Skip to main content
Log in

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

  • Original Article
  • Published:
Sex Roles Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ajzen, I. (1988). Attitudes, personality and behavior. Milton Keynes: Open University Press.

    Google Scholar 

  • Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.

    Article  Google Scholar 

  • Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs: Prentice Hall.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Baxter, L. A., & Montgomery, B. M. (1996). Relating: Dialogues and dialectics. New York: Guilford.

    Google Scholar 

  • Bohan, J. S. (1996). Psychology and sexual orientation: Coming to terms. New York: Routledge.

    Google Scholar 

  • Cain, R. (1991). Stigma management and gay identity development. Social Work, 36, 67–73.

    PubMed  Google Scholar 

  • Chan, C. M. (2005). Sexual orientation discrimination in Hong Kong. Report from the Women Coalition of HKSAR. Hong Kong.

  • 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.

    Article  PubMed  Google Scholar 

  • 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 

  • 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.

    Article  Google Scholar 

  • Conner, M., & Sparks, P. (2002). Attitudes and ambivalence. European Review of Social Psychology, 12, 37–70.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Corrigan, P. W., & Matthews, A. K. (2003). Stigma and disclosure: Implications for coming out of the closet. Journal of Mental Health, 12, 235–248.

    Article  Google Scholar 

  • 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 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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 

  • 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 

  • Harding, R., & Peel, E. (2007). Surveying sexualities: Internet research with non-heterosexuals. Feminism & Psychology, 17, 277–285.

    Article  Google Scholar 

  • Harrison, T. W. (2003). Adolescent homosexuality and concerns regarding disclosure. Journal of School Health, 73, 107–112.

    Article  PubMed  Google Scholar 

  • Herek, G. M. (2002). Heterosexuals’ attitudes toward bisexual men and women in the United States. Journal of Sex Research, 39, 264–274.

    Article  PubMed  Google Scholar 

  • Hinsch, B. (1990). Passions of the cut sleeve: The male homosexual tradition in China. Berkeley: University of California Press.

    Google Scholar 

  • Joinson, A. N. (1999). Social desirability, anonymity, and Internet-based questionnaires. Behavior Research Methods, Instruments & Computers, 31, 433–438.

    Google Scholar 

  • Jowett, A., & Peel, E. (2009). Chronic illness in non-heterosexual contexts: An online survey of experiences. Feminism & Psychology, 19, 454–474.

    Article  Google Scholar 

  • Kahn, M. J. (1991). Factors affecting the coming out process for lesbians. Journal of Homosexuality, 21, 47–70.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Kitzinger, C., & Wilkinson, S. (1995). Transitions from heterosexuality to lesbianism: The discursive production of lesbian identities. Developmental Psychology, 31, 95–104.

    Article  Google Scholar 

  • Kong, T. S. (2004). Queer at your own risk: Marginality, community and Hong Kong gay male bodies. Sexualities, 7, 5–30.

    Article  Google Scholar 

  • 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 

  • Li, L., & Orleans, M. (2001). Coming out discourses of Asian American lesbians. Sexuality and Culture, 5, 57–78.

    Article  Google Scholar 

  • 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 

  • 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 

  • 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 

  • 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.

    Article  Google Scholar 

  • Oswald, R. F. (2000). Family and friendship relationships after young women come out as bisexual or lesbian. Journal of Homosexuality, 38, 65–82.

    Article  PubMed  Google Scholar 

  • Pachankis, J. E. (2007). The psychological implications of concealing a stigma: A cognitive-affective-behavioral model. Psychological Bulletin, 133, 328–345.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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 

  • 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.

    Article  PubMed  Google Scholar 

  • Ruan, F. F. (1991). Sex in China. New York: Plenum.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Savin-Williams, R. C., & Diamond, L. M. (2000). Sexual identity trajectories among sexual-minority youths: Gender comparisons. Archives of Sexual Behavior, 29, 607–627.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Sparks, P., Harris, P. R., & Lockwood, N. (2004). Predictors and predictive effects of ambivalence. British Journal of Social Psychology, 43, 371–383.

    Article  PubMed  Google Scholar 

  • Steffens, M. C. (2005). Implicit and explicit attitudes towards lesbians and gay men. Journal of Homosexuality, 49, 39–66.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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 

  • 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 

  • 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 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Wu, J. (2003). From “Long Yang” and “Dui Shi” to Tongzhi: Homosexuality in China. Journal of Gay and Lesbian Psychotherapy, 7, 117–143.

    Article  Google Scholar 

Download references

Acknowledgments

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

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Winnie W. S. Mak.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mak, W.W.S., Ng, A.C., Mo, P.K.H. et al. 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. Sex Roles 63, 189–200 (2010). https://doi.org/10.1007/s11199-010-9778-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11199-010-9778-2

Keywords

Navigation