Sexual Minority Identity and Mental Health Among Individuals on the Asexuality Spectrum in China: A Longitudinal Study

This study examined the association between sexual minority identity and mental health among Chinese asexual individuals. Data were collected in two waves at 12-months intervals, and 156 participants (27 male and 129 female) completed measures of the Asexuality Identification Scale (AIS) and Depression Anxiety Stress Scales at Times 1 and 2. The adjusted version of the Lesbian, Gay, and Bisexual Identity Scale was assessed at Time 1. Participants self-reported as asexual/gray-sexual and pansexual/demi-sexual, and those having an AIS ≥ 40 were classified as being on the asexuality spectrum. Compared with a control sample of lesbian and gay individuals (521 gay and 216 lesbian individuals), asexual individuals reported poorer mental health. Self-reported non-asexual individuals on the asexuality spectrum had a negative minority identity and poorer mental health than self-reported asexual individuals. Participants who changed their asexual orientation scored higher on internalized asexuality-phobia and identity uncertainty than participants maintaining an asexual orientation. At Time 1, acceptance concern, difficult process, and identity uncertainty were associated with poorer mental health. A difficult process was longitudinally associated with poorer mental health. The findings indicate that minority stress was partially related to asexual people's mental health and, for this reason, more asexuality-specific factors should be explored.