Cited by 70LGBTQ Health, Identity, and PolicyGender and Feminist StudiesHIV/AIDS Research and Interventions

Sexual minority stress and social support explain the association between sexual identity with physical and mental health problems among young lesbian and bisexual women

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Ehlke, Sarah J., Braitman, Abby L., Dawson, Charlotte A., Heron, Kristin E., Lewis, Robin J.·2020·Sex Roles

Abstract

Bisexual women report more physical and psychological health problems than lesbian women do, which may be attributed to greater sexual minority stress and less social support. However, many studies combine lesbian and bisexual women into a single group. The current study examined if sexual minority stress and social support mediated the association between women's sexual identity (lesbian or bisexual) and health-related outcomes. A total of 650 U.S. young adult lesbian (n = 227) and bisexual (n = 423) women completed an online survey about sexual minority stress, social support, and physical and mental health problems. Bisexual women reported more physical and mental health problems. A sequential mediation model showed that bisexual women reported greater sexual minority stress than lesbian women, which in turn was associated with less social support, which was associated with more physical and mental health problems. Greater sexual minority stress and lower social support may help explain why bisexual women report more health-related problems than lesbian women. The results of the present study support the importance of examining risk and protective factors for health problems separately for lesbian and bisexual women. Health-related intervention programs that target sexual minority women may need to be tailored differently for lesbian and bisexual women.

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  1. Muthén LK and Muthén BO (1998–2017). Mplus user’s guide (8th ed.). Los Angeles, CA: Muthén & Muthén.

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Authors
Ehlke, S. J., Braitman, A. L., Dawson, C. A., Heron, K. E., & Lewis, R. J.
Affiliations
Old Dominion University (US)
Corresponding author
Ehlke, Sarah J.
Venue
Sex Roles
Published
2020-01-06
Volume
83
Issue
5-6
Pages
370-381
ISSN
  • 0360-0025 (ISSN-L)
  • 1573-2762
OpenAlex
W3000577168
Cited by
70
References
72
Citations by year
2026: 6 · 2025: 15 · 2024: 10 · 2023: 16 · 2022: 16 · 2021: 7
FWCI
10.65
Type
journal article
Language
en
Open access
Locations
  • Sex Roles (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Alcohol Abuse and Alcoholism (R15AA020424)
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Social Sciences › Gender Studies › Gender and Feminist Studies
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
sexual minority stress, social support, sexual identity, lesbians, bisexual women, young adult women, physical health problems, mental illness, mediation

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