Prior scholarship has documented health-relevant consequences of sexual minority youth (SMY) sexual identity disclosure (i.e., “outness”), yet most of the extant work focuses on one social context at a time and/or measures outness as dichotomous: out or not out. However, SMY are out in some contexts (e.g., family, friends) and not in others, and to varying degrees (e.g., to some friends, but not to all). Using a national sample of 8884 SMY ages 13–17 (45% cisgender female, 67% White, 38% gay/lesbian and 34% bisexual, and 36% from the U.S. South), this study used latent class analysis to identify complex patterns of outness among SMY, as well differences in class membership by demographics, depression, family rejection, and bullying. The results indicated six distinct classes: out to all but teachers (n = 1033), out to siblings and peers (n = 1808), out to siblings and LGBTQ peers (n = 1707), out to LGBTQ peers (n = 1376), mostly not out (n = 1653), and very much not out (n = 1307). The findings reveal significant differences in class membership by age, sexual identity, gender identity, race and ethnicity, geography, and well-being outcomes. Moreover, these findings underscore the complex role of outness across social contexts in shaping health and well-being.

先前的研究已经记录了性少数青年（SMY）性身份披露（即“外在”）与健康相关的后果，但大多数现存的工作一次只关注一个社会背景和/或将外在性衡量为二分法：外或不出来。然而，SMY 在某些情况下（例如，家人、朋友）不存在，而在其他情况下则不存在，并且在不同程度上（例如，对于某些朋友，但不是全部）。本研究使用 8884 名 13-17 岁的 SMY 全国样本（45% 的顺性别女性、67% 的白人、38% 的男同性恋和 34% 的双性恋，以及 36% 来自美国南部），使用潜在类别分析来识别复杂模式SMY 之间的差异，以及人口统计、抑郁、家庭拒绝和欺凌造成的阶级成员差异。结果表明有六个不同的班级：除了教师以外的所有人（n = 1033），兄弟姐妹和同龄人（n  = 1808），兄弟姐妹和 LGBTQ 同龄人（n  = 1707 ），LGBTQ 同龄人（n  = 1376），大部分没有（n  = 1653），非常没有出（n  = 1307）。调查结果揭示了阶级成员在年龄、性别认同、性别认同、种族和民族、地理和幸福结果方面的显着差异。此外，这些发现强调了跨社会环境的外在塑造健康和福祉方面的复杂作用。