Evidence map›Paper›PMID 33727893›Full record

ArticleJournal of bisexuality2020

Motivations for sexual identity concealment and their associations with mental health among bisexual, pansexual, queer, and fluid (bi+) individuals.

Brian A Feinstein, Casey D Xavier Hall, Christina Dyar, Joanne Davila

Abstract read
In one paragraph

Article in Journal of bisexuality, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Article
  2. Article
  3. Age-Related Trends in Eating-Pathology Symptoms Among Sexual Minority Adults.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  4. Article
  5. Re-theorizing the Sexual Minority Closet: Evidence From Queer South Asian Women.Canadian review of sociology = Revue canadienne de sociologie · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Brian A FeinsteinInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University.
Casey D Xavier HallInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University.
Christina DyarInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University.
Joanne DavilaDepartment of Psychology, Stony Brook University.

Funding

Understanding Substance Use Risk among Sexual Minority WomenK01DA046716 · NIDA · OHIO STATE UNIVERSITY · PI DYAR, CHRISTINA · 2019 to 2023
$843k
Understanding and reducing HIV risk behavior and substance use among self-identified bisexual adolescent menK08DA045575 · NIDA · ROSALIND FRANKLIN UNIV OF MEDICINE & SCI · PI FEINSTEIN, BRIAN · 2018 to 2022
$837k
NIDA NIH HHS K01 DA046716NIDA NIH HHS K08 DA045575
6 · The paper itself

Abstract

Bisexual and other non-monosexual (bi+) people are at increased risk for depression and anxiety compared to both heterosexual and gay/lesbian people. Bi+ people are also more likely to conceal their sexual orientation than gay/lesbian people are, and concealment is generally associated with negative mental health outcomes. Despite evidence that concealment is a particularly salient stressor for bi+ people, there has been a lack of attention to their motivations for concealment. As such, the goal of the current study was to examine the associations among concealment, motivations for concealment, and depression and generalized anxiety symptoms in a sample of 715 bi+ people who completed an online survey. Nearly half of participants endorsed purposely trying to conceal their bi+ identity in their day-to-day life, and concealment was significantly associated with higher levels of depression and generalized anxiety. Using exploratory factor analysis, we identified two motivations for concealment: intrapersonal motivations (e.g., one's bi+ identity not being a central part of one's overall identity, not being comfortable with being bi+) and interpersonal motivations (e.g., concern about being judged or treated negatively, concern about putting oneself at risk of physical harm). Interpersonal motivations were significantly associated with higher levels of depression and generalized anxiety, whereas intrapersonal motivations were not. In sum, while concealment may generally be associated with negative mental health outcomes, this may only be the case for those who conceal out of concern for discrimination and victimization. These findings highlight the importance of examining bi+ people's motivations for concealing their sexual orientation in order to understand the extent to which they experience negative mental health outcomes.

Indexed as

anxietybisexualconcealmentdepressionnon-monosexualpansexualqueer

Identifiers

PMID33727893
PMCPMC7958702

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.