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Tc [(la)19.5(ck)-279.8(of)-284.4(ex)19.7(er)19.7(ci)19.5(se)19.9(,)]TJ 7.3823 0 0 6.5614 126.0283 357.3354 Tm (12)Tj 9.843 0 0 9.843 136.1763 352.9133 Tm [(ob)20.8(es)14.1(it)20.6(y,)-281(an)19.7(d)-289.1(p)0(o)20.8(o)0(r)-284.4(g)0(e)19.7(n)0(e)19.7(r)0(a)19.7(l)-289.2(he)19.7(al)19.5(th)15(.)]TJ 7.3823 0 0 6.5614 264.1889 357.3354 Tm [(12)24.7(,4)20.4(5)]TJ /F10 1 Tf 8.9663 0 0 8.9663 62.022 331.5401 Tm [(The)-299(current)-305.1(study)]TJ /F5 1 Tf 9.843 0 0 9.843 72 315.0991 Tm [(Although)-315.2(research)-318.5(has)-315.3(generally)-313.1(exam)-8(ined)-311(the)-315.6(constructs)]TJ -1.0137 -1.1174 TD [(of)-376.5(outness,)-374.9(social)-371.9(support,)-379.7(mental)-373.3(health,)-375.5(and)-373.1(wellness)-380.5(be-)]TJ 0 -1.1116 TD [(haviors)-360.1(in)-353.7(sexual)-360.2(minority)-356(women,)-363.6(no)-353.5(research)-358.8(to)-359.4(date)-358.2(has)]TJ T* [(linked)-526.4(these)-526.1(separate)-531.7(constructs)-531.6(into)-523(a)-526.4(theoretical)-529.9(chain.)]TJ 0 -1.1174 TD [(The)-270.6(purpose)-267.8(of)-267.1(the)-269.5(current)-275(study)-264.6(is)-272.8(to)-267.3(integrate)-272.9(the)-269.5(most)-264.8(im-)]TJ 0 -1.1116 TD [(portant)-274(subcomponents)-276.8(of)-272.9(these)-272.7(larger)-273.9(constructs)-278.1(into)-269.6(a)-273(path)]TJ T* [(model)-238.4(with)-241.7(data)-243(from)-236(a)-238.4(national)-241.9(sample)-240.5(of)-238.3(ethnically)-245.4(diverse)]TJ 0 -1.1174 TD [(sexual)-325.7(minority)-327.2(women.)-323.2(It)-319.1(is)-324.7(hypothesized)-327.8(that)-322.6(greater)-328(out-)]TJ 0 -1.1116 TD [(ness)-322(will)-316.7(lead)-323.6(to)-319.1(greater)-316.5(social)-325.8(support,)-316.3(which)-318.7(will)-322.4(increase)]TJ T* [(mental)-304.2(health)-302.9(and)-298.2(eventually)-308.6(wellness)-299.9(behaviors.)]TJ /F3 1 Tf 8.9663 0 0 8.9663 62.022 189.0708 Tm (Method)Tj /F10 1 Tf 0 -1.8336 TD (Participants)Tj /F5 1 Tf 9.843 0 0 9.843 72 156.1889 Tm [(The)-230.3(sample)-234.7(included)-230.3(150)-233.7(cisgender)-232.2(women)-233.4(who)-228.8(identied)]TJ -1.0137 -1.1174 TD [(as)-331.5(lesbian,)-330.3(bisexual,)-337.2(queer,)-328(or)-330.5(an)-331.7()50.8(other)48.7()-329.4(non-heterosexual)]TJ 0 -1.1116 TD [(orientation)-256.8(and)-252.1(were)-255.2(at)-251.2(least)-255.6(18)-255.6(years)-249.5(of)-255.6(age.)-251(Sexual)-256.6(orienta-)]TJ T* [(tion)-482.7(was)-483.2(self-reported)-484.3(and)-482.5(participants)-483.5(had)-482.5(the)-482.6(option)-479.2(of)]TJ 0 -1.1174 TD [(selecting)-330.4(from)-322.3(the)-327.1(categories)-326.7(of)-324.7(heterosexual,)-332.4(bisexual,)-325.7(les-)]TJ 0 -1.1116 TD [(bian,)-291.4(queer,)-293.5(or)-290.2()50.8(other)48.7()-289(which)-295.7(included)-293.6(writing)-291.2(in)-290.3(their)-289.1(sex-)]TJ T* [(ual)-402(orientation)-406.6(label)-405.5(\()49.7(pansexual,)44.4()-398.5()45(Kinsey)-401.3(5,)46.2()-398.5(etc.\).)-405.3(All)]TJ T* 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[(completion)-435.4(time\),)-426.3(containing)-428.4(impossible)-428.1(response)-431.2(patterns)]TJ 0 -1.1174 TD [(\(e.g.,)-331.5(selecting)-336.1(the)-327.1(rst)-332.4(or)-324.7(last)-333.9(item)-329.6(of)-324.7(every)-330.3(scale\),)-336(or)-330.5(con-)]TJ 0 -1.1116 TD [(taining)-447(incorrect)-451.3(responses)-449.4(to)-440.1(randomly)-449(inserted)-443.1(accur)-9(acy)]TJ T* [(check)-492.8(items)-491.8(\(e.g.,)-492.8()50.8(Please)-494.8(select)-488.2(Strongly)-493.8(Disagree)-492.2(for)]TJ 0 -1.1174 TD [(this)-263.7(item)49.5(\))-267.1(were)-261(automatically)-268.5(deleted)-264.9(from)-259(the)-263.8(survey)-266.7(soft-)]TJ 0 -1.1116 TD [(ware.)-506.3(Due)-500.7(to)-497.7(the)-505.7(presence)-502.8(of)-497.5(participant)-505.7(incentives,)-507.7(this)]TJ T* [(method)-302.9(of)-301.7(automatic)-303(response)-304.5(deletion)-299.5(was)-298.9(necessary)-307.9(to)-296.1(re-)]TJ 0 -1.1174 TD [(duce)-369.6(the)-367.5(chance)-368.4(of)-365(obtaining)-368.6(false)-370.6(responses.)-366.4(Because)-370.3(this)]TJ 0 -1.1116 TD [(was)-345(an)-343.2(automatic)-343.3(process,)-347.1(the)-344.4(total)-341.1(number)-343(of)-342(deleted)-345.5(data)]TJ T* [(entries)-344.1(is)-330.4(unknown.)-340.3(The)-334(mean)-342(age)-333.9(of)-336.2(participants)-339.5(was)-339.2(31.9)]TJ 0 -1.1174 TD (\(SD)Tj /F9 1 Tf 1.774 0 TD (=)Tj /F5 1 Tf .72 0 TD [(11.95\),)-300.3(and)-298.2(the)-304.1(range)-301.5(was)-304.6(1866)-299.3(\(Table)-304(1\).)]TJ /F10 1 Tf 8.9663 0 0 8.9663 313.0582 550.7148 Tm (Measures)Tj /F1 1 Tf 1.1128 -1.8336 TD [(Outness)-227.5(Inventory)-221.9(\(OI\).)]TJ /F5 1 Tf 9.843 0 0 9.843 424.1763 534.2739 Tm [(The)-230.3(OI)]TJ 7.3823 0 0 6.5614 452.1826 538.6392 Tm (46)Tj 9.843 0 0 9.843 461.8204 534.2739 Tm [(is)-232.5(an)-228(11-item)-235(scale)-233.6(that)]TJ -15.1135 -1.1174 TD [(assesse)-10.4(s)-271.6(the)-269.5(degree)-275(to)-273(which)-272.6(sexual)-273.8(minor)-6.8(ities)-271.8(disclose)-276(their)]TJ ET 313.058 488.126 239.131 .28345 re f 313.058 56.863 239.131 .28348 re f 313.058 469.19 239.131 .22678 re f BT /F7 1 Tf 9.845 0 0 9.845 342.1983 494.8156 Tm (Table)Tj /F5 1 Tf 2.9656 0 TD (1.)Tj /F7 1 Tf 1.2496 0 TD [(Demographics)-303.4(of)-302.4(Study)-299.3(Sample)]TJ /F8 1 Tf -7.1751 -1.9637 TD (Variable)Tj /F5 1 Tf 19.4581 0 TD 3.0415 Tc (n%)Tj -19.4581 -1.9061 TD 0 Tc [(Sexual)-336.5(Orientation)]TJ 1.002 -1.0135 TD [(Lesbian)-15034.5(58)-2328.4(38.7)]TJ 0 -1.0077 TD [(Bisexual)-14701.5(49)-2328.4(32.7)]TJ 0 -1.0135 TD [(Queer)-15763.5(38)-2328.4(25.3)]TJ T* [(Other)-16424.7(5)-2834.2(3.3)]TJ -1.002 -1.313 TD (Race)Tj 1.002 -1.0135 TD [(White/European)-337.9(American)-7338.5(44)-2328.4(29.3)]TJ T* [(Black/African)-342.4(American)-8231(39)-2328.4(26)]TJ T* [(Asian/Asian)-337.5(American/Pacific)-342.1(Islander)-2336.7(25)-2328.4(16.7)]TJ 0 -1.0077 TD [(Latino/Hispanic)-11745.4(17)-2328.4(11.3)]TJ 0 -1.0135 TD [(American)-336.1(Indian/Native)-340.4(American)-4603.2(4)-2834.2(2.7)]TJ T* [(Multiracial/Multiethnic)-8779.4(19)-2328.4(12.7)]TJ 0 -1.0077 TD [(Other)-16424.7(2)-2834.2(1.3)]TJ -1.002 -1.3187 TD (Employment)Tj 1.002 -1.0135 TD [(Full-time)-14471.5(66)-2328.4(44)]TJ 0 -1.0077 TD [(Part-time)-14472.5(18)-2328.4(12)]TJ 0 -1.0135 TD [(College)-338.9(enrollment)-10396.6(24)-2328.4(16)]TJ T* [(College)-338.9(enrollment)-336.4(&)-330.4(part-time)-5264.7(27)-2328.4(18)]TJ T* [(Unemployed)-13034.5(15)-2328.4(10)]TJ -1.002 -1.313 TD (Education)Tj 1.002 -1.0135 TD [(Completed)-336.2(high)-332.4(school/received)-343.5(GED)-3161.5(9)-2834.2(6)]TJ 0 -1.0077 TD [(Completed)-336.2(some)-334.4(college)-8118.8(37)-2328.4(24.7)]TJ 0 -1.0135 TD [(2-year)-336.5(technical)-336.6(degree)-8670.3(14)-2829.4(9.3)]TJ T* [(4-year)-336.5(degree)-12637.9(45)-2328.4(30)]TJ T* [(Masters)-339.2(degree)-11699.3(33)-2328.4(22)]TJ 0 -1.0077 TD [(Doctoral)-339.7(degree)-11687.8(12)-2829.4(8)]TJ -1.002 -1.3187 TD [(Social)-336.7(Class)]TJ 1.002 -1.0135 TD [(Upper)-335.2(Class)-335.2(\($200K)]TJ /F9 1 Tf 8.5514 0 TD (+)Tj /F5 1 Tf .7198 0 TD [(\))-9099.5(5)-2834.2(3.3)]TJ -9.2713 -1.0077 TD [(Upper)-335.2(Middle)-336.5(Class)-335.2(\($60K199K\))-4043.5(62)-2328.4(41.3)]TJ 0 -1.0135 TD [(Lower)-336.3(Middle)-336.5(Class)-335.2(\($30K59K\))-4428.3(44)-2328.4(29.3)]TJ T* [(Working)-337.5(Class)-335.2(\($15K29K\))-6708.7(22)-2328.4(14.7)]TJ 0 -1.0077 TD [(Lower)-336.3(Class)-335.2(\($7K14K\))-8158.9(17)-2328.4(11.3)]TJ -1.002 -1.3187 TD [(Age)-339(\(years\))]TJ 1.002 -1.0135 TD [(1825)-15708.5(61)-2328.4(40.7)]TJ 0 -1.0077 TD [(2633)-15708.5(37)-2328.4(24.7)]TJ 0 -1.0135 TD [(3441)-15708.5(22)-2328.4(14.7)]TJ T* [(4249)-15708.5(10)-2829.4(6.7)]TJ T* [(5057)-15708.5(12)-2829.4(8)]TJ 0 -1.0077 TD [(5866)-16203.7(8)-2834.2(5.5)]TJ /F3 1 Tf 8.9663 0 0 8.9663 62.022 749.5368 Tm (244)Tj 46.9666 0 TD [(TABAAC)-304.3(ET)-300.7(AL.)]TJ ET endstream endobj 53 0 obj <>stream /GS1 gs BT /F5 1 Tf 9.843 0 0 9.843 59.7543 725.5557 Tm 0 0 0 rg 0 Tc 0 Tw [(sexual)-319.9(orientation)-314.4(to)-313.3(others)-318.7(across)-313.8(three)-319(dimensions:)-314(Out)-315.3(to)]TJ 0 -1.1174 TD [(Family,)-283.2(World,)-282(and)-286.7(Religion.)-279.8(Higher)-285.2(scores)-285(indicate)-283.4(greater)]TJ 0 -1.1116 TD [(levels)-245.1(of)-238.3(outness.)-242.4(Because)-243.6(many)-242.9(participants)-241.6(did)-239.6(not)-239.6(identify)]TJ T* [(as)-273.9(having)-272.8(a)-273(religious)-270.4(community,)-276.4(that)-270.8(subscale)-271.2(was)-275.8(omitted.)]TJ T* [(The)-305.2(OI)-302.5(has)-298(adequate)-307.3(internal)-299.5(consistency.)]TJ 7.3823 0 0 6.5614 227.3385 686.0974 Tm (46)Tj /F1 1 Tf 8.9663 0 0 8.9663 69.7323 659.792 Tm [(Multidimensional)-844.1(Scale)-844.2(of)-842.6(Perceived)-842(Social)-841.2(Support)]TJ -1.1128 -1.2203 TD [(\()-84.3(MSPSS\).)]TJ /F5 1 Tf 9.843 0 0 9.843 109.3606 648.8502 Tm [(The)-443.4(MSPSS)]TJ 7.3823 0 0 6.5614 159.5338 653.2156 Tm (47)Tj 9.843 0 0 9.843 171.2692 648.8502 Tm [(is)-439.9(a)-440(12-item)-442.3(measure)-449.9(of)-439.9(social)]TJ -11.3293 -1.1174 TD [(support)-318.6(across)-313.8(three)-319(dimensions:)-314(Social)-320.1(Support)-312.9(from)-316.6(Fam-)]TJ 0 -1.1116 TD [(ily,)-312.3(Friends,)-311.6(and)-315.5(a)-313.3(Signicant)-312.9(Other.)-310.6(Higher)-314(scores)-313.8(indicate)]TJ T* [(greater)-328(social)-320(support.)-322.1(The)-322.4(MSPSS)-322.6(has)-321.1(strong)-317.5(internal)-322.5(con-)]TJ 0 -1.1174 TD [(sistency)-414.2(\()]TJ /F11 1 Tf 3.9684 0 TD (a)Tj /F9 1 Tf .6681 0 TD (=)Tj /F5 1 Tf .72 0 TD [(.88\))-404.1(for)-406.4(the)-407.8(overall)-407.7(scale)-412.1(and)-407.6(subscales)-410.4(\(.85)]TJ -5.3565 -1.1116 TD [(.91\),)-303.9(as)-302.7(well)-300.4(as)-302.7(good)-298.2(construct)-306(validity.)]TJ 7.3823 0 0 6.5614 217.5873 598.3936 Tm (47)Tj /F1 1 Tf 8.9663 0 0 8.9663 69.7323 572.088 Tm [(Hopkins)-517.9(Symptoms)-518.4(Checklist)-519.8(25)-514.7(\(HSCL\).)]TJ /F5 1 Tf 9.843 0 0 9.843 250.1858 572.088 Tm [(The)-501(HSCL-)]TJ -19.3469 -1.1116 TD (25)Tj 7.3823 0 0 6.5614 69.6189 565.5117 Tm (48)Tj 9.843 0 0 9.843 80.5606 561.1463 Tm [(is)-365(the)-361.7(short-version)-366.6(of)-359.3(the)-361.7(58-item)-367.4(Hopkins)-359.9(Symptom)]TJ -2.1138 -1.1116 TD [(Checklist.)-310.6(It)-307.6(is)-307.4(a)-307.5(25-item)-309.8(assessment)-308.8(of)-307.4(anxiety)-309.8(and)-309.7(depres-)]TJ T* [(sion,)-445.5(and)-442.2(higher)-445.6(scores)-446.2(indicate)-444.7(greater)-449(symptoms)-443(with)-443.3(a)]TJ 0 -1.1174 TD [(clinical)-306.6(cutoff)-301.6(at)-303(1.75.)]TJ 7.3823 0 0 6.5614 148.3086 532.6298 Tm (49)Tj /F1 1 Tf 8.9663 0 0 8.9663 69.7323 506.381 Tm [(Rosenberg)-441.9(Self-Esteem)-440(\(RSES\).)]TJ /F5 1 Tf 9.843 0 0 9.843 211.748 506.381 Tm [(The)-431.9(RSES)]TJ 7.3823 0 0 6.5614 254.8346 510.7463 Tm (50)Tj 9.843 0 0 9.843 266.3999 506.381 Tm [(is)-428.4(a)-422.7(10-)]TJ -20.9941 -1.1174 TD [(item)-450.5(measure)-444.2(of)-445.7(self-esteem)-449.8(with)-449(higher)-445.6(scores)-446.2(reecting)]TJ 0 -1.1116 TD [(better)-395.1(self-esteem.)-395.6(The)-397.3(scale)-394.8(has)-390.2(high)-390.4(internal)-391.6(consistency)]TJ T* (\()Tj /F11 1 Tf .3341 0 TD (a)Tj /F9 1 Tf .6681 0 TD (=)Tj /F5 1 Tf .72 0 TD (.89\).)Tj 7.3823 0 0 6.5614 94.7338 477.8644 Tm (51)Tj /F1 1 Tf 8.9663 0 0 8.9663 69.7323 451.5589 Tm [(Health)-465.5(Behavior)-463.1(Checklist)-469.3(\(HBC\).)]TJ /F5 1 Tf 9.843 0 0 9.843 215.7732 451.5589 Tm [(The)-449.2(HBC)]TJ 7.3823 0 0 6.5614 255.7417 455.9243 Tm (52)Tj 9.843 0 0 9.843 267.5905 451.5589 Tm [(is)-451.4(com-)]TJ -21.1151 -1.1116 TD [(prised)-243.8(of)-232.6(40)-238.3(items)-238.3(assessing)-242(health)-239.6(behaviors)-242.5(across)-238.9(three)-238.3(di-)]TJ 0 -1.1174 TD [(mensions:)-611.2(Wellness,)-604.2(Trafc-Risk,)-613(and)-603.5(Accident)-606.7(Control)]TJ 0 -1.1116 TD [(Behaviors,)-437.1(although)-436.5(only)-430.8(the)-430.8(10-item)-436.5(Wellness)-433.7(Behaviors)]TJ T* [(subscale)-277(is)-272.8(used)-276.1(in)-267.3(the)-275.3(current)-275(study,)-273.8(and)-269.4(higher)-272.8(scores)-279.2(indi-)]TJ T* [(cate)-255.7(better)-256.8(wellness)-253.8(behaviors.)-251.7(The)-253.3(Wellness)-255.2(Behaviors)-255.1(sub-)]TJ 0 -1.1174 TD [(scale)-302.7(includes)-299.2(items)-295.9(that)-299.6(assess)-296.1(exercise,)-304.8(health)-297.2(information)]TJ 0 -1.1116 TD [(consumption)-400.5(and)-396.1(communication,)-398.5(primary)-401.8(care)-393.8(utilization,)]TJ T* [(nutrition)-574.8(habits,)-575.7(and)-574.7(weight)-573.4(maintenance.)-581.6(The)-570.1(Wellness)]TJ 0 -1.1174 TD [(Behaviors)-842.6(subscale)-835.7(has)-839.4(adequate)-837.2(internal)-840.9(consistency)]TJ 0 -1.1116 TD (\()Tj /F11 1 Tf .3341 0 TD (a)Tj /F9 1 Tf .6681 0 TD (=)Tj /F5 1 Tf .72 0 TD (.77\).)Tj 7.3823 0 0 6.5614 94.7338 346.3369 Tm (52)Tj 9.843 0 0 9.843 104.9952 341.9716 Tm [(To)-291.4(the)-292.6(best)-293.5(of)-295.9(our)-291.3(knowledge,)-293.1(this)-292.5(is)-290.1(the)-292.6(rst)-292.1(in-)]TJ -4.5962 -1.1116 TD [(stance)-298(that)-288.1(this)-292.4(measure)-294.4(has)-292.3(been)-294.7(used)-287.6(with)-293.5(sexual)-291.1(minority)]TJ 0 -1.1174 TD [(women)-302.5(sample.)]TJ /F10 1 Tf 8.9663 0 0 8.9663 59.7543 297.4109 Tm (Procedure)Tj /F5 1 Tf 9.843 0 0 9.843 69.7323 280.97 Tm [(Participants)-523.7(were)-520.2(recruited)-526.2(through)-514.7(online)-520.6(forums)-520.2(and)]TJ -1.0137 -1.1174 TD [(groups)-213.7(in)-215.4(national/regional)-220(LGBTQ)-218(organizations)-219.6(and)-211.8(online)]TJ 0 -1.1116 TD [(community)-255.7(groups)-248.3(via)-252.3(listservs)-252.8(and)-252.1(message)-254(boards,)-252.9(with)-247.4(an)]TJ T* [(emphasis)-254(on)-249.9(groups)-248.3(catering)-254.4(to)-244.2(women)-250.7(of)-249.8(color.)-252.1(Participants)]TJ 0 -1.1174 TD [(interested)-417.8(in)-411.3(the)-407.8(study)-414.4(emailed)-410.1(the)-413.5(study)-408.6(coordinator)-412.1(who)]TJ 0 -1.1116 TD [(screened)-255.1(participants)-253.1(across)-250.4(eligibility)-250.3(criteria.)-252.2(Eligible)-253.6(indi-)]TJ T* [(viduals)-302.7(were)-301.3(emailed)-306.4(a)-301.8(survey)-301.3(link)-298.4(and)-298.2(unique)-301.6(access)-304.6(code.)]TJ T* [(After)-358.9(the)-355.9(survey,)-356.6(participants)-362.6(input)-357.1(an)-354.7(email)-354.9(address)-361(to)-353.7(re-)]TJ 0 -1.1174 TD [(ceive)-302.9(a)-301.8($15)-302.8(Amazon.com)-302.4(electronic)-309.8(gift)-298.4(card.)]TJ /F10 1 Tf 8.9663 0 0 8.9663 59.7543 171.8362 Tm [(Data)-306(analyses)]TJ /F5 1 Tf 9.843 0 0 9.843 69.7323 155.3952 Tm [(Simultaneous)-431.5(multiple)-432.2(regressions)-434.4(were)-433.8(run)-429.5(in)-428.5(order)-432.8(to)]TJ -1.0137 -1.1116 TD [(identify)-384.7(the)-379(largest)-384.4(pattern)-378.9(of)-382.3(connections)-378.5(between)-386.6(indices)]TJ T* [(of)-376.5(outness,)-374.9(social)-377.6(support,)-373.9(mental)-373.3(health,)-375.5(and)-378.8(wellness)-374.7(be-)]TJ T* [(havior.)-431.8(The)-437.6(rst)-430.4(regression)-433.5(included)-431.9(the)-430.8(two)-436.3(subscales)-433.4(of)]TJ 0 -1.1174 TD [(the)-511.4(OI)-509.9(\(Out)-506.5(to)-509.2(World)-509(and)-511.3(Out)-511.2(to)-509.2(Family\))-511.3(as)-504.3(predictors)]TJ 0 -1.1116 TD [(and)-413.4(the)-413.5(Wellness)-416.5(Behavior)-421.2(subscale)-415.2(of)-411.1(the)-413.5(Vickers)-415.1(HBC)]TJ T* [(as)-250.8(the)-246.5(criterion.)-246.4(The)-247.6(second)-244.9(regression)-249.2(included)-247.5(the)-246.5(two)-246.2(sub-)]TJ 0 -1.1174 TD [(scales)-487.9(of)-480.2(the)-482.6(OI)-481.1(as)-481.2(predictors)-485.6(and)-482.5(the)-482.6(total)-485.1(score)-479.9(of)-480.2(the)]TJ 0 -1.1116 TD [(MSPSS)-403.2(as)-406.3(the)-402(criterion.)-407.7(The)-403.1(third)-403.1(regression)-404.7(included)-403.1(the)]TJ T* [(three)-267.1(MSPSS)-265(subscales)-266.4(\(Social)-269.3(Support)-261.1(from)-264.7(Family,)-266(Social)]TJ 25.5097 67.9415 TD [(Support)-359(from)-356.9(Friends,)-363.4(and)-355.8(Social)-360.4(Support)-359(from)-362.7(Signicant)]TJ 0 -1.1174 TD [(Other\))-216.1(as)-216.3(predictors)-214.9(and)-211.8(the)-217.7(total)-214.4(score)-215(of)-215.3(the)-211.9(Hopkins)-215.9(Symp-)]TJ 0 -1.1116 TD [(tom)-275.4(Checklist-25)-281.7(\(HSCL-25\))-277.7(as)-279.6(the)-275.3(criterion.)-280.9(The)-276.4(fourth)-277.4(re-)]TJ T* [(gression)-723.9(included)-719.8(the)-718.8(two)-724.3(subscales)-721.4(of)-722.1(the)-718.8(HSCL-)-8.4(25)]TJ T* [(\(Depression)-256.9(and)-252.1(Anxiety\))-253(as)-256.6(the)-252.3(predictors)-255.2(and)-257.9(the)-252.3(Wellness)]TJ 0 -1.1174 TD [(Behavior)-294.5(subsca)-8.5(le)-291.5(of)-295.9(the)-298.3(HBC)-294.2(as)-296.9(the)-298.3(criterion.)-298.2(The)-293.6(purpose)]TJ 0 -1.1116 TD [(of)-209.5(this)-206.1(series)-210.2(of)-209.5(regressions)-215.5(was)-206.7(to)-209.7(isolate)-211.8(the)-211.9(most)-207.2(signicant)]TJ T* [(patterns)-235.8(of)-232.6(connections)-234.5(among)-232.5(individual)-237.3(indices)-234.7(\(subscales\))]TJ 0 -1.1174 TD [(of)-555.1(the)-557.5(larger)-561.9(constructs)-560.4(\(outness,)-560.3(social)-561.9(support,)-558.2(mental)]TJ 0 -1.1116 TD [(health,)-392.8(and)-390.4(wellness)-397.8(behaviors\).)-391(Based)-394.6(on)-393.9(the)-390.5(connections)]TJ T* [(between)-524.8(variables)-526.1(identied)-525.1(in)-520.7(the)-523(series)-527(of)-520.5(regressions,)]TJ 0 -1.1174 TD [(two)-234.7(path)-236.1(models)-239.3(were)-238(constructed)-240.3(in)-238.5(order)-237(to)-238.5(examine)-237.2(possi-)]TJ 0 -1.1116 TD [(ble)-252.3(direct)-251.1(and)-252.1(indirect)-253.4(effects)-258.7(among)-249.8(the)-252.3(variables)-255.3(most)-253.2(con-)]TJ T* [(sistently)-460.5(associated)-459(with)-460.5(each)-457.1(other)-461.8(in)-457.3(the)-453.8(regressions.)-460.9(A)]TJ 0 -1.1174 TD [(signicant)-261(indirect)-259.2(effect)-263.6(\(or)-262.4(mediational)-259.3(effect\))-264.7(would)-259.9(indi-)]TJ 0 -1.1116 TD [(cate)-330.6(that)-334.1(the)-332.9(relationship)-332.6(between)-334.7(two)-332.6(variables)-336(in)-330.6(the)-332.9(path)]TJ T* [(model)-301.8(could)-300.5(be)-302.9(statistically)-306.3(explained)-301.6(by)-301.7(the)-298.3(mediator.)]TJ /F3 1 Tf 8.9663 0 0 8.9663 310.8472 522.8219 Tm (Results)Tj /F10 1 Tf 0 -1.8336 TD [(Exploratory)-297.6(multiple)-306.5(regressions)]TJ /F5 1 Tf 9.843 0 0 9.843 320.8251 489.94 Tm [(T)15(h)0(e)-297.1()0(r)21(s)0(t)-295.9(r)0(e)19.7(g)0(r)20.9(e)0(s)14.1(s)0(i)20.9(o)0(n)-290.2(w)0(i)14.1(t)0(h)-290.3(O)0(u)20(t)-306.5(to)-290.3(Wo)18.6(rl)15(d)-300.6(a)0(n)19.7(d)-306.4(Fa)19.8(mi)19.5(ly)-290.3(as)-296.9(pr)20.9(e-)]TJ -1.0137 -1.1174 TD [(di)20.7(ct)19.5(or)20.9(s)-300.4(e)0(x)19.7(p)0(l)20.7(a)0(i)19.6(n)0(e)13.9(d)-294.8(9.)18.5(4%)-285.5(of)-290.1(th)20.7(e)-301.8(v)0(a)19.7(r)0(i)20.7(a)0(n)19.7(c)0(e)-292.5(i)0(n)-290.3(W)13.9(el)13.8(ln)20.7(es)19.9(s)-300.4(B)0(e)18.6(h)0(a)19.7(v)0(i)20.7(o)0(r)]TJ 0 -1.1116 TD (\()Tj /F8 1 Tf .3225 0 TD (F)Tj /F5 1 Tf .6048 0 TD [([2)20.9(,)-251.1(1)0(4)20.8(7)0(])]TJ /F9 1 Tf 3.2773 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(7.)24.3(58)15.1(,)]TJ /F8 1 Tf 2.2117 0 TD (P)Tj /F9 1 Tf .7718 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(.)13.8(0)0(0)20.8(1)0(\))15.1(.)-251.1(Ou)20(t)-248.9(t)0(o)-244.2(F)0(a)19.8(m)0(i)19.5(l)0(y)-244.2(w)0(a)18.8(s)-248.6(in)15(de)19.7(pe)19.7(nd)20.8(en)19.7(tl)20.6(y)]TJ -8.605 -1.1116 TD [(as)19.9(so)21(ci)19.6(at)13.8(ed)-256.8(\()]TJ /F11 1 Tf 4.625 0 TD (b)Tj /F9 1 Tf .7084 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(.3)18.5(3,)]TJ /F8 1 Tf 1.7337 0 TD (P)Tj /F9 1 Tf .7718 0 TD (<)Tj /F5 1 Tf .7084 0 TD [(.0)18.5(01)20.8(\),)-257.9(su)21(ch)-256.8(th)20.7(at)-256.9(mo)19.6(re)-256.8(ou)15.1(tn)20.7(es)19.9(s)-265.9(t)0(o)-255.8(o)0(n)20.8(e)0()19.7(s)]TJ -9.2558 -1.1174 TD [(fa)19.7(mi)19.5(ly)-284.5(wa)18.8(s)-294.6(a)0(s)19.9(s)0(o)15.3(c)0(i)19.6(a)0(t)19.5(e)0(d)-285.6(w)0(i)19.8(t)0(h)-284.5(g)0(r)20.9(e)0(a)18.5(t)0(e)19.5(r)-294.8(we)18.8(ll)14.8(ne)19.7(ss)-284(be)19.7(ha)19.7(vi)20.7(or)15.1(.)-291.4(O)0(u)20(t)-295(to)]TJ 0 -1.1116 TD [(Wo)18.6(rl)20.7(d)-289.1(w)0(a)18.8(s)-294.6(no)20.8(t)-289.2(u)0(n)20.8(i)0(q)20.7(u)0(e)19.7(l)0(y)-284.6(a)0(s)19.9(s)0(o)21(c)0(i)19.5(a)0(t)13.8(e)0(d)-279.8(\()]TJ /F11 1 Tf 14.5663 0 TD (b)Tj /F9 1 Tf .7084 0 TD (=)Tj /F12 1 Tf .7084 0 TD ()Tj /F5 1 Tf .7718 0 TD [(.1)18.5(3,)]TJ /F8 1 Tf 1.7567 0 TD (P)Tj /F9 1 Tf .7718 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(.1)18.5(34)20.8(\).)]TJ -18.9782 -1.1116 TD [(The)-339.7(second)-342.8(regression)-347.1(with)-339.6(Out)-344.1(to)-342.2(World)-341.9(and)-338.5(Family)-343.2(as)]TJ -1.0137 -1.1116 TD [(predictors)-341.6(explained)-336.2(5.7%)-341.9(of)-336.2(the)-338.7(variance)-341.9(in)-336.4(social)-337.3(support)]TJ 0 -1.1174 TD (\()Tj /F8 1 Tf .3341 0 TD (F)Tj /F5 1 Tf .6105 0 TD [([2,)-506.7(147])]TJ /F9 1 Tf 3.5883 0 TD (=)Tj /F5 1 Tf .72 0 TD (4.43,)Tj /F8 1 Tf 2.4997 0 TD (P)Tj /F9 1 Tf .7833 0 TD (=)Tj /F5 1 Tf .72 0 TD [(.014\).)-500.8(Out)-505.4(to)-503.4(Family)-504.4(was)-506.2(indepen-)]TJ -9.2558 -1.1116 TD [(dently)-572.5(associated)-574.2(with)-570(social)-573.5(support)-572.1(\()]TJ /F11 1 Tf 16.945 0 TD (b)Tj /F9 1 Tf .72 0 TD (=)Tj /F5 1 Tf .72 0 TD (.19,)Tj /F8 1 Tf 2.0677 0 TD (P)Tj /F9 1 Tf .7833 0 TD (=)Tj /F5 1 Tf .72 0 TD (.033\),)Tj -21.956 -1.1116 TD [(such)-316.4(that)-316.9(more)-317.8(outness)-319.6(to)-319.1(ones)-317.5(family)-320.2(was)-316.2(associated)-326.6(with)]TJ 0 -1.1174 TD [(greater)-506.6(social)-510.1(support.)-506.4(Out)-511.2(to)-503.4(World)-509(was)-512(not)-504.5(signicant)]TJ 0 -1.1116 TD (\()Tj /F11 1 Tf .3341 0 TD (b)Tj /F9 1 Tf .7142 0 TD (=)Tj /F5 1 Tf .72 0 TD (.10,)Tj /F8 1 Tf 1.8028 0 TD (P)Tj /F9 1 Tf .7776 0 TD (=)Tj /F5 1 Tf .72 0 TD (.274\).)Tj -4.0548 -1.1116 TD [(The)-310.9(third)-311(regression)-312.5(including)-311(Social)-314.3(Support)-312.9(from)-310.8(Fam-)]TJ -1.0137 -1.1174 TD [(ily,)-415.9(Friends,)-415.2(and)-413.4(Signicant)-422.4(Other)-416.6(as)-417.9(predictors)-416.5(explained)]TJ 0 -1.1116 TD [(25.1%)-377.5(of)-376.5(the)-373.2(variance)-382.2(in)-376.7(mental)-379.1(health)-377.8(\()]TJ /F8 1 Tf 16.9969 0 TD (F)Tj /F5 1 Tf .6163 0 TD [([3,)-374.2(146])]TJ /F9 1 Tf 3.4558 0 TD (=)Tj /F5 1 Tf .72 0 TD (16.31,)Tj /F8 1 Tf -21.789 -1.1116 TD (P)Tj /F9 1 Tf .7776 0 TD (<)Tj /F5 1 Tf .72 0 TD [(.001\).)-397.1(Social)-394.9(Support)-393.6(from)-397.2(Family)-395(\()]TJ /F11 1 Tf 15.1077 0 TD (b)Tj /F9 1 Tf .7142 0 TD (=)Tj /F12 1 Tf .72 0 TD ()Tj /F5 1 Tf .7718 0 TD (.17,)Tj /F8 1 Tf 1.8949 0 TD (P)Tj /F9 1 Tf .7776 0 TD (=)Tj /F5 1 Tf .72 0 TD (.039\))Tj -22.2037 -1.1174 TD [(and)-378.8(Social)-377.7(Support)-382(from)-374.2(Friends)-383(\()]TJ /F11 1 Tf 14.2956 0 TD (b)Tj /F9 1 Tf .72 0 TD (=)Tj /F12 1 Tf .7142 0 TD ()Tj /F5 1 Tf .7718 0 TD (.31,)Tj /F8 1 Tf 1.8777 0 TD (P)Tj /F9 1 Tf .7833 0 TD (<)Tj /F5 1 Tf .72 0 TD [(.001\))-376.4(were)]TJ -19.8825 -1.1116 TD [(positively)-289(associated)-292(with)-293.5(mental)-292.7(health,)-289.1(but)-285.7(Social)-291.3(Support)]TJ T* [(from)-224.4(Signicant)-232.3(Other)-226.5(\()]TJ /F11 1 Tf 9.5841 0 TD (b)Tj /F9 1 Tf .72 0 TD (=)Tj /F12 1 Tf .7142 0 TD ()Tj /F5 1 Tf .7718 0 TD (.16,)Tj /F8 1 Tf 1.7279 0 TD (P)Tj /F9 1 Tf .7833 0 TD (=)Tj /F5 1 Tf .7142 0 TD [(.050\))-226.7(was)-229.8(only)-229.2(margin-)]TJ -15.0156 -1.1116 TD [(ally)-299.6(related.)]TJ 1.0137 -1.1174 TD [(T)15(h)0(e)-239.5(f)0(o)20.9(u)0(r)20.9(t)0(h)-232.7(r)0(e)14(g)0(r)20.9(e)0(s)19.9(s)0(i)20.9(o)0(n)-238.3(i)0(n)20.7(c)0(l)19.5(u)0(d)20.8(e)0(d)-233.7(t)0(h)20.7(e)-249.9(De)18.8(pr)20.9(es)19.9(si)20.9(on)-238.3(an)19.7(d)-243(A)0(n)20(x)0(i)20.7(e)0(t)19.5(y)]TJ -1.0137 -1.1116 TD [(as)-360.3(pr)20.9(ed)19.7(ic)19.5(to)20.7(rs)-359.1(an)13.9(d)-364(W)0(e)17.4(l)0(l)20.6(n)0(e)13.9(s)0(s)-358.9(B)0(e)18.6(h)0(a)19.7(v)0(i)20.7(o)0(r)-359.3(a)0(s)-360.3(t)0(h)20.7(e)-370.9(cr)19.7(it)20.6(er)19.7(io)15(n.)-355.9(Th)19.6(es)19.9(e)]TJ T* [(va)19.7(ri)20.7(ab)19.7(le)19.6(s)-288.9(e)0(x)19.7(p)0(l)20.7(a)0(i)19.5(n)0(e)19.7(d)-283.3(9.)18.5(0%)-274(of)-272.9(th)15(e)-284.5(v)0(a)19.7(r)0(i)20.7(a)0(n)19.7(c)0(e)-275.2(i)0(n)-273(W)0(e)17.4(l)0(l)14.8(n)0(e)19.7(s)0(s)-272.5(B)0(e)18.6(h)0(a)19.7(v)0(-)]TJ 0 -1.1174 TD [(io)20.7(r)-237.2(\()]TJ /F8 1 Tf 1.653 0 TD (F)Tj /F5 1 Tf .6048 0 TD [([2)20.9(,)-239.6(1)0(4)20.8(7)0(])]TJ /F9 1 Tf 3.26 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(7.)18.5(26)20.8(,)]TJ /F8 1 Tf 2.1944 0 TD (p)Tj /F9 1 Tf .6566 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(.0)18.5(01)20.8(\).)-229.1(De)18.8(pr)20.9(es)19.9(si)15.1(on)-221.1(wa)13(s)-231.3(i)0(n)15(d)0(e)19.7(p)0(e)19.7(n)0(d)20.8(e)0(n)19.7(t)0(l)20.6(y)]TJ -9.7857 -1.1116 TD -.0193 Tc [(a)-19.3(n).4(d)-314.1(n)-19.3(eg)-19.3(at)-19.3(iv)-19.3(el)-19.3(y)-303.8(a)-19.3(s)-5.2(s)-19.3(oc)-19.3(ia)-19.3(te)-19.3(d)-304.9(w)-19.3(i)-5.2(t)-19.3(h)-303.9(W)-19.3(el)-19.3(ln)-19.3(es)-19.3(s)-309.1(B)-19.3(eh)-19.3(av)-19.3(io)-19.3(r)-309.5(\()]TJ /F11 1 Tf 20.6313 0 TD 0 Tc (b)Tj /F9 1 Tf .7085 0 TD (=)Tj /F12 1 Tf .7084 0 TD ()Tj /F5 1 Tf .7718 0 TD [(.3)18.5(1,)]TJ /F8 1 Tf 9.843 0 0 9.843 310.8472 205.0015 Tm (P)Tj /F9 1 Tf .7718 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(.)13.9(0)0(1)15.1(0)0(\))20.9(,)-291.4(wh)20(il)20.6(e)-290.2(A)0(n)20(x)0(i)20.7(e)0(t)13.8(y)-289.1(wa)18.8(s)-288.9(n)0(o)20.8(t)-295(\()]TJ /F11 1 Tf 12.2106 0 TD (b)Tj /F9 1 Tf .7084 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(.0)18.5(1,)]TJ /F8 1 Tf 1.7567 0 TD (P)Tj /F9 1 Tf .7718 0 TD (=)Tj /F5 1 Tf .7085 0 TD [(.9)18.5(29)20.8(\).)]TJ /F10 1 Tf 8.9663 0 0 8.9663 310.8472 182.8913 Tm [(Mediational)-300.8(models)]TJ /F5 1 Tf 9.843 0 0 9.843 320.8251 166.4503 Tm [(In)-244.1(the)-252.3(rst)-251.8(model,)-247.6(Outness)-251.4(to)-250(Family)-251(was)-252.8(specied)-248.2(to)-250(lead)]TJ -1.0137 -1.1174 TD [(to)-227(the)-229.2(ultimate)-231.8(outcome,)-233.7(Wellness)-232.1(Behavior.)-234.6(Two)-230(successive)]TJ 0 -1.1116 TD [(mediators,)-212.8(Social)-210.6(Support)-209.2(from)-212.9(Family)-210.7(and)-211.8(Depression,)-213.2(were)]TJ T* [(included)-287.9(in)-290.3(this)-286.7(model)-290.3(\(Figure)-291(1\).)-287.8(A)-290(second)-291(model)-290.3(included)]TJ 0 -1.1174 TD [(the)-367.5(same)-370.6(series)-377.3(of)-365(variables)-376.3(and)-367.3(direct)-372(and)-373.1(indirect)-368.6(effects)]TJ 0 -1.1116 TD [(with)-495.1(the)-499.9(substitution)-497.3(of)-497.5(Social)-504.4(Support)-497.2(from)-495.1(Friends)-498.2(for)]TJ T* [(Social)-297(Support)-301.4(from)-293.5(Family)-302.8(\(Figure)-296.8(2\).)-293.6(Because)-307(the)-292.6(sampl)-7.8(e)]TJ T* [(size)-283.1(in)-284.6(the)-286.8(current)-286.6(study)-287.7(was)-287.4(lower)-284.1(than)-287.9(the)-281.1(200)-285.5(recommen-)]TJ 0 -1.1174 TD [(ded)-206.1(by)-203.8(Boomsma)-208(and)-206.1(Hoogland,)]TJ 7.3823 0 0 6.5614 438.5762 83.1118 Tm (53)Tj 9.843 0 0 9.843 448.044 78.7464 Tm [(t)-203.8(indices)-205.9(were)-209.2(omitted)-212.1(as)]TJ -13.9385 -1.1116 TD [(they)-558.6(would)-559.4(likely)-561.1(be)-562.1(more)-559.7(obscuring)-563.9(than)-558.6(illuminating.)]TJ T* [(Instead,)-301.4(the)-304.1(focus)-300.2(was)-304.6(on)-295.9(direct)-302.9(and)-304(indirect)-305.2(effects.)]TJ /F3 1 Tf 8.9663 0 0 8.9663 59.7543 749.5368 Tm [(LBQ)-302.4(WELLNESS)-304.4(BEHAVIOR)]TJ 53.0113 0 TD (245)Tj ET endstream endobj 59 0 obj <>stream /GS1 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Tc (P)Tj /F9 1 Tf .766 0 TD (=)Tj /F5 1 Tf .7027 0 TD [(.)13.9(0)16.2(02)26.6(\))16.2(.)-256.9(T)15(h)16.2(e)-255.7(i)0(n)26.5(d)16.2(i)16.1(r)0(e)25.5(c)15(t)-254.7(e)15(ff)26.7(e)15(c)15(t)-254.7(of)-244.1(O)15.3(u)16.2(t)16.1(n)0(e)25.4(s)16.4(s)-254.3(t)0(o)-244.2(F)16.3(a)15(m)15(i)0(l)26.3(y)-254.5(o)16.2(n)-254.5(De)24.6(p)16.2(r)16.2(e)15(s-)]TJ -1.4687 -1.1116 TD -.0158 Tc [(si)-15.8(o)10.7(n)-276.1(thr)-15.8(o)10.8(ugh)-276.1(So)-15.8(c)9.6(i).3(al)-276.2(Su)-15.8(p)10.8(por)-15.8(t)-260(f)-15.8(r)10.9(o).4(m)-277.3(F).5(ami)-15.8(l)10.5(y)-276.1(was)-275.9(s)-15.8(t)10.9(a)-.8(tis)-15.8(t)10.9(i).3(ca)-15.8(l)9.5(l).3(y)-276.1(s).6(i)-15.8(g)10.7(-)]TJ 0 -1.1174 TD [(ni)-15.7()10.9(cant)-207(\()]TJ /F11 1 Tf 3.427 0 TD 0 Tc (b)Tj /F9 1 Tf .7084 0 TD (=)Tj /F12 1 Tf .7027 0 TD ()Tj /F5 1 Tf .7718 0 TD -.0156 Tc (.10,)Tj /F8 1 Tf 1.6415 0 TD 0 Tc (P)Tj /F9 1 Tf .766 0 TD (<)Tj /F5 1 Tf .7084 0 TD -.016 Tc [(.0)-16(0)10.6(1\),)-209.5(as)-207(was)-207(t).1(h)-16(e)-192.2(i)-16(n)10.5(dir)-16(e)9.5(ct)-207.3(effe)-16(c)8.3(t)-207.3(of)-207.1(Soci)-16(a)9.3(l)]TJ -8.726 -1.1116 TD [(Su)-15.9(p)10.7(por)-15.9(t)-335(from)-346.5(F)-15.9(a)9.7(mily)-345.3(o)-15.9(n)-334.9(Wellne)-15.9(s)9.7(s)-345.1(B)-.7(eh)-15.9(a)9.5(v).3(io)-15.9(r)-334.8(t).2(hro)-15.9(u)10.7(g).3(h)-345.3(D)-.6(ep)-15.9(r)10.7(e)-.9(s-)]TJ T* -.0164 Tc [(si)-16.4(o)10.1(n)-282.4(\()]TJ /F11 1 Tf 2.2117 0 TD 0 Tc (b)Tj /F9 1 Tf .7027 0 TD (=)Tj /F5 1 Tf .7027 0 TD -.0156 Tc (.09,)Tj /F8 1 Tf 1.7222 0 TD 0 Tc (P)Tj /F9 1 Tf .7718 0 TD (<)Tj /F5 1 Tf .7027 0 TD -.0158 Tc [(.001\))-15.8(.)-273.7(T)-.8(hese)-288.8(nd)-15.8(i)10.7(ngs)-287.4(su)-15.8(g)10.8(g).4(es)-15.8(t)-271.4(a)-288.8(multi)-15.8(p)10.7(l).3(e)-288.8(me-)]TJ -6.8137 -1.1116 TD -.0162 Tc [(di)-16.2(a)9.1(tion)-305.3(e)-1.2(ffe)-16.2(c)8.1(t)-.1(.)]TJ 1.0137 -1.1174 TD 0 Tc 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[(.001\),)-477.8(and)-482.5(Depression)-486.2(inversely)]TJ -10.8916 -1.1116 TD [(predicted)-313.1(Wellness)-318.5(Behavior)-311.8(\()]TJ /F11 1 Tf 12.3603 0 TD (b)Tj /F9 1 Tf .72 0 TD (=)Tj /F12 1 Tf .72 0 TD ()Tj /F5 1 Tf .766 0 TD (.25,)Tj /F8 1 Tf 1.8143 0 TD (P)Tj /F9 1 Tf .7776 0 TD (=)Tj /F5 1 Tf .72 0 TD [(.002\).)-310.7(The)-310.9(indi-)]TJ -17.8781 -1.1174 TD [(rect)-525.2(effect)-528.5(of)-526.3(Outness)-527.9(to)-526.5(Family)-521.7(on)-526.3(Depression)-532.3(through)]TJ 0 -1.1116 TD [(Social)-297(Support)-301.4(from)-293.5(Friends)-296.6(was)-298.9(not)-297.2(statistically)-300.5(signicant)]TJ T* (\()Tj /F11 1 Tf .3341 0 TD (b)Tj /F9 1 Tf .72 0 TD (=)Tj /F12 1 Tf .72 0 TD ()Tj /F5 1 Tf .766 0 TD (.05,)Tj /F8 1 Tf 1.9237 0 TD (P)Tj /F9 1 Tf .7833 0 TD (=)Tj /F5 1 Tf .72 0 TD [(.152\),)-425.9(although)-424.9(the)-425(indirect)-426.2(effect)-424.9(of)-428.4(Social)]TJ -5.9671 -1.1174 TD 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TD (P)Tj /F9 1 Tf .7718 0 TD (<)Tj /F5 1 Tf .7084 0 TD [(.0)18.5(01)20.8(.)-222.3(Q)0(u)20(e)0(e)18.5(r)-219.9(pa)19.7(rt)20.7(ic)19.6(ip)15(an)19.7(ts)-209.5(\()]TJ /F8 1 Tf 9.9297 0 TD (M)Tj /F9 1 Tf .9907 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(28)20.8(.2)18.5(9,)]TJ -21.8408 -1.1116 TD (SD)Tj /F9 1 Tf 1.4169 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(6.)18.5(65)20.8(\))-531(r)0(e)14(p)0(o)20.8(r)0(t)20.7(e)0(d)-521.7(l)0(e)19.6(s)0(s)-525.9(W)13.9(el)13.8(ln)20.7(es)19.9(s)-530.8(B)0(e)18.6(h)0(a)19.7(v)0(i)14.9(o)0(r)-520.5(t)0(h)20.7(a)0(n)-521.7(b)0(i)20.7(s)0(e)19.9(x)0(u)15.1(a)0(l)]TJ 23.3786 52.1599 TD (\()Tj /F8 1 Tf .3283 0 TD (M)Tj /F9 1 Tf .9907 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(32)20.8(.)13.9(7)0(3)15.1(,)-631.2(SD)]TJ /F9 1 Tf 4.4983 0 TD (=)Tj /F5 1 Tf .7142 0 TD [(6.)24.3(92)20.8(\),)]TJ /F8 1 Tf 2.9144 0 TD (P)Tj /F9 1 Tf .7718 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(.0)18.5(03)20.8(,)-637(a)0(n)19.7(d)-634.7(le)19.6(sb)15.3(ia)19.6(n)-634.7(p)0(a)19.7(r)0(t)20.7(i)0(c)19.5(i)0(p)15(a)0(n)19.7(t)0(s)]TJ -11.6346 -1.1174 TD (\()Tj /F8 1 Tf .3283 0 TD (M)Tj /F9 1 Tf .9907 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(34)20.8(.)13.9(5)0(3)15.1(,)-308.7(SD)]TJ /F9 1 Tf 4.1758 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(7.)18.5(09)20.8(\),)]TJ /F8 1 Tf 2.5976 0 TD (P)Tj /F9 1 Tf .7718 0 TD (<)Tj /F5 1 Tf .7084 0 TD -.0201 Tc [(.)-20.1(0)-1.6(0)-20.1(1).7(.)-334.6(P)-20.1(ar)-20.1(ti)-20.1(ci)-20.1(pa)-20.1(n)-6.2(t)-20.1(s)-321.7(a)-20.1(ls)-20.1(o)-321.6(d)-20.1(if)-20.1(f)-5(e)-20.1(re)-20.1(d)-323(i)-20.1(n)]TJ -10.9895 -1.1116 TD 0 Tc [(We)17.4(ll)14.8(ne)19.7(ss)-623.9(Be)18.6(ha)19.7(vi)14.9(or)-624.2(as)-625.2(a)-635.8(f)0(u)15.1(n)0(c)19.7(t)0(i)20.6(o)0(n)-624.2(o)0(f)-624.2(r)0(a)14(c)0(e)18.5(/)0(e)19.6(t)0(h)20.7(n)0(i)20.7(c)0(i)19.5(t)0(y)15(,)]TJ /F8 1 Tf 22.6241 0 TD (F)Tj /F5 1 Tf .6048 0 TD [(\(6)15.1(,)]TJ -23.2289 -1.1116 TD [(14)15.1(3\))]TJ /F9 1 Tf 1.9641 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(2.)18.5(85)20.8(,)]TJ /F8 1 Tf 2.5861 0 TD (P)Tj /F9 1 Tf .766 0 TD (=)Tj /F5 1 Tf .7142 0 TD -.0191 Tc [(.)-5.2(0)-19.1(12)-19.1(.)-634.2(B)-19.1(la)-19.1(ck)-19.1(/A)-19.1(fr)-19.1(ic)-19.1(an)-19.1(-A)-19.1(me)-19.1(r)-5.1(i)-19.1(ca)-19.1(n)-633(p)-19.1(ar)-19.1(ti)-19.1(ci)-19.1(pa)-19.1(nt)-19.1(s)]TJ -6.7389 -1.1116 TD 0 Tc (\()Tj /F8 1 Tf .3283 0 TD (M)Tj /F9 1 Tf .9907 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(28)20.8(.)13.9(6)0(9)15.1(,)-331.7(SD)]TJ /F9 1 Tf 4.1988 0 TD (=)Tj /F5 1 Tf .7084 0 TD -.0193 Tc [(7)-19.3(.)-.8(8)-19.3(5)1.5(\))-348.7(r)-19.3(ep)-19.3(or)-19.3(te)-19.3(d)-339.4(l)-19.3(es)-19.3(s)-343.6(W)-19.3(el)-19.3(ln)-19.3(es)-19.3(s)-343.6(B)-19.3(eh)-19.3(av)-19.3(io)-19.3(r)-344(t)-19.3(ha)-19.3(n)]TJ -6.9347 -1.1174 TD 0 Tc [(Wh)18.6(it)14.8(e)-192.3(\()]TJ /F8 1 Tf 2.9432 0 TD (M)Tj /F9 1 Tf .9849 0 TD (=)Tj /F5 1 Tf .7084 0 TD [(34)15.1(.)13.9(3)0(6)15.1(,)-193.5(SD)]TJ /F9 1 Tf 4.0664 0 TD (=)Tj /F5 1 Tf .7084 0 TD 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487.6723 604.7999 Tm [(While)-297.2(a)-290.2(number)]TJ -17.7399 -1.1116 TD [(of)-249.8(constructs)-243.6(have)-248.6(been)-248.6(associated)-245.9(with)-247.4(wellness)-248(behavior)-247.4(in)]TJ 0 -1.1174 TD [(this)-252.1(population)-248.7(including)-247.6(outness,)-248.2(social)-250.9(support,)-247.2(and)-246.4(mental)]TJ 0 -1.1116 TD [(health,)-369.7(no)-370.8(research)-370.3(has)-367.1(attempted)-372.1(to)-365.2(forge)-369.5(the)-367.5(specic)-368.1(and)]TJ T* [(unique)-480.2(connections)-476.5(among)-480.2(them.)-476.9(The)-472.2(aim)-478.1(of)-474.5(the)-476.9(current)]TJ 0 -1.1174 TD [(study)-287.7(was)-287.4(to)-278.8(construct)-288.7(a)-284.5(theoretical)-288(chain)-284.4(among)-284.4(these)-290(vari-)]TJ 0 -1.1116 TD [(ables)-353.4(leading)-344.4(to)-347.9(wellness)-351.7(behavior)-345.3(among)-347.7(an)-348.9(ethnically)-349.1(di-)]TJ T* [(verse)-549(sample)-545.8(of)-543.6(sexual)-544.5(minority)-546.1(women.)-542.1(In)-543.6(a)-543.7(series)-544.3(of)]TJ 0 -1.1174 TD [(simultaneous)-391.2(multiple)-391.9(regressions,)-391.7(outness)-388.8(to)-388.2(ones)-386.6(family)]TJ 0 -1.1116 TD [(was)-252.8(positively)-248.6(associated)-257.4(with)-247.4(wellness)-253.8(behaviors)-254.1(and)-246.4(social)]TJ T* [(support;)-348.7(social)-343.1(support)-347.4(from)-345.4(ones)-346.3(family)-343.3(and)-344.3(friends)-348.6(were)]TJ T* [(positively)-542.4(associated)-539.7(with)-535.4(mental)-540.3(health;)-540.3(and)-534.4(depression)]TJ 0 -1.1174 TD [(was)-540.8(negatively)-539(associated)-545.4(with)-535.4(wellness)-541.8(behaviors.)-539.7(Two)]TJ 0 -1.1116 TD [(multiple)-363.1(mediational)-362.9(models)-360.3(generally)-359.2(suggested)-357.6(a)-359.4(cascad-)]TJ T* [(ing)-222.3(inuence)-219.6(of)-221(outness)-221.7(to)-215.4(ones)-225.3(family)-216.6(on)-221.1(wellness)-219.2(behavior)]TJ 0 -1.1174 TD [(throug)-6.7(h)-294.8(social)-302.7(support)-307.1(from)-299.3(ones)-300.2(family)-303(and)-304(depression.)]TJ 1.0137 -1.1116 TD [(In)-290.1(the)-292.6(rst)-286.4(two)-292.3(regressions,)-293.8(with)-293.5(indices)-292.3(of)-290.1(outness)-290.9(as)-291.1(the)]TJ -1.0137 -1.1116 TD [(predictors)-382(and)-378.8(wellness)-380.5(behav)-7.8(ior)-377.8(and)-373.1(social)-383.4(support)-376.2(as)-383.3(the)]TJ 0 -1.1174 TD [(criteria,)-355.9(Outness)-349.3(to)-347.9(Family)-348.9(was)-345(a)-347.8(unique)-353.5(predictor)-346.5(of)-347.7(both.)]TJ 0 -1.1116 TD [(These)-394.7(ndings)-393.4(are)-391.5(consistent)-393.5(with)-385.7(previous)-395.8(studies,)-392.3(which)]TJ T* [(have)-248.6(found)-241.6(that)-242(greater)-247.4(outness)-244.8(is)-238.3(associated)-245.9(with)-247.4(greater)-241.7(so-)]TJ 0 -1.1174 TD [(cial)-531.1(support)-531.8(and)-528.6(better)-527.5(physical)-529.6(health)-527.6(in)-532.2(sexual)-527.2(minor-)]TJ 0 -1.1116 TD [(ity)-642.9(women.)]TJ 7.3823 0 0 6.5614 361.3038 368.0503 Tm [(16,20)-7.8(,54)]TJ 9.843 0 0 9.843 393.4487 363.6849 Tm [(Disclosure)-641.9(of)-641.5(deeply)-636.9(personal)-644.6(issues)]TJ -8.1673 -1.1116 TD [(more)-242.9(generally)-244(has)-246.2(been)-242.9(associated)-245.9(with)-241.7(an)-239.5(array)-243.9(of)-238.3(physical)]TJ T* [(health)-343.3(benets,)]TJ 7.3823 0 0 6.5614 373.7196 346.1668 Tm (55)Tj 9.843 0 0 9.843 384.4345 341.8015 Tm [(and)-338.5(among)-336.2(sexual)-342.9(minorities,)-339.7(coming)-337.4(out)]TJ -7.2515 -1.1174 TD [(has)-447.8(been)-450.2(positively)-450.2(associated)-453.3(with)-443.3(wellness)-449.6(behavior)-449(in-)]TJ 0 -1.1116 TD [(cluding)-527.5(regular)-528.5(health)-521.8(care)-532(use)-522.6(and)-522.8(decreased)-528.1(substance)]TJ T* (use.)Tj 7.3823 0 0 6.5614 328.6487 312.2645 Tm [(19,)-9.4(20)]TJ 9.843 0 0 9.843 347.8676 308.9196 Tm [(Additionally,)-267(greater)-264.7(disclosure)-266.6(of)-261.4(ones)-259.9(sexual)-268.1(ori-)]TJ -3.5365 -1.1174 TD [(entation)-293.8(has)-292.3(been)-294.7(associated)-297.8(with)-287.8(a)-290.2(greater)-299.2(sense)-289.7(of)-290.1(belong-)]TJ 0 -1.1116 TD [(ing)-239.6(to)-238.5(the)-240.7(LGBT)-244.9(community,)]TJ 7.3823 0 0 6.5614 428.0881 291.3448 Tm [(54,5)-8.6(6)]TJ 9.843 0 0 9.843 447.0802 286.9794 Tm [(suggesting)-242.4(that)-242(connecting)]TJ -13.6159 -1.1116 TD [(with)-385.7(people)-377.7(who)-378.6(experience)-385.6(similar)-384.6(social)-383.4(challenges)-378.6(may)]TJ 0 -1.1174 TD [(provid)-6.7(e)-434.2(social)-441(support)-439.6(for)-435.2(coping)-439.9(with)-437.5(minority)-442.4(stressors.)]TJ 0 -1.1116 TD [(Outness)-458.7(to)-451.6(ones)-449.9(family)-452.7(may)-455(be)-452.6(of)-451.4(particular)-458.3(importance)]TJ T* [(for)-400.7(LBQ)-398.1(women,)-398.1(as)-394.8(disclosing)-398.1(ones)-398.1(sexual)-394.8(orientation)-400.8(to)]TJ 0 -1.1174 TD [(ones)-265.6(parents)-263.4(has)-263.5(been)-265.9(associated)-269(with)-259(parent-child)-270.5(relation-)]TJ 0 -1.1116 TD [(ship)-269.3(quality)-268.4(through)-267(increased)-267.9(closeness)-272.1(and)-269.4(honesty.)]TJ 7.3823 0 0 6.5614 525.2597 225.581 Tm (57)Tj 9.843 0 0 9.843 535.2943 221.2157 Tm (Dis-)Tj -22.578 -1.1116 TD [(closure)-286.4(may)-287.9(also)-282(increase)-284.1(future)-284.3(social)-285.5(support,)-287.5(which)-284.1(has)-280.7(a)]TJ T* [(strong)-306(association)-303.6(with)-299.3(health)-302.9(promotion.)]TJ 7.3823 0 0 6.5614 478.7148 202.6771 Tm (58)Tj 9.843 0 0 9.843 323.0361 188.3338 Tm [(In)-313.2(the)-321.4(third)-311(regression)-318.3(with)-316.6(social)-320(support)-312.9(regressed)-324(onto)]TJ -1.0137 -1.1116 TD [(mental)-350.3(health,)-346.7(social)-343.1(support)-347.4(from)-345.4(family)-343.3(and)-344.3(friends)-348.6(were)]TJ T* [(each)-278.6(independently)-271.6(associated)-274.7(with)-276.2(mental)-269.6(health.)-271.8(These)-273.8(re-)]TJ 0 -1.1174 TD [(sults)-310.6(are)-310.9(congruent)-306.1(with)-310.8(prior)-310.8(research)-306.9(showin)-7.4(g)-306.4(that)-305.3(greater)]TJ 0 -1.1116 TD [(social)-239.4(support)-238(is)-238.3(related)-241.8(to)-232.7(lower)-238(depression)-243.4(in)-232.7(sexual)-239.3(minor-)]TJ T* [(ity)-383.7(women)]TJ 7.3823 0 0 6.5614 356.3149 137.9338 Tm (24,59,60)Tj 9.843 0 0 9.843 385.9085 133.5685 Tm [(and)-384.6(greater)-379.9(life)-385.9(satisfaction.)]TJ 7.3823 0 0 6.5614 499.5778 137.9338 Tm [(23,25)-7.8(,61)]TJ 9.843 0 0 9.843 529.2282 133.5685 Tm (Addi-)Tj -21.9618 -1.1174 TD [(tionally,)-566.9(lesbian)-563(and)-563.2(bisexual)-569.9(women)-561.7(with)-564.2(unsupportive)]TJ 0 -1.1116 TD [(parents)-372.8(have)-369.6(been)-369.6(shown)-369(to)-370.9(have)-369.6(more)-369.6(days)-368.2(of)-365(depression)]TJ T* [(in)-301.8(the)-292.6(previous)-303.6(month.)]TJ 7.3823 0 0 6.5614 403.2566 105.0519 Tm (20)Tj 9.843 0 0 9.843 413.5747 100.6866 Tm [(Taken)-297(together,)-302.8(the)-298.3(results)-296.7(suggest)]TJ -10.212 -1.1116 TD [(that)-253.5(various)-250.7(forms)-248.4(of)-249.8(social)-250.9(support)-249.5(may)-253.4(prove)-248.5(benecial)-250.8(for)]TJ 0 -1.1174 TD [(promoting)-305.1(good)-298.1(mental)-304.2(health)-302.9(in)-301.8(sexual)-302.6(minority)-304.1(women.)]TJ 1.0137 -1.1116 TD [(In)-232.6(the)-229.2(nal)-230.2(regression,)-229.6(depression)-231.9(was)-229.8(uniquely)-234.9(associated)]TJ -1.0137 -1.1116 TD [(with)-345.4(wellness)-340.2(behavior,)-343(which)-341.7(is)-336.2(also)-339.6(in)-342.2(line)-339.9(with)-339.6(previous)]TJ ET q 1 i 62.589 191.339 m 300.529 191.339 l 300.529 85.72 l 62.589 85.72 l W n q 238.023 0 0 105.619 62.589 85.72 cm /Im1 Do Q Q BT /F6 1 Tf 9.845 0 0 9.845 62.022 66.7276 Tm [(FIG.)-503.7(2.)]TJ /F5 1 Tf 4.2844 0 TD [(Mediation)-473.3(Model)-473.6(of)-468.4(Outness)-475.2(to)-468.6(Family,)-472.5(Social)]TJ -4.2844 -1.0135 TD [(Support)-300.6(from)-298.8(Friends,)-305(Depression,)-304.2(and)-297.8(Wellness)-306.1(Behavior.)]TJ ET q 1 i 62.759 732.245 m 300.416 732.245 l 300.416 627.364 l 62.759 627.364 l W n q 237.657 0 0 104.882 62.759 627.364 cm /Im2 Do Q Q BT /F6 1 Tf 9.845 0 0 9.845 62.022 608.3715 Tm [(FIG.)-503.7(1.)]TJ /F5 1 Tf 4.2844 0 TD [(Mediation)-473.3(Model)-473.6(of)-468.4(Outness)-475.2(to)-468.6(Family,)-472.5(Social)]TJ -4.2844 -1.0135 TD [(Support)-300.6(from)-298.8(Family,)-305.5(Depression,)-304.2(and)-297.8(Wellness)-306.1(Behavior.)]TJ /F3 1 Tf 8.9663 0 0 8.9663 62.022 749.5368 Tm (246)Tj 46.9666 0 TD [(TABAAC)-304.3(ET)-300.7(AL.)]TJ ET endstream endobj 60 0 obj <>stream AdobedC        s!1AQa"q2B#R3b$r%C4Scs5D'6Tdt& EFVU(eufv7GWgw8HXhx)9IYiy*:JZjz?Nlٳf͛6D6uGD&`[iمv9WխywL?hKm~˘0]t9?7UO]YS(_t9?iO]I^WT5"~tԗ5ȟ+VaփOQ_Ǘ˧/kƟ%~tӗ5&~tR=?iwO])^WC.O7C.O7C.O ?&5=gO0go<K Vފ+Ӯvٳf͛6lٳf͛6lٳf͛6lٳf͛6lٳf͛6lٳf/I76oՑ|êy{OִOAnT׈Wr"ysYuO/y6Vۄ5dGlECMҵ=s:֮DكYrDJӬtij5[P:nzuf~U6WwPm{Λ$Kh;& 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[(taking)-491.8(a)-491.8(prevention)-491.6(approach)-490.3(may)-489.5(be)-487.2(able)-490.7(to)-486.1(work)-489.1(with)]TJ T* [(LBQ)-426.9(women)-429.2(struggling)-425.9(with)-426(disclosure)-433.6(by)-422.7(assisting)-431.3(them)]TJ 0 -1.1174 TD [(to)-538(decid)-8(e)-537.9(whether)-540.9(to)-538(come)-537.9(out)-539.1(to)-538(the)-540.2(right)-541.4(people)-539(and)]TJ 0 -1.1116 TD [(under)-461.7(what)-455.8(contexts,)-458.1(as)-458.2(doing)-454.9(so)-457(could)-456.1(create)-460.6(a)-457.3(stronger)]TJ T* [(sense)-278.1(of)-267.1(identity)-275.4(as)-268.1(well)-277.4(as)-268.1(expand)-273.9(social)-273.9(support.)-270.2(Addition-)]TJ 0 -1.1174 TD [(ally,)-579.5(interventions)-581.4(may)-575.9(be)-573.6(helpful)-579.3(in)-578.3(encouraging)-574.4(LBQ)]TJ 0 -1.1116 TD [(women)-429.2(to)-428.5(build)-426.2(healthier)-434.2(relationships)-431.4(with)-426(their)-427.4(families)]TJ T* [(and)-240.6(re-forge)-247.2(connections)-240.3(between)-242.6(potentially)-245.5(estranged)-243.7(fam-)]TJ 0 -1.1174 TD [(ily)-372.2(me)18.4(mb)19.6(er)19.7(s)-358(t)0(o)-347.9(a)0(d)19.7(d)0(r)15.1(e)0(s)19.9(s)-358(co)19.7(n)21(ic)19.6(ti)14.8(ng)-347.8(em)18.5(ot)20.7(io)20.7(ns)-347.6(an)19.7(d)-358.2(g)0(e)19.7(n)0(e)13.9(r)0(a)19.7(t)0(e)-349.1(a)]TJ 0 -1.1116 TD [(gr)15.1(ea)18.5(te)19.6(r)-225.7(s)0(e)19.9(n)0(s)21(e)-226.9(of)-215.3(em)18.5(pa)13.9(th)20.7(y)-225.7(f)0(o)20.9(r)-225.7(ea)18.5(ch)-216.5(ot)20.7(he)19.7(r.)]TJ 7.3823 0 0 6.5614 213.7889 242.022 Tm (57)Tj 9.843 0 0 9.843 223.3133 237.6566 Tm [(By)-216.3(cr)19.7(ea)18.5(ti)14.8(ng)-215.3(he)19.7(al)19.6(th)20.7(y)]TJ -16.6168 -1.1116 TD [(re)14(la)19.6(ti)20.6(on)20.8(sh)21(ip)20.7(s,)-257.8(fa)19.7(mi)19.5(li)20.6(es)-256.6(of)-255.6(LB)18.6(Q)-266.9(w)0(o)20(m)0(e)18.4(n)-260.3(co)19.7(ul)14.9(d)-260.3(b)0(e)-256.8(b)0(e)19.7(t)0(t)20.6(e)0(r)-256.8(a)0(b)19.7(l)0(e)-256.9(t)0(o)]TJ T* [(em)18.5(pa)19.7(th)15(iz)19.6(e)-249.9(w)0(i)19.8(t)0(h)-244.2(L)15(BQ)-246(wo)20(me)18.4(n)-248.8(a)0(n)19.7(d)-254.5(su)21(bs)21(eq)19.7(ue)19.7(nt)20.7(ly)-244.2(pr)20.9(ov)20.8(id)20.7(e)-255.7(s)0(o)21(c)0(i)19.6(a)0(l)]TJ 0 -1.1174 TD [(su)15.3(pp)20.8(or)20.9(t)-243.1(a)0(s)-239.3(t)0(h)20.7(e)0(s)19.9(e)-249.9(wo)20(me)18.4(n)-243(n)0(a)13.9(v)0(i)20.7(g)0(a)19.7(t)0(e)-233.9(t)0(h)15(e)-244.2(ef)19.7(fe)19.7(ct)19.6(s)-248.6(o)0(f)-238.3(g)0(r)20.9(e)0(a)18.5(t)0(e)19.6(r)-248.7(di)20.7(sc)19.9(lo)20.7(-)]TJ 0 -1.1116 TD [(su)15.3(re)19.7(.)-343.3(C)0(o)19.8(g)0(n)20.8(i)0(t)20.6(i)0(v)20.7(e)-342.1(be)19.7(ha)19.7(vi)20.7(or)15.1(al)-331.8(th)20.7(er)19.7(ap)19.7(y)-340.9(m)0(a)18.4(y)-340.9(al)13.8(so)-330.3(pr)20.9(ov)20.8(e)-342.1(u)0(s)15.3(e)0(f)19.7(u)0(l)-330.6(i)0(n)]TJ T* [(he)19.7(lp)15(in)20.7(g)-415.8(e)0(l)19.6(i)0(m)19.5(i)0(n)15(a)0(t)19.5(e)-417(co)19.7(gn)20.8(it)14.8(iv)20.7(e)-417(d)0(i)20.7(s)0(t)15.1(o)0(r)20.9(t)0(i)20.6(o)0(n)20.8(s)-421.4(su)21(rr)20.9(ou)20.8(nd)15.1(in)20.7(g)-415.8(b)0(e)19.7(i)0(n)20.7(g)-421.6(a)]TJ 0 -1.1174 TD [(se)14.1(xu)20.8(al)-406.7(mi)19.5(no)20.8(ri)20.7(ty)-411.3(wo)20(ma)18.4(n)-415.8(a)0(n)19.7(d)-415.8(re)19.7(du)20.8(ce)-413.5(de)19.7(pr)20.9(es)19.9(si)20.9(on)15.1(.)]TJ 7.3823 0 0 6.5614 250.4125 176.2582 Tm (63)Tj 9.843 0 0 9.843 261.8078 171.8929 Tm [(Ha)18.8(vi)14.9(ng)-405.4(a)]TJ -20.5276 -1.1116 TD [(gr)15.1(ea)18.5(te)19.6(r)-381.2(u)0(n)20.8(d)0(e)19.7(r)0(s)15.3(t)0(a)19.6(n)0(d)20.8(i)0(n)20.7(g)-381.2(an)19.7(d)-381.2(a)0(w)18.8(a)0(r)14(e)0(n)19.7(e)0(s)19.9(s)-381(of)-376.5(in)20.7(te)19.6(rn)20.9(al)19.5(iz)19.6(ed)-372(he)13.9(te)19.6(ro)20.9(-)]TJ T* [(se)14.1(xi)20.7(sm)-389.1(co)19.7(ul)15(d)-398.5(e)0(n)19.7(c)0(o)19.7(u)0(r)20.9(a)0(g)13.9(e)-399.7(gr)20.9(ea)18.5(te)19.6(r)-404.2(s)0(e)19.9(l)0(f)20.7(-)0(a)14(c)0(c)18.5(e)0(p)19.7(t)0(a)19.6(n)0(c)19.7(e)0(,)-391.6(r)0(e)19.7(d)0(u)20.8(c)0(e)-396.2(d)0(e)19.7(-)]TJ 0 -1.1174 TD [(pr)15.1(es)19.9(si)20.9(on)20.8(,)-291.4(a)0(n)19.7(d)-289.1(pr)20.9(om)19.6(ot)20.7(e)-296(o)0(v)20.8(e)0(r)19.7(a)0(l)19.5(l)-289.2(gr)20.9(ea)18.5(te)13.8(r)-289(w)0(e)18.8(l)0(l)20.6(n)0(e)19.7(s)0(s)-278.3(b)0(e)13.9(h)0(a)19.7(v)0(i)20.7(o)0(r)20.9(.)]TJ /F10 1 Tf 8.9663 0 0 8.9663 59.7543 117.1275 Tm [(Limitations)-307.7(and)-297.8(future)-300.6(directions)]TJ /F5 1 Tf 9.843 0 0 9.843 69.7323 100.6866 Tm [(This)-339.6(study)-339.5(has)-338.3(several)-345.2(limitations,)-341.1(and)-338.5(as)-343(a)-336.3(result,)-345.3(direc-)]TJ -1.0137 -1.1116 TD [(tions)-259(for)-256.7(future)-255.5(research.)-258.5(Though)-255.5(this)-252.1(was)-258.6(a)-255.7(national)-259.2(sample,)]TJ 0 -1.1174 TD [(participants)-310.7(were)-301.3(recruited)-307.3(through)-301.6(online)-301.8(forums)-307.1(and)-304(com-)]TJ 0 -1.1116 TD [(munity)-520.7(groups.)-522.4(Participants)-523.7(may)-524.1(have)-519.3(been)-525.1(more)-519.4()50.8(out)46.3()]TJ T* [(and)-419.2(subsequently)-424.4(more)-421.5(connected)-417.9(to)-422.8(support)-416.6(communities)]TJ 25.5097 67.9357 TD [(than)-397.4(LBQ)-398.1(women)-400.4(in)-394(the)-402(general)-397.2(population.)-401.9(Additionally,)]TJ 0 -1.1174 TD [(participants)-224.3(had)-223.3(a)-226.9(fairly)-226.8(high)-223.4(level)-221.2(of)-226.8(education,)-224.4(with)-224.4(the)-223.5(ma-)]TJ 0 -1.1116 TD [(jority)-329.5(having)-324.7(completed)-331.7(at)-331.8(least)-330.4(some)-329.1(college.)-325.9(Given)-330.2(that)-328.4(a)]TJ T* [(higher)-359.2(level)-359.4(of)-359.3(education)-365(may)-357(be)-360.5(associated)-366.9(with)-356.9(less)-362.4(psy-)]TJ T* [(chological)-349(distress,)-352.9(it)-348(will)-351.2(be)-348.9(important)-352.5(in)-347.9(future)-347.7(studies)-348.6(to)]TJ 0 -1.1174 TD [(recruit)-511.3(participants)-512.3(with)-506.6(less)-512.2(education.)-512.4(Furthermore,)-514.3(the)]TJ 0 -1.1116 TD [(process)-303.4(by)-301.7(which)-301.4(participants)-305(initiated)-300.9(the)-304.1(survey)-301.3(\(emailing)]TJ T* [(the)-229.2(study)-230.1(coordinator)-233.5(personally\))-233.3(may)-230.3(have)-231.4(generated)-233.5(a)-226.9(sam-)]TJ 0 -1.1174 TD [(ple)-327.1(that)-334.1(was)-333.4(highly)-329.4(motivated)-330.6(to)-330.6(complete)-330.6(the)-332.9(study.)-331.4(Addi-)]TJ 0 -1.1116 TD [(tionally,)-434.4(the)-436.6(small)-434.2(sample)-436.3(size)-432.9(precludes)-439.5(the)-436.6(provision)-436.2(of)]TJ T* [(t)-267.1(indices)-275.1(of)-267.1(the)-269.5(path)-270.6(models.)-277.3(Future)-266.9(research)-278.1(should)-265.7(recruit)]TJ 0 -1.1174 TD [(larger)-320(samples)-316.3(as)-320(well)-317.7(as)-320(one)-315.5(that)-316.8(is)-318.9(more)-317.8(representative)-326.6(of)]TJ 0 -1.1116 TD [(the)-200.4(spectrum)-202.3(of)-203.8(outness)-198.7(among)-203.7(LBQ)-202.2(women.)-202.3(Since)-203.6(structural)]TJ T* [(equation)-339.7(modeling)-339.8(with)-339.6(a)-342.1(sample)-344.2(size)-340.7(of)-336.2(150)-343.1(cannot)-337.4(easily)]TJ 0 -1.1174 TD [(control)-343.2(for)-343.1(the)-344.4(demographic)-345.2(differences)-344.9(in)-342.2(wellness)-345.9(behav-)]TJ 0 -1.1116 TD [(iors)-332.6(found)-333.8(in)-330.6(the)-332.9(exploratory)-331.4(analyses,)-338(future)-336.1(research)-335.7(with)]TJ T* [(larger)-273.9(sample)-275.1(sizes)-272.5(would)-277.2(also)-270.5(be)-274.1(able)-271.8(to)-273(remove)-275.1(the)-269.5(effects)]TJ T* [(of)-411.1(these)-416.7(d)21.9(e)26.5(m)20.7(o)27.7(g)27.7(r)22(a)26.5(p)21.9(h)27.7(i)21.8(c)26.5(s)-386.8(o)21.9(r)-387(t)21.8(o)-387(d)21.9(e)26.5(t)27.6(e)20.8(r)27.7(m)26.5(i)21.8(n)27.7(e)-393.9(w)26.8(h)21.9(e)26.5(t)27.6(h)21.9(e)26.5(r)-392.7(t)27.6(h)27.7(e)20.8(s)27.9(e)-393.9(d)27.7(e)20.8(m)26.5(o)27.7(-)]TJ 0 -1.1174 TD -.0273 Tc [(gr)-5.3(ap)-5.4(hic)-6.5(s)-321.9(mod)-5.4(e)-.8(r)-5.3(a)-.8(t)-5.5(e)-317.5(t)-5.5(h).4(e)-323.3(r).4(e)-6.5(l).3(a)-6.5(t).3(i)-5.5(ons)-5.2(hi)-5.5(ps)-321.9(a)-6.5(m)-.8(on)-5.4(g)-316.4(k)-5.4(ey)-322.1(c)-6.5(o).4(mp)-5.4(on)-5.4(ent)-5.5(s)-322(of)]TJ 0 -1.1116 TD [(th)-5.5(e)-294.6(m)-6.7(ode)-6.6(l.)-301.5(Fi)-5.6(nal)-5.6(l).2(y)-5.5(,)-295.8(be)-6.6(ca)-6.6(us)-5.3(e)-294.6(t)-5.6(he)-300.4(da)-6.6(ta)-300.4(ar)-5.4(e)-294.6(c)-6.6(or)-5.4(rel)-5.6(a)-.9(t)-5.6(i).2(o)-5.5(n).3(al)-299.3(i)-5.6(n)-293.4(n)-5.4(a)-.9(t)-5.6(u).3(r)-5.4(e)-.9(,)]TJ T* -.0227 Tc [(t)4.9(r)-.7(u)5(e)-278.4(cau)5(s)-.6(at)4.9(io)5(n)-277.2(c)3.8(an)5(no)5(t)-277.4(b)5(e)-278.4(p)5(ro)5(ved)-277.2(f)5(ro)5(m)-278.4(t)4.9(he)-272.6(path)-271.5(an)5(al)4.9(ys)5.2(i)4.9(s)-.6(.)-273.8(I)-.7(n)5(d)-.8(eed,)]TJ 0 -1.1174 TD -.0254 Tc [(greater)-239.6(social)-239.7(suppor)]TJ 7.8505 0 TD -.0262 Tc [(t)-234.8(c)-5.4(ould)-240.4(le)-5.4(ad)-240.4(to)-240.4(greater)]TJ 8.4668 0 TD -.0233 Tc [(o)4.4(u)-1.4(t)4.3(n)-1.4(ess)4.6(,)-234.1(or)-237.5(i)4.3(m)3.2(pr)4.4(ov)4.4(ed)]TJ -16.3172 -1.1116 TD -.0273 Tc [(men)-5.4(ta)-6.5(l)-258.9(h).4(e)-6.5(a)-.8(l)-5.5(t).3(h)-258.8(c)-6.5(ou)-5.4(ld)-258.8(m)-6.6(a)-.8(ke)-265.7(it)-258.9(e)-6.5(a)-.8(s)-5.2(i).3(er)-264.5(to)-258.8(h)-5.4(a)-.8(v)-5.4(e)-259.9(be)-6.5(tt)-5.5(er)-258.7(s)-5.2(o).4(c)-6.5(i).3(al)-264.7(su)-5.4(pp)-5.4(ort)-5.5(.)]TJ T* [(Lo)-5.5(ngi)-5.6(tu)-5.5(di)-5.6(nal)-333.9(d).3(e)-6.6(s).5(i)-5.6(g).3(n)-5.5(s)-327.8(em)-6.7(pl)-5.6(oyi)-5.6(ng)-333.8(cr)-5.4(os)-5.3(s-)-5.4(la)-6.6(gge)-6.6(d)-328(p)-5.5(ane)-6.6(l)-328.1(t)-5.6(e)-.9(c)-6.6(hni)-5.6(qu)-5.5(es)]TJ 0 -1.1174 TD [(in)-305(fu)-5.5(tu)-5.5(re)-300.4(r)-5.4(e)-.9(s)-5.3(e)-.9(a)-6.6(r).3(c)-6.6(h)-299.2(co)-5.5(ul)-5.6(d)-299.2(b)-5.5(ett)-5.6(e)-.9(r)-304.9(p).3(a)-6.6(r).3(s)-5.3(e)-300.4(o)-5.5(u).3(t)-305.1(cau)-5.5(sa)-6.6(li)-5.6(ty.)]TJ /F3 1 Tf 8.9663 0 0 8.9663 310.8472 440.6172 Tm 0 Tc (Conclusion)Tj /F5 1 Tf 9.843 0 0 9.843 320.8251 424.1763 Tm [(Despite)-368.1(these)-370.6(limitations,)-369.9(the)-367.5(current)-373(study)-362.5(modeled)-374.3(po-)]TJ -1.0137 -1.1116 TD [(tential)-281.3(links)-282(between)-282.9(outness)-279.3(and)-280.9(wellness)-288.3(behaviors)-282.9(in)-278.8(sex-)]TJ 0 -1.1174 TD [(ual)-309.9(minority)-309.9(women,)-311.7(with)-310.8(mediating)-313.4(roles)-311.8(of)-313.2(social)-308.5(support)]TJ 0 -1.1116 TD 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310.8472 267.137 Tm [(Author)-300.8(Disclosure)-305.1(Statement)]TJ /F5 1 Tf 9.843 0 0 9.843 320.8251 250.696 Tm [(No)-296.8(conicting)-307.3(nancial)-300.4(interests)-306(exist.)]TJ /F3 1 Tf 8.9663 0 0 8.9663 310.8472 229.7763 Tm (References)Tj /F5 1 Tf 9.2951 0 0 9.2951 315.496 213.7322 Tm [(1.)-500.4(Hutchinson)-291.9(MK,)-294(Thompson)-288.4(AC,)-293.4(Cederbaum)-295.1(JA:)-293.3(Multisys-)]TJ 1.2503 -1.1284 TD [(tem)-345.2(factors)-354.2(contributing)-353.6(to)-347.4(disparities)-349.8(in)-353.5(preventive)-350.7(health)]TJ 0 -1.1223 TD [(care)-503.5(among)-498.5(lesbian)-507.5(women.)-500.2(J)-499.4(Obstet)-504.8(Gynecol)-504.5(Neonatal)]TJ 0 -1.1284 TD [(Nurs)-302.5(2006;35:393402.)]TJ -1.2503 -1.1223 TD [(2.)-500.4(Valanis)-313.9(BG,)-317.8(Bowen)-316.3(DJ,)-312.1(Bassford)-318(T,)-319.3(et)-315(al.:)-314.6(Sexual)-316.6(orienta-)]TJ 1.2503 -1.1284 TD [(tion)-298.3(and)-303.5(health:)-300.5(Comparisons)-302.9(in)-298.6(the)-302.9(womens)-306.7(health)-300.9(initia-)]TJ 0 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[(2)-18(1)0(:)-5.4(1)-18(91)-18(1)-18(9)6.1(8)-18(.)]TJ -1.7505 -1.1284 TD 0 Tc [(12.)-500.5(Austin)-305.4(EL,)-303(Irwin)-305.2(JA:)-305.5(Health)-302.5(behaviors)-303.3(and)-303.5(health)-307(care)-308.3(uti-)]TJ 1.7505 -1.1284 TD [(lization)-324.4(of)-319.8(southern)-317.3(lesbians.)-323.9(Womens)-319.2(Health)-326.9(Issues)-321.9(2010;)]TJ 0 -1.1223 TD (20:178184.)Tj -1.7505 -1.1284 TD [(13.)-500.5(Gruskin)-241.3(EP,)-236.9(Hart)-239.9(S,)-241(Gordon)-236.5(N,)-239.7(Ackerson)-238.3(L:)-239.5(Patterns)-244.5(of)-234.4(cig-)]TJ 1.7505 -1.1223 TD [(arette)-228.1(smoking)-224.8(and)-224.2(alcohol)-227.9(use)-229.4(among)-224.1(lesbians)-226.2(and)-224.2(bisexual)]TJ 0 -1.1284 TD [(women)-244(enrolled)-242.5(in)-237.6(a)-242.2(large)-242.6(health)-246(maintenance)-240.6(organization.)]TJ 0 -1.1223 TD [(Am)-300.3(J)-298.1(Public)-305.7(Health)-302.5(2001;91:976979.)]TJ -1.7505 -1.1284 TD 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