: A systematic review. Front Psychol 2020;10:2929. https://doi.org/10.3389/fpsyg.2019.02929