Sexual Identity Disclosure and Alcohol Experiences Among LGBTQ+ Adolescents

Caba, Antonia; Mallory, Allen B.; Simon, Kyle A.; Renley, Benton M; Rathus, Taylor; Watson, Ryan J.

doi:10.1080/08964289.2023.2190078

Cited by 7 publications

(6 citation statements)

References 61 publications

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“…Of these 385 articles, 356 articles were excluded based on the exclusion criteria, resulting in 29 articles that met the inclusion criteria. The full-text review revealed that four of the 29 articles meeting inclusion criteria were analyses of the same study dataset (Caba et al, 2022;Caba et al, 2023;McKay & Watson, 2020;Rentería et al, 2022). Table 1 includes key attributes of the articles included in the review.…”

Section: Resultsmentioning

confidence: 99%

“…The final component of the DPM, outcomes of disclosure, were reported in the majority of included articles (62.1%). Approximately 20% of articles described long-term outcomes of disclosure (Caba et al, 2022;McKay & Watson, 2020;D'amico et al, 2015;Russell et al, 2014;Feinstein et al, 2019;Little et al, 2023), and an additional 24.1% described short-term or more immediate outcomes (Caba et al, 2023;Kiekens & Mereish, 2022;D'Amico & Julien, 2012;Grafsky 2018;Sammut et al, 2021;Gioia et al, 2021;Roe, 2017), and 17.2% did not specify whether outcomes were long-or short-term (Rentería et al, 2022;Lozano et al, 2021;Price & Prosek, 2020;Pollitt et al, 2017;Semborski et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, negative mental health outcomes of disclosure included psychological distress, depression, anxiety, suicidal ideation, self-harm, and negative affect (Caba et al, 2023;Wei & Liu, 2019;Lozano et al, 2021;Sammut et al, 2021). Concealment, or the lack of disclosure, was additionally associated with increased negative affect (Kiekens & Mereish, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…As examples, articles found that bisexual youth, questioning youth, and transgender boys either did not benefit from disclosure to the same extent or were negatively impacted by disclosure in comparison to other LGBTQ+ youth (McKay & Watson, 2020;Rentería et al, 2022;Feinstein et al, 2019). Several articles (31.0%) considered how youth's other identities and socio-demographic characteristics shaped disclosure processes (Caba et al, 2022;Caba et al, 2023;McKay & Watson, 2020;D'amico et al, 2015;Feinstein et al, 2019;Kiekens & Mereish, 2022;Carpineto et al, 2008;Mollet, 2023;Pollitt et al, 2017).…”

Section: Moderatorsmentioning

confidence: 99%

“…LGBTQ+ youth had disclosed or planned to disclose. Many articles focused on LGBTQ+ youth disclosure to family specifically, with 41.3% examining disclosure to parents, 13.7% disclosure to siblings, 3.4% disclosure to grandparents, and 34.4% to other family members such as aunts, uncles, cousins, or extended family members (Caba et al, 2023;Wei & Liu, 2019;D'amico et al, 2015;Lozano et al, 2021;D'Amico & Julien, 2012;McInroy et al, 2021;Grafsky et al, 2018;Grafsky 2018;Price & Prosek, 2020;Roe, 2017;Morgan et al, 2022;Pollitt et al, 2017;Semborski et al, 2022). Regarding other disclosure recipients, 20.6% described disclosure to healthcare providers (McKay & Watson, 2020;King, 2008;Burdick & Nicholus, 2022;McInroy et al, 2021, Du Bois et al, 2022Gioia et al, 2021), 17.2% to friends (Caba et al, 2023;McInroy et al, 2021;Reyes et al, 2023;Sammut et al, 2021;Pollitt et al, 2017), 17.2% to people at school or college including teachers and students (Caba et al, 2022;Wei & Liu, 2019;King, 2008;Russell et al, 2014;McInroy et al, 2021), 13.7% to people online (King, 2008;McInroy et al, 2021;Mollet, 2023;Semborski et al, 2022), 10.3% to peers (Caba et al 2022;Caba et al, 2023;Grafsky, 2018), 6.8% to romantic partners…”

Section: Moderatorsmentioning

confidence: 99%

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LGBTQ+ Youth Identity Disclosure Processes: A Systematic Review

Mousavi,

Chong,

Earnshaw

et al. 2024

Preprint

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Objective: Disclosure is a complex social process that can have a profound impact on LGBTQ+ youth wellbeing. Disclosure involves decision-making, interpersonal events, mediating processes, and psychosocial outcomes, but there is no review that considers disclosure as a developmental, multi-component process across contexts for LGBTQ+ youth. Guided by the disclosure process model, LGBTQ+ youth disclosure literature was systematically reviewed and synthesized. Methods: After screening 5,433 articles, 29 studies were identified that investigated identity-disclosure processes among LGBTQ+ youth (aged 26 or younger). Included articles were reviewed for disclosure process components, individual and contextual factors that shape disclosure, and bias. Results: Studies examining the disclosure decision making process focused more on avoidance goals (e.g., fear of rejection, LGBTQ+ stigma) than approach goals (e.g., find belonging, authenticity) for disclosure. Reactions to disclosures were most often mixed, with initial reactions characterized as negative and then becoming more positive over time. Mental health is the most studied outcome of disclosure. Additionally, disclosure processes appear to be shaped by disclosure recipients, social context, and cultural beliefs. Conclusions: Research on LGBTQ+ youth disclosure is accelerating and increasingly examines disclosure goals and disclosure outcomes. LGBTQ+ youth identity disclosure is a complex, developmental process that extends over time and across multiple contexts. Future research should include study of disclosure content, longitudinal change, and dyadic processes.

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Section: Resultsmentioning

confidence: 99%