Evidence map›Paper›PMID 42016778›Full record

ArticleInternational journal of sexual health : official journal of the World Association for Sexual Health2026

Covering Up or Coming Out? The Role of Social Media Engagement and Sexual Self-Identification in Disclosure of Sexual Orientation Among Stigmatized Gay and Bisexual Men.

Wenlan Zhu, Along He

Abstract read
In one paragraph

Article in International journal of sexual health : official journal of the World Association for Sexual Health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Wenlan ZhuSchool of Journalism and Communication, Wuhan University, Wuhan, China.
Along HeSchool of Journalism and Communication, Wuhan University, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: In increasingly internet-dependent societies, social media has become a safe space for sexual self-identification and disclosure among gay and bisexual men. Few studies have examined the underlying mechanisms linking social media engagement to sexual disclosure behaviors, particularly within non-Western contexts. Drawing on the uses and gratifications theory and the model of antecedents of disclosure of invisible stigmas, this study investigates whether sexual self-identification mediates the relationship between social media engagement and disclosure of sexual orientation, and whether this pathway is moderated by perceived public stigma. Methods: Using PROCESS macro models, we conducted both mediation and moderated mediation analyses of a sample of 366 Chinese gay and bisexual men to delineate the conditional pathways through which social media engagement contributed to their decision to come out. Results: The mediation analysis indicated that sexual self-identification mediated the relationship between social media engagement and disclosure of sexual orientation. However, the moderated mediation analysis revealed that this indirect effect hinged on levels of perceived public stigma, such that the benefits of sexual self-identification diminished under high levels of perceived public stigma. Conclusions: Our findings provide new empirical evidence for how social media engagement shapes identity development and disclosure behaviors among Chinese gay and bisexual men. The study contributes to the theoretical understanding of sexual self-identification processes within stigmatized contexts and carries implications for the development of culturally sensitive interventions and inclusive digital engagement strategies.

Indexed as

gay and bisexual menperceived public stigmasexual orientation disclosuresexual self-identificationSocial media engagement

Identifiers

PMID42016778
PMCPMC13094234

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.