Sex Roles

, Volume 63, Issue 3–4, pp 189–200 | Cite as

Coming Out Among Lesbians, Gays, and Bisexual Individuals in Hong Kong: Application of the Theory of Planned Behavior and the Moderating Role of Attitudinal Ambivalence

  • Winnie W. S. Mak
  • Ah Chit Ng
  • Phoenix K. H. Mo
  • Eddie S. K. Chong
Original Article


The present study applied the theory of planned behavior (TPB) to identify factors associated with disclosure intention among lesbians (n = 236), gay men (n = 183), bisexual women (n = 156), and bisexual men (n = 46) (LGBs) in Hong Kong. Past disclosure behavior and the moderating role of attitudinal ambivalence were also examined. Findings showed that perceived behavioral control predicted intention significantly in all four groups. Attitude predicted intention significantly in lesbians, gay men, and bisexual women. Subjective norm predicted intention significantly in lesbians and gay men. The moderating effect of attitudinal ambivalence was supported in lesbians. Past disclosure behavior was not significant in predicting disclosure intention. The present study showed differential utility of the TPB on LGBs’ disclosure intention in Hong Kong.


Lesbian/gay/bisexual Coming out Disclosure Theory of planned behavior Attitudinal ambivalence 



This study was supported in part by the Direct Grant of the Chinese University of Hong Kong to the second author (2020771).


  1. Ajzen, I. (1988). Attitudes, personality and behavior. Milton Keynes: Open University Press.Google Scholar
  2. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.CrossRefGoogle Scholar
  3. Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs: Prentice Hall.Google Scholar
  4. Armitage, C. J., & Conner, M. (2001). Efficacy of the theory of planned behavior: A meta-analytic review. British Journal of Social Psychology, 40, 471–499.CrossRefPubMedGoogle Scholar
  5. Baxter, L. A., & Montgomery, B. M. (1996). Relating: Dialogues and dialectics. New York: Guilford.Google Scholar
  6. Bohan, J. S. (1996). Psychology and sexual orientation: Coming to terms. New York: Routledge.Google Scholar
  7. Cain, R. (1991). Stigma management and gay identity development. Social Work, 36, 67–73.PubMedGoogle Scholar
  8. Chan, C. M. (2005). Sexual orientation discrimination in Hong Kong. Report from the Women Coalition of HKSAR. Hong Kong.Google Scholar
  9. Chan, D. K. S., Cheung, S. F., Gray, A., Ip, A., & Lee, B. (2004). Identifying the psychosocial correlates of condom use by female sex workers in Hong Kong. AIDS Care, 16, 530–539.CrossRefPubMedGoogle Scholar
  10. Chow, K. Y., & Cheng, S. T. (2010). Shame, internalized heterosexism, lesbian identity and coming out to others: A comparative study of lesbians in Mainland China and Hong Kong. Journal of Counseling Psychology, 57, 92–104.Google Scholar
  11. Conner, M., & Armitage, C. J. (1998). Extending the theory of planned behavior: A review and avenues for further research. Journal of Applied Social Psychology, 28, 1429–1464.CrossRefGoogle Scholar
  12. Conner, M., & Sparks, P. (2002). Attitudes and ambivalence. European Review of Social Psychology, 12, 37–70.CrossRefGoogle Scholar
  13. Conner, M., Povey, R., Sparks, P., James, R., & Shepherd, R. (2003). Moderating role of attitudinal ambivalence within the theory of planned behavior. British Journal of Social Psychology, 42, 75–94.CrossRefPubMedGoogle Scholar
  14. Corrigan, P. W., & Matthews, A. K. (2003). Stigma and disclosure: Implications for coming out of the closet. Journal of Mental Health, 12, 235–248.CrossRefGoogle Scholar
  15. Crocker, J., Major, B., & Steele, C. (1998). Social stigma. In D. Gilbert, S. Fiske, & G. Lindzey (Eds.), The handbook of social psychology (4th ed., pp. 504–553). Boston: McGraw-Hill.Google Scholar
  16. D’Augelli, A. R., Pilkington, N. W., & Hershberger, S. L. (2002). Incidence and mental health impact of sexual orientation victimization of lesbian, gay, and bisexual youths in high school. School Psychology Quarterly, 17, 148–167.CrossRefGoogle Scholar
  17. Diamond, L. M. (2003). Was it a phase? Young women’s relinquishment of lesbian/bisexual identities over a 5-year period. Journal of Personality and Social Psychology, 84, 352–364.CrossRefPubMedGoogle Scholar
  18. Dormandy, E., Hankins, M., & Marteau, T. M. (2006). Attitudes and uptake of a screening test: The moderating role of ambivalence. Psychology and Health, 21, 499–511.CrossRefGoogle Scholar
  19. Floyd, F. J., & Stein, T. S. (2002). Sexual orientation identity formation among gay, lesbian, and bisexual youths: Multiple patterns of milestone experiences. Journal of Research on Adolescence, 12, 167–191.CrossRefGoogle Scholar
  20. Fox, R. C. (1995). Bisexual identities. In A. R. D’Auggelli & C. J. Patterson (Eds.), Lesbian, gay, and bisexual identities over the lifespan: Psychological perspectives (pp. 48–86). London: Oxford University Press.Google Scholar
  21. Gonsiorek, J. C., & Rudolph, F. R. (1992). Homosexual identity: Coming out and other developmental events. In J. C. Gonsiorek & J. D. Weinrich (Eds.), Homosexuality: Research implications for public policy (pp. 161–176). Newbury Park: Sage.Google Scholar
  22. Harding, R., & Peel, E. (2007). Surveying sexualities: Internet research with non-heterosexuals. Feminism & Psychology, 17, 277–285.CrossRefGoogle Scholar
  23. Harrison, T. W. (2003). Adolescent homosexuality and concerns regarding disclosure. Journal of School Health, 73, 107–112.CrossRefPubMedGoogle Scholar
  24. Herek, G. M. (2002). Heterosexuals’ attitudes toward bisexual men and women in the United States. Journal of Sex Research, 39, 264–274.CrossRefPubMedGoogle Scholar
  25. Hinsch, B. (1990). Passions of the cut sleeve: The male homosexual tradition in China. Berkeley: University of California Press.Google Scholar
  26. Joinson, A. N. (1999). Social desirability, anonymity, and Internet-based questionnaires. Behavior Research Methods, Instruments & Computers, 31, 433–438.Google Scholar
  27. Jowett, A., & Peel, E. (2009). Chronic illness in non-heterosexual contexts: An online survey of experiences. Feminism & Psychology, 19, 454–474.CrossRefGoogle Scholar
  28. Kahn, M. J. (1991). Factors affecting the coming out process for lesbians. Journal of Homosexuality, 21, 47–70.CrossRefPubMedGoogle Scholar
  29. Kaplan, K. J. (1972). On the ambivalence-indifference problem in attitude theory and measurement: A suggested modification of the semantic differential technique. Psychological Bulletin, 77, 361–372.CrossRefGoogle Scholar
  30. Kite, M. E., & Whitley, B. S. (1996). Sex differences in attitudes toward homosexual persons, behaviors, and civil rights: A meta-analysis. Personality and Social Psychology Bulletin, 22, 336–353.CrossRefGoogle Scholar
  31. Kitzinger, C., & Wilkinson, S. (1995). Transitions from heterosexuality to lesbianism: The discursive production of lesbian identities. Developmental Psychology, 31, 95–104.CrossRefGoogle Scholar
  32. Kong, T. S. (2004). Queer at your own risk: Marginality, community and Hong Kong gay male bodies. Sexualities, 7, 5–30.CrossRefGoogle Scholar
  33. Leung, H. H. (2002). Thoughts on lesbian genders in contemporary Chinese cultures. In M. Gibson (Ed.), Femme/Butch: New considerations of the way we want to go (pp. 123–133). New York: Harrington Park.Google Scholar
  34. Li, L., & Orleans, M. (2001). Coming out discourses of Asian American lesbians. Sexuality and Culture, 5, 57–78.CrossRefGoogle Scholar
  35. Mohr, J., & Fassinger, R. (2000). Measuring dimensions of lesbian and gay male experience. Measurement and Evaluation in Counseling and Development, 33, 66–90.Google Scholar
  36. Montano, D. E., & Kasprzyk, D. (2002). The theory of reasoned action and the theory of planned behavior. In K. Glanz, B. K. Rimer, & F. M. Lewis (Eds.), Health behavior and health education: Theory, research, and practice (3rd ed., pp. 67–98). San Francisco: Wiley.Google Scholar
  37. Ng, V. (1989). Homosexuality and the state in late imperial China. In M. Duberman, M. Vicinus, & G. Chauncet (Eds.), Hidden from history: Reclaiming the gay and lesbian past (pp. 76–89). New York: Meridian.Google Scholar
  38. Norman, P., & Smith, L. (1995). The theory of planned behavior and exercise: An investigation into the role of prior behavior, behavioral intentions and attitude variability. European Journal of Social Psychology, 25, 403–415.CrossRefGoogle Scholar
  39. Oswald, R. F. (2000). Family and friendship relationships after young women come out as bisexual or lesbian. Journal of Homosexuality, 38, 65–82.CrossRefPubMedGoogle Scholar
  40. Pachankis, J. E. (2007). The psychological implications of concealing a stigma: A cognitive-affective-behavioral model. Psychological Bulletin, 133, 328–345.CrossRefPubMedGoogle Scholar
  41. Pealer, L. N., Weiler, R. M., Pigg, R. M., Miller, D., & Dorman, S. M. (2001). The feasibility of a web-based surveillance system to collect health risk behaviour form data from college students. Health Education and Behavior, 28, 547–599.CrossRefPubMedGoogle Scholar
  42. Ragins, B. R. (2008). Disclosure disconnects: Antecedents and consequences of disclosing invisible stigmas across life domains. Academy of Management Review, 33, 194–215.Google Scholar
  43. Rosario, M., Hunter, J., Maguen, S., Gwadz, M., & Smith, R. (2001). The coming-out process and its adaptational and health-related associations among gay, lesbian and bisexual youths: Stipulation and exploration of a model. American Journal of Community Psychology, 29, 133–160.CrossRefPubMedGoogle Scholar
  44. Ruan, F. F. (1991). Sex in China. New York: Plenum.Google Scholar
  45. Rust, P. C. (1996). “Coming out” in the age of social constructionism: Sexual identity formation among lesbian and bisexual women. Journal of Lesbian Studies, 1, 25–54.CrossRefGoogle Scholar
  46. Savin-Williams, R. C., & Diamond, L. M. (2000). Sexual identity trajectories among sexual-minority youths: Gender comparisons. Archives of Sexual Behavior, 29, 607–627.CrossRefPubMedGoogle Scholar
  47. Sparks, P., Conner, M., James, R., Shepherd, R., & Povey, R. (2001). Ambivalence about health-related behaviors: An exploration in the domain of food choice. British Journal of Health Psychology, 6, 53–68.CrossRefPubMedGoogle Scholar
  48. Sparks, P., Harris, P. R., & Lockwood, N. (2004). Predictors and predictive effects of ambivalence. British Journal of Social Psychology, 43, 371–383.CrossRefPubMedGoogle Scholar
  49. Steffens, M. C. (2005). Implicit and explicit attitudes towards lesbians and gay men. Journal of Homosexuality, 49, 39–66.CrossRefPubMedGoogle Scholar
  50. Steffens, M. C., & Wagner, C. (2004). Attitudes toward lesbians, gay men, bisexual women, and bisexual men in Germany. Journal of Sex Research, 41, 137–149.CrossRefPubMedGoogle Scholar
  51. Sutton, S. (1994). The past predicts the future: Interpreting behavior-behavior relationships in social psychological models of health behavior. In D. R. Rutter & L. Quine (Eds.), Social psychology and health: European perspectives (pp. 71–88). Aldershot: Avebury.Google Scholar
  52. Thompson, M. M., Zanna, M. P., & Griffin, D. W. (1995). Let’s not be indifferent about (attitudinal) ambivalence. In R. E. Petty & J. A. Krosnick (Eds.), Attitude strength: Antecedents and consequences (pp. 361–386). Mahwah: Erlbaum.Google Scholar
  53. Tsao, S. (2007). The debate over the proposed sexual orientation anti-discrimination legislation in Hong Kong: What’s the controversy really about? Regent Journal of International Law, 5, 203–236.Google Scholar
  54. Whitman, J. S., Cormier, S., & Boyd, C. J. (2000). Lesbian identity management at various stages of the coming out process: A qualitative study. International Journal of Sexuality and Gender Studies, 5, 3–18.CrossRefGoogle Scholar
  55. Wong, C. Y., & Tang, C. S. K. (2004). Coming out experiences and psychological distress of Chinese homosexual men in Hong Kong. Archives of Sexual Behavior, 33, 149–157.CrossRefPubMedGoogle Scholar
  56. Wu, J. (2003). From “Long Yang” and “Dui Shi” to Tongzhi: Homosexuality in China. Journal of Gay and Lesbian Psychotherapy, 7, 117–143.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Winnie W. S. Mak
    • 1
  • Ah Chit Ng
    • 1
  • Phoenix K. H. Mo
    • 2
  • Eddie S. K. Chong
    • 1
  1. 1.Department of PsychologyThe Chinese University of Hong KongShatinHong Kong
  2. 2.Institute of Work, Health and OrganisationsUniversity of NottinghamNottinghamUK

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