Beyond Generalized Sexual Prejudice: Need for Closure Predicts Negative Attitudes Toward Bisexual People Relative to Gay/Lesbian People.

Science.gov (United States)

Burke, Sara E; Dovidio, John F; LaFrance, Marianne; Przedworski, Julia M; Perry, Sylvia P; Phelan, Sean M; Burgess, Diana J; Hardeman, Rachel R; Yeazel, Mark W; van Ryn, Michelle

2017-07-01

Increasing evidence suggests that bisexual people are sometimes evaluated more negatively than heterosexual and gay/lesbian people. A common theoretical account for this discrepancy argues that bisexuality is perceived by some as introducing ambiguity into a binary model of sexuality. The present brief report tests a single key prediction of this theory, that evaluations of bisexual people have a unique relationship with Need for Closure (NFC), a dispositional preference for simple ways of structuring information. Participants ( n =3406) were heterosexual medical students from a stratified random sample of 49 U.S. medical schools. As in prior research, bisexual targets were evaluated slightly more negatively than gay/lesbian targets overall. More importantly for the present investigation, higher levels of NFC predicted negative evaluations of bisexual people after accounting for negative evaluations of gay/lesbian people, and higher levels of NFC also predicted an explicit evaluative preference for gay/lesbian people over bisexual people. These results suggest that differences in evaluations of sexual minority groups partially reflect different psychological processes, and that NFC may have a special relevance for bisexual targets even beyond its general association with prejudice. The practical value of testing this theory on new physicians is also discussed.

Offsetting Risks: High School Gay-Straight Alliances and Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth

Science.gov (United States)

Heck, Nicholas C.; Flentje, Annesa; Cochran, Bryan N.

2011-01-01

Lesbian, gay, bisexual, and transgender (LGBT) youth are at risk for engaging in negative health behaviors and for experiencing at-school victimization. Specific benefits of attending a high school with a gay-straight alliance (GSA), including lower levels of suicidality, have been published; however, it is unclear whether GSAs are related to…

Perceived Career Barriers for Gay, Lesbian, and Bisexual Individuals

Science.gov (United States)

Parnell, Martha Keeton; Lease, Suzanne H.; Green, Michael L.

2012-01-01

This study examined career-related barriers that gay, lesbian, and bisexual (GLB) individuals had encountered in the past and anticipated in the future and the degree of hindrance associated with future barriers. Two hundred forty-one GLB participants (126 women and 115 men) completed the Career Barriers Inventory-Revised and 11 additional items…

Victimization and Suicidality Among Dutch Lesbian, Gay, and Bisexual Youths

NARCIS (Netherlands)

van Bergen, Diana; Bos, Henny M.W.; van Lisdonk, jantine; Keuzenkamp, S; Sandfort, T.G.M

2013-01-01

We examined Netherlands Institute for Social Research data, collected between May and August 2009, on 274 Dutch lesbian, gay, and bisexual youths. The data showed that victimization at school was associated with suicidal ideation and actual suicide attempts. Homophobic rejection by parents was also

Victimization and suicidality among Dutch lesbian, gay, and bisexual youths

NARCIS (Netherlands)

van Bergen, D.D.; Bos, H.M.W.; van Lisdonk, J.; Keuzenkamp, S.; Sandfort, T.G.M.

2013-01-01

We examined Netherlands Institute for Social Research data, collected between May and August 2009, on 274 Dutch lesbian, gay, and bisexual youths. The data showed that victimization at school was associated with suicidal ideation and actual suicide attempts. Homophobic rejection by parents was also

Victimization and suicidality among Dutch lesbian, gay and bisexual youths

NARCIS (Netherlands)

van Bergen, D.D.; Bos, H.M.W.; van Lisdonk, J.; Keuzenkamp, S.; Sandfort, T.G.M.

2013-01-01

We examined Netherlands Institute for Social Research data, collected between May and August 2009, on 274 Dutch lesbian, gay, and bisexual youths. The data showed that victimization at school was associated with suicidal ideation and actual suicide attempts. Homophobic rejection by parents was also

Informal Mentoring for Lesbian, Gay, Bisexual, and Transgender Students

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Mulcahy, Molly; Dalton, Sarah; Kolbert, Jered; Crothers, Laura

2016-01-01

The authors identified the process that 10 lesbian, gay, bisexual, and transgender (LGBT) high school students used to establish an informal adult-mentor relationship with a school personnel member. Five major themes emerged: (a) how LGBT students determined whether this person would be a safe mentor, (b) a listing of the important qualities of…

Security for women and the lesbian, gay, bisexual, transgender and ...

International Development Research Centre (IDRC) Digital Library (Canada)

Security for women and the lesbian, gay, bisexual, transgender and intersex people in the conflict-affected regions in Colombia. Colombia is currently in the process of concluding peace negotiations with the guerrilla group Colombian Revolutionary Armed Forces (FARC). One of the principal expectations generated by the ...

Visibility and coping with minority stress: a gender-specific analysis among lesbians, gay men, and bisexuals in Flanders.

Science.gov (United States)

Dewaele, Alexis; Van Houtte, Mieke; Vincke, John

2014-11-01

The role of visibility management strategies, as an extended measure of outness related to sexual orientation, has been rarely studied with the aim of explaining the experience of external stressors (i.e., experiences of everyday discrimination and perceived sanctioning of cross-gender behavior) and internal stressors (i.e., internalized homonegativity and general mental distress). In this study, we examined gender differences within these relationships. A non-representative sample of 2,378 lesbians, gay men, and bisexuals was recruited. We found that lesbian and bisexual women scored significantly higher on perceived cross-gender sanctioning and general mental distress compared to gay and bisexual men. Multivariate analysis showed that visibility management was significantly related to the experience of internalized homonegativity in both men and women. Visibility management mediated the relationship between experiences of every day discrimination on the one hand and internalized homonegativity and general mental distress on the other. Finally, we found that compared to gay and bisexual men, lesbian and bisexual women who maintained relatively closed visibility management strategies, reported lower scores on internalized homonegativity but higher scores on general mental distress. We found fewer gender differences related to visibility management than expected and those that we did find were relatively small. Flemish lesbian and bisexual women and gay and bisexual men appear to more alike than different.

Religion-related stigma and discrimination experienced by lesbian, gay, bisexual and transgender students at a South African rural-based university.

Science.gov (United States)

Mavhandu-Mudzusi, Azwihangwisi Helen; Sandy, Peter Thomas

2015-01-01

This paper reports on the stigma and discrimination experienced by lesbian, gay, bisexual and transgender students at a rural university in South Africa. Twenty lesbian, gay, bisexual and transgender students recruited through snowball sampling participated in this study. Interpretative Phenomenological Analysis was used as a framework for data analysis. Findings indicate that religion-related stigma and discrimination are common at a rural-based university in South Africa. Lesbian, gay, bisexual and transgender students are typically ascribed a range of labels, including 'sinners', 'devils' and 'demon possessed'. They are also exposed to a number of discriminatory acts, such as the denial of financial and healthcare services and threats of and/or actual rape. Study participants reported attempts to convert lesbian, gay, bisexual and transgender students' sexual orientation which involved the use of intervention in the form of prayers. Derogatory labelling and associated discriminatory acts, for example the threat of rape, led many students to conceal their sexual identity, not attend specific classes, terminate their studies and even attempt suicide. Universities should develop policies to promote greater social inclusion and the acceptance of lesbian, gay, bisexual and transgender students. Policies should also specify the steps or approaches to be taken in addressing discriminatory practices.

How Organisational Culture Influences Teachers' Support of Openly Gay, Lesbian and Bisexual Students

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Murphy, Meghan

2015-01-01

In this paper, I analyse the relationship between US high schools' organisational cultures and student perceptions of responses to anti-gay language in their school. Using data from 67 interviews with young people who identified as gay, lesbian or bisexual, I compare teachers' responses to anti-gay language in schools that do and schools that do…

Parents Awareness of Lesbian, Gay, and Bisexual Youths Sexual Orientation

Science.gov (United States)

Daugelli, Anthony R.; Grossman, Arnold H.; Starks, Michael T.

2005-01-01

This study used a sample of 293 lesbian, gay, and bisexual youth to examine factors that differentiated youth whose parents knew of their sexual orientation from youth whose parents did not know. Earlier awareness and disclosure of same-gender attractions, greater childhood gender atypicality, and less internalized homophobia were characteristic…

Internalized Homophobia and Relationship Quality among Lesbians, Gay Men, and Bisexuals

Science.gov (United States)

Frost, David M.; Meyer, Ilan H.

2009-01-01

The authors examined the associations between internalized homophobia, outness, community connectedness, depressive symptoms, and relationship quality among a diverse community sample of 396 lesbian, gay, and bisexual (LGB) individuals. Structural equation models showed that internalized homophobia was associated with greater relationship problems…

Gay and Lesbian Medical Association

Science.gov (United States)

... men who have sex with men (MSM), including gay and bisexual men. GLMA President Jesse Joad, MD, ... to establish clear and comprehensive regulations ensuring lesbian, gay, bisexual and transgender people do not face discrimination ...

Sociodemographic Characteristics and Health Outcomes Among Lesbian, Gay, and Bisexual U.S. Adults Using Healthy People 2020 Leading Health Indicators.

Science.gov (United States)

Lunn, Mitchell R; Cui, Wanjun; Zack, Matthew M; Thompson, William W; Blank, Michael B; Yehia, Baligh R

2017-08-01

This study aimed to characterize the sociodemographic characteristics of sexual minority (i.e., gay, lesbian, bisexual) adults and compare sexual minority and heterosexual populations on nine Healthy People 2020 leading health indicators (LHIs). Using a nationally representative, cross-sectional survey (National Health Interview Survey 2013-2015) of the civilian, noninstitutionalized population (228,893,944 adults), nine Healthy People 2020 LHIs addressing health behaviors and access to care, stratified using a composite variable of sex (female, male) and sexual orientation (gay or lesbian, bisexual, heterosexual), were analyzed individually and in aggregate. In 2013-2015, sexual minority adults represented 2.4% of the U.S. Compared to heterosexuals, sexual minorities were more likely to be younger and to have never married. Gays and lesbians were more likely to have earned a graduate degree. Gay males were more likely to have a usual primary care provider, but gay/lesbian females were less likely than heterosexuals to have a usual primary care provider and health insurance. Gay males received more colorectal cancer screening than heterosexual males. Gay males, gay/lesbian females, and bisexual females were more likely to be current smokers than their sex-matched, heterosexual counterparts. Binge drinking was more common in bisexuals compared to heterosexuals. Sexual minority females were more likely to be obese than heterosexual females; the converse was true for gay males. Sexual minorities underwent more HIV testing than their heterosexual peers, but bisexual males were less likely than gay males to be tested. Gay males were more likely to meet all eligible LHIs than heterosexual males. Overall, more sexual minority adults met all eligible LHIs compared to heterosexual adults. Similar results were found regardless of HIV testing LHI inclusion. Differences between sexual minorities and heterosexuals suggest the need for targeted health assessments and public

Using Theatre to Change Attitudes toward Lesbian, Gay, and Bisexual Students

Science.gov (United States)

Iverson, Susan V.; Seher, Christin

2014-01-01

Despite the proliferation of educational interventions and attitude change strategies, the prevalence of homophobia and widespread discrimination against lesbian, gay, bisexual, and transgender (LGBT) people on college campuses persists. This study investigates the impact of theatre on changes in college students' attitudes. Using a pre- and…

Oversampling as a methodological strategy for the study of self-reported health among lesbian, gay and bisexual populations

DEFF Research Database (Denmark)

Anderssen, Norman; Malterud, Kirsti

2017-01-01

Aims: Epidemiological research on lesbian, gay and bisexual populations raises concerns regarding self-selection and group sizes. The aim of this research was to present strategies used to overcome these challenges in a national population-based web survey of self-reported sexual orientation...... and living conditions—exemplified with a case of daily tobacco smoking. Methods: The sample was extracted from pre-established national web panels. Utilizing an oversampling strategy, we established a sample including 315 gay men, 217 bisexual men, 789 heterosexual men, 197 lesbian women, 405 bisexual women...

Acceptance of lesbian, gay, bisexual and transgender individuals in the Netherlands 2013

NARCIS (Netherlands)

Saskia Keuzenkamp; Lisette Kuyper

2013-01-01

Original title: Acceptatie van homoseksuelen, biseksuelen en transgenders in Nederland 2013 The Dutch government is committed to equal rights for and social acceptance of lesbian, gay, bisexual and transgender (LGBT) individuals, and also to securing their acceptance in Dutch society. Since

Health disparities between lesbian, gay, and bisexual adults and the general population in South Korea: Rainbow Connection Project I

Directory of Open Access Journals (Sweden)

Horim Yi

2017-10-01

Full Text Available OBJECTIVES This study aims to investigate health disparities between lesbian, gay, and bisexual (LGB adults and the general population in Korea, where there is low public acceptance of sexual minorities and a lack of research on the health of sexual minorities. METHODS The research team conducted a nationwide survey of 2,335 Korean LGB adults in 2016. Using the dataset, we estimated the age-standardized prevalence ratios (SPRs for poor self-rated health, musculoskeletal pain, depressive symptoms, suicidal behaviors, smoking, and hazardous drinking. We then compared the SPRs of the LGB adults and the general population which participated in three different nationally representative surveys in Korea. SPRs were estimated for each of the four groups (i.e., gay men, bisexual men, lesbians, and bisexual women. RESULTS Korean LGB adults exhibited a statistically significantly higher prevalence of depressive symptoms, suicidal ideation and attempts, and musculoskeletal pain than the general population. Lesbian and bisexual women had a higher risk of poor self-rated health and smoking than the general women population, whereas gay and bisexual men showed no differences with the general men population. Higher prevalence of hazardous drinking was observed among lesbians, gay men, and bisexual women compared to the general population, but was not observed in bisexual men. CONCLUSIONS The findings suggest that LGB adults have poorer health conditions compared to the general population in Korea. These results suggest that interventions are needed to address the health disparities of Korean LGB adults.

Health disparities between lesbian, gay, and bisexual adults and the general population in South Korea: Rainbow Connection Project I.

Science.gov (United States)

Yi, Horim; Lee, Hyemin; Park, Jooyoung; Choi, Bokyoung; Kim, Seung-Sup

2017-01-01

This study aims to investigate health disparities between lesbian, gay, and bisexual (LGB) adults and the general population in Korea, where there is low public acceptance of sexual minorities and a lack of research on the health of sexual minorities. The research team conducted a nationwide survey of 2,335 Korean LGB adults in 2016. Using the dataset, we estimated the age-standardized prevalence ratios (SPRs) for poor self-rated health, musculoskeletal pain, depressive symptoms, suicidal behaviors, smoking, and hazardous drinking. We then compared the SPRs of the LGB adults and the general population which participated in three different nationally representative surveys in Korea. SPRs were estimated for each of the four groups (i.e., gay men, bisexual men, lesbians, and bisexual women). Korean LGB adults exhibited a statistically significantly higher prevalence of depressive symptoms, suicidal ideation and attempts, and musculoskeletal pain than the general population. Lesbian and bisexual women had a higher risk of poor self-rated health and smoking than the general women population, whereas gay and bisexual men showed no differences with the general men population. Higher prevalence of hazardous drinking was observed among lesbians, gay men, and bisexual women compared to the general population, but was not observed in bisexual men. The findings suggest that LGB adults have poorer health conditions compared to the general population in Korea. These results suggest that interventions are needed to address the health disparities of Korean LGB adults.

Occupational therapy practitioners' comfort level and preparedness in working with individuals who are gay, lesbian, or bisexual.

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Javaherian, Heather; Christy, Amanda B; Boehringer, Molly

2008-01-01

Occupational therapists and other allied health professionals face diversity with their clients, including sexual orientation. The purpose of this study was to determine the preparedness and comfort level of occupational therapy practitioners in working with gay, lesbian, and bisexual clients. A 23-item survey was mailed to 1,051 practitioners in a midwestern state. Eighty-eight were undeliverable and 373 usable surveys were returned, yielding a 39% response rate. Most respondents felt prepared and comfortable to work with clients who are gay, lesbian, or bisexual, and 48% agreed that sexuality influences occupational choices. Twenty-nine percent agreed that sexual orientation influences occupational therapy treatment. Less than 20% of the respondents, however, received education and used inclusive language in their documentation, and only 14% reported having resources and support services for clients who are gay, lesbian, or bisexual. Effective education and policy-making strategies are necessary to ensure an accepting therapeutic environment and respect for the role of sexual orientation in the intervention process.

School Counselors and Social Justice Advocacy for Lesbian, Gay, Bisexual, Transgender, and Questioning Students

Science.gov (United States)

Bidell, Markus P.

2011-01-01

Lesbian, gay, bisexual, transgender, or questioning (LGBTQ) students often face considerable isolation, discrimination, and violence at school, which can exacerbate the acute psychosocial and academic problems they already encounter. The purpose of this article is to introduce gay-straight alliances (GSAs) as a social justice and advocacy approach…

Construction and Validation of the Lesbian, Gay, Bisexual, and Transgendered Climate Inventory

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Liddle, Becky J.; Luzzo, Darrell Anthony; Hauenstein, Anita L.; Schuck, Kelly

2004-01-01

Workplace climate refers to formal and informal organizational characteristics contributing to employee welfare. Workplace climates for lesbian, gay, bisexual, and transgendered (LGBT) employees range from actively supportive to openly hostile. An instrument measuring LGBT workplace climate will enable research on vocational adjustment of LGBT…

Sexual Trajectories of Lesbian, Gay, and Bisexual Adults in the Netherlands.

Science.gov (United States)

de Graaf, Hanneke; Picavet, Charles

2018-05-01

Studies on sexual trajectories of lesbian, gay, and bisexual (LGB) people generally focus on the first same-sex attraction and sexual experience, and their relation to self-identification and coming out as LGB. Relational and opposite-sex experiences are generally not taken into account. The aim of this study was to provide a more comprehensive overview of LGBs' sexual trajectories and to distinguish subsamples with different trajectories. A sample of same-sex attracted members of an online research panel (N = 3054) completed a sexual health questionnaire, including items about the timing of sexual and relational milestones. Results showed that the majority of gay men and lesbian women had same-sex sexual and relational experiences, whereas most bisexual men and women had had experiences with the opposite sex. Among gay men and lesbian women, two trajectories emerged, differing mainly on whether people had been sexually or romantically involved with opposite-sex partners, and on age of first same-sex attraction. Among those who were not exclusively attracted to the same sex, six patterns emerged, which differed especially with regard to the nature and comprehensiveness of their same-sex experiences. Within the exclusively same-sex attracted group, the trajectory with no heterosexual experiences related to higher levels of psychological adjustment. For non-exclusive sexually attracted people, trajectories including experience of same-sex relationships seem to be most beneficial. In conclusion, both relational and opposite-sex experiences proved to be important elements of LGB men and women's sexual trajectories.

Acculturation Strategies and Mental Health in Gay, Lesbian, and Bisexual Youth

Science.gov (United States)

Cox, Nele; Vanden Berghe, Wim; Dewaele, Alexis; Vincke, John

2010-01-01

In this article, we examine the impact of acculturation strategies on minority stress and mental health in lesbian, gay, or bisexual (LGB) youth in Flanders, Belgium. Building on previous identity minority studies and on the social stress model, we investigate how LGB youth acculturate within both the LGB subculture and mainstream society and how…

School Curriculum, Policies, and Practices Regarding Lesbian, Gay, Bisexual, and Transgender Families

Science.gov (United States)

Bishop, Christa M.; Atlas, Jana G.

2015-01-01

This study examined what elementary schools in New York State are doing to recognize lesbian, gay, bisexual, and transgender (LGBT) families in terms of curriculum, policies, and practices. In all, 116 school psychologists completed an online survey regarding their districts. Findings indicated that even though most school districts serve…

Frequency of discrimination, harassment, and violence in lesbian, gay men, and bisexual in Italy.

Science.gov (United States)

Pelullo, Concetta P; Di Giuseppe, Gabriella; Angelillo, Italo F

2013-01-01

This cross-sectional study assessed the frequency of discrimination, harassment, and violence and the associated factors among a random sample of 1000 lesbian, gay men, and bisexual women and men recruited from randomly selected public venues in Italy. A face-to-face interview sought information about: socio-demographics, frequency of discrimination, verbal harassment, and physical and sexual violence because of their sexual orientation, and their fear of suffering each types of victimization. In the whole sample, 28.3% and 11.9% self-reported at least one episode of victimization because of the sexual orientation in their lifetime and in the last year. Those unmarried, compared to the others, and with a college degree or higher, compared to less educated respondents, were more likely to have experienced an episode of victimization in their lifetime. Lesbians, compared to bisexual, had almost twice the odds of experiencing an episode of victimization. The most commonly reported experiences across the lifetime were verbal harassment, discrimination, and physical or sexual violence. Among those who had experienced one episode of victimization in their lifetime, 42.1% self-reported one episode in the last year. Perceived fear of suffering violence because of their sexual orientation, measured on a 10-point Likert scale with a higher score indicative of greater fear, ranges from 5.7 for verbal harassment to 6.4 for discrimination. Participants were more likely to have fear of suffering victimization because of their sexual orientation if they were female (compared to male), lesbian and gay men (compared to bisexual women and men), unmarried (compared to the others), and if they have already suffered an episode of victimization (compared to those who have not suffered an episode). The study provides important insights into the violence experiences of lesbian, gay men, and bisexual women and men and the results may serve for improving policy initiatives to reduce such

Health Concerns for Gay and Lesbian Teens

Science.gov (United States)

... Text Size Email Print Share Health Concerns for Gay and Lesbian Teens Page Content Article Body Sexual activity Most teens, whether they are gay, lesbian, bisexual , or straight, are not sexually active. ...

The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding

National Research Council Canada - National Science Library

Committee on Lesbian, Gay, Bisexual, and Transgender Health Issues and Research Gaps and Opportunities; Board on the Health of Select Populations; Institute of Medicine

2011-01-01

At a time when lesbian, gay, bisexual, and transgender individuals--often referred to under the umbrella acronym LGBT--are becoming more visible in society and more socially acknowledged, clinicians...

Discrimination and Health among Lesbian, Gay, Bisexual and Trans People in Puerto Rico.

Science.gov (United States)

Rodríguez-Díaz, Carlos E; Jovet-Toledo, Gerardo G; Vélez-Vega, Carmen M; Ortiz-Sánchez, Edgardo J; Santiago-Rodríguez, Edda I; Vargas-Molina, Ricardo L; Rodríguez Madera, Sheilla L; Mulinelli-Rodríguez, José J

2016-09-01

To identify the experiences of discrimination among and the perceived priorities for the health of lesbian, gay, bisexual, and trans (LGBT) people in Puerto Rico (PR). Data were collected during the 2013 LGBT Pride Parade in San Juan, using a brief self-administered survey that included questions on sociodemographic characteristics, the disclosure of sexual orientation/gender identity, experiences of discrimination, experiences while receiving social and health services, and perceived healthcare priorities and needs. Most participants reported that they had disclosed their sexual orientation to at least one person. Discrimination due to sexual orientation/gender identity was most frequently reported to have occurred in school settings. At least 25% of the sample reported regular or negative experiences based on sexual orientation/gender identity when receiving government services and when looking for support from relatives. HIV/AIDS, mental health, and sexual health were identified as healthcare priorities. In bivariate analyses, mental health services and aging were the priorities most frequently reported among older participants. HIV/AIDS was the main priority only for gay men; sexual health was the main priority for bisexuals; and mental health was the main priority for lesbians. Most participants reported that their preferred modalities for health service provision were support groups and health education. The experiences of discrimination among LGBT people in PR were consistent across age groups and sexual orientation/gender identity. Policies and interventions to address discrimination in different settings are necessary. The findings also suggest the need to prioritize HIV services among gay men and to address mental and sexual health needs among lesbian and bisexual people.

Media: A Catalyst for Resilience in Lesbian, Gay, Bisexual, Transgender, and Queer Youth

Science.gov (United States)

Craig, Shelley L.; McInroy, Lauren; McCready, Lance T.; Alaggia, Ramona

2015-01-01

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth have the potential for considerable resilience. Positive media representations may mediate negative experiences and foster self-esteem, yet the relationship between resilience and both traditional offline and new online media remains underaddressed for this population. This…

School Counselor Advocacy for Lesbian, Gay, and Bisexual Students: Intentions and Practice

Science.gov (United States)

Simons, Jack D.; Hutchison, Brian; Bahr, Michael W.

2017-01-01

This study sought to understand school counselor advocacy for lesbian, gay, and bisexual (LGB) students using the theory of planned behavior (Ajzen, 2015). The authors analyzed data from a non-random sample of 398 school counselors in the United States. Participants completed demographic items and the Attitudes subscale of the Sexual Orientation…

Binge Drinking and Internalised Sexual Stigma among Italian Lesbian, Gay and Bisexual Young Adults

Directory of Open Access Journals (Sweden)

Verrastro Valera

2016-09-01

Full Text Available BACKGROUND – Literature has studied the relation between youth alcohol consumption and sexual orientation, showing that lesbian, gay and bisexual (LGB young people are at increased risk to develop alcohol-related problems compared to heterosexuals.

Stereotype or success? Prime-time television's portrayals of gay male, lesbian, and bisexual characters.

Science.gov (United States)

Raley, Amber B; Lucas, Jennifer L

2006-01-01

The current content analysis of prime-time network television during the fall of 2001 seeks to identify the representation of Gay male, Lesbian, and Bisexual characters in shows known to have one reoccurring homosexual character based on the theories of Clark and Berry. Clark (1969) established four stages of media representation for minority groups: non-representation, ridicule, regulation, and respect. The findings of the study support the premise that Gay males and Lesbians have passed Clark's stage of non-representation and have progressed into the stage of ridicule and some are moving into the stages of regulation and respect. Berry (1980) devised three periods based on the television portrayal of Blacks: The Stereotypic Age, The New Awareness, and Stabilization. Results were mixed, with only a partial support of the hypothesis that Gay males and Lesbians had advanced beyond The Stereotypic Age.

Lesbian, Gay, Bisexual, and Transgender (LGBT) Survivorship.

Science.gov (United States)

Kamen, Charles

2018-02-01

To discuss lesbian, gay, bisexual, and transgender (LGBT)-specific survivorship issues including: integrating sexual and gender minority identities with cancer survivor identities; coordinating medical care and disclosing identities to health care providers; dealing with late effects of treatment; and addressing LGBT family and relationship issues. Published articles, quotes from an online survey of 311 LGBT survivors. The transition from active cancer treatment to survivorship presents challenges, and LGBT cancer survivors may face additional challenges as they enter the survivorship phase. Oncology nurses can improve the quality of survivorship care delivered to LGBT survivors and their caregivers by addressing the disparities and gaps in health care. Copyright © 2017 Elsevier Inc. All rights reserved.

Nursing Students' Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Persons: An Integrative Review.

Science.gov (United States)

Lim, Fidelindo A; Hsu, Richard

2016-01-01

The aim of this study was to critically appraise and synthesize findings from studies on the attitudes of nursing students toward lesbian, gay, bisexual, and transgender (LGBT) persons. There is paucity of research to assess the attitudes of nursing students toward LGBT persons. An electronic search was conducted using PubMed, Medline, Web of Science, EbscoHost, PsycInfo, and the Cumulative Index to Nursing and Allied Health Literature using medical subject headings terminologies. Search terms used included gay, lesbian, transgender, bisexual, LGBT, nursing students, baccalaureate nursing, undergraduate nursing, homophobia, homosexuality, sexual minority, attitudes, discrimination, and prejudice. Less than 50 percent of the studies (5 out of 12) suggested positively leaning attitudes of nursing students toward LGBT persons; six studies reported negative attitudes, and one study reported neutral attitudes. There are some indications that student attitudes may be moving toward positively leaning. Studies published before 2000 reported a preponderance of negative attitudes.

The 2011 National School Climate Survey: The Experiences of Lesbian, Gay, Bisexual and Transgender Youth in Our Nation's Schools

Science.gov (United States)

Kosciw, Joseph G.; Greytak, Emily A.; Bartkiewicz, Mark J.; Boesen, Madelyn J.; Palmer, Neal A.

2012-01-01

In 1999, the Gay, Lesbian and Straight Education Network (GLSEN) identified the need for national data on the experiences of lesbian, gay, bisexual, and transgender (LGBT) students and launched the first National School Climate Survey (NSCS). At the time, the school experiences of LGBT youth were under-documented and nearly absent from national…

The 2009 National School Climate Survey: The Experiences of Lesbian, Gay, Bisexual and Transgender Youth in Our Nation's Schools

Science.gov (United States)

Kosciw, Joseph G.; Greytak, Emily A.; Diaz, Elizabeth M.; Bartkiewicz, Mark J.

2010-01-01

For 20 years, GLSEN (Gay, Lesbian and Straight Education Network) has worked to ensure safe schools for all students, regardless of sexual orientation, gender identity or gender expression. For 10 of those years, GLSEN has been documenting the school experiences of lesbian, gay, bisexual and transgender (LGBT) youth: the prevalence of anti-LGBT…

Identity, Stress, and Resilience in Lesbians, Gay Men, and Bisexuals of Color

Science.gov (United States)

Meyer, Ilan H.

2010-01-01

The author addresses two issues raised in Moradi, DeBlaere, and Huang's Major Contribution to this issue: the intersection of racial/ethnic and lesbian, gay, and bisexual (LGB) identities and the question of stress and resilience. The author expands on Moradi et al.'s work, hoping to encourage further research. On the intersection of identities,…

Stereotypes, Emotions, and Behaviors Toward Lesbians, Gay Men, Bisexual Women, and Bisexual Men.

Science.gov (United States)

Vaughn, Allison A; Teeters, Stacy A; Sadler, Melody S; Cronan, Sierra B

2017-01-01

The utility of the Stereotype Content Model (Fiske, Cuddy, Glick, & Xu, 2002) and the Behaviors from Intergroup Affect and Stereotypes map (Cuddy, Fiske, & Glick, 2007) were examined in the context of heterosexuals' attitudes toward sexual minorities. Heterosexual adults completed a survey measuring stereotypes, emotions, and behavioral tendencies toward lesbians, gay men, bisexual women, and bisexual men. Stereotype content differed across groups and showed "gendered" and "valenced" effects on emotions and behavioral tendencies. Competence predicted behaviors for men, whereas warmth and competence predicted behaviors for women, and, for the most part, more was better. Admiration and contempt mediated most of these relationships across most subgroups, but pity and envy played smaller roles for some subgroups. Across all groups, competence played a more predictive role than warmth.

Gay-Straight Alliances: Understanding Their Impact on the Academic and Social Experiences of Lesbian, Gay, Bisexual, Transgender, and Questioning High School Students

Science.gov (United States)

McCormick, Adam; Schmidt, Kathryn; Clifton, Emily

2015-01-01

Few studies have examined the effectiveness of gay-straight alliances (GSAs) on the social and academic experiences of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youths. The limited research on GSAs suggests that they are associated with positive youth development and increased safety; however, little qualitative information…

Mental health of lesbian, gay, bisexual, and heterosexual siblings: effects of gender, sexual orientation, and family.

Science.gov (United States)

Balsam, Kimberly F; Beauchaine, Theodore P; Mickey, Ruth M; Rothblum, Esther D

2005-08-01

Self-identified lesbian, gay male, and bisexual (LGB) individuals were recruited via convenience sampling, and they in turn recruited their siblings (79% heterosexual, 19% LGB). The resulting sample of 533 heterosexual, 558 lesbian or gay male, and 163 bisexual participants was compared on mental health variables and their use of mental health services. Multilevel modeling analyses revealed that sexual orientation predicted suicidal ideation, suicide attempts, self-injurious behavior, use of psychotherapy, and use of psychiatric medications over and above the effects of family adjustment. Sexual orientation was unrelated to current psychological distress, psychiatric hospitalizations, and self-esteem. This is the 1st study to model family effects on the mental health of LGB participants and their siblings. Copyright (c) 2005 APA, all rights reserved.

Retrospective Recall of Sexual Orientation Identity Development among Gay, Lesbian, and Bisexual Adults

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Calzo, Jerel P.; Antonucci, Toni C.; Mays, Vickie M.; Cochran, Susan D.

2011-01-01

Although recent attention has focused on the likelihood that contemporary sexual minority youth (i.e., gay, lesbian, bisexual [GLB]) are "coming out" at younger ages, few studies have examined whether early sexual orientation identity development is also present in older GLB cohorts. We analyzed retrospective data on the timing of sexual…

Frequency of discrimination, harassment, and violence in lesbian, gay men, and bisexual in Italy.

Directory of Open Access Journals (Sweden)

Concetta P Pelullo

Full Text Available BACKGROUND: This cross-sectional study assessed the frequency of discrimination, harassment, and violence and the associated factors among a random sample of 1000 lesbian, gay men, and bisexual women and men recruited from randomly selected public venues in Italy. METHODS: A face-to-face interview sought information about: socio-demographics, frequency of discrimination, verbal harassment, and physical and sexual violence because of their sexual orientation, and their fear of suffering each types of victimization. RESULTS: In the whole sample, 28.3% and 11.9% self-reported at least one episode of victimization because of the sexual orientation in their lifetime and in the last year. Those unmarried, compared to the others, and with a college degree or higher, compared to less educated respondents, were more likely to have experienced an episode of victimization in their lifetime. Lesbians, compared to bisexual, had almost twice the odds of experiencing an episode of victimization. The most commonly reported experiences across the lifetime were verbal harassment, discrimination, and physical or sexual violence. Among those who had experienced one episode of victimization in their lifetime, 42.1% self-reported one episode in the last year. Perceived fear of suffering violence because of their sexual orientation, measured on a 10-point Likert scale with a higher score indicative of greater fear, ranges from 5.7 for verbal harassment to 6.4 for discrimination. Participants were more likely to have fear of suffering victimization because of their sexual orientation if they were female (compared to male, lesbian and gay men (compared to bisexual women and men, unmarried (compared to the others, and if they have already suffered an episode of victimization (compared to those who have not suffered an episode. CONCLUSIONS: The study provides important insights into the violence experiences of lesbian, gay men, and bisexual women and men and the results

Access to health services by lesbian, gay, bisexual, and transgender persons: systematic literature review.

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Alencar Albuquerque, Grayce; de Lima Garcia, Cintia; da Silva Quirino, Glauberto; Alves, Maria Juscinaide Henrique; Belém, Jameson Moreira; dos Santos Figueiredo, Francisco Winter; da Silva Paiva, Laércio; do Nascimento, Vânia Barbosa; da Silva Maciel, Érika; Valenti, Vitor Engrácia; de Abreu, Luiz Carlos; Adami, Fernando

2016-01-14

The relationship between users and health services is considered essential to strengthen the quality of care. However, the Lesbian, Gay, Bisexual, and Transgender population suffer from prejudice and discrimination in access and use of these services. This study aimed to identify the difficulties associated with homosexuality in access and utilization of health services. A systematic review conducted using PubMed, Cochrane, SciELO, and LILACS, considering the period from 2004 to 2014. The studies were evaluated according to predefined inclusion and exclusion criterias. Were included manuscripts written in English or Portuguese, articles examining the Lesbian, Gay, Bisexual, and Transgender population's access to health services and original articles with full text available online. The electronic databases search resulted in 667 studies, of which 14 met all inclusion criteria. Quantitative articles were predominant, showing the country of United States of America to be the largest producer of research on the topic. The studies reveal that the homosexual population have difficulties of access to health services as a result of heteronormative attitudes imposed by health professionals. The discriminatory attendance implies in human rights violations in access to health services. The non-heterosexual orientation was a determinant factor in the difficulties of accessing health care. A lot must still be achieved to ensure access to health services for sexual minorities, through the adoption of holistic and welcoming attitudes. The results of this study highlight the need for larger discussions about the theme, through new research and debates, with the aim of enhancing professionals and services for the health care of Lesbian, Gay, Bisexual, and Transgender Persons.

The Lesbian, Gay, and Bisexual Identity Scale: Factor Analytic Evidence and Associations with Health and Well-Being

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Cramer, Robert J.; Burks, Alixandra C.; Golom, Frank D.; Stroud, Caroline H.; Graham, James L.

2017-01-01

We tested the psychometric properties of the Lesbian, Gay, and Bisexual Identity Scale. Findings included (1) a three-factor structure (i.e., Negative Identity, Identity Uncertainty, Identity Superiority); (2) less positive identities among HIV-positive persons, African Americans, males, and bisexuals; and (3) convergent patterns with subjective…

Bullying Among Lesbian, Gay, Bisexual, and Transgender Youth.

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Earnshaw, Valerie A; Bogart, Laura M; Poteat, V Paul; Reisner, Sari L; Schuster, Mark A

2016-12-01

Bullying of lesbian, gay, bisexual, and transgender (LGBT) youth is prevalent in the United States, and represents LGBT stigma when tied to sexual orientation and/or gender identity or expression. LGBT youth commonly report verbal, relational, and physical bullying, and damage to property. Bullying undermines the well-being of LGBT youth, with implications for risky health behaviors, poor mental health, and poor physical health that may last into adulthood. Pediatricians can play a vital role in preventing and identifying bullying, providing counseling to youth and their parents, and advocating for programs and policies to address LGBT bullying. Copyright © 2016 Elsevier Inc. All rights reserved.

The psychosocial needs of lesbian, gay, bisexual, or transgender patients with cancer.

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Margolies, Liz

2014-08-01

Because of discrimination and secrecy, lesbian, gay, bisexual, and transgender (LGBT) people have poorer health outcomes, which include an increased risk for certain cancers and additional challenges in cancer treatment and survivorship. The oncology nurse also should be aware of issues of LGBT sexuality and the impact that oncology treatment may have on the LGBT patient's immediate and long-term sexual functioning.

Oversampling as a methodological strategy for the study of self-reported health among lesbian, gay and bisexual populations.

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Anderssen, Norman; Malterud, Kirsti

2017-08-01

Epidemiological research on lesbian, gay and bisexual populations raises concerns regarding self-selection and group sizes. The aim of this research was to present strategies used to overcome these challenges in a national population-based web survey of self-reported sexual orientation and living conditions-exemplified with a case of daily tobacco smoking. The sample was extracted from pre-established national web panels. Utilizing an oversampling strategy, we established a sample including 315 gay men, 217 bisexual men, 789 heterosexual men, 197 lesbian women, 405 bisexual women and 979 heterosexual women. We compared daily smoking, representing three levels of differentiation of sexual orientation for each gender. The aggregation of all non-heterosexuals into one group yielded a higher odds ratio (OR) for non-heterosexuals being a daily smoker. The aggregation of lesbian and bisexual women indicated higher OR between this group and heterosexual women. The full differentiation yielded no differences between groups except for bisexual compared with heterosexual women. The analyses demonstrated the advantage of differentiation of sexual orientation and gender, in this case bisexual women were the main source of group differences. We recommend an oversampling procedure, making it possible to avoid self-recruitment and to increase the transferability of findings.

Methodological quality of quantitative lesbian, gay, bisexual, and transgender nursing research from 2000 to 2010.

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Johnson, Michael; Smyer, Tish; Yucha, Carolyn

2012-01-01

The purpose of this study was to evaluate the methodological quality of quantitative lesbian, gay, bisexual, and transgender nursing research from 2000 to 2010. Using a key word search in Cumulative Index to Nursing and Allied Health Literature, 188 studies were identified and 40 met the criteria, which included descriptive, experimental, quasi-experimental, or observational (case control, cohort, and cross-sectional) design. The methodological quality of these studies was similar to that reported for medical and nursing educational research. The foci of these lesbian, gay, bisexual, and transgender studies were biased toward human immunodeficiency virus, acquired immunodeficiency syndrome, and sexually transmitted diseases, and 58.5% of the funded research was related to human immunodeficiency virus or acquired immunodeficiency syndrome. To provide evidence-based health care to these populations, an understanding of the current state of research is crucial.

A lesbian, gay, bisexual and transgender dedicated inpatient psychiatric unit in rural New England: a descriptive analysis in demographics, service utilisation and needs.

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Klotzbaugh, Ralph; Glover, Eileen

2016-12-01

To develop an understanding of lesbian-, gay-, bisexual-, transgender-specific mental health and substance abuse needs in rural populations and to improve data about sexual orientation and gender identity. Existing literature on mental health needs for lesbian, gay, bisexual and transgender populations has continued to reveal higher levels of need. Research has also demonstrated that few mental health providers have expertise or comfort in treating lesbian, gay, bisexual and transgender clients. Descriptive correlational study. A sample (n = 456) of patient records admitted to a rural lesbian, gay, bisexual and transgender inpatient psychiatric clinic over 12 months were examined using descriptive statistics. Patient zip code information was used to determine the levels of rurality. Chi-square analysis was used to determine relationships between sexual orientation, rural/urban distinctions and concomitant drug use. Unexpectedly, those who identified as heterosexual were significantly more likely to concomitantly abuse alcohol and heroin than those who identified as lesbian, gay, bisexual and transgender. Patients residing in small or isolated rural areas were more likely to abuse alcohol or synthetics than those residing in urban or micropolitan areas. Results of this study concerning substance abuse among lesbian, gay, bisexual and transgender individuals are not reflective of prior studies. LGBT patients did not demonstrate a higher proportion of substance abuse compared with those identifying as heterosexual. Increased substance abuse among those from rural isolated areas does support prior studies. The context of gathering demographic information on sexual orientation was thought by staff to increase the number of those identifying as heterosexual. Context in which sensitive questions are asked may affect the accuracy of demographic data. Lack of information regarding patients' sexual orientation or gender identity may impact perceived need for

Asking for help online: Lesbian, gay, bisexual and trans youth, self-harm and articulating the 'failed' self.

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McDermott, Elizabeth

2015-11-01

International evidence suggests that young people are less likely to seek help for mental health problems in comparison with adults. This study focused on lesbian, gay, bisexual and trans young people who are a population group with an elevated risk of suicide and self-harm, and little is known about their help-seeking behaviour. Utilising qualitative virtual methods, lesbian, gay, bisexual and trans youth web-based discussions about seeking help for suicidal feelings and self-harming were investigated. Findings from a thematic analysis indicate that these young people wanted assistance but found it difficult to (1) ask for help, (2) articulate emotional distress and (3) 'tell' their selves as 'failed'. This analysis suggests that key to understanding these problems are emotions such as shame which arise from negotiating norms connected to heterosexuality, adolescence and rationality. I argue that these norms act to regulate what emotions it is possible to feel, what emotions it is possible to articulate and what type of young lives that can be told. The future development of health and social care interventions which aim to reduce lesbian, gay, bisexual and trans youth suicide and self-harm need to work with a nuanced understanding of the emotional life of young people if they are to be effective. © The Author(s) 2014.

Variations in Sexual Identity Milestones among Lesbians, Gay Men and Bisexuals

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Martos, Alexander; Nezhad, Sheila; Meyer, Ilan H.

2016-01-01

Despite a large body of literature covering sexual identity development milestones, we know little about differences or similarities in patterns of identity development among subgroups of the lesbian, gay, and bisexual (LGB) population. For this study, we assessed identity milestones for 396 LGB New Yorkers, ages 18–59. Sexual identity and disclosure milestones, were measured across gender, sexual identity, race/ethnicity, and age cohort subgroups of the LGB sample. Men experienced most sexual identity milestones earlier than women, but they tended to take more time between milestones. LGBs in younger age cohorts experienced sexual identity milestones and disclosure milestones earlier than the older cohorts. Bisexual people experienced sexual identity and disclosure milestones later than gay and lesbian people. Timing of coming out milestones did not differ by race/ethnicity. By comparing differences within subpopulations, the results of this study help build understanding of the varied identity development experiences of people who are often referred to collectively as “the LGB community.” LGB people face unique health and social challenges; a more complete understanding of variations among LGB people allows health professionals and social service providers to provide services that better fit the needs of LGB communities. PMID:27695579

Sexual Orientation Microaggressions: The Experience of Lesbian, Gay, Bisexual, and Queer Clients in Psychotherapy

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Shelton, Kimber; Delgado-Romero, Edward A.

2011-01-01

Psychological research has shown the detrimental effects that overt heterosexism have on lesbian, gay, bisexual, and queer (LGBQ) clients and on the psychotherapeutic relationship. However, the effects of subtle forms of discrimination, specifically sexual orientation microaggressions, have on LGBQ clients and the therapeutic relationship have not…

Lesbian, Gay, Bisexual and Transgender Students: Perceived Social Support in the High School Environment

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Munoz-Plaza, Corrine; Quinn, Sandra Crouse; Rounds, Kathleen A.

2002-01-01

Lesbian, gay, bisexual and transgender youth (LGBT) continue to face extreme discrimination within the school environment. Existing literature suggests that LGBT youth are at high risk for a number of health problems, including suicide ideation and attempts, harassment, substance abuse, homelessness, and declining school performance. This…

A Latina/o Campus Community's Readiness to Address Lesbian, Gay, and Bisexual Concerns

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Rivera-Ramos, Zully A.; Oswald, Ramona F.; Buki, Lydia P.

2015-01-01

In response to the call for new and innovative methods of assessing campus climate (Worthington, 2008), the current study is the first to examine the readiness of a Latina/o campus community to address lesbian, gay, and bisexual (LGB) concerns. Using the Community Readiness Model, data were collected through individual interviews with a total of…

Improving the health care experiences of lesbian, gay, bisexual and transgender patients

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Bolderston, A.; Ralph, S.

2016-01-01

Systematic discrimination against lesbian, gay, bisexual and transgender people (LGBT) persists across most contemporary societies and institutions such as health care despite increasing social tolerance and legislative progress. This article explores discrimination against LGBT people, and examines LGBT health and social issues. The implications this has for health care access and quality of care delivered by patient-facing health care professionals such as radiographers are explored. Finally, three categories of suggestions to improve the care of LGBT patients are suggested; changes to the physical environment, improvement in health forms and awareness training. Some of these suggestions can be taken up directly by radiographers, particular accessing training. Others (such as positive changes in the physical space) could be championed by department managers. There is a need to promote better culturally competent training for radiographers to be able to sensitively respond to their LGBT patients' specific health and social needs. - Highlights: • Lesbian, gay, bisexual and trans people can encounter health care discrimination. • Patient-facing professionals like radiographers routinely work with LGBT patients. • Positive changes can be made to improve patient care and access. • These include changes to the environment, health form improvement and training.

Inclusion of lesbian, gay, bisexual and transgender people in tobacco use-related surveillance and epidemiological research.

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Sell, Randall L; Dunn, Patricia M

2008-01-01

Researchers and public health advocates have long recognized the importance of demographic characteristics such as sex, race, ethnicity, age, and socioeconomic status in their efforts to understand and control the use of tobacco among population groups. Targeting prevention and cessation efforts based upon such characteristics has consistently been demonstrated to be both efficient and effective. In recent years, attention has modestly turned to how two additional demographic variables, sexual orientation and gender identity, can add to our understanding of how to reduce tobacco use. Research of tobacco industry papers has clearly documented targeted media campaigns to encourage smoking among lesbians and gays in the marketplace. The tobacco industry has long understood the role that sexual orientation can play in the uptake of smoking and the targeted marketing of brands. Those concerned with tobacco use prevention and cessation research have consequently responded to address tobacco use by lesbians and gays, and bisexuals and transgender people as well, but even more can be done. This article reviews what is known about smoking in lesbian, gay, bisexual, and transgender populations and then reviews recommendations from four panels created to examine this topic. In conclusion, we recommend that sexual orientation and gender identity be considered for inclusion as variables in all major research and epidemiological studies of tobacco use. Just as such studies, without hesitation, measure sex, race, ethnicity, age, and socioeconomic status, they need to also include questions assessing sexual orientation and gender identity. Although these new variables need not be the primary focus of these studies, at a minimum, considering their use as controlling variables should be explored. Lesbian, gay, bisexual, and transgender people can benefit from being openly included in the work researchers conduct to inform the design of tobacco control programs and policies.

A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people

Directory of Open Access Journals (Sweden)

Osborn David

2008-08-01

Full Text Available Abstract Background Lesbian, gay and bisexual (LGB people may be at higher risk of mental disorders than heterosexual people. Method We conducted a systematic review and meta-analysis of the prevalence of mental disorder, substance misuse, suicide, suicidal ideation and deliberate self harm in LGB people. We searched Medline, Embase, PsycInfo, Cinahl, the Cochrane Library Database, the Web of Knowledge, the Applied Social Sciences Index and Abstracts, the International Bibliography of the Social Sciences, Sociological Abstracts, the Campbell Collaboration and grey literature databases for articles published January 1966 to April 2005. We also used Google and Google Scholar and contacted authors where necessary. We searched all terms related to homosexual, lesbian and bisexual people and all terms related to mental disorders, suicide, and deliberate self harm. We included papers on population based studies which contained concurrent heterosexual comparison groups and valid definition of sexual orientation and mental health outcomes. Results Of 13706 papers identified, 476 were initially selected and 28 (25 studies met inclusion criteria. Only one study met all our four quality criteria and seven met three of these criteria. Data was extracted on 214,344 heterosexual and 11,971 non heterosexual people. Meta-analyses revealed a two fold excess in suicide attempts in lesbian, gay and bisexual people [pooled risk ratio for lifetime risk 2.47 (CI 1.87, 3.28]. The risk for depression and anxiety disorders (over a period of 12 months or a lifetime on meta-analyses were at least 1.5 times higher in lesbian, gay and bisexual people (RR range 1.54–2.58 and alcohol and other substance dependence over 12 months was also 1.5 times higher (RR range 1.51–4.00. Results were similar in both sexes but meta analyses revealed that lesbian and bisexual women were particularly at risk of substance dependence (alcohol 12 months: RR 4.00, CI 2.85, 5.61; drug

Peer Contexts for Lesbian, Gay, Bisexual, and Transgender Students: Reducing Stigma, Prejudice, and Discrimination

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Horn, Stacey S.; Romeo, Katherine E.

2010-01-01

Peer relationships are a vital part of adolescents' lives. For lesbian, gay, bisexual, and transgender (LGBT) youth, whether these relationships are supportive and positive, or filled with stigma, prejudice, and discrimination rests, to some degree, on their heterosexual peers' attitudes and beliefs about homosexuality. For while LGBT youth may…

The Experiences of Lesbian, Gay, Bisexual and Transgender Middle School Students: Findings from the 2007 National School Climate Survey. Research Brief

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Gay, Lesbian and Straight Education Network (GLSEN), 2009

2009-01-01

In 2007, Gay, Lesbian and Straight Education Network (GLSEN) conducted the fifth National School Climate Survey (NSCS), a biennial survey of LGBT (lesbian, gay, bisexual and transgender) secondary school students. The NSCS examines the experiences of LGBT youth in U.S. middle and high schools, documenting bias and behaviors that make schools…

Homelessness among Lesbian, Gay, and Bisexual Youth: Implications for Subsequent Internalizing and Externalizing Symptoms

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Rosario, Margaret; Schrimshaw, Eric W.; Hunter, Joyce

2012-01-01

Although lesbian, gay, and bisexual (LGB) youth with a history of homelessness (running away or being evicted from their homes by parents) report more psychological symptoms than homeless heterosexual peers, it is unclear whether symptoms are due to homelessness, given the absence of a non-homeless comparison group. This study longitudinally…

School Counselors' Education and Training, Competency, and Supportive Behaviors Concerning Gay, Lesbian, and Bisexual Students

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Hall, William J.; McDougald, Amanda M.; Kresica, Aimee M.

2014-01-01

This study examined high school counselors' education and training, counseling competency, and supportive behavior regarding gay, lesbian, and bisexual students. Sexual minority students often face a range of school and mental health problems. Results show that participants' counseling competency skills, knowledge, and attitudes predict…

Verbal and Physical Abuse as Stressors in the Lives of Lesbian, Gay Male, and Bisexual Youths: Associations with School Problems, Running Away, Substance Abuse, Prostitution, and Suicide.

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Savin-Williams, Ritch C.

1994-01-01

Reviews verbal and physical abuse that threatens well-being and physical survival of lesbian, gay male, and bisexual youths. Notes that this response to gay male, lesbian, and bisexual adolescents by significant others in their environment is often associated with several problematic outcomes, including school-related problems, running away,…

Lesbian, Gay, Bisexual, and Transgender (LGBT) Service Members: Life After Don't Ask, Don't Tell.

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Goldbach, Jeremy T; Castro, Carl Andrew

2016-06-01

Lesbian, gay, and bisexual service members can serve openly in the military with the repeal of the Don't Ask, Don't Tell policy. The fate of transgender service members remains uncertain as the policy preventing them from serving in the military remains under review. The health care needs of these populations remain for the most part unknown, with total acceptance and integration in the military yet to be achieved. In this paper, we review the literature on the health care needs of lesbian, gay, bisexual, and transgender (LGBT) service members, relying heavily on what is known about LGBT civilian and veteran populations. Significant research gaps about the health care needs of LGBT service members are identified, along with recommendations for closing those gaps. In addition, recommendations for improving LGBT acceptance and integration within the military are provided.

Moving Beyond Pioneering: Empirical and Theoretical Perspectives on Lesbian, Gay, and Bisexual Affirmative Training.

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Croteau, James M.; Bieschke, Kathleen J.; Phillips, Julia C.; Lark, Julianne S.

1998-01-01

States that the literature to date has broken the silence on lesbian, gay, and bisexual (LGB) issues and has affirmed the field of psychology as being affirmative toward these issues. Proposes that research should move toward a greater understanding of LGB affirmative professional training by focusing on training from theoretical and empirical…

Adolescent Perceptions of School Safety for Students with Lesbian, Gay, Bisexual, and Transgender Parents

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Russell, Stephen T.; McGuire, Jenifer K.; Lee, Sun-A; Larriva, Jacqueline C.; Laub, Carolyn

2008-01-01

A growing body of research indicates that lesbian, gay, bisexual, and transgender (LGBT) students are often unsafe at school. Little research has examined school safety for students with LGBT parents. We examined adolescents' perceptions of school safety for students with LGBT parents using data from a survey of 2,302 California sixth through…

Cyberbullying and Suicide among a Sample of Lesbian, Gay, Bisexual, Transgender, and Questioning Young Adults

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Schwickrath, Heather M.

2012-01-01

After an extensive literature review, results indicated research has been conducted examining the links between traditional bullying and suicide, lesbian, gay, bisexual, transgendered, and questioning (LGBTQ) identification and cyberbullying, as well as LGBTQ identification and suicide. However, it appears as though there is a dearth of studies…

Discrimination and mental health among lesbian, gay, and bisexual adults in the United States.

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Bostwick, Wendy B; Boyd, Carol J; Hughes, Tonda L; West, Brady T; McCabe, Sean Esteban

2014-01-01

Health disparities among sexual minority groups, particularly mental health disparities, are well-documented. Numerous studies have demonstrated heightened prevalence of depressive and anxiety disorders among lesbian, gay, and bisexual groups as compared with heterosexuals. Some authors posit that these disparities are the result of the stress that prejudice and perceived discrimination can cause. The current study extends previous research by examining the associations between multiple types of discrimination, based on race or ethnicity, gender, and sexual orientation, and past-year mental health disorders in a national sample of self-identified lesbian, gay, and bisexual women and men (n = 577). Findings suggest that different types of discrimination may be differentially associated with past-year mental health disorders. Notably, sexual orientation discrimination was associated with higher odds of a past-year disorder only in combination with other types of discrimination. These findings point to the complexity of the relationship between discrimination experiences and mental health, and suggest that further work is needed to better explicate the interplay among multiple marginalized identities, discrimination, and mental health. (c) 2014 APA, all rights reserved.

Lesbian, Gay, Bisexual, and Transgender Adolescent School Victimization: Implications for Young Adult Health and Adjustment

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Russell, Stephen T.; Ryan, Caitlin; Toomey, Russell B.; Diaz, Rafael M.; Sanchez, Jorge

2011-01-01

Background: Adolescent school victimization due to lesbian, gay, bisexual, or transgender (LGBT) status is commonplace, and is associated with compromised health and adjustment. Few studies have examined the long-term implications of LGBT school victimization for young adult adjustment. We examine the association between reports of LGBT school…

Lesbian, Gay, Bisexual, and Transgender-Identified School Psychologists: A Qualitative Study of Their Professional Experiences

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Sowden, Beth; Fleming, Julia; Savage, Todd A.; Woitaszewski, Scott A.

2016-01-01

Despite recent socially positive progression in the view and treatment of lesbian, gay, bisexual, and transgender (LGBT) individuals in the USA, the LGBT population continues to face complicated circumstances and significant hindrances in many societal institutions. One of the most challenging and complex arena is the educational system (Biegel…

Content-Specific Strategies to Advocate for Lesbian, Gay, Bisexual, and Transgender Youth: An Exploratory Study

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Graybill, Emily C.; Varjas, Kris; Meyers, Joel; Watson, Laurel B.

2009-01-01

Researchers suggest that supportive school personnel may decrease some of the challenges encountered by lesbian, gay, bisexual, and transgender (LGBT) youth in schools (Russell, Seif, & Truong, 2001); however, little is known about the approaches used by school-based advocates for LGBT youth. This exploratory study investigated the strategies used…

Constructing an Alternative Pedagogy of Islam: The Experiences of Lesbian, Gay, Bisexual and Transgender Muslims

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Shah, Shanon

2016-01-01

There is growing media interest in how lesbian, gay, bisexual or transgender (LGBT) Muslims negotiate their seemingly incompatible religious and sexual identities. Thus, there is a need to investigate how some LGBT Muslims utilise Islam as a resource for alternative pedagogical strategies to reconcile their personal beliefs and values. Their…

School Connectedness for Lesbian, Gay, Bisexual, and Transgender Youth: In-School Victimization and Institutional Supports

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Diaz, Elizabeth M.; Kosciw, Joseph G.; Greytak, Emily A.

2010-01-01

Lesbian, gay, bisexual, and transgender students often face challenges that prevent them from developing a sense of connectedness to school. Many LGBT youth attend schools that are unwelcoming or even overtly hostile. For any student, being victimized at school can negatively impact their sense of school connectedness. This article discusses the…

Cancer and Lesbian, Gay, Bisexual, Transgender/Transsexual, and Queer/Questioning Populations (LGBTQ)

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Quinn, Gwendolyn P.; Sanchez, Julian A.; Sutton, Steven K.; Vadaparampil, Susan T.; Nguyen, Giang T.; Green, B. Lee; Kanetsky, Peter A.; Schabath, Matthew B.

2015-01-01

This article provides an overview of the current literature on seven cancer sites that may disproportionately affect lesbian, gay, bisexual, transgender/transsexual, and queer/questioning (LGBTQ) populations. For each cancer site we present and discuss the descriptive statistics, primary prevention, secondary prevention and preclinical disease, tertiary prevention and late stage disease, and clinical implications. Finally, an overview of psychosocial factors related to cancer survivorship is offered as well as strategies for improving access to care. PMID:26186412

Considerations of Additional Stressors and Developmental Issues for Gay, Lesbian, Bisexual, and Transgender College Students

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Zubernis, Lynn; Snyder, Matthew

2007-01-01

At some point every college freshman asks "Am I okay?" or "Am I normal?" Helping students answer this question is a familiar part of college counseling. However, this task becomes more complicated when students who are gay, lesbian, bisexual, transgender (GLBT), or questioning their sexuality seek counseling. The universal issues which all college…

Predictors of US Teachers' Intervention in Anti-Lesbian, Gay, Bisexual, and Transgender Bullying and Harassment

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Greytak, Emily A.; Kosciw, Joseph G.

2014-01-01

This study examines how United States (US) teachers' experiences and beliefs may be predictive of their intervention in anti-lesbian, gay, bisexual, and transgender (LGBT) bullying and harassment using a US national sample of teachers (N?=?726) who completed an online survey. Results from regression analysis indicated that knowing LGBT people,…

Homophobic Violence, Coping Styles, Visibility Management, and Mental Health: A Survey of Flemish Lesbian, Gay, and Bisexual Individuals.

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D'haese, Lies; Dewaele, Alexis; Houtte, Mieke Van

2016-09-01

The understanding of how lesbians, gays, and bisexuals cope with homophobic violence is limited. Therefore, on the one hand, this study focuses on avoidance, problem-oriented, and emotion-oriented coping as general coping styles. On the other hand, special attention is paid to visibility management as a coping strategy that can be applied in a heteronormative context. Moreover, the moderating role of general coping styles and visibility management in the relationship between homophobic violence and negative mental health outcomes is studied. Data were collected from 1,402 Flemish lesbians, gays, and bisexuals. Stepwise regression analyses shows that coping styles and visibility management have a direct effect on mental health; however, no evidence for a moderating effect is found. Additionally, visibility management and emotion-oriented coping are found to exert a combined effect on mental health.

Gay, Lesbian, Bisexual and Transgender Health: Stigma and Discrimination

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... their lives. The Effects of Negative Attitudes on Gay, Bisexual, and Other Men Who Have Sex with Men Some people may have negative attitudes toward gay, bisexual, and other men who have sex with ...

Commonalities and Differences among Lesbian, Gay, and Bisexual College Students: Considerations for Research and Practice

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Dugan, John P.; Yurman, Lauren

2011-01-01

This study explores the appropriateness of collapsing lesbian, gay, and bisexual (LGB) college students into a single category in quantitative research designs as well as the nature of their engagement with the collegiate environment. Data were collected as part of a national study and represent a total of 980 LGB self-identified college students…

"It's not my business": Exploring heteronormativity in young people's discourses about lesbian, gay, bisexual, transgender, and queer issues and their implications for youth health and wellbeing.

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Ng, Cara Ky; Haines-Saah, Rebecca J; Knight, Rodney E; Shoveller, Jean A; Johnson, Joy L

2017-06-01

In Canada, the issue of creating safe and inclusive school environments for lesbian, gay, bisexual, transgender, and queer students has been in the spotlight. Several researchers and advocates have pointed out the positive effects of lesbian, gay, bisexual, transgender, and queer-positive policy frameworks on the health and wellbeing of all young people. In this article, we take a critical approach to analyzing narrative findings from qualitative interviews conducted with youth in three communities in British Columbia, Canada: "the North," Vancouver, and Abbotsford. Using a Foucauldian Discourse Analytic Approach and Butler's concept of Citationality, our analysis suggested that although explicit homophobia was largely absent from youth discussions, young people discursively constructed lesbian, gay, bisexual, transgender, and queer identities and "communities" in ways that reified heteronormativity. Youth made references to sociopolitical discourses of libertarianism and liberalism and to homonormative stereotypes regarding gay masculinity. A few young people also alluded to egalitarian, queer-positive discourses, which appeared to interrogate structures of heteronormativity. Since studies suggest a connection between the existence of institutional supports for lesbian, gay, bisexual, transgender, and queer students in schools and their mental and physical wellbeing, we conclude by considering the limitations and possibilities of these sociopolitical discourses in the struggle for sexual and gender equity, and how they might help frame future health-related, anti-homophobia policy frameworks in educational settings.

Counseling Issues for Gay Men and Lesbians Seeking Assisted Reproductive Technologies (ART)

Science.gov (United States)

... for Reproductive Medicine Counseling issues to discuss with gay men and lesbians seeking assisted reproductive technology (ART) More lesbian, gay, bisexual, and transgender (LGBT) individuals and couples are ...

Identity Profiles in Lesbian, Gay, and Bisexual Youth: The Role of Family Influences

Science.gov (United States)

Bregman, Hallie R.; Malik, Neena M.; Page, Matthew J. L.; Makynen, Emily; Lindahl, Kristin M.

2012-01-01

Sexual identity development is a central task of adolescence and young adulthood and can be especially challenging for sexual minority youth. Recent research has moved from a stage model of identity development in lesbian, gay, and bisexual (LGB) youth to examining identity in a non-linear, multidimensional manner. In addition, although families have been identified as important to youth's identity development, limited research has examined the influence of parental responses to youth's disclosure of their LGB sexual orientation on LGB identity. The current study examined a multidimensional model of LGB identity and its links with parental support and rejection. One hundred and sixty-nine LGB adolescents and young adults (ages 14–24, 56% male, 48% gay, 31% lesbian, 21% bisexual) described themselves on dimensions of LGB identity and reported on parental rejection, sexuality-specific social support, and non-sexuality-specific social support. Using latent profile analysis (LPA), two profiles were identified, indicating that youth experience both affirmed and struggling identities. Results indicated that parental rejection and sexuality-specific social support from families were salient links to LGB identity profile classification, while non-sexuality specific social support was unrelated. Parental rejection and sexuality-specific social support may be important to target in interventions for families to foster affirmed LGB identity development in youth. PMID:22847752

Suicidality and Associated Risk Factors among Lesbian, Gay, and Bisexual Compared to Heterosexual Austrian Adults

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Ploderl, Martin; Fartacek, Reinhold

2005-01-01

This is the first study in German-speaking countries to compare the suicidality of lesbian, gay, and bisexual adults (n = 358) with matched heterosexual adults (n = 267). The former had significantly elevated incidences of current suicide ideation (28% vs. 13%) and lifetime suicide attempts defined in three ways (14% vs. 1% to 10% vs. 2%),…

Identity Profiles in Lesbian, Gay, and Bisexual Youth: The Role of Family Influences

OpenAIRE

Bregman, Hallie R.; Malik, Neena M.; Page, Matthew J. L.; Makynen, Emily; Lindahl, Kristin M.

2012-01-01

Sexual identity development is a central task of adolescence and young adulthood and can be especially challenging for sexual minority youth. Recent research has moved from a stage model of identity development in lesbian, gay, and bisexual (LGB) youth to examining identity in a non-linear, multidimensional manner. In addition, although families have been identified as important to youth's identity development, limited research has examined the influence of parental responses to youth's discl...

The 2011 National School Climate Survey: Key Findings on the Experiences of Lesbian, Gay, Bisexual and Transgender Youth in Our Nation's Schools. Executive Summary

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Gay, Lesbian and Straight Education Network (GLSEN), 2012

2012-01-01

In 1999, the Gay, Lesbian and Straight Education Network (GLSEN) identified the need for national data on the experiences of lesbian, gay, bisexual, and transgender (LGBT) students and launched the first National School Climate Survey (NSCS). At the time, the school experiences of LGBT youth were under-documented and nearly absent from national…

The 2009 National School Climate Survey: Key Findings on the Experiences of Lesbian, Gay, Bisexual and Transgender Youth in Our Nation's Schools. Executive Summary

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Gay, Lesbian and Straight Education Network (GLSEN), 2010

2010-01-01

For 20 years, GLSEN (Gay, Lesbian and Straight Education Network) has worked to ensure safe schools for all students, regardless of sexual orientation, gender identity or gender expression. For 10 of those years, GLSEN has been documenting the school experiences of lesbian, gay, bisexual and transgender (LGBT) youth: the prevalence of anti-LGBT…

Discrimination and Mental Health Among Lesbian, Gay, and Bisexual Adults in the United States

OpenAIRE

Bostwick, Wendy B.; Boyd, Carol J.; Hughes, Tonda L.; West, Brady

2014-01-01

Health disparities among sexual minority groups, particularly mental health disparities, are well-documented. Numerous studies have demonstrated heightened prevalence of depressive and anxiety disorders among lesbian, gay, and bisexual groups as compared to heterosexuals. Some authors posit that these disparities are the result of the stress that prejudice and perceived discrimination can cause. The current study extends previous research by examining the associations between multiple types o...

Puberty: Maturation, Timing and Adjustment, and Sexual Identity Developmental Milestones among Lesbian, Gay, and Bisexual Youth

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Grossman, Arnold H.; Foss, Alexander H.; D'Augelli, Anthony R.

2014-01-01

This study examined pubertal maturation, pubertal timing and outcomes, and the relationship of puberty and sexual identity developmental milestones among 507 lesbian, gay, and bisexual youth. The onset of menarche and spermarche occurred at the mean ages of 12.05 and 12.46, respectively. There was no statistically significant difference in…

"Wow...They Care, Right?" Making Schools Safe(r) for Lesbian, Gay, Bisexual, Transgender and Questioning Youth

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Watson, Lori Anne

2012-01-01

Schools contribute heavily to the feelings of isolation and stigmatization that many gay, lesbian, and bisexual youth experience. Research demonstrates that the climate of US middle and high schools are generally unsupportive and unsafe for many of these youth who are often susceptible to harassment, discrimination, and other negative events,…

LESBIAN, GAY, BISEXUAL, TRANSGENDER AGEING AND CARE: A LITERATURE STUDY

Directory of Open Access Journals (Sweden)

Henderson, Neil

2016-08-01

Full Text Available There is an increasing body of research on ageing and end-of-life care (EOLC of lesbian, gay, bisexual and transgender (LGBT older people in the UK, USA and Australia. In contrast, in South Africa, despite progressive legislation to protect LGBT rights, there has been minimal research in this area. This article reports on a critical review of literature on ageing of the LGBT community. Key themes identified include discrimination by health care workers and health risks for LGBT older people alongside the need for training of health professionals. The article concludes with consideration of the needs of LGBT persons in South Africa

Applying Social Learning Theory of Career Decision Making to Gay, Lesbian, Bisexual, Transgender, and Questioning Young Adults

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Datti, Paul A.

2009-01-01

Incorporating J. D. Krumboltz's (1979) social learning theory of career decision making, the author explores career development issues for gay, lesbian, bisexual, transgender, and questioning (GLBTQ) adolescents and young adults. Unique challenges for the GLBTQ population are discussed, specific recommendations for effective career counseling with…

Lesbian, Gay and Bisexual Teachers' Ambivalent Relations with Parents and Students While Entering into a Civil Partnership

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Neary, Aoife

2017-01-01

Schools are quasi-public/private organisations and being a teacher involves negotiating personal and professional boundaries. These boundaries have posed particular challenges for lesbian, gay, bisexual, transgender and queer (LGBT-Q) teachers whose everyday lives are complicated by legislative, religious and cultural constraints, moral panics…

The Impact of Friendship on the Leadership Identity Development of Lesbian, Gay, Bisexual, and Queer Students

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Olive, James L.

2015-01-01

This qualitative study explores the past experiences of six post-secondary students who self-identified as Lesbian, Gay, Bisexual, and/or Queer (LGBQ) and held leadership roles in student organizations at one large public institution. The purpose of this exploration was to better understand the impact of friendship on the development of a…

Marriage (In)equality: The Perspectives of Adolescents and Emerging Adults with Lesbian, Gay, and Bisexual Parents

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Goldberg, Abbie E.; Kuvalanka, Katherine A.

2012-01-01

The debate over whether same-sex couples should be allowed to enter into civil marriages continues in the United States. Forty-nine adolescents and emerging adults (ages 14-29) with lesbian, gay, and bisexual parents were interviewed for the current exploratory study, which examined how individuals perceived themselves and their families as being…

Historicizing (bi)sexuality: a rejoinder for gay/lesbian studies, feminism, and queer theory.

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Angelides, Steven

2006-01-01

One of the principal aims of queer theory has been to challenge heteronormative constructions of sexuality and to work the hetero/homosexual structure to the point of critical collapse. Despite an epistemic location within this very structure, however, the category of bisexuality has been largely marginalized and even erased from the deconstructive field of queer theory. This article explores some of the factors behind this treatment of bisexuality and suggests that bisexuality's marginalization and erasure brings into relief the strained relationship between the fields of gay/lesbian history, feminism, and queer theory. In exploring some early influential queer deconstructionist texts, it argues that in overlooking the role the category of bisexuality has played in the formation of the hetero/homosexual structure, the project of queer deconstruction has in important ways fallen short of its goals. The author concludes with a call to rethink conventional deconstructive reading practices.

The relation between social embeddedness and loneliness among older lesbian, gay and bisexual adults in the Netherlands

NARCIS (Netherlands)

Fokkema, C.M.; Kuyper, L.

2009-01-01

Research has shown that aging lesbians, gay men, and bisexuals (LGBs) often experience feelings of loneliness. The main aim of this study was to examine whether older LGB adults in the Netherlands are lonelier than their heterosexual counterparts and, if so, whether the higher levels of loneliness

Challenging Respectability: Student Health Directors Providing Services to Lesbian and Gay Students at Historically Black Colleges and Universities

Science.gov (United States)

Nguyen, Thai-Huy; Samayoa, Andrés Castro; Gasman, Marybeth; Mobley, Steve, Jr.

2018-01-01

Background: Researchers have tended to favor scholarship that looks at institutional forms of support for gay, lesbian, bisexual, and transgender students in the context of resource centers specifically tailored to gay, lesbian, bisexual, and transgender students. Our study makes two distinct contributions to the study of gay and lesbian students…

Gifted Gay, Lesbian, Bisexual, and Transgender Annotated Bibliography: A Resource for Educators of Gifted Secondary GLBT Students

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Treat, Alena R.; Whittenburg, Becky

2006-01-01

This bibliography makes available to educators and others a comprehensive resource for information regarding gifted youth who are gay, lesbian, bisexual, transgender or questioning their sexual orientation and/or gender identity (G/GLBTQ). It includes articles, brochures, books, lesson plans, staff development, video media, and Web resources. As…

Suicides among lesbian, gay, bisexual, and transgender populations in Australia: an analysis of the Queensland Suicide Register.

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Skerrett, Delaney Michael; Kõlves, Kairi; De Leo, Diego

2014-12-01

Sexual orientation is seldom recorded at death in Australia, and to date there have been no studies on the relationship between those that have died by suicide and sexuality or minority gender identity in Australia. The aim of the present study is to determine whether or not lesbian, gay, bisexual, transgender (LGBT), and intersex individuals who die by suicide constitute a unique subpopulation of those who die by suicide, when compared with non-lesbian, gay, bisexual, transgender, and intersex suicide deaths. The Queensland Suicide Register holds records of all suicides in Queensland since 1990. All cases from 2000 to 2009 (inclusive; a total of 5,966 cases) were checked for potential indicators of individuals' sexual orientation and gender identification. A total of 35 lesbian (n = 10), gay (n = 22), bisexual (n = 2), and transgender (n = 1) suicide cases were identified. Three comparison cases of non-LGBT suicides for each LGBT suicide were then located, matched by age and gender. Conditional logistic regression was used to calculate odds ratios with 95% confidence intervals. It was significantly more likely that depression was mentioned in the cases of LGBT suicides than in non-LGBT cases. While 12.4% of the comparison group had been diagnosed with psychotic disorders, there were no such diagnoses among LGBT individuals. LGBT individuals experienced relationship problems more often, with relationship conflict also being more frequent than in non-LGBT cases. Despite its limitations, this study - the first of its kind in Australia - seems to indicate that LGBT people would require targeted approaches in mental and general health services. © 2014 Wiley Publishing Asia Pty Ltd.

Minority Stress and Mechanisms of Risk for Depression and Suicidal Ideation among Lesbian, Gay, and Bisexual Youth

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Baams, Laura; Grossman, Arnold H.; Russell, Stephen T.

2015-01-01

The experience of minority stress is often named as a cause for mental health disparities among lesbian, gay, and bisexual (LGB) youth, including higher levels of depression and suicidal ideation. The processes or mechanisms through which these disparities occur are understudied. The interpersonal-psychological theory of suicide posits 2 key…

Disparities in Depressive Symptoms Between Heterosexual and Lesbian, Gay, and Bisexual Youth in a Dutch Cohort : The TRAILS Study

NARCIS (Netherlands)

la Roi, Chaïm; Kretschmer, Tina; Dijkstra, Jan Kornelis; Veenstra, René; Oldehinkel, Albertine J.

Lesbian, gay, and bisexual (LGB) youth experience elevated levels of depressive symptoms compared to heterosexual youth. This study examined how differences in depressive symptoms between heterosexual and LGB youth developed from late childhood to early adulthood. The association between sexual

A Quantitative Examination of Identity Integration in Gay, Lesbian, and Bisexual People of Faith.

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Rodriguez, Eric M; Etengoff, Chana; Vaughan, Michelle D

2017-10-24

Much of the religious/spiritual development of gays, lesbians, and bisexuals (GLBs) has focused on experiences of conflict and distress, providing little insight into how these identities can be integrated. The present study explored the religious and spiritual lives of GLBs with a specific focus on the integration of these identities. We conducted a retrospective secondary data analysis of 750 GLB individuals from the Northern California Health Study to quantitatively assess sexual orientation and religion/spirituality integration using hierarchical cluster analysis. Resulting MANCOVA analyses of the five revealed groupings (integrated, gay identity struggle, anti-religious/spiritual, secular, and low gay salience) present numerous statistically significant differences between these integration clusters and a variety of dependent variables including measures of demographics, religiosity/spirituality, gay identity, and multiple mental health outcomes. We discuss the implications of these findings while also making suggestions for future research.

Perspectives on Gender and Sexual Diversity (GSD)-Inclusive Education: Comparisons between Gay/Lesbian/Bisexual and Straight Educators

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Meyer, Elizabeth J.; Taylor, Catherine; Peter, Tracey

2015-01-01

This paper presents findings from a national study on the beliefs and practices of K-12 educators regarding lesbian, gay, bisexual, transgender, and queer (LGBTQ) issues in schools. Over 3400 Canadian educators participated in the study, which took the form of a bilingual (English/French) online survey. Respondents answered questions about their…

Harassment, Bullying, and Discrimination of Lesbian, Gay, Bisexual, and Transgender Students: Legal Issues for North Carolina Schools

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Hall, Will

2007-01-01

The purpose of the report is to inform students, parents, school personnel, and officials of the legal issues related to harassment, bullying, and discrimination of lesbian, gay, bisexual, and transgender (LGBT) students. This report describes existing research on the current school climate for LGBT youth as well as the harmful effects of…

Lesbian, Gay, Bisexual and Transgender Youth Talk about Experiencing and Coping with School Violence: A Qualitative Study

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Grossman, Arnold H.; Haney, Adam P.; Edwards, Perry; Alessi, Edward J.; Ardon, Maya; Howell, Tamika Jarrett

2009-01-01

This qualitative study used five focus groups of lesbian, gay, bisexual, and transgender (LGBT) youth attending public high schools to examine their experiences with school violence. Core themes focused on lack of community and empowerment leading to youth being without a sense of human agency in school. Negative attention themes were indicative…

Practice Parameter on Gay, Lesbian, or Bisexual Sexual Orientation, Gender Nonconformity, and Gender Discordance in Children and Adolescents

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Medicus, Jennifer

2012-01-01

Children and adolescents who are growing up gay, lesbian, bisexual, gender nonconforming, or gender discordant experience unique developmental challenges. They are at risk for certain mental health problems, many of which are significantly correlated with stigma and prejudice. Mental health professionals have an important role to play in fostering…

Mental Health in Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth

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Russell, Stephen T.; Fish, Jessica N.

2016-01-01

Today’s lesbian, gay, bisexual, and transgender (LGBT) youth come out at younger ages, and public support for LGBT issues has dramatically increased, so why do LGBT youth continue to be at high risk for compromised mental health? We provide an overview of the contemporary context for LGBT youth, followed by a review of current science on LGBT youth mental health. Research in the past decade has identified risk and protective factors for mental health, which point to promising directions for prevention, intervention, and treatment. Legal and policy successes have set the stage for advances in programs and practices that may foster LGBT youth mental health. Implications for clinical care are discussed, and important areas for new research and practice are identified. PMID:26772206

Mental Health in Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth.

Science.gov (United States)

Russell, Stephen T; Fish, Jessica N

2016-01-01

Today's lesbian, gay, bisexual, and transgender (LGBT) youth come out at younger ages, and public support for LGBT issues has dramatically increased, so why do LGBT youth continue to be at high risk for compromised mental health? We provide an overview of the contemporary context for LGBT youth, followed by a review of current science on LGBT youth mental health. Research in the past decade has identified risk and protective factors for mental health, which point to promising directions for prevention, intervention, and treatment. Legal and policy successes have set the stage for advances in programs and practices that may foster LGBT youth mental health. Implications for clinical care are discussed, and important areas for new research and practice are identified.

Parental Acceptance and Illegal Drug Use among Gay, Lesbian, and Bisexual Adolescents: Results from a National Survey

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Padilla, Yolanda C.; Crisp, Catherine; Rew, Donna Lynn

2010-01-01

Although gay, lesbian, and bisexual (GLB) adolescents face many of the same developmental challenges as do heterosexual adolescents, they must also deal with the stress of being part of a stigmatized group. The purpose of this study was to examine the extent to which family support and involvement with the queer community may buffer the effects of…

Smoking Cessation Programs for Lesbian, Gay, Bisexual, Transgender, and Intersex People: A Content-Based Systematic Review.

Science.gov (United States)

Berger, Israel; Mooney-Somers, Julie

2017-11-07

Tobacco use among lesbian, gay, bisexual, and transgender (LGBT) people is double the general population. Limited evidence suggests high smoking rates among intersex people. Lesbian, gay, bisexual, transgender, and intersex (LGBTI) people are a priority population in Australian health policy, particularly mental health and aging. Despite associations between smoking and noncommunicable diseases relevant to aging and mental health, LGBTI-targeted smoking cessation interventions in Australia have been limited to people living with HIV. Applying existing interventions to marginalized populations without modification and evaluation may fail and exacerbate inequities. To assess outcomes and characterize the populations served, cultural modifications, and behavior change techniques (BCTs) of interventions to reduce LGBTI smoking. We searched MEDLINE, six additional databases, and contacted authors to retrieve published and unpublished program evaluations. We retrieved 19 studies (3663 participants). None used control groups. Overall quit rate was 61.0% at the end of interventions and stabilized at 38.6% at 3-6 months. All studies included gay men, 13 included lesbians, 13 "LGBT," 12 bisexual people, five transgender people, and none included intersex people. Transgender people comprised 3% of participants. Of programs open to women, 27.8% of participants were women. Cultural modifications were used by 17 (89.5%) studies, commonly meeting in LGBT spaces, discussing social justice, and discussing LGBT-specific triggers. Common BCTs included providing normative information, boosting motivation/self-efficacy, relapse prevention, social support, action planning, and discussing consequences. Quit rates were high; using control groups would improve evaluation. Existing programs may fail to reach groups other than gay men. This review examines the evidence for LGBTI-targeted smoking cessation interventions. Populations within LGBTI are not proportionally represented in smoking

Are Multicultural Courses Addressing Disparities? Exploring Multicultural and Affirmative Lesbian, Gay, and Bisexual Competencies of Counseling and Psychology Students

Science.gov (United States)

Bidell, Markus P.

2014-01-01

Clinical training and counselor competency are essential for ethical practice when working with multiethnic, lesbian, gay, bisexual (LGB), and transgender clients. In this study, the author examined how multicultural courses related to students' (N = 286) LGB and multicultural competencies. Self-reported multicultural and LGB competencies…

Attitudes to lesbian, gay, bisexual and transgender parents seeking health care for their children in two early parenting services in Australia.

Science.gov (United States)

Bennett, Elaine; Berry, Karen; Emeto, Theophilus I; Burmeister, Oliver K; Young, Jeanine; Shields, Linda

2017-04-01

To examine the attitudes to and knowledge and beliefs about homosexuality of nurses and allied professionals in two early parenting services in Australia. Early parenting services employ nurses and allied professionals. Access and inclusion policies are important in community health and early childhood service settings. However, little is known about the perceptions of professionals who work within early parenting services in relation to lesbian, gay, bisexual and transgender families. This is the final in a series of studies and was undertaken in two early parenting services in two states in Australia using a cross-sectional design with quantitative and qualitative approaches. Validated questionnaires were completed by 51 nurses and allied professionals and tested with chi-squared test of independence (or Fisher's exact test), Mann-Whitney U-test, Kruskal-Wallis one-way analysis of variance or Spearman's rank correlation. Thematic analysis examined qualitative data collected in a box for free comments. Of the constructs measured by the questionnaires, no significant relationships were found in knowledge, attitude and gay affirmative practice scores by sociodemographic variables or professional group. However, attitude scores towards lesbians and gay men were significantly negatively affected by conservative political affiliation (p = 0·038), held religious beliefs (p = 0·011) and frequency of praying (p = 0·018). Six overall themes were found as follows: respect, parenting role, implications for the child, management, disclosure, resources and training. The study provided an in-depth analysis of the attitudes, knowledge and beliefs of professionals in two early parenting services, showing that work is needed to promote acceptance of diversity and the inclusion of lesbian, gay, bisexual and transgender families in planning, developing, evaluating and accessing early parenting services. Access and inclusion plans for lesbian, gay, bisexual and transgender

Discourses Governing Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and Asexual Teachers' Disclosure of Sexual Orientation and Gender History

Science.gov (United States)

Bower-Phipps, Laura

2017-01-01

Significant progress has been made in equal rights for lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA) individuals, yet schools remain institutions where sexual and gender diversity are marginalized and/or silenced. Queer theory, a non-linear theory that disrupts dominant beliefs about gender and sexuality and what…

Productivity in Lesbian, Gay, Bisexual, and Transgender Scholarship in Counseling Psychology: Institutional and Individual Ratings for 1990 through 2008

Science.gov (United States)

Smith, Nathan Grant

2010-01-01

This study examined individual and institutional productivity in lesbian, gay, bisexual, and transgender (LGBT) scholarship published in counseling psychology--oriented journals for the years 1990 through 2008. Eight journals were included in the analyses. An author-weighted score was calculated for each scholar, using a formula developed by…

Lesbian, gay, bisexual, transgender content on reproductive endocrinology and infertility clinic websites.

Science.gov (United States)

Wu, Harold Y; Yin, Ophelia; Monseur, Brent; Selter, Jessica; Collins, Lillian J; Lau, Brandyn D; Christianson, Mindy S

2017-07-01

To assess geographical distribution and practice characteristics of fertility clinics inclusive of lesbian, gay, bisexual, and transgender (LGBT) patients. Cross-sectional analysis. Not applicable. None. None. Prevalence and geographical distribution of fertility clinic websites with LGBT-specific content, indicated by keywords and home page cues specific to the LGBT patient population. Assessment of relationship between LGBT-specific content and clinic characteristics, including U.S. region, clinic size, private versus academic setting, and state-mandated fertility insurance coverage. Of 379 websites analyzed, 201 (53%) contained LGBT content. Clinics with the highest proportion of LGBT website content were in the Northeast (59/82, 72%) and West (63/96, 66%), while the lowest proportion was in the Midwest (29/74, 39%) and South (50/127, 39%). Most frequently used terms included lesbian (72%), LGBT/LGBTQ (69%), and gay (68%), while less used terms included trans/transgender (32%) and bisexual (15%). Larger clinic size was associated with LGBT-specific website content (odds ratio, 4.42; 95% confidence interval, 2.07-9.67). Practice type and state-mandated fertility insurance coverage were not associated with a clinic website having LGBT content. Over half of Society for Assisted Reproductive Technology member fertility clinics included LGBT content on their websites, yet those in the Midwest and South were significantly less likely to do so. Predictive factors for having LGBT website content included location in northeastern and western regions and increasing clinic size. Further studies are needed to evaluate whether inclusion of LGBT content on clinic websites impacts use of reproductive services by the LGBT patient population. Copyright © 2017 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

Are Lesbian, Gay, Bisexual and Transgender (LGBT) persons protected against discrimination and hate crime in Georgia?

OpenAIRE

Japaridze, Sophio

2012-01-01

This article discusses whether lesbian, gay, bisexual and transgender (LGBT) people are protected against discrimination and hate crime in Georgia. Georgia is dominated by deeply rooted traditions, history and religion which promote stigmatisation and enhance existing negative stereotypes of the LGBT community. This is aggravated by state practice and poor legislation which fail to ensure adequate protection of LGBT individuals against discrimination and hate crime. Even though homosexuality ...

Negative and Positive Factors Associated with the Well-Being of Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning (LGBTQ) Youth

Science.gov (United States)

Higa, Darrel; Hoppe, Marilyn J.; Lindhorst, Taryn; Mincer, Shawn; Beadnell, Blair; Morrison, Diane M.; Wells, Elizabeth A.; Todd, Avry; Mountz, Sarah

2014-01-01

Factors associated with the well-being of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth were qualitatively examined to better understand how these factors are experienced from the youths' perspectives. Largely recruited from LGBTQ youth groups, 68 youth participated in focus groups (n = 63) or individual interviews (n =…

Promoting School Success for Lesbian, Gay, Bisexual, Transgendered, and Questioning Students: Primary, Secondary, and Tertiary Prevention and Intervention Strategies

Science.gov (United States)

Fisher, Emily S.; Komosa-Hawkins, Karen; Saldana, Enrique; Thomas, Genevieve M.; Hsiao, Cyndi; Rauld, Michelle; Miller, Dorian

2008-01-01

Lesbian, gay, bisexual, transgendered, and questioning (LGBTQ) students are likely to be in every classroom in every secondary school in the United States; yet, their needs are often overlooked. LGBTQ students are at risk for developing academic, social, and emotional problems due to harassment and bullying experienced at school. Although schools…

How Visible and Integrated Are Lesbian, Gay, Bisexual, and Transgender Families: A Survey of School Psychologists Regarding School Characteristics

Science.gov (United States)

Bishop, Christa M.

2010-01-01

This study examined what elementary schools in New York State are doing to recognize lesbian gay, bisexual, and transgender (LGBT) families in terms of curriculum, policies, and practices. One hundred and sixteen participants were recruited through the New York Association of School Psychologists email listserve and completed a brief online…

Upset Over Sexual versus Emotional Infidelity Among Gay, Lesbian, Bisexual, and Heterosexual Adults.

Science.gov (United States)

Frederick, David A; Fales, Melissa R

2016-01-01

One hypothesis derived from evolutionary perspectives is that men are more upset than women by sexual infidelity and women are more upset than men by emotional infidelity. The proposed explanation is that men, in contrast to women, face the risk of unwittingly investing in genetically unrelated offspring. Most studies, however, have relied on small college or community samples of heterosexual participants. We examined upset over sexual versus emotional jealousy among 63,894 gay, lesbian, bisexual, and heterosexual participants. Participants imagined which would upset them more: their partners having sex with someone else (but not falling in love with them) or their partners falling in love with someone else (but not having sex with them). Consistent with this evolutionary perspective, heterosexual men were more likely than heterosexual women to be upset by sexual infidelity (54 vs. 35 %) and less likely than heterosexual women to be upset by emotional infidelity (46 vs. 65 %). This gender difference emerged across age groups, income levels, history of being cheated on, history of being unfaithful, relationship type, and length. The gender difference, however, was limited to heterosexual participants. Bisexual men and women did not differ significantly from each other in upset over sexual infidelity (30 vs. 27 %), regardless of whether they were currently dating a man (35 vs. 29 %) or woman (28 vs. 20 %). Gay men and lesbian women also did not differ (32 vs. 34 %). The findings present strong evidence that a gender difference exists in a broad sample of U.S. adults, but only among heterosexuals.

Spiritual and Sexual Identity: Exploring Lesbian, Gay, and Bisexual Clients' Perspectives of Counseling.

Science.gov (United States)

Goodrich, Kristopher M; Buser, Juleen K; Luke, Melissa; Buser, Trevor J

2016-06-01

Although religious and spiritual issues have emerged as areas of focus in counseling, very few scholars have explored the meaning and experiences of lesbian, gay, and bisexual (LGB) clients who addressed their sexual and religious/spiritual identities in counseling. Using consensual qualitative research (CQR; Hill, 2012), the current study explores the perspectives of 12 LGB persons who sought counseling that involved religious/spiritual concerns. Four themes in participant interviews are identified, including (a) self-acceptance, (b) goals of counseling, (c) identification with counselor, and (d) counseling environment and relationship. Implications of findings for the counseling field are discussed.

Experiences of Lesbian, Gay, Bisexual, Transgender, and Questioning or Queer Students at Evangelical Christian Colleges as Described in Personal Blogs

Science.gov (United States)

Snow, Kevin C.

2018-01-01

Lesbian, gay, bisexual, transgender, and questioning or queer (LGBTQ) students at evangelical Christian colleges are a population frequently overlooked in the literature on the spiritual lives of college students. The author used qualitative content analysis within a phenomenological tradition to examine blog posts by such students, who face…

New Italian lesbian, gay and bisexual psychotherapy guidelines: A review.

Science.gov (United States)

Lingiardi, Vittorio; Nardelli, Nicola; Drescher, Jack

2015-01-01

Although homosexuality was depathologized in the last century and the majority of mental health professionals consider it to be a normal variant of human sexuality, some psychologists and psychiatrists still have negative attitudes toward lesbian, gay and bisexual (LGB) clients. Sometimes they provide interventions aimed at changing sexual orientation through 'reparative' or 'conversion' therapies. At other times their interventions are influenced by anti-gay prejudices or simply by lack of knowledge about sexual minorities. This paper argues for the need for appropriate treatment guidelines aimed at providing bias-free, respectful, and effective interventions given that Italian health associations have delayed providing them. Some of the main guidelines recently approved by the Consiglio Nazionale dell'Ordine degli Psicologi (National Council of the Italian Association of Psychologists) are presented. Issues addressed include differences between gender and sexual orientation, minority stress, including perceived stigma and internalized stigma, homophobic bullying, coming out, and resilience. Respectful listening to LGB and questioning clients, affirming their identities and fostering a sense of resilience are essential requirements for all mental health professionals wishing to provide effective interventions in a society where sexual minorities are subjected to discrimination throughout their entire life cycle.

Body Image and Eating Disorders Among Lesbian, Gay, Bisexual, and Transgender Youth.

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McClain, Zachary; Peebles, Rebecka

2016-12-01

Adolescence is a crucial period for emerging sexual orientation and gender identity and also body image disturbance and disordered eating. Body image distortion and disordered eating are important pediatric problems affecting individuals along the sexual orientation and gender identity spectrum. Lesbian, gay, bisexual, transgender (LGBT) youth are at risk for eating disorders and body dissatisfaction. Disordered eating in LGBT and gender variant youth may be associated with poorer quality of life and mental health outcomes. Pediatricians should know that these problems occur more frequently in LGBT youth. There is evidence that newer treatment paradigms involving family support are more effective than individual models of care. Copyright © 2016 Elsevier Inc. All rights reserved.

The GLSEN Workbook: A Development Model for Assessing, Describing and Improving Schools for Lesbian, Gay, Bisexual and Transgender (LGBT) People.

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Gay, Lesbian, and Straight Education Network, New York, NY.

This workbook provides an instrument to objectively analyze a school's current climate with regard to lesbian, gay, bisexual, and transgendered (LGBT) people and the steps needed to move that school toward a more inclusive environment. It provides a detailed assessment survey (to be completed by key school stakeholders), descriptive data, and…

Body image and sexual orientation: The experiences of lesbian and bisexual women.

Science.gov (United States)

Smith, Marie L; Telford, Elina; Tree, Jeremy J

2017-02-01

Western cultures promote a thin and curvaceous ideal body size that most women find difficult to achieve by healthy measures, resulting in poor body image and increased risk for eating pathology. Research focusing on body image in lesbian and bisexual women has yielded inconsistent results. In total, 11 lesbian and bisexual women were interviewed regarding their experiences with body image. Interpretative phenomenological analysis revealed that these women experienced similar mainstream pressures to conform to a thin body ideal. Furthermore, participants perceived additional pressure to conform to heteronormative standards of beauty since the normalisation of homosexuality and the increase in Lesbian, Gay, Bisexual and Transgender representation in mainstream media.

Teachers’ Perceptions of Bullying of Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ Students in a Southwestern Pennsylvania Sample

Directory of Open Access Journals (Sweden)

Jered B. Kolbert

2015-05-01

Full Text Available This study was designed to ascertain teachers’ perceptions of bullying of Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ youth. In a sample of 200 educators (61.0% female; 96.5% White from a county in southwestern Pennsylvania, there was a significant positive relationship between the teachers’ perceptions of the supportiveness of school staff towards students regardless of sexual orientation and those teachers’ reports of the frequency of bullying victimization experienced by LGBTQ students. Teachers’ perceptions of a higher level of staff and student support was associated with higher reported frequencies of students’ use of derogatory language about LGBTQ individuals and various types of bullying of LGBTQ students. Teachers with a lesbian, gay, or bisexual orientation were found to rate the school staff and students as significantly less supportive of students regardless of their sexual orientation, gender identity, or gender expression in comparison to heterosexual teachers. Finally, teachers who either were unaware of or believed that their school lacked an anti-bullying policy reported significantly higher rates of physical bullying victimization of LGBTQ students when compared to the rates observed by teachers who reported knowledge of their schools’ anti-bullying policies.

Teachers’ Perceptions of Bullying of Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) Students in a Southwestern Pennsylvania Sample

Science.gov (United States)

Kolbert, Jered B.; Crothers, Laura M.; Bundick, Matthew J.; Wells, Daniel S.; Buzgon, Julie; Berbary, Cassandra; Simpson, Jordan; Senko, Katherine

2015-01-01

This study was designed to ascertain teachers’ perceptions of bullying of Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) youth. In a sample of 200 educators (61.0% female; 96.5% White) from a county in southwestern Pennsylvania, there was a significant positive relationship between the teachers’ perceptions of the supportiveness of school staff towards students regardless of sexual orientation and those teachers’ reports of the frequency of bullying victimization experienced by LGBTQ students. Teachers’ perceptions of a higher level of staff and student support was associated with higher reported frequencies of students’ use of derogatory language about LGBTQ individuals and various types of bullying of LGBTQ students. Teachers with a lesbian, gay, or bisexual orientation were found to rate the school staff and students as significantly less supportive of students regardless of their sexual orientation, gender identity, or gender expression in comparison to heterosexual teachers. Finally, teachers who either were unaware of or believed that their school lacked an anti-bullying policy reported significantly higher rates of physical bullying victimization of LGBTQ students when compared to the rates observed by teachers who reported knowledge of their schools’ anti-bullying policies. PMID:26030341

Teachers' Perceptions of Bullying of Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) Students in a Southwestern Pennsylvania Sample.

Science.gov (United States)

Kolbert, Jered B; Crothers, Laura M; Bundick, Matthew J; Wells, Daniel S; Buzgon, Julie; Berbary, Cassandra; Simpson, Jordan; Senko, Katherine

2015-05-28

This study was designed to ascertain teachers' perceptions of bullying of Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) youth. In a sample of 200 educators (61.0% female; 96.5% White) from a county in southwestern Pennsylvania, there was a significant positive relationship between the teachers' perceptions of the supportiveness of school staff towards students regardless of sexual orientation and those teachers' reports of the frequency of bullying victimization experienced by LGBTQ students. Teachers' perceptions of a higher level of staff and student support was associated with higher reported frequencies of students' use of derogatory language about LGBTQ individuals and various types of bullying of LGBTQ students. Teachers with a lesbian, gay, or bisexual orientation were found to rate the school staff and students as significantly less supportive of students regardless of their sexual orientation, gender identity, or gender expression in comparison to heterosexual teachers. Finally, teachers who either were unaware of or believed that their school lacked an anti-bullying policy reported significantly higher rates of physical bullying victimization of LGBTQ students when compared to the rates observed by teachers who reported knowledge of their schools' anti-bullying policies.

Are Patients Ready for Lesbian, Gay and Bisexual Family Physicians - A Croatian Study.

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Grabovac, Igor; Mustajbegović, Jadranka; Milošević, Milan

2016-06-01

Discrimination and harassment of lesbian, gay and bisexual (LGB) physicians from their colleagues and superiors are known. However there is little knowledge about the patients’ attitudes and discrimination toward physicians. A cross sectional Internet survey was conducted in urban Croatian regions. The participants were asked to answer questions regarding their socio-demographic status, the Attitudes Towards Lesbians and Gay Men Scale (ATLG), and whether they would refuse to see a LGB physician and, if so, why. Of the 1004 participants, 8.8% said they would refuse a male GB physician while 7.9% would refuse a female LB physician, and 7.3% would refuse both. The two most common reasons for discriminating were: “disaccord with political or religious beliefs” and “fear of being sexually harassed”. A logistical regression model showed that male sex, higher ATLG score and higher age were associated with more refusals of male GB physicians. Also higher age, higher ATLG score were associated with more refusals of female LB physicians, while personal contact with LGB people was associated with less refusals of both groups. The observed prevalence of discrimination is significant. The results suggest that discrimination is based on emotional reasons and stereotypical beliefs. Educational efforts should be directed towards changing misconceptions about LGB people.

The Interpersonal Psychological Theory of Suicide: Suicidal Ideation and Behaviors of Lesbian, Gay, and Bisexual College Students and Their Heterosexual Peers

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Ploskonka, Rachel Ann

2017-01-01

Lesbian, gay, and bisexual (LGB) college students are among the most vulnerable to suicidal ideation and behaviors when compared to both heterosexual college students and other, generally older, members of the LGB community (Oswalt & Wyatt, 2011). Joiner's (2005) interpersonal psychological theory of suicide seems to be a possible framework…

Suicide and Suicide Risk in Lesbian, Gay, Bisexual, and Transgender Populations: Review and Recommendations

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Haas, Ann P.; Eliason, Mickey; Mays, Vickie M.; Mathy, Robin M.; Cochran, Susan D.; D'Augelli, Anthony R.; Silverman, Morton M.; Fisher, Prudence W.; Hughes, Tonda; Rosario, Margaret; Russell, Stephen T.; Malley, Effie; Reed, Jerry; Litts, David A.; Haller, Ellen; Sell, Randall L.; Remafedi, Gary; Bradford, Judith; Beautrais, Annette L.; Brown, Gregory K.; Diamond, Gary M.; Friedman, Mark S.; Garofalo, Robert; Turner, Mason S.; Hollibaugh, Amber; Clayton, Paula J.

2011-01-01

Despite strong indications of elevated risk of suicidal behavior in lesbian, gay, bisexual, and transgender people, limited attention has been given to research, interventions or suicide prevention programs targeting these populations. This article is a culmination of a three-year effort by an expert panel to address the need for better understanding of suicidal behavior and suicide risk in sexual minority populations, and stimulate the development of needed prevention strategies, interventions and policy changes. This article summarizes existing research findings, and makes recommendations for addressing knowledge gaps and applying current knowledge to relevant areas of suicide prevention practice. PMID:21213174

Examining the Role of Peer Relationships in the Lives of Gay and Bisexual Adolescents

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Roe, Stuart L.

2015-01-01

School social workers can serve as valuable supporters of lesbian, gay, bisexual, and transgender (LGBT) youths in the public school system by providing services aimed to improve school climates for all students. This article describes a qualitative study that examined gay and bisexual adolescent experiences with peer support using a…

Minority Stress and Mechanisms of Risk for Depression and Suicidal Ideation among Lesbian, Gay, and Bisexual Youth

OpenAIRE

Baams, Laura; Grossman, Arnold H.; Russell, Stephen T.

2015-01-01

The experience of minority stress is often named as a cause for mental health disparities among lesbian, gay, and bisexual (LGB) youth, including higher levels of depression and suicidal ideation. The processes or mechanisms through which these disparities occur are understudied. The interpersonal-psychological theory of suicide posits two key mechanisms for suicidal ideation: perceived burdensomeness and thwarted belongingness (Joiner, 2009). The aim of the current study is to assess the men...

Stories of People Who Have Attended a Lesbian, Gay, Bisexual and Trans Support Group in a Secure Intellectual Disability Service.

Science.gov (United States)

Tallentire, Liz; Smith, Matthew; David, Lee; Roberts, Adam; Bruce; Morrow, Sarah; Withers, Paul; Smith, Ian

2016-08-31

This research is about people who have intellectual disabilities and live in a secure hospital. It is about a group of people who meet at a support group. The support group is for people who are lesbian, gay, bisexual or transgender. These people with intellectual disabilities helped with planning, doing, and telling other people about the research. They told their stories about going to the support group. Their stories were joined together into a group story. The story said that the group helped people in lots of different ways. For some people going to the group was difficult at first because it was ?coming out'. This means telling other people you are lesbian, gay, bisexual, or transgender. Then it got easier and people started to feel better about themselves. Then they wanted to help others and this was important in their lives. This group seemed to help people get better. We have given some ideas for setting up other groups and doing more research. © 2016 John Wiley & Sons Ltd.

Examining the Relationship between Multiple Internalized Oppressions and African American Lesbian, Gay, Bisexual, and Questioning Persons' Self-Esteem and Psychological Distress

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Szymanski, Dawn M.; Gupta, Arpana

2009-01-01

Lesbian, gay, bisexual, and questioning (LGBQ) persons come from diverse cultural groups with diverse racial and ethnic identities. However, most research on LGBQ persons has used primarily White samples, and most research on African Americans has used largely heterosexual samples. Thus, research has largely failed to attend to and investigate the…

Beyond Bullying: The Limitations of Homophobic and Transphobic Bullying Interventions for Affirming Lesbian, Gay, Bisexual and Trans (LGBT) Equality in Education

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Marston, Kate

2015-01-01

This article draws on the experience of the charity Educational Action Challenging Homophobia (EACH) to explore the limitations of current practice around homophobic and transphobic bullying. Since 2002, EACH has worked to affirm the lives of lesbian, gay, bisexual and trans (LGBT) people and reduce discrimination experienced due to sexuality or…

Review and application of the National Academies of Sciences, Engineering, and Medicine bullying or cyberbullying recommendations for screening and lesbian, gay, bisexual, and transgender youth.

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Gillespie, Gordon Lee; Willis, Danny G; Amar, Angela F

2018-03-08

Bullying has been long seen as a natural part of childhood and adolescence. However, a growing body of evidence suggests bullying and now cyberbullying may inflict harm or distress on targeted youth including physical, psychological, social, or educational harm. The purpose of this paper is to endorse the National Academies of Sciences, Engineering, and Medicine statement, summarize the report, and apply the recommendations to two focus areas: screening and lesbian, gay, bisexual, and transgender youth as they relate to bullying and cyberbullying. Screening for bullying against youth; lesbian, gay, bisexual, and transgender youth as a high-risk group for bullying victimization; and implications to address bullying against youth are exemplified. Nurses need to promote policies that foster inclusive, supportive, safe, and healthy schools and environments for youth. Copyright © 2018 Elsevier Inc. All rights reserved.

Intergenerational Perceptions, Similarities and Differences: A Comparative Analysis of Lesbian, Gay, and Bisexual Millennial Youth with Generation X and Baby Boomers

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Vaccaro, Annemarie

2009-01-01

This article shares the findings from a qualitative study of 49 lesbian, gay, and bisexual people from three generations: Baby Boomer, Generation X, and Millennial. Baby Boomer and Generation X perceptions of Millennials are compared to the lived experiences as told by the youth themselves. While there were more intergenerational similarities than…

Social Networks of Lesbian, Gay, Bisexual, and Transgender Older Adults

Science.gov (United States)

Erosheva, Elena A.; Kim, Hyun-Jun; Emlet, Charles; Fredriksen-Goldsen, Karen I.

2015-01-01

Purpose This study examines global social networks—including friendship, support, and acquaintance networks—of lesbian, gay, bisexual, and transgender (LGBT) older adults. Design and Methods Utilizing data from a large community-based study, we employ multiple regression analyses to examine correlates of social network size and diversity. Results Controlling for background characteristics, network size was positively associated with being female, transgender identity, employment, higher income, having a partner or a child, identity disclosure to a neighbor, engagement in religious activities, and service use. Controlling in addition for network size, network diversity was positively associated with younger age, being female, transgender identity, identity disclosure to a friend, religious activity, and service use. Implications According to social capital theory, social networks provide a vehicle for social resources that can be beneficial for successful aging and well-being. This study is a first step at understanding the correlates of social network size and diversity among LGBT older adults. PMID:25882129

Social Networks of Lesbian, Gay, Bisexual, and Transgender Older Adults.

Science.gov (United States)

Erosheva, Elena A; Kim, Hyun-Jun; Emlet, Charles; Fredriksen-Goldsen, Karen I

2016-01-01

This study examines global social networks-including friendship, support, and acquaintance networks-of lesbian, gay, bisexual, and transgender (LGBT) older adults. Utilizing data from a large community-based study, we employ multiple regression analyses to examine correlates of social network size and diversity. Controlling for background characteristics, network size was positively associated with being female, transgender identity, employment, higher income, having a partner or a child, identity disclosure to a neighbor, engagement in religious activities, and service use. Controlling in addition for network size, network diversity was positively associated with younger age, being female, transgender identity, identity disclosure to a friend, religious activity, and service use. According to social capital theory, social networks provide a vehicle for social resources that can be beneficial for successful aging and well-being. This study is a first step at understanding the correlates of social network size and diversity among LGBT older adults. © The Author(s) 2015.

Who, What, Where, When, and Why: Demographic and Ecological Factors Contributing to Hostile School Climate for Lesbian, Gay, Bisexual, and Transgender Youth

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Kosciw, Joseph G.; Greytak, Emily A.; Diaz, Elizabeth M.

2009-01-01

This study examines how locational (region and locale), community-level (school district poverty and adult educational attainment), and school district-level (district size and ratios of students to key school personnel) variables are related to indicators of hostile school climate for lesbian, gay, bisexual, and transgender (LGBT) youth.…

Differences in Orgasm Frequency Among Gay, Lesbian, Bisexual, and Heterosexual Men and Women in a U.S. National Sample.

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Frederick, David A; John, H Kate St; Garcia, Justin R; Lloyd, Elisabeth A

2018-01-01

There is a notable gap between heterosexual men and women in frequency of orgasm during sex. Little is known, however, about sexual orientation differences in orgasm frequency. We examined how over 30 different traits or behaviors were associated with frequency of orgasm when sexually intimate during the past month. We analyzed a large US sample of adults (N = 52,588) who identified as heterosexual men (n = 26,032), gay men (n = 452), bisexual men (n = 550), lesbian women (n = 340), bisexual women (n = 1112), and heterosexual women (n = 24,102). Heterosexual men were most likely to say they usually-always orgasmed when sexually intimate (95%), followed by gay men (89%), bisexual men (88%), lesbian women (86%), bisexual women (66%), and heterosexual women (65%). Compared to women who orgasmed less frequently, women who orgasmed more frequently were more likely to: receive more oral sex, have longer duration of last sex, be more satisfied with their relationship, ask for what they want in bed, praise their partner for something they did in bed, call/email to tease about doing something sexual, wear sexy lingerie, try new sexual positions, anal stimulation, act out fantasies, incorporate sexy talk, and express love during sex. Women were more likely to orgasm if their last sexual encounter included deep kissing, manual genital stimulation, and/or oral sex in addition to vaginal intercourse. We consider sociocultural and evolutionary explanations for these orgasm gaps. The results suggest a variety of behaviors couples can try to increase orgasm frequency.

Best Not Forget Lesbian, Gay, Bisexual, and Transgender Themed Children's Literature: A Teacher's Reflections of a More Inclusive Multicultural Education and Literature Program

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Flores, Gabriel

2016-01-01

For many years, educational practitioners have been implementing multicultural literature about African-American, Asian, and Latino families. Teachers have also presented literature about great leaders, such as Martin Luther King Jr. and Helen Keller. However, the same cannot be said about literature depicting lesbian, gay, bisexual, and…

Involved, Invisible, Ignored: The Experiences of Lesbian, Gay, Bisexual and Transgender Parents and Their Children in Our Nation's K-12 Schools

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Kosciw, Joseph G.; Diaz, Elizabeth M.

2008-01-01

Current estimates indicate that there are more than 7 million lesbian, gay, bisexual and transgender (LGBT) parents with school-age children in the United States, yet little is known about the experiences of this growing number of LGBT-headed families in schools across the country. In order to fill this crucial gap in our knowledge of LGBT issues…

High School Coaches' Experiences With Openly Lesbian, Gay, and Bisexual Athletes.

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Halbrook, Meghan K; Watson, Jack C; Voelker, Dana K

2018-01-17

Despite reports that there has been a positive trend in perception and treatment of lesbian, gay, and bisexual (LGB) individuals in recent years (Griffin, 2012 ; Loftus, 2001 ), sport, in general, is still an uncertain, and sometimes even hostile, environment for LGB athletes (Anderson, 2005 ; Waldron & Krane, 2005 ). To gain more information on coach understanding and perceptions of the team environment, 10 high school head coaches in the United States were interviewed to explore their experiences coaching openly LGB athletes. Qualitative analyses revealed four primary themes associated with coach experiences: team environment dogmas and observations, fundamental beliefs contributing to perceptions of LGB athletes, types and timing of sexual orientation disclosure, and differential LGB athlete characteristics. Future research should examine these primary themes in more detail through interviews with LGB athletes, as well as high school coaches in more traditionally masculine sports, such as football, men's basketball, and wrestling.

Building the Foundation of Acceptance Book by Book: Lesbian, Gay, Bisexual, and/or Transgender-Themed Books for Grades K-5 Multicultural Libraries

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Knoblauch, Dee

2016-01-01

This article is an analysis of picture books and chapter books involving lesbian, gay, bisexual, and/or transgender characters. Over 30 picture and chapter books were reviewed, each of which would be appropriate for use in elementary classrooms. For grades K-2, several picture books highlight different types of families, including families that…

Assessing undergraduate nursing students' knowledge, attitudes, and cultural competence in caring for lesbian, gay, bisexual, and transgender patients.

Science.gov (United States)

Strong, Kristy L; Folse, Victoria N

2015-01-01

Lesbian, gay, bisexual, and transgender (LGBT) patients experience barriers to health care that include fear of discrimination, as well as insensitivity and lack of knowledge about LGBT-specific health needs among providers. This study examined the effectiveness of an educational intervention designed to improve knowledge and attitudes of baccalaureate nursing students regarding LGBT patient care. Education focused on key terminology, health disparities, medical needs of transgender patients, and culturally sensitive communication skills for competent LGBT patient care. Knowledge level and attitudes were evaluated before and after the intervention using a survey based on a modified Attitudes Toward Lesbians and Gay Men Scale and two assessment tools developed for this study. A statistically significant increase in positive attitudes and knowledge level was found immediately after the intervention. Findings from this study support the inclusion of education related to LGBT patient health care in undergraduate nursing curricula to promote cultural competence and sensitivity. Copyright 2015, SLACK Incorporated.

The lesbian, gay, bisexual and transgender community online: discussions of bullying and self-disclosure in YouTube videos

OpenAIRE

Green, Michael; Bobrowicz, Ania; Ang, Chee Siang

2015-01-01

Computer-mediated communication has become a popular platform for identity construction and experimentation as well as social interaction for those who identify as lesbian, gay, bisexual or transgender (LGBT). The creation of user-generated videos has allowed content creators to share experiences on LGBT topics. With bullying becoming more common amongst LGBT youth, it is important to obtain a greater understanding of this phenomenon. In our study, we report on the analysis of 151 YouTube vid...

A National Study of Lesbian, Gay, Bisexual (LGB), and Non-LGB Youth Sexual Behavior Online and In-Person.

Science.gov (United States)

Ybarra, Michele L; Mitchell, Kimberly J

2016-08-01

Online and in-person sexual behaviors of cisgender lesbian, gay, queer, bisexual, heterosexual, questioning, unsure, and youth of other sexual identities were examined using data from the Teen Health and Technology study. Data were collected online between August 2010 and January 2011 from 5,078 youth 13-18 years old. Results suggested that, depending on sexual identity, between 4-35 % of youth had sexual conversations and 2-24 % shared sexual photos with someone online in the past year. Among the 22 % of youth who had oral, vaginal, and/or anal sex, between 5-30 % met one of their two most recent sexual partners online. Inconsistent condom use was associated with increased odds of meeting one's most recent partner online for heterosexual adolescent men. For gay and queer adolescent men, having an older partner, a partner with a lifetime history of sexually transmitted infections (STI), and concurrent sex partners were each significantly associated with increased odds of having met one's most recent sex partner online. None of the examined characteristics significantly predicted meeting one's most recent sexual partner online versus in-person for heterosexual; bisexual; or gay, lesbian, and queer women. The Internet is not replacing in-person exploration and expression of one's sexuality and meeting sexual partners online appears to be uncommon in adolescence across sexual identities. Healthy sexuality programming that acknowledges some youth are meeting partners online is warranted, but this should not be a main focal point. Instead, inclusive STI prevention programming that provides skills to reduce risk when engaging in all types of sex is critical.

A Report on the Status of Gay, Lesbian, Bisexual and Transgender People in Education: Stepping Out of the Closet, into the Light

Science.gov (United States)

Kim, Robert

2009-01-01

On July 17-18, 2008, the National Education Association hosted the NEA National Summit on gay, lesbian, bisexual, and transgender (GLBT) Issues in Education in Chicago, Illinois. The purpose of the Summit was to gather leading researchers, scholars, and practitioners on GLBT issues in education to assess the status of GLBT students in the United…

Acceptability and Preliminary Efficacy of a Lesbian, Gay, Bisexual, and Transgender-Affirmative Mental Health Practice Training in a Highly Stigmatizing National Context

OpenAIRE

Lelutiu-Weinberger, Corina; Pachankis, John E.

2017-01-01

Purpose: Lesbian, gay, bisexual, and transgender (LGBT) individuals in Romania encounter pervasive stigma and discrimination and there is a high need for LGBT-competent mental health professionals (MHPs). We tested the impact of a pilot LGBT-affirmative training for MHPs in Romania on these professionals' LGBT-relevant attitudes, knowledge, and perception of clinical skills.

Current State of Knowledge About Cancer in Lesbians, Gay, Bisexual, and Transgender (LGBT) People.

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Margolies, Liz; Brown, Carlton G

2018-02-01

To review the current state of knowledge about cancer in lesbians, gay, bisexual, and transgender (LGBT) people by focusing on four major issues across the cancer continuum including: 1) lack of data collection on sexual orientation and gender identity; 2) need for a culturally competent workforce; 3) the need for a culturally competent health care system; and 4) creating LGBT tailored patient/client information and education. Published literature. Oncology nurses and health care providers can work to improve the care of LGBT patients with cancer by following suggestions in this article. Oncology nurses and other health care providers have many distinct occasions to improve overall cancer care for LGBT patients. Copyright © 2017 Elsevier Inc. All rights reserved.

Social support, self-rated health, and lesbian, gay, bisexual, and transgender identity disclosure to cancer care providers.

Science.gov (United States)

Kamen, Charles S; Smith-Stoner, Marilyn; Heckler, Charles E; Flannery, Marie; Margolies, Liz

2015-01-01

To describe factors related to diagnosis, identity disclosure, and social support among lesbian, gay, bisexual, and transgender (LGBT) patients with cancer, and to explore associations between these factors and self-rated health. Cross-sectional self-report survey design using descriptive and exploratory multivariate statistical approaches. Online, Internet-based. 291 LGBT patients (89% Caucasian; 50% gay, 36% lesbian, 7% bisexual, 3% transgender) with mixed cancers. Participants completed a researcher-designed online survey assessing experiences of cancer diagnosis among LGBT patients at a single time point. Demographics, which provider(s) delivered the patients' cancer diagnoses, to whom patients had disclosed their LGBT identity, how they disclosed, who was on their social support team at the time of diagnosis, and current self-rated health. 79% of participants reported disclosing their identities to more than one cancer care provider. Participants most commonly introduced the topic of LGBT identity themselves, sometimes as a way to correct heterosexual assumptions (34%). Friends were the most common members of LGBT patients' support teams (79%). Four disclosure and support factors were consistently associated with better self-rated health. Disclosure of LGBT identity is a common experience in the context of cancer care, and disclosure and support factors are associated with better self-reported health among LGBT patients. Creating safe environments for LGBT patients to disclose could improve cancer care delivery to this underserved population. Nurses and other providers should acknowledge and include diverse support team members in LGBT patients' care.

Coming out of the Dark: Content Analysis of Articles Pertaining to Gay, Lesbian, and Bisexual Issues in Couple and Family Therapy Journals

Science.gov (United States)

Hartwell, Erica E.; Serovich, Julianne M.; Grafsky, Erika L.; Kerr, Zachary Y.

2012-01-01

The present study seeks to extend previous research regarding literature related to gay, lesbian, and bisexual (GLB) issues published in couple and family therapy (CFT)-related journals by presenting the results from a content analysis of GLB studies in CFT-related journals from 1996 to 2010. Results of the analysis revealed a 238.8% increase in…

Toward an affirmative lesbian, gay, bisexual, and transgender leadership paradigm.

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Fassinger, Ruth E; Shullman, Sandra L; Stevenson, Michael R

2010-04-01

This article presents an affirmative paradigm for understanding the leadership of sexual minorities-that is, lesbian, gay, bisexual, and transgender (LGBT) people. Although research on LGBT issues in leadership to date is almost nonexistent, there are several bodies of literature that can contribute to an understanding of the unique leadership challenges faced by sexual minority people. These include the literatures on stigma and marginalization, leadership in particular status groups (e.g., college students, women), and LGBT vocational issues (especially workplace climate and identity disclosure). We propose a new, multidimensional model of LGBT leadership enactment that incorporates sexual orientation (particularly regarding identity disclosure), gender orientation (including leader gender), and the situation (conceptualized here as group composition); the model also is embedded in context, the most relevant factors that affect the enactment of leadership being stigma and marginalization. We explicate this model with findings and concepts from relevant literatures, and we conclude the article with recommendations for building a scholarly literature in LGBT leadership. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

A national study of lesbian, gay, bisexual (LGB) and non-LGB youth sexual behavior online and in-person

OpenAIRE

Ybarra, Michele L.; Mitchell, Kimberly J.

2015-01-01

Online and in-person sexual behaviors of cisgender lesbian, gay, queer, bisexual, heterosexual, questioning, unsure, and youth of other sexual identities were examined using data from the Teen Health and Technology study. Data were collected online between August 2010 and January 2011 from 5,078 youth 13–18 years old. Results suggested, depending on sexual identity, between 4–35% of youth had sexual conversations and 2–24% shared sexual photos with someone online in the past year. Among the 2...

Our Families, Our Children: The Lesbian and Gay Child Care Task Force Report on Quality Child Care.

Science.gov (United States)

Dispenza, Mary

The Lesbian and Gay Child Care Task Force documented anecdotal evidence of homophobia in child care and school age communities, including: (1) refusal to accept children from lesbian, gay, bisexual, and transgender (LGBT) families into child care; (2) biased attitudes expressed to children when they speak about their families; and (3) demonstrated…

A national study of lesbian, gay, bisexual (LGB) and non-LGB youth sexual behavior online and in-person

Science.gov (United States)

Ybarra, Michele L.; Mitchell, Kimberly J.

2015-01-01

Online and in-person sexual behaviors of cisgender lesbian, gay, queer, bisexual, heterosexual, questioning, unsure, and youth of other sexual identities were examined using data from the Teen Health and Technology study. Data were collected online between August 2010 and January 2011 from 5,078 youth 13–18 years old. Results suggested, depending on sexual identity, between 4–35% of youth had sexual conversations and 2–24% shared sexual photos with someone online in the past year. Among the 22% of youth who had oral, vaginal, and/or anal sex, between 5–30% met one of their two most recent sexual partners online. Inconsistent condom use was associated with increased odds of meeting one’s most recent partner online for heterosexual adolescent men. For gay and queer adolescent men, having an older partner, a partner with a lifetime history of sexually transmitted infections (STI), and concurrent sex partners were each significantly associated with increased odds of having met one’s most recent sex partner online. None of the examined characteristics significantly predicted meeting one’s most recent sexual partner online versus in-person for heterosexual; bisexual; or gay, lesbian, and queer women. The Internet is not replacing in-person exploration and expression of one’s sexuality and meeting sexual partners online appears to be uncommon in adolescence across sexual identities. Healthy sexuality programming that acknowledges some youth are meeting partners online is warranted, but this should not be a main focal point. Instead, inclusive STI prevention programming that provides skills to reduce risk when engaging in all types of sex and is critical. PMID:25894645

The Pink Lesson Plan: Addressing the Emotional Needs of Gay and Lesbian Students in Canadian Teacher Education Programs

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Bellini, Christine

2012-01-01

The history of civil rights in Canada illustrates a growing trend by the government to support the physical, emotional, mental, legal, and financial needs of gay, lesbian, bisexual, and transgendered citizens. However, the education system presents a slightly different climate. Despite numerous policies and initiatives, gay and lesbian students…

Pathways to HIV risk and vulnerability among lesbian, gay, bisexual, and transgendered methamphetamine users: a multi-cohort gender-based analysis

OpenAIRE

Patterson Thomas L; Shoveller Jean A; Wood Evan; Marshall Brandon DL; Montaner Julio SG; Kerr Thomas

2011-01-01

Abstract Background Methamphetamine (MA) use continues to be a major public health concern in many urban settings. We sought to assess potential relationships between MA use and individual, social, and structural HIV vulnerabilities among sexual minority (lesbian, gay, bisexual or transgendered) drug users. Methods Beginning in 2005 and ending in 2008, 2109 drug users were enroled into one of three cohort studies in Vancouver, Canada. We analysed longitudinal data from all self-identified sex...

Challenges, health implications, and advocacy opportunities for lesbian, gay, bisexual, and transgender global health providers.

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Nagata, Jason M

2017-01-01

In this commentary, I reflect on challenges with conducting global health research internationally as a lesbian, gay, bisexual, and transgender (LGBT) person, grapple with decisions related to coming out in regions with anti-LGBT laws, and outline the risks and benefits of different advocacy options related to the promotion of LGBT health globally. Despite significant advances in LGBT rights in many countries, homosexuality remains illegal in many others. Using a critical medical anthropology framework, I argue that anti-LGBT laws constitute structural violence and have many detrimental consequences including discrimination and violence; poorer mental and physical health outcomes; and risky sexual behaviors. As a global health provider, there are many options for the promotion of LGBT health worldwide.

Applying Organizational Change to Promote Lesbian, Gay, Bisexual, and Transgender Inclusion and Reduce Health Disparities.

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Eckstrand, Kristen L; Lunn, Mitchell R; Yehia, Baligh R

2017-06-01

Lesbian, gay, bisexual, and transgender (LGBT) populations face numerous barriers when accessing and receiving healthcare, which amplify specific LGBT health disparities. An effective strategic approach is necessary for academic health centers to meet the growing needs of LGBT populations. Although effective organizational change models have been proposed for other minority populations, the authors are not aware of any organizational change models that specifically promote LGBT inclusion and mitigate access barriers to reduce LGBT health disparities. With decades of combined experience, we identify elements and processes necessary to accelerate LGBT organizational change and reduce LGBT health disparities. This framework may assist health organizations in initiating and sustaining meaningful organizational change to improve the health and healthcare of the LGBT communities.

Minority stress and mechanisms of risk for depression and suicidal ideation among lesbian, gay, and bisexual youth.

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Baams, Laura; Grossman, Arnold H; Russell, Stephen T

2015-05-01

The experience of minority stress is often named as a cause for mental health disparities among lesbian, gay, and bisexual (LGB) youth, including higher levels of depression and suicidal ideation. The processes or mechanisms through which these disparities occur are understudied. The interpersonal-psychological theory of suicide posits 2 key mechanisms for suicidal ideation: perceived burdensomeness and thwarted belongingness (Joiner et al., 2009). The aim of the current study is to assess the mental health and adjustment among LGB youth emphasizing the minority stress model (Meyer, 2003) and the interpersonal-psychological theory of suicide (Joiner et al., 2009). With a survey of 876 LGB self-identified youth, levels of coming-out stress, sexual orientation victimization, perceived burdensomeness, thwarted belongingness, depression, and suicidal ideation were examined. The results of a multigroup mediation model show that for all gender and sexual identity groups, the association of sexual orientation victimization with depression and suicidal ideation was mediated by perceived burdensomeness. For gay, lesbian, and bisexual girls coming-out stress was also found to be related to depression and suicidal ideation, mediated by perceived burdensomeness. The results suggest that feeling like a burden to "people in their lives" is a critical mechanism in explaining higher levels of depression and suicidal ideation among LGB youth. These results have implications for community and social support groups, many of which base their interventions on decreasing social isolation rather than addressing youths' beliefs of burdensomeness. Implications for future research, clinical and community settings are discussed. (c) 2015 APA, all rights reserved).

A moral justification for gay and lesbian civil rights legislation.

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Samar, V J

1994-01-01

This essay explores, in two parts, the problems of justifying civil rights legislation for gays, lesbians, and bisexuals. Part I shows that discrimination against gays and lesbians at least in respect to employment, housing, and public accommodations is an evil unsupported by ethical traditions in utilitarianism, rights theory, and communitarianism. It also shows that two theories, Kantian theory and natural law theory, which do support such discrimination on the claim that homoerotic behavior is universally or objectively immoral only do so because of a failure to make precise the concept of "natural" which underlies those theories. Part II argues that anti-discrimination legislation is both an appropriate and effective means to promote the idea that discrimination against lesbians and gays in respect to most employment, housing, and public accommodations is sufficiently injurious to both individuals and society that it should not be tolerated. The section also explains how such legislation might succeed practically in eliminating discrimination in these areas.

Stigma management? The links between enacted stigma and teen pregnancy trends among gay, lesbian, and bisexual students in British Columbia

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Saewyc, Elizabeth M.; Poon, Colleen S.; Homma, Yuko; Skay, Carol L.

2008-01-01

Over the past decade, several large-scale school-based studies of adolescents in Canada and the U.S. have documented health disparities for lesbian, gay and bisexual teens compared to their heterosexual peers, such as higher rates of suicide attempts, homelessness, and substance use. Many of these disparities have been linked to “enacted stigma,” or the higher rates of harassment, discrimination, and sexual or physical violence that sexual minority youth experience at home, at school, and in ...

Closeted or out? Gay and Lesbian Educators Reveal Their Experiences about Their Sexual Identities in K-12 Schools

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Hooker, Steven D.

2010-01-01

Lesbian, gay, bisexual, and transgender school educators are practically invisible within the nature of heterosexist and homophobic education (Blount, 2005). "Openly gay and lesbian teachers were once thought of as immoral, and in some states coming out is still a risk to one's job" (McCarthy, 2003, p. 182). One's sexual orientation has nothing to…

Discrimination and victimization: parade for lesbian, gay, bisexual, and transgender (LGBT) pride, in Chile.

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Barrientos, Jaime; Silva, Jimena; Catalan, Susan; Gomez, Fabiola; Longueira, Jimena

2010-01-01

This article describes the population participating in the LGBT Pride Parade in Santiago, Chile, from discrimination and victimization standpoints. The sample consisted of 488 subjects older than 18 years (M = 25.1), who were interviewed during the 2007 event. For this purpose, a questionnaire from the Latin American Centre of Sexuality and Human Rights (CLAM) was adapted and administered. Approximately 35% of respondents reported having experimented school, religious, or neighborhood discrimination. The more discriminated are transgender people. Approximately three fourths of respondents reported experiencing ridicule and almost 60% reported experiencing insults or threats. Transgender were significantly more likely than gay men, lesbians, and bisexuals to experience discrimination or victimization events. Finally, the parade acquired an important social and political character in the context of a clearly homophobic society.

The Effects of Gender- and Sexuality-Based Harassment on Lesbian, Gay, Bisexual, and Transgender Substance Use Disparities.

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Coulter, Robert W S; Bersamin, Melina; Russell, Stephen T; Mair, Christina

2018-06-01

We tested three competing models about whether gender- and sexuality-based harassment at school have nonindependent, additive, or interactive effects on adolescents' electronic cigarette use (i.e., vaping), cigarette smoking, alcohol use, and heavy episodic drinking (HED). We also tested whether harassment mediated substance use disparities between lesbian, gay, bisexual, transgender (LGBT) adolescents and their cisgender heterosexual peers. We analyzed cross-sectional data from the 2013-2014 California Healthy Kids Survey, including 316,766 students in grades 7, 9, and 11 from more than 1,500 middle and high schools. We used logistic regression models and interaction terms to estimate associations of past-year gender- and sexuality-based harassment at school on past-month substance use, and the Karlson-Holm-Breen method to test whether harassment mediated LGBT disparities in substance use. Vaping, smoking, drinking, HED, and gender- and sexuality-based harassment were higher for transgender adolescents than for cisgender males and females, and for adolescents who were lesbian, gay, or bisexual only versus heterosexual only. Gender- and sexuality-based harassments were independently associated with greater odds of using each substance in every grade. These two types of harassment had positive interactions with each other for vaping in grade 11, smoking in grade 11, and HED in grades 9 and 11. Gender- and sexuality-based harassment significantly mediated many of the LGBT disparities in substance use. Gender- and sexuality-based harassment at school independently or interactively produced LGBT disparities in substance use. Reducing these types of discrimination in schools will likely mitigate these disparities. Copyright © 2017 The Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Comparison of Health Risks and Changes in Risks over Time Among a Sample of Lesbian, Gay, Bisexual, and Heterosexual Employees at a Large Firm.

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Mitchell, Rebecca J; Ozminkowski, Ronald J

2017-04-01

The objective of this study was to estimate the prevalence of health risk factors by sexual orientation over a 4-year period within a sample of employees from a large firm. Propensity score-weighted generalized linear regression models were used to estimate the proportion of employees at high risk for health problems in each year and over time, controlling for many factors. Analyses were conducted with 6 study samples based on sex and sexual orientation. Rates of smoking, stress, and certain other health risk factors were higher for lesbian, gay, and bisexual (LGB) employees compared with rates of these risks among straight employees. Lesbian, gay, and straight employees successfully reduced risk levels in many areas. Significant reductions were realized for the proportion at risk for high stress and low life satisfaction among gay and lesbian employees, and for the proportion of smokers among gay males. Comparing changes over time for sexual orientation groups versus other employee groups showed that improvements and reductions in risk levels for most health risk factors examined occurred at similar rates among individuals employed by this firm, regardless of sexual orientation. These results can help improve understanding of LGB health and provide information on where to focus workplace health promotion efforts to meet the health needs of LGB employees.

Gender nonconformity and mental health among lesbian, gay, and bisexual adults: Homophobic stigmatization and internalized homophobia as mediators.

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Van Beusekom, Gabriël; Bos, Henny Mw; Kuyper, Lisette; Overbeek, Geertjan; Sandfort, Theo Gm

2016-04-01

We assessed among a sample of 724 Dutch lesbian, gay, and bisexual-identified adults ( M age  = 31.42) whether experiences with homophobic stigmatization and internalized homophobia simultaneously mediated the relation of gender nonconformity with mental health. Results indicated that homophobic stigmatization and internalized homophobia partially mediated the relation between gender nonconformity and mental health. Gender nonconformity was related to more mental health problems via increased experiences with homophobic stigmatization and to less mental health problems because of reduced levels of internalized homophobia. However, the mediated relation of gender nonconformity with mental health via homophobic stigmatization was only significant for men.

Acceptance in the domestic environment: the experience of senior housing for lesbian, gay, bisexual, and transgender seniors.

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Sullivan, Kathleen M

2014-01-01

The social environment impacts the ability of older adults to interact successfully with their community and age-in-place. This study asked, for the first time, residents of existing Lesbian, Gay, Bisexual, and Transgender (LGBT) senior living communities to explain why they chose to live in those communities and what, if any, benefit the community afforded them. Focus groups were conducted at 3 retirement communities. Analysis found common categories across focus groups that explain the phenomenon of LGBT senior housing. Acceptance is paramount for LGBT seniors and social networks expanded, contrary to socioemotional selectivity theory. Providers are encouraged to develop safe spaces for LGBT seniors.

‘We’re all very liberal in our views’: students’ talk about lesbian and gay parenting

OpenAIRE

Clarke, V.

2005-01-01

Mapping the contours of homophobia and heterosexism is a key concern for lesbian, gay, bisexual and trans (LGBT) psychology. In this paper, I present a discursive analysis of the construction of heterosexism in student focus group discussions about lesbian and gay parenting. My analysis (empirically) develops Kitzinger’s (1987) theoretical and political argument that the concept of homophobia is embedded in a liberal framework and requires people to endorse a liberal construction of homosexua...

Gay and Lesbian Scene in Metelkova

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Nataša Velikonja

2013-09-01

Full Text Available The article deals with the development of the gay and lesbian scene in ACC Metelkova, while specifying the preliminary aspects of establishing and building gay and lesbian activism associated with spatial issues. The struggle for space or occupying public space is vital for the gay and lesbian scene, as it provides not only the necessary socializing opportunities for gays and lesbians, but also does away with the historical hiding of homosexuality in the closet, in seclusion and silence. Because of their autonomy and long-term, continuous existence, homo-clubs at Metelkova contributed to the consolidation of the gay and lesbian scene in Slovenia and significantly improved the opportunities for cultural, social and political expression of gays and lesbians. Such a synthesis of the cultural, social and political, further intensified in Metelkova, and characterizes the gay and lesbian community in Slovenia from the very outset of gay and lesbian activism in 1984. It is this long-term synthesis that keeps this community in Slovenia so vital and politically resilient.

Gay and Lesbian Parents

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... Life Listen Español Text Size Email Print Share Gay and Lesbian Parents Page Content Article Body I am gay. Should I worry how this will affect my children? Millions of children have one or more gay and/or lesbian parents. For some children, having ...

The coming-out process of young lesbian and bisexual women: are there butch/femme differences in sexual identity development?

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Rosario, Margaret; Schrimshaw, Eric W; Hunter, Joyce; Levy-Warren, Anna

2009-02-01

Research on lesbian and bisexual women has documented various biological and behavioral differences between butch and femme women. However, little research has examined whether differences exist in sexual identity development (i.e., the coming-out process). The present study examined longitudinally potential butch/femme differences in sexual identity formation and integration among an ethnically diverse sample of 76 self-identified lesbian and bisexual young women (ages 14-21 years). A composite measure of butch/femme identity classified 43% as butch and 51% as femme. Initial comparisons found butch/femme differences in sexual identity (i.e., nearly all butches identified as lesbian, but about half of femmes identified as bisexual), suggesting the need to examine this confound. Comparisons of lesbian butches, lesbian femmes, and bisexual femmes found that lesbian butches and femmes generally did not differ on sexual identity formation, but they differed from bisexual femmes. Lesbian butches and femmes had sexual behaviors and a cognitive sexual orientation that were more centered on women than those of bisexual femmes. With respect to sexual identity integration, lesbian butches were involved in more gay social activities, were more comfortable with others knowing about their homosexuality, and were more certain, comfortable, and accepting of their sexual identity than were bisexual femmes. Fewer differences were found between lesbian femmes and bisexual femmes or between lesbian butches and lesbian femmes. The findings suggest that sexual identity formation does not differ between butch or femme women, but differences are linked to sexual identity as lesbian or bisexual. Further, the findings that lesbian femmes sometimes differed from lesbian butches and at other times from bisexual femmes on sexual identity integration suggest that neither sexual identity nor butch/femme alone may explain sexual identity integration. Research examining the intersection between

Does Closeness to Someone Who Is Gay, Lesbian, or Bisexual Influence Etiology Beliefs About Homosexuality?

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Chonody, Jill M; Kavanagh, Phillip S; Woodford, Michael R

2016-12-01

Research suggests that contact with sexual minorities and etiology beliefs regarding the origins of homosexuality are associated with antigay bias; however, factors related to etiology beliefs have received little empirical attention. Our primary research question is: Does closeness to someone who is gay, lesbian, or bisexual influence etiology beliefs? Students (n = 851) from four U.S. universities completed an anonymous survey, and regression results indicated that contact and closeness were not significantly associated with etiology beliefs. Because both contact and relationship closeness were associated with antigay attitudes, and closeness demonstrated the largest effect, we tested three alternative structural equation models to determine if contact and closeness mediated etiology beliefs. Results suggested that contact and the degree of closeness are indirectly associated with students' etiology beliefs through antigay bias.

Psychosocial Effects of Health Disparities of Lesbian, Gay, Bisexual, and Transgender Older Adults.

Science.gov (United States)

Zelle, Andraya; Arms, Tamatha

2015-07-01

The 1.5 million older adults who self-identify as lesbian, gay, bisexual, and transgender (LGBT) are expected to double in number by 2030. Research suggests that health disparities are closely linked with societal stigma, discrimination, and denial of civil and human rights. More LGBT older adults struggle with depression, substance abuse, social isolation, and acceptance compared to their heterosexual counterparts. Despite individual preferences, most health care providers recognize the right of any individual to have access to basic medical services. The U.S. Department of Health and Human Services requires that all hospitals receiving funds from Medicare and Medicaid respect visitation and medical decision-making rights to all individuals identifying as LGBT. The Joint Commission also requires a non-discrimination statement for accreditation. The current literature review examines LGBT health disparities and the consequential psychosocial impact on LGBT older adults as well as brings awareness to the needs of this underserved and underrepresented population. Copyright 2015, SLACK Incorporated.

Lesbian, gay, bisexual, and transgender (LGBT) physicians' experiences in the workplace.

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Eliason, Michele J; Dibble, Suzanne L; Robertson, Patricia A

2011-01-01

Little is known about the experiences of lesbian, gay, bisexual, and transgender (LGBT) physicians in the workplace. There is little formal education in medical school about LGBT issues, and some heterosexual physicians have negative attitudes about caring for LGBT patients or working with LGBT coworkers, setting the stage for an exclusive and unwelcoming workplace. The current study used an online survey to assess a convenience sample of 427 LGBT physicians from a database of a national LGBT healthcare organization, as well as a snowball sample generated from the members of the database. Although rates of discriminatory behaviors had decreased since earlier reports, 10% reported that they were denied referrals from heterosexual colleagues, 15% had been harassed by a colleague, 22% had been socially ostracized, 65% had heard derogatory comments about LGBT individuals, 34% had witnessed discriminatory care of an LGBT patient, 36% had witnessed disrespect toward an LGBT patient's partner, and 27% had witnessed discriminatory treatment of an LGBT coworker. Few had received any formal education on LGBT issues in medical school or residency. It appears that medical schools and health care workplaces continue to ignore LGBT issues and operate in discriminatory fashion far too often.

School victimization and substance use among lesbian, gay, bisexual, and transgender adolescents.

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Huebner, David M; Thoma, Brian C; Neilands, Torsten B

2015-07-01

Lesbian, gay, bisexual, and transgender (LGBT) adolescents are at increased risk for substance use, relative to their heterosexual counterparts. Although previous research has demonstrated that experiences of anti-LGBT harassment, discrimination, and victimization may explain some of this disparity, little is known about the mechanisms whereby such mistreatment leads to substance abuse. This study aimed to examine whether mechanisms suggested by the Social Development Model might explain the links between school-based victimization and substance use in this population. Five hundred and four ethnically diverse LGBT adolescents ages 14-19 reported their experiences with school victimization, substance abuse, school bonding, and deviant peer group affiliation. Anti-LGBT victimization in school was associated with substance abuse, and although causality cannot be established, structural equation modeling confirmed that the data are consistent with a theoretical model in which this association was mediated by increased affiliation with deviant peers. Preventive interventions for LGBT adolescents must not only attempt to make schools safer for these youth, but also help keep them engaged in healthy peer groups when they are confronted with mistreatment in school.

School Victimization and Substance Use among Lesbian, Gay, Bisexual, and Transgender Adolescents

Science.gov (United States)

Huebner, David M.; Thoma, Brian C.; Neilands, Torsten B.

2014-01-01

Lesbian, gay, bisexual, and transgender (LGBT) adolescents are at increased risk for substance use, relative to their heterosexual counterparts. Although previous research has demonstrated that experiences of anti-LGBT harassment, discrimination, and victimization may explain some of this disparity, little is known about the mechanisms whereby such mistreatment leads to substance abuse. This study aimed to examine whether mechanisms suggested by the Social Development Model might explain the links between school-based victimization and substance use in this population. Five hundred and four ethnically diverse LGBT adolescents ages 14–19 reported their experiences with school victimization, substance abuse, school bonding, and deviant peer group affiliation. Anti-LGBT victimization in school was associated with substance abuse, and although causality cannot be established, structural equation modeling confirmed that the data are consistent with a theoretical model in which this association was mediated by increased affiliation with deviant peers. Preventive interventions for LGBT adolescents must not only attempt to make schools safer for these youth, but also help keep them engaged in healthy peer groups when they are confronted with mistreatment in school. PMID:25529390

The Indirect Effect of Emotion Regulation on Minority Stress and Problematic Substance Use in Lesbian, Gay, and Bisexual Individuals

Directory of Open Access Journals (Sweden)

Andrew H. Rogers

2017-10-01

Full Text Available Lesbian, gay, and bisexual (LGB individuals report higher levels of problematic alcohol and substance use than their heterosexual peers. This disparity is linked to the experience of LGB-specific stressors, termed minority stress. Additionally, bisexual individuals show increased rates of psychopathology, including problematic alcohol and substance use, above and beyond lesbian and gay individuals. However, not everyone experiencing minority stress reports increased rates of alcohol and substance misuse. Emotion regulation (ER, which plays a critical role in psychopathology in general, is theorized to modulate the link between minority stress and psychopathology. However, it remains largely unknown whether ER plays a role in linking instances of minority stress with substance and alcohol use outcomes. To address the gap, the current study assessed 305 LGB individuals’ instances of minority stress, ER, and substance and alcohol use outcomes. We assessed the role of ER in problematic alcohol and substance use among LGB individuals using moderated mediation, where sexual minority status was entered as the moderator, and ER difficulties was entered as the mediator. The results indicated significant indirect effects of minority stress, through ER difficulties, on both problematic alcohol and substance use. However, there was no significant interaction with sexual orientation status, suggesting that ER may be important for all LGB individuals in predicting problematic alcohol and substance use. These results highlight the important role that ER plays between instances of minority stress and substance and alcohol use in LGB individuals, suggesting that ER skills may serve as a novel target for intervention.

Pilot Survey of Physician Assistants Regarding Lesbian, Gay, Bisexual, and Transgender Providers Suggests Role for Workplace Nondiscrimination Policies.

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Ewton, Tiffany A; Lingas, Elena O

2015-12-01

Lesbian, gay, bisexual, and transgender (LGBT) medical providers in the United States have historically faced discrimination from their peers. To assess current workplace culture and attitudes, and to evaluate awareness of workplace and professional policies regarding LGBT discrimination, we sent a cross-sectional survey to 163 PAs (Physician Assistants). Respondents had an overall positive attitude towards LGBT providers, yet the majority was not aware of relevant policy statements (>60%). A significant association existed between policy awareness and LGBT inclusivity (Pharassment (P=.017). Despite improved societal attitudes toward LGBT providers, non-discriminatory work environments for LGBT physician assistants may relate to greater awareness of specific workplace policy standards.

Palliative and End-of-Life Care for Lesbian, Gay, Bisexual, and Transgender (LGBT) Cancer Patients and Their Caregivers.

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Cloyes, Kristin G; Hull, William; Davis, Andra

2018-02-01

To identify the unique needs of lesbian, gay, bisexual, and transgender (LGBT) cancer patients and caregivers, and review recommendations supporting more effective and inclusive palliative and end-of-life care. Published research and clinical guidelines. Transitions in care raise particular challenges for LGBT patients, including provider communication, perceptions of safety and acceptance, and assessing and respecting patients' definitions of family and spirituality. LGBT patients and their caregivers need competent nurses to support them, especially during transitions. Implementing LGBT-inclusive education, training, and practice will improve outcomes for LGBT cancer patients and their caregivers - and potentially all patients. Copyright © 2017 Elsevier Inc. All rights reserved.

Do Social Workers Apply "Love Thy Neighbor as Thyself" to Gay, Lesbian, Bisexual, and Transpersons in the South?

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Lennon-Dearing, Robin; Delavega, Elena

2016-09-01

Across the United States there has been a spate of legislative bills and initiatives that blatantly stigmatize and discriminate against the lesbian, gay, bisexual, and transgender (LGBT) community. This study was a cross-sectional, exploratory survey designed to measure the attitudes, perceptions, and behaviors of Tennessee social workers and future social workers toward the LGBT population and toward proposed discriminatory legislation. A 3-way factorial ANOVA investigated the effects of political affiliation, religious affiliation, and social contact on the dependent measures. Significant main effects were found. Self-reported political affiliation was found to be the most important factor predicting LGBT acceptance and LGBT respect among this sample.

Cancer Screening Considerations and Cancer Screening Uptake for Lesbian, Gay, Bisexual, and Transgender Persons.

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Ceres, Marc; Quinn, Gwendolyn P; Loscalzo, Matthew; Rice, David

2018-02-01

To describe the current state of cancer screening and uptake for lesbian, gay, bisexual, and transgender (LGBT) persons and to propose cancer screening considerations for LGBT persons. Current and historic published literature on cancer screening and LGBT cancer screening; published national guidelines. Despite known cancer risks for members of the LGBT community, cancer screening rates are often low, and there are gaps in screening recommendations for LGBT persons. We propose evidence-based cancer screening considerations derived from the current literature and extant cancer screening recommendations. The oncology nurse plays a key role in supporting patient preventive care and screening uptake through assessment, counseling, education, advocacy, and intervention. As oncology nurses become expert in the culturally competent care of LGBT persons, they can contribute to the improvement of quality of care and overall well-being of this health care disparity population. Copyright © 2017 Elsevier Inc. All rights reserved.

Expanding your gay and lesbian patient base: what savvy medical practices know.

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Kahn, Ellen; Sullivan, Tom

2008-01-01

Many medical practices are looking at options to reach out to the gay, lesbian, bisexual, and transgender community as a means of expanding business and improving quality of care. This article sets out steps that any practice can take to market to this community and improve its cultural competence.

More Than a Feeling? An Empirical Analysis of the Dual-Continua Model on a National Sample of Lesbian, Gay, and Bisexual Identified Canadians.

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Peter, Tracey

2017-08-11

The goal of the study is to investigate whether positive mental health complements mental illness within a theoretically informed (the dual-continua model) and psychometrically tested (the Mental Health Continuum-Short Form) framework. National-level, population-based data from the 2012 Canadian Community Health Survey on Mental Health (CCHS-MH) was used, with comparisons between sexual minority and heterosexual adults. Results show that gay, lesbian, and bisexual Canadians have substantially lower rates of positive mental health and are more likely to have been diagnosed with a mental illness, with the disparities between health and illness being the most pronounced among lesbians and bisexual females. Results show considerable support for the dual-continua model, which posits that the absence of health does not automatically translate into the presence of illness, and vice versa. Suggestions are made for practitioners and researchers toward the use of the dual-continua model as a surveillance tool, especially among sexual minority individuals.

Barriers to optimal care between physicians and lesbian, gay, bisexual, transgender, and questioning adolescent patients.

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Kitts, Robert Li

2010-01-01

The objective of this article was to identify barriers to optimal care between physicians and LGBTQ (lesbian, gay, bisexual, transgender, and questioning) adolescents. To this end, 464 anonymous, self-administered surveys were distributed in 2003 to residents and attending physicians in pediatrics, internal medicine, obstetrics-gynecology, psychiatry, emergency medicine, and family practice at Upstate Medical University. The survey included questions pertaining to practice, knowledge, and attitude pertaining to lesbian, gay, transgender, or questioning (LGBTQ) adolescents. One hundred eight four surveys were returned. The majority of physicians would not regularly discuss sexual orientation, sexual attraction, or gender identity while taking a sexual history from a sexually active adolescent. As well, the majority of physicians would not ask patients about sexual orientation if an adolescent presented with depression, suicidal thoughts, or had attempted suicide. If an adolescent stated that he or she was not sexually active, 41% of physicians reported that they would not ask additional sexual health-related questions. Only 57% agreed to an association between being a LGBTQ adolescent and suicide. The majority of physicians did not believe that they had all the skills they needed to address issues of sexual orientation with adolescents, and that sexual orientation should be addressed more often with these patients and in the course of training. This study concludes that barriers in providing optimal care for LGBTQ adolescents can be found with regard to practice, knowledge, and attitude regardless of medical field and other demographics collected. Opportunities exist to enhance care for LGBTQ adolescents.

Lesbian, gay, bisexual, transgendered, or intersexed content for nursing curricula.

Science.gov (United States)

Brennan, Ann Marie Walsh; Barnsteiner, Jane; Siantz, Mary Lou de Leon; Cotter, Valeri T; Everett, Janine

2012-01-01

There has been limited identification of core lesbian, gay, bisexual, transgendered, or intersexed (LGBTI) experience concepts that should be included in the nursing curricula. This article addresses the gap in the literature. To move nursing toward the goals of health equity and cultural humility in practice, education, and research, nursing curricula must integrate core LGBTI concepts, experiences, and needs related to health and illness. This article reviews LGBTI health care literature to address the attitudes, knowledge, and skills needed to address curricular gaps and provide content suggestions for inclusion in nursing curricula. Also considered is the need to expand nursing students' definition of diversity before discussing the interplay between nurses' attitudes and culturally competent care provided to persons who are LGBTI. Knowledge needed includes a life span perspective that addresses developmental needs and their impact on health concerns throughout the life course; health promotion and disease prevention with an articulation of unique health issues for this population; mental health concerns; specific health needs of transgender and intersex individuals; barriers to health care; interventions and resources including Internet sites; and legal and policy issues. Particular assessment and communication skills for LGBTI patients are identified. Finally, there is a discussion of didactic, simulation, and clinical strategies for incorporating this content into nursing curricula at the undergraduate and graduate levels. Copyright © 2012 Elsevier Inc. All rights reserved.

Trials and Triumph: Lesbian and Gay Young Adults Raised in a Rural Context

Directory of Open Access Journals (Sweden)

Angie L. Dahl

2015-09-01

Full Text Available The rural context at times is characterized by heteronormativity and conservatism. For individuals who identify as a sexual minority (lesbian, gay, bisexual, transgender and/or queer, the rural context may pose particular challenges to the development of a healthy, coherent sense of self. Seven young adults (18–24 who identified as gay or lesbian participated in in-depth interviews regarding their experiences coming out in a rural Appalachian context. Findings suggest sexual minority individuals experience both trials and triumphs coming out in the rural context. Two overarching themes and six subthemes are discussed with implications for supporting sexual minority youth in the rural context.

A Systematic Review of Gay, Lesbian, and Bisexual Research Samples in Couple and Family Therapy Journals.

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Hartwell, Erica E; Serovich, Julianne M; Reed, Sandra J; Boisvert, Danielle; Falbo, Teresa

2017-07-01

The purpose of this study is to review samples from research on gay, lesbian, and bisexual (GLB) issues and to evaluate the suitability of this body of research to support affirmative and evidence-based practice with GLB clients. The authors systematically reviewed the sampling methodology and sample composition of GLB-related research. All original, quantitative articles focusing on GLB issues published in couple and family therapy (CFT)-related journals since 1975 were coded (n = 153). Results suggest that within the GLB literature base there is some evidence of heterocentrism as well as neglect of issues of class, race, and gender. Suggestions to improve the diversity and representativeness of samples-and, thus, clinical implications-of GLB-related research in CFT literature are provided. © 2017 American Association for Marriage and Family Therapy.

Lesbians, gays and religion.

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Newmanxy, Bernie Sue

2002-10-01

SUMMARY This study measured the effects of religious affiliation and gender on attitudes about lesbians and gay men among 2,846 college graduates who were beginning graduate study in social work or counseling. Males were more negative than females in their attitudes toward both lesbians and gay men. Conservative Protestants were the most negative in their attitudes toward lesbians and gay men, while those who were Atheist, Agnostic, Jewish or claimed no religion were most positive. Beliefs that the Bible forbids homosexuality are discussed and readings and arguments challenging this belief that can be used as class content are presented.

Is Healthcare Caring in Hawai‘i? Preliminary Results from a Health Assessment of Lesbian, Gay, Bisexual, Transgender, Questioning, and Intersex People in Four Counties

OpenAIRE

Stotzer, Rebecca L; Ka‘opua, Lana Sue I; Diaz, Tressa P

2014-01-01

This paper presents findings from a statewide needs assessment of lesbian, gay, bisexual, transgender, questioning, and intersex (LGBTQI) people in Hawai‘i that relate to health status and health-related risk factors such as having health insurance coverage, having a regular doctor, experiencing sexual orientation (SO) or gender identity/expression (GI/E) discrimination in health/mental health care settings, and delaying care due to concerns about SO and GIE discrimination in Hawai‘i, Honolul...

Locus of control, minority stress, and psychological distress among lesbian, gay, and bisexual individuals.

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Carter, Larry W; Mollen, Debra; Smith, Nathan Grant

2014-01-01

Within the framework of minority stress theory, lesbian, gay, and bisexual (LGB) individuals are conceptualized as members of a minority group defined by sexual orientation. Two of the component processes of minority stress hypothesized by Meyer (2003), internalized heterosexism and the experience of prejudice events, were examined in the current study. Both internalized heterosexism and the experience of prejudice events have been associated with increased psychological distress in LGB populations. Researchers have also observed a relationship between external locus of control and increased psychological distress in general population samples. The current study explored whether locus of control served as a moderator in the relationship between the overall psychological distress of LGB individuals and both internalized heterosexism and the experience of workplace-based prejudice events (n = 165). Results indicated that locus of control served as a moderator in the relationship between experience of workplace-based prejudice events and overall psychological distress but not for the relationship between internalized heterosexism and distress. (c) 2014 APA, all rights reserved.

Lesbian, gay, and bisexual individuals' psychological reactions to amendments denying access to civil marriage.

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Rostosky, Sharon Scales; Riggle, Ellen D B; Horne, Sharon G; Denton, F Nicholas; Huellemeier, Julia Darnell

2010-07-01

Political campaigns to deny same-sex couples the right to civil marriage have been demonstrated to increase minority stress and psychological distress in lesbian, gay, and bisexual (LGB) individuals (S. S. Rostosky, E. D. B. Riggle, S. G. Horne, & A. D. Miller, 2009). To further explicate the psychological reactions of LGB individuals to marriage amendment campaigns, a content analysis was conducted of open-ended responses from 300 participants in a national online survey that was conducted immediately following the November 2006 election. LGB individuals indicated that they felt indignant about discrimination; distressed by the negative rhetoric surrounding the campaigns; fearful and anxious about protecting their relationships and families; blaming of institutionalized religion, ignorance, conservative politicians, and the ineffective political strategies used by LGBT organizers; hopeless and resigned; and, finally, hopeful, optimistic, and determined to keep fighting for justice and equal rights. These 7 themes are illustrated and discussed in light of their implications for conceptualizing and intervening to address discrimination and its negative psychological effects.

A Systematic Review of Parental Influences on the Health and Well-Being of Lesbian, Gay, and Bisexual Youth: Time for a New Public Health Research and Practice Agenda

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Bouris, Alida; Guilamo-Ramos, Vincent; Pickard, Angela; Shiu, Chengshi; Loosier, Penny S.; Dittus, Patricia; Gloppen, Kari; Waldmiller, J. Michael

2010-01-01

Relatively little is known about how parents influence the health and well-being of lesbian, gay, and bisexual (LGB) adolescents and young adults. This gap has led to a paucity of parent-based interventions for LGB young people. A systematic literature review on parental influences on the health of LGB youth was conducted to better understand how…

Creating Welcoming Spaces for Lesbian, Gay, Bisexual, and Transgender (LGBT) Patients: An Evaluation of the Health Care Environment.

Science.gov (United States)

McClain, Zachary; Hawkins, Linda A; Yehia, Baligh R

2016-01-01

Health outcomes are affected by patient, provider, and environmental factors. Previous studies have evaluated patient-level factors; few focusing on environment. Safe clinical spaces are important for lesbian, gay, bisexual, and transgender (LGBT) communities. This study evaluates current models of LGBT health care delivery, identifies strengths and weaknesses, and makes recommendations for LGBT spaces. Models are divided into LGBT-specific and LGBT-embedded care delivery. Advantages to both models exist, and they provide LGBT patients different options of healthcare. Yet certain commonalities must be met: a clean and confidential system. Once met, LGBT-competent environments and providers can advocate for appropriate care for LGBT communities, creating environments where they would want to seek care.

Military Healthcare Providers' Knowledge and Comfort Regarding the Medical Care of Active Duty Lesbian, Gay, and Bisexual Patients.

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Rerucha, Caitlyn M; Runser, Lloyd A; Ee, Juliana S; Hersey, Elizabeth G

2018-01-01

This study assessed military healthcare providers' knowledge, clinical practice, and comfort in caring for active duty (AD) lesbian, gay, and bisexual (LGB) patients. Primary care providers at Fort Bragg, North Carolina were surveyed anonymously. The response rate was 28% (n = 40). Almost two-thirds of the respondents felt comfortable discussing sexual health with AD patients, but only 5% inquired about same-sex sexual activity. Slightly less than one-third reported prior training in LGB healthcare topics and nearly four-fifths desired clear guidance from the Department of Defense regarding the process for screening and documentation of AD same-sex sexual activity. The findings highlight providers' need and desire for training in LGB patient care.

What makes an ad a cigarette ad? Commercial tobacco imagery in the lesbian, gay, and bisexual press

Science.gov (United States)

Smith, E.; Offen, N.; Malone, R.

2005-01-01

Objectives: To determine the extent of commercial tobacco imagery in the lesbian, gay, and bisexual (LGB) press. Methods: Content analysis of all advertising containing tobacco related text or imagery in 20 LGB community periodicals, published between January 1990 and December 2000. Results: 3428 ads were found: 689 tobacco product ads, 1607 ads for cessation products or services, 99 ads with a political message about tobacco, and 1033 non-tobacco ads that showed tobacco (NAST). Although cessation ads were numerically dominant, tobacco product ads and NAST occupied more space and were more likely to use images. NAST almost never had an anti-tobacco message. Formal sponsorship between tobacco and other companies was very rare. Lesbian periodicals had proportionally more NAST and fewer cessation ads. Conclusions: Cigarette ads were outnumbered by NAST. Although these ads do not usually show brands, and are unlikely to be the result of formal sponsorship agreements, they may be "selling" smoking. Tobacco control advocates should persuade editors to refuse tobacco product ads and those with gratuitous tobacco imagery. PMID:16286500

"If you know you exist, it's just marketing poison": meanings of tobacco industry targeting in the lesbian, gay, bisexual, and transgender community.

Science.gov (United States)

Smith, Elizabeth A; Thomson, Katherine; Offen, Naphtali; Malone, Ruth E

2008-06-01

In the public health literature, it is generally assumed that the perception of "targeting" as positive or negative by the targeted audience depends on the product or message being promoted. Smoking prevalence rates are high among lesbian, gay, bisexual, and transgender (LGBT) individuals, but little is known about how they perceive tobacco industry targeting. We conducted focus groups with LGBT individuals in 4 US cities to explore their perceptions. Our findings indicated that focus group participants often responded positively to tobacco company targeting. Targeting connoted community visibility, legitimacy, and economic viability. Participants did not view tobacco as a gay health issue. Targeting is a key aspect of corporate-community interaction. A better understanding of targeting may aid public health efforts to counter corporate disease promotion.

Spirituality as a Predictor of Guilt and Shame among Lesbian and Gay Adults

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Oliver, Jonie

2016-01-01

The purpose of the study was to examine the relationship among constructs related to spirituality (religious/spiritual practice, religious/spiritual belief, sense of purpose/connection, and sense of hope/control) and reported degree of likelihood to feel guilt and shame among individuals who are lesbian, gay, bisexual, or queer. If clear…

In Praise of Diversity: Why Schools Should Seek Gay and Lesbian Teachers, and Why It's Still Difficult

Science.gov (United States)

Nixon, David

2006-01-01

This article begins from imagining what it would be like to target recruitment for teachers at lesbian, gay, bisexual, transsexual (LGBT) people, and then examines in some detail two kinds of discrimination (or pathology) which makes life in the world of education problematic. It then turns to why, in spite of these difficulties, lesbian and gay…

Stigma and Minority Stress as Social Determinants of Health Among Lesbian, Gay, Bisexual, and Transgender Youth: Research Evidence and Clinical Implications.

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Hatzenbuehler, Mark L; Pachankis, John E

2016-12-01

In this article, we review theory and evidence on stigma and minority stress as social/structural determinants of health among lesbian, gay, bisexual, and transgender (LGBT) youth. We discuss different forms of stigma at individual (eg, identity concealment), interpersonal (eg, victimization), and structural (eg, laws and social norms) levels, as well as the mechanisms linking stigma to adverse health outcomes among LGBT youth. Finally, we discuss clinical (eg, cognitive behavioral therapy) and public health (eg, antibullying policies) interventions that effectively target stigma-inducing mechanisms to improve the health of LGBT youth. Copyright © 2016 Elsevier Inc. All rights reserved.

Marijuana use and sex with multiple partners among lesbian, gay and bisexual youth: results from a national sample.

Science.gov (United States)

Zhang, Xiaoyun; Wu, Li-Tzy

2017-01-05

Sex with multiple partners (SMP) is one of the important contributing factors for contracting sexually transmitted infections (STIs) among adolescents and young adults, especially among Lesbian, Gay, and Bisexual (LGB) youth. Past studies mainly focus on examining associations of alcohol or club drugs use with unprotected sexual behaviors among adult homo/bisexual men, while little is known about the temporal association between marijuana use (MU) and SMP among LGB youth. This study examined the relationship between MU and SMP among LGB adolescents and young adults. Generalized estimating equations (GEE) logistic regression analyses were utilized to analyze four waves' public-use Add Health data (N = 694, youth who reported a homo/bisexual status at any wave; Wave 1: aged 11-21; Wave 4: aged 24-32). After adjusting for other substance use, current depression, mother-child relationship quality at Wave 1, and socioeconomic variables, past-year MU was both concurrently and prospectively associated with past-year SMP. The moderating effect of age was not found. MU is concurrently and prospectively associated with increased odds of SMP in the adolescent sample and in the young adult sample. Findings imply that prevention/intervention on HIV risk behaviors may benefit from MU reduction not only in LGB adolescents but also in young adults.

Mental Health Service Use Among Lesbian, Gay, and Bisexual Older Adults.

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Stanley, Ian H; Duong, Jeffrey

2015-07-01

Empirical efforts to measure use of mental health services among lesbian, gay, and bisexual (LGB) older adults have been notably lacking. Thus this study assessed associations between sexual orientation and mental health service use among older adults and determined the mediating role of nonspecific psychological distress, excessive alcohol use, and self-perceived poor general medical health. Data from the 2011 New York City Community Health Survey were analyzed. The analytic sample comprised 5,138 adults ages 50 and over. Logistic regression modeling was used to examine associations between sexual orientation (LGB versus heterosexual) and past-year mental health service use (counseling or medication), adjusting for sociodemographic and clinical characteristics. Mediation analyses using bootstrapping were conducted. Among LGB older adults, 23.9% reported receiving counseling, and 23.4% reported taking psychiatric medication in the past year. LGB respondents were significantly more likely than heterosexuals to have received counseling (adjusted odds ratio [AOR]=2.16, 95% confidence interval [CI]=1.49-3.13) and psychiatric medication (AOR=1.97, CI=1.36-2.86). Psychological distress, excessive alcohol use, and self-perceived poor general medical health did not mediate the association between sexual orientation and mental health service use. LGB older adults were more likely than heterosexuals to utilize mental health services, and this association was not explained by indicators of general medical, mental, or behavioral health.

Perspective on Out & Equal Workplace Advocates Building Bridges Model: A Retrospect of the Past, Present, and Future of Training Impacting Lesbian, Gay, Bisexual, and Transgender Employees in the Workplace

Science.gov (United States)

Baillie, Pat; Gedro, Julie

2009-01-01

As early as 1983, a group of lesbian, gay, bisexual, and transgenders (LGBTs) in the San Francisco Bay Area met with the United Way to discuss the needs of the community in the workplace. In 1986, the United Way authorized a board-level task force on LGBT issues, which looked at health and human care concerns. In 1990, Building Bridges was formed…

Lesbian, gay, & bisexual older adults: linking internal minority stressors, chronic health conditions, and depression.

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Hoy-Ellis, Charles P; Fredriksen-Goldsen, Karen I

2016-11-01

This study aims to: (1) test whether the minority stressors disclosure of sexual orientation; and (2) internalized heterosexism are predictive of chronic physical health conditions; and (3) depression; (4) to test direct and indirect relationships between these variables; and (5) whether chronic physical health conditions are further predictive of depression, net of disclosure of sexual orientation and internalized heterosexism. Secondary analysis of national, community-based surveys of 2349 lesbian, gay, and bisexual adults aged 50 and older residing in the US utilizing structural equation modeling. Congruent with minority stress theory, disclosure of sexual orientation is indirectly associated with chronic physical health conditions and depression, mediated by internalized heterosexism with a suppressor effect. Internalized heterosexism is directly associated with chronic physical health conditions and depression, and further indirectly associated with depression mediated by chronic physical health conditions. Finally, chronic physical health conditions have an additional direct relationship with depression, net of other predictor variables. Minority stressors and chronic physical health conditions independently and collectively predict depression, possibly a synergistic effect. Implications for depression among older sexual minority adults are discussed.

Assessing the mental health and wellbeing of the lesbian, gay, bisexual and transgender population.

Science.gov (United States)

Ash, Marcia; Mackereth, Catherine

2013-03-01

Health needs assessment is a fundamental tool in public health practice. It entails the identification of needs from a range of perspectives, including epidemiological data, the views of local and professional people, and the comparative needs of the group under consideration. This paper describes the process undertaken with the lesbian, gay, bisexual and transgender (LGBT) population of an area in the north-east of England. The findings were used to inform and influence commissioners and service providers about services and interventions that will address these needs, and bring about better emotional and mental health and wellbeing as identified by LGBT people themselves. Research shows that there are great inequalities in the experience of these groups when compared with the heterosexual population. This was confirmed by the local LGBT communities. Consultation with the LGBT population showed that they experience ongoing stigma and discrimination, despite the greater apparent acceptance of diversity within the community. Recommendations were identified, which particularly focus on increasing the visibility of these groups, highlighting training issues and addressing generic or specialist services, in order to reduce discrimination.

Psychological Distress Following Suicidality Among Gay, Lesbian, and Bisexual Youths: Role of Social Relationships

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Rosario, Margaret; Schrimshaw, Eric W.; Hunter, Joyce

2011-01-01

Longitudinal relations between past suicidality and subsequent changes in psychological distress at follow-up were examined among gay, lesbian, and bisexual (GLB) youths, as were psychosocial factors (e.g., self-esteem, social support, negative social relationships) that might mediate or moderate this relation. Past suicide attempters were found to have higher levels of depressive symptoms, anxious symptoms, and conduct problems at a later time than youths who neither attempted nor ideated. Psychosocial factors failed to mediate this relation. The interaction among past suicidality, social support, and negative relationships was associated with subsequent changes in all three psychological distress indicators six months later. Specifically, high levels of support (either from family or friends) or negative relationships were found to predict increased psychological distress among those with a history of suicide attempts, but not among youths without a history of suicidality. The findings suggest that GLB youths who attempt suicide continue to have elevated levels of psychological distress long after their attempt and they highlight the importance of social relationships in the youths’ psychological distress at follow-up. PMID:22162620

Marginalization and social change processes among lesbian, gay, bisexual and transgender persons in Swaziland: implications for HIV prevention.

Science.gov (United States)

H Logie, Carmen; Perez-Brumer, Amaya; Jenkinson, Jesse; Madau, Veli; Nhlengethwa, Winnie; Baral, Stefan

2018-05-30

Swaziland has among the highest national adult HIV prevalence globally. There is limited knowledge of HIV vulnerabilities and prevention engagement among lesbian, gay, bisexual and transgender (LGBT) persons in the context of Swaziland's criminalization of consensual same-sex practices. This study explored social processes of marginalization to assess how they could potentiate HIV vulnerabilities and limit engagement in HIV prevention services. Additionally, we assessed positive change to better understand existing strategies employed by LGBT persons to challenge these HIV prevention barriers. Guided by community-based research methodology and conducted in Mbabane and Manzini, Swaziland, data were collected by LGBT peer-research assistants (PRA) in collaboration with an LGBT community organization in Manzini. Semi-structured interviews were conducted by trained PRAs and explored HIV prevention, including experiences of stigma and coping. Audio files were transcribed verbatim, translated to English, and analyzed using thematic techniques. Among participants (n = 51; mean age: 26.47, SD: 4.68), 40 self-identifed as gay or lesbian (78.4%), 11 bisexual (22.6%), and 12 (23.5%) identified as transgender. Findings highlighted three primary processes of marginalization and positive change in structural, community, and internal domains. First, structural marginalization, which included criminalization, healthcare discrimination, and a scarcity of LGBT tailored HIV prevention resources was challenged by grassroots networks created to access and share specific HIV resources with LGBT persons and the Ministry of Health. Second, community marginalization included stigma and multi-dimensional forms of violence, however, this was met with LGBT persons providing mutual peer support, including for accessing HIV testing services. Thirdly, internal marginalization comprised of self-stigma and associated sexual risk practices was contrasted with coping strategies focused on self

Correction to “Advancing the Conversation: Next Steps for Lesbian, Gay, Bisexual, Trans, and Queer (LGBTQ Health Sciences Librarianship” on 105(4 October, page 325. DOI: http://dx.doi.org/10.5195/jmla.2017.206

Directory of Open Access Journals (Sweden)

Katherine G. Akers

2018-01-01

Full Text Available Corrects author name in reference #11 of “Advancing the Conversation: Next Steps For Lesbian, Gay, Bisexual, Trans, and Queer (LGBTQ Health Sciences Librarianship” on 105(4 October, page 325. DOI: http://dx.doi.org/10.5195/jmla.2017.206.

Sexual behaviour of lesbians and bisexual women.

Science.gov (United States)

Bailey, J V; Farquhar, C; Owen, C; Whittaker, D

2003-04-01

To provide data about the sexual histories of a large sample of lesbians and bisexual women, to inform those who provide health care or carry out research with women who may be sexually active with other women. Cross sectional survey. 803 lesbians and bisexual women attending, as new patients, lesbian sexual health clinics, and 415 lesbians and bisexual women from a community sample. Self reported sexual history and sexual practice with both male and female partners. 98% of the whole sample gave a history of sexual activity with women, 83% within the past year, with a median of one female partner in that year. 85% of the sample reported sexual activity with men; for most (70%) this was 4 or more years ago. First sexual experience tended to be with a man (median 18 years old), with first sexual experience with a woman a few years later (median 21 years). Oral sex, vaginal penetration with fingers, and mutual masturbation were the most commonly reported sexual practices between women. Vaginal penetration with penis or fingers and mutual masturbation were the most commonly reported sexual activities with men. These data from the largest UK survey of sexual behaviour between women to date demonstrate that lesbians and bisexual women may have varied sexual histories with both male and female partners. A non-judgmental manner and careful sexual history taking without making assumptions should help clinicians to avoid misunderstandings, and to offer appropriate sexual health advice to lesbians and bisexual women.

Lesbian, gay, bisexual, and transgender youths: who smokes, and why?

Science.gov (United States)

Remafedi, Gary

2007-01-01

Existing research indicates the rate of smoking among lesbian, gay, bisexual, and transgender (LGBT) youths exceeds the general population's, possibly due to stress, habitual substance abuse, socializing in smoky venues, and tobacco marketing. The study's overall aim was to conduct qualitative research regarding tobacco use and avoidance by LGBT youths. This report focuses on identifying priority subpopulations and corresponding risk and resiliency factors. Purposive and maximum variation sampling were used to select 30 LGBT youths and 30 interactors for face-to-face interviews. Almost a third of participants said that all LGBT youths are at risk for smoking. Other respondents specified a range of high-risk groups, encompassing many subpopulations. Contributing factors for smoking included personal characteristics, interpersonal issues, environmental conditions, and structural issues. More than a third of young smokers were not acquainted with LGBT nonsmokers and could not imagine how they avoid using tobacco. Half of the interactors and four youths ascribed favorable qualities to nonsmokers--such as self-esteem, will power, and concern for personal health, appearance, and well-being. In conclusion, smoking is a pervasive problem among LGBT youths. The findings corroborate prior explanations and implicate new ones. Some risks (e.g., limited opportunities to socialize with LGBT peers outside of smoking venues, the desire to appear more masculine, and sexuality-related stress) and resiliency factors (e.g., positive sexual identity) are unique to LGBT populations, reinforcing the need for culturally specific approaches to prevention and cessation. Highlighting the positive attributes of nonsmokers and nonsmoking might prove useful in prevention campaigns.

"Like finding a unicorn": Healthcare preferences among lesbian, gay, and bisexual people in the United States.

Science.gov (United States)

Martos, Alexander J; Wilson, Patrick A; Gordon, Allegra R; Lightfoot, Marguerita; Meyer, Ilan H

2018-05-07

Lesbian, gay, and bisexual (LGB) peoples' healthcare preferences are often developed in response to social and institutional factors that can ultimately deter them from care. Prior qualitative explorations of LGB healthcare preferences have been limited in their ability to identify and compare patterns across age cohort, gender, and race/ethnicity. The current study examines qualitative data from 186 modified Life Story Interviews with three age cohorts of LGB people from New York City, NY, San Francisco, CA, Tucson, AZ, and Austin, TX to understand the factors influencing LGB people's healthcare preferences. Data are analyzed using a directed content analysis approach. Five key themes emerged regarding influences on healthcare preferences: Stigma, provider expertise, identity, service type, and access. Findings suggest that healthcare preferences among LGB people are both complex and closely linked to social changes over time. Healthcare preferences among LGB people are both complex and closely linked to social changes over time. Copyright © 2018 Elsevier Ltd. All rights reserved.

Examination of Lesbian, Gay, Bisexual, and Transgender Health Care Content in North Carolina Schools of Nursing.

Science.gov (United States)

Cornelius, Judith B; Enweana, Ijeoma; Alston, Celeste Kaysha; Baldwin, Dee M

2017-04-01

Nursing students require academic and clinical training in preparation for the increased demand for culturally competent care. One group that is in need of culturally knowledgeable health care providers is lesbian, gay, bisexual, and transgender (LGBT) individuals. The purpose of this study was to examine how LGBT health care content is integrated into North Carolina schools of nursing curricula and to examine the existence of specific LGBT policies. A survey was mailed to 70 deans and directors of RN programs in North Carolina. Over 90% of the schools indicated that LGBT health care issues were taught in the curricula. The majority of the content was taught as an "other" course (37%). More than two thirds of the schools devoted less than 5 hours teaching LGBT content. LGBT health care content is being taught, yet the presence of specific LGBT practice policies is basically nonexistent. [J Nurs Educ. 2017;56(4):223-226.]. Copyright 2017, SLACK Incorporated.

Know about Gays and Lesbians.

Science.gov (United States)

Hyde, Margaret O.; Forsyth, Elizabeth H.

Homosexuality has emerged as a major issue making headlines across the country, including initiatives, which have been put on state and local ballots, that limit or guarantee the civil rights of gays and lesbians. This book, designed as a guide for juveniles, separates fact from fiction about gays and lesbians and explains homosexuality in clear,…

Marijuana use and sex with multiple partners among lesbian, gay and bisexual youth: results from a national sample

Directory of Open Access Journals (Sweden)

Xiaoyun Zhang

2017-01-01

Full Text Available Abstract Background Sex with multiple partners (SMP is one of the important contributing factors for contracting sexually transmitted infections (STIs among adolescents and young adults, especially among Lesbian, Gay, and Bisexual (LGB youth. Past studies mainly focus on examining associations of alcohol or club drugs use with unprotected sexual behaviors among adult homo/bisexual men, while little is known about the temporal association between marijuana use (MU and SMP among LGB youth. Methods This study examined the relationship between MU and SMP among LGB adolescents and young adults. Generalized estimating equations (GEE logistic regression analyses were utilized to analyze four waves’ public-use Add Health data (N = 694, youth who reported a homo/bisexual status at any wave; Wave 1: aged 11–21; Wave 4: aged 24–32. Results After adjusting for other substance use, current depression, mother-child relationship quality at Wave 1, and socioeconomic variables, past-year MU was both concurrently and prospectively associated with past-year SMP. The moderating effect of age was not found. Conclusion MU is concurrently and prospectively associated with increased odds of SMP in the adolescent sample and in the young adult sample. Findings imply that prevention/intervention on HIV risk behaviors may benefit from MU reduction not only in LGB adolescents but also in young adults.

Medical students’ perception of lesbian, gay, bisexual, and transgender (LGBT) discrimination in their learning environment and their self-reported comfort level for caring for LGBT patients: a survey study

OpenAIRE

Nama, Nassr; MacPherson, Paul; Sampson, Margaret; McMillan, Hugh J.

2017-01-01

ABSTRACT Background: Historically, medical students who are lesbian, gay, bisexual or transgendered (LGBT) report higher rates of social stress, depression, and anxiety, while LGBT patients have reported discrimination and poorer access to healthcare. Objective: The objectives of this study were: (1) to assess if medical students have perceived discrimination in their learning environment and; (2) to determine self-reported comfort level for caring for LGBT patients. Design: Medical students ...

Positive aspects of being a heterosexual ally to lesbian, gay, bisexual and transgender (LGBT) people.

Science.gov (United States)

Rostosky, Sharon S; Black, Whitney W; Riggle, Ellen D B; Rosenkrantz, Dani

2015-07-01

Research on heterosexual allies has focused on heterosexual identity development models and pathways to ally activism. The positive aspects or positive experiences of identifying as an ally to lesbian, gay, bisexual, and transgender (LGBT) identified individuals and communities have received little attention. Using an online survey of participants recruited from LGBT ally related social media, we collected open-ended responses to a question about the positive aspects of self-identifying as a heterosexual ally. A final analytic sample of 292 self-identified male and female heterosexual adults (age 18-71, M = 33.47, SD = 13.32) provided responses that generated 8 themes. Positive aspects of being a heterosexual ally were: (a) increased knowledge and awareness, (b) upholding values of justice, (c) beneficial individual relationships, (d) community belonging, (e) educating others, (f) being a role model, (g) using social privilege, and (h) speaking out and taking a stand. The findings suggest that being a heterosexual ally is rewarding and may enhance individual well-being. These findings provide information that may contribute to effective ally development efforts. (c) 2015 APA, all rights reserved).

The Health Equity Promotion Model: Reconceptualization of Lesbian, Gay, Bisexual, and Transgender (LGBT) Health Disparities

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Fredriksen-Goldsen, Karen I.; Simoni, Jane M.; Kim, Hyun-Jun; Lehavot, Keren; Walters, Karina L.; Yang, Joyce; Hoy-Ellis, Charles P.

2015-01-01

National health initiatives emphasize the importance of eliminating health disparities among historically disadvantaged populations. Yet, few studies have examined the range of health outcomes among lesbian, gay, bisexual, and transgender (LGBT) people. To stimulate more inclusive research in the area, we present the Health Equity Promotion Model—a framework oriented toward LGBT people reaching their full mental and physical health potential that considers both positive and adverse health-related circumstances. The model highlights (a) heterogeneity and intersectionality within LGBT communities; (b) the influence of structural and environmental context; and (c) both health-promoting and adverse pathways that encompass behavioral, social, psychological, and biological processes. It also expands upon earlier conceptualizations of sexual minority health by integrating a life course development perspective within the health-promotion model. By explicating the important role of agency and resilience as well as the deleterious effect of social structures on health outcomes, it supports policy and social justice to advance health and well-being in these communities. Important directions for future research as well as implications for health-promotion interventions and policies are offered. PMID:25545433

Religious affiliation, internalized homophobia, and mental health in lesbians, gay men, and bisexuals.

Science.gov (United States)

Barnes, David M; Meyer, Ilan H

2012-10-01

Most religious environments in the United States do not affirm homosexuality. The authors investigated the relationship between exposure to nonaffirming religious environments and internalized homophobia and mental health in a sample of lesbians, gay men, and bisexuals (LGBs) in New York City. Guided by minority stress theory, the authors hypothesized that exposure to nonaffirming religious settings would lead to higher internalized homophobia, more depressive symptoms, and less psychological well-being. The authors hypothesized that Black and Latino LGBs would be more likely than White LGBs to participate in nonaffirming religious settings and would therefore have higher internalized homophobia than White LGBs. Participants were 355 LGBs recruited through community-based venue sampling and evenly divided among Black, Latino, and White race or ethnic groups and among age groups within each race or ethnic group, as well as between women and men. Results supported the general hypothesis that nonaffirming religion was associated with higher internalized homophobia. There was no main effect of nonaffirming religion on mental health, an unexpected finding discussed in this article. Latinos, but not Blacks, had higher internalized homophobia than Whites, and as predicted, this was mediated by their greater exposure to nonaffirming religion. © 2012 American Orthopsychiatric Association.

Vowel production, speech-motor control, and phonological encoding in people who are lesbian, bisexual, or gay, and people who are not

Science.gov (United States)

Munson, Benjamin; Deboe, Nancy

2003-10-01

A recent study (Pierrehumbert, Bent, Munson, and Bailey, submitted) found differences in vowel production between people who are lesbian, bisexual, or gay (LBG) and people who are not. The specific differences (more fronted /u/ and /a/ in the non-LB women; an overall more-contracted vowel space in the non-gay men) were not amenable to an interpretation based on simple group differences in vocal-tract geometry. Rather, they suggested that differences were either due to group differences in some other skill, such as motor control or phonological encoding, or learned. This paper expands on this research by examining vowel production, speech-motor control (measured by diadochokinetic rates), and phonological encoding (measured by error rates in a tongue-twister task) in people who are LBG and people who are not. Analyses focus on whether the findings of Pierrehumbert et al. (submitted) are replicable, and whether group differences in vowel production are related to group differences in speech-motor control or phonological encoding. To date, 20 LB women, 20 non-LB women, 7 gay men, and 7 non-gay men have participated. Preliminary analyses suggest that there are no group differences in speech motor control or phonological encoding, suggesting that the earlier findings of Pierrehumbert et al. reflected learned behaviors.

Menthol Cigarette Smoking among Lesbian, Gay, Bisexual, and Transgender Adults

Science.gov (United States)

Fallin, Amanda; Goodin, Amie J.; King, Brian A.

2015-01-01

Background Menthol can mask the harshness and taste of tobacco, making menthol cigarettes easier to use and increasing their appeal among vulnerable populations. The tobacco industry has targeted youth, women, and racial minorities with menthol cigarettes, and these groups smoke menthol cigarettes at higher rates. The tobacco industry has also targeted the lesbian, gay, bisexual, and transgender (LGBT) communities with tobacco product marketing. Purpose To assess current menthol cigarette smoking by sexual orientation among a nationally representative sample of U.S. adults. Methods Data were obtained from the 2009–2010 National Adult Tobacco Survey, a national landline and cellular telephone survey of non-institutionalized U.S. adults aged ≥18 years, to compare current menthol cigarette smoking between LGBT (n=2,431) and heterosexual/straight (n=110,841) adults. Data were analyzed during January–April 2014 using descriptive statistics and logistic regression adjusted for sex, age, race, and educational attainment. Results Among all current cigarette smokers, 29.6% reported usually smoking menthol cigarettes in the past 30 days. Menthol use was significantly higher among LGBT smokers, with 36.3% reporting that the cigarettes they usually smoked were menthol compared to 29.3% of heterosexual/straight smokers (p<0.05); this difference was particularly prominent among LGBT females (42.9%) compared to heterosexual/straight women (32.4%) (p<0.05). Following adjustment, LGBT smokers had greater odds of usually smoking menthol cigarettes than heterosexual/straight smokers (OR=1.31, 95% CI=1.09, 1.57). Conclusions These findings suggest that efforts to reduce menthol cigarette use may have the potential to reduce tobacco use and tobacco-related disease and death among LGBT adults. PMID:25245795

Promoting Tobacco Use Cessation for Lesbian, Gay, Bisexual, and Transgender People

Science.gov (United States)

Lee, Joseph G. L.; Matthews, Alicia K.; McCullen, Cramer A.; Melvin, Cathy L.

2014-01-01

Context Lesbian, gay, bisexual, and transgender (LGBT) people are at increased risk for the adverse effects of tobacco use given their high prevalence of use, especially smoking. Evidence regarding cessation is limited. To determine if efficacious interventions are available and to aid the development of interventions, a systematic review was conducted of gray and peer-reviewed literature describing clinical, community, and policy interventions as well as knowledge, attitudes, and behaviors regarding tobacco use cessation among LGBT people. Evidence acquisition Eight databases for articles from 1987 to April 23, 2014 were searched. In February–November 2013, authors and researchers were contacted to identify gray literature. Evidence synthesis The search identified 57 records, of which 51 were relevant and 22 were from the gray literature; these were abstracted into evidence tables, and a narrative synthesis was conducted in October–May 2014. Group cessation curricula tailored for LGBT populations were found feasible to implement and show evidence of effectiveness. Community interventions have been implemented by and for LGBT communities; although these interventions showed feasibility, no rigorous outcome evaluations exist. Clinical interventions show little difference between LGBT and heterosexual people. Focus groups suggest that care is needed in selecting messaging used in media campaigns. Conclusions LGBT-serving organizations should implement existing evidence-based tobacco dependence treatment and clinical systems to support treatment of tobacco use. A clear commitment from government and funders is needed to investigate whether sexual orientation and gender identity moderate the impacts of policy interventions, media campaigns, and clinical interventions. PMID:25455123

FROM BIAS TO BISEXUAL HEALTH DISPARITIES: ATTITUDES TOWARD BISEXUAL MEN AND WOMEN IN THE UNITED STATES.

Science.gov (United States)

Friedman, M Reuel; Dodge, Brian; Schick, Vanessa; Herbenick, Debby; Hubach, Randolph; Bowling, Jessamyn; Goncalves, Gabriel; Krier, Sarah; Reece, Michael

2014-12-01

A newly emergent literature suggest that bisexual men and women face profound health disparities in comparison to both heterosexual and homosexual individuals. Additionally, bisexual individuals often experience prejudice, stigma, and discrimination from both gay/lesbian and straight communities, termed "biphobia." However, only limited research exists that empirically tests the extent and predictors of this double discrimination. The Bisexualities: Indiana Attitudes Survey (BIAS) was developed to test associations between biphobia and sexual identity. Using standard techniques, we developed and administered a scale to a purposive online sample of adults from a wide range of social networking websites. We conducted exploratory factor analysis to refine scales assessing attitudes toward bisexual men and bisexual women, respectively. Using generalized linear modeling, we assessed relationships between BIAS scores and sexual identity, adjusting for covariates. Two separately gendered scales were developed, administered, and refined: BIAS-m (n=645), focusing on attitudes toward bisexual men; and BIAS-f (n=631), focusing on attitudes toward bisexual women. Across scales, sexual identity significantly predicted response variance. Lesbian/gay respondents had lower levels of bi-negative attitudes than their heterosexual counterparts (all p-values stereotypes and stigma may lead to dramatic disparities in depression, anxiety, stress, and other health outcomes among bisexual individuals in comparison to their heterosexual and homosexual counterparts. Our results yield valuable data for informing social awareness and intervention efforts that aim to decrease bi-negative attitudes within both straight and gay/lesbian communities, with the ultimate goal of alleviating health disparities among bisexual men and women.

Challenging and Preventing Policies That Prohibit Local Civil Rights Protections for Lesbian, Gay, Bisexual, Transgender, and Queer People.

Science.gov (United States)

Pomeranz, Jennifer L

2018-01-01

Discrimination causes health inequities for stigmatized groups. Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals, in particular, are at significantly increased risk for disparate health outcomes when they reside in states that fail to extend equal protections to them or that actively deprive equal rights to them. Several states and the federal government have proposed or enacted laws that permit residents to discriminate against LGBTQ individuals. One such law, Arkansas's Intrastate Commerce Improvement Act of 2015, preempts or prohibits local governments from enacting civil rights protections for LGBTQ individuals that are also lacking at the state level. State laws such as Arkansas's undermine local control, damage the economy, and create injustices that harm LGBTQ people. I set forth 2 constitutional arguments to challenge such laws, and I provide information to help advocates support evidence-based policymaking and prevent the passage of similar laws in their states.

Understanding the experiences and needs of lesbian, gay, bisexual and trans Australians living with dementia, and their partners.

Science.gov (United States)

Barrett, Catherine; Crameri, Pauline; Lambourne, Sally; Latham, J R; Whyte, Carolyn

2015-10-01

To outline the experiences and needs of lesbian, gay, bisexual and trans (LGBT) Australians living with dementia - and their partners. In-depth interviews were conducted with LGBT people, their partners and service providers. LGBT people living with dementia experience unique challenges including the failure of some families of origin and service providers to understand and value their sexual orientation or gender identity. The fear of discrimination by service providers results in greater reliance on intimate partners for care and compounds social isolation. The unique experiences of LGBT people with dementia are not well understood. There is a need to recognise historical experiences, including familial relationships, and provide advocacy to ensure sexual and gender rights are not violated. There is also a need to ensure that the experiences and perspectives of LGBT people living with dementia inform the development of services. © 2015 AJA Inc.

Integrating Lesbian, Gay, Bisexual, and Transgender (LGBT) Content Into Undergraduate Medical School Curricula: A Qualitative Study.

Science.gov (United States)

Sequeira, Gina M; Chakraborti, Chayan; Panunti, Brandy A

2012-01-01

The lesbian, gay, bisexual, and transgender (LGBT) community is a diverse, underserved, and often stigmatized group that faces many barriers to accessing quality healthcare. Not only are few practicing physicians knowledgeable about and sensitive to the needs of LGBT patients, but medical school curricula include limited LGBT-related content. Our goals were to use LGBT-related educational sessions to gauge undergraduate medical students' interest and their perceptions of relevance and to eventually incorporate this topic into the curriculum. We provided 4 educational sessions to preclinical medical students at the Tulane University School of Medicine: 3 optional, 1-hour didactic sessions and 1 standardized patient encounter. Following sessions 1-3, students completed electronic feedback forms; we then analyzed their responses thematically. THE THEMATIC ANALYSIS OF STUDENT RESPONSES IDENTIFIED KEY THEMES: a current lack of exposure to LGBT content, agreement that LGBT material is applicable to students' work as future physicians, and the relevance of including such information in the medical school curriculum. The study validated the underlying assumption that LGBT educational sessions are meaningful to and valued by medical students.

Mental health promotion for gay, lesbian, bisexual, transgender and intersex New Zealanders

Directory of Open Access Journals (Sweden)

Adams J

2013-06-01

Full Text Available INTRODUCTION: A number of studies have identified that gay, lesbian, bisexual, transgender, and intersex (GLBTI people have poorer mental health than the general population. This article describes current mental health promotion and service provision for GLBTI people in New Zealand, and the views of stakeholders on current service delivery and concerns facing the sector. METHODS: An email survey of service providers gathered descriptive data about mental health promotion and services provided for GLBTI people. Data obtained from interviews with key informants and online submissions completed by GLBTI individuals were analysed thematically. FINDINGS: Five organisations provide clear, specific and utilised services and programmes to some or all of the GLBTI populations. Twelve GLBTI-focused mental health promotion resources are identified. The analysis of data from key informants and GLBTI respondents identified factors affecting mental health for these populations occurring at three levels-macro-social environment, social acceptance and connection, and services and support. CONCLUSION: While GLBTI individuals have the same basic mental health promotion and service provision needs as members of the general population, they have additional unique issues. To enhance the mental health of GLBTI New Zealanders, a number of actions are recommended, including building sector capacity, allocating sufficient funding, ensuring adequate research and information is available, and reducing stigma, enhancing young people's safety, and supporting practitioners through training and resources. An important role for government, alongside GLBTI input, for improving mental health is noted.

Social Branding to Decrease Lesbian, Gay, Bisexual, and Transgender Young Adult Smoking

Science.gov (United States)

Fallin, Amanda; Neilands, Torsten B.; Jordan, Jeffrey W.

2015-01-01

Introduction: Lesbian, gay, bisexual, and transgender (LGBT) individuals are more likely to smoke than the general population. This study evaluated a Social Branding intervention, CRUSH, which included an aspirational brand, social events, and targeted media to discourage smoking among LGBT young adults in Las Vegas, NV. Methods: Cross-sectional surveys (N = 2,395) were collected in Las Vegas LGBT bars at 2 time points 1 year apart. Multivariate logistic regressions examined associations between campaign exposure, message understanding, and current (past 30 days) smoking, controlling for demographics. Results: LGBT individuals were significantly more likely to report current (past 30 day) smoking than heterosexual/straight, gender-conforming participants. Overall, 53% of respondents reported exposure to CRUSH; of those exposed, 60% liked the campaign, 60.3% reported they would attend a CRUSH event on a night when they usually went somewhere else, and 86.3% correctly identified that the campaign was about “partying fresh and smokefree.” Current smoking was reported by 47% of respondents at Time 1 and 39.6% at Time 2. There were significant interactions between time and campaign exposure and campaign exposure and understanding the message. Among those who understood the CRUSH smokefree message, the highest level of campaign exposure was significantly associated with 37%–48% lower odds for current smoking. Conclusions: While longitudinal studies would better assess the impact of this intervention, CRUSH shows promise to reduce tobacco use among LGBT bar patrons. PMID:26180223

Experiences and Concerns of Lesbian, Gay, or Bisexual Survivors of Colorectal Cancer.

Science.gov (United States)

Baughman, Allyson; Clark, Melissa A; Boehmer, Ulrike

2017-05-01

To identify the experiences and needs of lesbian, gay, or bisexual (LGB) survivors of colorectal cancer (CRC) and to expand the current understanding of LGB survivorship by obtaining in-depth knowledge of survivorship among individuals with a cancer other than breast or prostate. 
. Qualitative, semistructured individual interviews via telephone.
. Participants were recruited using social media, flyers, word of mouth, and contact with LGB and cancer organizations during a four-month period.
. Eight LGB individuals with a diagnosis of stage III CRC from 2009-2014. 
. All interviews were audio recorded and then transcribed verbatim. Thematic analysis performed by more than one analyst was used for the interview transcripts. 
. Participants described experiences with social support and isolation, cancer care from an LGB perspective, and substantial economic impacts of their cancer diagnosis. In addition, they reported struggles with health insurance coverage, employment, and housing during and after their treatment for CRC. 
. In addition to issues regarding sexual identity disclosure and social support, economic impacts of CRC exist; these are likely critical to healthy survivorship in LGB men and women. 
. Attention should be paid to the economic impact of CRC on LGB individuals, along with issues of social support and sexual identity disclosure. Oncology nurses could play an important role in determining the economic and social needs of patients with CRC, accepting the often nontraditional support networks of LGB individuals, and facilitating disclosure of an LGB identity.

Speech-Language Pathologists' Knowledge and Attitudes Regarding Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) Populations.

Science.gov (United States)

Hancock, Adrienne; Haskin, Gregory

2015-05-01

The cultures and service needs of lesbian, gay, bisexual, transgender, and queer (LGBTQ) minority groups are relevant to speech-language pathologists (SLPs). In particular, transgender individuals seeking communication services from SLPs in order to improve quality of life require culturally and clinically competent clinicians. Knowledge and attitudes regarding a population are foundational stages toward cultural competency (Turner, Wilson, & Shirah, 2006). The purpose of this research is to assess LGBTQ knowledge and attitudes among aspiring and practicing SLPs. An online survey was completed by 279 SLPs from 4 countries. Mean accuracy scores on LGBTQ culture questions were near 50%. Self-ratings indicated more comfort than knowledge, with generally positive feelings toward LGBTQ subgroups. Transgender communication is within SLPs' scope of practice, yet 47% indicated such services were not addressed in their master's curriculum, and 51% did not know how to describe transgender communication therapy. When respondents were asked to indicate priority of 10 LGBTQ topics for a continuing education seminar, communication masculinization/feminization best practice and case examples had the highest mean priority scores. There is a need to promote LGBTQ cultural competence within speech-language pathology. This study provides direction for improving LGBTQ cultural competence among SLPs.

Enhancing dental and dental hygiene student awareness of the lesbian, gay, bisexual and transgender population.

Science.gov (United States)

Aguilar, Elizabeth; Fried, Jacquelyn

2015-02-01

Although cultural competence education is being incorporated into most health care curricula, content addressing sexual minorities is lacking or, if present, inadequate. This void can result in compromised health care and can contribute to the social stigma surrounding the lesbian, gay, bisexual and transgender (LGBT) community. Increasing the knowledge and demystifying sexual minority issues can enhance the confidence and attitudes of health care workers when treating LGBT individuals. Suggestions for creating a more welcoming health care environment for LGBT individuals in different health care settings such as private clinics, public health settings and school based programs are offered. The purpose of this literature review was to systematically review available literature on health care providers' delivery of culturally competent care to the LGBT community. The investigators searched electronic databases that included Medline (Ovid), Eric and PubMed with consultation from information specialists at the Health Sciences and Human Services Library at the University of Maryland. The information was categorized into content areas. Discussion of the findings and future directions regarding health care delivery for the LGBT community are provided. Copyright © 2015 The American Dental Hygienists’ Association.

Lesbian, gay, bisexual, transgender, queer, and questioning youths' perspectives of inclusive school-based sexuality education.

Science.gov (United States)

Gowen, L Kris; Winges-Yanez, Nichole

2014-01-01

Sexuality education is perceived as one way to prevent unhealthy sexual behaviors. However, current sexuality education materials are not tailored to fit the needs of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth, and many have been critiqued for disenfranchising these populations. This study solicited the perspectives of LGBTQ youth on their experiences with school-based sexuality education in order to create a framework of LGBTQ-inclusive sexuality education. Five semistructured focus groups (N = 30 LGBTQ participants) were conducted to investigate the sexuality education experiences of LGBTQ youth and to solicit youth suggestions for improving the inclusiveness of sexuality education curricula. Results indicate that LGBTQ youth perceive current sexuality education as primarily "exclusive," although examples of "inclusive" sexuality education were provided. In addition, participants provided suggestions for creating a more inclusive experience, such as directly discussing LGBTQ issues, emphasizing sexually transmitted infection (STI) prevention over pregnancy prevention, and addressing healthy relationships. Educators and policymakers can use these ideas to help improve the quality of sexuality education-not only to make it more inclusive for LGBTQ youth but to make sexuality education more inclusive for all young people.

Retrospective Recall of Sexual Orientation Identity Development Among Gay, Lesbian, and Bisexual Adults

Science.gov (United States)

Calzo, Jerel P.; Antonucci, Toni C.; Mays, Vickie M.; Cochran, Susan D.

2011-01-01

Although recent attention has focused on the likelihood that contemporary sexual minority youth (i.e., gay, lesbian, bisexual [GLB]) are “coming out” at younger ages, few studies have examined if early sexual orientation identity development is also present in older GLB cohorts. We analyze retrospective data on the timing of sexual orientation milestones in a sample of sexual minorities drawn from the California Quality of Life Surveys. Latent profile analysis of 1,260 GLB adults, ages 18-84 years identified three trajectories of development: Early (n = 951, milestones spanning ages 12 to 20), Middle (n = 239, milestones spanning ages 18 to 31), and Late (n = 70, milestones spanning ages 32 to 43). Motivated by previous research on variability in adolescent developmental trajectories, post-hoc analyses of the Early Profile group identified two sub-groups: Child-Onset (n = 284, milestones spanning ages 8 to 18), and Teen-Onset (n = 667, milestones spanning ages 14 to 22). Nearly all patterns of development were identity-centered, with average age of self-identification as GLB preceding average age of first same-sex sexual activity. Overall, younger participants and the majority of older participants were classified to the Early Profile, suggesting that early development is common regardless of age cohort. The additional gender differences observed in the onset and pace of sexual orientation identity development warrant future research. PMID:21942662

Addiction and recovery in gay and lesbian persons

National Research Council Canada - National Science Library

Kus, Robert J

1995-01-01

.... Addiction and Recovery is a vital resourcefor anyone providing servicesfor gay, lesbian, and bisexualclients. Rik Isensee,LCSW Author, LOVE BEIWEEN MEN, and GROWING UP GAY IN A DYSFUNCTIONAL FAMILYMore pre-publication REVIEWS,COMMENTARIES, EVALUATIONS . .. "A ddiction and Recovery in Gay and Lesbian Persons" is an excellentcollection of multifa...

HIV among African American Gay and Bisexual Men

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... Syndicated Content Website Feedback HIV Among African American Gay and Bisexual Men Recommend on Facebook Tweet Share Compartir Black/African American a gay, bisexual, and other men who have sex with ...

Keeping the Community Posted: Lesbian, Gay, Bisexual, and Transgender Blogs and the Tobacco Epidemic.

Science.gov (United States)

Lee, Joseph G L

2014-06-01

Lesbian, gay, bisexual, and transgender (LGBT) people are more likely to use tobacco products than heterosexual people. This results in disproportionate death and disability for LGBT communities. Yet, addressing the tobacco epidemic is generally low on the agenda of LGBT community organizations, and LGBT individuals report lower levels of support for some evidence-based tobacco prevention and control policies than heterosexuals. Informed by agenda-setting theory, this study investigated coverage of the tobacco epidemic in LGBT news blogs. Sixteen blogs and 105 tobacco-related posts from 2003 to March 9, 2013, were identified, and a quantitative content analysis was conducted. Coverage of the tobacco epidemic was primarily concentrated in four blogs and focused on the epidemiology of the epidemic and on tobacco-related policies. Little coverage focused on the tobacco industry, addiction, or health effects. A substantial minority of coverage focused on socially conservative arguments comparing smoking to homosexuality as a lifestyle choice. Thirty-three organizations working on LGBT tobacco prevention and control were present in blog posts. LGBT news blogs have a potentially important and mostly untapped role in tobacco-related media advocacy. LGBT health advocates would do well to cultivate relationships with LGBT bloggers as well as include bloggers in dissemination and media strategy efforts.

The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States.

Science.gov (United States)

McCabe, Sean Esteban; Bostwick, Wendy B; Hughes, Tonda L; West, Brady T; Boyd, Carol J

2010-10-01

We examined the associations between 3 types of discrimination (sexual orientation, race, and gender) and substance use disorders in a large national sample in the United States that included 577 lesbian, gay, and bisexual (LGB) adults. Data were collected from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, which used structured diagnostic face-to-face interviews. More than two thirds of LGB adults reported at least 1 type of discrimination in their lifetimes. Multivariate analyses indicated that the odds of past-year substance use disorders were nearly 4 times greater among LGB adults who reported all 3 types of discrimination prior to the past year than for LGB adults who did not report discrimination (adjusted odds ratio = 3.85; 95% confidence interval = 1.71, 8.66). Health professionals should consider the role multiple types of discrimination plays in the development and treatment of substance use disorders among LGB adults.

Butch-Femme Identity and Visuospatial Performance Among Lesbian and Bisexual Women in China.

Science.gov (United States)

Zheng, Lijun; Wen, Guangju; Zheng, Yong

2018-05-01

Lesbian and bisexual women who self-identify as "butch" show a masculine profile with regard to gender roles, gender nonconformity, and systemizing cognitive style, whereas lesbian and bisexual women who self-identify as "femme" show a corresponding feminine profile and those who self-identify as "androgynes" show an intermediate profile. This study examined the association between butch or femme lesbian or bisexual identity and visuospatial ability among 323 lesbian and bisexual women, compared to heterosexual women (n = 207) and men (n = 125), from multiple cities in China. Visuospatial ability was assessed using a Shepard and Metzler-type mental rotation task and Judgment of Line Angle and Position (JLAP) test on the Internet. Heterosexual men outperformed heterosexual women on both mental rotation and JLAP tasks. Lesbian and bisexual women outperformed heterosexual women on mental rotation, but not on JLAP. There were significant differences in mental rotation performance among women, with butch- and androgyne-identified lesbian/bisexual women outperforming femme-identified and heterosexual women. There were also significant differences in JLAP performance among women, with butch- and androgyne-identified lesbian/bisexual women and heterosexual women outperforming femme-identified lesbian/bisexual women. The butch-femme differences in visuospatial ability indicated an association between cognitive ability and butch-femme identity and suggest that neurobiological underpinnings may contribute to butch-femme identity although alternative explanations exist.

Gay, Mostly Gay, or Bisexual Leaning Gay? An Exploratory Study Distinguishing Gay Sexual Orientations Among Young Men.

Science.gov (United States)

Savin-Williams, Ritch C; Cash, Brian M; McCormack, Mark; Rieger, Gerulf

2017-01-01

This exploratory study assessed physiological, behavioral, and self-report measures of sexual and romantic indicators of sexual orientation identities among young men (mean age = 21.9 years) with predominant same-sex sexual and romantic interests: those who described themselves as bisexual leaning gay (n = 11), mostly gay (n = 17), and gay (n = 47). Although they were not significantly distinguishable based on physiological (pupil dilation) responses to nude stimuli, on behavioral and self-report measures a descending linear trend toward the less preferred sex (female) was significant regarding sexual attraction, fantasy, genital contact, infatuation, romantic relationship, sex appeal, and gazing time to the porn stimuli. Results supported a continuum of sexuality with distinct subgroups only for the self-report measure of sexual attraction. The other behavioral and self-report measures followed the same trend but did not significantly differ between the bisexual leaning gay and mostly gay groups, likely the result of small sample size. Results suggest that romantic indicators are as good as sexual measures in assessing sexual orientation and that a succession of logically following groups from bisexual leaning gay, mostly gay, to gay. Whether these three groups are discrete or overlapping needs further research.

Oppression and discrimination among lesbian, gay, bisexual, and Transgendered people and communities: a challenge for community psychology.

Science.gov (United States)

Harper, Gary W; Schneider, Margaret

2003-06-01

Lesbian, gay, bisexual, and transgendered (LGBT) people continue to experience various forms of oppression and discrimination in North America and throughout the world, despite the social, legal, and political advances that have been launched in an attempt to grant LGBT people basic human rights. Even though LGBT people and communities have been actively engaged in community organizing and social action efforts since the early twentieth century, research on LGBT issues has been, for the most part, conspicuously absent within the very field of psychology that is explicitly focused on community research and action--Community Psychology. The psychological and social impact of oppression, rejection, discrimination, harassment, and violence on LGBT people is reviewed, and recent advances in the areas of LGBT health, public policy, and research are detailed. Recent advances within the field of Community Psychology with regard to LGBT research and action are highlighted, and a call to action is offered to integrate the knowledge and skills within LGBT communities with Community Psychology's models of intervention, prevention, and social change in order to build better theory and intervention for LGBT people and communities.

Social Branding to Decrease Lesbian, Gay, Bisexual, and Transgender Young Adult Smoking.

Science.gov (United States)

Fallin, Amanda; Neilands, Torsten B; Jordan, Jeffrey W; Ling, Pamela M

2015-08-01

Lesbian, gay, bisexual, and transgender (LGBT) individuals are more likely to smoke than the general population. This study evaluated a Social Branding intervention, CRUSH, which included an aspirational brand, social events, and targeted media to discourage smoking among LGBT young adults in Las Vegas, NV. Cross-sectional surveys (N = 2,395) were collected in Las Vegas LGBT bars at 2 time points 1 year apart. Multivariate logistic regressions examined associations between campaign exposure, message understanding, and current (past 30 days) smoking, controlling for demographics. LGBT individuals were significantly more likely to report current (past 30 day) smoking than heterosexual/straight, gender-conforming participants. Overall, 53% of respondents reported exposure to CRUSH; of those exposed, 60% liked the campaign, 60.3% reported they would attend a CRUSH event on a night when they usually went somewhere else, and 86.3% correctly identified that the campaign was about "partying fresh and smokefree." Current smoking was reported by 47% of respondents at Time 1 and 39.6% at Time 2. There were significant interactions between time and campaign exposure and campaign exposure and understanding the message. Among those who understood the CRUSH smokefree message, the highest level of campaign exposure was significantly associated with 37%-48% lower odds for current smoking. While longitudinal studies would better assess the impact of this intervention, CRUSH shows promise to reduce tobacco use among LGBT bar patrons. © The Author 2015. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Gay- and Lesbian-Sounding Auditory Cues Elicit Stereotyping and Discrimination.

Science.gov (United States)

Fasoli, Fabio; Maass, Anne; Paladino, Maria Paola; Sulpizio, Simone

2017-07-01

The growing body of literature on the recognition of sexual orientation from voice ("auditory gaydar") is silent on the cognitive and social consequences of having a gay-/lesbian- versus heterosexual-sounding voice. We investigated this issue in four studies (overall N = 276), conducted in Italian language, in which heterosexual listeners were exposed to single-sentence voice samples of gay/lesbian and heterosexual speakers. In all four studies, listeners were found to make gender-typical inferences about traits and preferences of heterosexual speakers, but gender-atypical inferences about those of gay or lesbian speakers. Behavioral intention measures showed that listeners considered lesbian and gay speakers as less suitable for a leadership position, and male (but not female) listeners took distance from gay speakers. Together, this research demonstrates that having a gay/lesbian rather than heterosexual-sounding voice has tangible consequences for stereotyping and discrimination.

Stereotypes of Older Lesbians and Gay Men

Science.gov (United States)

Wright, Sara L.; Canetto, Silvia Sara

2009-01-01

This study examined stereotypes of older lesbians and gay men. Key findings are that older lesbians and gay men were perceived as similar to older heterosexual women and men with regard to aging stereotypes, such as being judicious. At the same time, sexual minorities were targets of unique stereotypes. Consistent with the implicit inversion…

Viral Hepatitis: Information for Gay and Bisexual Men

Science.gov (United States)

VIRAL HEPATITIS Information for Gay and Bisexual Men What is viral hepatitis? Viral hepatitis is an infection of the liver caused by one of several ... each virus is spread in different ways. Are gay and bisexual men at risk for viral hepatitis? ...

Childhood gender nonconformity and harassment as predictors of suicidality among gay, lesbian, bisexual, and heterosexual Austrians.

Science.gov (United States)

Plöderl, Martin; Fartacek, Reinhold

2009-06-01

The role of childhood gender role nonconformity (CGNC) and childhood harassment (CH) in explaining suicidality (suicide ideation, aborted suicide attempts, and suicide attempts) was examined in a sample of 142 lesbian, gay, and bisexual (LGB) adults and 148 heterosexual adults in Austria. Current and previous suicidality, CGNC, and CH were significantly greater in LGB participants compared to heterosexual participants. After controlling for CGNC, the effect of sexual orientation on CH diminished. CGNC correlated significantly with current suicidality in the LGB but not in the heterosexual group, and only non-significant correlations were found for CGNC with previous suicidality. Controlling for CH and CGNC diminished the effect of sexual orientation on current suicidality. Bayesian multivariate analysis indicated that current suicidality, but not previous suicidality, depended directly on CGNC. CH and CGNC are likely implicated in the elevated levels of current suicidality among adult LGB participants. As for previous suicidality, the negative impact of CGNC on suicidality might be overshadowed by stress issues affecting sexual minorities around coming out. The association of CGNC with current suicidality suggests an enduring effect of CGNC on the mental health and suicide risk of LGB individuals.

High Tobacco Use among Lesbian, Gay, and Bisexual Populations in West Virginian Bars and Community Festivals

Directory of Open Access Journals (Sweden)

Joseph G. L. Lee

2011-07-01

Full Text Available With no information on tobacco use for lesbian, gay, or bisexual (LGB populations in West Virginia (WV, it is unclear if nationally-identified LGB tobacco disparities also exist in this State. To address this data gap, we conducted a community tobacco survey in bars and events associated with the WV Pride Parade and Festival. Trained community surveyors used electronic and paper survey instruments in bars (n = 6 in three WV cities and community events associated with the WV Pride Parade and Festival. We analyzed results from 386 completed surveys from self-identified LGB individuals. Tobacco use among LGB bar patrons and LGB attendees at Pride-affiliated events was elevated (45%, as was current cigarette use (41%. Users of cigars and chewing tobacco were frequently dual users of cigarettes, with 80% and 60% reporting dual use, respectively. A substantial disparity likely exists in tobacco use among LGB West Virginians. Targeted interventions addressing tobacco use among LGB West Virginians are warranted in these venues, and the addition of a demographic question on sexual orientation would improve data collection and monitoring of this disparity.

Military Gay Ban Revisited: Is our Military Ready for Change?

Science.gov (United States)

2009-02-20

support from the lesbian, gay, bi-sexual, transgender ( LGBT ) community and in return made several campaign promises along the way. One of the campaign ...Lesbian, Gay, Bi-sexual, Transgender] ( LGBT ) rights is exploited by those seeking to divide us. But at its core, this issue is about who we are as...No. 85. July 2007. Donnelly, Elaine. Who Will Confront the “ LGBT Left?”. Center for Military Readiness. (5 February 2008). Frank

Emotional Health of Lesbian, Gay, Bisexual and Questioning Bullies: Does It Differ from Straight Bullies?

Science.gov (United States)

Eisenberg, Marla E; Gower, Amy L; McMorris, Barbara J

2016-01-01

Research demonstrates that young people involved in bullying are at greater risk for poor emotional health outcomes, but this association may not be consistent for youth of different sexual orientations. Understanding the unique needs of lesbian, gay, bisexual and questioning (LGBQ) youth may suggest important opportunities for intervention and prevention. This study, therefore, examines whether involvement with bullying is differentially associated with emotional well-being across sexual orientation. Survey data were collected from a large statewide sample of 9th and 11th grade students in 2013 (N = 79,039, 49.8% female, 74.6% white). Logistic regression tested associations between sexual orientation, physical or relational bullying perpetration and five measures of emotional health. In the full sample, those reporting bullying perpetration had significantly elevated odds of emotional health problems. However, interaction terms and stratified models indicated that in nine out of ten physical bullying models and two out of ten relational bullying models, perpetration was not as strongly associated with poor emotional health among LGBQ adolescents as it was among heterosexual youth. Possible explanations for this finding include unhealthy coping strategies or masking one's own vulnerable status as LGBQ. Continued efforts to prevent bullying are needed for all youth.

Stigma-related stressors, coping self-efficacy, and physical health in lesbian, gay, and bisexual individuals.

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Denton, F Nicholas; Rostosky, Sharon Scales; Danner, Fred

2014-07-01

Understanding and intervening to address health disparities is part of the expanding role of psychologists (Johnson, 2013). We drew on Hatzenbuehler's (2009) psychological mediation framework and Lick, Durso, and Johnson's (2013) conceptual pathways to lesbian, gay, and bisexual (LGB) physical health disparities to test a serial mediation model in which 2 types of cognitive appraisals (proximal minority stressors and coping self-efficacy) partially account for the association between perceived discrimination and prejudice (distal minority stressor) and self-reported physical health symptoms in a nationally recruited sample of 564 LGB individuals (270 women, 294 men) who participated in a web-based survey. Results indicated that perceived experiences of discrimination and prejudice were associated with expectations of rejection and internalized homonegativity. These 2 proximal stressors were associated with lower coping self-efficacy, and the combined cognitive appraisal pathways were associated with higher levels of self-reported physical symptom severity. The pathway through emotion-focused coping self-efficacy was particularly salient in accounting for the overall mediation. Interventions to address distal and proximal minority stressors and improve emotion-focused coping self-efficacy may be particularly helpful in reducing the negative effects of stigma on physical health. PsycINFO Database Record (c) 2014 APA, all rights reserved.

Survey of lesbian, gay, bisexual, and transgender people's experiences of mental health services in Ireland.

LENUS (Irish Health Repository)

McCann, Edward

2013-03-08

Very little is known about the experiences of lesbian, gay, bisexual, and transgender (LGBT) people in relation to mental health services. Therefore, the overall aim of the current research was to explore LGBT people\\'s experiences of mental health service provision in Ireland. The objectives were to identify barriers and opportunities, to highlight service gaps, and to identify good practice in addressing the mental health and well-being of LGBT people. A mixed methods research design using quantitative and qualitative approaches was deployed. A multipronged sampling strategy was used and 125 respondents responded to the questionnaire. A subset of phase 1 (n = 20) were interviewed in the qualitative phase. Quantitative data was analyzed using descriptive statistics. Qualitative data were analyzed thematically. The sample consisted of LGBT people (n = 125) over 18 years of age living in Ireland. Over three-quarters (77%) had received a psychiatric diagnosis. Findings include that whilst 63% of respondents were able to be \\'out\\' to practitioners, 64% felt that mental health professionals lacked knowledge about LGBT issues and 43% felt practitioners were unresponsive to their needs. Finally, respondent recommendations about how mental health services may be more responsive to LGBT people\\'s needs are presented.

Lesbian, gay, bisexual, and transgender (LGBT) issues in dental school environments: dental student leaders' perceptions.

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Anderson, Joan I; Patterson, April N; Temple, Henry J; Inglehart, Marita Rohr

2009-01-01

The objectives of the study reported in this article were to assess dental student leaders' perceptions of educational efforts concerning lesbian, gay, bisexual, and transgender (LGBT) topics and the cultural climate concerning LGBT issues in dental schools in the United States and Canada. In addition, the perceptions of student leaders who self-identified as belonging to the LGBT community and of students with a heterosexual orientation were compared. Data were collected from 113 dental student leaders from twenty-seven dental schools in the United States and three in Canada. Fifty student leaders were females, and sixty-two were males. Only 13.3 percent of the respondents agreed that their dental education prepared them well to treat patients from LGBT backgrounds. The more the student leaders believed that their university has an honest interest in diversity, the better they felt prepared by their dental school program to treat patients from LGBT backgrounds (r=.327; pschools' administrations create a positive environment for students with LGBT orientations, the more they agreed that persons can feel comfortable regardless of their sexual orientation (r=.585; pschool administrators play an important role in ensuring that future care providers are well prepared to treat patients from LGBT backgrounds and that staff, faculty, students, and patients from these backgrounds are not discriminated against.

Health Inequities among Lesbian, Gay, and Bisexual Adults in North Carolina, 2011–2014

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Melissa M. Barnhill

2017-07-01

Full Text Available Inequalities in health have been identified for lesbian, gay, and bisexual (LGB populations nationally. Policies in the U.S. South offer fewer protections for LGB people than in other regions, yet, limited data exist for this region. North Carolina (NC BRFSS data from 2011 to 2014 were combined (LGB n = 604; heterosexual n = 33,170 and analyzed using SAS survey procedures to estimate health characteristics by sexual orientation within gender. Many examined indicators were not different by sexual orientation, however, other results were significant and consistent with findings from state population surveys in other regions of the country. Both genders showed inequities in mental health, having over twice the odds of five or more poor mental health days in the past month and of having ever been diagnosed with a depressive disorder. Sexual minority women had higher odds compared with heterosexual women for ever having smoked cigarettes, current smoking, exposure to secondhand smoke both in the workplace and at home, and both alcohol risk factors, binge and heavy drinking. Being part of the LGB population in NC is associated with worse health. The implementation of anti-LGB policies in the NC warrants ongoing monitoring of LGB health inequities in NC and in other southeastern states for potential effects on the health and well-being of sexual minorities.

Developing inclusive later life learning environments: insights form intersectional analysis of ageing and lesbian, gay, transgendered and bisexual identities

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Christopher McAllister

2018-04-01

Full Text Available To date there has been minimal empirical inquiry on what may constitute inclusive learning environments for older (50+ years lesbian, gay, bisexual and transgendered (LGBT adults. This paper draws upon a recent life-histories study with older LGBT adults in Scotland to consider how such environments can be developed. To do so, intersectional analysis is applied to interrogate how participants' lived realities and sense of self are enabled and constrained by the interactions between their diverse ageing, LGBT and other identities in the particular contexts of later life, post work. The paper argues that by adopting this approach to intersectional analysis, critical educational gerontology (CEG is equipped to more effectively realise inclusive, meaningful and potentially empowering learning environments for older LGBT adults. These will be more attuned to their later life realities, enabling them to reflect on the changing significance of being LGBT as they age, while allowing potential for personal growth and renewed sense of self.

The impact of minority stressors on the mental and physical health of lesbian, gay, and bisexual youths and young adults.

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Shilo, Guy; Mor, Zohar

2014-08-01

Research relating to minority stressors generally explores mental health outcomes, with limited focus on the physical dimension. In addition, minority stress research is conducted mainly in Christian-oriented societies. To address these pitfalls we used Web sampling targeting Israeli participants ages 12 to 30 (N = 952; 28 percent heterosexuals, 78 percent lesbian, gay, and bisexual [LGB] adolescents and young adults) to assess their mental health, physical and sexual risk behaviors, minority stressors, and coping resources. Results indicate that young LGBs had lower levels of mental and physical health than heterosexuals. Among LGB participants, high levels of minority stressors and low levels of coping resources predicted lower levels of mental health, and lower levels of mental health predicted lower levels of physical health. These results emphasize that minority stressors should be recognized as risk factors for poorer mental health, as well as for physical and sexual risk behaviors.

Preservice elementary teacher's attitudes toward gay and lesbian parenting.

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Maney, D W; Cain, R E

1997-08-01

This preliminary investigation assessed preservice elementary teacher's attitudes toward homosexual parents and their children. The study populations included 195 college students enrolled in an elementary school health methods course at a large northeastern university. A 51-item " and Lesbian Parenting Questionnaire" was used for data collection purposes. Reliability estimates for the scales were: attitudes toward lesbians and gay men (alpha = .90), comfort toward gay and lesbian families (alpha = .92), and knowledge about homosexuality (alpha = .52). Most respondents agreed gay men: were not disgusting, should be allowed to teach, were not perverted, and should not overcome their feelings of homosexuality. Most respondents disagreed lesbians cannot fit into society or were sick. Nearly all agreed female homosexuality should not be a basis for job discrimination. Females were significantly (p attitudes toward gay fathers than did male respondents. Respondents with stronger religious attitudes had significantly (p attitudes toward lesbian parents than respondents with weaker religious attitudes.

Association of Gay and Lesbian Psychiatrists

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... Awards AGLP News Newsletter Archives Education Journal of Gay and Lesbian Mental Health GAP LGBT Online Curriculum ... an End to Harmful ‘Religious Freedom’ Laws...> WPA: Gay “Cures” Are Harmful And Don’t Work See ...

Preservice Teacher Attitudes toward Gay and Lesbian Parents

Science.gov (United States)

Herbstrith, Julie C.; Tobin, Renée M.; Hesson-McInnis, Matthew S.; Schneider, W. Joel

2013-01-01

Gay and lesbian parents are raising an increasing number of children, but little is known about how these parents are viewed by school personnel. In this study, preservice teacher attitudes toward gay and lesbian parents were assessed using implicit, explicit, behavioral, and behavioroid measures. Implicit measures indicate that participants rated…

Reducing risk for illicit drug use and prescription drug misuse: High school gay-straight alliances and lesbian, gay, bisexual, and transgender youth.

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Heck, Nicholas C; Livingston, Nicholas A; Flentje, Annesa; Oost, Kathryn; Stewart, Brandon T; Cochran, Bryan N

2014-04-01

Previous research suggests that lesbian, gay, bisexual, and transgender (LGBT) youth are at elevated risk for using illicit drugs and misusing prescription drugs relative to heterosexual youth. Previous research also indicates that LGBT youth who attend high schools with a gay-straight alliance (GSA) report having fewer alcohol problems and lower levels of cigarette smoking. The present study investigates whether the absence of a GSA is associated with risk for illicit drug use and prescription drug misuse in a sample of 475 LGBT high school students (M age=16.79) who completed an online survey. After controlling for demographic variables and risk factors associated with illicit drug use, the results of 12 logistic regression analyses revealed that LGBT youth attending a high school without a GSA evidenced increased risk for using cocaine (adjusted odds ratio [adjOR]=3.11; 95% confidence interval [95% CI]=1.23-7.86), hallucinogens (adjOR=2.59; 95% CI=1.18-5.70), and marijuana (adjOR=2.22; 95% CI=1.37-3.59) relative to peers attending a high school with a GSA. Youth without a GSA also evidenced increased risk for the misuse of ADHD medication (adjOR=2.00; 95% CI=1.02-3.92) and prescription pain medication (adjOR=2.00; 95% CI=1.10-3.65). These findings extend the research base related to GSAs and further demonstrate the importance of providing LGBT youth with opportunities for socialization and support within the school setting. Important limitations of the present study are reviewed. Copyright © 2014 Elsevier Ltd. All rights reserved.

Multiple strategies are required to address the information and support needs of gay and bisexual men with hepatitis C in Australia.

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Hopwood, Max; Lea, Toby; Aggleton, Peter

2016-03-01

Hepatitis C virus (HCV) infection is increasingly reported among gay and bisexual men. However, little is known about the personal and social dimensions of HCV-related experience among these men in Australia. An online survey of 474 Australian gay and bisexual men was conducted from August to December 2013. A subsample of 48 HCV mono-infected and HIV/HCV co-infected men was analysed to explore HCV knowledge, sources of information, unmet information needs and use of HCV-related services. More than half of respondents in the subsample were unaware that HIV infection increases the risk of sexually acquired HCV and most wanted information about how to prevent the sexual transmission of HCV. A majority of respondents requested gay-specific HCV services, and approximately similar proportions of men indicated that they would like these services delivered by a hepatitis organization, a lesbian, gay, bisexual, transgender and intersex (LGBTI) organization and a HIV organization. Men in receipt of HIV antiretroviral treatments were most likely to request that gay-specific HCV information and support services be delivered by a LGBTI or HIV organization (OR = 8.63). These findings suggest that a variety of organizations are required to address the information and support needs of Australian gay and bisexual men with HCV. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

The contribution of school to the feeling of acceptance and the risk of suicide attempts among Austrian gay and bisexual males.

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Plöderl, Martin; Faistauer, Gregor; Fartacek, Reinhold

2010-01-01

School-related factors contributing to the suicidality of lesbian, gay, and bisexual individuals are understudied, especially in German-speaking Europe. Among our Web-based sample of 468 Austrian gay or bisexual adults, 18% attempted suicide and about one half of them reported that hard times at school related to one's homosexuality partly or mainly caused the attempt. Such suicide attempts were associated with a lack of acceptance at school and harassment experiences. In contrast to suicide attempts, acceptance at school was significantly associated with protective factors such as teachers intervening against homophobia or presence of openly homosexual teachers or peers. These findings may be important for consideration in school-based suicide prevention programs.

From awareness to action: Examining predictors of lesbian, gay, bisexual, and transgender (LGBT) activism for heterosexual people.

Science.gov (United States)

Jones, K Nicole; Brewster, Melanie E

2017-01-01

In recent history, heterosexual allies have played an integral role in promoting change for lesbian, gay, bisexual, and transgender (LGBT) populations in the United States; however, questions have been raised as to what drives heterosexual allies to promote change via activism. To delineate factors important in engagement in activism, 207 self-identified heterosexual allies completed an online survey measuring components associated with LGBT activism using Bandura's (1986) model of triadic reciprocal determinism: personal factors (ally identity, social justice self-efficacy and outcome expectations, empathetic perspective taking, and gender) and environmental factors (social justice related supports and barriers, positive marginality, and education level) to predict behaviors (LGBT activism). A hierarchical multiple regression analysis revealed a model accounting for 62% of the variance in LGBT activism, with dimensions of ally identification, social justice self-efficacy, outcome expectations, and education level emerging as significant predictors of engagement in activism behaviors. Empathetic perspective taking and social justice related barriers predicted lack of engagement in LGBT activism, however. Supporting the notion that personal and environmental factors simultaneously impact engagement in LGBT activism. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Out on the Street: A Public Health and Policy Agenda for Lesbian, Gay, Bisexual, and Transgender Youth Who Are Homeless

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Keuroghlian, Alex S.; Shtasel, Derri; Bassuk, Ellen L.

2014-01-01

A disproportionate number of lesbian, gay, bisexual and transgender (LGBT) youth experience homelessness each year in the United States. LGBT youth who are homeless have particularly high rates of mental health and substance use problems, suicidal acts, violent victimization, and a range of HIV risk behaviors. Given the intense needs of LGBT youth experiencing homelessness, it is imperative that we understand their unique experiences and develop responsive practices and policies. The range and severity of health risks vary across subgroups of all homeless LGBT youth, and since the population is nonhomogeneous their particular needs must be identified and addressed. Thus the purpose of this article is to review the causes of homelessness among LGBT youth, discuss the mental health and victimization risks faced by this population, address differences among homeless LGBT subgoups, and recommend effective interventions and best practices. We conclude by discussing promising future research and public policy directions. PMID:24826829

A social constructionist approach to resilience for lesbian, gay, bisexual, transgender, intersex, queer and/or questioning academics and students in South African universities

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Jacques Rothmann

2018-01-01

Full Text Available This article provides a theoretical contemplation on how reciprocation of an assimilationist, liberationist and/or transgressive approach by lesbian, gay, bisexual, transgender, intersex, queer and/or questioning (LGBTIQ+ individuals on university campuses may encourage transformation initiatives in South African universities. The author ascribe to the contributions of previous research studies on a social constructionist approach to resilience to debate how individuals potentially navigate the disparity between sexual structure and agency within their ideological and physical construction and enactment of their academic and student persona. A theoretical basis is provided for the influence of social resilience to emphasise the localised, intersectional and plural experiences of LGBTIQ+ individuals as opposed to a monolithic and universal ‘either/or’ account of their being solely docile victims or free agents in a heteronormative context.

Health Equity and Aging of Bisexual Older Adults: Pathways of Risk and Resilience.

Science.gov (United States)

Fredriksen-Goldsen, Karen I; Shiu, Chengshi; Bryan, Amanda E B; Goldsen, Jayn; Kim, Hyun-Jun

2017-05-01

Bisexual older adults are a growing yet largely invisible, underserved, and understudied population. Utilizing the Health Equity Promotion Model, we examined hypothesized mechanisms accounting for health disparities between bisexual older adults and lesbian and gay older adults. Based on data from Caring and Aging with Pride, the largest national survey of LGBT older adults, this study (N = 2,463) utilized structural equation modeling to investigate direct and indirect associations between sexual identity (bisexual vs. lesbian and gay) and health via sexual identity factors (identity disclosure and internalized stigma), social resources, and socioeconomic status (SES). Bisexual older adults reported significantly poorer health compared with lesbian and gay older adults. Indirect effects involving sexual identity factors, social resources, and SES explained the association between bisexual identity and poorer health. A potentially protective pathway was also identified wherein bisexuals had larger social networks after adjusting for other factors. Bisexual older adults face distinct challenges and health risks relative to other older adults, likely because of the accumulation of socioeconomic and psychosocial disadvantages across the life course. Interventions taking into account older bisexuals' unique risk and protective factors may be helpful in reducing health inequities. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Advancing the conversation: next steps for lesbian, gay, bisexual, trans, and queer (LGBTQ health sciences librarianship

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Blake W. Hawkins

2017-10-01

Full Text Available In recent years, librarians in various sectors have been moving forward a conversation on the distinct information needs and information-seeking behavior of our lesbian, gay, bisexual, trans, and queer (LGBTQ patrons and how well the profession recognizes and meets those needs. Health sciences librarianship has been slower than other areas of the profession in creating an evidence base covering the needs of its LGBTQ patrons, with, until recently, only very limited literature on this subject. LGBTQ health sciences librarianship is now starting to attract new interest, with librarians working together to bring this emerging specialization to the attention of the broader professional community. In this paper, the authors report on a dedicated panel discussion that took place at the 2016 joint annual meeting of the Medical Library Association and Canadian Health Libraries Association/Association des bibliothèques de la santé du Canada in Toronto, Ontario, Canada; discuss subsequent reflections; and highlight the emerging role for health sciences librarians in providing culturally competent services to the LGBTQ population. Recommendations are also provided for establishing a tool kit for LGBTQ health sciences librarianship from which librarians can draw. We conclude by highlighting the importance of critically reflective practice in health sciences librarianship in the context of LGBTQ health information.

Responses to discrimination and psychiatric disorders among Black, Hispanic, female, and lesbian, gay, and bisexual individuals.

Science.gov (United States)

McLaughlin, Katie A; Hatzenbuehler, Mark L; Keyes, Katherine M

2010-08-01

We examined associations between perceived discrimination due to race/ethnicity, sexual orientation, or gender; responses to discrimination experiences; and psychiatric disorders. The sample included respondents in the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions (n = 34 653). We analyzed the associations between self-reported past-year discrimination and past-year psychiatric disorders as assessed with structured diagnostic interviews among Black (n = 6587); Hispanic (n = 6359); lesbian, gay, and bisexual (LGB; n = 577); and female (n = 20 089) respondents. Black respondents reported the highest levels of past-year discrimination, followed by LGB, Hispanic, and female respondents. Across groups, discrimination was associated with 12-month mood (odds ratio [ORs] = 2.1-3.1), anxiety (ORs = 1.8-3.3), and substance use (ORs = 1.6-3.5) disorders. Respondents who reported not accepting discrimination and not discussing it with others had higher odds of psychiatric disorders (ORs = 2.9-3.9) than did those who did not accept discrimination but did discuss it with others. Black respondents and women who accepted discrimination and did not talk about it with others had elevated rates of mood and anxiety disorders, respectively. Psychiatric disorders are more prevalent among individuals reporting past-year discrimination experiences. Certain responses to discrimination, particularly not disclosing it, are associated with psychiatric morbidity.

Advancing the conversation: next steps for lesbian, gay, bisexual, trans, and queer (LGBTQ) health sciences librarianship.

Science.gov (United States)

Hawkins, Blake W; Morris, Martin; Nguyen, Tony; Siegel, John; Vardell, Emily

2017-10-01

In recent years, librarians in various sectors have been moving forward a conversation on the distinct information needs and information-seeking behavior of our lesbian, gay, bisexual, trans, and queer (LGBTQ) patrons and how well the profession recognizes and meets those needs. Health sciences librarianship has been slower than other areas of the profession in creating an evidence base covering the needs of its LGBTQ patrons, with, until recently, only very limited literature on this subject. LGBTQ health sciences librarianship is now starting to attract new interest, with librarians working together to bring this emerging specialization to the attention of the broader professional community. In this paper, the authors report on a dedicated panel discussion that took place at the 2016 joint annual meeting of the Medical Library Association and Canadian Health Libraries Association/Association des bibliothèques de la santé du Canada in Toronto, Ontario, Canada; discuss subsequent reflections; and highlight the emerging role for health sciences librarians in providing culturally competent services to the LGBTQ population. Recommendations are also provided for establishing a tool kit for LGBTQ health sciences librarianship from which librarians can draw. We conclude by highlighting the importance of critically reflective practice in health sciences librarianship in the context of LGBTQ health information.

Challenges faced by gay, lesbian, bisexual and transgender (glbt students at a South African university

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Sello Sithole

2015-12-01

Full Text Available This article explores the academic and social challenges experienced by students from the gay, lesbian, bisexual and transgender (glbt community on campus at a South African university. A qualitative study to investigate some of these academic and social challenges experienced by glbt students at a university campus was conducted. The population of the study was all students from glbt community on campus and a purposive sample of twelve (12 respondents was constituted and a semi-structured interview guide was designed and administered to all twelve (12 participants. Data were audio recorded and transcribed. Content analysis which is a method used to systematically analyse the meaning of communications was used to analyse data. Of central interest were the core themes that speakers referred to, the information or messages that they wanted to pass on to their audience. The findings suggest that glbt students grapple with issues such as labelling, sexual abuse, discrimination/marginalisation and unfairness in the allocation of resources such as accommodation. In response to these cancerous societal ills, the helping professions exhort practitioners to empower vulnerable populations, promote social justice, support client self-determination and keep abreast of current knowledge relevant to professional practice. This article concludes with a set of recommendations on some of the strategies to address the identified socio-academic challenges.

Mental health differences between German gay and bisexual men and population-based controls.

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Sattler, Frank A; Franke, Gabriele H; Christiansen, Hanna

2017-07-21

International studies have revealed that gay and bisexual men present more mental health problems than the general male population. Furthermore, there is evidence that minority stress predicts mental health problems in gay and bisexual men. The aim of the present study is to provide initial data on mental health differences in Germany and to analyze the effect of minority stress. Mental health data on n = 1903 German gay and bisexual men and n = 958 men from a population-based sample were assessed using a shortened version of the SCL-90-S. The mental health of the two samples was compared. Furthermore, a linear regression was conducted for the gay and bisexual sample: mental health was used as the criterion and minority stressors as predictors. As compared to our population sample, gay and bisexual men demonstrated more mental health problems with a moderate effect size. In the regression, minority stress predicted mental health problems in the gay and bisexual sample. We observed pronounced mental health differences between gay and bisexual men versus the population sample. These differences could be at least partly due to the minority stress gay and bisexual men face. Research should focus on how to reduce and cope with minority stress.

Efectos de la violencia y la discriminación en la salud mental de bisexuales, lesbianas y homosexuales de la Ciudad de México Effects of violence and discrimination on the mental health of bisexuals, lesbians, and gays in Mexico City

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Luis Ortiz-Hernández

2005-06-01

Full Text Available Los objetivos del estudio fueron estimar la frecuencia de daños a la salud mental (percepción del estado de salud, ideación suicida, intento de suicidio, trastornos mentales comunes y alcoholismo en bisexuales, lesbianas y homosexuales de la Ciudad de México y analizar la posible relación de la violencia y la discriminación con la salud mental de dicha población. Se aplicó un cuestionario a 506 bisexuales, lesbianas y homosexuales de la ciudad de México para investigar si habían sufrido, debido a su orientación sexual, discriminación y violencia. Las prevalencias fueron: ideación suicida 39,0%, intento de suicidio 15,0%, trastornos mentales comunes 27,0% y alcoholismo 18,0%. En las mujeres lesbianas y bisexuales se observó una prevalencia de alcoholismo siete veces mayor a la observada en otras mujeres. La discriminación se relacionó con el intento de suicidio y los trastornos mentales comunes, mientras que la violencia fue un factor de riesgo para la ideación suicida, el intento de suicidio, los trastornos mentales comunes y el alcoholismo; por lo cual se requiere implementar políticas y programas tendientes a revertir esta situación.The objectives of this study were to estimate the prevalence of suicidal ideation, suicide attempts, mental disorders, and alcoholism in bisexuals, lesbians, and gays in Mexico City and analyze the possible relationship between violence, discrimination, and the mental health of these population groups. A questionnaire was administered to 506 bisexuals, lesbians, and gays attending support organizations and institutions. Eight forms of discrimination and fourteen forms of violence based on sexual orientation were researched. The study found the following prevalence rates: 39.0% suicidal ideation, 15.0% suicide attempts, 27.0% mental disorders, and 18.0% alcoholism. Prevalence of alcoholism was 21.0% among bisexual and lesbian women, which is higher than in other women. Discrimination was

Lesbian, Gay, Bisexual, and Transgender Patient Care: Medical Students' Preparedness and Comfort.

Science.gov (United States)

White, William; Brenman, Stephanie; Paradis, Elise; Goldsmith, Elizabeth S; Lunn, Mitchell R; Obedin-Maliver, Juno; Stewart, Leslie; Tran, Eric; Wells, Maggie; Chamberlain, Lisa J; Fetterman, David M; Garcia, Gabriel

2015-01-01

Phenomenon: Lesbian, gay, bisexual, and transgender (LGBT) individuals face significant barriers in accessing appropriate and comprehensive medical care. Medical students' level of preparedness and comfort caring for LGBT patients is unknown. An online questionnaire (2009-2010) was distributed to students (n = 9,522) at 176 allopathic and osteopathic medical schools in Canada and the United States, followed by focus groups (2010) with students (n = 35) at five medical schools. The objective of this study was to characterize LGBT-related medical curricula, to determine medical students' assessments of their institutions' LGBT-related curricular content, and to evaluate their comfort and preparedness in caring for LGBT patients. Of 9,522 survey respondents, 4,262 from 170 schools were included in the final analysis. Most medical students (2,866/4,262; 67.3%) evaluated their LGBT-related curriculum as "fair" or worse. Students most often felt prepared addressing human immunodeficiency virus (HIV; 3,254/4,147; 78.5%) and non-HIV sexually transmitted infections (2,851/4,136; 68.9%). They felt least prepared discussing sex reassignment surgery (1,061/4,070; 26.1%) and gender transitioning (1,141/4,068; 28.0%). Medical education helped 62.6% (2,669/4,262) of students feel "more prepared" and 46.3% (1,972/4,262) of students feel "more comfortable" to care for LGBT patients. Four focus group sessions with 29 students were transcribed and analyzed. Qualitative analysis suggested students have significant concerns in addressing certain aspects of LGBT health, specifically with transgender patients. Insights: Medical students thought LGBT-specific curricula could be improved, consistent with the findings from a survey of deans of medical education. They felt comfortable, but not fully prepared, to care for LGBT patients. Increasing curricular coverage of LGBT-related topics is indicated with emphasis on exposing students to LGBT patients in clinical settings.

Comparing Heterosexuals' and Gay Men/Lesbians' Responses to Relationship Problems and the Effects of Internalized Homophobia on Gay Men/Lesbians' Responses to Relationship Problems in Turkey.

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Okutan, Nur; Buyuksahin Sunal, Ayda; Sakalli Ugurlu, Nuray

2017-01-01

The purpose of the present study was twofold: (1) to investigate the effects of sexual orientation (heterosexuals and gay men/lesbians) and gender difference on responses to romantic relationship problems (Exit, Voice, Loyalty, and Neglect [EVLN] responses) and of perceived partner's EVLN responses in Turkey, and (2) to examine whether internalized homophobia was associated with EVLN responses and perceived partner's EVLN responses for gay men and lesbians. Responses to Dissatisfaction Scale-Accommodation Instrument, Internalized Homophobia, and Demographics Information were administered to 187 participants (44 lesbians, 44 gay men, 53 heterosexual women, 46 heterosexual men).The MANCOVA results showed that men reported higher loyalty than women, whereas women presented more exit responses than men. Further, the interactions between gender and sexual orientation on the participants' EVLN responses and on the perceived partner's EVLN responses were significant. With respect to heterosexual women, heterosexual men displayed more loyalty responses. Lesbians had higher scores on loyalty than did heterosexual women. Lesbians also had higher scores on perceived partner's exit response than did heterosexual women and gay men. On the contrary, heterosexual women reported more perceived partner's voice response than lesbians. In addition, lesbians reported higher perceived partner's neglect responses than heterosexual women. Compared to heterosexual women, heterosexual men reported higher perceived partner's exit response. Finally, internalized homophobia was associated with destructive responses for both lesbians and gay men.

Healthcare preferences of lesbian, gay, bisexual, transgender and questioning youth.

Science.gov (United States)

Hoffman, Neal D; Freeman, Katherine; Swann, Stephanie

2009-09-01

Lesbian, gay, bisexual, transgender and questioning (LGBTQ) youth appear to be at higher risk for certain adverse health outcomes, and to have several personal, cultural and structural barriers to accessing healthcare. Little is known, however, about the experiences of LGBTQ youth with healthcare providers and healthcare services. Our goal was to recruit a sample of LGBTQ youth and to determine their preferences regarding healthcare providers, healthcare settings and the health issues that they consider important to discuss with a healthcare provider. We conducted a cross-sectional Internet-based survey. Respondents ages 13-21 years and living in the U.S. or Canada were asked to review three lists of items pertaining to qualities of healthcare providers, qualities of offices or health centers, and concerns or problems to discuss with a healthcare provider, and then to assign for each item a relative importance. Items in each of the three lists were then ranked, and differences among ranks were assessed. Inter-group differences by age, gender, and race/ethnicity were also assessed. 733 youth met eligibility criteria. Youth indicated as most important competence overall and specifically in issues unique to taking care of youth and LGBTQ persons, as well as being respected and treated by providers the same as other youth. Notably, youth ranked as least important the provider's gender and sexual orientation. Youth ranked accessibility issues higher than specific services provided. As health concerns to discuss with a provider, youth ranked preventive healthcare, nutrition, safe sex, and family as important as common morbidities. Youth placed as much importance on provider qualities and interpersonal skills as provider knowledge and experience, and placed little importance on a provider's gender and sexual orientation. Youth indicated the importance of providers addressing not only health risks, but also wellness and health promotion, and to do so within the context of

Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments.

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Keuroghlian, Alex S; Ard, Kevin L; Makadon, Harvey J

2017-02-01

Lesbian, gay, bisexual and transgender (LGBT) people face pervasive health disparities and barriers to high-quality care. Adequate LGBT sexual health education for emerging health professionals is currently lacking. Clinical training programs and healthcare organisations are well poised to start addressing these disparities and affirming LGBT patients through curricula designed to cultivate core competencies in LBGT health as well as health care environments that welcome, include and protect LGBT patients, students and staff. Health education programs can emphasise mastery of basic LGBT concepts and terminology, as well as openness towards and acceptance of LGBT people. Core concepts, language and positive attitudes can be instilled alongside clinical skill in delivering inclusive sexual health care, through novel educational strategies and paradigms for clinical implementation. Caring for the health needs of LGBT patients also involves the creation of health care settings that affirm LGBT communities in a manner that is responsive to culturally specific needs, sensitivities and challenges that vary across the globe.

An Interdisciplinary Approach to Lesbian, Gay, Bisexual, and Transgender Clinical Competence, Professional Training, and Ethical Care: Introduction to the Special Issue.

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Bidell, Markus P; Stepleman, Lara M

2017-01-01

There are exigent reasons to foster lesbian, gay, bisexual, and transgender (LGBT) competence, training, and ethical care for health professionals within an interdisciplinary paradigm. LGBT individuals experience serious health and psychosocial disparities; moreover, these inequalities can be amplified when other aspects of diversity such as race, ethnicity, age, gender, religion, disability, and socioeconomic status intersect with sexual orientation and gender identity (Institute of Medicine [IOM], 2011). While the origins of LGBT health and psychosocial disparities are manifold, deficiencies in professional training, ethical care, and clinical competence are underlying contributors (IOM, 2011). In addition, LGBT clinical competency advancements are often siloed within the various health care disciplines-thus advances by one group of health professionals often have limited impact for those practicing in different health and human service fields. This special issue explores LGBT clinical competence, professional training, and ethical care within an interdisciplinary context and, to our knowledge, represents the first attempt to address LGBT clinical competence from a multidisciplinary health care perspective.

Exploring School Victimization and Weapon Carrying Among Military-Connected Lesbian, Gay, Bisexual, and Transgender Youth in California Schools.

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Pedro, Kris Tunac De; Esqueda, Monica Christina

2017-07-01

Military-connected youth often experience daily stressors that affect their academic success and social and emotional development. Stressors such as multiple deployments and frequent school transitions may weaken the social ties that military-connected youth have with school communities, placing them at risk of social alienation and victimization. Within this youth population, military-connected lesbian, gay, bisexual, and transgender (LGBT) youth may be especially at risk of school victimization. However, to the authors' knowledge, no empirical studies have been conducted on the school experiences of military-connected LGBT youth. Drawing from the California Healthy Kids Survey (CHKS; n = 634,978), this study explored school victimization and weapon carrying among military-connected LGBT youth and their peers. Multivariate logistic regression analyses revealed that military connection, LGB identity, and transgender identity were associated with an increased odds of nonphysical victimization, physical violence, and weapon carrying. Military transgender youth were at an increased risk of weapon carrying (adjusted odds ratio [AOR] = 1.63; 95% confidence interval [CI] = [1.23, 2.16]). Future research is needed to explore risk and protective factors influencing school victimization and weapon carrying among military-connected LGBT youth.

Beyond Homonegativity: Understanding Hong Kong People's Attitudes About Social Acceptance of Gay/Lesbian People, Sexual Orientation Discrimination Protection, and Same-Sex Marriage.

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Yeo, Tien Ee Dominic; Chu, Tsz Hang

2017-09-13

This study examined attitudes about social acceptance, discrimination protection, and marriage equality for gay/lesbian people with a representative sample of 1,008 Hong Kong Chinese adults via a telephone survey. Despite majority endorsement of homosexuality (52.29% positive vs. 34.12% negative) and discrimination protection (50.72% favorable vs. 14.64% opposed), attitudes toward same-sex marriage diverged (32.79% favorable vs. 39.41% opposed). There was a sharp distinction in accepting gay/lesbian people as co-workers (83.57%) and friends (76.92%) versus relatives (40.19%). Having more homosexual/bisexual friends or co-workers contributed to greater endorsement of social acceptance and discrimination protection but not same-sex marriage. Age, religion, political orientation, and homonegativity consistently predicted attitudes toward social acceptance, discrimination protection, and same-sex marriage, whereas gender-role beliefs, conformity to norms, and cultural orientations had varying impacts. This article informs theory and advocacy by disentangling homonegativity from attitudes about gay/lesbian issues and highlighting the centrality of family-kinship and relative-outsider delineation in Chinese societies.

Smoking prevalence among lesbian, bisexual and queer women in Sydney remains high: Analysis of trends and correlates.

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Deacon, Rachel M; Mooney-Somers, Julie

2017-07-01

To investigate smoking prevalence trends and correlates among lesbian, bisexual and queer-identifying (LBQ) women in Sydney, Australia. Data from 5007 respondents to a repeated cross-sectional community survey were used to examine smoking trends between 2004 and 2014. Multinomial logistic regression was used to examine smoking correlates. Thirty percent of respondents were current smokers, including 48% of 16 to 24-year-olds. A slight decrease in all-ages smoking over time was not reflected in the youngest age group. LBQ women who smoke have fewer economic, social and psychological resources than both women who never smoke and ex-smokers. High levels of alcohol and illicit drug use are also correlated with current smoking. Population-wide interventions have failed to address the persistently high prevalence of smoking among this sample of LBQ women. Tailored interventions may find utility focusing on personal resilience to deal with general and sexuality-specific stressors, as well as attending to poly-substance use. Acknowledgment of LBQ women as a priority group for tobacco reduction is urgently needed. We call on tobacco control agencies to consider sexuality and gender orientation in policy and partner with lesbian, gay, bisexual and transgender community organisations to develop culturally appropriate interventions. [Deacon RM, Mooney-Somers J Smoking prevalence among lesbian, bisexual and queer women in Sydney remains high: Analysis of trends and correlates Drug Alcohol Rev 2017;36:546-554]. © 2017 Australasian Professional Society on Alcohol and other Drugs.

Queer narratives and minority stress: Stories from lesbian, gay and bisexual individuals in Norway.

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Synnes, Oddgeir; Malterud, Kirsti

2018-03-01

This study aims to explore how minority stress related to sexual orientation is reflected in narratives from lesbian, gay and bisexual (LGB) individuals in Norway, with an impact for national public health policy. Arthur Frank's dialogical narrative analysis was applied to personal stories from 65 persons self-referring to different categories of queer identities, submitted online anonymously to a Norwegian national archive for queer history. A purposive sample of three different stories were selected due to their capacity to illuminate how various aspects of minority stress are narrated in diverse interplays between individual voices and resources, and cultural scripts and societal influences. Our analysis highlighted how stories may offer significant glimpses into the dynamic and complex fashioning of sexual identities, giving precious clues to the vulnerabilities and strengths of the narrator. Contemporary queer narratives from Norway reflect meaning-making related to sexual orientation that are influenced by, and expand upon, the classical scripts dominated by tragedy and tristesse, personal progress or simply no particular tension. LGB individuals of different ages and backgrounds had experienced aspects of minority stress related to their sexual orientation, with a substantial impact on identity, even when significant others were encouraging. The stories indicate that positive proximal processes, such as personal resilience and sympathetic environments, can support mental health and counteract negative effects of distal processes contributing to minority stress, such as heteronormativity and subtle microaggression. Public health strategies addressing attitudes to sexual orientation among the general population may contribute to diverse affirmative cultural scripts about queer lives, thereby enhancing queer mental health.

'Kids are just cruel anyway': lesbian and gay parents' talk about homophobic bullying.

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Clarke, Victoria; Kitzinger, Celia; Potter, Jonathan

2004-12-01

Psychologists recognize homophobic bullying as a serious problem for young lesbians and gay men; however, when it comes to children in lesbian and gay households the issue is not so clear cut. Some psychologists sympathetic to lesbian and gay parenting regard it as a problem, but most do not. Despite this, the inevitability and severe psychological consequences of homophobic bullying is a prevalent theme in discussions of lesbian and gay parenting in contexts ranging from custody cases to television talk shows, and is used to implicate lesbians and gay men as unfit to parent. This is the broader context in which lesbian and gay parents discuss their children's experiences of bullying. In this study, we provide a discursive psychological analysis of six lesbian and gay parents' accounts of bullying. We argue that these accounts are discursively and rhetorically designed to deal with a heterosexist social/political context. Lesbian and gay parents face a dilemma of stake and accountability: reports of no bullying risk being heard as implausible given the prevalence of the bullying theme; at the same time, reports of bullying are equally if not more risky, raising the possibility of charges of bad parenting. We explore the detail of the parents' accounts of bullying to illustrate how they are designed to negotiate this web of accountability, and we argue for the importance for critical social psychology of analysing the talk of socially/politically marginalized groups.

Homophily, Close Friendship, and Life Satisfaction among Gay, Lesbian, Heterosexual, and Bisexual Men and Women

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Gillespie, Brian Joseph; Frederick, David; Harari, Lexi; Grov, Christian

2015-01-01

Friends play important roles throughout our lives by providing expressive, instrumental, and companionate support. We examined sexual orientation, gender, and age differences in the number of friends people can rely on for expressive, instrumental, and companionate support. Additionally, we examined the extent to which people relied on same-gender versus cross-gender friends for these types of support. Participants (N = 25,185) completed a survey via a popular news website. Sexual orientation differences in number of same-gender and cross-gender friends were generally small or non-existent, and satisfaction with friends was equally important to overall life satisfaction for all groups. However, the extent to which people’s friendship patterns demonstrated gender-based homophily varied by sexual orientation, gender, and age. Young adult gay and bisexual men, and to some extent bisexual women and older bisexual men, did not conform to gendered expectations that people affiliate primarily with their own gender. PMID:26087008

Homophily, Close Friendship, and Life Satisfaction among Gay, Lesbian, Heterosexual, and Bisexual Men and Women.

Directory of Open Access Journals (Sweden)

Brian Joseph Gillespie

Full Text Available Friends play important roles throughout our lives by providing expressive, instrumental, and companionate support. We examined sexual orientation, gender, and age differences in the number of friends people can rely on for expressive, instrumental, and companionate support. Additionally, we examined the extent to which people relied on same-gender versus cross-gender friends for these types of support. Participants (N = 25,185 completed a survey via a popular news website. Sexual orientation differences in number of same-gender and cross-gender friends were generally small or non-existent, and satisfaction with friends was equally important to overall life satisfaction for all groups. However, the extent to which people's friendship patterns demonstrated gender-based homophily varied by sexual orientation, gender, and age. Young adult gay and bisexual men, and to some extent bisexual women and older bisexual men, did not conform to gendered expectations that people affiliate primarily with their own gender.

Attitudes toward Lesbians and Gays among American and Dutch Adolescents

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Collier, Kate L.; Horn, Stacey S.; Bos, Henny M. W.; Sandfort, Theo G. M.

2014-01-01

Attitudes toward lesbians and gays vary across national populations, and previous research has found relatively more accepting attitudes in the Netherlands as compared to the U.S. In this study, we compared beliefs about and attitudes toward lesbians and gays in samples of Dutch and American heterosexual adolescents, utilizing survey data from 1,080 American adolescents (mean age = 15.86 years) attending two schools and from 1,391 Dutch adolescents (mean age = 16.27 years) attending eight schools. Findings indicated the Dutch participants were more tolerant of lesbians and gays, after adjusting for the gender, age, and racial/ethnic minority status of the participants. However, between-country differences were attenuated by accounting for the beliefs about lesbians and gays that participants used to justify their attitudes. American participants were more likely to justify their attitudes using beliefs related to social norms and religious opposition, while the Dutch participants were more likely to justify their attitudes using beliefs related to individual rights and the biological/genetic basis of homosexuality. The results suggest that the relative importance of particular beliefs about lesbians and gays to attitudes at the group level may be context-dependent but also that certain beliefs are salient to attitudes across national contexts. PMID:24512056

Concerns about aging and caregiving among middle-aged and older lesbian and gay adults.

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Czaja, Sara J; Sabbag, Samir; Lee, Chin Chin; Schulz, Richard; Lang, Samantha; Vlahovic, Tatiana; Jaret, Adrienne; Thurston, Catherine

2016-11-01

Despite the increasing number of lesbian and gay older adults, research geared towards health and well-being of this population is limited. Many lesbian and gay seniors experience health disparities and are at risk for poor health outcomes. The aims of this study were to gather in-depth information on the concerns of lesbian and gay elders with respect to aging and care needs. The sample included 124 gay men and lesbian women aged 50+ years. Data were gathered via focus groups and questionnaires. The focus groups addressed: (1) concerns about aging in the LGBT community, (2) barriers to needed support and services, (3) concerns about caregiving and (4) needed programs for lesbian and gay seniors. Concerns expressed about aging included: lack of financial security, lack of family or social support, fears about the lack of someone to provide needed care, and discrimination in healthcare or service communities. Participants also indicated concerns about being alone and vulnerable and a need for resources and support programs, specifically for lesbian and gay older adults and for lesbian and gay caregivers. These findings suggest needed areas of support and programs for older gay men and lesbian women. They also suggest that healthcare professionals might need more training regarding the particular needs and concerns of this community.

“Si Nicaragua Venció”: Lesbian and Gay Solidarity with the Revolution

Directory of Open Access Journals (Sweden)

Emily K. Hobson

2012-12-01

Full Text Available This article analyzes the radical imagination of lesbian and gay activism in solidarity with the Nicaraguan Revolution. It examines the reasons US lesbian and gay radicals supported that revolution and investigates the ways that homoerotic, especially lesbian, desire shaped their solidarity. Drawing on Herbert Marcuse and Michel Foucault, the article argues that lesbian and gay radicals viewed the Nicaraguan Revolution in erotic and heterotopic terms. Posters, fliers, and interviews reveal that US activists, people of color and white, represented the Revolution and solidarity through tropes of female masculinity and women’s affection. Many Nicaraguan lesbians and gay men shared these nonnormative images of socialist change. Yet while Nicaraguans claimed Sandinismo as their own, for US activists revolution remained a distant object of desire and solidarity a “seduction,” “crush,” or embrace.  United States activists who embraced developmentalist views of Latin American sexualities remained unable to witness lesbian and gay life inside Nicaragua, while lesbian and gay Sandinistas kept silent about FSLN homophobia so as not to undermine solidarity against the Contra war. Desire served as a powerful tool for mobilizing transnational solidarity. By failing to examine desire critically, however, US activists limited their communications with Nicaraguan lesbians and gay men and weakened the relationship they sought with revolution itself.

Category-specificity in sexual interest in gay men and lesbians.

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Rullo, Jordan E; Strassberg, Donald S; Israel, Esther

2010-08-01

The present study assessed the category-specificity of sexual interest of gay men and lesbians toward an understanding of the possible interaction of sex and sexual orientation that may exist in this phenomenon. Utilizing viewing time as a measure of sexual interest, we had participants (N = 99) rate the sexual appeal of sexually provocative pictures while the amount of time spent viewing each picture was inconspicuously measured. As hypothesized, same-sex oriented individuals demonstrated a category-specific pattern of sexual interest. That is, gay men and lesbians (1) viewed preferred sex pictures (i.e., of same sex) significantly longer than nonpreferred sex pictures (i.e., of opposite sex) and (2) rated preferred sex pictures as significantly more sexually appealing than nonpreferred sex pictures. Additionally, the difference in viewing times between preferred and nonpreferred sexual stimuli was not significantly different for gay men and lesbians, suggesting that lesbians are as category-specific as gay men. The implications of these findings are discussed.

‘Kids are just cruel anyway’: lesbian and gay parents talk about homophobic bullying

OpenAIRE

Clarke, V.; Kitzinger, C.; Potter, J.

2004-01-01

Psychologists recognise homophobic bullying as a serious problem for young lesbians and gay men; however, when it comes to children in lesbian and gay households the issue is not so clear cut. Whereas some psychologists sympathetic to lesbian and gay parenting regard it as a problem, most do not. Despite this, the inevitability and severe psychological consequences of homophobic bullying is a prevalent theme in discussions of lesbian and gay parenting in contexts ranging from custody cases to...

Attitudes toward Bisexual Men and Women among a Nationally Representative Probability Sample of Adults in the United States.

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Dodge, Brian; Herbenick, Debby; Friedman, M Reuel; Schick, Vanessa; Fu, Tsung-Chieh Jane; Bostwick, Wendy; Bartelt, Elizabeth; Muñoz-Laboy, Miguel; Pletta, David; Reece, Michael; Sandfort, Theo G M

2016-01-01

As bisexual individuals in the United States (U.S.) face significant health disparities, researchers have posited that these differences may be fueled, at least in part, by negative attitudes, prejudice, stigma, and discrimination toward bisexual individuals from heterosexual and gay/lesbian individuals. Previous studies of individual and social attitudes toward bisexual men and women have been conducted almost exclusively with convenience samples, with limited generalizability to the broader U.S. Our study provides an assessment of attitudes toward bisexual men and women among a nationally representative probability sample of heterosexual, gay, lesbian, and other-identified adults in the U.S. Data were collected from the 2015 National Survey of Sexual Health and Behavior (NSSHB), via an online questionnaire with a probability sample of adults (18 years and over) from throughout the U.S. We included two modified 5-item versions of the Bisexualities: Indiana Attitudes Scale (BIAS), validated sub-scales that were developed to measure attitudes toward bisexual men and women. Data were analyzed using descriptive statistics, gamma regression, and paired t-tests. Gender, sexual identity, age, race/ethnicity, income, and educational attainment were all significantly associated with participants' attitudes toward bisexual individuals. In terms of responses to individual scale items, participants were most likely to "neither agree nor disagree" with all attitudinal statements. Across sexual identities, self-identified other participants reported the most positive attitudes, while heterosexual male participants reported the least positive attitudes. As in previous research on convenience samples, we found a wide range of demographic characteristics were related with attitudes toward bisexual individuals in our nationally-representative study of heterosexual, gay/lesbian, and other-identified adults in the U.S. In particular, gender emerged as a significant characteristic

Lesbian, gay, bisexual, and transgender youth: Limited representation in school support personnel journals.

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Graybill, Emily C; Proctor, Sherrie L

2016-02-01

Many lesbian, gay, bisexual, and transgender (LGBT) youth experience harassment and discrimination in schools and these experiences lead to increased negative social-emotional outcomes. Youth who can identify at least one supportive adult at school report better outcomes than youth who cannot identify a safe adult. Yet, many educators report feeling uncomfortable or unprepared to support LGBT youth. One reason for educators' discomfort may be that content related to issues unique to LGBT youth is sometimes missing or covered minimally in university training programs. We hypothesized that LGBT content may be covered minimally in school support personnel journals, as well. This study analyzed eight school support personnel journals across the disciplines of school counseling, school nursing, school psychology, and school social work for LGBT content published between 2000 and 2014 to gain a better understanding of the visibility of LGBT issues in the research. Results suggested that there has been a lack of presence of LGBT issues in journals across disciplines. These results also suggest a need for an intentional focus on issues relevant to LGBT youth in school support personnel journals. Thus, the article concludes with an introduction to two articles in this special topic section, including Russell, Day, Ioverno, and Toomey's (in this issue) study on teacher perceptions of bullying in the context of enumerated school policies and other supportive sexual orientation and gender identity related practices and Poteat and Vecho's (in this issue) study on characteristics of bystanders in homophobic bullying situations. The broad goal of these three studies is to increase visibility of critical LGBT issues in school support personnel journals. Copyright © 2015 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.

Gender-specific health implications of minority stress among lesbians and gay men.

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Bariola, Emily; Lyons, Anthony; Leonard, William

2016-12-01

Lesbians and gay men are exposed to unique minority stressors. We examined the health implications of one type of distal minority stressor (victimisation) and one type of proximal minority stressor (sexual identity concealment due to anticipated stigma) among lesbians and gay men. Gender-specific health implications were assessed. Data were collected via an online survey involving an Australian sample of 1,470 gay men and 1,264 lesbians. Survey questions assessed demographics, experiences of different forms of sexual identity-related victimisation and sexual identity concealment in a variety of contexts. Health outcomes included self-reported general health, illicit drug use, frequency of alcohol consumption, smoking status, and weight status. Gay men reported higher rates of victimisation and identity concealment than lesbians. Controlling for demographic differences, experiences of victimisation were associated with poorer self-rated health, illicit drug use, and smoking among both gay men and lesbians. In contrast, identity concealment was linked with poorer health outcomes among lesbians only. Our findings offer new insights into the potential antecedents of the health inequalities that have previously been reported for these populations. © 2016 Public Health Association of Australia.

Poorer mental health in UK bisexual women than lesbians: evidence from the UK 2007 Stonewall Women's Health Survey.

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Colledge, Lisa; Hickson, Ford; Reid, David; Weatherburn, Peter

2015-09-01

Bisexual- and lesbian-identified women have significantly worse mental health than heterosexual women. Less evidence exists about mental health differences between lesbian and bisexual women. Self-completion survey with community-based, opportunistic sampling recruited 937 bisexual-identified and 4769 lesbian-identified women. Associations between sexual identity and mental health indicators were assessed by logistic regression, controlling for age, income, student status and employment. As a group, bisexual women were younger, poorer, and more likely to be trans-identified, minority ethnic identified and to use marijuana, compared with lesbians. Bisexuals were more likely than lesbians to report eating problems (adjusted odds ratio (AOR) = 1.64, P women attended lesbian or bisexual social events, were 'out', or had experienced any sexuality-related discrimination, compared with lesbians. More bisexual women reported poor mental health or psychological distress than did lesbians. Bisexual women may be more likely to experience social stress due to the 'double discrimination' of homophobia and biphobia. This stress, experienced mainly as internalized and felt stigma, could result in greater risk for poor mental health compared with lesbians. Addressing both biphobia and homophobia within UK society has important preventative mental health implications. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Relationship Preferences Among Gay and Lesbian Online Daters : Individual and Contextual Influences

NARCIS (Netherlands)

Potarca, Gina; Mills, Melinda; Neberich, Wiebke

There is currently little knowledge about what gay men and lesbians seek in a romantic relationship. This study extends the literature on gay men and lesbians' partnership preferences by engaging in the first large-scale empirical study of the long-term dating intentions and monogamy beliefs of gay

Research Funded by the National Institutes of Health on the Health of Lesbian, Gay, Bisexual, and Transgender Populations

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Kenst, Karey S.; Bowen, Deborah J.; Scout

2014-01-01

Objectives. We examined the proportion of studies funded by the National Institutes of Health (NIH) that focused on lesbian, gay, bisexual, and transgender (LGBT) populations, along with investigated health topics. Methods. We used the NIH RePORTER system to search for LGBT-related terms in NIH-funded research from 1989 through 2011. We coded abstracts for LGBT inclusion, subpopulations studied, health foci, and whether studies involved interventions. Results. NIH funded 628 studies concerning LGBT health. Excluding projects about HIV/AIDS and other sexual health matters, only 0.1% (n = 113) of all NIH-funded studies concerned LGBT health. Among the LGBT-related projects, 86.1% studied sexual minority men, 13.5% studied sexual minority women, and 6.8% studied transgender populations. Overall, 79.1% of LGBT-related projects focused on HIV/AIDS and substantially fewer on illicit drug use (30.9%), mental health (23.2%), other sexual health matters (16.4%), and alcohol use (12.9%). Only 202 studies examined LGBT health–related interventions. Over time, the number of LGBT-related projects per year increased. Conclusions. The lack of NIH-funded research about LGBT health contributes to the perpetuation of health inequities. Here we recommend ways for NIH to stimulate LGBT-related research. PMID:24328665

Lesbian, gay, bisexual, and transgender parents seeking health care for their children: a systematic review of the literature.

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Shields, Linda; Zappia, Tess; Blackwood, Diana; Watkins, Rochelle; Wardrop, Joan; Chapman, Rose

2012-12-01

Few studies have examined the issues faced by lesbian, gay, bisexual, and transgender (LGBT)-parented families in relation to their access to and satisfaction with healthcare services for their children. It is thought that LGBT individuals have experienced negative interactions with the healthcare environment. To systematically review the literature investigating the experience of LGBT parents seeking health care for their children. A search of the following databases: Cochrane Library, CINAHL, Embase, Google Scholar, Medline, PsychInfo, Science Direct, Sociological Abstracts, Proquest, Scopus, and Web of Science was conducted. Using the PRISMA flow chart and processes of the United Kingdom Centre for Reviews and Dissemination, we selected and analysed relevant studies. Four studies that met the inclusion criteria were identified. Studies showed that while the experience of LGBT parents seeking health care was largely positive, strategies need to be implemented to improve the quality of healthcare services for LGBT families and ensure that their needs are met. Although many LGBT parents have positive experiences of health care, some still experience discrimination and prejudice. Specific educational interventions are needed to support LGBT parents seeking health care for their children. Further research is required to explore LGBT-parented families' experiences of healthcare services, and this should include children's experiences. © 2012 Sigma Theta Tau International.

Promotion of tobacco use cessation for lesbian, gay, bisexual, and transgender people: a systematic review.

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Lee, Joseph G L; Matthews, Alicia K; McCullen, Cramer A; Melvin, Cathy L

2014-12-01

Lesbian, gay, bisexual, and transgender (LGBT) people are at increased risk for the adverse effects of tobacco use, given their high prevalence of use, especially smoking. Evidence regarding cessation is limited. To determine if efficacious interventions are available and to aid the development of interventions, a systematic review was conducted of grey and peer-reviewed literature describing clinical, community, and policy interventions, as well as knowledge, attitudes, and behaviors regarding tobacco use cessation among LGBT people. Eight databases for articles from 1987 to April 23, 2014, were searched. In February-November 2013, authors and researchers were contacted to identify grey literature. The search identified 57 records, of which 51 were included and 22 were from the grey literature; these were abstracted into evidence tables, and a narrative synthesis was conducted in October 2013-May 2014. Group cessation curricula tailored for LGBT populations were found feasible to implement and show evidence of effectiveness. Community interventions have been implemented by and for LGBT communities, although these interventions showed feasibility, no rigorous outcome evaluations exist. Clinical interventions show little difference between LGBT and heterosexual people. Focus groups suggest that care is needed in selecting the messaging used in media campaigns. LGBT-serving organizations should implement existing evidence-based tobacco-dependence treatment and clinical systems to support treatment of tobacco use. A clear commitment from government and funders is needed to investigate whether sexual orientation and gender identity moderate the impacts of policy interventions, media campaigns, and clinical interventions. Copyright © 2014 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Invisible Care: Friend and Partner Care Among Older Lesbian, Gay, Bisexual, and Transgender (LGBT) Adults.

Science.gov (United States)

Shiu, Chengshi; Muraco, Anna; Fredriksen-Goldsen, Karen

2016-01-01

Lesbian, gay, bisexual, and transgender (LGBT) older adult caregivers may encounter obstacles in obtaining health and aging services due to discrimination in service and legal systems. The caregiving relationships in LGBT communities also differ from the general population in that friends are providing a large portion of informal care. This article examines how the relational context of caregiving relates to caregiving demands and resources, which in turn, influence perceived stress and depressive symptomatology among older LGBT caregivers. Using data from the National Health, Aging, and Sexuality Study: Caring and Aging with Pride, this study examines 451 participants who are providing caregiving to partners and friends. Structural equation modeling was applied to estimate the associations among the caregiver-care recipient relationship and caregiving demands, resources, perceived stress, and depressive symptomatology. On average, as compared with those caring for partners, those who provided care to friends reported experiencing lower levels of caregiving demands and lower levels of social support. The lower caregiving demands correlated positively with both lower perceived stress and less severe depressive symptomatology; however, the lower levels of social support were related to higher perceived stress and higher depressive symptomatology. Caregiving provided by friends, which has long been under recognized, plays an important role in the LGBT community. Because lower levels of caregiving demands are offset by less social support, LGBT friend-caregivers experience similar levels of perceived stress and depressive symptomatology to those providing care to spouses and partners. Policy and service reforms are needed to better acknowledge the continuum of informal caregiving relationships.

Identifying Lesbian, Gay, Bisexual, and Transgender Search Terminology: A Systematic Review of Health Systematic Reviews.

Directory of Open Access Journals (Sweden)

Joseph G L Lee

Full Text Available Research on the health of lesbian, gay, bisexual, and transgender (LGBT populations can provide important information to address existing health inequalities. Finding existing research in LGBT health can prove challenging due to the plethora of terminology used. We sought to describe existing search strategies and to identify more comprehensive LGBT search terminology. We iteratively created a search string to identify systematic reviews and meta-analyses about LGBT health and implemented it in Embase, PubMed/MEDLINE, and PsycINFO databases on May 28-29, 2015. We hand-searched the journal LGBT Health. Inclusion criteria were: systematic reviews and meta-analyses that addressed LGBT health, used systematic searching, and used independent coders for inclusion. The published search terminology in each record and search strings provided by authors on request were cross-referenced with our original search to identify additional terminology. Our search process identified 19 systematic reviews meeting inclusion criteria. The number of search terms used to identify LGBT-related records ranged from 1 to 31. From the included studies, we identified 46 new search terms related to LGBT health. We removed five search terms as inappropriate and added five search terms used in the field. The resulting search string included 82 terms. There is room to improve the quality of searching and reporting in LGBT health systematic reviews. Future work should attempt to enhance the positive predictive value of LGBT health searches. Our findings can assist LGBT health reviewers in capturing the diversity of LGBT terminology when searching.

Examining the Lesbian, Gay, and Bisexual Identity Scale Among Members of an Alternative Sexuality Special Interest Group.

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Cramer, Robert J; Golom, Frank D; Gemberling, Tess M; Trost, Kristen; Lewis, Robin; Wright, Susan

2018-05-01

The present study contributes to a growing body of literature developing psychometrically and theoretically grounded measures of sexual orientation minority identity. We tested psychometric properties and construct validity of a 27-item measure, the Lesbian, Gay, and Bisexual Identity Scale (LGBIS). The sample consisted of 475 adult (178 male, 237 female, 16 male-to-female, 14 female-to-male, and 30 gender queer persons) members of a special interest group, the National Coalition for Sexual Freedom. Participants completed a health needs questionnaire. Prominent findings included (1) confirmatory factor-analytic, internal consistency, and inter-correlation patterns support two LGBIS factor structures; (2) men, compared primarily to women, reported elevated scores on Acceptance Concerns, Concealment Motivation, Difficulty Process, and Negative Identity; (3) queer-identifying persons tended to report low Concealment Motivation, and high Identity Affirmation and Identity Centrality scores; (4) experimenting/fluid-identifying individuals tended toward higher Identity Uncertainty and Negative Identity, and lower Identity Centrality scores; (5) LGB community involvement was negatively associated with Concealment Motivation, Identity Uncertainty, and Negative Identity, and positively associated with Identity Superiority, Identity Affirmation, and Identity Centrality scores; and (6) Acceptance Concerns, Identity Uncertainty, and Internalized Homonegativity displayed significant positive associations with such mental health symptoms as general anxiety and posttraumatic stress. The LGBIS represents a useful approach to evaluating sexual orientation minority identity. Implications for identity theory, research, and practice are provided.

Bisexual-Specific Minority Stressors, Psychological Distress, and Suicidality in Bisexual Individuals: the Mediating Role of Loneliness.

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Mereish, Ethan H; Katz-Wise, Sabra L; Woulfe, Julie

2017-08-01

Bisexual individuals are at higher risk for poor mental health outcomes compared to heterosexual as well as lesbian and gay individuals and experience minority stressors, such as discrimination, from both heterosexual and sexual minority communities. However, there is little research examining the negative effects of bisexual-specific minority stressors on bisexual individuals' mental health as well as psychological factors that might help explain minority stressors' deleterious effects. This research examined the effects of distal minority stressors (i.e., anti-bisexual experiences from both heterosexual as well as lesbian and gay people) and proximal stressors (i.e., internalized heterosexism and sexual orientation concealment) on psychological distress and suicidality among bisexual adults (N = 503). Building on the relational framing of the minority stress model, we also tested one relational factor (i.e., loneliness) as a mediator of the associations between distal and proximal minority stressors and poor mental health (i.e., psychological distress and suicidality). Structural equation modeling analyses were used to test the mediating effects of loneliness on the associations between minority stressors and psychological distress and suicidality. Although distal and proximal minority stressors were not associated with each other, loneliness mediated the effects of distal and proximal minority stressors on psychological distress and suicidality. The results of this study underscore the importance of targeting bisexual-specific minority stressors as well as loneliness in preventive interventions to improve the mental health of bisexual individuals.

Reproductive Health Care Priorities and Barriers to Effective Care for Lesbian, Gay, Bisexual, Transgender, Queer People Assigned Female at Birth: A Qualitative Study.

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Wingo, Erin; Ingraham, Natalie; Roberts, Sarah C M

2018-04-13

Little research documents the self-identified reproductive health priorities and health care experiences of lesbian, gay, bisexual, transgender, queer (LGBTQ)-identified individuals who may be in need of services. We conducted in-depth interviews with a diverse sample of 39 female-assigned-at-birth individuals (ages 18-44) who also identified as lesbian, bisexual, queer, and/or genderqueer, or transmasculine. Interviews were primarily conducted in person in the Bay Area of California, and Baltimore, Maryland, with 11 conducted remotely with participants in other U.S. We asked participants about their current reproductive health care needs, topics they felt researchers should pursue, and past reproductive health care experiences. Data were analyzed using a framework method, incorporating deductive and inductive thematic analysis techniques. Reproductive health care needs among participants varied widely and included treatment of polycystic ovary syndrome and irregular menses, gender-affirming hysterectomies, and fertility assistance. Many faced challenges getting their needs met. Themes related to these challenges cross-cutting across identity groups included primary focus on fertility, provider lack of LGBTQ health competency relevant to reproductive health priorities and treatment, and discriminatory comments and treatment. Across themes and identity groups, participants highlighted that sexual activity and reproduction were central topics in reproductive health care settings. These topics facilitated identity disclosures to providers, but also enhanced vulnerability to discrimination. Reproductive health priorities of LGBTQ individuals include needs similar to cisgender and heterosexual groups (e.g., abortion, contraception, PCOS) as well as unique needs (e.g., gender affirming hysterectomies, inclusive safer sex guidance) and challenges in pursuing care. Future reproductive health research should pursue health care concerns prioritized by LGBTQ populations

A longitudinal study of interpersonal relationships among lesbian, gay, and bisexual adolescents and young adults: Mediational pathways from attachment to romantic relationship quality

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Starks, Tyrel J.; Newcomb, Michael E.; Mustanski, Brian

2016-01-01

The current study examined the potential for mental health to mediate associations between earlier attachment to parents and peers and later relationship adjustment during adolescence and young adulthood in a sample of sexual minority youth. Secondarily, the study examined associations between peer and parental attachment and relationship/dating milestones. Participants included 219 lesbian, gay, and bisexual youth who participated in six waves of data collection over 3.5 years. Parental attachment was associated with an older age of dating initiation, while peer attachment was associated with longer relationship length. Both peer and parental attachment were significantly associated with mental health in later adolescence and young adulthood. Mental health mediated the association between peer attachment and main partner relationship quality. While the total indirect effect of parental attachment on main partner relationship quality was statistically significant, specific indirect effects were not. Implications for the application of attachment theory and integration of interpersonal factors into mental health intervention with sexual minority youth are discussed. PMID:26108898

Improving the Lives of Students, Gay and Straight Alike: Gay-Straight Alliances and the Role of School Psychologists

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Murphy, Heather Elise

2012-01-01

Lesbian, gay, bisexual, and transgender (LGBT) students face many risk factors every day when they enter their school's door. These students often fear for their safety at school, are victimized, have academic difficulties, suffer from issues with their identity development, and are at risk for suicide. School-based Gay-Straight Alliances (GSAs)…

Community Cleavages: Gay and Bisexual Men’s Perceptions of Gay and Mainstream Community Acceptance in the Post-AIDS, Post-Rights Era

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Lewis, Nathaniel M.; Bauer, Greta R.; Coleman, Todd A.; Blot, Soraya; Pugh, Daniel; Fraser, Meredith; Powell, Leanne

2015-01-01

Changes in gay and bisexual men’s connectedness to the gay community are related to the declining public visibility of HIV/AIDS and greater acceptance for homosexuality and bisexuality in mainstream society. Little work, however, has focused on perceived acceptance for subgroups within the gay community or broader society. Using interviews (n = 20) and a survey (n = 202) of gay and bisexual men in a mid-sized Canadian city, we find perceived hierarchies of acceptance for the various subgroups as well as an age effect wherein middle-aged men perceive the least acceptance for all groups. These differences are linked with the uneven impact of social, political, and institutional changes relevant to gay and bisexual men in Canada. PMID:26011048

Attitudes of physicians practicing in New Mexico toward gay men and lesbians in the profession.

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Ramos, M M; Téllez, C M; Palley, T B; Umland, B E; Skipper, B J

1998-04-01

To examine the attitudes of physicians practicing in New Mexico toward gay and lesbian medical students, house officers, and physician colleagues. In May 1996, the authors mailed a questionnaire with demographic and attitude questions to 1,949 non-federally employed physicians practicing in New Mexico. The questionnaire consisted of questions dealing with medical school admission, residency training, and referrals to colleagues. The response rate was 53.6%. Of all the responding physicians, 4.3% would refuse medical school admission to applicants known to be gay or lesbian. Respondents were most opposed to gay and lesbian physicians' seeking residency training in obstetrics and gynecology (10.1%), and least opposed to their seeking residency training in radiology (4.3%). Disclosure of homosexual orientation would also threaten referrals to gay and lesbian obstetrician-gynecologists (11.4%) more than to gay or lesbian physicians in other specialties. Physicians' attitudes toward gay and lesbian medical students, house officers, and physician colleagues seem to have improved considerably from those reported previously in the literature. However, gay men and lesbians in medicine continue to face opposition in their medical training and in their pursuit of specialty practice.

Nurturing the Relationships of All Couples: Integrating Lesbian, Gay, and Bisexual Concerns into Premarital Education and Counseling Programs

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Casquarelli, Elaine J.; Fallon, Kathleen M.

2011-01-01

Research shows that premarital counseling programs help engaged couples develop interpersonal and problem-solving skills that enhance their marital relationships. Yet, there are limited services for same-sex couples. This article assumes an integrated humanistic and social justice advocacy stance to explore the needs of lesbian, gay, and bisexual…

Entering the urban frame: early lesbian activism and public space in Montréal.

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Podmore, Julie A; Chamberland, Line

2015-01-01

This article examines the spatial strategies used by Montréal lesbian activists in the 1970s and 1980s to fight for the lesbian "right to the city." After situating lesbian public activism within Henri Lefebvre's ideal of spatial justice, this article provides case studies of four moments during which Montréal lesbian activists joined or initiated public demonstrations as lesbians. The focus is on the multiple ways in which lesbian activists performed politicized lesbian identities in urban public spaces. Their spatial strategies in this first era of the lesbian and gay rights movement provide an alternative account of claiming lesbian, gay, bisexual, transgender, and queer rights to the heterosexual city.

Teaching "Out" in the University: An Investigation into the Effects of Lesbian, Bisexual, and Transgender Faculty Self-Disclosure upon Student Evaluations of Faculty Teaching Effectiveness in the USA

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Jennings, Todd

2010-01-01

Many lesbian, gay, bisexual, and transgender (LGBT) university faculty worry about the effects of self-disclosure in their professional lives. One concern is that self-disclosure as LGBT could result in negative evaluations of one's teaching by students due to student bias against LGBT people. In order to investigate this concern, this study…

Beyond Bright City Lights : The Migration Patterns of Gay Men and Lesbians

OpenAIRE

Wimark, Thomas

2014-01-01

One of the most persistent popular notions of gay men and lesbians is that they either live in or move to larger cities. In this thesis, the geography and migration paths of gay men and lesbians are studied using the life course perspective to challenge this idea. It is argued that gay men and lesbians are affected by the time and place into which they are born. Like heterosexuals, they are subject to the normative conceptions of life paths that are present at a specific historical period and...

Attitudes toward Bisexual Men and Women among a Nationally Representative Probability Sample of Adults in the United States

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Herbenick, Debby; Friedman, M. Reuel; Schick, Vanessa; Fu, Tsung-Chieh (Jane); Bostwick, Wendy; Bartelt, Elizabeth; Muñoz-Laboy, Miguel; Pletta, David; Reece, Michael; Sandfort, Theo G. M.

2016-01-01

As bisexual individuals in the United States (U.S.) face significant health disparities, researchers have posited that these differences may be fueled, at least in part, by negative attitudes, prejudice, stigma, and discrimination toward bisexual individuals from heterosexual and gay/lesbian individuals. Previous studies of individual and social attitudes toward bisexual men and women have been conducted almost exclusively with convenience samples, with limited generalizability to the broader U.S. population. Our study provides an assessment of attitudes toward bisexual men and women among a nationally representative probability sample of heterosexual, gay, lesbian, and other-identified adults in the U.S. Data were collected from the 2015 National Survey of Sexual Health and Behavior (NSSHB), via an online questionnaire with a probability sample of adults (18 years and over) from throughout the U.S. We included two modified 5-item versions of the Bisexualities: Indiana Attitudes Scale (BIAS), validated sub-scales that were developed to measure attitudes toward bisexual men and women. Data were analyzed using descriptive statistics, gamma regression, and paired t-tests. Gender, sexual identity, age, race/ethnicity, income, and educational attainment were all significantly associated with participants' attitudes toward bisexual individuals. In terms of responses to individual scale items, participants were most likely to “neither agree nor disagree” with all attitudinal statements. Across sexual identities, self-identified other participants reported the most positive attitudes, while heterosexual male participants reported the least positive attitudes. As in previous research on convenience samples, we found a wide range of demographic characteristics were related with attitudes toward bisexual individuals in our nationally-representative study of heterosexual, gay/lesbian, and other-identified adults in the U.S. In particular, gender emerged as a significant

Bibliotherapy for Gay and Lesbian Youth: Overcoming the Structure of Silence

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Vare, Jonatha W.; Norton, Terry L.

2004-01-01

Gay and lesbian youth encounter most of the typical biological and cognitive changes of adolescence. However, cultural circumstances create differences in the social and emotional development of many gay and lesbian teens. In the United States, these teens often live within social environments characterized by a hostile fear and an active…

Prevalence of Military Sexual Trauma and Sexual Orientation Discrimination Among Lesbian, Gay, Bisexual, and Transgender Military Personnel: a Descriptive Study.

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Gurung, Sitaji; Ventuneac, Ana; Rendina, H Jonathon; Savarese, Elizabeth; Grov, Christian; Parsons, Jeffrey T

2018-03-01

Despite the repeal of Don't Ask, Don't Tell, Don't Pursue (DADT) and the update to the Transgender Policy, there remain concerns about the persistence of military sexual trauma (MST) and sexual orientation discrimination against lesbian, gay, bisexual, and transgender (LGBT) service members. A sample of 253 participants (89 women, 164 men) completed an Internet-based survey that assessed the prevalence of sexual orientation discrimination (e.g., offensive speech, physical or discriminatory behaviors) and MST (e.g., sexual harassment and sexual assault). The survey was conducted between April 2012 and October 2013. Women and men reported similar levels of sexual orientation discrimination in the military. Participants reported experiencing more threats and intimation, vandalism, and physical assault outside of the military than inside the military ( p sexual harassment and sexual assault) in the military was high among both genders, women were more likely to report experiences of sexual harassment compared to men ( p sexual orientation discrimination among LGBT service members in the military and point to the need for strong accountability and oversight to protect sexual minority persons while they are serving their country.

The only gay in the village? Everyday life of gays and lesbians in rural Slovenia.

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Kuhar, Roman; Svab, Alenka

2014-01-01

The article deals with the comparison of the characteristics, experiences, and perceptions of everyday life of gays and lesbians living in rural and urban areas of Slovenia. We focus on the following thematic aspects: (1) coming out; (2) intimate partnerships; (3) the access and the use of gay infrastructure; and (4) violence against gays and lesbians. The article also addresses and discusses the urban/rural divide as a Western construct that might not be completely applicable to other social and cultural contexts. Taking Slovenia as an example, this article questions the self-evidence of rural/urban divide as an analytical concept. On the basis of our research, we conclude that this concept requires continuous revisions and reinterpretations in a concrete social and cultural context(s). The characteristics of gay and lesbian everyday life either in rural or in urban context in Slovenia lead to the conclusion that even within a specific social and cultural context, the concept of urban/rural divide should be used carefully, taking into account complexities of everyday lives and various factors that influence them.

The Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS): Establishing a New Interdisciplinary Self-Assessment for Health Providers.

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Bidell, Markus P

2017-01-01

These three studies provide initial evidence for the development, factor structure, reliability, and validity of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS), a new interdisciplinary LGBT clinical self-assessment for health and mental health providers. Research participants were voluntarily recruited in the United States and United Kingdom and included trainees, clinicians, and educators from applied psychology, counseling, psychotherapy, and primary care medicine. Study 1 (N = 602) used exploratory and confirmatory factor analytic techniques, revealing an 18-item three-factor structure (Clinical Preparedness, Attitudinal Awareness, and Basic Knowledge). Study 2 established internal consistency for the overall LGBT-DOCSS (α = .86) and for each of the three subscales (Clinical Preparedness = .88, Attitudinal Awareness = .80, and Basic Knowledge = .83) and 2-week test-retest reliability (.87). In study 3 (N = 564), participant criteria (sexual orientation and education level) and four established scales that measured LGBT prejudice, assessment skills, and social desirability were used to support initial content and discriminant validity. Psychometric properties, limitations, and recommendations are discussed.

The Great, Late Lesbian and Bisexual Women's Discrimination Survey.

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Rankine, J

2001-01-01

SUMMARY This 1992 New Zealand survey of discrimination against 261 lesbian and bisexual women found comparable rates of public abuse and workplace discrimination to those reported by surveys in other developed countries. The women reported higher rates of assault in public places than a random sample of New Zealand women. Indigenous Maori women reported higher rates of assault, threats, verbal abuse, and workplace discrimination than the non-Maori women surveyed. Aggression against the women was often in response to public expression of affection for another woman or to rejection of men's public sexual advances. The respondents reported hostile educational environments that coincided with peer harassment of students attracted to their own gender. Around two-thirds of the women had hidden their sexuality on some occasions at work to avoid discrimination. No significant differences between the discrimination experiences of lesbian and bisexual women emerged, although the bisexual sample was too small for statistical analysis.

Comparative morality judgments about lesbians and gay men teaching and adopting children.

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Kirby, Brenda J; Michaelson, Christina

2015-01-01

The purpose of this study was to compare morality judgments of American Catholics and the general public about lesbians and gay men adopting and teaching children. The general sample endorsed higher agreement that lesbians and gay men should be allowed to adopt and to teach children compared to the Catholic only sample. Older participants were less accepting than all other age groups, and there was an interaction effect between education and political ideology such that those with less education and with more politically conservative beliefs were generally less accepting of lesbians and gay men adopting and teaching children.

The Complexity of Family Reactions to Identity among Homeless and College Lesbian, Gay, Bisexual, Transgender, and Queer Young Adults.

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Schmitz, Rachel M; Tyler, Kimberly A

2018-05-01

Familial responses to lesbian, gay, bisexual, transgender, and queer (LGBTQ) young people's identities range on a spectrum from rejection to acceptance and these reactions strongly impact family relationships and young adult well-being. Less is known, however, about how family members' reactions may differ based on young people's contexts of socioeconomic status. Through a qualitative, life course analysis of in-depth interview data from 46 LGBTQ college students and LGBTQ homeless young adults, our study highlights the diverse, contextual nuances of young people's "linked lives" within their families. We find that the context of socioeconomic status influenced how a young person managed family rejection. Conversely, processes of familial acceptance were also connected to life course transitions that worked in some cases to enhance LGBTQ young adults' family relationships. Finally, the intricacy of familial reactions to a young person's LGBTQ identity transcended socioeconomic contexts as many respondents shared similar experiences of rejection and acceptance. These findings have implications for understanding how young people manage family relationships across different contexts of socioeconomic status and how these experiences can shape their life course trajectories. Results from this study can inform LGBTQ youth service providers by tailoring intervention programs that account for contextual social diversity.

Gayspeak: Gay Male & Lesbian Communication.

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Chesebro, James W., Ed.

In a departure from previous statistical studies, this book focuses on the social responses to homosexuality rather than on homosexual behavior itself. The essays in the book maintain that communication--how gay men and lesbians relate to one another as well as to heterosexuals--is the major factor that determines public opinion about…

A Comparison of Lesbian, Bisexual, and Heterosexual College Undergraduate Women on Selected Mental Health Issues

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Kerr, Dianne L.; Santurri, Laura; Peters, Patricia

2013-01-01

Objective: To investigate selected mental health characteristics of lesbians and bisexual undergraduate college women as compared with heterosexual college women. Participants: Self-identified lesbians and bisexual and heterosexual female college students who took part in the American College Health Association National College Health Assessment…

Experiences of harassment, discrimination, and physical violence among young gay and bisexual men.

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Huebner, David M; Rebchook, Gregory M; Kegeles, Susan M

2004-07-01

We examined the 6-month cumulative incidence of anti-gay harassment, discrimination, and violence among young gay/bisexual men and documented their associations with mental health. Gay/bisexual men from 3 cities in the southwestern United States completed self-administered questionnaires. Thirty-seven percent of men reported experiencing anti-gay verbal harassment in the previous 6 months; 11.2% reported discrimination, and 4.8% reported physical violence. Men were more likely to report these experiences if they were younger, were more open in disclosing their sexual orientation to others, and were HIV positive. Reports of mistreatment were associated with lower self-esteem and increased suicidal ideation. Absent policies preventing anti-gay mistreatment, empowerment and community-building programs are needed for young gay/bisexual men to both create safe social settings and help them cope with the psychological effects of these events.

Will the global HIV response fail gay and bisexual men and other men who have sex with men?

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Ayala, George; Santos, Glenn-Milo

2016-01-01

Gay and bisexual men and other men who have sex with men are among the small number of groups for whom HIV remains uncontrolled worldwide. Although there have been recent and notable decreases in HIV incidence across several countries, prevalence and incidence is consistently higher or rising among men who have sex with men when compared with other groups. In 2014, MSMGF (the Global Forum on MSM & HIV) conducted its third biennial Global Men's Health and Rights Study, an international, multilingual, web-based cross-sectional survey of men who have sex with men recruited through online convenience sampling. We tested hypothesized correlates (selected a priori ) of successfully achieving each step along the HIV prevention and treatment continuum by fitting separate generalized estimating equation models adjusted for clustering by country in multivariate analyses. All models controlled for ability to meet basic financial needs, age, healthcare coverage, having a regular provider, region and country-level income. Higher provider discrimination and sexual stigma were associated with lower odds of perceived access to services, service utilization and virologic suppression. Conversely, accessing services from community-based organizations focused on lesbian, gay, bisexual and transgender people; greater engagement in gay community; and comfort with healthcare providers were associated with higher odds of achieving steps along the prevention and treatment continuum. To meet accelerated global HIV targets, global leaders must adopt a differentiated and bolder response, in keeping with current epidemiologic trends and community-based research. The HIV-related needs of gay and bisexual men and other men who have sex with men must be addressed openly, quickly and with sufficient resources to support evidence-based, community-led and human rights-affirming interventions at scale.

Sexual Behavior, Definitions of Sex, and the Role of Self-Partner Context Among Lesbian, Gay, and Bisexual Adults.

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Sewell, Kelsey K; McGarrity, Larissa A; Strassberg, Donald S

2017-09-01

Prior research has examined how heterosexual individuals define sex; however, these studies have rarely focused on sexual minority individuals or included a full range of applicable sexual behaviors. Participants were recruited from a local Pride Festival across two years. Study 1 (N = 329) was primarily descriptive and examined which physically intimate behaviors lesbian, gay, and bisexual (LGB) participants included in their definitions of sex and the behaviors in which they had previously engaged. Study 2 (N = 393) utilized a between-subjects design to assess differences in definitions of sex when judging one's own behavior compared with that of a partner outside of the relationship. The behaviors in which participants were most likely to have engaged were manual-genital (82%) and oral-genital stimulation (79%). Regarding definitions of sex, a clear "gold standard" emerged for men, with 90% endorsing penile-anal intercourse as sex. No equally clear standard existed for women. Participants who were asked to consider their partner's behavior outside of their relationship were more likely to endorse the behavior as "having sex" than participants asked to consider their own behavior. This study addressed a major limitation of prior research by investigating definitions of sex among a community sample of LGB adults, with implications for provision of health care and sexual agreements between same-sex couples.

Queer Girls in Class: Lesbian Teachers and Students Tell Their Classroom Stories

Science.gov (United States)

Bridgman, Becky L.

2012-01-01

Lori Horvitz's book contains 26 essays from queer students and educators exploring how sexuality can affect classroom dynamics. Although the book's title references lesbians, it also encompasses bisexuals and highlights friendships between gays and lesbians. In addition, many of the essays discuss social justice initiatives as well as illustrate…

Literature for Today's Gay and Lesbian Teens: Subverting the Culture of Silence

Science.gov (United States)

Norton, Terry L.; Vare, Jonatha W.

2004-01-01

Several books that provide guidance for the gay and lesbian teenagers, their friends and families are presented. The books depict the challenges faced by the gay and lesbian teenagers, conflicts among the young adults and parents or caretakers and the rejections faced by the heterosexual parents and friends.

Places for all? Cape Town’s public library services to gays and lesbians

Directory of Open Access Journals (Sweden)

Genevieve Hart

2010-01-01

Full Text Available The article reports on an investigation of the provision of gay and lesbian literature and of information services to gays and lesbians in Cape Town’s public libraries. Although by definition public libraries serve all members of a community, the international literature suggests that they neglect the reading and information needs and interests of gays and lesbians. The progressive South African Constitution views the rights of gays and lesbians as human rights; yet homophobia is prevalent. Using a questionnaire, the study explored attitudes and practices of 69 senior librarians, responsible for collection development, across all six of Cape Town’s library districts. The situation was found to be “spotty” with only 26 respondents believing that their library service is meeting the needs of gays and lesbians. The survey found contradictions between stated beliefs and behaviours. Thus, although most agree that LGBT rights to information and equal services are human rights, only 55% consider LGBT people in their selection procedures and very little material is acquired. Information services are thin with, for example, only 10% of the libraries in the survey providing LGBT related information in their community information files.

Predicting Portuguese Psychology Students' Attitudes Toward the Psychological Development of Children Adopted by Lesbians and Gay Men.

Science.gov (United States)

Gato, Jorge; Fontaine, Anne Marie

2016-11-01

The present study seeks to ascertain the attitudes of Portuguese psychology students (future psychologists) toward the development of children adopted by lesbian and gay parents. Each participant (N = 182) read a vignette describing an adoption of a child by lesbian and gay persons. After reading the vignette, participants rated four different aspects of the future development of the adopted child (psychosocial adjustment, victimization, psychological disturbance, and normative sexuality). Furthermore, participants were asked about their gender, interpersonal contact with lesbians and gay men, gender role attitudes, and attitudes toward lesbians and gay men. Future psychologists' attitudes toward the developmental outcomes of children adopted by lesbians and gay men were associated with negative attitudes toward non-heterosexuals, which in turn correlated to interpersonal contact with lesbians and gay men and adherence to gender conservative values. These results clearly highlight the central role of social attitudes and the need for cultural competence training of future psychologists that encourages interpersonal contact with non-heterosexuals and discourages traditional gender roles and negative attitudes toward lesbian and gay men.

Gay and Bisexual men's use of the Internet: Research from the 1990s through 2013

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Grov, Christian; Breslow, Aaron S.; Newcomb, Michael E.; Rosenberger, Joshua G.; Bauermeister, Jose A

2014-01-01

In this review, we document the historical and cultural shifts in how gay and bisexual men have used the Internet for sexuality between the 1990s and 2013. Over that time, gay and bisexual men have rapidly taken to using the Internet for sexual purposes: sexual health information seeking, finding sex partners, dating, cybersex, and pornography. Gay and bisexual men have adapted to the ever-evolving technological advances that have been made in connecting users to the Internet—from logging into the World Wide Web via dial-up modem on a desktop computer to geo-social and sexual networking via a handheld device. In kind, researchers too have adapted to the Internet to study gay and bisexual men, though not at the same rapid pace at which technology (and its users) have advanced. Studies have carefully considered the ethics, feasibility, and acceptability of using the Internet to conduct research and interventions with gay and bisexual men. Much of this work has been grounded in models of disease prevention, largely as a result of the ongoing HIV/AIDS epidemic. The urgent need to reduce HIV in this population has been a driving force to develop innovative research and Internet-based intervention methodologies. Moving forward, a more holistic understanding of gay and bisexual men's sexual behavior might be warranted to address continued HIV and STI disparities. The Internet, and specifically mobile technology, is an environment gay and bisexual men are using for sexual purposes. These innovative technologies represent powerful resources for researchers to study and provide rapidly evolving outreach to gay and bisexual men. PMID:24754360

Missing!: Picture Books Reflecting Gay and Lesbian Families

Science.gov (United States)

Rowell, Elizabeth H.

2007-01-01

Early childhood educators carefully reflect on the messages conveyed about family diversity in the materials they select to use. Picture books depicting gay and lesbian families can enhance the curriculum and make an important contribution to young children's development. Families comprised of same-sex parents or those who have gay and lesbian…

Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education.

Science.gov (United States)

Obedin-Maliver, Juno; Goldsmith, Elizabeth S; Stewart, Leslie; White, William; Tran, Eric; Brenman, Stephanie; Wells, Maggie; Fetterman, David M; Garcia, Gabriel; Lunn, Mitchell R

2011-09-07

Lesbian, gay, bisexual, and transgender (LGBT) individuals experience health and health care disparities and have specific health care needs. Medical education organizations have called for LGBT-sensitive training, but how and to what extent schools educate students to deliver comprehensive LGBT patient care is unknown. To characterize LGBT-related medical curricula and associated curricular development practices and to determine deans' assessments of their institutions' LGBT-related curricular content. Deans of medical education (or equivalent) at 176 allopathic or osteopathic medical schools in Canada and the United States were surveyed to complete a 13-question, Web-based questionnaire between May 2009 and March 2010. Reported hours of LGBT-related curricular content. Of 176 schools, 150 (85.2%) responded, and 132 (75.0%) fully completed the questionnaire. The median reported time dedicated to teaching LGBT-related content in the entire curriculum was 5 hours (interquartile range [IQR], 3-8 hours). Of the 132 respondents, 9 (6.8%; 95% CI, 2.5%-11.1%) reported 0 hours taught during preclinical years and 44 (33.3%; 95% CI, 25.3%-41.4%) reported 0 hours during clinical years. Median US allopathic clinical hours were significantly different from US osteopathic clinical hours (2 hours [IQR, 0-4 hours] vs 0 hours [IQR, 0-2 hours]; P = .008). Although 128 of the schools (97.0%; 95% CI, 94.0%-99.9%) taught students to ask patients if they "have sex with men, women, or both" when obtaining a sexual history, the reported teaching frequency of 16 LGBT-specific topic areas in the required curriculum was lower: at least 8 topics at 83 schools (62.9%; 95% CI, 54.6%-71.1%) and all topics at 11 schools (8.3%; 95% CI, 3.6%-13.0%). The institutions' LGBT content was rated as "fair" at 58 schools (43.9%; 95% CI, 35.5%-52.4%). Suggested successful strategies to increase content included curricular material focusing on LGBT-related health and health disparities at 77 schools (58

Sexual issues in special populations: lesbian and gay individuals.

Science.gov (United States)

Dibble, Suzanne; Eliason, Michele J; Dejoseph, Jeanne F; Chinn, Peggy

2008-05-01

To provide an overview of health care needs and related sexuality issues of lesbian and gay patients. Research articles, books, clinical experience. Attitudes of health professionals as well as patients impact care in relation to sexuality and sexual issues. Oncology nurses using a framework of awareness, sensitivity, and knowledge can obtain and apply the essential information needed to provide culturally appropriate nursing care to this population. Lesbian and gay patients need nurses as allies in their fight with cancer. This is particularly true in assessment and managing concerns about sexuality and sexual issues.

Parental influences on the self-esteem of gay and lesbian youths: a reflected appraisals model.

Science.gov (United States)

Savin-Williams, R C

1989-01-01

Based on a population of 317 gay and lesbian youths, the current investigation explores the appropriateness of a reflected appraisals perspective in predicting the degree to which parental attitudes, as perceived by youth, affects their self-esteem and comfortableness being gay. A lesbian was most comfortable with her sexual orientation if she also reported that her parents accepted her homosexuality; these variables did not, however, predict her level of self-esteem. Among the gay males, parental acceptance predicted comfortable being gay if the parents were also perceived as important components of a youth's self-worth; a male most comfortable with his sexual orientation had the highest level of self-esteem. Results are discussed in terms of: (a) sex of parent, (b) sex-role development, (c) comparisons of gays and lesbians, and (d) research on gay and lesbian youth.

Sexual orientation and education politics: gay and lesbian representation in American schools.

Science.gov (United States)

Wald, Kenneth D; Rienzo, Barbara A; Button, James W

2002-01-01

In what has sometimes provoked a "culture war" over America's schools, gays and lesbians have sought an expanded voice in the making of education policy. This paper explores the factors that promote gay representation on school boards, how this variable in turn influences gay representation in both administrative and teaching positions, and how all three forms of gay representation relate to school board policies regarding sexual orientation education. Three of the four models drawn from the social movement literature help to explain gay school board representation. In a manner similar to other minority groups, gay representation on school boards directly or indirectly promotes the appointment of gays to administrative and teaching positions and the adoption of policies that address the problems faced by gay and lesbian students in the public schools.

Same-sex legal marriage and psychological well-being: findings from the California Health Interview Survey.

Science.gov (United States)

Wight, Richard G; Leblanc, Allen J; Lee Badgett, M V

2013-02-01

We examined whether same-sex marriage was associated with nonspecific psychological distress among self-identified lesbian, gay, and bisexual adults, and whether it had the potential to offset mental health disparities between lesbian, gay, and bisexual persons and heterosexuals. Population-based data (weighted) were from the 2009 adult (aged 18-70 years) California Health Interview Survey. Within-group analysis of lesbian, gay, and bisexual persons included 1166 individuals (weighted proportion = 3.15%); within-group heterosexual analysis included 35 608 individuals (weighted proportion = 96.58%); and pooled analysis of lesbian, gay, and bisexual persons and heterosexuals included 36 774 individuals. Same-sex married lesbian, gay, and bisexual persons were significantly less distressed than lesbian, gay, and bisexual persons not in a legally recognized relationship; married heterosexuals were significantly less distressed than nonmarried heterosexuals. In adjusted pairwise comparisons, married heterosexuals had the lowest psychological distress, and lesbian, gay, and bisexual persons who were not in legalized relationships had the highest psychological distress (P sex married lesbian, gay, and bisexual persons, lesbian, gay, and bisexual persons in registered domestic partnerships, and heterosexuals. Being in a legally recognized same-sex relationship, marriage in particular, appeared to diminish mental health differentials between heterosexuals and lesbian, gay, and bisexual persons. Researchers must continue to examine potential health benefits of same-sex marriage, which is at least in part a public health issue.

Psychosocial Health Disparities Among Black Bisexual Men in the U.S.: Effects of Sexuality Nondisclosure and Gay Community Support.

Science.gov (United States)

Friedman, M Reuel; Bukowski, Leigh; Eaton, Lisa A; Matthews, Derrick D; Dyer, Typhanye V; Siconolfi, Dan; Stall, Ron

2018-04-05

Compared with Black gay men, Black bisexual men experience psychosocial health disparities, including depression, polydrug use, physical assault, and intimate partner violence (IPV). Black bisexual men are also less likely to disclose their sexuality, which may result in them receiving less sexual minority community support, exacerbating psychosocial health disparities. We assessed relationships between bisexual behavior, bisexual identity, sexuality nondisclosure, gay community support, and psychosocial morbidities among Black men who have sex with men (MSM). Between 2014 and 2017, survey data were collected from Black MSM ≥ 18 years old (n = 4430) at Black Pride events in six U.S. cities. We differentiated between bisexual-identified men reporting past-year sex with men and women (bisexual MSMW, 8.4%); gay-identified men reporting sex with men only (gay MSMO, 73.1%); gay MSMW (8.0%); and bisexual MSMO (8.4%). Multivariable regressions contrasted these groups by psychosocial morbidities, sexuality nondisclosure, and gay community support. Structural equation models assessed total, direct, and indirect effects. Compared with gay MSMO, bisexual MSMW and gay MSMW were significantly more likely to report polydrug use, depression symptoms, IPV, physical assault, sexuality nondisclosure, and lack of gay community support. Lack of gay community support had significant indirect effects on the relationships between bisexual behavior and psychosocial morbidity (p psychosocial morbidity (p Psychosocial health disparities experienced by Black bisexual men are associated with both bisexual behavior and bisexual identity. Interventions decreasing biphobia will facilitate opportunities for protective sexuality disclosure and access to sexual minority community support.

Cognitive Impairment, Alzheimer's Disease, and Other Dementias in the Lives of Lesbian, Gay, Bisexual and Transgender (LGBT) Older Adults and Their Caregivers: Needs and Competencies.

Science.gov (United States)

Fredriksen-Goldsen, Karen I; Jen, Sarah; Bryan, Amanda E B; Goldsen, Jayn

2018-05-01

Cognitive impairment, Alzheimer's disease, and other dementias are important health concerns for older adults. As a marginalized and growing segment of the older adult population, lesbian, gay, bisexual, and transgender (LGBT) older adults face distinct risk factors related to cognitive impairment and dementias, including social isolation, discrimination, barriers to health care access, limited availability of and support for caregivers, and higher rates of certain chronic illnesses. We examine cognitive impairment and dementias among LGBT older adults, describe their unique risk factors, and outline key competencies for health care and human service providers to ensure culturally relevant care for LGBT older adults experiencing cognitive impairment, Alzheimer's disease, or other dementias, as well as their caregivers, families, and communities. Implications include developing an awareness of the context of LGBT older adults' lives and relationships, the importance of early detection and support, and the development of policies and practices that promote community-level advocacy and education.

Demographic Trends and Advocacy Experiences of Gay-Straight Alliance Advisors

Science.gov (United States)

Graybill, Emily C.; Varjas, Kris; Meyers, Joel; Dever, Bridget V.; Greenberg, Daphne; Roach, Andrew T.; Morillas, Catalina

2015-01-01

Using an ecological model, the individual-, school-, and sociocultural-level characteristics that affect gay-straight alliance (GSA) advisors were examined in the current study. The formation of GSAs has been one way that schools have sought to improve the school climate for lesbian, gay, bisexual, and transgender (LGBT) youth. Limited information…

Stress, Socializing, and Other Motivations for Smoking Among the Lesbian, Gay, Bisexual, Transgender, and Queer Community in New York City.

Science.gov (United States)

Jannat-Khah, Deanna P; Dill, LeConté J; Reynolds, Simone A; Joseph, Michael A

2017-01-01

This study contributes to the emerging literature on lesbian, gay, bisexual, transgendered, and queer (LGBTQ) health disparities and tobacco use by examining the motivations for smoking among the New York City (NYC) LGBTQ population. We used grounded theory and blended methods from 3 grounded theorists-Strauss, Corbin, and Charmaz-for data collection, coding, and analysis. NYC has extensive legislation to prevent smoking; however, the current smoking prevalence of homosexuals is double that of heterosexuals. Study participants were leaders from 23 NYC LGBTQ organizations. Leaders were chosen to establish a relationship with community and to ensure cultural sensitivity. Eligibility criteria required holding a leadership position in an organization serving the NYC LGBTQ community. Interviews were transcribed verbatim and uploaded into Dedoose for analysis. An initial code list was developed from the interview guide. Key themes were identified as the themes with the most number of quotes. Three key themes emerged from our interviews: image, socializing, and stress. Smoking was reported to be a socialization aid and a maladaptive coping technique for stress arising from interactions of conflicting identities. Future smoking cessation interventions among the LGBTQ community should equip smokers with healthy coping mechanisms that address the stressors that arise from the intersections of smokers' many identities.

Does it get better? A longitudinal analysis of psychological distress and victimization in lesbian, gay, bisexual, transgender, and questioning youth.

Science.gov (United States)

Birkett, Michelle; Newcomb, Michael E; Mustanski, Brian

2015-03-01

The mental health and victimization of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth have garnered media attention with the "It Gets Better Project." Despite this popular interest, there is an absence of empirical evidence evaluating a possible developmental trajectory in LGBTQ distress and the factors that might influence distress over time. This study used an accelerated longitudinal design and multilevel modeling to examine a racially/ethnically diverse analytic sample of 231 LGBTQ adolescents aged 16-20 years at baseline, across six time points, and over 3.5 years. Results indicated that both psychological distress and victimization decreased across adolescence and into early adulthood. Furthermore, time-lagged analyses and mediation analyses suggested that distress was related to prior experiences of victimization, with greater victimization leading to greater distress. Support received from parents, peers, and significant others was negatively correlated with psychological distress in the cross-sectional model but did not reach significance in the time-lagged model. Analyses suggest that psychological distress might "get better" when adolescents encounter less victimization and adds to a growing literature indicating that early experiences of stress impact the mental health of LGBTQ youth. Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Sexuality and aging: a focus on lesbian, gay, bisexual, and transgender (LGBT) needs in palliative and end of life care.

Science.gov (United States)

Griebling, Tomas L

2016-03-01

Sex and sexuality are core components of the human experience. Many older adults and people with terminal illness still consider sexuality important in their lives. The palliative care experiences of lesbian, gay, bisexual, and transgender (LGBT) persons are unique in a number of important ways with regard to sexuality and sexual expression. To date, there has been relatively limited scholarly research on sexual health needs of people in palliative care and near end of life, and an even greater paucity of data specifically about sexual minorities. Forms of sexual expression may change with advancing age and illness. Physical intimacy and emotional connection may take on greater roles compared with more traditional concepts of sexual activity. Several recent studies have examined sexual health in palliative care and a few have examined LGBT cohorts. Advances in public policy, including the recent US Supreme Court decision regarding marriage equality, have continued to shape the cultural landscape for LGBT people. This article reviews recent literature with considerations for future research. Sexuality and intimacy remain important for many people facing terminal illness. LGBT people face unique challenges with regard to sexuality during palliative care. Clinicians should work to avoid heteronormative stereotypes and focus on goals of care to enhance quality of life for all patients.

Lesbian, Gay, Bisexual, and Transgender Hate Crimes and Suicidality Among a Population-Based Sample of Sexual-Minority Adolescents in Boston

Science.gov (United States)

Hatzenbuehler, Mark L.

2014-01-01

Objectives. We examined whether past-year suicidality among sexual-minority adolescents was more common in neighborhoods with a higher prevalence of hate crimes targeting lesbian, gay, bisexual, and transgender (LGBT) individuals. Methods. Participants’ data came from a racially/ethnically diverse population-based sample of 9th- through 12th-grade public school students in Boston, Massachusetts (n = 1292). Of these, 108 (8.36%) reported a minority sexual orientation. We obtained data on LGBT hate crimes involving assaults or assaults with battery between 2005 and 2008 from the Boston Police Department and linked the data to the adolescent’s residential address. Results. Sexual-minority youths residing in neighborhoods with higher rates of LGBT assault hate crimes were significantly more likely to report suicidal ideation (P = .013) and suicide attempts (P = .006), than were those residing in neighborhoods with lower LGBT assault hate crime rates. We observed no relationships between overall neighborhood-level violent and property crimes and suicidality among sexual-minority adolescents (P > .05), providing evidence for specificity of the results to LGBT assault hate crimes. Conclusions. Neighborhood context (i.e., LGBT hate crimes) may contribute to sexual-orientation disparities in adolescent suicidality, highlighting potential targets for community-level suicide-prevention programs. PMID:24328619

A Transdiagnostic Minority Stress Treatment Approach for Gay and Bisexual Men’s Syndemic Health Conditions

Science.gov (United States)

Pachankis, John E.

2015-01-01

Developing and deploying separate treatments for separate conditions seems ill-suited to intervening upon the co-occurring, and possibly functionally similar, psychosocial conditions facing gay and bisexual men. This article argues for the need to create transdiagnostic interventions that reduce multiple syndemic conditions facing gay and bisexual men at the level of their shared source in minority stress pathways. This article first reviews psychosocial syndemic conditions affecting gay and bisexual men, then suggests pathways that might link minority stress to psychosocial syndemics based on recent advancements in emotion science, psychiatric nosology, and cognitive-affective neuroscience, and finally suggests cross-cutting psychosocial treatment principles to reduce minority stress–syndemic pathways among gay and bisexual men. Because minority stress serves as a common basis of all psychosocial syndemic conditions reviewed here, locating the pathways through which minority stress generates psychosocial syndemics and employing overarching treatment principles capable of simultaneously alleviating these pathways will ultimately create a transdiagnostic approach to improving gay and bisexual men’s health. Clinical research and training approaches are suggested to further validate the pathways suggested here, establish the efficacy of treatment approaches tied to those pathways, and generate effective methods for disseminating a transdiagnostic minority stress treatment approach for gay and bisexual men’s psychosocial syndemic health. PMID:26123065

Methamphetamine use among gay and bisexual men in Australia : Trends in recent and regular use from the Gay Community Periodic Surveys

NARCIS (Netherlands)

Lea, Toby; Mao, Limin; Hopwood, Max; Prestage, Garrett; Zablotska, Iryna; de Wit, John|info:eu-repo/dai/nl/06883652X; Holt, Martin

BACKGROUND: Gay and bisexual men typically report high rates of illicit drug use, including methamphetamine use. This paper aimed to analyse trends in crystal methamphetamine ('crystal') and powder methamphetamine ('speed') use among gay and bisexual men in Australia, and characterise the

The attitudes of the undergraduate nursing students towards lesbian women and gay men.

Science.gov (United States)

Unlu, Hayriye; Beduk, Tülin; Duyan, Veli

2016-12-01

This study was conducted to determine the attitudes of undergraduate nursing students towards lesbian women and gay men. Nursing education in Turkey is conducted holistically; in other words, it is an integration of the physical, spiritual, mental and social realms. Students are therefore expected to not express any discrimination due to factors such as religion, language, race and gender. However, some serious problems still exist in terms of the practical applications of that philosophy. This study was descriptive. This study included 964 students. The Attitudes towards Lesbian Women and Gay Men scale and a questionnaire were used to learn about the attitudes of undergraduate nursing students regarding gay men and lesbian women. Results of this study have indicated that the attitudes of religiously educated and/or conservative students towards lesbian women and gay men were negative. Female students from families with high incomes and highly educated families attended social activities and read more than other female students. The students with free life choice options expressed very positive attitudes towards gay men. The nursing education curriculum should cover information about patients with diverse sexual orientations and their absolute rights for equally optimal healthcare. Strategies to discourage traditional gender role stereotypes and educational and media experiences for better acceptance of sexual minorities need to be developed by educational policy makers. Antidiscrimination policies protecting lesbian women and gay men should be developed by the legislative authorities and then taught to students during their nursing education. Getting familiar with diverse sexual orientations might create awareness among nursing students and reduce their attitudinal and behavioural prejudices and biases. To provide equal healthcare services for all patients, nurses must have accurate information about lesbian women, gay men and modify their attitude and behaviour

Application of Herek's attitudes toward lesbians and gay men scale in The Netherlands

NARCIS (Netherlands)

Meerendonk, Bas van de; Eisinga, Rob; Felling, Albert

2003-01-01

national sample of 921 respondents from the Dutch populadon completed the translated, slightly modified version of Herek's Attitudes Toward Lesbians and Gay Men Scale, originally developed in the USA for the assessment of attitudes toward lesbians and gay men. The present study was the first attempt

Application of Herek's Attitudes Toward Lesbians and Gay Men Scale in the Netherlands

NARCIS (Netherlands)

Meerendonk, B. van de; Eisinga, R.N.; Felling, A.J.A.

2003-01-01

A national sample of 921 respondents from the Dutch population completed the translated, slightly modified version of Herek's Attitudes Toward Lesbians and Gay Men Scale, originally developed in the USA for the assessment of attitudes toward lesbians and gay men. The present study was the first

Beyond Gay-Straight Alliances

Science.gov (United States)

Sadowski, Michael

2010-01-01

Decades' worth of studies point to the importance of parental involvement in K-12 schooling. Yet when it comes to policies related to lesbian, gay, bisexual, and transgender (LGBT) students, families are often deliberately left out of the conversation, according to several leading experts in LGBT youth development. Even in schools where…

Workplace Experiences of Australian Lesbian and Gay Teachers: Findings from a National Survey

Science.gov (United States)

Ferfolja, Tania; Stavrou, Efty

2015-01-01

Historically, lesbian and gay teachers working in schools have experienced silencing, invisibility, and discrimination. This paper reports on research that examined the experiences of self-identified lesbian and gay teachers working in a variety of school types and school systems across Australia. Specifically, it explores these teachers'…

A Nationwide Study of Norwegian Beliefs About Same-sex Marriage and Lesbian and Gay Parenthood

OpenAIRE

Hollekim, Ragnhild; Slaatten, Hilde; Anderssen, Norman

2012-01-01

In Norway, a gender-neutral Marriage Law that secured equal marriage and parenting rights for lesbian, gay and heterosexual couples took effect in January 2009. The aim of the current study was to explore Norwegian beliefs about equal marriage and parenting rights for lesbian, gay and heterosexual couples and the welfare of children with lesbian and gay parents. A sample of 1,246 Norwegians participated in the study by filling out a questionnaire. The majority reported...

Trends in Canadian Newspaper Coverage of Gay-Straight Alliances, 2000-2009

Science.gov (United States)

Herriot, Lindsay

2011-01-01

Gay-straight alliances (GSAs) in Canadian public schools have gained considerable attention from print media since reports first surfaced in the year 2000. This study tracked and analyzed Canadian newspaper reporting about GSA creation. It summarized the shift in public opinion toward lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth…

Cognitive Impairment, Alzheimer’s Disease, and Other Dementias in the Lives of Lesbian, Gay, Bisexual and Transgender (LGBT) Older Adults and Their Caregivers: Needs and Competencies

Science.gov (United States)

Fredriksen-Goldsen, Karen I.; Jen, Sarah; Bryan, Amanda E. B.; Goldsen, Jayn

2017-01-01

Cognitive impairment, Alzheimer’s disease, and other dementias are important health concerns for older adults. As a marginalized and growing segment of the older adult population, lesbian, gay, bisexual, and transgender (LGBT) older adults face distinct risk factors related to cognitive impairment and dementias, including social isolation, discrimination, barriers to health care access, limited availability of and support for caregivers, and higher rates of certain chronic illnesses. We examine cognitive impairment and dementias among LGBT older adults, describe their unique risk factors, and outline key competencies for health care and human service providers to ensure culturally relevant care for LGBT older adults experiencing cognitive impairment, Alzheimer’s disease, or other dementias, as well as their caregivers, families, and communities. Implications include developing an awareness of the context of LGBT older adults’ lives and relationships, the importance of early detection and support, and the development of policies and practices that promote community-level advocacy and education. PMID:27729400

Children of Horizons: How Gay and Lesbian Teens Are Leading a New Way Out of the Closet.

Science.gov (United States)

Herdt, Gilbert; Boxer, Andrew

This book confronts myths about gay and lesbian youth and explores their real experiences of coming out. The research for the book was conducted at the Horizons lesbian and gay social service agency in Chicago, Illinois. Chapter 1 takes a historical look at homosexuality and proposes a new theory of gay and lesbian development to explain a…

Breaking the Silence: The Stories of Gay and Lesbian People in Children's Literature.

Science.gov (United States)

Casement, Rose

2002-01-01

Discusses how for gay or lesbian youth, the issues of identity and acceptance that are ignored both in life and in literature are not only profound but also dangerous. Notes that books that include gay or lesbian characters usually elicit a strong negative reaction to their content by vocal conservative groups. (SG)

Attitudes toward Lesbians and Gay Men among Hong Kong Chinese Social Work Students

Science.gov (United States)

Kwok, Diana K.; Wu, Joseph; Shardlow, Steven M.

2013-01-01

There is a dearth of research on social work students' attitudes toward lesbians and gays in East Asian countries where intolerance toward nonheterosexuality has been documented. This article presents findings from the first study in Hong Kong using a Chinese version of Herek's Attitudes Toward Lesbians and Gay Men Scale (ATLG) to measure…

Do Gays Shy Away from Competition? Do Lesbians Compete Too Much?

OpenAIRE

Buser, Thomas; Geijtenbeek, Lydia; Plug, Erik

2015-01-01

It is an established fact that gay men earn less than other men and lesbian women earn more than other women. In this paper we study whether differences in competitive preferences, which have emerged as a likely determinant of labour market differences between men and women, can provide a plausible explanation. We conduct an experiment on a Dutch online survey panel to measure the competitiveness of gay, lesbian and straight panel members. For differences in competitiveness to partially expla...

Troubling the family: Ongoing problems of coming out as lesbian or gay to families of origin

OpenAIRE

Nordqvist, Petra; Smart, Carol

2014-01-01

Legal and social attitudes towards gay men and lesbians have altered considerably in latter years and yet recent research suggests that ‘coming out’ as lesbian and gay may remain a troubled business, especially in one’s own family. Exploring this theme, we situate gay and lesbian identities in wider family networks and explore how gay men and women negotiate family relationships at particular and significant moments in their lives, such as weddings and child birth. In doing so, we draw ...

The 2015 National School Climate Survey: The Experiences of Lesbian, Gay, Bisexual, Transgender, and Queer Youth in Our Nation's Schools

Science.gov (United States)

Kosciw, Joseph G.; Greytak, Emily A.; Giga, Noreen M.; Villenas, Christian; Danischewski, David J.

2016-01-01

The Gay, Lesbian and Straight Education Network (GLSEN) "National School Climate Survey" is our flagship report on the school experiences of LGBTQ youth in schools, including the extent of the challenges that they face at school and the school-based resources that support LGBTQ students' well-being. The survey has consistently indicated…

Knowledge, Beliefs, and Communication Behavior of Oncology Health-care Providers (HCPs) regarding Lesbian, Gay, Bisexual, and Transgender (LGBT) Patient Health care.

Science.gov (United States)

Banerjee, Smita C; Walters, Chasity B; Staley, Jessica M; Alexander, Koshy; Parker, Patricia A

2018-01-01

Delivery of culturally competent care toward lesbian, gay, bisexual, and transgender (LGBT) patients depends on how health-care providers (HCPs) communicate with them; however, research about knowledge, attitude, and behavior of HCPs toward LGBT patients is scant. The objectives of our study were to describe oncology HCPs' knowledge and examine if beliefs about LGB and transgender patients mediate the effects of LGBT health-care knowledge on open communication behaviors with LGB and transgender patients, respectively. A total of 1253 HCPs (187 physicians, 153 advance practice professionals (APPs), 828 nurses, and 41 others) at a Comprehensive Cancer Center completed an online survey that included the following measures: LGBT health-care knowledge, beliefs, communication behaviors, willingness to treat LGBT patients, encouraging LGBT disclosure, and perceived importance of LGBT sensitivity training. Only 50 participants (5%) correctly answered all 7 knowledge items, and about half the respondents answered 3 (out of 7) items correctly. Favorable beliefs about LGBT health care mediated the effect of higher LGBT health-care knowledge on open communication behaviors with transgender patients, controlling for effects of type of profession, religious orientation, gender identity, sexual orientation, and having LGBT friends/family. The results of this study demonstrated an overall lack of medical knowledge and the need for more education about LGBT health care among oncology HCPs.

Gay Rights on Campus, circa 2011

Science.gov (United States)

Cramer, Elizabeth P.; Ford, Charles H.

2011-01-01

The environment for lesbian, gay, bisexual, and transgender (LGBT) students, staff, and faculty on college campuses has certainly improved over the last generation, but recent dramatic episodes confirm the continuing need for vigilance and reform. Students remain the constituency most vulnerable to the effects of entrenched bigotry: the harassment…

Gay and Lesbian Adoptive Families: An Exploratory Study of Family Functioning, Adoptive Child's Behavior, and Familial Support Networks

Science.gov (United States)

Erich, Stephen; Leung, Patrick; Kindle, Peter; Carter, Sharon

2005-01-01

Traditional legal and social forces have hindered the adoption of children by gay and lesbian individuals and couples. Using a convenience sample drawn from gay and lesbian support groups and Internet sites, this exploratory study examines adoptive families with gay and lesbian parents in terms of family functioning capabilities, child's behavior,…

A Program Review of a Middle School Gay-Straight Alliance Club

Science.gov (United States)

Quasha, Scott; McCabe, Paul C.; Ortiz, Samuel O.

2014-01-01

This program review examined a middle school Gay-Straight Alliance (GSA) club within a northeastern suburban school situated in a large metropolitan area. The GSA was the first in the region to start exclusively in a standalone middle school. The review was accomplished through a staff survey comparing school climates for lesbian, gay, bisexual,…

Addressing University Students' Anti-Gay Bias: An Extension of the Contact Hypothesis

Science.gov (United States)

Span, Sherry A.

2011-01-01

One method frequently employed as an intervention to reduce anti-gay bias is a lesbian, gay, and bisexual (LGB) speaker panel. These speakers share brief biographical sketches about their coming out experiences and then answer questions. A pretest/posttest control group design examined the impact of LGB speaker panels on university students'…

Gay and lesbian mental health: a sourcebook for practitioners

National Research Council Canada - National Science Library

Alexander, Christopher J

1996-01-01

...: parenting, coming out processes of lesbians, gay men's self-image, adolescence as a homosexual, parental guidance of homosexual children, eating disorders, aging, dual needs of ethnic homosexuals...

Gay and Lesbian Students in Catholic High Schools: A Qualitative Study of Alumni Narratives

Science.gov (United States)

Maher, Michael J.

2007-01-01

The Catholic Magisterium has made a distinction between homosexual orientation (disordered but not sinful), homosexual activity (sinful, but judged "with prudence"), rights of gay and lesbian people, and the Church's pastoral responsibilities to gay and lesbian people. Both the Vatican and the American bishops have clearly stated that the topic of…

Religion and Public Perceptions of Gays and Lesbians in South Korea.

Science.gov (United States)

Rich, Timothy S

2017-01-01

Public support for gay and lesbian rights has increased in Western democracies, yet less is known regarding views in South Korea, or East Asia more broadly. Rather than broad cultural claims, this analysis asks to what extent religious identification explains perceptions of gays and lesbians. Public opinion survey data from South Korea finds that Protestants were consistently less supportive of homosexual issues compared to Catholics, Buddhists, and those without a religious identification. Furthermore, after controlling for religion, identification with the largest conservative party associated with less support.

Towards the Development of an Intimate Partner Violence Screening Tool for Gay and Bisexual Men

Science.gov (United States)

Stephenson, Rob; Hall, Casey D.; Williams, Whitney; Sato, Kimi; Finneran, Catherine

2013-01-01

Introduction: Recent research suggests that gay and bisexual men experience intimate partner violence (IPV) at rates comparable to heterosexual women. However, current screening tools used to identify persons experiencing IPV were largely created for use with heterosexual women. Given the high prevalence of IPV among gay and bisexual men in the United States, the lack of IPV screening tools that reflect the lived realities of gay and bisexual men is problematic.This paper describes the development of a short-form IPV screening tool intended to be used with gay and bisexual men. Methods: A novel definition of IPV, informed by formative Focus Group Discussions, was derived from a quantitative survey of approximately 1,100 venue-recruited gay and bisexual men. From this new definition, a draft IPV screening tool was created. After expert review (n=13) and cognitive interviews with gay and bisexual men (n=47), a screening tool of six questions was finalized.A national, online-recruited sample (n=822) was used to compare rates of IPV identified by the novel tool and current standard tools. Results: The six-item, short-form tool created through the six-stage research process captured a significantly higher prevalence of recent experience of IPV compared to a current and commonly used screening tool (30.7% versus 7.5%, ptool described additional domains of IPV not currently found in screening tools, including monitoring behaviors, controlling behaviors, and HIV-related IPV. The screener takes less than five minutes to complete and is 6th grade reading level. Conclusion: Gay and bisexual men experiencing IPV must first be identified before services can reach them. Given emergent literature that demonstrates the high prevalence of IPV among gay and bisexual men and the known adverse health sequela of experiencing IPV, this novel screening tool may allow for the quick identification of men experiencing IPV and the opportunity for referrals for the synergistic management of

School Protective Factors and Substance Use Among Lesbian, Gay, and Bisexual Adolescents in California Public Schools.

Science.gov (United States)

De Pedro, Kris Tunac; Esqueda, Monica Christina; Gilreath, Tamika D

2017-06-01

The majority of studies examining substance use among lesbian, gay, and bisexual (LGB) youth have focused on a wide array of risk factors (e.g., victimization). Few studies have explored the protective role of schools. This study aims to fill this gap in the literature and inform programs aimed at reducing substance use among LGB youth. More specifically, this study explores the extent to which school connectedness and support from teachers and other adults at school are associated with substance use among LGB youth in school and within the past 30 days. A secondary analysis of the 2013-2015 California Healthy Kids Survey (CHKS) was conducted to examine associations between school protective factors (i.e., school connectedness and adult support) and substance use among LGB youth, above and beyond a key risk factor, school victimization. The study outcomes were past 30-day and in-school use of cigarettes, alcohol, marijuana, inhalants, prescription pain medication, and other illegal drugs. Overall, school connectedness and school adult support were associated with lower odds of substance use. For example, higher levels of school connectedness were associated with 22% decreased odds of past 30-day inhalant use (adjusted odds ratio [AOR] = 0.78; 95% confidence interval [CI] = 0.72-0.86), and 25% decreased odds of past 30-day prescription pain medication use (AOR = 0.75; 95% CI = 0.69-0.82). Higher levels of adult support in school were also associated with 17% decreased odds of marijuana use on school property in the past 30 days (AOR = 0.83; 95% CI = 0.77-0.91). The results indicate a need for substance use prevention programs that integrate school connectedness and adult support in school.

Attitudes and Beliefs About the Acceptability and Justness of Peer Victimization of Lesbian and Gay University Students.

Science.gov (United States)

Bradbury, Stacey L; Davis, Alan K; Leith, Jaclyn; Hinman, Nova; Ashrafioun, Lisham; Burmeister, Jacob M; Dworsky, Dryw

2016-06-01

We evaluated the acceptability and justness of anti-lesbian and gay victimization among 473 undergraduates. Participants were assigned to one of four vignette conditions that described an individual being verbally victimized in a typical college setting. Each vignette varied by victim gender (male; female) and sexual orientation (lesbian/gay; heterosexual). Participants completed background questionnaires and a measure that assessed the acceptability of the actions described in the vignettes. Overall, victimization was rated as unacceptable regardless of the sexual orientation and gender of the victim. However, participants rated the victimization of lesbian and gay students as more harmful and unjust than victimization of heterosexual students. Although the acceptability of anti-lesbian and gay victimization was low, 3%-12% of participants rated anti-lesbian and gay victimization as slightly or completely acceptable and just. Given that victimization is associated with long-term negative outcomes, college administrators should consider interventions aimed at decreasing the acceptability of victimization among students.

A Channel For Gay America? A Cultural Criticism Of The Logo Channel's Commercial Success On American Cable Television

OpenAIRE

Johnson Jr., Michael

2008-01-01

Logo currently holds a self-described monopoly as the “Gay Channel for America.” Logo stands alone as the single most concentrated national-level vehicle of LGBT (Lesbian, Gay, Bisexual and Transgendered) visibility in the post millennial television era. The Logo Channel has reaped financial rewards from its strategy as a business entity, as LGBT American television viewers embraced its presence as a signifier to America that gays and lesbians have finally “made it”. First, any claim to a mon...

Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons.

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Burgess, Diana; Tran, Alisia; Lee, Richard; van Ryn, Michelle

2007-01-01

Previous research has found that lesbian, gay, bisexual and transgender (LGBT) individuals are at risk for a variety of mental health disorders. We examined the extent to which a recent experience of a major discriminatory event may contribute to poor mental health among LGBT persons. Data were derived from a cross-sectional strata-cluster survey of adults in Hennepin County, Minnesota, who identified as LGBT (n=472) or heterosexual (n=7,412). Compared to heterosexuals, LGBT individuals had poorer mental health (higher levels of psychological distress, greater likelihood of having a diagnosis of depression or anxiety, greater perceived mental health needs, and greater use of mental health services), more substance use (higher levels of binge drinking, greater likelihood of being a smoker and greater number of cigarettes smoked per day), and were more likely to report unmet mental healthcare needs. LGBT individuals were also more likely to report having experienced a major incident of discrimination over the past year than heterosexual individuals. Although perceived discrimination was associated with almost all of the indicators of mental health and utilization of mental health care that we examined, adjusting for discrimination did not significantly reduce mental health disparities between heterosexual and LGBT persons. LGBT individuals experienced more major discrimination and reported worse mental health than heterosexuals, but discrimination did not account for this disparity. Future research should explore additional forms of discrimination and additional stressors associated with minority sexual orientation that may account for these disparities.

More than Book Talks: Preservice Teacher Dialogue after Reading Gay and Lesbian Children's Literature

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Hermann-Wilmarth, Jill

2010-01-01

In this paper, the author looks at how she attempted to teach her students--preservice teachers--to engage in dialogic conversation about gay and lesbian identity using children's literature with gay and lesbian characters as a jumping off point. Through her analysis, the author has identified two requirements for dialogic conversation among…

“I’m still raring to go”: Successful Aging Among Lesbian, Gay, Bisexual, and Transgender Older Adults

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Driskell, Jeff; Bradford, Judith

2012-01-01

While we know that minority status differentiates the experience of aging, little research has been done to examine the ways in which patterns of successful aging may differ in diverse subgroups of older adults. In this exploratory study, we investigated and described experiences of successful aging in a sample of lesbian, gay, bisexual and transgender (LGBT) older adults. Directed by a community-based participatory research process, we conducted semi-structured in-depth interviews with 22 LGBT adults, age 60 and older. We took an inductive, grounded theory approach to analyze the taped and transcribed interviews. We coded respondent experiences in four domains: physical health, mental health, emotional state and social engagement. Four gradations of successful aging emerged. Very few in our sample met the bar for “traditional success” characterized by the absence of problems in all four domains of health. Most of the sample was coping to a degree with problems and were categorized in one of two gradations on a continuum of successful aging: “surviving and thriving” and “working at it.” A small number was “ailing”: not coping well with problems. Some of the experiences that respondents described were related to LGBT status; others were related to more general processes of aging. The research suggests that a successful aging framework that is modified to include coping can better describe the experiences of LGBT older adults. The modified conceptual model outlined here may be useful in future research on this population, as well as more broadly for diverse populations of adults, and may be adapted for use in practice to assess and improve health and well-being. PMID:23273552

Putting Lesbians in Their Place: Deconstructing Ex-Gay Discourses of Female Homosexuality in a Global Context

Directory of Open Access Journals (Sweden)

Christine M. Robinson

2015-09-01

Full Text Available The transnational ex-gay movement is an important context affecting lesbians and sexual minority women around the world. In 2015, the UN Human Rights Commissioner called for all nations to ban conversion therapies. This research investigates a neglected area of scholarship on the ex-gay movement by deconstructing and analyzing the implications of ex-gay discourses of female homosexuality in a global context. The ex-gay movement originated in the United States and has proliferated to nearly every continent. We argue that it is the main purveyor of public, anti-lesbian rhetoric today, constructing lesbianism as sinful and sick to control women’s sexuality, enforce rigid gender roles and inequality, and oppress sexual minority women. Guided by Adrienne Rich’s theory of compulsory heterosexuality and Barbara Risman’s gender structure theory, we analyze how, in ex-gay discourse, lesbianism is demeaned and demonized in the individual, interactional, and institutional dimensions of the gender structure. Finally, we examine the impact of ex-gay discourse on sexual minority women in global context.

Gay and bisexual men's use of the Internet: research from the 1990s through 2013.

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Grov, Christian; Breslow, Aaron S; Newcomb, Michael E; Rosenberger, Joshua G; Bauermeister, Jose A

2014-01-01

We document the historical and cultural shifts in how gay and bisexual men have used the Internet for sexuality between the 1990s and 2013-including shifting technology as well as research methods to study gay and bisexual men online. Gay and bisexual men have rapidly taken to using the Internet for sexual purposes: for health information seeking, finding sex partners, dating, cybersex, and pornography. Men have adapted to the ever-evolving technological advances that have been made in connecting users to the Internet-from logging on via dial-up modem on a desktop computer to geo-social-sexual networking via handheld devices. In kind, researchers have adapted to the Internet to study gay and bisexual men. Studies have carefully considered the ethics, feasibility, and acceptability of using the Internet to conduct research and interventions. Much of this work has been grounded in models of disease prevention, largely as a result of the ongoing HIV/AIDS epidemic. The need to reduce HIV in this population has been a driving force to develop innovative research and Internet-based intervention methodologies. The Internet, and specifically mobile technology, is an environment gay and bisexual men are using for sexual purposes. These innovative technologies represent powerful resources for researchers to study and provide outreach.

Sociosexual Identity Development and Sexual Risk Taking of Acculturating Collegiate Gay and Bisexual Men

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Wilkerson, J. Michael; Brooks, Ann K.; Ross, Michael W.

2010-01-01

How collegiate gay and bisexual men acquire a sociosexual identity appears to affect their sexual health. Analysis of interview data from 25 self-identified collegiate gay or bisexual men resulted in the development of a collective sexual script for men acquiring a sociosexual identity. Changes in an individual's acting out of a cultural scenario…

Ethical issues in treating gay and lesbian patients.

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Drescher, Jack

2002-09-01

Since the 1973 decision to remove homosexuality from the list of mental disorders, most mental health practitioners have shifted their clinical focus from "the cure" of homosexuality to treating the concerns of gay and lesbian patients. Some clinicians, however, reject the mental health mainstream's view and continue to conceptualize homosexuality as a mental disorder. Their clinical theories have been incorporated into wider societal debates regarding the status of gay and lesbian people. The sexual conversion or reparative therapies they practice, however, may include routine ethical violations in the realm of improper pressure, confidentiality, informed consent, and fiduciary responsibility to the patient's best interest. On the other hand, a normal/identity approach to treatment, particularly in its most reductionistic forms, may involve ethical lapses in the areas of informed consent and fiduciary responsibility to the patient's best interests as well.

Legislators' positions on gay and lesbian rights: the personal and political.

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Herrick, Rebekah

2010-01-01

This article examines state legislators' public position on gay and lesbian rights by using responses to survey data on their positions toward civil unions and inclusion of sexual orientation in anti-job discrimination laws. The research finds that although state legislators are mixed on their positions, they are less supportive of gay and lesbian rights than is the general public. It also finds that their public positions are a product of both their personal beliefs and values as well as their political calculations. The implications of these findings are explored.

Suicidio en poblaciones lesbiana, gay, bisexual y trans: revisión sistemática de una década de investigación (2004-2014)

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Tomicic, Alemka; Gálvez, Constanza; Quiroz, Constanza; Martínez, Claudio; Fontbona, Jaime; Rodríguez, Juliana; Aguayo, Francisco; Rosenbaum, Catalina; Leyton, Fanny; Lagazzi, Iside

2016-01-01

Lesbian, gay, bisexual and trans (LGBT) populations have a high prevalence of suicide behaviors. Aim: To review the literature on suicide among LGBT populations. Material and Methods: A systematic review of the scientific literature published between 2004 and 2014 on suicidality among LGBT people was conducted. Forty-five articles were selected for a thematic analysis. Results: The research on suicide among LGBT people has increased during the last decade. The vast majority of studies have be...

Gender, age, and place of residence as moderators of the internalized homophobia-depressive symptoms relation among Australian gay men and lesbians.

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McLaren, Suzanne

2015-01-01

Internalized homophobia is a risk factor for depression among gay men and lesbians. The aim of the study was to test whether the internalized homophobia-depression relation was moderated by gender (stronger among gay men compared with lesbians), age (stronger among younger compared with older gay men and lesbians), and place of residence (stronger among gay men and lesbians who live in rural areas compared with those who live in urban areas). An Australian sample of 311 self-identified gay men and 570 self-identified lesbians, aged 18 to 70 years, completed the Internalized Homophobia Scale and the Centre for Epidemiological Studies Depression Scale. Results indicated that age and gender did not moderate the internalized homophobia-depressive symptoms relation. Place of residence was a significant moderator for gay men but not lesbians. In contrast to the hypothesis, the internalized homophobia-depression relation was significant only among gay men who resided in urban areas. Those who work with gay men should be particularly aware of the significant relationship between internalized homophobia and depressive symptoms among gay men who reside in urban areas.

Policy Issues in Gay and Lesbian Adoption.

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Sullivan, Ann

1995-01-01

Notes that adoption agencies have developed few specific policies on the issue of lesbian and gay adoption. Provides an overview of key considerations about homosexual adopters, including beliefs and values of agency professionals, the legal and social ramifications of adoption into a relationship not based on marriage, and possible consequences…

College Students' Attitudes toward Gays and Lesbians

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Chonody, Jill M.; Siebert, Darcy Clay; Rutledge, Scott Edward

2009-01-01

A variety of pedagogical techniques have shown promising results in promoting acceptance and affirmation of gays and lesbians among students in social work, allied health, and education professions. In this article we examine whether 211 students enrolled in a human sexuality course in a southeastern university changed their attitudes toward gays…

Perceptions of Informal and Formal Coping Strategies for Intimate Partner Violence Among Gay and Bisexual Men.

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Freeland, Ryan; Goldenberg, Tamar; Stephenson, Rob

2018-03-01

The prevalence of intimate partner violence (IPV) in same-sex male relationships has been reported to be at least as prevalent as is observed in female-male relationships. Though research has focused on understanding the prevalence and antecedents of IPV in male-male relationships, there is a paucity of data describing perceptions of coping strategies adopted by gay and bisexual men who may experience IPV. Ten focus group discussions were conducted with 64 gay and bisexual men in Atlanta, Georgia, between September 2013 and November 2013. Focus groups examined perceptions of how gay and bisexual men would respond to IPV and the IPV-coping services they would utilize. Thematic analysis was conducted to identify themes that describe how gay and bisexual men perceive existing IPV services and how they would use these services, if gay and bisexual men were to experience IPV. The results indicate that men experiencing IPV in male-male relationships do not have adequate access to IPV services that are tailored to their unique needs. As a result, there is a strong reliance on informal sources of support. Services are urgently needed to meet the unique needs of men experiencing IPV in same-sex relationships.

The Internet's Multiple Roles in Facilitating the Sexual Orientation Identity Development of Gay and Bisexual Male Adolescents.

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Harper, Gary W; Serrano, Pedro A; Bruce, Douglas; Bauermeister, Jose A

2016-09-01

One emerging avenue for the exploration of adolescents' sexual orientation identity development is the Internet, since it allows for varying degrees of anonymity and exploration. The purpose of this phenomenological study was to examine the role of the Internet in facilitating the sexual orientation identity development process of gay and bisexual male adolescents. Qualitative interviews were conducted with an ethnically diverse sample of 63 gay/bisexual male adolescents (ages 15-23). Participants reported using a range of Internet applications as they explored and came to accept their sexual orientation identity, with the intended purpose and degree of anonymity desired determining which applications were used. Youth reported that the Internet provided a range of functions with regard to the exploration and acceptance of their sexual orientation identity, including (1) increasing self-awareness of sexual orientation identity, (2) learning about gay/bisexual community life, (3) communicating with other gay/bisexual people, (4) meeting other gay/bisexual people, (5) finding comfort and acceptance with sexual orientation, and (6) facilitating the coming out process. Future research and practice may explore the Internet as a platform for promoting the healthy development of gay and bisexual male adolescents by providing a developmentally and culturally appropriate venue for the exploration and subsequent commitment to an integrated sexual orientation identity. © The Author(s) 2015.

Telling her story: narrating a Japanese lesbian community.

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Welker, James

2010-01-01

This article explores queer Japanese women's narratives of their own histories and the history of the "Japanese lesbian community," which has been constructed as a space outside the heterosexual mainstream, a space where queer women can find at least temporary refuge. It begins with the acknowledgment that the evolution and the shape of the community, along with the identities of the women who comprise it, are shifting and contested. This article specifically looks at the long history of the lesbian bar scene as well as more recent history of lesbian dance parties; the early role of lesbian feminism and activism; lesbian community-based and commercial publications, paying special attention to the critical role translation has played in Japanese lesbian discourse and the construction of multiple lesbian identities; and, finally, lesbian, gay, bisexual, and transgender (LGBT) pride events and film festivals, through which the larger LGBT community has been gaining increasing visibility. This article argues that while some of the building blocks of the community are borrowed, from the "West" as well as from the Japanese gay community, there has also been creative translation, adaptation, and resistance to these imports. The resulting Japanese lesbian community is a complex and local construct, an innovative bricolage firmly sited in Japan.

Chilling out in "Cosmopolitan Country": Urban/Rural Hybridity and the Construction of Daylesford as a "Lesbian and Gay Rural Idyll"

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Gorman-Murray, Andrew; Waitt, Gordon; Gibson, Chris

2012-01-01

This paper advances scholarship on "lesbian and gay rural idylls". A growing literature examines how "lesbian and gay rural idylls" are not only produced in opposition to the urban, but are themselves urban constructs. We extend these contentions by exploring the processes of idyllisation suffusing lesbian and gay festival…

"You Live 'Where'?!" Lesbian Mothers' Attachment to Nonmetropolitan Communities

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Oswald, Ramona Faith; Lazarevic, Vanja

2011-01-01

A positive attachment to one's residential community has been linked to better mental health (McLaren, 2009), stronger social support (Young, Russell, & Powers, 2004), and a higher quality of life (Mak, Cheung, & Law, 2009). Attachment to residential community has been understudied in research on lesbian, gay, bisexual, and transgender (LGBT)…

Overweight and Obesity in Lesbian and Bisexual College Women

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Struble, Corrie Barnett; Lindley, Lisa L.; Montgomery, Kara; Hardin, James; Burcin, Michelle

2010-01-01

Objective: To estimate and compare the prevalence of overweight and obesity among self-identified lesbian, bisexual, and heterosexual college age women. Methods: A secondary analysis of the Spring 2006 National College Health Assessment was conducted with 31,500 female college students (aged 18 to 25 years) to compare body mass index (calculated…

"That's so Gay": Heterosexual Male Undergraduates and the Perpetuation of Sexual Orientation Microagressions on Campus

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Woodford, Michael R.; Howell, Michael L.; Kulick, Alex; Silverschanz, Perry

2013-01-01

"That's so gay," a popular expression on campuses, is a sexual orientation microaggression that can contribute to a hostile environment for lesbian, gay, and bisexual (LGB) students. Using data from a campus climate survey conducted at a large urban university, we investigated use of the phrase among heterosexual male undergraduates who…

‘Gay Rights are Human Rights: The framing of new interpretations of international human rights norms’

NARCIS (Netherlands)

Holzhacker, Ron

The purpose of this chapter is to explore the development of the framing of the rights of lesbian, gay, bisexual, and transgender (LGBT) persons and sexual orientation and gender identity in terms of a human rights paradigm. This decades-long process involved many actors, from within academia, gay

Contextualizing Gay-straight Alliances: Student, Advisor, and Structural Factors Related to Positive Youth Development among Members

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Poteat, V. Paul; Yoshikawa, Hirokazu; Calzo, Jerel P.; Gray, Mary L.; DiGiovanni, Craig D.; Lipkin, Arthur; Mundy-Shephard, Adrienne; Perrotti, Jeff; Scheer, Jillian R.; Shaw, Matthew P.

2015-01-01

Gay-straight alliances (GSAs) may promote resilience. Yet, what GSA components predict well-being? Among 146 youth and advisors in 13 GSAs (58% lesbian, gay, bisexual, or questioning; 64% White; 38% received free/reduced-cost lunch), student (demographics, victimization, attendance frequency, leadership, support, control), advisor (years served,…

‘Gay Rights are Human Rights: The framing of new interpretations of international human rights norms’

NARCIS (Netherlands)

Holzhacker, Ron

2014-01-01

The purpose of this chapter is to explore the development of the framing of the rights of lesbian, gay, bisexual, and transgender (LGBT) persons and sexual orientation and gender identity in terms of a human rights paradigm. This decades-long process involved many actors, from within academia, gay

Homosexual, gay, and lesbian: defining the words and sampling the populations.

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Donovan, J M

1992-01-01

The lack of both specificity and consensus about definitions for homosexual, homosexuality, gay, and lesbian are first shown to confound comparative research and cumulative understanding because criteria for inclusion within the subject populations are often not consistent. The Description section examines sociolinguistic variables which determine patterns of preferred choice of terminology, and considers how these might impact gay and lesbian studies. Attitudes and style are found to influence word choice. These results are used in the second section to devise recommended definitional limits which would satisfy both communication needs and methodological purposes, especially those of sampling.

Coming out to dad: Young gay and bisexual men’s experiences disclosing same-sex attraction to their fathers

OpenAIRE

Jadwin-Cakmak, Laura A.; Pingel, Emily S.; Harper, Gary; Bauermeister, José A.

2014-01-01

Few studies have examined the relationship between young gay and bisexual men and their fathers. Using a phenomenological framework, this study investigated the role of fathers in young gay and bisexual men’s coming out experience, focusing on how fathers responded to disclosure of same-sex attraction, how fathers’ responses compared with sons’ expectations, and what sons perceived as having influenced their fathers’ responses. Semi-structured in-depth interviews with 30 gay and bisexual men ...

Sexual HIV risk among gay, bisexual and queer transgender men: findings from interviews in Vancouver, Canada.

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Rich, Ashleigh; Scott, Kai; Johnston, Caitlin; Blackwell, Everett; Lachowsky, Nathan; Cui, Zishan; Sereda, Paul; Moore, David; Hogg, Robert; Roth, Eric

2017-11-01

Gay, bisexual, queer and other men who have sex with men are disproportionately affected by HIV in Canada. While up to 63% of transgender men identify as gay, bisexual or queer and report a variety of HIV sexual risk behaviours, transgender men are often overlooked within epidemiological HIV surveillance and research. While a growing body of research has begun to examine sexual risk for transgender gay, bisexual and queer men, most studies have been conducted in the USA. This study explored sexual HIV risk for this population in the Canadian context, specifically in British Columbia, in an environment of publically funded universal access to healthcare, including HIV testing and treatment. We conducted interviews with 11 gay, bisexual and queer transgender men. Participants' narratives suggest that HIV risk for these transgender men is shaped by a diversity of sexual behaviours, including inconsistent condom use, seeking partners online for greater safety and accessing HIV/STI testing and other healthcare services despite facing transition-related barriers. Public health prevention and health education must recognise the presence of transgender men and ensure health services and broader population health promotion meet the unique sexual health needs of this sub-population of gay, bisexual and queer men.

The Relationship Between Sexual Activity and Depressive Symptoms in Lesbian, Gay, and Bisexual Youth: Effects of Gender and Family Support.

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Dickenson, Janna A; Huebner, David M

2016-04-01

There is considerable debate over whether adolescent sexual activity is maladaptive and associated with worse mental health outcomes versus a positive developmental milestone that is associated with better mental health outcomes. Although these perspectives are often pitted against one another, the current study employed a more integrative perspective: adolescent sexual activity may be maladaptive in certain contexts, but healthy in other contexts. We investigated whether family support and gender moderated the relation between sexual activity and mental health outcomes in a diverse sample of 519 lesbian, gay, and bisexual (LGB) youth. Specifically, we examined whether youth who engaged in more sexual activity would have fewer depressive symptoms in the context of a more supportive family environment, but more depressive symptoms in the context of a less supportive family environment and whether this effect was stronger for sexual minority girls. Consistent with the sexual health perspective, we found that among girls with more family support, those who engaged in more frequent same-sex sexual contact had lower levels of depressive symptoms. Unexpectedly, we found that among boys with more family support, those who engaged in more frequent same-sex sexual contact had higher levels of depressive symptoms. In contrast, girls and boys with less family support showed no relation between sexual activity and depressive symptoms. Overall, results suggest that context is critical when determining whether same-sex sexual contact among LGB youth should be considered maladaptive or beneficial.

Remembering gay/lesbian media characters: can Ellen and Will improve attitudes toward homosexuals?.

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Bonds-Raacke, Jennifer M; Cady, Elizabeth T; Schlegel, Rebecca; Harris, Richard J; Firebaugh, Lindsey

2007-01-01

The purpose of the current research was twofold. First, a pilot study was conducted in which participants were asked to recall any memorable gay or lesbian television or film character and complete a survey about their perceptions of the character. Results indicated that over two-thirds of heterosexual participants recalled either Ellen or Will, and evaluative ratings for these characters were generally positive. The second purpose of this research was to examine the priming effects of remembering portrayals of homosexual characters in the media. Therefore, an experiment was conducted to directly assess the effects of thinking about either a positive or negative homosexual character on general heterosexuals' attitudes toward gay men and lesbians. Results indicated that those recalling a positive portrayal later showed a more positive attitude toward gay men than those recalling a negative portrayal, and women had a more positive attitude overall than men toward gay men and lesbians. Such findings illustrate the importance of positive role models in entertainment media as potential primes of social attitudes.

Associations of racial/ethnic identities and religious affiliation with suicidal ideation among lesbian, gay, bisexual, and questioning individuals.

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Lytle, Megan C; De Luca, Susan M; Blosnich, John R; Brownson, Chris

2015-06-01

Our aim was to examine the associations of racial/ethnic identity and religious affiliation with suicidal ideation among lesbian, gay, bisexual, and questioning (LGBQ) and heterosexual college students. An additional aim was to determine the prevalence of passive suicidal ideation (i.e., death ideation) and active suicidal ideation among culturally diverse LGBQ individuals. Data from the National Research Consortium probability-based sample of college students from 70 postsecondary institutions (n=24,626) were used to examine active and passive suicidal ideation in the past 12-months and lifetime active suicidal ideation among students by sexual orientation, racial/ethnic identity, and religious affiliation. Across most racial/ethnic groups and religious affiliations, LGBQ students were more likely to report active suicidal ideation than non-LGBQ individuals. Among LGBQ students, Latino individuals had lower odds of reporting both past 12-month passive and active suicidal ideation than their non-Hispanic white LGBQ counterparts. Compared to Christian LGBQ students, Agnostic/Atheist LGBQ individuals had greater odds of reporting past 12-month passive suicidal ideation, and Jewish LGBQ students were less likely to endorse past 12-month passive and active suicidal ideation. Cross-sectional design and self-reported data. Results corroborate previous research showing elevated prevalence of suicidal ideation among LGBQ individuals in comparison to their heterosexual counterparts. These findings are among the first to document prevalence differences within the LGBQ population based on intersectional identities (race/ethnicity and religious affiliation). Providers should recognize that LGBQ individuals might need support in negotiating the complex relationship between multiple identities, especially due to their elevated prevalence of suicidal ideation. Copyright © 2015 Elsevier B.V. All rights reserved.

Associations of Racial/Ethnic Identities and Religious Affiliation with Suicidal Ideation among Lesbian, Gay, Bisexual, and Questioning Individuals

Science.gov (United States)

Lytle, Megan C.; De Luca, Susan M.; Blosnich, John R.; Brownson, Christopher

2015-01-01

Background Our aim was to examine the associations of racial/ethnic identity and religious affiliation with suicidal ideation among lesbian, gay, bisexual, and questioning (LGBQ) and heterosexual college students. An additional aim was to determine the prevalence of passive suicidal ideation (i.e., death ideation) and active suicidal ideation among culturally diverse LGBQ individuals. Methods Data from the National Research Consortium probability-based sample of college students from 70 postsecondary institutions (n=24,626) were used to examine active and passive suicidal ideation in the past 12-months and lifetime active suicidal ideation among students by sexual orientation, racial/ethnic identity, and religious affiliation. Results Across most racial/ethnic groups and religious affiliations, LGBQ students were more likely to report active suicidal ideation than non-LGBQ individuals. Among LGBQ students, Latino individuals had lower odds of reporting both past 12-month passive and active suicidal ideation than their non-Hispanic white LGBQ counterparts. Compared to Christian LGBQ students, Agnostic/Atheist LGBQ individuals had greater odds of reporting past 12-month passive suicidal ideation, and Jewish LGBQ students were less likely to endorse past 12-month passive and active suicidal ideation. Limitations Cross-sectional design and self-reported data. Conclusions Results corroborate previous research showing elevated prevalence of suicidal ideation among LGBQ individuals in comparison to their heterosexual counterparts. These findings are among the first to document prevalence differences within the LGBQ population based on intersectional identities (race/ethnicity and religious affiliation). Providers should recognize that LGBQ individuals might need support in negotiating the complex relationship between multiple identities, especially due to their elevated prevalence of suicidal ideation. PMID:25795534

Survey of School Psychologists' Attitudes, Feelings, and Exposure to Gay and Lesbian Parents and Their Children

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Choi, Hee-sook; Thul, Candrice A.; Berenhaut, Kenneth S.; Suerken, Cynthia K.; Norris, James L.

2006-01-01

School psychologists' attitudes and feelings toward gay and lesbian parents were surveyed in relation to their training and exposure, and professional services offered to gay and lesbian parents and their children. The relationship between attitudes, feelings, training, exposure, and demographic characteristics was explored as well. A stratified…

The Success of Gay-Straight Alliances in Waterloo Region, Ontario: A Confluence of Political and Social Factors