Date of Award
Doctor of Philosophy (PhD)
College of Education and Human Services
Family Science and Human Development
Thesis Sponsor/Dissertation Chair/Project Chair
Brad van Eeden-Moorefield
Heterosexism, Sexual health, Heterosexual women--Health and hygiene, Lesbians--Health and hygiene
This research focuses on identifying how heteronormativity moderates links between individual and interpersonal processes (i.e., communication self-efficacy, safe sex behaviors) that influence comprehensive sexual health (CSH) disparities among queer and heterosexual cisgender women. The World Health Organization (2019) defines CSH as well-being across physical, emotional, and social domains; yet, the extant literature often fails to consider determinants of, or disparities in, CSH. The first aim was to validate a measure of CSH and test its validity across online survey samples of queer and heterosexual women (N = 246) using a multi-group confirmatory factor analysis in MPLUS. Data fit the model (RMSEA= 0.06, CFI= 0.93) and some moderation was present. The second and third aims examined how heteronormativity moderates the links between communication self-efficacy, safe sex behaviors, and CSH in queer and heterosexual women, respectively. Among queer women, results suggested strong model fit (n=110; TLI=.96, CFI=.97, RMSEA=.04) and moderated, partial mediation was present. This also held true for heterosexual women (n=188, TLI=.96, CFI=.98, RMSEA=.04). Taken together, the latent construct of CSH can be measured parsimoniously, and it appears that the individual process of communication self-efficacy has a stronger direct effect on CSH compared to interpersonal processes. Heteronormativity moderated this relationship, particularly for women with high internalized heteronormativity. Thus, results provide a level of evidence explaining some impact of heteronormativity on CSH disparities among diverse women.
Bible, Jacqueline, "The Influence of Heteronormativity on Sexual Health Disparities in Queer and Heterosexual Women" (2020). Theses, Dissertations and Culminating Projects. 523.