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Correlates of a Single-Item Indicator Versus a Multi-Item Scale of Outness About Same-Sex Attraction

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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.

    Article  PubMed  Google Scholar 

  • Cass, V. C. (1979). Homosexual identity formation: A theoretical model. Journal of Homosexuality, 4, 219–235. doi:10.1300/J082v04n03_01.

    Article  PubMed  Google Scholar 

  • Coleman, E. (1982). Developmental stages of the coming-out process. American Behavioral Scientist, 25, 469–482. doi:10.1300/J082v07n02_06.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Harry, J. (1993). Being out: A general model. Journal of Homosexuality, 26, 25–39. doi:10.1300/J082v26n01_03.

    Article  PubMed  Google Scholar 

  • Hencken, J. D., & O’Dowd, W. T. (1976). Coming out as an aspect of identity formation. Gai Saber, 1, 18–26.

    Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kennedy, H. (1997). Karl Heinrich Ulrichs: First theorist of homosexuality. In V. Rosario (Ed.), Science and homosexualities (pp. 26–45). New York: Routledge.

    Google Scholar 

  • 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.

    Chapter  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • Martin, H. P. (1991). The coming-out process for homosexuals. Hospital & Community Psychiatry, 42, 158–162.

    Google Scholar 

  • 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.

    Chapter  Google Scholar 

  • Mohr, J., & Fassinger, R. (2000). Measuring dimensions of lesbian and gay male experience. Measurement & Evaluation in Counseling & Development, 33, 66–90.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nunnally, J. C. (1978). Psychometric theory. New York: McGraw-Hill.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Savin-Williams, R. C., & Diamond, L. M. (2000). Sexual identity trajectories among sexual-minority youths: Gender comparisons. Archives of Sexual Behavior, 29, 607–627.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • StataCorp, L. P. (2013). STATA-SE (Version 13.1). College Station, TX: Author.

    Google Scholar 

  • Tjur, T. (2009). Coefficients of determination in logistic regression models—A new proposal: The coefficient of discrimination. American Statistician, 63, 366–372.

    Article  Google Scholar 

  • Troiden, R. R. (1989). The formation of homosexual identities. Journal of Homosexuality, 17, 43–73. doi:10.1300/J082v17n01_02.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • 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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Acknowledgments

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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Correspondence to J. Michael Wilkerson.

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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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