Abstract
In this study, we investigated if a single-item indicator measured the degree to which people were open about their same-sex attraction (“out”) as accurately as a multi-item scale. For the multi-item scale, we used the Outness Inventory, which includes three subscales: family, world, and religion. We examined correlations between the single- and multi-item measures; between the single-item indicator and the subscales of the multi-item scale; and between the measures and internalized homonegativity, social attitudes towards homosexuality, and depressive symptoms. In addition, we calculated Tjur’s R 2 as a measure of predictive power of the single-item indicator, multi-item scale, and subscales of the multi-item scale in predicting two health-related outcomes: depressive symptoms and condomless anal sex with multiple partners. There was a strong correlation between the single- and multi-item measures (r = 0.73). Furthermore, there were strong correlations between the single-item indicator and each subscale of the multi-item scale: family (r = 0.70), world (r = 0.77), and religion (r = 0.50). In addition, the correlations between the single-item indicator and internalized homonegativity (r = −0.63), social attitudes towards homosexuality (r = −0.38), and depression (r = −0.14) were higher than those between the multi-item scale and internalized homonegativity (r = −0.55), social attitudes towards homosexuality (r = −0.21), and depression (r = −0.13). Contrary to the premise that multi-item measures are superior to single-item measures, our collective findings indicate that the single-item indicator of outness performs better than the multi-item scale of outness.
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References
Bradford, J., Ryan, C., & Rothblum, E. D. (1994). National Lesbian Health Care Survey: Implications for mental health care. Journal of Consulting and Clinical Psychology, 62, 228–242. doi:10.1037/0022-006X.62.2.228.
Cass, V. C. (1979). Homosexual identity formation: A theoretical model. Journal of Homosexuality, 4, 219–235. doi:10.1300/J082v04n03_01.
Coleman, E. (1982). Developmental stages of the coming-out process. American Behavioral Scientist, 25, 469–482. doi:10.1300/J082v07n02_06.
Diamantopoulos, A., Sarstedt, M., Fuchs, C., Wilczynski, P., & Kaiser, S. (2012). Guildelines for choosing between multi-item and single-item scales for construct measure: A predictive validity perspective. Journal of the Academy of Marketing Science, 40, 434–449.
Gardner, D. G., Cummings, L. L., Dunham, R. B., & Pierce, J. L. (1998). Single-item versus multiple-item measurement scales: An empirical comparison. Educational and Psychological Measurement, 58, 898–915.
Grov, C., Bimbi, D. S., Nanín, J. E., & Parsons, J. T. (2006). Race, ethnicity, gender, and generational factors associated with the coming-out process among gay, lesbian, and bisexual individuals. Journal of Sex Research, 43, 115–121. doi:10.1080/00224490609552306.
Harry, J. (1993). Being out: A general model. Journal of Homosexuality, 26, 25–39. doi:10.1300/J082v26n01_03.
Hencken, J. D., & O’Dowd, W. T. (1976). Coming out as an aspect of identity formation. Gai Saber, 1, 18–26.
Jones-Webb, R., Smolenski, D., Brady, S., Wilkerson, M., & Rosser, B. R. S. (2013). Drinking settings, alcohol consumption, and sexual risk behavior among gay men. Addictive Behaviors, 38, 1824–1830. doi:10.1016/j.addbeh.2012.11.011.
Kennedy, H. (1997). Karl Heinrich Ulrichs: First theorist of homosexuality. In V. Rosario (Ed.), Science and homosexualities (pp. 26–45). New York: Routledge.
Koblin, B. A., Mansergh, G., Frye, V., Tieu, H. V., Hoover, D. R., Bonner, S., … Colfax, G. N. (2011). Condom-use decision making in the context of hypothetical pre-exposure prophylaxis efficacy among substance-using men who have sex with men: Project MIX. Journal of Acquired Immune Deficiency Syndromes, 58, 319–327. doi:10.1097/QAI.0b013e31822b76d2.
Konstan, J., & West, W. (2010). Using technology and the Internet in research. In W. Pequegnat & E. Stover (Eds.), How to write a successful research grant application (pp. 189–206). Bethesda, MD: National Institutes of Health.
Kubicek, K., McDavitt, B., Carpineto, J., Weiss, G., Iverson, E. F., & Kipke, M. D. (2009). “God made me gay for a reason”: Young men who have sex with men’s resiliency inresolving iinternalized homophobia from religious sources. Journal of Adolescent Research, 24, 601–633. doi:10.1177/0743558409341078.
Martin, H. P. (1991). The coming-out process for homosexuals. Hospital & Community Psychiatry, 42, 158–162.
Meyer, I. H., & Dean, L. (1998). Internalized homophobia, intimacy, and sexual behavior among gay and bisexual men. In G. M. Herek (Ed.), Stigma and sexual orientation: Understanding prejudice against lesbians, gay men, and bisexuals (pp. 160–186). Thousand Oaks, CA: Sage Publications.
Mohr, J., & Fassinger, R. (2000). Measuring dimensions of lesbian and gay male experience. Measurement & Evaluation in Counseling & Development, 33, 66–90.
Morris, J. F., Waldo, C. R., & Rothblum, E. D. (2001). A model of predictors and outcomes of outness among lesbian and bisexual women. American Journal of Orthopsychiatry, 71, 61–71. doi:10.1037/0002-9432.71.1.61.
Newcomb, M. E., & Mustanski, B. (2011). Moderators of the relationship between internalized homophobia and risky sexual behavior in men who have sex with men: A meta-analysis. Archives of Sexual Behavior, 40, 189–199. doi:10.1007/s10508-009-9573-8.
Noor, S. W., Rampalli, K., & Rosser, B. R. S. (2014). Factors influencing HIV serodisclosure among men who have sex with men in the US: An examination of online versus offline meeting environments and risk behaviors. AIDS and Behavior, 18, 1638–1650.
Nunnally, J. C. (1978). Psychometric theory. New York: McGraw-Hill.
Pequegnat, W., Rosser, B. R., Bowen, A. M., Bull, S. S., DiClemente, R. J., Bockting, W. O., & Zimmerman, R. (2007). Conducting Internet-based HIV/STD prevention survey research: Considerations in design and evaluation. AIDS and Behavior, 11, 505–521.
Quantcast Corporation. (2010). Gay ad network. Retrieved from www.quantcast.com.
Ross, M. W., Berg, R. C., Schmidt, A. J., Hospers, H. J., Breveglieri, M., Furegato, M., … European MSM Internet Survey (EMIS) Network. (2013). Internalised homonegativity predicts HIV-associated risk behaviour in European men who have sex with men in a 38-country cross-sectional study: Some public health implications of homophobia. BMJ Open, 3, e001928. doi:10.1136/bmjopen-2012-001928.
Ross, M. W., & Rosser, B. R. (1996). Measurement and correlates of internalized homophobia: A factor analytic study. Journal of Clinical Psychology, 52, 15–21.
Ross, M. W., Rosser, B. R., Neumaier, E. R., & Team, Positive Connections. (2008). The relationship of internalized homonegativity to unsafe sexual behavior in HIV-seropositive men who have sex with men. AIDS Education and Prevention, 20, 547–557. doi:10.1521/aeap.2008.20.6.547.
Ross, M. W., Simon Rosser, B. R., Bauer, G. R., Bockting, W. O., Robinson, B. E., Rugg, D. L., & Coleman, E. (2001). Drug use, unsafe sexual behavior, and internalized homonegativity in men who have sex with men. AIDS and Behavior, 5, 97–103. doi:10.1023/A:1009567707294.
Rosser, B. R., Bockting, W. O., Ross, M. W., Miner, M. H., & Coleman, E. (2008). The relationship between homosexuality, internalized homo-negativity, and mental health in men who have sex with men. Journal of Homosexuality, 55, 185–203. doi:10.1080/00918360802129394.
Rostosky, S. S., Danner, F., & Riggle, E. D. (2007). Is religiosity a protective factor against substance use in young adulthood? Only if you’re straight! Journal of Adolescent Health, 40, 440–447. doi:10.1016/j.jadohealth.2006.11.144.
Savin-Williams, R. C., & Diamond, L. M. (2000). Sexual identity trajectories among sexual-minority youths: Gender comparisons. Archives of Sexual Behavior, 29, 607–627.
Shoptaw, S., Weiss, R., Munjas, B., Hucks-Ortiz, C., Young, S., Larkins, S., … Gorbach, P. (2009). Homonegativity, substance use, sexual risk behaviors, and HIV status in poor and ethnic men who have sex with men in Los Angeles. Journal of Urban Health, 86, 77–92. doi:10.1007/s11524-009-9372-5.
Smolenski, D. J., Diamond, P. M., Ross, M. W., & Rosser, B. R. S. (2010). Revision, criterion validity, and multigroup assessment of the Reactions to Homosexuality Scale. Journal of Personality Assessment, 92, 568–576.
StataCorp, L. P. (2013). STATA-SE (Version 13.1). College Station, TX: Author.
Tjur, T. (2009). Coefficients of determination in logistic regression models—A new proposal: The coefficient of discrimination. American Statistician, 63, 366–372.
Troiden, R. R. (1989). The formation of homosexual identities. Journal of Homosexuality, 17, 43–73. doi:10.1300/J082v17n01_02.
Wilkerson, J. M., Smolenski, D. J., Brady, S. S., & Rosser, B. R. (2012). Religiosity, internalized homonegativity, and outness in Christian men who have sex with men. Sexual and Relationship Therapy, 27, 122–132. doi:10.1080/14681994.2012.698259.
Wilkerson, J. M., Smolenski, D. J., Brady, S. S., & Rosser, B. R. (2013). Performance of the Duke Religion Index and the Spiritual Well-Being Scale in online samples of men who have sex with men. Journal of Religion and Health, 52, 610–621.
Zhang, W., O’Brien, N., Forrest, J. I., Salters, K. A., Patterson, T. L., Montaner, J. S., … Lima, V. D. (2012). Validating a shortened depression scale (10 item CES-D) among HIV-positive people in British Columbia, Canada. PLoS One, 7, e40793. doi:10.1371/journal.pone.0040793.
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The Structural Interventions to Lower Alcohol-related STI/HIV Risk (SILAS) Study was funded by the National Institute on Alcohol Abuse and Alcoholism, funding number R01AA016270-01A1. All research was conducted with the approval of the University of Minnesota Institutional Review Board.
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Wilkerson, J.M., Noor, S.W., Galos, D.L. et al. Correlates of a Single-Item Indicator Versus a Multi-Item Scale of Outness About Same-Sex Attraction. Arch Sex Behav 45, 1269–1277 (2016). https://doi.org/10.1007/s10508-015-0605-2
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DOI: https://doi.org/10.1007/s10508-015-0605-2