Sexual orientation, internal migration, and mental health during the transition to adulthood

J Health Soc Behav. 2014 Dec;55(4):461-81. doi: 10.1177/0022146514556509.

Abstract

Previous research has suggested that sexual minorities may have higher rates of migration than heterosexuals, indicating their effort to escape stigma in the currently residing areas. However, direct evidence for the migration pattern has been lacking, and mental health implications of such coping effort have been unclear. This study seeks to fill these gaps in the literature by analyzing the Add Health data, which include longitudinal measures of residential locations, sexual orientation, and mental health. The analysis focuses on the transition to adulthood, when the rate of internal migration peaks. Among women, sexual minorities have a higher rate of migration than heterosexuals, but men do not show such a difference. Sexual minorities show better mental health when they migrate to counties with higher proportions of people living in urban areas whereas heterosexuals do not show such an association. Among sexual minority men, migration to counties with higher population density and higher proportions of college-educated residents is also linked to better mental health.

Keywords: coping; internal migration; mental health; sexual orientation; tradition to adulthood.

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Age Distribution
  • Bisexuality / psychology
  • Female
  • Health Policy / economics*
  • Homosexuality, Female / psychology
  • Homosexuality, Male / psychology
  • Humans
  • Interviews as Topic
  • Longitudinal Studies
  • Male
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology*
  • Minority Health
  • Population Dynamics / statistics & numerical data
  • Regression Analysis
  • Sex Distribution
  • Sexual Behavior / psychology*
  • Social Stigma*
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / psychology
  • Transients and Migrants / psychology*
  • Transients and Migrants / statistics & numerical data
  • United States / epidemiology
  • Young Adult