Citation

Legate N, Rogge RD. Arch. Sex. Behav. 2019; 48(5): 1403-1422.

Affiliation

Department of Clinical and Social Sciences in Psychology, University of Rochester, Rochester, NY, USA.

Copyright

(Copyright © 2019, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10508-018-1336-y

PMID

31175509

Abstract

Despite considerable progress, research on sexual minorities has been hindered by a lack of clarity and consistency in defining sexual minority groups. Further, despite recent recommendations to assess the three main dimensions of sexual orientation-identity, behavior, and attraction-it remains unclear how best to integrate such multivariate information to define discrete sexual orientation groups, particularly when identity and behavior fail to match. The current study used a data-driven approach to identify a parsimonious set of sexual orientation classes. Latent profile analysis (LPA) was run within a large (N = 3182) and sexually diverse sample, using dimensions of sexual identity, behavior, and attraction as predictors. LPAs supported four fundamental sexual orientation classes not only in the overall sample, but also when conducted separately in men (n = 980) and women (n = 2175): heterosexual, homosexual, bisexual, and heteroflexible (a class representing individuals who self-identify as heterosexual or mostly heterosexual but report moderate same-sex sexual behavior and attraction). Heterosexuals reported the highest levels of psychological functioning and lowest risk behaviors. Homosexuals showed similarly high levels of psychological functioning to heterosexuals, but higher levels of risk behaviors. Bisexuals and heteroflexibles showed similarly low levels of psychological functioning and high risk taking. To facilitate applications of this classification approach, the study developed the Multivariate Sexual Orientation Classification System, reproducing the four LPA groups with 97% accuracy (kappa = .95) using just two items. Implications of this classification approach are discussed.

Language: en

Keywords

Bisexual; Gay; Health disparities; Lesbian; Mostly heterosexual; Sexual orientation