“…Consistent with minority stress theory (Meyer, 2003), the unique stress associated with having a stigmatized sexual minority status is thought to be a significant factor contributing to health disparities among LGB individuals in the United States (Institute of Medicine, 2011; Lehavot & Simoni, 2011;Lick et al, 2013). For example, sexual identity disclosure can result in negative reactions and rejection by family members and important others (e.g., Savin-Williams & Ream, 2003), and such rejection is associated with identity difficulties (Bregman, Malik, Page, Makynen, & Lindahl, 2013;Willoughby, Doty, & Malik, 2010), depression and anxiety (Puckett, Woodward, Mereish, & Pantalone, 2014;Willoughby et al, 2010), increased substance use (Rosario, Schrimshaw, & Hunter, 2009), and other negative health outcomes (Ryan, Huebner, Diaz, & Sanchez, 2009). Loss of family and other support as a result of sexual identity disclosure (Bregman et al, 2013;Savin-Williams & Ream, 2003) is likely to elevate stress levels, whereas connection to and acculturation within the gay community may have a buffering effect against stress (e.g., Condit, Kitaji, Drabble, & Trocki, 2011;Rosario, 2008).…”