ABSTRACT

Although the existing research suggests that spirituality may positively affect health outcomes for gay and bisexual men, it is unclear to what extent it improves the quality of health over and above sociodemographic factors. Furthermore, there remains conflicting evidence regarding the role of residential location on levels of outness for gay and bisexual men. To that end, the present study used hierarchical linear regression analyses to examine the role of spirituality, rurality, and LGBTQ connectedness in outness and quality of health. The sample comprised 2,202 self-identified gay and bisexual men aged 18 and older who responded to the Social Justice Sexuality Project survey; participants represented all 50 states and Puerto Rico. The results indicate that whereas spirituality was positively associated with a greater quality of life, there was no significant difference in outness between rural versus nonrural participants. Moreover, bisexual men endorsed significantly lower levels of outness compared to their gay counterparts. Implications for future research regarding the role of spirituality and rurality in sexual minority health are discussed.

摘要

尽管现有研究表明，灵性可能对男同性恋和双性恋男性的健康结果产生积极影响，但尚不清楚它在多大程度上改善了社会人口因素之外的健康质量。此外，关于居住地点对男同性恋和双性恋男性的外在程度的作用，仍然存在相互矛盾的证据。为此，本研究使用分层线性回归分析来检验灵性、乡村性和 LGBTQ 连通性在外在性和健康质量中的作用。样本包括 2,202 名年龄在 18 岁及以上的自我认同的男同性恋和双性恋男性，他们对社会正义性项目调查做出了回应；参与者代表了所有 50 个州和波多黎各。结果表明，虽然灵性与更高的生活质量呈正相关，农村与非农村参与者之间的疏离度没有显着差异。此外，与同性恋者相比，双性恋男性的外在程度明显较低。讨论了关于灵性和农村在性少数群体健康中的作用的未来研究的意义。