WorldWideScience

Sample records for bisexuality

  1. Theorising bisexuality

    OpenAIRE

    Monro, Surya

    2014-01-01

    The formation of Western categories of gay/straight, and the identities politics which are predicated on this formation, have largely erased bisexuality. This erasure is evident in both scholarly and community discourses, although in recent years in the UK there have been increasingly successful attempts to include bisexuals alongside lesbians, gays and trans people under the 'LGBT' acronym. Whilst bisexual people have become (arguably) more socially visible, there remains a large gap in cont...

  2. Counseling Bisexual Clients.

    Science.gov (United States)

    Smiley, Elizabeth B.

    1997-01-01

    Provides a brief conceptual statement about bisexuality. Offers a review of existing research studies, and suggests issues to consider when counseling bisexual clients. Defines bisexuality and discusses prevalence studies, identity development, and implications for counseling. Claims that bisexuality challenges traditional rules about sexual…

  3. Lesbian, Gay, Bisexual and Transgender Health

    Science.gov (United States)

    ... Risks Gay and Bisexual Men Resources LGBT Youth Transgender People Lesbian and Bisexual Women Health Services News Survey ... Gay and Bisexual Men Lesbian and Bisexual Women Transgender People LGBT Youth LGBT Youth Resources LGBT Youth Programs- ...

  4. Lesbian and Bisexual Health

    Science.gov (United States)

    ... Lesbians and bisexuals can also be victims of hate crimes and violence. Discrimination against these groups does ... Loss of balance Confusion Trouble talking or understanding speech Headache Nausea Trouble walking or seeing Remember: Even ...

  5. Examining Undergraduate Attitudes Towards Bisexuality and Bisexual Individuals

    Directory of Open Access Journals (Sweden)

    London-Terry, Charae A.

    2014-09-01

    Full Text Available Despite the great strides that the Lesbian and Gay (LG community has made in the last four decades, bisexual individuals still “report a lack of validation, isolation and ostracism within both the heterosexual and homosexual communities” (Israel & Mohr, 2004, p. 119. This study focuses on undergraduate students’ attitudes towards bisexuality and bisexual individuals at Eastern Michigan University by testing the hypothesis that homosexual and heterosexual students will have a significant bias towards bisexual persons, and that male students will demonstrate bias towards bisexual persons, regardless of their own sexual orientation. The survey instrument was an 18-item questionnaire revised from the Biphobia Scale, which presented Likert scale response options paired with statements describing stereotypical bisexual traits. An analysis of variance (ANOVA was conducted to see significance between groups, followed by a Tukey post hoc test. Recommendations will include counseling techniques for social workers and other supporting professionals who counsel bisexual persons.

  6. Examining Undergraduate Attitudes Towards Bisexuality and Bisexual Individuals

    OpenAIRE

    London-Terry, Charae A.

    2014-01-01

    Despite the great strides that the Lesbian and Gay (LG) community has made in the last four decades, bisexual individuals still “report a lack of validation, isolation and ostracism within both the heterosexual and homosexual communities” (Israel & Mohr, 2004, p. 119). This study focuses on undergraduate students’ attitudes towards bisexuality and bisexual individuals at Eastern Michigan University by testing the hypothesis that homosexual and heterosexual students will have a significant bia...

  7. Lesbian and bisexual health care.

    OpenAIRE

    Mathieson, C. M.

    1998-01-01

    OBJECTIVE: To explore lesbian and bisexual women's experiences with their family physicians to learn about barriers to care and about how physicians can provide supportive care. DESIGN: Qualitative study that was part of a larger study of lesbian and bisexual women's health care. SETTING: The province of Nova Scotia, both urban and rural counties. PARTICIPANTS: Ninety-eight self-identified lesbian or bisexual women who volunteered through snowball sampling. Women were interviewed by lesbian, ...

  8. Gay, Lesbian and Bisexual Adolescents

    Science.gov (United States)

    ... necessarily mean an individual is homosexual or bisexual. Homosexuality is the persistent sexual and emotional attraction to ... is part of the range of sexual expression. Homosexuality has existed throughout history and across cultures. Many ...

  9. Male bisexual arousal: a matter of curiosity?

    Science.gov (United States)

    Rieger, Gerulf; Rosenthal, Allen M; Cash, Brian M; Linsenmeier, Joan A W; Bailey, J Michael; Savin-Williams, Ritch C

    2013-12-01

    Conflicting evidence exists regarding whether bisexual-identified men are sexually aroused to both men and women. We hypothesized that a distinct characteristic, level of curiosity about sexually diverse acts, distinguishes bisexual-identified men with and without bisexual arousal. Study 1 assessed men's (n=277) sexual arousal via pupil dilation to male and female sexual stimuli. Bisexual men were, on average, higher in their sexual curiosity than other men. Despite this general difference, only bisexual-identified men with elevated sexual curiosity showed bisexual arousal. Those lower in curiosity had responses resembling those of homosexual men. Study 2 assessed men's (n=72) sexual arousal via genital responses and replicated findings of Study 1. Study 3 provided information on the validity on our measure of sexual curiosity by relating it to general curiosity and sexual sensation seeking (n=83). Based on their sexual arousal and personality, at least two groups of men identify as bisexual. PMID:24055219

  10. Bisexuality and the Youth Culture

    Science.gov (United States)

    Kelly, Gene F.

    1974-01-01

    Discusses bisexual modes of behavior in light of current attitudes within the youth culture and with the realization that on the basis of abailable research, generalization is difficult. Changing sex role values are discussed and some causative factors are placed in the context of current social trends. (Author/BW)

  11. Lesbian, Gay, Bisexual and Transgender Parents

    Science.gov (United States)

    ... of children in the United States have lesbian, gay, bisexual and/or transgender (LGBT) parents. Some children of LGBT parents were conceived in heterosexual marriages or relationships. An increasing number of LGBT parents ...

  12. HIV among Gay and Bisexual Men

    Science.gov (United States)

    ... VIH En Español Get Tested Find an HIV testing site near you. Enter ZIP code or city Follow HIV/AIDS CDC HIV CDC HIV/AIDS See RSS | ... Email Updates on HIV Syndicated Content Website Feedback HIV Among Gay and Bisexual Men Format: Select one ...

  13. Cancer Facts for Gay and Bisexual Men

    Science.gov (United States)

    ... their sexual orientation, because they don’t want discrimination to affect the quality of health care they receive. This can make it harder to have a comfortable relationship with a provider. A lesbian, gay, bisexual, and transgender/transsexual (LGBT) community center or group may be able to ...

  14. Lesbian, Gay, Bisexual, and Transgender Families

    Science.gov (United States)

    Biblarz, Timothy J.; Savci, Evren

    2010-01-01

    This article reviews new scholarship on lesbian, gay, bisexual, and transgender families. The past decade witnessed rapid expansion of data and strong research designs. The most notable advance was in studies on variation among mostly planned lesbian comother families. Cumulative evidence suggests that although many of these families have…

  15. Conservative Beliefs, Attitudes Toward Bisexuality, and Willingness to Engage in Romantic and Sexual Activities With a Bisexual Partner.

    Science.gov (United States)

    Feinstein, Brian A; Dyar, Christina; Bhatia, Vickie; Latack, Jessica A; Davila, Joanne

    2016-08-01

    Negative attitudes toward bisexuals have been documented among heterosexuals as well as lesbians/gay men, and a common theme is that bisexuals would not be suitable romantic or sexual partners. While gender, sexual orientation, and attitudes toward bisexuality influence people's willingness to engage in romantic or sexual activities with a bisexual partner, there are other individual differences that may contribute. The current study examined the associations between four types of conservative beliefs and willingness to engage in romantic/sexual activities with a bisexual partner in a sample of heterosexuals and lesbians/gay men (N = 438). Attitudes toward bisexuality were examined as a mediator of these associations. In general, results indicated that higher social dominance orientation, political conservatism, and essentialist beliefs about the discreteness of homosexuality were associated with lower willingness to engage in romantic/sexual activities with a bisexual partner. Further, more negative attitudes toward bisexuality mediated these associations. There were several meaningful differences in these associations between heterosexual women, heterosexual men, lesbian women, and gay men, suggesting that influences on people's willingness to be romantically or sexually involved with a bisexual partner may differ for different gender and sexual orientation groups. Implications for reducing stigma and discrimination against bisexual individuals are addressed. PMID:26712126

  16. Assessing Bisexual Stigma and Mental Health Status: A Brief Report

    OpenAIRE

    Bostwick, Wendy

    2012-01-01

    Bisexual women often report higher rates of depression and mental health problems than their heterosexual and lesbian counterparts. These disparities likely occur, in part, as a result of the unique stigma that bisexual women face and experience. Such stigma can in turn operate as a stressor, thereby contributing to poor mental health status. The current pilot study tested a new measure of bisexual stigma and its association with mental health. Results suggest a moderate positive correlation ...

  17. Reading Bisexually: Acknowledging a Bisexual Perspective in Giovanni's Room, The Color purple, and Brokeback Mountain

    OpenAIRE

    2012-01-01

    In literary theory, literary criticism and in the Western literary canon there is evidence of an exclusion or erasure of a bisexual perspective, and this has also been the case within much of the written history of sexuality and theory, relating to gender, sexuality and identity. This thesis examines and analyses three literary classics; ‘Giovanni’s Room’ by James Baldwin, Alice Walker’s ‘The Color Purple,’ and ‘Brokeback Mountain’ by Annie Proulx, from a bisexual perspective. I have sought ...

  18. Guidelines for Psychological Practice With Lesbian, Gay, and Bisexual Clients

    Science.gov (United States)

    American Psychologist, 2012

    2012-01-01

    The "Guidelines for Psychological Practice With Lesbian, Gay, and Bisexual Clients" provide psychologists with (a) a frame of reference for the treatment of lesbian, gay, and bisexual clients and (b) basic information and further references in the areas of assessment, intervention, identity, relationships, diversity, education, training, and…

  19. Impediments to Academic Performance of Bisexual College Students

    Science.gov (United States)

    Klein, Nicole Aydt; Dudley, Michael G.

    2014-01-01

    Objective: To investigate health-related impediments to academic success for bisexual college students. Participants: Respondents to the Fall 2011 American College Health Association-National College Health Assessment II (ACHA-NCHA II) survey who self-identified as bisexual, heterosexual, gay, or lesbian. Methods: Secondary analyses of the…

  20. Bisexuality, poverty and mental health: A mixed methods analysis.

    Science.gov (United States)

    Ross, Lori E; O'Gorman, Laurel; MacLeod, Melissa A; Bauer, Greta R; MacKay, Jenna; Robinson, Margaret

    2016-05-01

    Bisexuality is consistently associated with poor mental health outcomes. In population-based data, this is partially explained by income differences between bisexual people and lesbian, gay, and/or heterosexual individuals. However, the interrelationships between bisexuality, poverty, and mental health are poorly understood. In this paper, we examine the relationships between these variables using a mixed methods study of 302 adult bisexuals from Ontario, Canada. Participants were recruited using respondent-driven sampling to complete an internet-based survey including measures of psychological distress and minority stress. A subset of participants completed a semi-structured qualitative interview to contextualize their mental health experiences. Using information regarding household income, number of individuals supported by the income and geographic location, participants were categorized as living below or above the Canadian Low Income Cut Off (LICO). Accounting for the networked nature of the sample, participants living below the LICO had significantly higher mean scores for depression and posttraumatic stress disorder symptoms and reported significantly more perceived discrimination compared to individuals living above the LICO. Grounded theory analysis of the qualitative interviews suggested four pathways through which bisexuality and poverty may intersect to impact mental health: through early life experiences linked to bisexuality or poverty that impacted future financial stability; through effects of bisexual identity on employment and earning potential; through the impact of class and sexual orientation discrimination on access to communities of support; and through lack of access to mental health services that could provide culturally competent care. These mixed methods data help us understand the income disparities associated with bisexual identity in population-based data, and suggest points of intervention to address their impact on bisexual mental

  1. 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 ... United States, the most common types of viral hepatitis are Hepatitis A, Hepatitis B, and Hepatitis C. ...

  2. [Neutrality, bisexuality and androgyny of the psychoanalyst].

    Science.gov (United States)

    Molfino, F

    1993-06-01

    Proceeding from the fact that Western thought is based on Greek philosophy, the author pinpoints a feature specific to psychoanalysis. Unlike other sciences, which are grounded in the central (and latently homosexual) relation of rhetoric and dialogue between teacher and pupil, psychoanalytic dialogue centers around a heterosexual (male/female) relationship. Prototypic for this is the confrontation of the psychoanalyst with the "complex burden of female love". The fascination of philosophy lies in similarity, that of psychoanalysis in difference. The gender question, and more specifically the sex of the analyst, has been given little attention in connection with the transference/countertransference paradigm. With a discussion of the concepts of neutrality (Freud), bisexuality (Freud, Jung) and with reference to literary sources on androgyny (V. Woolf, Balzac, Le Guin) Molfino undertakes the attempt to take the gender discussion in psychoanalytic theory and practice a stage further. PMID:8351399

  3. Lesbian, Gay, Bisexual, and Transgender Populations: 2011 National Healthcare Disparities Report

    Science.gov (United States)

    ... Go to Online Store Lesbian, Gay, Bisexual, and Transgender Populations Selected Findings From the 2011 National Healthcare ... NHDR begins tracking of lesbian, gay, bisexual, and transgender (LGBT) populations as one of these priority populations. ...

  4. Young Gay, Bisexual Men May Be At Higher Risk for Suicide, Study Finds

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_158504.html Young Gay, Bisexual Men May Be at Higher Risk for ... 2016 TUESDAY, April 26, 2016 (HealthDay News) -- Young gay and bisexual men may be much more likely ...

  5. Challenges and Mental Health Experiences of Lesbian and Bisexual Women Who Are Trying to Conceive

    Science.gov (United States)

    Yager, Christina; Brennan, David; Steele, Leah S.; Epstein, Rachel; Ross, Lori E.

    2010-01-01

    To date, there is little evidence to inform social work practice with lesbian and bisexual women who are trying to conceive (TTC). The authors report a preliminary examination of the mental health experiences of lesbian and bisexual women who are TTC, through a comparison with lesbian and bisexual women in the postpartum period (PP). Thirty-three…

  6. HIV among African American Gay and Bisexual Men

    Science.gov (United States)

    ... VIH En Español Get Tested Find an HIV testing site near you. Enter ZIP code or city Follow HIV/AIDS CDC HIV CDC HIV/AIDS See RSS | ... Email Updates on HIV Syndicated Content Website Feedback HIV Among African American Gay and Bisexual Men Format: ...

  7. Campus Life for Gay, Lesbian, Bisexual, and Transgender People

    Science.gov (United States)

    Journal of American College Health, 2005

    2005-01-01

    Gay, Lesbian, Bisexual, and Transgender people, including students, faculty members, and staff members, from 14 institutions of higher education responded to a questionnaire about oppressive experiences, perceptions of the campus environment, and institutional policies. The results revealed that 36 percent of the undergraduate respondents reported…

  8. School Experiences of Gay, Lesbian, Bisexual and Transgender Youth

    Science.gov (United States)

    Holmes, Sarah E.; Cahill, Sean

    2004-01-01

    Gay, lesbian, bisexual, and transgender (GLBT) youth are coming out at younger ages, but schools have not changed as fast as the culture, leaving many youth isolated and at risk of violence and harassment. For GLBT youth of color, these problems are exacerbated by racism and the risk of rejection by their ethnic community. Children of GLBT parents…

  9. Groups for the Wives of Gay and Bisexual Men.

    Science.gov (United States)

    Auerback, Sandra; Moser, Charles

    1987-01-01

    Found groups for wives of gay and bisexual men to be an effective therapeutic intervention for the problems that arise when a husband makes a disclosure to his wife that he is interested in pursuing homosexual relationships. The groups helped wives resolve the issues of the marriage and to make positive changes in their lives. (Author)

  10. 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…

  11. Dating violence experiences of lesbian, gay, bisexual, and transgender youth.

    Science.gov (United States)

    Dank, Meredith; Lachman, Pamela; Zweig, Janine M; Yahner, Jennifer

    2014-05-01

    Media attention and the literature on lesbian, gay, and bisexual youth overwhelmingly focus on violence involving hate crimes and bullying, while ignoring the fact that vulnerable youth also may be at increased risk of violence in their dating relationships. In this study, we examine physical, psychological, sexual, and cyber dating violence experiences among lesbian, gay, and bisexual youth--as compared to those of heterosexual youth, and we explore variations in the likelihood of help-seeking behavior and the presence of particular risk factors among both types of dating violence victims. A total of 5,647 youth (51 % female, 74 % White) from 10 schools participated in a cross-sectional anonymous survey, of which 3,745 reported currently being in a dating relationship or having been in one during the prior year. Results indicated that lesbian, gay, and bisexual youth are at higher risk for all types of dating violence victimization (and nearly all types of dating violence perpetration), compared to heterosexual youth. Further, when looking at gender identity, transgender and female youth are at highest risk of most types of victimization, and are the most likely perpetrators of all forms of dating violence but sexual coercion, which begs further exploration. The findings support the development of dating violence prevention programs that specifically target the needs and vulnerabilities of lesbian, gay, and bisexual youth, in addition to those of female and transgender youth. PMID:23861097

  12. Service Accessibility for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth

    Science.gov (United States)

    Acevedo-Polakovich, Ignacio David; Bell, Bailey; Gamache, Peter; Christian, Allison S.

    2013-01-01

    Although Lesbian, Gay, Bisexual, Transgender, Queer and/or Questioning (LGBTQ) youth experience alarming rates of behavioral and social problems, service use among these youth is disproportionately low. It is likely that decreased service accessibility plays a causal role in service underutilization among LGBTQ youth. To expand the existing…

  13. Predicting the Suicide Attempts of Lesbian, Gay, and Bisexual Youth

    Science.gov (United States)

    D'Augelli, Anthony R.; Grossman, Arnold H.; Salter, Nicholas P.; Vasey, Joseph J.; Starks, Michael T.; Sinclair, Katerina O.

    2006-01-01

    In this study predictors of serious suicide attempts among lesbian, gay, and bisexual (LGB) youth were examined. Three groups were compared: youth who reported no attempts, youth who reported attempts unrelated to their sexual orientation, and youth whose attempts were considered related to their sexual orientation. About one third of respondents…

  14. Students Who Are Gay, Lesbian, Bisexual, or Transgender

    Science.gov (United States)

    Glimps, Blanche Jackson

    2005-01-01

    This manuscript is a review of the literature concerning students who are lesbians, gay, bisexual or transgender. Schools may face challenges or opportunities in meeting the needs of these students. The importance of addressing the needs of these at risk students is emphasized. Instructional resources that are designed to provide a supportive…

  15. Use of preventive health behaviors by lesbian, bisexual, and heterosexual women: questionnaire survey

    OpenAIRE

    Koh, Audrey S

    2000-01-01

    Objectives To determine whether lesbians and bisexual women are less likely than heterosexual women to use preventive health measures. Design Written, anonymous, self-administered questionnaire. Setting 33 physicians' offices and community clinics mainly in urban areas of 13 states. Participants 524 lesbians, 143 bisexual women, and 637 heterosexual women. Results Bisexual women were less likely than heterosexual women to have had appropriate cholesterol screening (odds ratio 0.29, 95% confid...

  16. Ecological Models of Sexual Satisfaction among Lesbian/Bisexual and Heterosexual Women

    OpenAIRE

    Henderson, Alison W.; Lehavot, Keren; Simoni, Jane M

    2008-01-01

    Sexual satisfaction is an integral component of sexual health and well-being, yet we know little about which factors contribute to it among lesbian/bisexual women. To examine a proposed ecological model of sexual satisfaction, we conducted an internet survey of married heterosexual women and lesbian/bisexual women in committed same-sex relationships. Structural equation modeling included five final latent variables for heterosexual women and seven final latent variables for lesbian/bisexual w...

  17. Sexual Identity Development among Gay, Lesbian, and Bisexual Youths: Consistency and Change Over Time

    OpenAIRE

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

    2006-01-01

    A longitudinal report of 156 gay, lesbian, and bisexual youths examined changes in sexual identity over time. Fifty-seven percent of the youths remained consistently self-identified as gay/lesbian, 18% transited from bisexual to gay/lesbian, and 15% consistently identified as bisexual over time. Although youths who consistently identified as gay/lesbian did not differ from other youths on time since experiencing sexual developmental milestones, they reported current sexual orientation and sex...

  18. Gay and Bisexual men's use of the Internet: Research from the 1990s through 2013

    OpenAIRE

    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 int...

  19. 75 FR 27581 - Solicitation for a Cooperative Agreement-Lesbian, Gay, Bisexual, Transgender, and Intersex...

    Science.gov (United States)

    2010-05-17

    ..., Transgender, and Intersex Guidance Project AGENCY: National Institute of Corrections, U.S. Department of... corrections practitioners charged with the care and custody of lesbian, gay, bisexual, transgender,...

  20. Victimization and Suicidality among Dutch Lesbian, Gay, and Bisexual Youth

    OpenAIRE

    2012-01-01

    This study among 274 Dutch lesbian, gay, and bisexual (LGB) youth showed that victimization at school was associated with suicidal ideation and actual suicide attempts. Homophobic rejection by parents was also associated with actual suicide attempts. Suicidality in this population could be reduced by supporting coping strategies of LGB youth who are confronted with stigmatization by peers and parents, and by schools actively promoting acceptance of same-sex sexuality.

  1. Antecedents of Intimate Partner Violence Among Gay and Bisexual Men

    OpenAIRE

    Finneran, Catherine; Stephenson, Rob

    2014-01-01

    Examinations of gay and bisexual men’s (GBM) perceptions of intimate partner violence (IPV), including their perceptions of events likely to precipitate IPV, are lacking. Focus group discussions with GBM (n = 83) yielded 24 unique antecedents, or triggers, of IPV in male–male relationships. Venue-recruited survey participants (n = 700) identified antecedents that were likely to cause partner violence in male–male relationships, including antecedents GBM-specific currently absent from the lite...

  2. Heteronormativity and the exclusion of bisexuality in psychology

    OpenAIRE

    Barker, Meg

    2007-01-01

    About the book: There has been a recent explosion of interest in Lesbian, Gay, Bisexual and Trans Perspective Psychology amongst students and academics, and this interest is predicted to continue to rise. Recent media debates on subjects such as same-sex marriage have fuelled interest in LGBTQ perspectives. This edited collection showcases the latest thinking in LGBTQ psychology. The book has 21 chapters covering subjects such as same sex parenting, outing, young LGBTQ people, sport, learn...

  3. Reconceptualization of Lesbian, Gay, Bisexual and Transgender (LGBT) Health Disparities

    OpenAIRE

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

    2014-01-01

    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-rel...

  4. Incorporating Lesbian and Bisexual Women into Women Veterans’ Health Priorities

    OpenAIRE

    Lehavot, Keren; Simpson, Tracy L.

    2013-01-01

    ABSTRACT Relative to the general population, lesbian and bisexual (LB) women are overrepresented in the military and are significantly more likely to have a history of military service compared to all adult women. Due to institutional policies and stigma associated with a gay or lesbian identity, very little empirical research has been done on this group of women veterans. Available data suggest that compared to heterosexual women veterans, LB women veterans are likely to experience heightene...

  5. Gay, lesbian and bisexual health care issues and medical curricula.

    OpenAIRE

    Robinson, G.; Cohen, M.

    1996-01-01

    The authors respond to Nancy Robb's account of the inadequacy of medical school curricula in addressing health care issues relevant to gay, lesbian and bisexual people (see page 765 of this issue) by proposing a framework for curriculum reform. This framework supports the development of knowledge, attitudes and skills necessary to the provision of sensitive and comprehensive care for these patient groups through four types of learning experiences: didactic instruction, small-group discussions...

  6. Increased diversification rates follow shifts to bisexuality in liverworts.

    Science.gov (United States)

    Laenen, Benjamin; Machac, Antonin; Gradstein, S Robbert; Shaw, Blanka; Patiño, Jairo; Désamoré, Aurélie; Goffinet, Bernard; Cox, Cymon J; Shaw, A Jonathan; Vanderpoorten, Alain

    2016-05-01

    Shifts in sexual systems are one of the key drivers of species diversification. In contrast to angiosperms, unisexuality prevails in bryophytes. Here, we test the hypotheses that bisexuality evolved from an ancestral unisexual condition and is a key innovation in liverworts. We investigate whether shifts in sexual systems influence diversification using hidden state speciation and extinction analysis (HiSSE). This new method compares the effects of the variable of interest to the best-fitting latent variable, yielding robust and conservative tests. We find that the transitions in sexual systems are significantly biased toward unisexuality, even though bisexuality is coupled with increased diversification. Sexual systems are strongly conserved deep within the liverwort tree but become much more labile toward the present. Bisexuality appears to be a key innovation in liverworts. Its effects on diversification are presumably mediated by the interplay of high fertilization rates, massive spore production and long-distance dispersal, which may separately or together have facilitated liverwort speciation, suppressed their extinction, or both. Importantly, shifts in liverwort sexual systems have the opposite effect when compared to angiosperms, leading to contrasting diversification patterns between the two groups. The high prevalence of unisexuality among liverworts suggests, however, a strong selection for sexual dimorphism. PMID:27074401

  7. Current intimate relationship status, depression, and alcohol use among bisexual women: The mediating roles of bisexual-specific minority stressors

    OpenAIRE

    Molina, Yamile; Marquez, Jacob H.; Logan, Diane E.; Leeson, Carissa J.; Balsam, Kimberly F.; Kaysen, Debra L.

    2015-01-01

    Current intimate relationship characteristics, including gender and number of partner(s), may affect one's visibility as a bisexual individual and the minority stressors they experience, which may in turn influence their health. The current study tested four hypotheses: 1) minority stressors vary by current intimate relationship status; 2) higher minority stressors are associated with higher depressive symptoms and alcohol-related outcomes; 3) depressive symptoms and alcohol-related outcomes ...

  8. The health of people classified as lesbian, gay and bisexual attending family practitioners in London: a controlled study

    OpenAIRE

    Nazareth Irwin; King Michael

    2006-01-01

    Abstract Background The morbidity of gay, lesbian or bisexual people attending family practice has not been previously assessed. We compared health measures of family practice attendees classified as lesbian, gay and bisexual. Methods We conducted a cross-sectional, controlled study conducted in 13 London family practices and compared the responses of 26 lesbian and 85 bisexual classified women, with that of 934 heterosexual classified women and 38 gay and 23 bisexual classified men with that...

  9. A model for lesbian, bisexual and queer-related influences on alcohol consumption and implications for policy and practice.

    Science.gov (United States)

    McNair, Ruth; Pennay, Amy; Hughes, Tonda; Brown, Rhonda; Leonard, William; Lubman, Dan I

    2016-04-01

    Research consistently reports higher rates of problematic drinking among lesbian, bisexual and queer women than among heterosexual women, but relatively little research has identified underlying factors. Within this context, the aim of the present study was to qualitatively explore the sociocultural influences on alcohol consumption among lesbian, bisexual and queer women in Australia. An ethnographic study including in-depth interviews and 10 sessions of participant observation was conducted with 25 Australian lesbian, bisexual and queer women. Analysis of transcripts and fieldnotes focused on lesbian, bisexual and queer-related influences on alcohol consumption. Three lesbian, bisexual and queer-related factors were identified that influenced alcohol use: (1) coping, (2) connection and (3) intersections with lesbian, bisexual and queer identity. Most participants reported consuming alcohol to cope with discrimination or to connect with like-minded others. Alcohol use had positive influences for some women through facilitating social connection and wellbeing. Women with a high lesbian, bisexual and queer identity salience were more likely to seek lesbian, bisexual and queer community connection involving alcohol, to publicly identify as lesbian, bisexual and queer and to experience discrimination. National policies need to address underlying causes of discrimination against lesbian, bisexual and queer women. Alcohol policies and clinical interventions should acknowledge the impact of discrimination on higher alcohol consumption amongst lesbian, bisexual and queer women compared with heterosexual women, and should utilise health promotion messages regarding safe drinking that facilitate lesbian, bisexual and queer social connection. PMID:26466746

  10. Reports of Parental Maltreatment during Childhood in a United States Population-Based Survey of Homosexual, Bisexual, and Heterosexual Adults.

    Science.gov (United States)

    Corliss, Heather L.; Cochran, Susan D.; Mays, Vickie M.

    2002-01-01

    A study examined childhood maltreatment among 2917 heterosexual, homosexual, and bisexual adults. Homosexual/bisexual men reported higher rates than heterosexual men of childhood emotional and physical maltreatment by their mothers and major physical maltreatment by their fathers. Homosexual/bisexual women reported higher rates of major physical…

  11. Violence Prevention among Lesbian, Gay, Bisexual, and Transgender College Students. Prevention Update

    Science.gov (United States)

    Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, 2010

    2010-01-01

    A 2010 report from Campus Pride called "State of Higher Education for Lesbian, Gay, Bisexual & Transgender People" is the most comprehensive national research study of its kind to date. It documents experiences of more than 5,000 students, faculty members, staff members, and administrators who identify as LGBTQQ (lesbian, gay, bisexual,…

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

    Science.gov (United States)

    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…

  13. Young Gay, Bisexual Men May Be At Higher Risk for Suicide, Study Finds

    Science.gov (United States)

    ... or federal policy. More Health News on: Gay, Lesbian, Bisexual and Transgender Health Health Disparities Mental Health Recent Health News Related MedlinePlus Health Topics Gay, Lesbian, Bisexual and Transgender Health Health Disparities Mental Health About MedlinePlus Site Map ...

  14. Mental health and clinical correlates in lesbian, gay, bisexual, and queer young adults

    DEFF Research Database (Denmark)

    Grant, Jon E; Odlaug, Brian Lawrence; Derbyshire, Katherine;

    2014-01-01

    This study examined the prevalence of mental health disorders and their clinical correlates in a university sample of lesbian, gay, bisexual, and queer (LGBQ) students.......This study examined the prevalence of mental health disorders and their clinical correlates in a university sample of lesbian, gay, bisexual, and queer (LGBQ) students....

  15. Experiences and Perceptions of Gay and Bisexual Fraternity Members From 1960 to 2007: A Cohort Analysis

    Science.gov (United States)

    Rankin, Susan R.; Hesp, Grahaeme A.; Weber, Genevieve N.

    2013-01-01

    The study included 337 self-identified gay and bisexual fraternity members, with 170 joining their chapters in the year 2000 or after, 99 joining their chapters between the years 1990 and 1999, and 68 joining in the year 1989 or before. Participants who self-identified as gay or bisexual men and who joined in the year 2000 or after reported a more…

  16. 77 FR 33599 - Lesbian, Gay, Bisexual, and Transgender Pride Month, 2012

    Science.gov (United States)

    2012-06-07

    ... two hundred and thirty-sixth. (Presidential Sig.) [FR Doc. 2012-13949 Filed 6-6-12; 8:45 am] Billing... Documents#0;#0; ] Proclamation 8834 of June 1, 2012 Lesbian, Gay, Bisexual, and Transgender Pride Month... hereby proclaim June 2012 as Lesbian, Gay, Bisexual, and Transgender Pride Month. I call upon the...

  17. 76 FR 32853 - Lesbian, Gay, Bisexual, And Transgender Pride Month, 2011

    Science.gov (United States)

    2011-06-07

    ... States of America the two hundred and thirty-fifth. (Presidential Sig.) [FR Doc. 2011-14174 Filed 6-6-11...#0;#0; ] Proclamation 8685 of May 31, 2011 Lesbian, Gay, Bisexual, And Transgender Pride Month, 2011... States, do hereby proclaim June 2011 as Lesbian, Gay, Bisexual, and Transgender Pride Month. I call...

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

    Science.gov (United States)

    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…

  19. The bisexual identity of transsexuals: Two case examples.

    Science.gov (United States)

    Stoller, R J; Newman, L E

    1971-03-01

    Clinical data from two cases of male transsexualism, a child and an adult, illustrate the nature of the bisexuality typical of such patients. The first, an 8-year-old boy whose desire to be a girl is seen in his constant dressing and acting like a girl, confirms in play therapy, story telling, and drawings his fantasies of being a female. However, these fantasies are never free of the knowledge that he has a penis and a male identity as well. That this bisexuality persists into the transsexual's adulthood is exemplified in the fantasy life of the second case, a 30-year-old operated male transsexual. The memory, "I was once a boy" never quite fades away; no matter how successfully the passing as a woman is managed, she cannot rid herself of the secret maleness. The belief in such patients that they are fundamentally female though possessed of an anatomically normal male body will persist through adulthood, unaltered by "sex change," by hormonal or surgical procedures, or by living successfully for years as a woman. This bisexuality is conscious, painful, and not assuaged by symptom formation, forgetting, or other defenses that would remove the conscious sense of having two sexes. In the child the unwanted sense of belonging to the male sex, which causes a disquieting undercurrent, can be used as the base upon which a more solid sense of masculinity can be built. Unfortunately, for the adult transsexual the balance of the "two-sexed" awareness cannot be tipped to a willingness to live as a man; despite treatment aimed at making them more manly, adult transsexuals retain their wish to be female-and their secret knowledge that, after all the operations and female hormones, a male part remains untouched within. PMID:24179045

  20. Health care provision in Brazil: A dialogue between health professionals and lesbian, gay, bisexual and transgender service users.

    Science.gov (United States)

    Moscheta, Murilo S; Souza, Laura V; Santos, Manoel A

    2016-03-01

    The aim of this study was to encourage the development of resources to improve health care for lesbian, gay, bisexual and transgender service users. Dialogues between health professionals and lesbian, gay, bisexual and transgender service users (inspired by the Public Conversations Project) highlighted the need (a) to improve communication between users and health professionals; (b) to question what constitutes an expert on lesbian, gay, bisexual and transgender care; (c) to reconfigure rigid notions about sexual identity; (d) to deconstruct the association between sexually transmitted diseases and lesbian, gay, bisexual and transgender service users; and (e) to adopt a less judgemental attitude towards lesbian, gay, bisexual and transgender people during hospital admissions. PMID:26987831

  1. The Gay, Lesbian, and Bisexual Vote in 2006

    OpenAIRE

    Gates, Gary J.

    2006-01-01

    Gay, lesbian, and bisexual (GLB) voters may have a disproportionate impact in some key races in the upcoming election. An analysis of the GLB population in districts and states with competitive races shows the following: • In competitive House races with a Republican incumbent, an estimated 4.2 to 4.3 percent of adults are GLB, a figure above the national estimate of 4.1 percent and higher than proportions in tight races with an open seat or Democrat incumbent. • In Senate races with a Democr...

  2. How Many People are Lesbian, Gay, Bisexual and Transgender?

    OpenAIRE

    Gates, Gary J.

    2011-01-01

    Drawing on information from four recent national and two state-level population-based surveys, the analyses suggest that there are more than 8 million adults in the US who are lesbian, gay, or bisexual, comprising 3.5% of the adult population. There are also nearly 700,000 transgender individuals in the US. In total, the study suggests that approximately 9 million Americans – roughly the population of New Jersey – identify as LGBT. Key findings from the study include among adults who identify...

  3. Working with lesbians, gays, and bisexuals: addressing heterosexism in supervision.

    Science.gov (United States)

    Long, J K

    1996-09-01

    Heterosexism is a form of multicultural bias that has the potential to harm both clients and supervisors. Supervisors are encouraged to examine their own heterosexist lens as a first step in providing a safe environment in which supervisors can challenge their own heterosexism. The issue of heterosexism is first discussed from an ethical vantage point. The second section of the article examines four facets of heterosexism (discrimination, lack of knowledge, stereotyping, and insensitivity) and how they might be exhibited by the supervisor in the supervision arena. Special topics discussed in this section include: the possible consequences of "coming out" in the supervisory context; the presence of heterosexism in the foundational family systems theory; the need for recognition of the special family characteristics of lesbians, gays, and bisexuals; the value of personal and professional relationships with persons who are gay, lesbian, and bisexual; common heterosexist stereotypes and research that refutes them; and the use of language. The final section of the article offers suggestions for working with supervisors around these issues. PMID:9111716

  4. Beyond ‘MSM’: Sexual Desire Among Bisexually-Active Latino Men in New York City

    OpenAIRE

    Muñoz-Laboy, Miguel A.

    2004-01-01

    Latino male bisexuality has been studied for the most part with a focus on men who have sex with men (MSM) and with little attention to sexual desire. The goal of this article is to present a comprehensive understanding of how sexual desire is organized, enacted through sexual activity, and interpreted in the sexual lives of bisexually-active Latino men. To achieve this aim, an analysis was made of 18 sexual histories of bisexually active Latino men who participated in a two-year ethnographic...

  5. Information needs of gay, lesbian, bisexual, and transgendered health care professionals: results of an Internet survey

    OpenAIRE

    Fikar, Charles R.; Keith, Latrina (NYAM)

    2004-01-01

    Objectives: To obtain basic facts and considered opinions from health care professionals and students (nonlibrarian and librarian) about the information needs of gay, lesbian, bisexual, and transgendered (GLBT) health care professionals and their interactions with medical librarians.

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

    Science.gov (United States)

    Russell, Stephen T; Fish, Jessica N

    2016-03-28

    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

  7. 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. PMID:26772206

  8. Sexual Liberty and Same-Sex Marriage: An Argument from Bisexuality

    OpenAIRE

    Boucai, Michael

    2012-01-01

    Published in the San Diego Law Review, this article proposes that same-sex marriage bans are unconstitutional under Lawrence v. Texas because they channel people, particularly bisexuals, into heterosexual relations and relationships. In addition to detailing this claim’s legal and factual bases, “Sexual Liberty and Same-Sex Marriage” refutes the supposed doctrinal imperatives that underlie bisexual erasure in gay rights litigation.

  9. Predictors of day-level sexual risk for young gay and bisexual men

    OpenAIRE

    Parsons, Jeffrey T.; Lelutiu-Weinberger, Corina; Botsko, MICHAEL; Golub, Sarit A.

    2013-01-01

    As HIV infection rates remain high among young gay and bisexual men, investigations into determinants of sexual risk are paramount. This study examined independent and interactive effects of substance use, mental health, perceived benefits of unprotected sex, and type of sex partner on odds of not using condoms. Analyses included 188 high-risk substance using HIV-negative and unknown status young gay and bisexual men (ages 18–29). Substance use and endorsing favorable attitudes towards unprot...

  10. Differences in club drug use between heterosexual and lesbian/bisexual females

    OpenAIRE

    Parsons, Jeffrey T.; Kelly, Brian C.; Wells, Brooke E.

    2006-01-01

    Although there has been much empirical research documenting current trends in club drug use among gay and bisexual men, little research has addressed the variance among lesbian, bisexual, or heterosexual women. Using data collected through time—space sampling from dance clubs in New York City during 2005 (N=1104), this study explored sexual identity variance among women in the reported use of six club drugs: methamphetamine, cocaine, MDMA, ketamine, GHB, and LSD. Significant differences were ...

  11. Lesbian and bisexual women's human rights, sexual rights and sexual citizenship: negotiating sexual health in England.

    OpenAIRE

    Formby, Eleanor

    2011-01-01

    Lesbian and bisexual women's sexual health is neglected in much Government policy and practice in England and Wales. This paper examines lesbian and bisexual women's negotiation of sexual health, drawing on findings from a small research project. Themes explored include invisibility and lack of information, influences on decision-making and sexual activities and experiences of services and barriers to sexual healthcare. Key issues of importance in this respect are homophobic and heterosexist ...

  12. Comparison of HIV Risks among Gay, Lesbian, Bisexual and Heterosexual Homeless Youth

    OpenAIRE

    Gangamma, Rashmi; SLESNICK, NATASHA; Toviessi, Paula; Serovich, Julianne

    2008-01-01

    Youth who are homeless and gay, lesbian or bisexual (GLB) are one of the most disenfranchised and marginalized groups in our society. The purpose of this study is to examine and compare HIV in GLB homeless youth with their heterosexual counterparts. Participants for this study included 268 youth involved in treatment outcome studies with substance abusing homeless youth. Results suggest that GLB youth have greater HIV risks and that these risks are greater among bisexual females. In examining...

  13. Torchwood’s supermen: bisexuality as a hyper-masculine superpower

    OpenAIRE

    Haslop, C.

    2015-01-01

    Torchwood’s supermen: bisexuality as a hyper-masculine superpower The media and academics have celebrated the liberating and frank representations of fluid or bi sexuality in the BBC’s Doctor Who (2005-) spin off television series, Torchwood (2006-2011). At the time, few TV series in the UK had included a full cast of bisexual characters let alone one that rarely labelled its queer characters with a sexual identity. This paper presents audience research using focus groups exploring Torchwood’...

  14. Sexual health and life experiences: Voices from behaviourally bisexual Latino men in the Midwestern USA

    OpenAIRE

    Martinez, Omar; DODGE, BRIAN; Reece, Michael; Schnarrs, Philip; Rhodes, Scott; Goncalves, Gabriel; Muñoz-Laboy, Miguel; Malebranche, David; Van Der Pol, Barbara; Nix, Ryan; Kelle, Guadalupe; Fortenberry, J. Dennis

    2011-01-01

    Research on behaviourally bisexual Latino men in the USA has not yet examined sexual health issues among men living in diverse areas of the nation, including the Midwest. A community-based participatory research (CBPR) approach was used to engage a diverse sample of 75 behaviourally bisexual men (25 White, 25 Black, and 25 Latino). Semi-structured interviews were conducted and, in this paper, standard qualitative analysis procedures were used to explore data from the 25 Latino participants. M...

  15. Lesbian, gay, bisexual, and transgender health issues, disparities, and information resources.

    Science.gov (United States)

    McKay, Becky

    2011-01-01

    Lesbian, gay, bisexual, and transgender (LGBT) persons, while widely diverse in many ways, share health disparities related to the stigma and discrimination they experience, including disproportionate rates of psychiatric disorders, substance abuse, and suicide. Lesbians, gay men, bisexuals, and the transgender communities have additional health concerns and disparities unique to each population. This paper highlights the national recognition of these health issues and disparities and presents web-based information resources about them and their mitigation. PMID:22040245

  16. Comparison of Auditory Evoked Potentials in Heterosexual, Homosexual, and Bisexual Males and Females

    OpenAIRE

    McFadden, Dennis; Champlin, Craig A.

    2000-01-01

    The auditory evoked potentials (AEPs) elicited by click stimuli were measured in heterosexual, homosexual, and bisexual males and females having normal hearing sensitivity. Estimates of latency and/or amplitude were extracted for nine peaks having latencies of about 2–240 ms, which are presumed to correspond to populations of neurons located from the auditory nerve through auditory cortex. For five of the 19 measures obtained, the mean latency or amplitude for the 57 homosexual and bisexual f...

  17. Genetic Circuits that Govern Bisexual and Unisexual Reproduction in Cryptococcus neoformans

    OpenAIRE

    Feretzaki, Marianna; Heitman, Joseph

    2013-01-01

    Cryptococcus neoformans is a human fungal pathogen with a defined sexual cycle. Nutrient-limiting conditions and pheromones induce a dimorphic transition from unicellular yeast to multicellular hyphae and the production of infectious spores. Sexual reproduction involves cells of either opposite (bisexual) or one (unisexual) mating type. Bisexual and unisexual reproduction are governed by shared components of the conserved pheromone-sensing Cpk1 MAPK signal transduction cascade and by Mat2, th...

  18. Healthcare experiences of lesbian and bisexual women in Cape Town, South Africa.

    Science.gov (United States)

    Smith, Riley

    2015-01-01

    Understanding the health needs and experiences of South African lesbian and bisexual women is imperative for implementing effective and inclusive public health strategies. Such understanding, however, is limited due to the exclusion of these women from most existing research on healthcare access in the region. This paper bridges that gap by investigating the healthcare experiences of lesbian and bisexual women in Cape Town. Data were gathered from 22 interviews with self-identified lesbian and bisexual community members and university students in the Cape Town area. Interviews explored obstacles women face in accessing affirming services, different experiences with public and private healthcare, fear of stigma/discrimination, availability of relevant sexual health information and suggestions to improve existing programmes. Findings suggest that South African lesbians and bisexual women may have a range of both positive and negative experiences in public and private health services, that they use protective strategies when 'coming out' and that they find that sexual health information pertinent to them is largely unavailable. These discussions contribute to a more inclusive understanding of the experiences of lesbian and bisexual women accessing healthcare and other services and help to inform providers, thereby enabling them to deliver more meaningful care to lesbian, gay, bisexual and transgender persons in South Africa. PMID:25291355

  19. Exploring the Intersectionality of Bisexual, Religious/Spiritual, and Political Identities from a Feminist Perspective

    Science.gov (United States)

    Rodriguez, Eric M.; Lytle, Megan C.; Vaughan, Michelle D.

    2014-01-01

    While there is a small but growing body of work that examines the religious and spiritual lives of bisexuals, there is a strong need for additional research that further explores the intersectionality of these distinct identities. Motivated by the feminist notions that the personal is political and that individuals are the experts of their own experiences (Unger, 2001), the specific aim of this study is to better understand the intersection of multiple identities experienced by bisexual individuals. Relying upon data collected by Herek, Glunt, and colleagues during their Northern California Health Study, in this exploratory study we examine the intersection of bisexual, religious/spiritual, and political identities by conducting an archival secondary analysis of 120 self-identified bisexual individuals. Among the significant findings, results suggest that higher LGB self-esteem scores and openness about sexual orientation correlated with higher levels of spirituality. Further, attraction to same sex partners was associated with perceiving sexual orientation as a choice, identifying as bisexual at a younger age, more likely to disclose one's sexual orientation, less likely to view religion as being socially important, and a higher score on the belief statement. We discuss the implications of these results and make suggestions for future research on the role of religion and spirituality in bisexual lives. PMID:25477767

  20. 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 ...

  1. Individual and Social Factors Related to Mental Health Concerns among Bisexual Men in the Midwestern United States

    OpenAIRE

    Dodge, Brian; Schnarrs, Phillip W.; Reece, Michael; Martinez, Omar; Goncalves, Gabriel; Malebranche, David; Van Der Pol, Barbara; Nix, Ryan; Fortenberry, J. Dennis

    2012-01-01

    Research has not yet explored the potential impact of social stress, biphobia, and other factors on the mental health of bisexual men. In-depth interviews were conducted with a diverse sample of 75 men who engaged in bisexual behavior within the past six months. Interviewers explored potential mental health stressors and supports. Many participants reported personal and social challenges associated with bisexuality, which in turn influenced their mental health. Reported instances of stigma to...

  2. Contesting heteronormativity: the fight for lesbian, gay, bisexual and transgender recognition in India and Vietnam.

    Science.gov (United States)

    Horton, Paul; Rydstrøm, Helle; Tonini, Maria

    2015-01-01

    Recent public debates about sexuality in India and Vietnam have brought the rights of lesbian, gay, bisexual and transgender people sharply into focus. Drawing on legal documents, secondary sources and ethnographic fieldwork conducted in the urban centres of Delhi and Hanoi, this article shows how the efforts of civil society organisations dedicated to the fight for lesbian, gay, bisexual and transgender rights have had different consequences in these two Asian contexts. The paper considers how these organisations navigated government regulations about their formation and activities, as well as the funding priorities of national and international agencies. The HIV epidemic has had devastating consequences for gay men and other men who have sex with men, and has been highly stigmatising. As a sad irony, the epidemic has provided at the same time a strategic entry point for organisations to struggle for lesbian, gay, bisexual and transgender recognition. This paper examines how the fight for lesbian, gay, bisexual and transgender recognition has been doubly framed through health-based and rights-based approaches and how the struggle for recognition has positioned lesbian, gay, bisexual and transgender people in India and Vietnam differently. PMID:25947564

  3. Gay and bisexual men's use of the Internet: research from the 1990s through 2013.

    Science.gov (United States)

    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. PMID:24754360

  4. 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. PMID:26250604

  5. A Place at the Blackboard: Including Lesbian, Gay, Bisexual, Transgender, Intersex, and Queer/Questioning Issues in the Education Process

    Science.gov (United States)

    Savage, Todd A.; Harley, Debra A.

    2009-01-01

    It is known from history that lesbian, gay, bisexual, and transgender people have always existed in society. Lesbian, gay, bisexual, transgender, intersexed, and queer/questioning (LGBTIQ) individuals, collectively known as sexual minorities, represent approximately 10% of the population. As many as nine students in every classroom of 30 are in…

  6. Mental Health of Lesbian, Gay, and Bisexual Youth and Young Adults: Differential Effects of Age, Gender, Religiosity, and Sexual Orientation

    Science.gov (United States)

    Shilo, Guy; Savaya, Riki

    2012-01-01

    Drawing on minority stress theory, this study examined the mental health effects of the added burden of disadvantaged social status in an Israeli sample of 461 self-identified lesbian, gay, and bisexual (LGB) youths. Bisexuality was associated with lower levels of well-being, and, at a younger age, with higher levels of mental distress. In…

  7. The health of people classified as lesbian, gay and bisexual attending family practitioners in London: a controlled study

    Directory of Open Access Journals (Sweden)

    Nazareth Irwin

    2006-05-01

    Full Text Available Abstract Background The morbidity of gay, lesbian or bisexual people attending family practice has not been previously assessed. We compared health measures of family practice attendees classified as lesbian, gay and bisexual. Methods We conducted a cross-sectional, controlled study conducted in 13 London family practices and compared the responses of 26 lesbian and 85 bisexual classified women, with that of 934 heterosexual classified women and 38 gay and 23 bisexual classified men with that of 373 heterosexual classified men. Our outcomes of interest were: General health questionnaire; CAGE questionnaire; short form12; smoking status; sexual experiences during childhood; number of sexual partners and sexual function and satisfaction. Results In comparison to people classified as heterosexuals: men classified as gay reported higher levels of psychological symptoms (OR 2.48, CI 1.05–5.90; women classified as bisexual were more likely to misuse alcohol (OR 2.73, 1.70–4.40; women classified as bisexual (OR 2.53, 1.60–4.00 and lesbian (OR 3.13, 1.41–6.97 and men classified as bisexual (OR 2.48, 1,04, 5.86 were more likely to be smokers and women classified as bisexual (OR 3.27, 1.97–5.43 and men classified as gay (OR 4.86, 2.28–10.34 were much more likely to report childhood sexual experiences in childhood. Psychological distress was associated with reporting sexual experiences in childhood in men classified as gay and bisexual and women classified as heterosexual. Men classified as bisexual (OR 5.00, 1.73–14.51 and women classified as bisexual (OR 2.88, 1.24- 6.56 were more likely than heterosexuals to report more than one sexual partner in the preceding four weeks. Lesbian, gay and bisexual classified people encountered no more sexual function problems than heterosexuals but men classified as bisexual (OR 2.74, 1.12–6.70 were more dissatisfied with their sex lives. Conclusion Bisexual and lesbian classified people attending London

  8. Factors influencing the career and academic choices of lesbian, gay, bisexual, and transgender people.

    Science.gov (United States)

    Schneider, Margaret S; Dimito, Anne

    2010-01-01

    This is an empirical study of academic and career choices for 119 lesbian, gay, bisexual, and transgender (LGBT) students using a questionnaire. Respondents who reported that their sexual orientation influenced their choices a great deal indicated that the influences were both positive and negative. This group was most likely to have experienced anti-LGBT discrimination in the past. In comparing lesbian, bisexual people, and gay males, gay males and respondents from visible minorities were the most likely to feel a negative impact, while bisexual respondents were the least likely. There were too few transgender respondents to include in these statistical comparisons; however, frequencies suggest that transgender people may be the most vulnerable of all. Results suggest that counselors need to take sexual orientation issues, particularly past experiences of discrimination, when working with LGBT clients. PMID:21058150

  9. Internet Pornography Use, Body Ideals, and Sexual Self-Esteem in Norwegian Gay and Bisexual Men.

    Science.gov (United States)

    Kvalem, Ingela Lundin; Træen, Bente; Iantaffi, Alex

    2016-01-01

    The purpose of this study was to explore the relationship between perception of own appearance, Internet pornography consumption, preferences for pornographic actors' appearance, and sexual self-esteem in gay and bisexual men in Norway. An online survey of 477 gay and bisexual men showed that, despite the prevailing muscular and lean gay body ideal, many men with less ideal bodies also preferred to watch pornographic actors with body types similar to their own. Self-perceived attractiveness, having an ideal body type, and viewing Internet pornography in longer sessions each made a unique contribution to higher self-esteem as a sexual partner. Preferring to watch pornographic actors with ideal bodies was not related to sexual self-esteem. The findings underscore the importance for gay or bisexual men of both self-perceived attractiveness and being athletic or young and fit, for a positive self-evaluation of sexual performance and competence. PMID:26296007

  10. What constitutes the best sex life for gay and bisexual men? Implications for HIV prevention.

    OpenAIRE

    Bourne, A.; Hammond, G.; Hickson, F.; Reid, D.; Schmidt, AJ; Weatherburn, P.

    2013-01-01

    BACKGROUND While a large body of research has sought to understand HIV transmission risk behaviours among gay men, bisexual men and other men who have sex with men (MSM), less attention has been paid to the wider sexual health and well-being of this population. While some community-based organisations aim to support a more holistic sense of sexual well-being there is little evidence to draw on to inform their interventions. The current study sought to explore gay and bisexual men's conception...

  11. Taking a Sexual History and Creating Affirming Environments for Lesbian, Gay, Bisexual, and Transgender People.

    Science.gov (United States)

    Makadon, Harvey J; Goldhammer, Hilary

    2015-12-01

    MISSISSIPPI RANKS AMONG THE TOP STATES IN THE COUNTRY FOR RATES OF HIV AND STDs. Among those at highest risk are gay and bisexual men and transgender women; yet these groups often delay or avoid care because they fear being misunderstood or stigmatized. This article focuses on how providers in Mississippi can minimize these barriers by taking sexual histories that are inclusive and affirming of all sexual orientations and gender identities. The article also offers strategies for improving the environment of care within health care organizations in order to create welcoming and safe spaces for lesbian, gay, bisexual, and transgender people. PMID:26975160

  12. Negotiating Bisexual Desire and Familism: The Case of Latino/a Bisexual Young Men and Women in New York City1

    OpenAIRE

    Muñoz-Laboy, M.; Yon Leau, C.; Sriram, X; Weinstein, H; Vásquez del Aguila, E; Parker, R C

    2009-01-01

    Families are of critical importance for Latino communities in the United States. Familism (i.e., the cultural value that weighs on the interdependence among nuclear and extended family members for support, emotional connectedness, familial honor, loyalty, and solidarity) has been demonstrated to reduce sexual health risks among heterosexual youth, and yet, this relationship has not been examined among Latino bisexual teenagers. In this study we examined how familism shapes sexual-decision mak...

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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…

  15. Protect Yourself against Hepatitis A and B: A Guide for Gay and Bisexual Men

    Science.gov (United States)

    Protect Yourself Against Hepatitis A and Hepatitis B... a guide for gay and bisexual men Men who have sex ... d/p4115.pdf • Item #P4115 (2/14) Protect Yourself Against Hepatitis A and Hepatitis B (continued) page ...

  16. Successive bacteremias with "Campylobacter cinaedi" and "Campylobacter fennelliae" in a bisexual male.

    OpenAIRE

    Ng, V L; Hadley, W K; Fennell, C L; Flores, B. M.; Stamm, W. E.

    1987-01-01

    A bisexual human immunodeficiency virus-seropositive male had successive bacteremias with "Campylobacter cinaedi" and "Campylobacter fennelliae." Because final identification of both isolates was not completed until 1 month after the last admission of the patient, a novel and nonstandardized antimicrobial susceptibility testing method was useful in guiding timely antimicrobial therapy.

  17. Examining Potential Moderators of the Link between Heterosexist Events and Gay and Bisexual Men's Psychological Distress

    Science.gov (United States)

    Szymanski, Dawn M.

    2009-01-01

    The purpose of this study was to examine (a) the relationship between heterosexist events and psychological distress and (b) the potential moderating roles of social support, avoidant coping, and self-esteem in the relationship between heterosexist events and psychological distress among 210 gay and bisexual men. Findings from the Web-based…

  18. Adult Attachment; Lesbian, Gay, and Bisexual Identity; and Sexual Attitudes of Nonheterosexual Individuals

    Science.gov (United States)

    Wang, Chia-Chih D. C.; Schale, Codi L.; Broz, Kristina K.

    2010-01-01

    Lesbian, gay, and bisexual (LGB) college students from 12 university campuses (N = 177) participated in this study that examined the relationships between adult attachment, LGB identity, and sexual attitudes. Findings indicated that adult attachment was significantly related to LGB identity and sexual attitudes and that an LGB identity variable…

  19. Employing Memory Narratives to Dissect the Well-Being of Lesbian, Gay, and Bisexual Adolescents

    Science.gov (United States)

    Bond, Bradley James; Loewenstern, Joshua Noah

    2014-01-01

    The relationship between lesbian, gay, and bisexual (LGB) identities and negative psychoemotional outcomes among teens is well established; this study analyzed happy memory narratives written by 390 LGB adolescents to investigate positive life experiences that might improve the well-being of LGB youth. A significant number of narratives were…

  20. Lavender Graduation: Acknowledging the Lives and Achievement of Lesbian, Gay, Bisexual, and Transgender College Students.

    Science.gov (United States)

    Sano, Ronni

    2000-01-01

    Discusses the origins and practices of Lavender Graduations, events in which the lives and achievements of lesbian, gay, bisexual, and transgender college students are celebrated. Examines results of an evaluation survey, reviews implications for practice, and provides suggestions for future research. (Contains 19 references.) (GCP)

  1. End-of-life care for gay, lesbian, bisexual and transgender people.

    Science.gov (United States)

    Cartwright, Colleen; Hughes, Mark; Lienert, Tania

    2012-01-01

    There is little understanding in Australia of the special issues faced by gay, lesbian, bisexual and transgender people in end-of-life care and advance care planning. This exploratory study aimed to achieve an initial understanding of these issues to inform the development of a larger study involving gay, lesbian, bisexual and transgender service users. Consultations were carried out with 19 service providers and 6 gay, lesbian, bisexual and transgender community members in the Northern Rivers and metropolitan Sydney areas of New South Wales, Australia. Participants reported barriers to health care service access due to discrimination, inappropriate care and lack of knowledge among both consumers and health care workers of legal rights at the end of life. While advance care planning can assist with improving end-of-life care, respondents reported a number of obstacles. These included a lack of knowledge and absence of perceived need and the additional obstacle of social isolation, leading to difficulties identifying alternative decision-makers. The study highlighted the need for education for gay, lesbian, bisexual and transgender people and health and aged care providers on existing legal provisions to prevent discrimination in end-of-life care. PMID:22468824

  2. Mental Health and Clinical Correlates in Lesbian, Gay, Bisexual, and Queer Young Adults

    Science.gov (United States)

    Grant, Jon E.; Odlaug, Brian L.; Derbyshire, Katherine; Schreiber, Liana R. N.; Lust, Katherine; Christenson, Gary

    2014-01-01

    Objective: This study examined the prevalence of mental health disorders and their clinical correlates in a university sample of lesbian, gay, bisexual, and queer (LGBQ) students. Participants: College students at a large public university. Methods: An anonymous, voluntary survey was distributed via random e-mail generation to university students…

  3. Mental Health and Substance Use Disorders among Latino and Asian American Lesbian, Gay, and Bisexual Adults

    Science.gov (United States)

    Cochran, Susan D.; Mays, Vickie M.; Alegria, Margarita; Ortega, Alexander N.; Takeuchi, David

    2007-01-01

    Growing evidence suggests that lesbian, gay, and bisexual adults may be at elevated risk for mental health and substance use disorders, possibly due to anti-gay stigma. Little of this work has examined putative excess morbidity among ethnic/racial minorities resulting from the experience of multiple sources of discrimination. The authors report…

  4. The Legacy Project: Connecting Museum Advocacy to Gay, Lesbian, Bisexual, and Transgender (GLBT) Role Models

    Science.gov (United States)

    Gomez, Gabriel; Spinella, Gerri; Salvo, Victor; Keehnen, Owen

    2013-01-01

    The professional behaviors of educators build a framework so youth can grow academically and emotionally; however, Gay, Lesbian, Bisexual, or Transgender (GLBT) youth often lack systematic strategies that address their needs. The Legacy Project's Education Initiative (LPEI) was established by gay community leaders and historians, as an extension…

  5. Estimate of Extinction Probability of Bisexual Galton-Watson Branching Process

    OpenAIRE

    Z. Zarabi Zadeh; R. Farnoosh

    2010-01-01

    In this paper a bisexual Galton-Watson branching process is studied. Monte Carlo method is purposed to calculate the extinction probability. For certain class of processes ${{Z_{n}}}$ extinction probability is calculated and simulated, when initially population size ${(Z_{0})}$ has a different value, then results of two methods are compared.

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

    Science.gov (United States)

    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…

  7. Neither Very Bi nor Particularly Sexual: The Essence of the Bisexual in Young Adult Literature

    Science.gov (United States)

    Kneen, Bonnie

    2015-01-01

    This article examines four prominent young adult novels about bisexual protagonists: Julie Anne Peters's "It's Our Prom (So Deal With It)" (2012), Brent Hartinger's Double Feature: "Attack of the Soul-Sucking Brain Zombies/Bride of the Soul-Sucking Brain Zombies" (2007), Lili Wilkinson's "Pink" (2009), and Sara Ryan's…

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

    Science.gov (United States)

    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…

  9. 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…

  10. Lesbian, gay and bisexual (LGB) identity and school leadership: English LGB school leaders' perspectives

    OpenAIRE

    Steven J. Courtney

    2011-01-01

    Heteronormativity is an organiser of social power which pathologises deviation from‘normal’ heterosexual identities through marginalising and stigmatising lesbian, gayand bisexual (LGB) identities. Despite experiencing the subordinating effects ofheteronormativity, LGB school leaders in England exercise considerable power intheir professional environments. This dissertation seeks to explore for the first timethe relationship between heteronormativity and English LGB school leaders’ identityan...

  11. Sexual Orientation Identity Formation among Gay, Lesbian, and Bisexual Youths: Multiple Patterns of Milestone Experiences.

    Science.gov (United States)

    Floyd, Frank J.; Stein, Terry S.

    2002-01-01

    Examined variations in "coming out" for gay, lesbian, and bisexual youths, specifically: the timing and sequence of developmental stages; completion of 10 milestone events involving self-awareness, sexual experiences, and disclosure to others; and immersion in social networks. Found comfort with sexual orientation was greatest in persons with…

  12. Understanding and Meeting the Needs of Gay, Lesbian, and Bisexual Students. Participant's Guide.

    Science.gov (United States)

    National Association of Student Personnel Administrators, Inc.

    This guide contains materials to be used during and after a teleconference on the needs of gay, lesbian, and bisexual college students. The agenda for the conference, a list of presenters, and a list of cooperating institutions are included. Four case studies are presented which portray: the "coming out" of a gay student leader; the introduction…

  13. 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 whether early sexual orientation identity development is also present in older GLB cohorts. We analyzed retrospective data on the timing of sexual…

  14. A Psychoeducational Group for Parents of Lesbian, Gay, and Bisexual Adolescents

    Science.gov (United States)

    Troutman, Omar A.; Evans, Kathy M.

    2014-01-01

    While literature abounds on the experience of the adolescent in the "coming out" process and the impact that the event has on the family system, few interventions that are designed specifically to assist parents have been proposed. Parents of lesbian, gay, and bisexual adolescents face challenges that they may never have anticipated and,…

  15. Coming out as a Lesbian, Gay or Bisexual Teacher: Negotiating Private and Professional Worlds

    Science.gov (United States)

    Gray, Emily M.

    2013-01-01

    This paper examines the "coming out" decisions at work of four lesbian, gay and bisexual (LGB) teachers in England. It argues that such decisions are complicated by heteronormative discursive practices within schools that render LGB sexualities silent while simultaneously demanding that they are spoken. This double bind for LGB teachers…

  16. Implications of the Growing Visibility of Gay and Bisexual Male Students on Campus.

    Science.gov (United States)

    Rhoads, Robert A.

    1997-01-01

    Using a two-year ethnographic study, explores a subculture of gay and bisexual male students at a major university. Identifies areas of concern that student affairs administrators should consider in their efforts to improve the campus climate for these students. Describes the coming out process, visibility, and discrimination. (RJM)

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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…

  20. Gay, Lesbian, and Bisexual Foster Parents: Strengths and Challenges for the Child Welfare System

    Science.gov (United States)

    Downs, A. Chris; James, Steven E.

    2006-01-01

    Historically, a shortage of skilled and dedicated foster parents has existed in America. Lesbian, gay, or bisexual (LBG) foster parents have received little attention in the published literature. This article documents the challenges and successes of a group of 60 LGB foster parents. All participants provided foster parenting for public (state or…

  1. 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…

  2. 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 social

  3. Mixed Methods Research with Internally Displaced Colombian Gay and Bisexual Men and Transwomen

    Science.gov (United States)

    Zea, Maria Cecilia; Aguilar-Pardo, Marcela; Betancourt, Fabian; Reisen, Carol A.; Gonzales, Felisa

    2014-01-01

    We discuss the use of mixed methods research to further understanding of displaced Colombian gay and bisexual men and transwomen, a marginalized population at risk. Within the framework of communicative action, which calls for social change through egalitarian dialog, we describe how our multinational, interdisciplinary research team explored the…

  4. 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…

  5. Toward a Conceptualization of Career Counseling with Gay/Lesbian/Bisexual Persons.

    Science.gov (United States)

    Chojnacki, Joseph T.; Gelberg, Susan

    1994-01-01

    Person-environment fit as a dimension of career counseling can be adapted for use with gay, lesbian, and bisexual clients by considering identity development and the client's feelings and behavior regarding sexual orientation and environmental (i.e., workplace) response to an individual's sexual orientation. (SK)

  6. Marriage Amendments and Psychological Distress in Lesbian, Gay, and Bisexual (LGB) Adults

    Science.gov (United States)

    Rostosky, Sharon Scales; Riggle, Ellen D. B.; Horne, Sharon G.; Miller, Angela D.

    2009-01-01

    An online survey of lesbian, gay, and bisexual (LGB) adults (N = 1,552) examined minority stress (I. H. Meyer, 2003) and psychological distress following the 2006 general election in which constitutional amendments to limit marriage to 1 man and 1 woman were on the ballot in 9 states. Following the November election, participants living in states…

  7. Ecological models of sexual satisfaction among lesbian/bisexual and heterosexual women.

    Science.gov (United States)

    Henderson, Alison W; Lehavot, Keren; Simoni, Jane M

    2009-02-01

    Sexual satisfaction is an integral component of sexual health and well-being, yet we know little about which factors contribute to it among lesbian/bisexual women. To examine a proposed ecological model of sexual satisfaction, we conducted an internet survey of married heterosexual women and lesbian/bisexual women in committed same-sex relationships. Structural equation modeling included five final latent variables for heterosexual women and seven final latent variables for lesbian/bisexual women. Overall, results indicated that, for both groups of women, a similar constellation of factors (depressive symptoms, relationship satisfaction, sexual functioning, and social support) was related to sexual satisfaction. In lesbian/bisexual women, internalized homophobia was an additional factor. Contrary to expectations, the presence of children in the home and a history of childhood sexual abuse did not contribute significantly to the model for either group. Findings support the idea that gender socialization may influence sexual satisfaction more than socialization around sexual orientation. Additionally, given that for both groups of women relationship satisfaction explained a substantial amount of variance in sexual satisfaction, sexual concerns may be better addressed at the relationship than the individual level. PMID:18574685

  8. Sexual identity development among gay, lesbian, and bisexual youths: consistency and change over time.

    Science.gov (United States)

    Rosario, Margaret; Schrimshaw, Eric W; Hunter, Joyce; Braun, Lisa

    2006-02-01

    A longitudinal report of 156 gay, lesbian, and bisexual youths examined changes in sexual identity over time. Fifty-seven percent of the youths remained consistently self-identified as gay/lesbian, 18% transited from bisexual to gay/lesbian, and 15% consistently identified as bisexual over time. Although youths who consistently identified as gay/lesbian did not differ from other youths on time since experiencing sexual developmental milestones, they reported current sexual orientation and sexual behaviors that were more same-sex centered and they scored higher on aspects of the identity integration process (e.g., more certain, comfortable, and accepting of their same-sex sexuality, more involved in gay-related social activities, more possessing of positive attitudes toward homosexuality, and more comfortable with others knowing about their sexuality) than youths who transited to a gay/lesbian identity and youths who consistently identified as bisexual. Contrary to the hypothesis that females are more sexually fluid than males, female youths were less likely to change identities than male youths. The finding that youths who transited to a gay/lesbian identity differed from consistently gay/lesbian youths suggests that identity integration continues after the adoption of a gay/lesbian sexual identity. PMID:16817067

  9. Using the APA Guidelines for Psychotherapy with Lesbian, Gay, and Bisexual Clients in Education and Training.

    Science.gov (United States)

    Browning, Christine

    The American Psychological Association's adoption of the Guidelines for Psychotherapy with Lesbian, Gay, and Bisexual Clients has the potential to change the education and training approaches in psychology graduate programs and internship settings. Current research suggests that many graduate students do not receive adequate information about…

  10. Knowledge of Acute Human Immnuodeficiency Virus Infection among Gay and Bisexual Male College Students

    Science.gov (United States)

    Grin, Benjamin; Chan, Philip A.; Operario, Don

    2013-01-01

    Objective: To examine human immunodeficiency virus (HIV)-related knowledge, attitudes, and behaviors in at-risk college men who have sex with men (MSM), focusing on knowledge about acute HIV infection (AHI). Participants and Methods: A one-time anonymous survey was administered to college students attending a lesbian, gay, bisexual, transgender,…

  11. 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…

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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…

  14. Lesbian, gay, and bisexual men and women in the US military: Updated estimates

    OpenAIRE

    Gates, Gary

    2010-01-01

    This research brief uses new data from the American Community Survey and the General Social Survey to provide updated estimates of how many lesbians, gay men, and bisexuals (LGB) are serving in the US military. It also updates estimates of the cost of the US military’s “Don’t Ask/Don’t Tell” (DADT) policy.

  15. Exploring the Experiences of Lesbian, Gay, Bisexual, and Questioning Adolescents in Foster Care

    Science.gov (United States)

    Gallegos, Anne; White, Catherine Roller; Ryan, Caitlin; O'Brien, Kirk; Pecora, Peter J.; Thomas, Preneka

    2011-01-01

    This article is based on the findings from a subset of gender identity and sexual orientation questions from The Casey Field Office Mental Health Study (CFOMH). It aims to contribute the experiences of youth in the care of Casey Family Programs to the increasing body of research on lesbian, gay, bisexual, transgender, or questioning (LGBTQ) youth…

  16. Reported Use of and Satisfaction with Vocational Rehabilitation Services among Lesbian, Gay, Bisexual, and Transgender Persons

    Science.gov (United States)

    Dispenza, Franco; Hunter, Tameeka

    2015-01-01

    Purpose: Reported use of and satisfaction rates of vocational rehabilitation (VR) services among a small sample of lesbian, gay, bisexual, and transgender (LGBT) persons living with various chronic illness and disability (CID) conditions in the United States were explored. Method: Data were pulled from a larger data set that was collected via the…

  17. 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…

  18. Childhood Abuse and Mental Health Indicators among Ethnically Diverse Lesbian, Gay, and Bisexual Adults

    Science.gov (United States)

    Balsam, Kimberly F.; Lehavot, Keren; Beadnell, Blair; Circo, Elizabeth

    2010-01-01

    Objective: Prior research has established that lesbian, gay, and bisexual (LGB) people experience higher rates of childhood abuse than heterosexuals. However, there has been little research on the mental health impact of these experiences or how race/ethnicity might influence prevalence and mental health impact of childhood abuse in this…

  19. 78 FR 33957 - Lesbian, Gay, Bisexual, and Transgender Pride Month, 2013

    Science.gov (United States)

    2013-06-06

    ... States of America the two hundred and thirty- seventh. (Presidential Sig.) [FR Doc. 2013-13542 Filed 6-5... Documents#0;#0; ] Proclamation 8989 of May 31, 2013 Lesbian, Gay, Bisexual, and Transgender Pride Month... out and speak out every day. This year, we celebrate LGBT Pride Month at a moment of great hope...

  20. Contradictions and Complexities in the Lives of Lesbian, Gay, Bisexual, and Transgender Youth

    Science.gov (United States)

    Russell, Stephen T.

    2010-01-01

    Research consistently shows that lesbian, gay, bisexual, transgender, queer and questioning (LGBTQ) youth are a vulnerable population. It is essential for professionals who work with adolescents or in adolescent-serving organizations to understand strategies for creating supportive environments for LGBTQ youth. This introduction briefly outlines…

  1. A Provider's Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender Individuals.

    Science.gov (United States)

    Johnson, Bassin, and Shaw, Inc., Silver Spring, MD.

    This document seeks to inform administrators and clinicians about appropriate diagnosis and treatment approaches that will help ensure the development or enhancement of effective lesbian-, gay-, bisexual-, and transgender (LGBT)-sensitive programs. Serving as both a reference tool and program guide, it provides statistical and demographic…

  2. Reducing Harassment of Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Schools.

    Science.gov (United States)

    Henning-Stout, Mary; James, Steve; Macintosh, Samantha

    2000-01-01

    School-based harassment and violence toward students perceived to be lesbian, gay, bisexual or transgender has been successfully confronted in educational systems across the U.S. A sampling of these programs and linked supportive organizations is presented. Three harassment-reduction programs are described in detail. Program-development and…

  3. Intimate Partner Violence and HIV/STD Risk among Lesbian, Gay, Bisexual, and Transgender Individuals

    Science.gov (United States)

    Heintz, Adam Jackson; Melendez, Rita M.

    2006-01-01

    To date, there has been little research examining HIV/STD risk among lesbian, gay, bisexual, and transgender (LGBT) individuals who are in abusive relationships. This article uses data collected from a community-based organization that provides counseling for LGBT victims of intimate partner violence (IPV). A total of 58 clients completed the…

  4. Promising Strategies for Prevention of the Bullying of Lesbian, Gay, Bisexual, and Transgender Youth

    Science.gov (United States)

    Kosciw, Joseph G.; Bartkiewicz, Mark; Greytak, Emily A.

    2012-01-01

    Recent research suggests that lesbian, gay, bisexual, and transgender (LGBT) youth are at high risk for bullying. These high levels of victimization may negatively impact their educational experiences and well-being. This article demonstrates how the LGBT youth experience has changed in the past decade and provides an overview of effective…

  5. Risky Sexual Behavior in Gay and Bisexual Men: Internalized Heterosexism, Sensation Seeking, and Substance Use

    Science.gov (United States)

    Kashubeck-West, Susan; Szymanski, Dawn M.

    2008-01-01

    This study investigated risky sexual behavior in a sample of 209 gay and bisexual men. Using structural equation modeling, the mediating relations of substance use factors (expectations about the sexually enhancing effects of substance use and substance use during sex) between internalized heterosexism (IH) and sensation seeking and unprotected…

  6. "I Plan To Be 10": Online Literacy and Lesbian, Gay, Bisexual, and Transgendered Students.

    Science.gov (United States)

    Woodland, Randal

    1999-01-01

    Conducts a Web-based survey of 75 lesbian, gay, bisexual, and transgender (LGBT) students about their online experiences as LGBT people. Concludes online resources were reported as most useful for obtaining basic information, for offering the ability to express oneself on LGBT issues and as a LGBT person, and for connecting with a larger LGBT…

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

    Science.gov (United States)

    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…

  8. A Content Analysis of Lesbian, Gay, Bisexual, and Transgender Topics in Multicultural Education Textbooks

    Science.gov (United States)

    Jennings, Todd; Macgillivray, Ian K.

    2011-01-01

    This research examines the treatment of lesbian, gay, bisexual, and transgender (LGBT) topics in 12 popular multicultural education textbooks. Following a line-by-line analysis of each textbook, the findings report the extent to which LGBT topics were included in each text and the themes that became apparent in how LGBT topics were treated. The…

  9. 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…

  10. A Content Analysis Exploring Lesbian, Gay, Bisexual, and Transgender Topics in Foundations of Education Textbooks

    Science.gov (United States)

    Macgillivray, Ian K.; Jennings, Todd

    2008-01-01

    This research analyzed the most widely used foundations of education textbooks for lesbian, gay, bisexual, and transgender (LGBT) content. Because foundations of education coursework routinely introduces other diversity topics in education, the authors hold it is a good place to introduce LGBT topics. The ways in which LGBT topics are included in…

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

    Science.gov (United States)

    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…

  12. Creating Safe Environments for Students with Disabilities Who Identify as Lesbian, Gay, Bisexual, or Transgender

    Science.gov (United States)

    Morgan, Joseph J.; Mancl, Dustin B.; Kaffar, Bradley J.; Ferreira, Danielle

    2011-01-01

    Adolescence is an important time in human development. Teenagers spend much time questioning their core belief structures and developing the foundations of their identity. For students who identify as lesbian, gay, bisexual, or transgender (LGBT), this path of development is difficult in American schools because of strongly held homophobic…

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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…

  15. Investigating the Needs and Concerns of Lesbian, Gay, Bisexual, and Transgender Older Adults: The Use of Qualitative and Quantitative Methodology

    OpenAIRE

    OREL, NANCY A.

    2014-01-01

    Extensive research on the specific needs and concerns of lesbian, gay, bisexual, and transgender (LGBT) older adults is lacking. This article describes the results of both quantitative studies (i.e., LGBT Elders Needs Assessment Scale) and qualitative studies (i.e., focus groups and in-depth interviews with lesbian, gay, or bisexual [LGB] older adults and LGB grandparents) that specifically sought to investigate the unique needs and concerns of LGBT elders. The results identified 7 areas (med...

  16. Sex Markets and Sexual Opportunity Structures of Behaviorally Bisexual Latino Men in the Urban Metropolis of New York City

    OpenAIRE

    Garcia, Jonathan; Muñoz-Laboy, Miguel; Parker, Richard; Wilson, Patrick A.

    2013-01-01

    Sex markets (the spatially and culturally bounded arenas) that shape bisexual behavior among Latino men have been utilized as a deterministic concept without a sufficient focus on the ability of individuals to make autonomous decisions within such arenas. We nuance the theory of sex markets using the concept of sexual opportunity structures to investigate the ways in which behaviorally bisexual Latino men in the urban metropolis of New York City navigate sexual geographies, cultural meaning s...

  17. The Internet's Multiple Roles in Facilitating the Sexual Orientation Identity Development of Gay and Bisexual Male Adolescents.

    Science.gov (United States)

    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. PMID:25585861

  18. Religious Coping Strategies and Mental Health Among Religious Jewish Gay and Bisexual Men.

    Science.gov (United States)

    Shilo, Guy; Yossef, Ifat; Savaya, Riki

    2016-08-01

    The present study examined the effects of positive and negative religious coping strategies on the mental health of 113 Israeli gay and bisexual Jewish males with high levels of religiosity, and how sexual identity formation (internalized homophobia and coming out) and societal variables (family and friends' acceptance of sexual orientation and social connections within the LGBT community) mitigated the effects of religious coping strategies on mental health. Findings showed that when dealing with the stress arising from the conflict between religious and sexual identities, individuals used both positive and negative religious coping strategies, but only negative religious coping was associated with poorer mental health. In addition, only in the presence of social resources (social connections with the LGBT community and the acceptance of sexual orientation by friends), did the use of positive religious coping result in better mental health outcomes. These findings underlined the importance of these resilience social factors in the lives of religious Jewish gay and bisexual men. PMID:26324183

  19. Condoms and Connection: Parents, Gay and Bisexual Youth, and HIV Risk.

    Science.gov (United States)

    LaSala, Michael C

    2015-10-01

    The family has long been considered a powerful influence on youth's high-risk behaviors. However, little is known about preventive family influences for gay and bisexual youth, a group at high risk for HIV infection. For this study, qualitative interviews from a sample of 38 gay and bisexual youth and their parents/guardians underwent a thematic analysis. Youth described parent-child closeness, parental warnings, and urgings to use condoms as influences. Youth denying family influence came from families in which parent-child relationships were disrupted or HIV-related discussion was lacking. Most families reported discomfort discussing HIV risk. These findings, along with a case example, suggest how family therapists can enhance parental influence by helping these families strengthen their relationships and discuss this important topic. Video Abstract. PMID:25099281

  20. Social and Behavioural Correlates of HIV Testing Among Australian Gay and Bisexual Men in Regular Relationships.

    Science.gov (United States)

    Lee, Evelyn; Murphy, Dean; Mao, Limin; de Wit, John; Prestage, Garrett; Zablotska, Iryna; Holt, Martin

    2016-06-01

    In this study we sought to identify the social and behavioural characteristics of Australian gay and bisexual men who had and had not tested for HIV during their current relationship. The results were based on 2012 and 2013 data collected from ongoing cross-sectional and community-based surveys held in six Australian states and territories. One thousand five hundred and sixty-one non-HIV-positive men reported that they were in a primary relationship. The majority of gay and bisexual men in primary relationships had tested for HIV during the relationship (73.4 %). Among men who had not tested during the relationship, almost half of these men had never tested for HIV. As untested men within relationships are potentially at risk of acquiring and transmitting HIV to their partners unknowingly, it is important to promote HIV testing to these men. PMID:26324077

  1. A Mediation Model to Explain HIV Antiretroviral Adherence Among Gay and Bisexual Men

    OpenAIRE

    Halkitis, Perry N.; Palamar, Joseph

    2008-01-01

    Based on quantitative data describing a sample of 300 HIV seropositive gay and bisexual men living in New York City who were on antiretroviral drug therapy, variables of interest were collapsed into 4 latent constructs–SES (including health care provision), psychological states, drug use impairment, and HIV treatment adherence–and structural equation modeling was used to test the relations among them. Our model indicated a complex interplay between socioeconomic factors, drug use impairment, ...

  2. Romantic Ideation, Partner-Seeking, and HIV Risk among Young Gay and Bisexual Men

    OpenAIRE

    Bauermeister, José A.

    2011-01-01

    Structural changes in the acceptability of same-sex relationships may provide young gay and bisexual men (YGBM) with opportunities to develop expectations about their ideal future relationships. Expectations about the future may act as a promotive factor in youths’ lives and reduce HIV risk-taking behaviors; however, few studies have examined the relationship between ideation of a future relationship and sexual behaviors of YGBM. In this study, we examined the relationship between romantic id...

  3. Homelessness Among Lesbian, Gay, and Bisexual Youth: Implications for Subsequent Internalizing and Externalizing Symptoms

    OpenAIRE

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

    2011-01-01

    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 investigates whether LGB youth with a history of homelessness report more subsequent psychological symptoms than non-homeless LGB youth and examines pote...

  4. Mixed Methods Research With Internally Displaced Colombian Gay and Bisexual Men and Transwomen

    OpenAIRE

    Zea, Maria Cecilia; Aguilar-Pardo, Marcela; Betancourt, Fabian; Reisen, Carol A.; Gonzales, Felisa

    2014-01-01

    We discuss the use of mixed methods research to further understanding of displaced Colombian gay and bisexual men and transwomen, a marginalized population at risk. Within the framework of communicative action, which calls for social change through egalitarian dialog, we describe how our multinational, interdisciplinary research team explored the subjective, objective, and social worlds of participants through life history interviews and surveys. We also describe the unique Colombian context,...

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

    OpenAIRE

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

    2005-01-01

    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. P...

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

    OpenAIRE

    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 social acceptance is one of the most important goals of the gay emancipation policy, at the request of the Minister of Education, Culture and Science the Netherlands Institute for Social Research/SCP publi...

  7. Pregnancy loss in lesbian and bisexual women: an online survey of experiences

    OpenAIRE

    Peel, Elizabeth

    2009-01-01

    BACKGROUND Although pregnancy loss is a distressing health event for many women, research typically equates women's experiences of pregnancy loss to ‘married heterosexual women's experiences of pregnancy loss’. The objective of this study was to explore lesbian and bisexual women's experiences of miscarriage, stillbirth and neonatal death. METHODS This study analysed predominantly qualitative online survey data from 60 non-heterosexual, mostly lesbian, women from the UK, USA, Canada and Austr...

  8. The Health of Aging Lesbian, Gay and Bisexual Adults in California

    OpenAIRE

    Wallace, Steven P; Cochran, Susan D.; Durazo, Eva M.; Ford, Chandra L.

    2011-01-01

    Research on the health of lesbian, gay and bisexual (LGB) adults generally overlooks the chronic conditions that are the most common health concerns of older adults. This brief presents unique population-level data on aging LGB adults (ages 50–70) documenting that they have higher rates of several serious chronic physical and mental health conditions compared to similar heterosexual adults. Although access to care appears similar for aging LGB and heterosexual adults, aging LGB adults general...

  9. Mental and physical health needs of lesbian, gay, and bisexual clients in substance abuse treatment

    OpenAIRE

    Flentje, A; Livingston, NA; Roley, J; Sorensen, JL

    2015-01-01

    © 2015. Objective: Lesbian, gay, and bisexual (LGB) orientation predicts greater substance use, treatment utilization, and poorer mental and physical health, but health needs of LGB individuals in substance abuse treatment remain largely unknown. The purpose of this study was to identify differences in mental and physical health needs of LGB individuals in substance abuse treatment. Methods: Substance abuse treatment admissions data from the County of San Francisco were used in this investiga...

  10. Addressing Intimate Partner Violence in Lesbian, Gay, Bisexual, and Transgender Patients

    OpenAIRE

    Ard, Kevin L.; Makadon, Harvey J

    2011-01-01

    The medical community’s efforts to address intimate partner violence (IPV) have often neglected members of the lesbian, gay, bisexual, and transgender (LGBT) population. Heterosexual women are primarily targeted for IPV screening and intervention despite the similar prevalence of IPV in LGBT individuals and its detrimental health effects. Here, we highlight the burden of IPV in LGBT relationships, discuss how LGBT and heterosexual IPV differ, and outline steps clinicians can take to address I...

  11. Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment

    OpenAIRE

    Flentje, A; Livingston, NA; Roley, J; Sorensen, JL

    2015-01-01

    © 2015 Elsevier Inc. Objective: Lesbian, gay, and bisexual (LGB) orientation predicts greater substance use, treatment utilization, and poorer mental and physical health, but health needs of LGB individuals in substance abuse treatment remain largely unknown. The purpose of this study was to identify differences in mental and physical health needs of LGB individuals in substance abuse treatment. Methods: Substance abuse treatment admissions data from the County of San Francisco were used in t...

  12. The Health of Aging Lesbian, Gay and Bisexual Adults in California

    OpenAIRE

    Wallace, Steven P; Cochran, Susan D.; Durazo, Eva M.; Ford, Chandra L.

    2011-01-01

    Research on the health of lesbian, gay and bisexual (LGB) adults generally overlooks the chronic conditions that are the most common health concerns of older adults. This brief presents unique population-level data on aging LGB adults (ages 50-70) documenting that they have higher rates of several serious chronic physical and mental health conditions compared to similar heterosexual adults. Although access to care appears similar for aging LGB and heterosexual adults, aging LGB adults general...

  13. Sexual Victimization, Health Status, and VA Healthcare Utilization Among Lesbian and Bisexual OEF/OIF Veterans

    OpenAIRE

    Mattocks, Kristin M.; Sadler, Anne; Yano, Elizabeth M.; Krebs, Erin E.; Zephyrin, Laurie; Brandt, Cynthia; Kimerling, Rachel; Sandfort, Theo; Dichter, Melissa E.; Weiss, Jeffrey J.; Allison, Jeroan; Haskell, Sally

    2013-01-01

    ABSTRACT Background Many lesbian and bisexual (LB) women veterans may have been targets of victimization in the military based on their gender and presumed sexual orientation, and yet little is known regarding the health or mental health of LB veterans, nor the degree to which they feel comfortable receiving care in the VA. Objective The purpose of this study was to examine the prevalence of mental health and gender-specific conditions, VA healthcare satisfaction and trauma exposure among LB ...

  14. 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...

  15. Is tobacco a gay issue? Interviews with leaders of the lesbian, gay, bisexual and transgender community

    OpenAIRE

    OFFEN, NAPHTALI; Smith, Elizabeth A.; Malone, Ruth E.

    2008-01-01

    This study examined the extent of tobacco industry funding of lesbian, gay, bisexual and transgender (LGBT) organisations and whether leaders of these organisations thought tobacco was a priority health issue for their community. We interviewed leaders of 74 LGBT organisations and publications in the USA, reflecting a wide variety of groups. Twenty-two percent said they had accepted tobacco industry funding and few (24%) identified tobacco as a priority issue. Most leaders did not perceive to...

  16. 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

  17. Frequency of Discrimination, Harassment, and Violence in Lesbian, Gay Men, and Bisexual in Italy

    OpenAIRE

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

    2013-01-01

    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 t...

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

    Science.gov (United States)

    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. PMID:25095301

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

    OpenAIRE

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

    2015-01-01

    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 ...

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

    OpenAIRE

    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 ...

  1. Risk Factors for Homelessness Among Lesbian, Gay, and Bisexual Youths: A Developmental Milestone Approach

    OpenAIRE

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

    2012-01-01

    Lesbian, gay, and bisexual (LGB) youths are over-represented in the homeless population. To examine why some LGB youths become homeless, this report compares homeless and non-homeless LGB youths. Of the 156 LGB youths, 48% reported ever being homeless (i.e., running away or being evicted from home). Results indicate that sexual orientation awareness and the initiation of sexual behavior occurred earlier in homeless than in non-homeless LGB youths and predated the first homeless episode. Subst...

  2. HIV Risk, Substance Use, and Suicidal Behaviors among Asian American Lesbian and Bisexual Women

    OpenAIRE

    Lee, Jieha; Hahm, Hyeouk Chris

    2012-01-01

    The authors examined the association between lesbian/bisexual identity and three risky health behaviors (HIV risk, substance use, and suicidal behaviors) in a sample of Asian American women. This cross-sectional study was designed to investigate the prevalence of HIV risk behaviors and mental health functioning among unmarried Chinese, Korean, and Vietnamese women ages 18 to 35 who are children of immigrants (N = 701), using computer-assisted survey interviews (CASI). Approximately one out of...

  3. Mental health and substance use disorders among Latino and Asian American lesbian, gay, and bisexual adults

    OpenAIRE

    Cochran, Susan D.; Mays, Vickie M; Alegria, Magarita; Ortega, Alexander N.; Takeuchi, David

    2007-01-01

    Growing evidence suggests that lesbian, gay, and bisexual adults may be at elevated risk for mental health and substance use disorders, possibly due to anti-gay stigma. Little of this work has examined putative excess morbidity among ethnic/racial minorities resulting from the experience of multiple sources of discrimination. We report findings from the National Latino and Asian American Survey (NLAAS), a national household probability psychiatric survey of 4,488 Latino and Asian American adu...

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

    OpenAIRE

    Sithole, S

    2015-01-01

    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 s...

  5. Psychosocial factors and ageing in older lesbian, gay and bisexual people: a systematic literature review

    OpenAIRE

    McParland, James C.; Camic, Paul M.

    2016-01-01

    Aims and objectives. To synthesise and evaluate the extant literature investigating the psychosocial influences on ageing as a lesbian, gay or bisexual person, to develop understanding about these influences and guide future research in the area. Background. Research suggests there may be specific psychological and social factors relevant to ageing for individuals with a nonheterosexual identity. Design. A systematic review was conducted on empirical research involving lesb...

  6. Sexual Liberty and Same-Sex Marriage: An Argument from Bisexuality

    OpenAIRE

    Boucai, Michael

    2012-01-01

    A powerful argument for same-sex marriage lies hidden in plain sight. Embracing the notion that gay rights victories enable “homosexual lifestyle choices,” Boucai’s article proposes that same-sex marriage bans are unconstitutional under Lawrence v. Texas because they channel people, particularly bisexuals, into heterosexual relations and relationships. In addition to detailing this claim’s legal and factual bases, “Sexual Liberty and Same-Sex Marriage” refutes the supposed doctrinal imperativ...

  7. Study of health care providers and attitudes against homosexual, bisexual individuals

    Directory of Open Access Journals (Sweden)

    Latife Utaş Akhan

    2013-02-01

    Full Text Available The present study was carried out in order to examine the attitudes of health care providers and of homosexual and bisexual individuals towards gays.The study, which was contemplated as descriptive and a correlation research, was carried out with 294 individuals who applied to the Lambda and Kaos GL Associations, and 261 health care providers employed at the Bülent Ecevit Üniversitesi Uygulama ve Araştırma Hastanesi (Bülent Ecevit University Application and Research Hospital.The study was carried out between October 2010 and February 2011. The data were collected through “Homosexuality Attitudes Scale”, “The Attitudes Towards Lesbians and Gay Men Scale” via “Socio-demographical Information Form Addressed Towards LGBTT Individuals” and “Socio-demographical Information Form Addressed Towards Health Providers Employed at the Hospital”. It was determined that married health providers; those thinking homosexuality/bisexuality is a disease or a disorder (p=0,002; and those who do not have a homosexual/bisexual member in their families (p=0.022 tend to be more homophobic; it was also observed that, married LGBTT individuals (p=0.036; LGBTT individuals working in the public sector, are self-employed or business owners (p=0.00; and LGBTT individuals who are “always” timid of being homosexual/bisexual (p=0.00, tend to be more homophobic.We found that not knowing any homosexual individuals, being married and thinking that homosexuality is a disease were effective in the development of negative attitudes towards LGBTT individuals.

  8. Study of health care providers and attitudes against homosexual, bisexual individuals

    Directory of Open Access Journals (Sweden)

    Gül Ünsal Barlas

    2013-02-01

    Full Text Available The present study was carried out in order to examine the attitudes of health care providers and of homosexual and bisexual individuals towards gays. The study, which was contemplated as descriptive and a correlation research, was carried out with 294 individuals who applied to the Lambda and Kaos GL Associations, and 261 health care providers employed at the Bülent Ecevit Üniversitesi Uygulama ve Araştırma Hastanesi (Bülent Ecevit University Application and Research Hospital. The study was carried out between October 2010 and February 2011. The data were collected through “Homosexuality Attitudes Scale”, “The Attitudes Towards Lesbians and Gay Men Scale” via “Socio-demographical Information Form Addressed Towards LGBTT Individuals” and “Socio-demographical Information Form Addressed Towards Health Providers Employed at the Hospital”. It was determined that married health providers; those thinking homosexuality/bisexuality is a disease or a disorder (p=0,002; and those who do not have a homosexual/bisexual member in their families (p=0.022 tend to be more homophobic; it was also observed that, married LGBTT individuals (p=0.036; LGBTT individuals working in the public sector, are self-employed or business owners (p=0.00; and LGBTT individuals who are “always” timid of being homosexual/bisexual (p=0.00, tend to be more homophobic. We found that not knowing any homosexual individuals, being married and thinking that homosexuality is a disease were effective in the development of negative attitudes towards LGBTT individuals.

  9. Study of health care providers and attitudes against homosexual, bisexual individuals

    OpenAIRE

    Latife Utaş Akhan; Gül Ünsal Barlas

    2013-01-01

    The present study was carried out in order to examine the attitudes of health care providers and of homosexual and bisexual individuals towards gays. The study, which was contemplated as descriptive and a correlation research, was carried out with 294 individuals who applied to the Lambda and Kaos GL Associations, and 261 health care providers employed at the Bülent Ecevit Üniversitesi Uygulama ve Araştırma Hastanesi (Bülent Ecevit University Application and Research Hospital)...

  10. The Economic Well-Being of Lesbian, Gay, and Bisexual Youth Transitioning Out of Foster Care.

    OpenAIRE

    Amy Dworsky

    2013-01-01

    The brief describes the characteristics and economic well-being of young people aging out of foster care who identify themselves as lesbian, gay, or bisexual (LGB). It also compares their economic self-sufficiency with that of their heterosexual peers also aging out of care. The analysis uses data from the Midwest Study of Adult Functioning of Former Foster Youth, a longitudinal study that followed a sample of young people from Illinois, Iowa, and Wisconsin as they transitioned out of foster ...

  11. The Economic WellBeing of Lesbian Gay and Bisexual Youth Transitioning Out of Foster Care

    OpenAIRE

    Amy Dworsky

    2013-01-01

    The brief describes the characteristics and economic well-being of young people aging out of foster care who identify themselves as lesbian, gay, or bisexual (LGB). It also compares their economic self-sufficiency with that of their heterosexual peers also aging out of care. The analysis uses data from the Midwest Study of Adult Functioning of Former Foster Youth, a longitudinal study that followed a sample of young people from Illinois, Iowa, and Wisconsin as they transitioned out of foster ...

  12. Anxiety Specific Pathways to HIV Sexual Transmission Risk Behavior among Young Gay and Bisexual Men

    OpenAIRE

    O’Cleirigh, Conall; Traeger, Lara; Mayer, Kenneth H.; Magidson, Jessica F.; Steven A Safren

    2013-01-01

    This study evaluated whether specific anxiety disorders increased the likelihood of sexual transmission risk behavior (TRB) in younger (ages 20–29) versus older (ages 30+) HIV positive gay and bisexual men. Participants completed screening measures for Posttraumatic Stress Disorder (PTSD), Social Phobia, and Panic Disorder, and an assessment of recent TRB Moderated regression analyses indicated that PTSD was associated with greater risk of TRB in younger but not older men, independent of HIV ...

  13. Intimate Partner Abuse among Gay and Bisexual Men: Risk Correlates and Health Outcomes

    OpenAIRE

    Houston, Eric; McKirnan, David J.

    2007-01-01

    Little is known about the patterns and types of intimate partner abuse in same-sex male couples, and few studies have examined the psychosocial characteristics and health problems of gay and bisexual men who experience such abuse. Using a cross-sectional survey sample of 817 men who have sex with men (MSM) in the Chicago area, this study tested the effect of psychological and demographic factors generally associated with intimate partner abuse and examined their relationship to various health...

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

    OpenAIRE

    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

    2016-01-01

    Background 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. Method A systematic review conducted using PubMed, Cochrane, SciELO, and LILACS, considering the period from 200...

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

    OpenAIRE

    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

    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, interventio...

  16. Rethinking Sexual Initiation: Pathways to Identity Formation among Gay and Bisexual Mexican Male Youth

    OpenAIRE

    Carrillo, Héctor; Fontdevila, Jorge

    2010-01-01

    The topic of same-sex sexual initiation has generally remained understudied in the literature on sexual identity formation among sexual minority youth. This article analyzed the narratives of same-sex sexual initiation provided by 76 gay and bisexual Mexican immigrant men who participated in interviews for the Trayectos Study, an ethnographic study of sexuality and HIV risk. These participants were raised in a variety of locations throughout Mexico, where they also realized their same-sex att...

  17. Addressing intimate partner violence in lesbian, gay, bisexual, and transgender patients.

    Science.gov (United States)

    Ard, Kevin L; Makadon, Harvey J

    2011-08-01

    The medical community's efforts to address intimate partner violence (IPV) have often neglected members of the lesbian, gay, bisexual, and transgender (LGBT) population. Heterosexual women are primarily targeted for IPV screening and intervention despite the similar prevalence of IPV in LGBT individuals and its detrimental health effects. Here, we highlight the burden of IPV in LGBT relationships, discuss how LGBT and heterosexual IPV differ, and outline steps clinicians can take to address IPV in their LGBT patients. PMID:21448753

  18. Bisexual Behaviors, HIV Knowledge, and Stigmatizing/Discriminatory Attitudes among Men Who Have Sex with Men

    OpenAIRE

    Meizhen Liao; Mei Wang; Xingjie Shen; Pengxiang Huang; Xingguang Yang; Lianzheng Hao; Catherine Cox; Pingsheng Wu; Xiaorun Tao; Dianmin Kang; Yujiang Jia

    2015-01-01

    Objective To assess the correlates for bisexual behaviors, HIV knowledge, and HIV/AIDS-related stigmatizing/discriminatory attitudes among men who have sex with men (MSM). Methods A cross-sectional survey among MSM was conducted in 2011 to provide demographics, sexual behaviors, HIV knowledge, HIV/AIDS-related stigmatizing/discriminatory attitudes, and services in Jinan, Qingdao, and Yantai of Shandong Province of China. Results Of 1230 participants, 82.8% were single, 85.7% aged

  19. Measurement Model Exploring a Syndemic in Emerging Adult Gay and Bisexual Men

    OpenAIRE

    Halkitis, Perry N.; Moeller, Robert W.; Siconolfi, Daniel E.; Storholm, Erik D.; Solomon, Todd M.; Bub, Kristen L.

    2013-01-01

    The current study was designed to develop a better understanding of the nature of the relationships between mental health burden, drug use, and unprotected sexual behavior within a sample of emerging adult gay and bisexual men, ages 18–19 (N = 598) and to test a theory of syndemics using structural equation modeling. Participants were actively recruited from community-based settings and the Internet for participation in a seven-wave cohort study. Data for participant characteristics and menta...

  20. Minority stress and sexual problems among African-American gay and bisexual men.

    Science.gov (United States)

    Zamboni, Brian D; Crawford, Isiaah

    2007-08-01

    Minority stress, such as racism and gay bashing, may be associated with sexual problems, but this notion has not been examined in the literature. African-American gay/bisexual men face a unique challenge in managing a double minority status, putting them at high risk for stress and sexual problems. This investigation examined ten predictors of sexual problems among 174 African-American gay/bisexual men. Covarying for age, a forward multiple regression analysis showed that the measures of self-esteem, male gender role stress, HIV prevention self-efficacy, and lifetime experiences with racial discrimination significantly added to the prediction of sexual problems. Gay bashing, psychiatric symptoms, low life satisfaction, and low social support were significantly correlated with sexual problems, but did not add to the prediction of sexual problems in the regression analysis. Mediation analyses showed that stress predicted psychiatric symptoms, which then predicted sexual problems. Sexual problems were not significantly related to HIV status, racial/ethnic identity, or gay identity. The findings from this study showed a relationship between experiences with racial and sexual discrimination and sexual problems while also providing support for mediation to illustrate how stress might cause sexual problems. Addressing minority stress in therapy may help minimize and treat sexual difficulties among minority gay/bisexual men. PMID:17109233

  1. Experiences of homophobia among gay and bisexual men: results from a cross-sectional study in seven countries.

    Science.gov (United States)

    Chard, Anna N; Finneran, Catherine; Sullivan, Patrick S; Stephenson, Rob

    2015-01-01

    Experiences of homophobic discrimination are associated with an increased prevalence of psychological disorders and increased odds of reporting suicidal ideation among gay and bisexual men. We examine two domains of homophobia--external homophobic discrimination and internalised homophobia--and their associations with sexual orientation, demographic characteristics, relationships and social support among a sample of gay and bisexual men from seven countries. Sexually active gay and bisexual men aged over 18 and residing in Australia, Brazil, Canada, South Africa, Thailand, the UK and the USA were recruited through banner advertisements on Facebook. Two outcomes were examined: reporting experiences of homophobic discrimination and reporting feelings of internalised homophobia. No covariates were consistently significantly associated with experiencing external homophobic discrimination across countries. Across all countries, bisexually identifying respondents reported significantly greater feelings of internalised homophobia. Respondents in Brazil and the UK reporting a main partner, and respondents in Australia, Brazil, Canada, South Africa, Thailand and the USA reporting a larger gay/bisexual social network, reported significantly fewer feelings of internalised homophobia. Results suggest an ameliorative effect of social networks on experiencing homophobia. Additional research should focus on the mechanisms through which social networks reduce feelings of internalised homophobia. PMID:26096688

  2. 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.

    Science.gov (United States)

    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,…

  3. A positive look at a difficult time: a strength based examination of coming out for lesbian and bisexual women.

    Science.gov (United States)

    Bonet, Lorelei; Wells, Brooke E; Parsons, Jeffrey T

    2007-01-01

    This study reports the results of 337 lesbian and 59 bisexual women who completed a survey of sexual and health behaviors collected at gay, lesbian, and bisexual community events in New York City and Los Angeles. The Stress Related Growth Scale was adapted to capture the unique experience of managing a gay or bisexual identity. Stress related growth (SRG)was positively correlated with age, ethnic community attachment, number of female partners, generativity, and number of years out to self. Women with higher levels of education and women of color scored significantly higher on SRG. Findings indicate that SRG may be more salient when used to explore inherent personal characteristics such as sexual orientation or minority status than general stressful life events. PMID:18029311

  4. A dynamic-ecological model of identity formation and conflict among bisexually-behaving African-American men.

    Science.gov (United States)

    Wilson, Patrick A

    2008-10-01

    Understanding how ethnic, sexual, and masculine (ESM) identities form and possibly conflict among African-American men may be important to consider in explaining bisexual behavior in this population. It is proposed that the bisexual behavior among African-American who are primarily sexually attracted to other men may be a function of conflicting ESM identities. Comprehensively understanding the formation and conflict of ESM identities requires an examination of individuals, social contexts, and interactions between individuals and contexts. The current article presents a dynamic-ecological model of identity formation and conflict among ethnic minority men who have sex with men and uses the model to demonstrate how bisexual behavior among African-American men may be examined. PMID:18546068

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

    Science.gov (United States)

    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

  6. Bisexual Behaviors, HIV Knowledge, and Stigmatizing/Discriminatory Attitudes among Men Who Have Sex with Men.

    Directory of Open Access Journals (Sweden)

    Meizhen Liao

    Full Text Available To assess the correlates for bisexual behaviors, HIV knowledge, and HIV/AIDS-related stigmatizing/discriminatory attitudes among men who have sex with men (MSM.A cross-sectional survey among MSM was conducted in 2011 to provide demographics, sexual behaviors, HIV knowledge, HIV/AIDS-related stigmatizing/discriminatory attitudes, and services in Jinan, Qingdao, and Yantai of Shandong Province of China.Of 1230 participants, 82.8% were single, 85.7% aged <35 years, and 47.2% received college or higher education. There were 28.6% MSM who reported to be married or cohabitating or ever had sex with woman in the past 6 months (P6M. 74.5% had ≥6 HIV-related knowledge score. The average total score of stigmatizing/discriminatory attitude was 37.4±4.4(standard deviation. Bisexual behavior was independently associated with higher levels of HIV/AIDS-related stigma/discrimination(AOR = 1.1, 95% CI:1.0-1.1, older age(AOR = 1.2, 95%CI:1.1-1.2, and lower HIV-related knowledge score(AOR = 1.6, 95%CI:1.2-2.2. HIV knowledge score ≥6 was independently associated with lower levels of HIV/AIDS-related stigma/discrimination(AOR = 1.3, 95%CI:1.2-1.3, less bisexual behaviors(AOR = 0.6, 95%CI:0.5-0.9, ever received a test for HIV in the past 12 months (P12M(AOR = 3.2, 95%CI:2.3-4.5, college or higher level education(AOR = 1.9, 95%CI:1.4-2.6, consistent condom use with men in P6M(AOR=6.9, 95%CI:4.6-10.6, recruited from internet or HIV testing sites(AOR = 11.2, 95%CI:8.0-16.1 and bars, night clubs, or tea houses(AOR = 2.5, 95%CI:1.7-4.8. Expressing higher levels of HIV/AIDS-related stigmatizing/discriminatory attitudes was independently associated with bisexual behaviors(Aβ = 0.9, 95%CI:0.4-1.4, lower HIV-related knowledge score(Aβ = 3.6, 95%CI:3.0-4.1, the number of male sex partners in the past week ≥2(Aβ = 1.4, 95%CI:1.0-1.9, unprotected male anal sex in P6M(Aβ = 1.0, 95%CI:0.5-1.6, and inversely associated with ever received HIV test(Aβ = 1.4, 95%CI:0

  7. Gay and bisexual identity development among female-to-male transsexuals in North America: emergence of a transgender sexuality.

    Science.gov (United States)

    Bockting, Walter; Benner, Autumn; Coleman, Eli

    2009-10-01

    We studied a North American sample of female-to-male (FtM) transsexuals sexually attracted to men, aiming to understand their identity and sexuality in the context of a culture of transgender empowerment. Sex-reassigned FtM transsexuals, 18 years or older and attracted to men, were recruited via an FtM community conference and listserv. Participants (N = 25) responded to open-ended questions about identity development, sexual behavior, and social support. Data were analyzed by content analysis. Scores for sexual identity, self esteem, sexual functioning, and psychological adjustment were compared to those of a comparison group (N = 76 nontransgender gay and bisexual men). Of the 25 FtMs, 15 (60%) identified as gay, 8 (32%) as bisexual, and 2 (8%) as queer. All were comfortable with their gender identity and sexual orientation. The FtM group was more bisexual than the nontransgender gay and bisexual controls. No significant group differences were found in self esteem, sexual satisfaction, or psychological adjustment. For some FtMs, sexual attractions and experiences with men affirmed their gender identity; for others, self-acceptance of a transgender identity facilitated actualization of their attractions toward men. Most were "out" as transgender among friends and family, but not on the job or within the gay community. Disclosure and acceptance of their homosexuality was limited. The sexual identity of gay and bisexual FtMs appears to mirror the developmental process for nontransgender homosexual men and women in several ways; however, participants also had experiences unique to being both transgender and gay/bisexual. This signals the emergence of a transgender sexuality. PMID:19330439

  8. Correlates of Hepatitis B Virus and HIV Knowledge among Gay and Bisexual Homeless Young Adults in Hollywood

    OpenAIRE

    Nyamathi, Adeline; Salem, Benissa; Reback, Cathy J; Shoptaw, Steven; Branson, Catherine M.; Idemundia, Faith E.; Kennedy, Barbara; Khalilifard, Farinaz; Marfisee, Mary; Liu, Yihang

    2012-01-01

    Homeless gay and bisexual (G/B) young men have multiple risk factors which increase their risk of contracting hepatitis B virus (HBV) and Human Immunodeficiency Virus (HIV). This study used baseline information from structured instruments to assess correlates of knowledge to HIV and HBV infection from a 267 young (18–39 year old) gay/bisexual (G/B) active methamphetamine, cocaine and crack-using homeless men enrolled in a longitudinal trial. The study is designed to reduce drug use and improv...

  9. Examining Natural Mentoring Relationships (NMRs) among Self-Identified Gay, Bisexual, and Questioning (GBQ) Male Youth

    OpenAIRE

    Torres, Rodrigo Sebastián; Harper, Gary W.; Sánchez, Bernadette; Fernández, M. Isabel

    2012-01-01

    Scholars have identified the presence of natural mentoring relationships (NMRs) as one of a set of protective factors that promote and protect the health and well-being of “at-risk” and marginalized youth. While this work has informed our understanding of the importance of NMRs for supporting youth and promoting positive development, it has only just begun to extend its inquiry focus onto the lives of same-sex attracted (SSA) youth (e.g., gay and bisexual youth). Thirty-nine in-depth intervie...

  10. Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations.

    Science.gov (United States)

    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

  11. 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. PMID:26513678

  12. Lesbian, gay, bisexual, and transgender health issues and nursing: moving toward an agenda.

    Science.gov (United States)

    Keepnews, David M

    2011-01-01

    In a recent article, Eliason et al raise important questions regarding the need for nursing to focus greater attention on lesbian, gay, bisexual, and transgender (LGBT) issues. The present article discusses aspects of the profession's record on issues related to LGBT health and equality in the United States, focusing on civil rights, military discrimination, and human immunodeficiency virus/AIDS. It suggests an initial agenda focusing on public policy, nursing practice, education, and research. It then identifies potential organizational strategies for increasing the profession's visibility and consistency in addressing LGBT issues in the United States. PMID:21572263

  13. The influence of media role models on gay, lesbian, and bisexual identity.

    Science.gov (United States)

    Gomillion, Sarah C; Giuliano, Traci A

    2011-01-01

    The current investigation examined the influence of the media on gay, lesbian, and bisexual (GLB) identity using both survey and in-depth interview approaches. In Study 1, 126 GLB survey respondents (11 unreported) in Texas indicated that the media influenced their self-realization, coming out, and current identities by providing role models and inspiration. In Study 2, 15 interviewees (6 women and 9 men) revealed that media role models serve as sources of pride, inspiration, and comfort. Our findings suggest that increasing the availability of GLB role models in the media may positively influence GLB identity. PMID:21360390

  14. Gay affirmative psychotherapy with lesbian, gay, and bisexual individuals: implications for contemporary psychotherapy research.

    Science.gov (United States)

    Johnson, Steven D

    2012-10-01

    Although a fair amount has been written about gay affirmative psychotherapy, there has not been a clear consensus on what actually constitutes gay affirmative therapy. Because there are no real theoretical framework, operational definitions, or outcome measures, pychotherapists are left unsure about how to incorporate it into their practice and researchers are unsure how best to investigate it. This article offers recommendations to identify gay affirmative therapy as a culturally competent approach for working with lesbian, gay, and bisexual clients and offers future research directions including how to utilize the "coming out" narrative in gay affirmative therapy. PMID:23039349

  15. SOCIAL-COGNITIVE DETERMINANTS OF CONDOM USE IN A COHORT OF YOUNG GAY AND BISEXUAL MEN

    OpenAIRE

    Franssens, Dirk; Hospers, Harm; Kok, Gerjo

    2009-01-01

    Abstract The aim of this prospective study was to identify relevant determinants of young gay and bisexual men?s (YGBM) condom use when having anal sex with casual partners. Respondents (185 YGBM in the midst of their coming-out; mean age 18.9) completed an online questionnaire on social-cognitive determinants of condoms use derived from the Theory of Planned Behavior (Azjen, 1991) at wave 1. At six months follow-up (wave 2) sexual behavior with casual partners was assessed. A tota...

  16. Victimization of Lesbian, Gay, and Bisexual People in Childhood: Associations with Attempted Suicide.

    Science.gov (United States)

    Flynn, Anna B; Johnson, Renee M; Bolton, Shay-Lee; Mojtabai, Ramin

    2016-08-01

    Higher rates of attempted suicide have been documented among people who identify themselves as gay, lesbian, and bisexual (LGB) compared with heterosexuals. This study sought to ascertain the association between childhood abuse and neglect and attempted suicide, comparing LGBs and heterosexuals. Childhood sexual abuse among men and childhood sexual and physical abuse among women were found to mediate the association between LGB identity and attempted suicide. The experience of childhood abuse likely plays a significant role in the relationship between LGB identity and attempted suicide, but other factors such as experience of discrimination are also important. PMID:27484047

  17. Perceived social support in the lives of gay, bisexual and queer Hispanic college men.

    Science.gov (United States)

    Rios, Desdamona; Eaton, Asia

    2016-10-01

    In this qualitative study, we examined the sources and nature of social support reported by 24 gay, bisexual and queer Hispanic college men at a small liberal arts college and a large university in the USA. We identified four themes of support across the interviews: Shared experiences (46%), Protector (42%), Support in the air (33%) and Gradual support (29%). Shared experiences included support from those who had previous experience with the lesbian, gay or bisexual community. Protector indicated a type of support that was psychologically, emotionally or physically protective in nature. Participants also reported receiving indirect support such as nonverbal behaviours or indirect gestures of endorsement and caring (support in the air). Participants reported that many of their network members came to support them gradually over time (gradual support). Within each theme we found support from both women and men, who provided support in gender-consistent ways. Our results highlight that despite continued prejudice and discrimination in society, sexual and racial/ethnic minority men have strongholds of support from men and women in their lives that enable them to navigate their development successfully. PMID:26943261

  18. The meaning of quality of care in home care settings: older lesbian and bisexual women's perspectives.

    Science.gov (United States)

    Grigorovich, Alisa

    2016-03-01

    Research suggests that the experience of being a lesbian or bisexual woman influences women's interactions with health care providers, and their perception of the quality of care. Limited research to date, however, has examined how ageing and sexuality mediates women's experiences of quality, when accessing health care in the community. To fill a gap in the literature, this study investigated older lesbian and bisexual women's perspectives on the meaning of quality of care in the context of receiving home care services. This was a qualitative single case study. Sixteen participants, aged 55-72 from Ontario, Canada, participated in semi-structured interviews between 2011 and 2012. The interviews were recorded and transcribed. The interview data were analysed using iterative thematic analysis and guided by a feminist ethic of care perspective. Participants described quality of care in ways that were in line with a feminist ethic of care; that is, they wanted care providers to be responsive and attentive to their needs, to involve them in the caring process and to demonstrate respect and caring. Participants also indicated that providers' comfort with, and knowledge of, sexual diversity was important for enabling quality of care. These findings deepen our understanding of how to support quality of care for this population through changes to provider education and training, and health policy. PMID:25919504

  19. Microaggressions Toward Lesbian, Gay, Bisexual, Transgender, Queer, and Genderqueer People: A Review of the Literature.

    Science.gov (United States)

    Nadal, Kevin L; Whitman, Chassitty N; Davis, Lindsey S; Erazo, Tanya; Davidoff, Kristin C

    2016-01-01

    Microaggressions are subtle forms of discrimination, often unconscious or unintentional, that communicate hostile or derogatory messages, particularly to and about members of historically marginalized social groups. While Sue's (2010a, 2010b) microaggression theory formed its foundation in studies based on racial microaggressions, the following review summarizes microaggression literature to date, as it pertains to the lesbian, gay, bisexual, transgender, queer, and genderqueer (LGBTQ) people. Searching PsycINFO and other databases between 2010 and 2015, we found 35 peer-reviewed papers or dissertations that concentrate on the negative impact microaggressions have on LGBTQ people. A comprehensive overview of the experiences of individual LGBTQ subgroups (e.g., lesbian women, gay men, bisexual people, transgender people, and genderqueer people) is included, as well as microaggressions based on intersectional identities (e.g., experiences of LGBTQ people of color). The significance of this review is that it is the only known article to comprehensively analyze the literature on LGBTQ people and microaggressions, examining the strengths and weaknesses of past literature while encouraging future areas of theory, research, and practice. PMID:26966779

  20. Preventing Suicide in Lesbian, Gay, Bisexual, and Transgender Prisoners: A Critique of U.K. Policy.

    Science.gov (United States)

    Read, Max; McCrae, Niall

    2016-01-01

    Suicide is a global problem in prisons. As in society generally, gay men in prison have a higher risk of attempting suicide compared with their heterosexual peers. The Howard League for Penal Reform Sex in Prison Commission 2015 reveals a pervasive culture of consensual and coercive sexual relations, with gay men more likely to be targeted for unsolicited sex. Research shows an inadequate institutional response to such abuse. Victims of sexual assault in prison have high rates of psychological problems, which can lead to self-harm and suicide. The Assessment, Care in Custody and Teamwork procedure to assess and manage risk of suicide in prisoners, however, makes no reference to the needs of the lesbian, gay, bisexual, and transgender prison population, despite national policy and best practice guidance that advocates an individualized approach to suicide risk with due consideration of vulnerable group status. This article argues that the Assessment, Care in Custody and Teamwork procedure should be tuned to the requirements of the Equality Act 2010 to ensure that lesbian, gay, bisexual, and transgender prisoners are not exposed to the double jeopardy of sexual assault and related suicidal tendencies. PMID:26910265

  1. Is tobacco a gay issue? Interviews with leaders of the lesbian, gay, bisexual and transgender community.

    Science.gov (United States)

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

    2008-02-01

    This study examined the extent of tobacco industry funding of lesbian, gay, bisexual and transgender (LGBT) organisations and whether leaders of these organisations thought tobacco was a priority health issue for their community. We interviewed leaders of 74 LGBT organisations and publications in the USA, reflecting a wide variety of groups. Twenty-two percent said they had accepted tobacco industry funding and few (24%) identified tobacco as a priority issue. Most leaders did not perceive tobacco as an issue relevant to LGBT identity. They saw smoking as a personal choice and individual right rather than as a health crisis fuelled by industry activities. As such, they were reluctant to judge a legal industry, fearing it might lead to having to evaluate other potential funders. They saw tobacco control as divisive, potentially alienating their peers who smoke. The minority who embraced tobacco control saw the industry as culpable and viewed their own roles as protecting the community from all harms, not just those specific to the gay community. Lesbian, gay, bisexual and transgender tobacco-control advocates should reframe smoking as an unhealthy response to the stresses of homophobia to persuade leaders that tobacco control is central to LGBT health. PMID:18247208

  2. 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…

  3. "Keep Pressing On": Spiritual Epistemology and Its Role in the Collegiate Lives of Black Gay and Bisexual Men

    Science.gov (United States)

    Means, Darris R.; Jaeger, Audrey J.

    2016-01-01

    This qualitative study explores how the spiritual epistemology of Black, gay and bisexual, cisgender men in college changed during their spiritual journeys and how participants used spirituality in their collegiate lives. External forces, such as family members, religious text, and church settings, initially shaped many participants' spirituality,…

  4. Hazards of Stigma: The Sexual and Physical Abuse of Gay, Lesbian, and Bisexual Adolescents in the United States and Canada

    Science.gov (United States)

    Saewyc, Elizabeth M.; Skay, Carol L.; Pettingell, Sandra L.; Reis, Elizabeth A.; Bearinger, Linda; Resnick, Michael; Murphy, Aileen; Combs, Leigh

    2006-01-01

    Some studies suggest lesbian, gay, and bisexual (LGB) teens are at higher risk than peers for violence at home, in school, and in the community. That can bring them into the child welfare system or services for runaway and homeless teens. This study compared self-reported experiences of sexual and physical abuse based on sexual orientation and…

  5. Speaking Out: A Survey of Lesbian, Gay, and Bisexual Teachers of ESOL in the U.S.

    Science.gov (United States)

    Snelbecker, Karen Amy

    A survey of gay, Lesbian, and bisexual teachers of English as a Second Language (ESL) concerning their roles as teachers, working conditions, and peer relationships is reported. Data were gathered from 17 written questionnaires and 13 telephone interviews. An introductory chapter gives a brief history of the organization of homosexual members of…

  6. Differential Item Functioning for Lesbians, Bisexual, and Heterosexual Women in the Center for Epidemiological Studies Depression Scale

    Science.gov (United States)

    Birnholz, Justin L.; Young, Michael A.

    2012-01-01

    This study assessed whether the Center for Epidemiological Studies Depression Scale (CES-D) functions equivalently in assessing depressive symptom severity in lesbian, bisexual, and heterosexual women. Using differential item functioning methods, the authors examined (a) whether there is a bias in CES-D total scores and in individual item scores…

  7. Cracking the Lavender Ceiling: Lesbian, Gay, and Bisexual Student Affairs Professionals and Their Personal Perspectives on Career Trajectory

    Science.gov (United States)

    Smith, James Capshaw

    2013-01-01

    In higher education, the people working in student affairs are as diverse as the students who are served by these professionals. Those who identify as lesbian, gay, or bisexual are often faced with challenges to moving up the career ladder. Many who seek senior-level administrative positions, such as director, dean of students, vice president or…

  8. Revision and Extension of a Multidimensional Measure of Sexual Minority Identity: The Lesbian, Gay, and Bisexual Identity Scale

    Science.gov (United States)

    Mohr, Jonathan J.; Kendra, Matthew S.

    2011-01-01

    Two studies were conducted to investigate a revised and extended version of the Lesbian and Gay Identity Scale (Mohr & Fassinger, 2000): the 27-item Lesbian, Gay, and Bisexual Identity Scale (LGBIS). This revision features more inclusive and less stigmatizing language than the previous version and includes 2 new subscales assessing identity…

  9. Sexual Health Information Seeking Online: A Mixed-Methods Study among Lesbian, Gay, Bisexual, and Transgender Young People

    Science.gov (United States)

    Magee, Joshua C.; Bigelow, Louisa; DeHaan, Samantha; Mustanski, Brian S.

    2012-01-01

    The current study used a mixed-methods approach to investigate the positive and negative aspects of Internet use for sexual health information among lesbian, gay, bisexual, and transgender (LGBT) young people. A diverse community sample of 32 LGBT young people (aged 16-24 years) completed qualitative interviews focusing on how, where, and when…

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

    Science.gov (United States)

    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…

  11. Sex and Relationships Education, Sexual Health, and Lesbian, Gay and Bisexual Sexual Cultures: Views from Young People

    Science.gov (United States)

    Formby, Eleanor

    2011-01-01

    This article draws on three small-scale studies with young people in two cities in the United Kingdom, which sought to gather views on sex and relationships education (SRE) and sexual health, and included those who self-identified as lesbian, gay, or bisexual (LGB). Participants were involved in detailed self-completion surveys and/or in-depth…

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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…

  14. Self-Acceptance and Self-Disclosure of Sexual Orientation in Lesbian, Gay and Bisexual Adults: An Attachment Perspective

    Science.gov (United States)

    Mohr, Jonathan J.; Fassinger, Ruth E.

    2003-01-01

    A model linking attachment variables with self-acceptance and self-disclosure of sexual orientation was tested using data from 489 lesbian, gay, and bisexual (LGB) adults. The model included the following 4 domains of variables: (a) representations of childhood attachment experiences with parents, (b) perceptions of parental support for sexual…

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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…

  17. 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…

  18. Hatred in the Hallways: Violence and Discrimination against Lesbian, Gay, Bisexual, and Transgender Students in U.S. Schools.

    Science.gov (United States)

    American Journal of Health Education, 2001

    2001-01-01

    Local, state, and federal governments fail to protect homosexual, bisexual, and transgender students from human rights violations (harassment, violence, and deprivation of the right to education). State authorities must: end discrimination based on sexual orientation and gender identity; compel school officials to protect all students from…

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

    Science.gov (United States)

    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,…

  20. Creating School Environments Responsive to Gay, Lesbian, Bisexual, and Transgender Families: Traditional and Systemic Approaches for Consultation

    Science.gov (United States)

    Jeltova, Ida; Fish, Marian C.

    2005-01-01

    The authors review research on (a) gay, lesbian, bisexual, and transgender (GLBT) families and the nature of discrimination against them; (b) school factors that hinder and facilitate equity for GLBT families; (c) instituting change through organizational consultation or large group-level strategies; and (d) instituting change through traditional…

  1. "The Changers and the Changed": Preparing Early Childhood Teachers to Work with Lesbian, Gay, Bisexual, and Transgender Families

    Science.gov (United States)

    Kintner-Duffy, Victoria L.; Vardell, Rosemarie; Lower, Joanna K.; Cassidy, Deborah J.

    2012-01-01

    The Census Bureau estimates that up to 14 million children under the age of 18 are being raised by lesbian, gay, bisexual, or transgender (LGBT) families. Just as heterosexual families require child care to enable work and want high-quality early childhood education to enhance their children's development, LGBT families experience the same needs…

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

    Science.gov (United States)

    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…

  3. Research on the Work Experiences of Lesbian, Gay, and Bisexual People: An Integrative Review of Methodology and Findings.

    Science.gov (United States)

    Croteau, James M.

    1996-01-01

    Integrates findings of nine studies on workplace experiences of lesbian, gay, and bisexual people into five themes: pervasiveness of discrimination, informal and formal types of discrimination, fear of discrimination, worker openness about sexual orientation, and degree of openness versus concealment. (SK)

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

    Science.gov (United States)

    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…

  5. Family Counseling and Ethical Challenges with Gay, Lesbian, Bisexual, and Transgendered (GLBT) Clients: More Questions Than Answers.

    Science.gov (United States)

    Janson, Gregory R.; Steigerwald, Fran J.

    2002-01-01

    Gay, lesbian, bisexual, and transgendered (GLBT) persons and their families present unique ethical challenges for marriage and family counselors. A series of brief case vignettes touch on a range of ethical issues for couples and family counselors, including training, supervision, custody evaluation, ethical decision making, counselor bias,…

  6. Application of a modified health belief model to HIV preventive behavioral intentions among gay and bisexual men

    NARCIS (Netherlands)

    Bakker, A.B.; Buunk, Abraham (Bram); Siero, F.W.; van den Eynden, R.J.J.M.

    1997-01-01

    The utility of a modified health belief model (Janz and Pecker, 1984) for predicting the intention to use condoms was tested in a study among gay and bisexual men. The model explained a reasonable amount of variance. It was found that younger men's decision to have safe sex was guided by factors oth

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

    Science.gov (United States)

    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…

  8. ‘Their Words Cut me Like a Knife’ : coping responses of Dutch lesbian, gay and bisexual youth to stigma

    NARCIS (Netherlands)

    van Bergen, Diana; Spiegel, Tali

    2014-01-01

    Stigmatization experienced by lesbian, gay and bisexual youth (LGB) is associated with reduced psychological well-being and suggests that coping is an important mediator. The current study investigates the coping with stigma of Dutch LGB youth, and examines the social and individual mechanisms that

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

    Science.gov (United States)

    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…

  10. Comparing Psychosocial Adjustment across the College Transition in a Matched Heterosexual and Lesbian, Gay, and Bisexual Sample

    Science.gov (United States)

    Kirsch, Alexandra C.; Conley, Colleen S.; Riley, Tracey J.

    2015-01-01

    We compared a matched sample of heterosexual and lesbian, gay, and bisexual (LGB) students on 5 psychosocial adjustment composites, longitudinally across the transitional first year of college. Both LGB and heterosexual students experienced a significant increase in psychological distress over the first semester, along with significant decreases…

  11. 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…

  12. Sexual sensation seeking, sexual compulsivity, and high-risk sexual behaviours among gay/bisexual men in Southwest China.

    Science.gov (United States)

    Xu, Wenjian; Zheng, Lijun; Liu, Yong; Zheng, Yong

    2016-09-01

    High-risk sexual behaviours (HRSBs), such as having male casual sexual partners (MCSPs) and unprotected anal intercourse (UAI), are combined with a high prevalence of HIV infection among gay/bisexual men. Sexual sensation seeking (SSS) and sexual compulsivity (SC), which are intrapersonal factors, were observed to have associations with HRSB among gay/bisexual men in Western nations. The aim of the study was to examine the relationships between SSS, SC, socio-demographic factors, and HRSB (defined as having MCSP and UAI with MCSP) among self-identified gay and bisexual men in Southwest China. The study was cross-sectional, with a sample of 436 respondents. And their mean age was 24.5 years. The results confirmed that SSS, SC, and sexual attitude are associated with both having MCSP and UAI with MCSP in the Chinese cultural context, among the subgroup of men who have sex with men. Being older, not a student, and having transactional sex in the last 6 months were independently associated with having MCSP. Lower educational level, unemployed, having a relationship with a man, and an unsure HIV status were independently associated with UAI with MCSP. This study indicates that SSS and SC are cross-cultural personality traits related to HRSB. The results of this study may shed light on HIV prevention among gay/bisexual men in China. PMID:26924809

  13. Universal Design and LGBTQ (Lesbian, Gay, Transgender, Bisexual, and Queer) Issues: Creating Equal Access and Opportunities for Success

    Science.gov (United States)

    Daniels, Jennifer R.; Geiger, Tracy J.

    2010-01-01

    The authors extend the ideals set forth by the universal design (UD) framework seeking to include the unique needs of students in the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community. Universal design is a philosophy that, when applied to higher education, constitutes acceptance of, equal access for, and equal opportunities for…

  14. School Avoidance and Substance Use among Lesbian, Gay, Bisexual, and Questioning Youths: The Impact of Peer Victimization and Adult Support

    Science.gov (United States)

    Darwich, Lina; Hymel, Shelley; Waterhouse, Terry

    2012-01-01

    This study examined differences among lesbian, gay, bisexual, and questioning youths in their perceptions of adult support. For socially stigmatized youths, adult support is of particular significance. However, there is very little understanding about how adult support protects youths from homophobic victimization as well as other risk factors. In…

  15. Health Risk Behaviors in a Representative Sample of Bisexual and Heterosexual Female High School Students in Massachusetts

    Science.gov (United States)

    White Hughto, Jaclyn M.; Biello, Katie B.; Reisner, Sari L.; Perez-Brumer, Amaya; Heflin, Katherine J.; Mimiaga, Matthew J.

    2016-01-01

    Background: Differences in sexual health-related outcomes by sexual behavior and identity remain underinvestigated among bisexual female adolescents. Methods: Data from girls (N?=?875) who participated in the Massachusetts Youth Risk Behavior Surveillance survey were analyzed. Weighted logistic regression models were fit to examine sexual and…

  16. The 2003 National School Climate Survey. The School-Related Experiences of Our Nation's Lesbian, Gay, Bisexual and Transgender Youth

    Science.gov (United States)

    Kosciw, Joseph G.

    2004-01-01

    The experiences of lesbian, gay, bisexual and transgender (LGBT) students in schools have been under-documented. For this reason, a third national survey was conducted by the Gay, Lesbian and Straight Education Network (GLSEN). As in previous surveys, LGBT youth were asked about biased language in their schools, feelings of comfort and safety in…

  17. Moving beyond the binary with disordered eating research: a test and extension of objectification theory with bisexual women.

    Science.gov (United States)

    Brewster, Melanie E; Velez, Brandon L; Esposito, Jessica; Wong, Stephanie; Geiger, Elizabeth; Keum, Brian TaeHyuk; Keum, Taehyuk Brian

    2014-01-01

    In predicting disordered eating, the core model of objectification theory (Fredrickson & Roberts, 1997) has been replicated and extended in research across most sexual minority groups (e.g., Haines et al., 2008; Wiseman & Moradi, 2010), but not bisexual women. The present study tested the tenets of objectification theory with a sample of 316 bisexual women and further extended this theory by examining the roles of 2 minority stressors-antibisexual discrimination and internalized biphobia-that are contextually salient for bisexual women. A latent variable structural equation model was conducted, and the model yielded a good fit to the data. Antibisexual discrimination and internalized biphobia (but not sexual objectification experiences) yielded significant unique links with internalization of sociocultural standards of attractiveness (internalization of CSA). Next, internalization of CSA yielded a significant unique link with body surveillance. In addition, antibisexual discrimination, internalization of CSA, and body surveillance yielded significant unique links with body shame. Finally, sexual objectification experiences, internalization of CSA, and body shame yielded significant unique links with eating disorder symptomatology. Beyond the direct relations, antibisexual discrimination yielded significant positive indirect links with body surveillance, body shame, and eating disorder symptoms. Internalization of CSA yielded significant positive indirect links with body shame and eating disorder symptoms. Lastly, body surveillance yielded a significant positive indirect link with eating disorder symptoms. Implications for research and practice with bisexual women are discussed. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24188653

  18. De/centering Straight Talk: Queerly Informed Inclusive Pedagogy for Gay and Bisexual Students with Intellectual Disabilities

    Science.gov (United States)

    Thompson, S. Anthony

    2008-01-01

    There have been many theoretical and practical efforts to include students with intellectual disabilities into the mainstream of school and community life. These initiatives are derived from, and limited by, individualized notions of disability. Alternatively, using data from an exploratory multiple-case study of gay and bisexual persons with…

  19. 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.

    2016-01-01

    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 orie

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

    Science.gov (United States)

    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…

  1. Problems with sex among gay and bisexual men with diagnosed HIV in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Bourne Adam

    2012-10-01

    Full Text Available Abstract Background A significant research literature exists that details the sexual health and sexual behaviour of gay and bisexual men who have diagnosed HIV. However, much of this research has focussed on HIV transmission risk behaviours among this group, rather than seeking to understand their sexual health and sexual well-being more broadly. There have been growing calls for interventions to support people with diagnosed HIV to achieve health and well-being, including sexual health and well-being. A detailed understanding of the problems people in this group face, and how they might be overcome, is required to facilitate such interventions. Methods One thousand two hundred and seventeen gay and bisexual men with diagnosed HIV were recruited by convenience sampling through charitable AIDS service organisations, genitourinary medicine clinics and local authority agencies to complete a survey of their health and social care needs. Respondents were asked to report any problems they had with regards to sex during the 12 months prior to survey completion. They were also asked to describe what support might help them to overcome any problems they experienced. Results Overall, 70.5% of the gay and bisexual men with diagnosed HIV completing the survey reported one or more problems with sex within the previous 12 months. Most commonly reported problems include loss of libido (44.0%, n=540, poor self-image or low self confidence (43.9%, n=534, worries about passing HIV to potential sexual partners (37.3%, n=454, and fears of rejection from sexual partners (34.7%, n=422. Responses varied according to age, time since diagnosis, and whether or not the respondent was currently taking anti-retroviral therapy. Qualitative analysis of data relating to what support might help men overcome problems with sex indicate a need for therapeutic support to increase self esteem and confidence, clarity on criminalisation of HIV transmission, the tackling of HIV related

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

    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. PMID:20582801

  4. Lesbian, Gay, and Bisexual Identity as a Moderator of Relationship Functioning After Sexual Assault.

    Science.gov (United States)

    Gemberling, Tess M; Cramer, Robert J; Miller, Rowland S; Stroud, Caroline H; Noland, Ramona M; Graham, James

    2015-12-01

    Sexual assault is unfortunately common, especially among lesbian, gay, and bisexual (LGB) individuals. Yet, the associations of such victimization have not yet been extensively established in the areas of sexual identity and romantic relationship functioning. Accordingly, the present study examined the associations between lifetime sexual assault, LGB identity, and romantic relationship functioning in a sample of 336 LGB individuals. A history of sexual assault was associated with attachment anxiety and several sexual identity components (i.e., higher levels of acceptance concerns, identity uncertainty, internalized homonegativity, and identity superiority). Furthermore, an association of sexual assault and attachment avoidance was moderated by internalized homonegativity. Finally, a more secure LGB identity was associated with healthier romantic relationship functioning. Collectively, these findings are applicable to services for LGB sexual assault victims, suggesting the incorporation of treatment that bolsters LGB identity and couple functioning. Limitations and future directions are discussed. PMID:25516131

  5. 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. PMID:26151148

  6. (How) does it make a difference? Perspectives of adults with lesbian, gay, and bisexual parents.

    Science.gov (United States)

    Goldberg, Abbie E

    2007-10-01

    Few studies have addressed the experiences or perceptions of adult children of lesbian, gay, and bisexual (LGB) parents. In this study, 46 adult children of LGB parents were interviewed, and their perceptions of how growing up with LGB parents influenced them as adults were examined. Qualitative analysis revealed that adults felt that they were more tolerant and open minded and had more flexible ideas about gender and sexuality as a function of growing up with LGB parents. Participants often felt protective of their parents and the gay community, and some went to great efforts to defend them to peers, family members, and society. Some participants struggled with issues of trust in adulthood, which they related to the experience of their parents' unexpected coming out, as well as to experiences of teasing and bullying. The importance of understanding these findings in the context of societal heterosexism is discussed. PMID:18194035

  7. Gay, lesbian, bisexual and transgendered (GLBT) experiences with Earth-spirited faith.

    Science.gov (United States)

    Smith, Brandy; Horne, Sharon

    2007-01-01

    Earth-spirited faiths (e.g., Pagan and Wiccan spiritualities) have been described as more affirmative toward gay, lesbian, bisexual, and transgendered (GLBT) members than mainstream Judeo-Christian faiths, but no research has explored Earth-spirited faiths' GLBT-affirming behaviors. This study investigated those behaviors as well as the faith experiences of GLBT Earth-spirited individuals. At time of coming out, participants who were affiliated with mainstream Judeo-Christian faiths reported greater faith conflict than those affiliated with Earth-spirited faiths; however, there were no differences in resolution of the conflict between the two groups, internalized homonegativity, or self-acceptance. In addition, Earth-spirited faiths engaged in many GLBT-affirming behaviors. PMID:17594979

  8. Differences between heterosexual, bisexual, and lesbian women in recalled childhood experiences.

    Science.gov (United States)

    Phillips, G; Over, R

    1995-02-01

    Heterosexual, bisexual, and lesbian women recalled the extent to which they had engaged in gender conforming (female-stereotypic) behaviors and gender nonconforming (male-stereotypic) behaviors in childhood. Heterosexual women were more likely to recall having had female-stereotypic experiences as children, whereas lesbian women often recalled a childhood characterized by male-stereotypic experiences. Multiple discriminant function allowed the heterosexual women in the sample to be distinguished from the lesbian women with 80% accuracy in classification of individual cases on the basis of four recollected attributes (imagined self as a male character, wished to become a mother, preference for boys' games, and considered a tomboy as a child). However, some heterosexual women reported much the same childhood behaviors as the majority of lesbian women, and some lesbian women reported much the same childhood behaviors as the majority of heterosexual women. Such diversity raises questions about the nature of the relationship between experiences in childhood and adult sexual orientation. PMID:7733801

  9. Identity formation, outness, and sexual risk among gay and bisexual men.

    Science.gov (United States)

    White, Darcy; Stephenson, Rob

    2014-03-01

    Research on HIV among men who have sex with men has focused on individual behavioral and biomedical factors driving transmission risks, but these cannot be fully understood without also understanding the social context within which sexual minorities live. Using data from 703 gay and bisexual men in Atlanta, this study explores the factors associated with homosexual identity formation and disclosure ("outness") and examines how these constructs are associated with sexual risk taking. In multivariable regression models, sexual identity and outness were associated with age, race, education, employment, and experience of discrimination. Independent of these factors, having a more established and open homosexual identity was associated with lower sexual risk behaviors. These results highlight the need to address discriminatory policies and values in society and call for programs to provide support and promote healthy identity development among vulnerable groups. PMID:23690365

  10. Identity Formation, Outness and Sexual Risk among Gay and Bisexual Men

    Science.gov (United States)

    White, Darcy; Stephenson, Rob

    2014-01-01

    Research on HIV among men who have sex with men (MSM) has focused on individual behavioral and biomedical factors driving transmission risks, but these cannot be fully understood without also understanding the social context within which sexual minorities live. Using data from 703 gay and bisexual men in Atlanta, this study explores the factors associated with homosexual identity formation and disclosure (“outness”) and examines how these constructs are associated with sexual risk taking. In multivariable regression models, sexual identity and outness were associated with age, race, education, employment, and experience of discrimination. Independent of these factors, having a more established and open homosexual identity was associated with lower sexual risk behaviors. These results highlight the need to address discriminatory policies and values in society and call for programs to provide support and promote healthy identity development among vulnerable groups. PMID:23690365

  11. What Parents and Their Gay and Bisexual Sons Say About HIV Prevention.

    Science.gov (United States)

    LaSala, Michael C; Fedor, James P; Revere, Elyse J; Carney, Robert

    2016-09-01

    Despite ongoing prevention efforts, young gay and bisexual men (YGBM) accounted for more than three fourths of all recent HIV infections. Furthermore, they continue to engage in high-risk sexual behaviors at alarming rates. Nowadays, families are beginning to emerge as important resources for these youth. However, the viewpoints of YGBM and their families are largely missing from HIV prevention research and intervention development. To address this gap, we solicited the opinions of YGBM and their parents as to why YGBM engage in unsafe sex and what might be done to help them avoid HIV. Participants discussed youth's sense of invulnerability, sexual arousal, parental disapproval, and lack of societal acceptance as contributors to unsafe sex. Participants called for gay-sensitive sex education and community programming as well as increased societal acceptance. Overall, respondents recommended interpersonal and structural-level interventions that emphasized the importance of reducing stigma as a key component of HIV prevention. PMID:26443796

  12. Online focus groups as an HIV prevention program for gay, bisexual, and queer adolescent males.

    Science.gov (United States)

    Ybarra, Michele L; DuBois, L Zachary; Parsons, Jeffrey T; Prescott, Tonya L; Mustanski, Brian

    2014-12-01

    Seventy-five 14-18-year-old gay, bisexual, and queer (GBQ) males provided feedback about how their participation in national, online focus groups (FG) about GBQ sexual health related topics resulted in behavioral and attitudinal changes. Most sexually experienced youth agreed that their participation positively changed their views and behavioral intentions. Some said that being in the FG made them more comfortable talking about sex, their sexuality, and making safer choices such as negotiating condoms. Others indicated intentions to become more involved in the LGBT community. Sexually inexperienced FG participants similarly said that the FG discussion positively affected them-most commonly by reducing their sense of isolation as young GBQ men who were waiting to have sex. Many also thought that they would become more vocal advocates of abstinence and/or safe sex. Online FGs and facilitated discussion boards should be further explored as a low-cost HIV prevention program for GBQ youth. PMID:25490735

  13. Pride and prejudice: factors affecting school attachment among lesbian, bisexual, and heterosexual girls.

    Science.gov (United States)

    Peter, Tracey; Taylor, Catherine; Ristock, Janice; Edkins, Tamara

    2015-01-01

    School attachment is often regarded as a key measure in gauging the integration and wellbeing of students. Previous research suggests that levels of school attachment are generally lower among sexual minority students, but most studies focus on between-gender comparisons and do not conduct within-gender analyses. Using data from the First National Climate Survey on Homophobia and Transphobia in Canadian schools, this study set out to empirically analyze what, if any, differences exist among lesbian, bisexual, and heterosexual female students when assessing the relationship between homophobic and gender-negative language, feelings of safety, harassment/direct victimization, and school climate on school attachment. Bivariate and multivariate findings suggest that there are key differences among female students in terms of school attachment. PMID:25760998

  14. Motivators, concerns, and barriers to adoption of pre-exposure prophylaxis for HIV prevention among gay and bisexual men in HIV serodiscordant male relationships

    OpenAIRE

    Brooks, Ronald A.; Kaplan, Rachel L.; Lieber, Eli; Landovitz, Raphael J.; Lee, Sung-Jae; Leibowitz, Arleen A.

    2011-01-01

    The purpose of this study was to identify factors that may facilitate or impede future adoption of pre-exposure prophylaxis (PrEP) for HIV prevention among gay and bisexual men in HIV-serodiscordant relationships. This qualitative study utilized semi-structured interviews conducted with a multi-racial/ethnic sample of 25 gay and bisexual HIV serodiscordant male couples (n=50 individuals) recruited from community settings in Los Angeles, California. A modified grounded theory approach was empl...

  15. Motivators, concerns, and barriers to adoption of preexposure prophylaxis for HIV prevention among gay and bisexual men in HIV-serodiscordant male relationships

    OpenAIRE

    Brooks, RA; Kaplan, RL; Lieber, E; Landovitz, RJ; Lee, SJ.; Leibowitz, AA

    2011-01-01

    The purpose of this study was to identify factors that may facilitate or impede future adoption of preexposure prophylaxis (PrEP) for HIV prevention among gay and bisexual men in HIV-serodiscordant relationships. This qualitative study utilized semistructured interviews conducted with a multiracial/-ethnic sample of 25 gay and bisexual HIV-serodiscordant male couples (n=50 individuals) recruited from community settings in Los Angeles, CA. A modified grounded theory approach was employed to id...

  16. Building Program Acceptability: Perceptions of Gay and Bisexual Men on Peer or Prevention Case Manager Relationships in Secondary HIV Prevention Counseling

    OpenAIRE

    DRISKELL, JEFFREY R.; O’Cleirigh, Conall; COVAHEY, CHARLES; RIPTON, JESSICA; Mayer, Kenneth; PERRY, D’HANA; Salomon, Elizabeth; Safren, Steven

    2010-01-01

    There is growing interest in integrating HIV prevention counseling for HIV-infected gay and bisexual men into HIV primary care. HIV-infected peers and professionally trained prevention case managers (PCMs) have been used to provide prevention counseling services. The current qualitative study seeks to examine participant perceptions of the acceptability of HIV-infected peer counselors and of trained prevention case managers from the perspective of 41 HIV-infected gay and bisexual men. Semi-st...

  17. The impact of migration on the sexual health, behaviours and attitudes of Central and East European gay/bisexual men in London

    OpenAIRE

    Mole, R. C. M.; Parutis, V.; Gerry, C. J.; Burns, F. M.

    2014-01-01

    Background Building on an earlier quantitative study which found that gay/bisexual men from Central and Eastern Europe were at greater risk of sexual ill health following migration to the UK, the aim of this qualitative study is to explore how the process of migration itself may have influenced the migrants’ sexual behaviour and attitudes. Methods To address these questions, we conducted 17 in-depth interviews in London with gay/bisexual male migrants from Central and Eastern Europe, drawing ...

  18. The Coming-Out Process of Young Lesbian and Bisexual Women: Are There Butch/Femme Differences in Sexual Identity Development?

    OpenAIRE

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

    2007-01-01

    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 compos...

  19. Motivators, concerns, and barriers to adoption of pre-exposure prophylaxis for HIV prevention among gay and bisexual men in HIV serodiscordant male relationships

    OpenAIRE

    Brooks, RA; Kaplan, RL; Lieber, E; Landovitz, RJ; Lee, SJ; Leibowitz, AA

    2011-01-01

    The purpose of this study was to identify factors that may facilitate or impede future adoption of preexposure prophylaxis (PrEP) for HIV prevention among gay and bisexual men in HIV-serodiscordant relationships. This qualitative study utilized semistructured interviews conducted with a multiracial/-ethnic sample of 25 gay and bisexual HIV-serodiscordant male couples (n=50 individuals) recruited from community settings in Los Angeles, CA. A modified grounded theory approach was employed to id...

  20. The prevalence of sexual assault against people who identify as Gay, Lesbian or Bisexual in the United States: A systematic review

    OpenAIRE

    Rothman, Emily F.; Exner, Deinera; Baughman, Allyson

    2011-01-01

    This article systematically reviews 75 studies that examine the prevalence of sexual assault victimization among gay or bisexual (GB) men, and lesbian or bisexual (LB) women, in the United States. All studies were published between 1989 and 2009 and report the results of quantitative research. The authors reviewed the reported prevalence of lifetime sexual assault victimization (LSA), and where available, childhood sexual assault (CSA), adult sexual assault (ASA), intimate partner sexual assa...

  1. Boule is present in fish and bisexually expressed in adult and embryonic germ cells of medaka.

    Directory of Open Access Journals (Sweden)

    Hongyan Xu

    Full Text Available BACKGROUND: The DAZ family genes boule, daz and dazl encode RNA binding proteins essential for fertility of diverse animals including human. dazl has bisexual expression in both mitotic and meiotic germ cells, whereas daz has male premeiotic expression, and boule is largely a unisexual meiotic regulator. Although boule has been proposed as the ancestor for dazl/daz by gene duplication, it has been identified only in invertebrates and mammals. It has, however, remained unclear when and how the DAZ family has evolved in vertebrates. METHODOLOGY AND PRINCIPAL FINDINGS: This study was aimed at identifying and characterizing the DAZ family genes in fish as the basal vertebrate. We show that boule and dazl coexist in medaka and stickleback. Similar to the medaka dazl (Odazl, the medaka boule (Obol is maternally supplied and segregates with primordial germ cells. Surprisingly, Obol is expressed in adult germ cells at pre-meiotic and meiotic stages of spermatogenesis and oogenesis. However, the maximal meiotic Obol expression in spermatocytes contrasts with the predominant pre-meiotic Odazl expression in spermatogonia, and the diffuse cytoplasmic Obol distribution in early oocytes contrasts with the Odazl concentration in the Balbinani's body. CONCLUSIONS: The identification of fish boule and dazl genes provides direct evidence for the early gene duplication during vertebrate evolution. Our finding that Obol exhibits bisexual expression in both embryonic and adult germ cells considerably extends the diversity of boule expression patterns and offers a new insight into the evolutions of DAZ family members, expression patterns and functions in animal fertility.

  2. 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

  3. Trauma symptoms, internalized stigma, social support, and sexual risk behavior among HIV-positive gay and bisexual MSM who have sought sex partners online.

    Science.gov (United States)

    Burnham, Kaylee E; Cruess, Dean G; Kalichman, Moira O; Grebler, Tamar; Cherry, Chauncey; Kalichman, Seth C

    2016-03-01

    Gay, bisexual, and other men who have sex with men (MSM) remain the highest risk group for HIV infection. One reason is the increased use of the Internet to meet potential sex partners, which is associated with greater sexual risk behavior. To date, few studies have investigated psychosocial predictors of sexual risk behavior among gay and bisexual men seeking sex partners online. The purpose of the current study was to test a conceptual model of the relationships between trauma symptoms indexed on the event of HIV diagnosis, internalized HIV stigma, and social support on sexual risk behavior among gay and bisexual MSM who seek sex partners online. A sample of 142 gay and bisexual MSM recruited on- and offline completed a comprehensive online assessment battery assessing the factors noted above. A number of associations emerged; most notably internalized HIV stigma mediated the relationship between trauma-related symptoms indexed on the event of HIV diagnosis and sexual risk behavior with HIV-negative and unknown serostatus sex partners. This suggests that gay and bisexual MSM who are in greater distress over their HIV diagnosis and who are more sensitive to HIV stigma engage in more HIV transmission risk behavior. As sexual risk environments expand with the increasing use of the Internet to connect with others for sex, it is important to understand the predictors of sexual risk behavior so that tailored interventions can promote sexual health for gay and bisexual MSM seeking sex online. PMID:26461452

  4. Sexual identity and HIV status influence the relationship between internalized stigma and psychological distress in black gay and bisexual men.

    Science.gov (United States)

    Boone, Melissa R; Cook, Stephanie H; Wilson, Patrick A

    2016-06-01

    Experiences of internalized homophobia and HIV stigma in young Black gay and bisexual men (GBM) may lead to psychological distress, but levels of distress may be dependent upon their sexual identity or HIV status. In this study, we set out to explore the associations between psychological distress, sexual identity, and HIV status in young Black GBM. Participants were 228 young Black GBM who reported on their psychological distress, their HIV status, and their sexual identity. Results indicated that internalized homophobia was significantly related to psychological distress for gay men, but not for bisexual men. HIV stigma was related to psychological stress for HIV-positive men, but not for HIV-negative men. Results indicate a need for more nuanced examinations of the role of identity in the health and well-being of men who have sex with men. PMID:27017893

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

    Science.gov (United States)

    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. PMID:26854942

  6. Implicit sexual attitude of heterosexual, gay and bisexual individuals: disentangling the contribution of specific associations to the overall measure.

    Directory of Open Access Journals (Sweden)

    Pasquale Anselmi

    Full Text Available The article aims to measure implicit sexual attitude in heterosexual, gay and bisexual individuals. A Many-Facet Rasch Measurement analysis was used to disentangle the contribution of specific associations to the overall IAT measure. A preference for heterosexuals relative to homosexuals is observed in heterosexual respondents, driven most by associating positive attributes with heterosexuals rather than negative attributes with homosexuals. Differently, neither the negative nor the positive evaluation of any of the target groups play a prominent role in driving the preference for homosexuals observed in gay respondents. A preference for heterosexuals relative to homosexuals is observed in bisexual respondents, that results most from ascribing negative attributes to homosexuals rather than positive attributes to heterosexuals. The results are consistent with the expression of the need for achieving a positive self-image and with the influence of shared social norms concerning sexuality.

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

    Science.gov (United States)

    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. PMID:27086317

  8. 'Spectacularly Exposed and Vulnerable' How Irish Equality Legislation Subverted the Personal and Professional Security of Lesbian, Gay and Bisexual Teachers

    OpenAIRE

    Fahie, Declan

    2015-01-01

    International studies have consistently highlighted the challenges experienced by Lesbian, Gay and Bisexual (LGB) teachers from around the world as they negotiate their personal and professional identities within the context of an often hostile work environment, In Ireland, the education system remains heavily influenced by denominational mores, particularly those of the Roman Catholic Church. Unsurprisingly, with the declaration by the Roman Catholic Church that homosexuality was 'intrinsica...

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

    OpenAIRE

    King, M; Semlyen, J.; Tai, S. S.; Killaspy, H.; Osborn, D; Popelyuk, D.; Nazareth, I

    2008-01-01

    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 Sci...

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

    OpenAIRE

    King, Michael; Semlyen, Joanna; Tai, Sharon See; Killaspy, Helen; Osborn, David; Popelyuk, Dmitri; Nazareth, Irwin

    2008-01-01

    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 Scie...

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

    OpenAIRE

    Osborn David; Killaspy Helen; Tai Sharon; Semlyen Joanna; King Michael; Popelyuk Dmitri; Nazareth Irwin

    2008-01-01

    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 So...

  12. Spectrums of Love: Examining the relationship between romantic motivations and sexual risk among young gay and bisexual men

    OpenAIRE

    Bauermeister, José A.; Ventuneac, Ana; Pingel, Emily; Parsons, Jeffrey T.

    2012-01-01

    We examined the association between HIV/AIDS risk behaviors and romantic feelings among single, young gay and bisexual men (YGBM). Romantic feelings may have positive (romantic ideation) and negative (romantic obsession) connotations. Consequently, we hypothesized that YGBM would report greater risks if they reported having obsessive thoughts about their relationship desires; conversely, we hypothesized that YGBM who envision a romantic relationship would report fewer unprotected partners. Us...

  13. Predicting Different Patterns of Sexual Identity Development Over Time Among Lesbian, Gay, and Bisexual Youths: A Cluster Analytic Approach

    OpenAIRE

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

    2008-01-01

    Recent research has suggested that the sexual identity development of lesbian, gay, and bisexual (LGB) youths may not follow a single pattern, but may follow variety of pathways. Although some research documenting variability in identity development exists, unclear are the potential individual and social contexts that predict these different patterns, as well as the contexts that predict changes in identity integration over time. This report longitudinally examined these issues in an ethnical...

  14. Effects of a short individually tailored counselling session for HIV prevention in gay and bisexual men receiving Hepatitis B vaccination

    OpenAIRE

    Wolfers, Mireille; de Wit, John; Hospers, Harm Jan; Richardus, Jan Hendrik; De Zwart, Onno

    2009-01-01

    textabstractBackground. There is currently a trend towards unsafe unprotected anal intercourse (UAI) among men who have sex with men. We evaluated a short individual counselling session on reducing UAI among gay and bisexual men. Methods. A quasi-experimental design was used to evaluate the counselling session. This session was conducted during consulting hours at four municipal health clinics during a Hepatitis B vaccination campaign. These clinics offered free vaccination to high-risk group...

  15. Effects of a short individually tailored counselling session for HIV prevention in gay and bisexual men receiving Hepatitis B vaccination

    OpenAIRE

    Hospers Harm J; de Wit John BF; Wolfers Mireille EG; Richardus Jan H; de Zwart Onno

    2009-01-01

    Abstract Background There is currently a trend towards unsafe unprotected anal intercourse (UAI) among men who have sex with men. We evaluated a short individual counselling session on reducing UAI among gay and bisexual men. Methods A quasi-experimental design was used to evaluate the counselling session. This session was conducted during consulting hours at four municipal health clinics during a Hepatitis B vaccination campaign. These clinics offered free vaccination to high-risk groups, su...

  16. Longitudinal investigation of methamphetamine use among gay and bisexual men in New York City: Findings from project BUMPS

    OpenAIRE

    Halkitis, Perry N.; Green, Kelly A.; Mourgues, Paris

    2005-01-01

    In recent years, methamphetamine has become a drug more commonly used among gay and bisexual men in New York City. Part of a longitudinal investigation of drug abuse in this population involved assessing the patterns and context of methamphetamine use during the course of 1 year. Findings indicate that among self-identified club-drug-using men, methamphetamine is widely used by men across age groups, educational level, racelethnicity, and HIV status. Participants reported use of methamphetami...

  17. Aggregate versus day level association between methamphetamine use and HIV medication non-adherence among gay and bisexual men

    OpenAIRE

    Parsons, Jeffrey T.; Kowalczyk, William; Botsko, MICHAEL; Tomassilli, Julia; Golub, Sarit A.

    2013-01-01

    Methamphetamine use is associated with HIV infection, especially among gay and bisexual men. Methamphetamine use contributes to disease progression both directly, by increasing viral load and damaging the immune system, and indirectly, by decreasing medication adherence. Research examining the association of methamphetamine use and non-adherence has traditionally compared groups of users and nonusers on adherence, compared methamphetamine use between participants above or below some threshold...

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

    OpenAIRE

    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 affected by marriage (in)equality, as well as the factors that shaped their perspectives. More than two thirds of participants voiced unequivocal ...

  19. A mixed-methods study of condom use and decision making among adolescent gay and bisexual males

    OpenAIRE

    MUSTANSKI, BRIAN; DuBois, L. Zachary; Prescott, Tonya L.; Ybarra, Michele L.

    2014-01-01

    Young men who have sex with men have the highest rates of new HIV infections in the U.S., but they have been understudied relative to other populations. As a formative step for the development of a text messaging HIV prevention intervention, this mixed methods study aimed to understand how adolescent gay and bisexual males (AGBM) make decisions about condom use and factors that may differ based on age, sexual experience, and rural versus urban residency. Four online, asynchronous focus groups...

  20. Demographic, Psychological, and Social Characteristics of Self-Identified Lesbian, Gay, and Bisexual Adults in a US Probability Sample

    OpenAIRE

    Herek, Gregory M; Norton, Aaron T.; Allen, Thomas J.; Sims, Charles L.

    2010-01-01

    Using data from a US national probability sample of self-identified lesbian, gay, and bisexual adults (N = 662), this article reports population parameter estimates for a variety of demographic, psychological, and social variables. Special emphasis is given to information with relevance to public policy and law. Compared with the US adult population, respondents were younger, more highly educated, and less likely to be non-Hispanic White, but differences were observed between gender and sexua...

  1. Stigma towards PLWHA: The Role of Internalized Homosexual Stigma in Latino Gay/Bisexual Male and Transgender Communities

    OpenAIRE

    Ramirez-Valles, Jesus; Molina, Yamile; Dirkes, Jessica

    2013-01-01

    Stigma negatively affects the health of people living with HIV/AIDS (PLWHA). Negative attitudes and discriminatory actions towards PLWHA are thought to be based, among other factors, on stigma towards sexual minorities and beliefs about personal responsibility. Yet, there is little evidence to support these linkages and explain how they take place, especially among Latinos. This study analyzes attitudes towards PLWHA among 643 Latino gay/bisexual men and transgender (GBT) people. It examines ...

  2. Racial Disparities in Health Behaviors and Conditions Among Lesbian and Bisexual Women: The Role of Internalized Stigma

    OpenAIRE

    Molina, Yamile; Lehavot, Keren; Beadnell, Blair; Simoni, Jane

    2014-01-01

    There are documented disparities in physical health behaviors and conditions, such as physical activity and obesity, with regard to both race/ethnicity and sexual orientation. However, physical health disparities for lesbian and bisexual (LB) women who are also racial minorities are relatively unexplored. Minority stressors, such as internalized stigma, may account for disparities in such multiply marginalized populations. We sought to (1) characterize inequalities among non-Hispanic white an...

  3. “That’s what friends do”: Informal caregiving for chronically ill midlife and older lesbian, gay, and bisexual adults

    OpenAIRE

    Muraco, Anna; Fredriksen-Goldsen, Karen

    2011-01-01

    This study examines the relationships between friends; a caregiver who provides care to a care recipient, who is a lesbian, gay, or bisexual (LGB) adult over age 50 in need of assistance due to chronic physical or mental health conditions. Using a sample of 18 care pairs (n = 36), this work examines qualitative interview data. Findings from the study include: (a) both the care recipient and the caregiver receive benefits from the friendship; (b) caregiving alters and challenges the friendship...

  4. The Influence of Intersecting Identities on Self-Harm, Suicidal Behaviors, and Depression among Lesbian, Gay, and Bisexual Individuals

    OpenAIRE

    Lytle, Megan C.; De Luca, Susan M.; Blosnich, John R.

    2014-01-01

    Individuals with lesbian, gay, and bisexual (LGB) identities have higher prevalence of self-directed violence, but very little is known about racial/ethnic differences among LGB populations. This study aimed to examine racial/ethnic differences in self-harm, suicidal ideation, suicide attempt, and depression among LGB and heterosexual emerging adults. Data are compiled from the Fall 2008 and Spring 2009 National College Health Assessment and limited to respondents within emerging adulthood (a...

  5. Exploring medical personnel’s discourses on the sexual health of lesbian and bisexual women in Greater Lisbon, Portugal

    OpenAIRE

    Oliveira, J.M.; Almeida, M.J.; Nogueira, C.

    2014-01-01

    This qualitative exploratory study analysed the discourses of medical personnel on lesbian and bisexual women's sexual health. We aimed at identifying the best practices to eradicate heteronormativity in this sector and enhance health care provision for this population. We interviewed 16 physicians in the metropolitan area of Lisbon using semi-structured interviews. The thematic analysis identified a lack of professional knowledge in dealing with non-heterosexual patients, despite the consens...

  6. Armed conflict, homonegativity, and forced internal displacement: Implications for HIV among Colombian gay, bisexual, and transgender individuals

    OpenAIRE

    Zea, Maria Cecilia; Reisen, Carol A.; Bianchi, Fernanda T.; Gonzales, Felisa A.; Betancourt, Fabián; Aguilar, Marcela; Poppen, Paul J.

    2013-01-01

    Colombia has endured six decades of civil unrest, population displacement, and violence. We examined the relationships of contextual conditions, displacement, and HIV among gay, bisexual, and transgender individuals in Bogotá, Colombia. Nineteen key informants provided information about internal displacement of sexual minorities. Life history interviews were conducted with 42 participants aged 18 to 48 years, and included questions about displacement experiences, sexual behaviour, life prior ...

  7. Teaching lesbian, gay, bisexual and transgender health in a South African health sciences faculty: addressing the gap

    OpenAIRE

    Müller, Alexandra

    2013-01-01

    Background People who identity as lesbian, gay, bisexual and transgender (LGBT) have specific health needs. Sexual orientation and gender identity are social determinants of health, as homophobia and heteronormativity persist as prejudices in society. LGBT patients often experience discrimination and prejudice in health care settings. While recent South African policies recognise the need for providing LGBT specific health care, no curricula for teaching about LGBT health related issues exist...

  8. Testimony on the Demographic Characteristics of Gay, Lesbian and Bisexual Latinos and Latinos in Same-Sex Couples

    OpenAIRE

    Konnoth, Craig J.

    2011-01-01

    Many of the issues that Latino Lesbian Gay Bisexual and Transgender (LGBT) individuals face are insufficiently understood. This testimony explains that existing demographic data about Latino LGB individuals show that these individuals, who constitute the greatest number of same-sex partners of color in the United States, differ significantly from their non-Latino LGB counterparts, as well as from straight Latino individuals in numerous ways. Furthermore, there are important differences within...

  9. 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...

  10. Meeting the substance abuse treatment needs of lesbian, bisexual and transgender women: implications from research to practice

    OpenAIRE

    Stevens S.

    2012-01-01

    Sally StevensSouthwest Institute for Research on Women (SIROW) and Department of Gender and Women’s Studies (GWS), University of Arizona, Tucson, AZ, USAAbstract: Research on the incidence, etiology and substance abuse treatment needs of lesbian, bisexual and transgender (LBT) women is limited. Most research indicates higher levels of alcohol and drug abuse among these populations compared to their heterosexual counterparts, with recent research indicating that substance abuse is a ...

  11. Navigating Queer Street: Researching the Intersections of Lesbian, Gay, Bisexual and Trans (LGBT) Identities in Health Research

    OpenAIRE

    Julie Fish

    2008-01-01

    Health researchers engaged in the project of identifying lesbian, gay, bisexual and trans (LGBT) health as a distinct topic for study have often emphasised the differences in health and health care from heterosexuals and similarities among LGBT people. This work has sometimes rendered the experiences of disabled, black and minority ethnic and other groups invisible and has contributed towards the homogenisation of LGBT communities. In this paper, intersection theory is used to explore how div...

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

    OpenAIRE

    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 = 5). The sample included 50% male, 47% female, and 3% transgender participants. Researchers used a consensual methods approach to identify negative ...

  13. Estimating the size and composition of the lesbian, gay and bisexual population in Britain. Research Report 37

    OpenAIRE

    Aspinall, Peter J

    2009-01-01

    The University of Kent was commissioned by the Equality and Human Rights Commission (the Commission) in November 2008 to investigate ways of measuring the lesbian, gay and bisexual population (LGB) of Great Britain (GB), for which there is no currently reliable estimate. The absence of reliable population data means that it is impossible to develop representative samples of LGB people in research. From 2010, the Integrated Household Survey (IHS) will provide the biggest dataset on those p...

  14. Different Patterns of Sexual Identity Development over Time: Implications for the Psychological Adjustment of Lesbian, Gay, and Bisexual Youths

    OpenAIRE

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

    2011-01-01

    Despite research documenting variability in the sexual identity development of lesbian, gay, and bisexual (LGB) youths, it remains unclear whether different developmental patterns have implications for the psychological adjustment of LGB youths. The current report longitudinally examines whether different patterns of LGB identity formation and integration are associated with indicators of psychological adjustment among an ethnically diverse sample of 156 LGB youths (ages 14 – 21) in New York ...

  15. Sexual Behaviors and Experiences among Behaviorally Bisexual Latino Men in the Midwestern United States: Implications for Sexual Health Interventions

    OpenAIRE

    Martinez, Omar; Dodge, Brian; Goncalves, Gabriel; Schnarrs, Phillip; Muñoz-Laboy, Miguel; Reece, Michael; Malebranche, David; Van Der Pol, Barbara; Kelle, Guadalupe; Nix, Ryan; Fortenberry, J. Dennis

    2012-01-01

    The Midwestern United States (U.S.) has a high number of recent Latino migrants, but little information is available regarding their sexual behaviors. A total of 75 behaviorally bisexual men (25 Latino, 25 Black, and 25 White) participated in an exploratory study on sexual health. The data presented in this paper are restricted to the 25 self-identified Latino men. Qualitative in-depth interviews were conducted and optional self-administered sexual transmitted infection (STI) screening was pr...

  16. Patterns and Predictors of Disclosure of Sexual Orientation to Healthcare Providers among Lesbians, Gay Men, and Bisexuals

    OpenAIRE

    Durso, Laura E; Meyer, Ilan

    2012-01-01

    New research shows that bisexual men and women are less likely than gay men and lesbians to disclose their sexual orientation to healthcare providers. The study found that concealment of sexual orientation from healthcare providers was related to poor psychological wellbeing. The study found that LGB individuals with greater internalized homophobia were less likely to disclose their sexual orientation to healthcare providers than individuals with lesser internalized homophobia.

  17. Creating comprehensive, youth centered, culturally appropriate sex education: What do young gay, bisexual and questioning men want?

    OpenAIRE

    Pingel, Emily Sweetnam; Thomas, Laura; Harmell, Chelsea; Bauermeister, José

    2013-01-01

    We examined young gay, bisexual and questioning men's (YGBQM) experiences with school-based sex education as they sought to learn about sex and sexual health, and their suggestions for improving same-sex education resources. Thematic analysis of 30 in-depth interviews with YGBQM (ages 18-24) underscored the discrepancies between the existing school-based sex education curricula and YGBQM's perceived sex education needs. Our results show that many youths' sexuality and same-sex sexual behavior...

  18. Prejudice, Social Stress, and Mental Health in Lesbian, Gay, and Bisexual Populations: Conceptual Issues and Research Evidence

    OpenAIRE

    Meyer, Ilan H.

    2003-01-01

    In this article the author reviews research evidence on the prevalence of mental disorders in lesbians, gay men, and bisexuals (LGBs) and shows, using meta-analyses, that LGBs have a higher prevalence of mental disorders than heterosexuals. The author offers a conceptual framework for understanding this excess in prevalence of disorder in terms of minority stress—explaining that stigma, prejudice, and discrimination create a hostile and stressful social environment that causes mental health p...

  19. Recollections of homophobia at school and their long-term implications for lesbians, gay men and bisexuals

    OpenAIRE

    Rivers, I

    2004-01-01

    This study explores the relationship between experiences of bullying at school, adult mental health status and symptoms of post-traumatic stress among a sample of 119 UK residents who identified as lesbian, gay bisexual. Participants completed a series of questionnaires that focused upon school experiences, suicide ideation at school, sexual history, relationship status and negative affect, recent positive and negative life-events, internalized homophobia and symptoms associated with post-tra...

  20. Disparities in Child Abuse Victimization in Lesbian, Bisexual, and Heterosexual Women in the Nurses’ Health Study II

    OpenAIRE

    Austin, S. Bryn; Jun, Hee-Jin; Jackson, Benita; Spiegelman, Donna; Rich-Edwards, Janet; Corliss, Heather L.; Wright, Rosalind J.

    2008-01-01

    A growing body of research documents multiple health disparities by sexual orientation among women, yet little is known about the possible causes of these disparities. One underlying factor may be heightened risk for abuse victimization in childhood in lesbian and bisexual women. Using survey data from 63,028 women participating in the Nurses’ Health Study II, we investigated sexual orientation group differences in emotional, physical, and sexual abuse in childhood and adolescence. Multivaria...

  1. Australian gay and bisexual men's attitudes to HIV treatment as prevention in repeated, national surveys, 2011-2013.

    Directory of Open Access Journals (Sweden)

    Martin Holt

    Full Text Available Assess the acceptability of HIV treatment as prevention and early antiretroviral treatment among gay and bisexual men in Australia and any changes in attitudes over time.National, online, cross-sectional surveys of gay and bisexual men were repeated in 2011 and 2013. Changes in attitudes to HIV treatment over time were assessed with multivariate analysis of variance. The characteristics of men who agreed that HIV treatment prevented transmission and thought that early treatment was necessary were identified with multivariate logistic regression.In total, 2599 HIV-negative, untested and HIV-positive men participated (n = 1283 in 2011 and n = 1316 in 2013. Attitudes changed little between 2011 and 2013; most participants remained sceptical about the preventative benefits of HIV treatment. In 2013, only 2.6% of men agreed that HIV treatment prevented transmission; agreement was associated with being HIV-positive, having an HIV-positive regular partner, and having received HIV post-exposure prophylaxis. In contrast, 71.8% agreed that early antiretroviral treatment is necessary; younger men were more likely and HIV-positive men and participants with HIV-positive partners were much less likely to agree with this.Promoting the individual health benefits of HIV treatment rather than its preventative benefits remains more acceptable to Australian gay and bisexual men.

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

    Science.gov (United States)

    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 the community. An unexpected health disparity for lesbia n, gay and bisexual youth is their significantly higher risk of teen pregnancy involvement (between two and seven times the rate of their heterosexual peers), especially in light of declining trends in teen pregnancy across North America since the early 1990s. What is behind this higher risk? Is it getting better or worse? Using the province-wide cluster-stratified British Columbia Adolescent Health Surveys from 1992, 1998, and 2003, this paper explores the trends in pregnancy involvement, related sexual behaviours, and exposure to forms of enacted stigma that may help explain this particular health disparity for gay, lesbian and bisexual youth in Canada. PMID:19293941

  3. Emotional Intimacy Among Coupled Heterosexual and Gay/Bisexual Croatian Men: Assessing the Role of Minority Stress.

    Science.gov (United States)

    Šević, Sandra; Ivanković, Iva; Štulhofer, Aleksandar

    2016-07-01

    Emotional intimacy cuts across contexts as diverse as sexual motivation and satisfaction, psychological and physical health, and relational well-being. Although the experience of intimacy and its effects on sex life may be gender and sexual orientation-specific, the role of intimacy in personal and sexual relationships has been studied mostly among heterosexual individuals and couples. Using the minority stress framework (Meyer, 2003) to address this gap in knowledge, the present study comparatively explored levels and predictors/correlates of emotional intimacy, and its association with sexual satisfaction among coupled heterosexual and gay/bisexual men sampled online in a predominantly homonegative country (Croatia). Heterosexual participants (n = 860; M age = 36.4, SD = 9.09) were recruited in 2011 and gay/bisexual participants (n = 250; M age = 29.4, SD = 7.13) in 2013. Controlling for age and relationship duration, gay/bisexual men reported higher levels of emotional intimacy than heterosexual men. Suggesting that the role of emotional intimacy in sexual satisfaction is not sexual orientation-specific, the strength of the association between these two constructs was similar in both samples. However, internalized homonegativity, which was negatively associated with emotional intimacy in this study, remains a challenge to creating and maintaining intimacy in male same-sex relationships. PMID:26014824

  4. 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. PMID:25732232

  5. Developmental trajectories and milestones of lesbian, gay, and bisexual young people.

    Science.gov (United States)

    Savin-Williams, Ritch C; Cohen, Kenneth M

    2015-01-01

    Lesbian, gay, and bisexual (LGB) young people experience a variety of developmental trajectories that consist of milestones, the sequence and timing of which differ across individuals. They include early feelings of being different from peers, the onset of same-sex attraction, questioning one's sexuality, first same-sex sexual experience, recognition and self-labelling, disclosure to others, first romantic relationship, and self-acceptance. The invention of 'gay youth' during the 1970s and 1980s is briefly reviewed with an emphasis on the ways in which the portrait created by early research fails to capture the developmental trajectories of millennial young people. Although some young people struggle with mental health problems as they navigate these milestones, research documents the complexity, variety, and normative nature of the vast majority of LGB young people. A growing chorus of developmental, behavioural, and social scientists now emphasize that many contemporary young people forego sexual confusion, recognize the sex or gender to which they are attracted to and love, and believe they are as mentally healthy as heterosexual young people. PMID:26555639

  6. Social-cognitive determinants of condom use in a cohort of young gay and bisexual men.

    Science.gov (United States)

    Franssens, Dirk; Hospers, Harm J; Kok, Gerjo

    2009-11-01

    The aim of this prospective study was to identify relevant determinants of young gay and bisexual men's (YGBM) condom use when having anal sex with casual partners. Respondents (185 YGBM in the midst of their coming-out; mean age 18.9 years) completed an online questionnaire on social-cognitive determinants of condoms use derived from the theory of planned behavior (Ajzen, 1991) at Wave 1. At six months follow-up (Wave 2) sexual behavior with casual partners was assessed. A total of 63 YGBM reported sex with a casual partner in the six months between Waves 1 and 2, of whom 49% (N=31) had anal sex. Of the YGBM who had anal sex, 42% (N=13) had unprotected anal sex. Condom use with casual partners was best predicted by the intention to always use condoms. Furthermore, attitude, descriptive and personal norms, and perceived control significantly predicted intention to always use condoms. Interventions, targeting YGBM, aiming to promote condom use with casual partners should focus on increasing attitudes and strengthening skills to negotiate and use condoms. PMID:20024726

  7. 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. PMID:26070360

  8. 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. PMID:24003908

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

    Science.gov (United States)

    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. PMID:20636935

  10. 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. PMID:23540015

  11. 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

    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. PMID:25529390

  12. 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. PMID:18040769

  13. 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.

  14. Profiles of Resilience and Psychosocial Outcomes among Young Black Gay and Bisexual Men.

    Science.gov (United States)

    Wilson, Patrick A; Meyer, Ilan H; Antebi-Gruszka, Nadav; Boone, Melissa R; Cook, Stephanie H; Cherenack, Emily M

    2016-03-01

    Young Black gay/bisexual men (YBGBM) are affected by contextual stressors-namely syndemic conditions and minority stress-that threaten their health and well-being. Resilience is a process through which YBGBM achieve positive psychosocial outcomes in the face of adverse conditions. Self-efficacy, hardiness and adaptive coping, and social support may be important resilience factors for YBGBM. This study explores different profiles of these resilience factors in 228 YBGBM in New York City and compares profiles on psychological distress, mental health, and other psychosocial factors. Four profiles of resilience were identified: (a) Low self-efficacy and hardiness/adaptive coping (23.5%); (b) Low peer and parental support (21.2%); (c) High peer support, low father support (34.5%); and (d) High father and mother support, self-efficacy, and hardiness/adaptive coping (20.8%). YBGBM in profile 1 scored markedly higher on distress (d = .74) and lower on mental health functioning (d = .93) compared to men in the other profiles. Results suggest that self-efficacy and hardiness/adaptive coping may play a more important role in protecting YBGBM from risks compared to social support and should be targeted in interventions. The findings show that resilience is a multidimensional construct and support the notion that there are different patterns of resilience among YBGBM. PMID:27217318

  15. Online dating among Australian gay and bisexual men: romance or hooking up?

    Science.gov (United States)

    Prestage, Garrett; Bavinton, Benjamin; Grierson, Jeffrey; Down, Ian; Keen, Phillip; Bradley, Jack; Duncan, Duane

    2015-10-01

    Increasingly, gay and bisexual men (GBM) meet casual sex partners online and this has been associated with sexual risk behavior. How do GBM meet regular partners? This online anonymous survey of 4215 GBM included 2562 men with a primary regular partner (PRP) who were included in these analyses. Mean age of the sample was 38.1 years. 60.3 % had met their PRP at least 2 years earlier. Meeting their PRP online increased from 14.0 % before 2001 to 79.9 % in 2013-2014. At all time points, men who met their PRP online were somewhat older than those who met their PRP offline. Regardless of how they met their PRP, most men met casual sex partners online. Among GBM, meeting sexual and romantic partners online has replaced other methods, for all age groups. The population of GBM who use the internet for this purpose is now equivalent to all sexually active GBM. PMID:25777506

  16. Prostate Cancer in Gay, Bisexual, and Other Men Who Have Sex with Men: A Review

    Science.gov (United States)

    Merengwa, Enyinnaya; Capistrant, Benjamin D.; Iantaffi, Alex; Kilian, Gunna; Kohli, Nidhi; Konety, Badrinath R.; Mitteldorf, Darryl; West, William

    2016-01-01

    Abstract Purpose: Prostate cancer in gay, bisexual, and other men who have sex with men (GBM) is an emerging medical and public health concern. The purpose of this review is to summarize the literature on prostate cancer in GBM, including its epidemiology, clinical studies, and anecdotal reports. Methods: In 2015, we undertook a structured literature review of all studies from 2000 to 2015. Results: Despite prostate cancer being the most common cancer in GBM, the main finding of this review is that prostate cancer in GBM is very under-researched. With only 30 published articles in English (a rate of 1.9 articles per year), most of the literature is limited to case studies or anecdotal reports. There is some evidence of a link between human immunodeficiency virus (HIV)-positive status and prostate cancer, with early studies showing HIV infection as a risk factor and more recent studies as it being protective. Antiretroviral treatment appears protective. Globally, only four quantitative studies have been published. Based on this admittedly limited literature, GBM appear to be screened for prostate cancer less than other men and are diagnosed with prostate cancer at about the same rate, but have poorer sexual function and quality-of-life outcomes. Conclusion: Methodological challenges to advancing research include challenges in subject identification, recruitment, heterocentric definitions of dysfunction based on vaginal intercourse and penetrative sex, and inappropriate measures. Six future directions, to advance the study of the effects of prostate cancer in GBM and to improve treatment, are detailed.

  17. Characteristics of lesbian, gay, bisexual, and transgender individuals entering substance abuse treatment.

    Science.gov (United States)

    Cochran, Bryan N; Cauce, Ana Mari

    2006-03-01

    Previous research has suggested that lesbian, gay, bisexual, and transgender (LGBT) individuals enter treatment for substance abuse with more severe problems than heterosexual individuals. However, methodological difficulties, particularly the difficulty of obtaining a representative sample, have limited the ability to draw conclusions about LGBT individuals who receive services for substance abuse. This study took advantage of a unique opportunity to examine a representative sample of openly LGBT clients receiving publicly funded substance abuse treatment by using data gathered by treatment providers in Washington State. Baseline differences between openly LGBT and heterosexual clients were compared in a variety of domains. Results demonstrated that openly LGBT clients enter treatment with more severe substance abuse problems, greater psychopathology, and greater medical service utilization when compared with heterosexual clients. When the analyses were stratified based on sex, different patterns of substance use and associated psychosocial characteristics emerged for the LGBT clients. Implications for provision of appropriate services and recommendations to treatment agencies are discussed in this article. PMID:16490677

  18. Rethinking sexual initiation: pathways to identity formation among gay and bisexual Mexican male youth.

    Science.gov (United States)

    Carrillo, Héctor; Fontdevila, Jorge

    2011-12-01

    The topic of same-sex sexual initiation has generally remained understudied in the literature on sexual identity formation among sexual minority youth. This article analyzes the narratives of same-sex sexual initiation provided by 76 gay and bisexual Mexican immigrant men who participated in interviews for the Trayectos Study, an ethnographic study of sexuality and HIV risk. These participants were raised in a variety of locations throughout Mexico, where they also realized their same-sex attraction and initiated their sexual lives with men. We argue that Mexican male same-sex sexuality is characterized by three distinct patterns of sexual initiation--one heavily-based on gender roles, one based on homosociality, and one based on object choice--which inform the men's interpretations regarding sexual roles, partner preferences, and sexual behaviors. We analyzed the social factors and forms of cultural/sexual socialization that lead sexual minority youth specifically to each of these three patterns of sexual initiation. Our findings confirm the importance of studying same-sex sexual initiation as a topic in its own right, particularly as a tool to gain a greater understanding of the diversity of same-sex sexual experiences and sexual identities within and among ethnic/cultural groups. PMID:20838869

  19. Rethinking Sexual Initiation: Pathways to Identity Formation among Gay and Bisexual Mexican Male Youth

    Science.gov (United States)

    Carrillo, Héctor; Fontdevila, Jorge

    2010-01-01

    The topic of same-sex sexual initiation has generally remained understudied in the literature on sexual identity formation among sexual minority youth. This article analyzed the narratives of same-sex sexual initiation provided by 76 gay and bisexual Mexican immigrant men who participated in interviews for the Trayectos Study, an ethnographic study of sexuality and HIV risk. These participants were raised in a variety of locations throughout Mexico, where they also realized their same-sex attraction and initiated their sexual lives with men. We argue that Mexican male same-sex sexuality is characterized by three distinct patterns of sexual initiation-- one heavily-based on gender roles, one based on homosociality, and one based on object choice-- which inform the men’s interpretations regarding sexual roles, partner preferences, and sexual behaviors. We analyzed the social factors and forms of cultural/sexual socialization that lead sexual minority youth specifically to each of these three patterns of sexual initiation. Our findings confirm the importance of studying same-sex sexual initiation as a topic in its own right, particularly as a tool to gain a greater understanding of the diversity of same-sex sexual experiences and sexual identities within and among ethnic/cultural groups. PMID:20838869

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

    Science.gov (United States)

    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. PMID:24188657

  1. 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.

  2. 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.

  3. Mental health as an advocacy priority in the lesbian, gay, bisexual, and transgender communities.

    Science.gov (United States)

    Pandya, Anand

    2014-05-01

    This column reviews the evolution of lesbian, gay, bisexual, and transgender (LGBT) mental health advocacy in relation to modern mental health advocacy efforts. In addition to developments in organized psychiatry (e.g., American Psychiatric Association's LGBT caucus), grassroots LGBT community initiatives are playing an important role (e.g., Trevor Project providing crisis intervention/suicide prevention services to LGBT youth, face-to-face mental health services in LGBT community centers). Studies have found that LGBT individuals are at increased risk for mental health problems (e.g., depression, anxiety, substance misuse, suicidal ideation, self-harm). Mental health advocacy in the LGBT community has been slowed by the long-standing association of the concept of homosexuality with psychopathology in mainstream psychiatry (e.g., homosexuality was only removed from the DSM in 1973, ego dystonic homosexuality still appears in the ICD-10). However, positive developments in LGBT mental health advocacy have been fostered by the proposed minority stress model (i.e., that elevated risk of mental illness in LGBT individuals is a consequence of a hostile stressful environment). A particularly encouraging initiative is the It Gets Better Project, in which thousands of videos, some by prominent individuals, have been posted online to send a message of hope to LGBT youth facing harassment and low self-esteem. PMID:24847996

  4. A Comparative Analysis of a Community and General Sample of Lesbian, Gay, and Bisexual Individuals.

    Science.gov (United States)

    Kuyper, Lisette; Fernee, Henk; Keuzenkamp, Saskia

    2016-04-01

    Samples recruited at lesbian, gay, and bisexual (LGB) venues have certain benefits, but a major drawback is that these samples are prone to bias as they only contain LGB participants who visit such venues. Empirical data with regard to the potential differences between LGB community samples and LGB general samples may shed some light on the generalizability of research findings from convenience samples recruited through LGB venues. The current study attempted to contribute to existing knowledge by examining differences in social demographics, sexual orientation, minority stress, and mental health between a convenience sample recruited at LGB venues ("community sample," N = 3,403) and an LGB sample recruited from a general research panel in the Netherlands ("panel sample," N = 1,000). Various differences were found. In general, community participants were younger, reported a more exclusive same-sex sexual orientation, were more open about their sexual orientation, had lower levels of internalized homonegativity, and encountered more negative social reactions on their LGB status. They also reported higher levels of psychological distress and suicidality. The Nagelkerke R (2) of the analyses (which were adjusted for sociodemographic differences) ranged from .08 (suicide plans among men) to .27 (sexual attraction among women). However, while the estimates of sociodemographics, sexual orientation, minority stress, and mental well-being differed, the relationships between these constructs were comparable in both samples. Implications and suggestions for future studies are discussed. PMID:25564037

  5. Facilitators of barebacking among emergent adult gay and bisexual men: implications for HIV prevention.

    Science.gov (United States)

    Halkitis, Perry N; Siconolfi, Daniel; Fumerton, Megan; Barlup, Kristin

    2008-01-01

    We undertook a qualitative study to develop a greater understanding of "intentional" unprotected anal intercourse among drug-using gay and bisexual men, also known colloquially as barebacking. In our analysis, we investigated this behavior in a subset of 12 HIV-negative men in the early adulthood stage of life to disentangle factors that functioned as facilitators of barebacking, a behavior that may place these men at risk for HIV infection. Based on thematic analysis of life-history interviews, we delineated 4 main themes associated with barebacking: drug use, the role of responsibility for safer sex, misunderstandings about HIV transmission, and underlying mental health issues. The data suggest that lack of knowledge about HIV transmission is insufficient in explaining risk-taking. Rather, rationalization processes may be a factor in the sexual risk-taking behaviors of young HIV-negative men, and moreover, deep intrapsychic processes (often heightened by concurrent substance use), and the desire to please sexual partners may drive the decision-making of these men. Future intervention strategies must motivate and empower young men to seek support for the states that drive sexual risk-taking. PMID:19777081

  6. Treatment counselor's attitudes about lesbian, gay, bisexual, and transgendered clients: urban vs. rural settings.

    Science.gov (United States)

    Eliason, Michele J; Hughes, Tonda

    2004-03-01

    Treatment counselors' attitudes about lesbian, gay, bisexual, and transgendered (LGBT) clients can have important effects on these client's recovery. There is a common, but unexamined, perception that LGBT people are more accepted in urban areas (and thus urban treatment programs) and that urban counselors have greater knowledge of the needs of the LGBT community. This study examined the attitudes and knowledge of treatment counselors from two geographic regions: urban Chicago (n = 109) and rural Iowa (n = 242) in 2000. The instrument assessed demographic characteristics, knowledge, and experiences working with LGBT clients, and attitudes about LGBT clients (an adaptation of Herek's Attititudes about Lesbians and Gays rating scale). Only a few demographic differences between the urban and rural counselors were identified. Chicago counselors were more racially diverse and more likely to have grown up in an urban area than the Iowa counselors. The Iowa counselors had slightly higher levels of formal education. Although the Chicago providers reported having considerably more contact with LGBT clients and more formal and continuing education about LGBT people, they did not have more positive attitudes or report more knowledge of specific LGBT issues that might influence alcohol and drug treatment. Overall, both Chicago and Iowa counselors had very little formal education regarding the needs of LGBT clients, and nearly half reported negative or ambivalent attitudes. Many of the counselors lacked knowledge about legal issues such as domestic partnership and power of attorney, the concepts of domestic partnership and internalized homophobia, and issues related to family of origin and current family. PMID:15115216

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

    Science.gov (United States)

    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. PMID:22029561

  8. Rules about casual sex partners, relationship satisfaction, and HIV risk in partnered gay and bisexual men.

    Science.gov (United States)

    Grov, Christian; Starks, Tyrel J; Rendina, H Jonathon; Parsons, Jeffrey

    2014-01-01

    The authors used latent class analysis to investigate rules guiding nonmonogamy in partnered gay and bisexual men. Data are from a 2010 survey (N = 463) from which those in relationships (n = 191) were analyzed. More than half (56%) were nonmonogamous, and these men responded to 13 rules about sex outside of their relationship. The safe anonymous sex group (34%) included men who indicated that they must use condoms for anal sex and not have sex with people they know. The communication mandate group (19%) included men who indicated that they must talk about outside partners before sex occurs, disclose their relationship status to outside partners, and use condoms for anal sex. The play together group (9%) included men who indicated that they must play with others as a couple, not have anal sex with outside partners, and not spend the night with outside partners. Those in the no salient rule group (37%) were individuals who did not endorse a clear set of rules. These 4 groups (and compared with monogamous men) differed in age, agreement formality and flexibility, relationship satisfaction, and whether anal sex recently occurred with casual partners. This study provides a novel approach for understanding nonmonogamous same-sex relationships and highlights their complexity. PMID:23768194

  9. 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. PMID:25798894

  10. Effects of a short individually tailored counselling session for HIV prevention in gay and bisexual men receiving Hepatitis B vaccination

    Directory of Open Access Journals (Sweden)

    Hospers Harm J

    2009-07-01

    Full Text Available Abstract Background There is currently a trend towards unsafe unprotected anal intercourse (UAI among men who have sex with men. We evaluated a short individual counselling session on reducing UAI among gay and bisexual men. Methods A quasi-experimental design was used to evaluate the counselling session. This session was conducted during consulting hours at four municipal health clinics during a Hepatitis B vaccination campaign. These clinics offered free vaccination to high-risk groups, such as gay and bisexual men. All gay and bisexual men attending health clinics in four cities in the Netherlands were asked to participate. Each participant in the intervention group received a fifteen-minute individual counselling based on the Theory of Planned Behaviour and Motivational Interviewing. Changes in UAI were measured over a 5-months period, using self-administered questionnaires. UAI was measured separately for receptive and insertive intercourse in steady and casual partners. These measures were combined in an index-score (range 0–8. Results While UAI in the counselling group remained stable, it increased in the controls by 66% from 0.41 to 0.68. The results show that the intervention had a protective effect on sexual behaviour with steady partners. Intervention effects were strongest within steady relationships, especially for men whose steady-relationship status changed during the study. The intervention was well accepted among the target group. Conclusion The fifteen-minute individually tailored counselling session was not only well accepted but also had a protective effect on risk behaviour after a follow-up of six months.

  11. Sexual Behaviors and Experiences among Behaviorally Bisexual Latino Men in the Midwestern United States: Implications for Sexual Health Interventions.

    Science.gov (United States)

    Martinez, Omar; Dodge, Brian; Goncalves, Gabriel; Schnarrs, Phillip; Muñoz-Laboy, Miguel; Reece, Michael; Malebranche, David; Van Der Pol, Barbara; Kelle, Guadalupe; Nix, Ryan; Fortenberry, J Dennis

    2012-01-01

    The Midwestern United States (U.S.) has a high number of recent Latino migrants, but little information is available regarding their sexual behaviors. A total of 75 behaviorally bisexual men (25 Latino, 25 Black, and 25 White) participated in an exploratory study on sexual health. The data presented in this paper are restricted to the 25 self-identified Latino men. Qualitative in-depth interviews were conducted and optional self-administered sexual transmitted infection (STI) screening was provided. The measures used were taken from the National Survey of Sexual Health and Behavior (NSSHB), a probability study of the sexual behaviors of nearly 6000 individuals aged 14-94 in the U.S. In our sample of bisexual men, the most commonly reported sexual behaviors were masturbation, vaginal intercourse, and receiving oral sex from male and female partners. The majority of the participants were the insertive partner during anal sex with male partners. Many of the participants reported alcohol use during their most recent sexual activity. A fair number reported not using condoms during their last sexual event. Pleasure, arousal, orgasm, and erectile functioning were markedly similar despite partner gender. A small number of participants also engaged in sexual activities with transgender individuals. All of the Latino participants took part in the optional self-collection for STI specimens. The results of the study provide rich insights into the sexual behavior and related factors, as well as potential risk behaviors of bisexual Latino men that may be targeted for future sexual health promotion efforts. PMID:22685383

  12. Self-Esteem in HIV-Positive and HIV-Negative Gay and Bisexual Men: Implications for Risk-Taking Behaviors with Casual Sex Partners

    OpenAIRE

    Moskowitz, David A.; Seal, David W.

    2011-01-01

    Research suggests that self-esteem in gay and bisexual men may be linked with sexual risk-taking behaviors. As part of a larger investigation into the sexual practices of gay and bisexual men, we assessed serostatus, self-esteem, condom use, and HIV disclosure to sexual partners. Among HIV-negative men, no relationships were found between their self-esteem and tendency to discuss their and their partners’ HIV status. However, among HIV-positive men, there was a positive relationship between s...

  13. An Exploration of Predictors for Perpetration of Same-Sex Intimate Partner Violence in a Community Sample of Lesbians, Gays and Bisexuals

    Directory of Open Access Journals (Sweden)

    Xavier L. Guadalupe-Diaz

    2013-10-01

    Full Text Available Intimate partner violence (IPV has been defined as actions or behaviors that occur within the context of an intimate/romantic relationship that involve psychological, physical, and/or sexual abuses. These behaviors are intended to inflict pain and suffering on a victim and involve a wide range of actions including: physical aggression, sexual coercion, verbally abusive and controlling acts and more. While the literature on IPV has focused predominately on heterosexual relationships, in recent decades more studies have illustrated that IPV affects the lesbian, gay, and bisexual community. Using a community-based sample of 335, the authors explore the correlates of IPV among lesbian, gay and bisexual couples.

  14. `I count myself as being in a different world?: African gay and bisexual men living with HIV in London. An Exploratory study. AIDS IMPACT

    OpenAIRE

    Paparini, Sara; Doyal, L; Anderson, Jane

    2008-01-01

    Abstract The experiences of men from African backgrounds living with HIV who are gay/bisexual have so far been overlooked in the research on HIV in the UK. Little is known about the ways that HIV impacts on this population.. We report on an exploratory qualitative study with 8 gay/bisexual men from 7 different African countries living with HIV in London, based on in depth semi structured interviews and a thematic analysis. HIV testing and diagnosis, disclosure to others, social an...

  15. A Model of Sexual Risk Behaviors Among Young Gay and Bisexual Men: Longitudinal Associations of Mental Health, Substance Abuse, Sexual Abuse, and the Coming-Out Process

    OpenAIRE

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

    2006-01-01

    Sexual risk behaviors of young gay and bisexual men must be understood within the context of other health concerns (e.g., anxiety, substance abuse), population-specific factors (i.e., the coming-out process and gay-related stress), childhood sexual abuse, and other theoretical factors (e.g., safer sex intentions). The current report proposes and longitudinally examines a model of risk factors for subsequent sexual risk behaviors among young gay and bisexual men in New York City. As hypothesiz...

  16. Sex and relationships education, sexual health, and lesbian, gay and bisexual sexual cultures: Views from young people

    OpenAIRE

    Formby, Eleanor

    2011-01-01

    This article draws on three small-scale studies with young people in two cities in the UK, which sought to gather views on sex and relationships education (SRE) and sexual health, and included those who self-identified as lesbian, gay, or bisexual (LGB). Participants were involved in detailed self-completion surveys and/or in-depth interviews/focus groups. Each project elicited data about respondents’ views on SRE (at school) and how this included/excluded LGB young people. The article a...

  17. Assessing the needs of older gay, lesbian, bisexual, and transgender people: a service-learning and agency partnership approach.

    Science.gov (United States)

    Smith, Laurie A; McCaslin, Rosemary; Chang, Janet; Martinez, Paulina; McGrew, Paula

    2010-01-01

    A county agency and a social work research class partnered to conduct a state-mandated needs assessment of older gay, lesbian, bisexual, and transgendered people (GLBT). A survey design with purposive sampling of GLBT people over 60 yielded 38 participants. Findings included that the Internet was a viable means to reach this population and student awareness increased. Areas of greatest unmet need were GLBT-oriented/friendly legal advice, social events, grief and loss counseling, social workers, and assisted living. Some participants perceived existing senior services as unfriendly or hostile to GLBT persons. Recommendations include continued use of service-learning research and expanded needs assessment efforts. PMID:20603750

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

    OpenAIRE

    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 ...

  19. Differential reports of suicidal ideation and attempts of questioning adults compared to heterosexual, lesbian, gay, and bisexual individuals

    OpenAIRE

    Woodward, Eva N.; Pantalone, David W.; Bradford, Judith

    2013-01-01

    Many sexual minority individuals attempt suicide each year, but little is known about the suicidality of individuals who are questioning their sexual orientation. This study assessed suicidal ideation and attempts of questioning individuals compared to lesbian/gay, bisexual, and heterosexual individuals. This cross-sectional study enrolled participants (N = 2,841) from a community health center. Questioning (OR = 4.286, 95% CI [2.119–8.671]), lesbian/gay (OR = 3.024, 95% CI [2.351–3.890]), an...

  20. American Geriatrics Society care of lesbian, gay, bisexual, and transgender older adults position statement: American Geriatrics Society Ethics Committee.

    Science.gov (United States)

    2015-03-01

    There is ample evidence that lesbian, gay, bisexual, and transgender (LGBT) individuals face discrimination in the healthcare setting. Providing high-quality health care for older LGBT adults will require active steps by organizations, institutions, advocacy groups, and health professionals that create an environment that is free from discrimination. This position statement that the American Geriatrics Society (AGS) Ethics Committee developed addresses the vision of the AGS for the care of LGBT older adults and specific steps that can be taken to ensure that they receive the care that they need. PMID:25803784

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

    Science.gov (United States)

    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 (Pworkplace policy standards. PMID:26788777

  2. Practice parameter on gay, lesbian, or bisexual sexual orientation, gender nonconformity, and gender discordance in children and adolescents.

    Science.gov (United States)

    Adelson, Stewart L

    2012-09-01

    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 healthy development in this population. Influences on sexual orientation, gender nonconformity, and gender discordance, and their developmental relationships to each other, are reviewed. Practice principles and related issues of cultural competence, research needs, and ethics are discussed. PMID:22917211

  3. The Opportunity for Medical Systems to Reduce Health Disparities Among Lesbian, Gay, Bisexual, Transgender and Intersex Patients.

    Science.gov (United States)

    Donald, Cameron; Ehrenfeld, Jesse M

    2015-11-01

    Lesbian, gay, bisexual, transgender, and intersex (LGBTI) people experience a variety of health care disparities, including higher rates of certain chronic illnesses, substance abuse, and HIV. The growing adoption of electronic health records (EHRs) presents an important opportunity to optimize care for LGBTI individuals by routinely capturing in structured form patient sexual orientation and gender identity (SO/GI), as well as a patient's preferred name and pronoun. In addition to improving care provided to LGBTI patients, collection of structured SO/GI information will facilitate important public health data collection efforts that can be used to further reduce health care disparities in this underserved population. PMID:26411930

  4. Sexual Health of Trans Men Who Are Gay, Bisexual, or Who Have Sex with Men: Results from Ontario, Canada

    OpenAIRE

    Bauer, Greta R; Redman, Nik; Bradley, Kaitlin; Scheim, Ayden I.

    2013-01-01

    ABSTRACT Recent reports have addressed the sexual health of female-to-male transgender or transsexual people who are gay, bisexual, and/or have sex with men (trans GB-MSM) using urban convenience samples. The Trans PULSE Project conducted a multimode, respondent-driven sampling survey in Ontario, Canada, in 2009–2010. Weighted estimates were calculated for trans GB-MSM (n = 173) for sexual orientation, behavior, partners, and HIV-related risk, as well as for psychosocial stressors and sexual ...

  5. Lambeth LGBT Matters: The needs and experiences of lesbians, gay men, bisexual and trans men and women in Lambeth.

    OpenAIRE

    Keogh, Peter; Reid, David; Weatherburn, Peter

    2006-01-01

    This report presents the findings of a study of the experiences of Lesbians, Gay men, Bisexual and Trans (LGBT) men and women who live, work and socialise in Lambeth. It presents the results of part of a larger study which included analysis of Lambeth’s policies and procedures, stakeholder interviews and staff focus groups. The full report can be found at our website. Here, we present the results of a self-completion quantitative survey of LGBT people who live, work or socialise in Lambeth (C...

  6. Lesbian, Gay, Bisexual, and Transgender Health Disparities: Executive Summary of a Policy Position Paper From the American College of Physicians.

    Science.gov (United States)

    Daniel, Hilary; Butkus, Renee

    2015-07-21

    In this position paper, the American College of Physicians examines the health disparities experienced by the lesbian, gay, bisexual, and transgender (LGBT) community and makes a series of recommendations to achieve equity for LGBT individuals in the health care system. These recommendations include enhancing physician understanding of how to provide culturally and clinically competent care for LGBT individuals, addressing environmental and social factors that can affect their mental and physical well-being, and supporting further research into understanding their unique health needs. PMID:25961598

  7. Reaching Adolescent Gay, Bisexual, and Queer Men Online: Development and Refinement of a National Recruitment Strategy

    Science.gov (United States)

    Prescott, Tonya L; Phillips II, Gregory; DuBois, L. Zachary; Bull, Sheana S; Mustanski, Brian

    2016-01-01

    Background Using social networking websites to recruit research participants is increasingly documented in the literature, although few studies have leveraged these sites to reach those younger than 18 years. Objective To discuss the development and refinement of a recruitment protocol to reach and engage adolescent gay, bisexual, and other teenaged men who have sex with men (AGBM). Participants were recruited for development and evaluation activities related to Guy2Guy, a text messaging–based human immunodeficiency virus infection prevention program. Methods Eligibility criteria included being between 14 to 18 years old; being a cisgender male; self-identifying as gay, bisexual, and/or queer; being literate in English, exclusively owning a cell phone, enrolled in an unlimited text messaging plan, intending to keep their current phone number over the next 6 months, and having used text messaging for at least the past 6 months. Recruitment experiences and subsequent steps to refine the Internet-based recruitment strategy are discussed for 4 research activities: online focus groups, content advisory team, beta test, and randomized controlled trial (RCT). Recruitment relied primarily on Facebook advertising. To a lesser extent, Google AdWords and promotion through partner organizations working with AGBM youth were also utilized. Results Facebook advertising strategies were regularly adjusted based on preidentified recruitment targets for race, ethnicity, urban-rural residence, and sexual experience. The result was a diverse sample of participants, of whom 30% belonged to a racial minority and 20% were Hispanic. Facebook advertising was the most cost-effective method, and it was also able to reach diverse recruitment goals: recruitment for the first focus group cost an average of US $2.50 per enrolled participant, and it took 9 days to enroll 40 participants; the second focus group cost an average of US $6.96 per enrolled participant, and it took 11 days to enroll 40

  8. Adapting and validating a scale to measure sexual stigma among lesbian, bisexual and queer women.

    Directory of Open Access Journals (Sweden)

    Carmen H Logie

    Full Text Available Lesbian, bisexual and queer (LBQ women experience pervasive sexual stigma that harms wellbeing. Stigma is a multi-dimensional construct and includes perceived stigma, awareness of negative attitudes towards one's group, and enacted stigma, overt experiences of discrimination. Despite its complexity, sexual stigma research has generally explored singular forms of sexual stigma among LBQ women. The study objective was to develop a scale to assess perceived and enacted sexual stigma among LBQ women. We adapted a sexual stigma scale for use with LBQ women. The validation process involved 3 phases. First, we held a focus group where we engaged a purposively selected group of key informants in cognitive interviewing techniques to modify the survey items to enhance relevance to LBQ women. Second, we implemented an internet-based, cross-sectional survey with LBQ women (n=466 in Toronto, Canada. Third, we administered an internet-based survey at baseline and 6-week follow-up with LBQ women in Toronto (n=24 and Calgary (n=20. We conducted an exploratory factor analysis using principal components analysis and descriptive statistics to explore health and demographic correlates of the sexual stigma scale. Analyses yielded one scale with two factors: perceived and enacted sexual stigma. The total scale and subscales demonstrated adequate internal reliability (total scale alpha coefficient: 0.78; perceived sub-scale: 0.70; enacted sub-scale: 0.72, test-retest reliability, and construct validity. Perceived and enacted sexual stigma were associated with higher rates of depressive symptoms and lower self-esteem, social support, and self-rated health scores. Results suggest this sexual stigma scale adapted for LBQ women has good psychometric properties and addresses enacted and perceived stigma dimensions. The overwhelming majority of participants reported experiences of perceived sexual stigma. This underscores the importance of moving beyond a singular focus on

  9. Willingness to Act upon Beliefs about 'Treatment as Prevention' among Australian Gay and Bisexual Men.

    Directory of Open Access Journals (Sweden)

    Benjamin R Bavinton

    Full Text Available HIV 'treatment as prevention' (TasP is highly effective in reducing HIV transmission in serodiscordant couples. There has been little examination of gay and bisexual men's attitudes towards TasP, particularly regarding men's willingness to act on beliefs about TasP. We conducted an online cross-sectional survey of Australian men in late 2012 to investigate knowledge and beliefs about new developments in HIV prevention. Amongst 839 men (mean age 39.5 years, men tended to disagree that TasP was sufficiently effective to justify reduced condom use, although HIV-positive men had more favourable attitudes. Only a minority of men were aware of any evidence for TasP; and one-quarter incorrectly believed that evidence for the effectiveness of TasP already existed for the homosexual population. One-fifth (20.5% of men reported that they would be willing to have condomless anal intercourse with an opposite-status sexual partner when the HIV-positive partner was taking HIV treatments. Factors independently associated with such willingness were: HIV-positive serostatus, reporting any serodiscordant or serononconcordant condomless anal intercourse with a regular male partner in the previous six months, reporting any condomless anal intercourse with a casual male partner in the previous six months, and having greater beliefs in the effectiveness of TasP. This indicated that the men most willing to rely on TasP to prevent transmission were already engaging in higher risk practices. Biomedical HIV prevention represents a rapidly changing environment with new research as well as community and policy responses emerging at a fast pace. For men with serodiscordant sexual partners to successfully apply TasP to reducing transmission risk, more support and education is needed to enable better utilisation of TasP in specific relational and sexual contexts.

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

    Science.gov (United States)

    Lee, Joseph G. L.; Ylioja, Thomas; Lackey, Mellanye

    2016-01-01

    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. PMID:27219460

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

    Science.gov (United States)

    Lee, Joseph G L; Ylioja, Thomas; Lackey, Mellanye

    2016-01-01

    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. PMID:27219460

  12. 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.

  13. The prevalence and correlates of syphilis and HIV among homosexual and bisexual men in Shijiazhuang, China.

    Science.gov (United States)

    Zhang, Shao-Hui; Liu, Shu-Jun; Hu, Ling-Ling; Li, Jie-Fang; Liu, Li-Hua; Wei, Ning

    2016-02-01

    Bisexual men (men who have sex with men and women) are potential epidemiological bridges responsible for the spread of HIV and other sexually transmitted infections from men who have sex with men only to the heterosexual population. We aimed to estimate the prevalence of syphilis and HIV and the factors associated with syphilis infection among men who have sex with men and women and men who have sex with men only from Shijiazhuang, China. In 2011-2013, a cross-sectional cohort of 427 men who have sex with men was recruited by a snowball sampling method and tested for syphilis and HIV. Chi square and logistic regression were performed to identify syphilis risk factors. Among the 427 men who have sex with men, 71 (16.6%) cases were syphilis-positive and 16 cases (3.7%) were HIV-positive. The proportions of men who have sex with men and women and men who have sex with men only in the total sample were 31.4% and 68.6%, respectively. Men who have sex with men and women exhibited double the syphilis prevalence of men who have sex with men only and were more likely to practice insertive anal sex. Higher education level, being married, having more male partners, and both receptive and insertive anal sex roles were associated with syphilis among men who have sex with men and women. Residing in suburban areas, being married, being HIV positive, and an absence of desire to change sexual orientation were associated with syphilis among men who have sex with men only. Therefore, men who have sex with men and women represent an important sub-group in the syphilis epidemic and further interventions should be developed to reduce risk among different sub-sets of men who have sex with men. PMID:25725492

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

    Science.gov (United States)

    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. PMID:26790699

  15. 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.

  16. Coming Out to Dad: Young Gay and Bisexual Men's Experiences Disclosing Same-Sex Attraction to Their Fathers.

    Science.gov (United States)

    Jadwin-Cakmak, Laura A; Pingel, Emily S; Harper, Gary W; Bauermeister, José A

    2015-07-01

    Few studies have examined the relationship between young gay and bisexual men (YGBM) and their fathers. Based on a phenomenological framework, this study investigated the role of fathers in YGBM'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. Semistructured in-depth interviews with 30 gay and bisexual men aged 18 to 24 years were conducted as part of a larger study; topics explored in the interview included experiences coming out to family and others. Nineteen participants' narratives included discussion about their fathers and were included in the current analyses. The YGBM who were interviewed perceived a complex range of responses upon coming out to their fathers, ranging from enthusiastic acceptance to physical violence. Participants spoke of fathers who were accepting in different manners and who often held contradictory attitudes about same-sex attraction. Fathers' responses commonly differed from sons' expectations, which were informed by homophobic talk and gendered expectations. Sons spoke about what informed their expectations as well as what they perceived as influencing their fathers' responses, including gender norms, beliefs regarding the cause of same-sex attraction, religious and sociopolitical views, and concerns about HIV/AIDS. Particularly striking was the pervasive influence of hegemonic masculinity throughout the YGBM's stories. The implications of these findings for future research and intervention development are discussed, as well as study strengths and limitations. PMID:24989422

  17. Meeting the substance abuse treatment needs of lesbian, bisexual and transgender women: implications from research to practice

    Directory of Open Access Journals (Sweden)

    Stevens S

    2012-02-01

    Full Text Available Sally StevensSouthwest Institute for Research on Women (SIROW and Department of Gender and Women’s Studies (GWS, University of Arizona, Tucson, AZ, USAAbstract: Research on the incidence, etiology and substance abuse treatment needs of lesbian, bisexual and transgender (LBT women is limited. Most research indicates higher levels of alcohol and drug abuse among these populations compared to their heterosexual counterparts, with recent research indicating that substance abuse is a particular concern for transgender individuals and an increasing problem among younger LBT individuals. Risk factors and reasons for substance abuse among sexual minority women are similar to those of heterosexual women, yet are substantially complicated by issues of family rejection and lack of social support, stigma and minority stress, as well as abuse and harassment. Historically, substance abuse prevention, early intervention, and clinical treatment programs were designed to meet the needs of the sexual majority population with relatively few programs designed to incorporate the specific needs of sexual minorities. This article reviews findings from previous studies and utilizes new data collected from community-based and residential substance abuse treatment programs to (1 examine issues relevant to LBT women and substance use, and (2 make recommendations for tailoring substance abuse treatment programs to meet the needs of these populations.Keywords: lesbian, bisexual, transgender, substance abuse, family rejection, social support, stigma, minority stress, abuse, harassment

  18. Experiences of HIV-positive gay, bisexual and other men who have sex with men residing in relatively rural areas.

    Science.gov (United States)

    Hubach, Randolph D; Dodge, Brian; Schick, Vanessa; Ramos, William D; Herbenick, Debby; Li, Michael J; Cola, Thea; Reece, Michael

    2015-01-01

    Most previous studies of the sexual behaviour of gay, bisexual and other men who have sex with men living with HIV are based on samples of men recruited within relatively urban and suburban areas of the USA. The aim of the present study was to explore the potential challenges associated with HIV-related stigma and residing in a relatively rural area. We conducted a qualitative study based in south-central Indiana, a relatively rural area of the USA. Twenty-three HIV-positive gay, bisexual and other men who have sex with men, aged 21-48 years, were interviewed on topics regarding community engagement, perceived HIV-related stigma, relationship formation, sexual behaviour and HIV status disclosure. Findings indicate HIV-related stigma is commonly reported at the interpersonal and community levels. Because of this, men face complex situations on how and when to disclose their HIV status to members of their social and sexual networks. Although many participants reported many challenges associated with relationship formation, all expressed a desire for romantic and/or sexual connections with other men and/or women. Results suggest that new programmatic approaches are necessary to inform the work of social service and medical providers on mechanisms to intervene and combat stigma and discrimination inherent in communities, programmes and policies. PMID:25608847

  19. Is sexual racism really racism? Distinguishing attitudes toward sexual racism and generic racism among gay and bisexual men.

    Science.gov (United States)

    Callander, Denton; Newman, Christy E; Holt, Martin

    2015-10-01

    Sexual racism is a specific form of racial prejudice enacted in the context of sex or romance. Online, people use sex and dating profiles to describe racialized attraction through language such as "Not attracted to Asians." Among gay and bisexual men, sexual racism is a highly contentious issue. Although some characterize discrimination among partners on the basis of race as a form of racism, others present it as a matter of preference. In May 2011, 2177 gay and bisexual men in Australia participated in an online survey that assessed how acceptably they viewed online sexual racism. Although the men sampled displayed diverse attitudes, many were remarkably tolerant of sexual racism. We conducted two multiple linear regression analyses to compare factors related to men's attitudes toward sexual racism online and their racist attitudes more broadly. Almost every identified factor associated with men's racist attitudes was also related to their attitudes toward sexual racism. The only differences were between men who identified as Asian or Indian. Sexual racism, therefore, is closely associated with generic racist attitudes, which challenges the idea of racial attraction as solely a matter of personal preference. PMID:26149367

  20. 'Risk' and sexual coercion among gay and bisexual men in Aotearoa/New Zealand-key informant accounts.

    Science.gov (United States)

    Braun, Virginia; Terry, Gareth; Gavey, Nicola; Fenaughty, John

    2009-02-01

    Research over the past decade on rape and sexual coercion among gay and bisexual men has shown that significant numbers of men report some form of unwanted or coerced sexual experience. Most studies have investigated the prevalence and impact of sexual assault, with little exploration of the nature and meanings of sexual coercion. This paper contributes to understandings of the latter, analysing the notion of 'risk' as it appeared in the talk of 23 key informants interviewed. These informants offered expert perspectives on the issue of sexual coercion and unwanted sex among gay and bisexual men, based on their professional and community experience. Thematic analysis led us to identify two predominant patterns of talk around risk: a focus on sociocultural contexts as risky for sexual coercion and a focus on certain types of individuals as vulnerable and 'at risk' of sexual coercion. Accounts of individual risk fit with currently dominant prevention models, which work to strengthen individuals' abilities to avoid or resist coercion. The accounts that emphasised context fit with recent theorising which suggests broader interventions are also necessary to prevent sexual coercion, ones that challenge normative constructions of sexuality and sexual practice. PMID:19247858

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

    Science.gov (United States)

    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…

  2. “If You Know You Exist, It’s Just Marketing Poison”: Meanings of Tobacco Industry Targeting in the Lesbian, Gay, Bisexual, and Transgender Community

    OpenAIRE

    Smith, Elizabeth A.; Thomson, Katherine; OFFEN, NAPHTALI; Malone, Ruth E.

    2008-01-01

    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.

  3. Establishing the Validity of the Affirmative Training Inventory: Assessing the Relationship between Lesbian, Gay, and Bisexual Affirmative Training and Students' Clinical Competence

    Science.gov (United States)

    Carlson, Thomas Stone; McGeorge, Christi R.; Toomey, Russell B.

    2013-01-01

    This study established the validity and factor structure of the Affirmative Training Inventory (ATI; T. S. Carlson, C. R. McGeorge & M. Rock, unpublished) as a measure of lesbian, gay, and bisexual (LGB) affirmative clinical training. Additionally, this study examined the latent associations among the subscales of the ATI and the Sexual…

  4. 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…

  5. Education and Training Needs of School Staff Relevant to Preventing Risk Behaviors and Promoting Health Behaviors among Gay, Lesbian, Bisexual, and Questioning Youth

    Science.gov (United States)

    Sawyer, Richard J.; Porter, J. Davidson; Lehman, Thomas C.; Anderson, Clinton; Anderson, Karen M.

    2006-01-01

    A national-level needs assessment of high school psychologists, social workers, counselors, and nurses was conducted to identify training and educational resource material needs of these staff relevant to providing health and mental health services to gay, lesbian, bisexual, and questioning (GLBQ) youth. Systematic sampling procedures were…

  6. “It's Just a Way of Fitting In:” Tobacco Use and the Lived Experience of Lesbian, Gay, and Bisexual Appalachians

    OpenAIRE

    Bennett, Keisa; Ricks, JaNelle M.; Howell, Britteny M.

    2014-01-01

    Lesbian, gay, and bisexual (LGB) people are affected by multiple health disparities and risk factors, including tobacco use. Few studies to date have examined tobacco use specifically in rural LGB populations, and none has investigated the intersections of identity, rural LGB culture, and tobacco. The purpose of this study was to explore the perspective of Appalachian LGB people regarding tobacco use.

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

    Science.gov (United States)

    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…

  8. "What Do You Say to Them?" Investigating and Supporting the Needs of Lesbian, Gay, Bisexual, Trans, and Questioning (LGBTQ) Young People

    Science.gov (United States)

    Sherriff, Nigel S.; Hamilton, Wook E.; Wigmore, Shelby; Giambrone, Broden L. B.

    2011-01-01

    This study explores the experiences and support needs of lesbian, gay, bisexual, transgender and questioning (LGBTQ) young people living in Sussex (UK), and the training needs of practitioners working with LGBTQ young people. The aims were to explore the experiences of young people including bullying, "coming out," social service and educational…

  9. 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…

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

    Science.gov (United States)

    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…

  11. 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

    Science.gov (United States)

    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…

  12. 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…

  13. HIV Risk Among Men Who Have Sex With Men, Women Who Have Sex With Women, Lesbian, Gay, Bisexual and Transgender Populations in South Africa: A Mini-Review

    Science.gov (United States)

    Evans, Meredith G. B.; Cloete, Allanise; Zungu, Nompumelelo; Simbayi, Leickness C.

    2016-01-01

    Background: The HIV epidemic in South Africa is characterized mainly by heterosexual transmission. Recently, the importance of targeting key populations and marginalized groups, including men who have sex with men (MSM) and transgender people, has been added to the national agenda. Objectives: This mini-review explores the current state of empirical research on HIV risk and MSM, women who have sex with women (WSW), lesbian, gay, bisexual and transgender (LGBT) populations in South Africa in order to assess the current state of research and identify gaps in the literature. Method: Peer-reviewed empirical social and behavioral articles on HIV prevalence and risk focusing on MSM, WSW, and LGBT populations published since 2006 were included in this mini-review. Results: In total 35 articles were included: 30 on MSM, gay, and/or bisexual male-identified populations, three on WSW, lesbian, and/or bisexual female-identified populations, two on LGB youth, and none on transgender populations. Conclusion: Despite South Africa being the country with the largest number of people living with HIV in the world, there is a limited amount of research in South Africa on HIV and non-normative gender identities and sexualities, especially WSW, lesbian, and/or bisexual female-identified populations, transgender populations, and LGB youth. Research with MSM, WSW, and LGBT populations should be prioritized in South Africa in order to appropriately inform HIV prevention strategies that meet the specific needs of these marginalized groups. PMID:27347271

  14. Sexual rights but not the right to health? Lesbian and bisexual women in South Africa's National Strategic Plans on HIV and STIs.

    Science.gov (United States)

    Daly, Felicity; Spicer, Neil; Willan, Samantha

    2016-05-01

    Synergies between securing sexual rights and the right to health have been pursued where there are clear public health gains to be made, such as lowering incidence of HIV and other sexually transmitted infections (STI). South Africa's 1996 Constitution outlawed discrimination on the basis of sexual orientation and promoted the right to health. This qualitative health policy analysis sought to understand why and how interventions to improve sexual health of lesbian and bisexual women and address sexual violence were initially proposed in the HIV & AIDS and STI Strategic Plan for South Africa 2007-2011 and why and how these concerns were deprioritised in the National Strategic Plan (NSP) on HIV, STIs and TB 2012-2016. A conceptual framework considered several determinants of political priority for the inclusion in NSP development in 2007 and 2011 around sexual health concerns of women who have sex with women. This article presents findings from 25 in-depth key informant interviews and document review and highlights results of application of categories for a framework on determinants of political priority for lesbian and bisexual women's issues to be included in South Africa's NSP including: actor power, ideas, political context and issue characteristics. The article demonstrates how the epidemiological and structural drivers of lesbian and bisexual women's vulnerability to HIV and STIs, including sexual violence and other violations of their sexual rights, have been expressed in policy forums and whether this has made an impact on lesbian and bisexual women's ability to claim the right to health. PMID:27578352

  15. Disclosure of Membership in the Lesbian, Gay, Bisexual, and Transgender Community by Individuals with Communication Impairments: A Preliminary Web-Based Survey

    Science.gov (United States)

    Kelly, Rebecca J.; Robinson, Gregory C.

    2011-01-01

    Purpose: The purpose of this preliminary investigation was to examine potential barriers to seeking services for communication impairments perceived by lesbian, gay, bisexual, and transgender (LGBT) people. Specifically, this clinical survey investigated (a) the rate and importance of disclosure of membership in the LGBT community by people with…

  16. Lesbians, Gays, Bisexuals, and Transgendered People and Human Resource Development: An Examination of the Literature in Adult Education and Human Resource Development

    Science.gov (United States)

    Schmidt, Steven W.; Githens, Rod P.; Rocco, Tonette S.; Kormanik, Martin B.

    2012-01-01

    Issues related to human resource development (HRD) and lesbian, gay, bisexual, and transgender (LGBT) people such as workplace inclusion, employee affinity groups, and LGBT-specific diversity initiatives are being addressed in organizations more often now than ever before. This article explores the existing literature on LGBT issues in HRD and…

  17. Gay and Bisexual Male Youth as Educator Activists and Cultural Workers: The Queer Critical Praxis of Three Canadian High-School Students

    Science.gov (United States)

    Grace, Andre P.; Wells, Kristopher

    2009-01-01

    This paper considers how three Canadian high-school students--Ryan, Jeremy, and Bruce--engaged in queer critical praxis intended to free lesbian, gay, bisexual, trans-identified, and queer (LGBTQ) students from the silence, exclusion, and symbolic and physical violence that heterosexism and homophobia provoke in schools. We, the authors, construct…

  18. It Takes a Team! Making Sports Safe for Lesbian, Gay, Bisexual, and Transgender Athletes and Coaches. An Education Kit for Athletes, Coaches, and Athletic Directors.

    Science.gov (United States)

    Griffin, Pat; Perrotti, Jeff; Priest, Laurie; Muska, Mike

    This educational kit focuses on the safe education of lesbian, gay, bisexual, and transgender (LGBT) students. It includes four sections that examine: (1) "Introduction" (e.g., why it is important to address homophobia in sport, educator responsibilities, and who this educational kit is for); (2) "The Core Program: Video and Discussion"…

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

    Science.gov (United States)

    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.…

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

    Science.gov (United States)

    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…

  1. 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

    Science.gov (United States)

    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…

  2. Comparison of Medfly male-only and bisexual releases in large scale field trials

    International Nuclear Information System (INIS)

    The sterile insect technique (SIT) has been used in several locations around the world for suppression or control of resident Mediterranean fruit fly (Medfly) Ceratitis capitata (Wied.) populations (Steiner et al. 1962, Rhode et al. 1971, Fisher et al. 1985). Successes in eliminating incipient infestations of this species have been reported (Cunningham et al. 1980, Wong et al. 1986). In small-scale tests McInnis et al. (1994) showed that releases of only male Medflies has proved to be more efficient at inducing sterility into wild Medfly populations than the release of males and females together. When a mechanism for the elimination of Medfly females from SIT became available through the development of genetic sexing strains (GSS), it was suggested that economic advantages from the integration of male-only releases in control/eradication programmes were to be expected (Robinson et al. 1986). However, stability of strains under mass rearing conditions hampered their further use (Hooper et al. 1987). Improved GSS are now available (Franz et al. 1994) and allow for large-scale studies on the sterility induced into feral populations using GSS and different sex ratios of sterile Medflies. Field studies, using released sterile males and females of bisexual strains, have varied in the area of their assessment from: 25km2 (Fisher et al. 1985), 13 km2 (Wong et al. 1986), 5 km2 (Nitzan et al. 1993), 3.7 km2 (Cirio et al. 1987) to 0.01-0.04 km2 (McInnis et al. 1994). Release ratios (sterile:wild) have also varied from: 50:1 (Wong et al. 1986) to overflooding of 200:1 - 1,000:1 (Fisher et al. 1985, McInnis et al. 1994). In addition, sampling data used to validate population suppression by SIT have included adult trap catches, fruit infestation and percent egg hatch, with egg hatch being regarded as the most reliable index of success (Wong et al. 1986). Other studies have used the same indices but given them a different order of priority (Cirio et al. 1987, Nitzan et al. 1993

  3. The State of Lesbian, Gay, and Bisexual Affirmative Training: A Survey of Faculty from Accredited Couple and Family Therapy Programs.

    Science.gov (United States)

    McGeorge, Christi R; Stone Carlson, Thomas

    2016-01-01

    This study explored the state of lesbian, gay, and bisexual (LGB) affirmative training in the couple and family therapy field. LGB affirmative refers to holding positive views of LGB identities and relationships. A total of 117 faculty members completed the online survey for this study. Participants were asked to respond to items on the following topics: LGB affirmative stances, LGB affirmative program environment, LGB affirmative course content, self-of-the-therapist work, and professional opportunities to work with LGB topics and clients. The findings of this study were encouraging as participants reported holding positive beliefs about LGB individuals, that their training programs had fairly affirmative program environments, and that LGB affirmative course content was included in their program curriculum. PMID:25516235

  4. Sexual Victimization and Subsequent Police Reporting by Gender Identity Among Lesbian, Gay, Bisexual, Transgender, and Queer Adults.

    Science.gov (United States)

    Langenderfer-Magruder, Lisa; Walls, N Eugene; Kattari, Shanna K; Whitfield, Darren L; Ramos, Daniel

    2016-01-01

    Prevalence of sexual victimization among lesbian, gay, bisexual, transgender, and queer (LGBTQ) persons is frequently found to be higher than the prevalence reported by their heterosexual peers. Transgender individuals are often included solely as part of larger LGBTQ research samples, potentially obfuscating differences between sexual orientation and gender identity. In this study, the authors examined sexual assault/rape in a large convenience sample of LGBTQ adults (N = 1,124) by respondents' gender identity (cisgender, transgender) to determine whether differences exist in lifetime prevalence of sexual assault/rape and subsequent police reporting. Findings indicate transgender individuals report having experienced sexual assault/rape more than twice as frequently as cisgender LGBQ individuals. Authors found no statistically significant difference in reporting sexual violence to police. Implications for research and practice are discussed. PMID:26831853

  5. 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. PMID:25535762

  6. Marketing the 'Sex Check': evaluating recruitment strategies for a telephone-based HIV prevention project for gay and bisexual men.

    Science.gov (United States)

    McKee, Michael B; Picciano, Joseph F; Roffman, Roger A; Swanson, Fred; Kalichman, Seth C

    2006-04-01

    Designing effective marketing and recruitment strategies for HIV prevention research requires attention to cultural relevance, logistical barriers, and perceived psychosocial barriers to accessing services. McGuire's communication/persuasion matrix (1985) guided our evaluation, with particular attention to success of each marketing "channel" (i.e., strategy) vis-à-vis the number of all callers, eligible callers, and enrolled callers, as well as reaching so-called "hard-to-serve" individuals. Nearly all channels offered success in reaching specific subgroups. Latinos responded favorably to posters, bisexuals responded favorably to paid media in an alternative (non-gay) publication, and precontemplators responded to referrals by family and friends. Although multiple recruitment strategies were used, three were crucial to the success of the project: (a) recruiters' presence in gay venues, (b) referrals by family and friends (snowball technique), and (c) paid advertisements in alternative (non-gay) local newspapers. Resource allocation and costs are also presented for each channel. PMID:16649957

  7. Sexual Health of Trans Men Who Are Gay, Bisexual, or Who Have Sex with Men: Results from Ontario, Canada

    Science.gov (United States)

    Redman, Nik; Bradley, Kaitlin; Scheim, Ayden I.

    2013-01-01

    ABSTRACT Recent reports have addressed the sexual health of female-to-male transgender or transsexual people who are gay, bisexual, and/or have sex with men (trans GB-MSM) using urban convenience samples. The Trans PULSE Project conducted a multimode, respondent-driven sampling survey in Ontario, Canada, in 2009–2010. Weighted estimates were calculated for trans GB-MSM (n = 173) for sexual orientation, behavior, partners, and HIV-related risk, as well as for psychosocial stressors and sexual satisfaction. An estimated 63.3% (95% CI [50.4, 73.5]) of trans men were GB-MSM (173/227). Results indicate great diversity in sexual behavior and experiences. Implications for sexual health promotion, counseling, and medical care are addressed. PMID:24971043

  8. 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

    2016-03-01

    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. PMID:26643126

  9. Armed conflict, homonegativity and forced internal displacement: implications for HIV among Colombian gay, bisexual and transgender individuals.

    Science.gov (United States)

    Zea, Maria Cecilia; Reisen, Carol A; Bianchi, Fernanda T; Gonzales, Felisa A; Betancourt, Fabián; Aguilar, Marcela; Poppen, Paul J

    2013-01-01

    Colombia has endured six decades of civil unrest, population displacement and violence. We examined the relationships between contextual conditions, displacement and HIV among gay, bisexual and transgender individuals in Bogotá, Colombia. A total of 19 key informants provided information about internal displacement of sexual minorities. Life-history interviews were conducted with 42 participants aged 18 to 48 years and included questions about displacement experiences, sexual behaviour, life prior to displacement and participants' economic and social situation in Bogotá. The interplay of a variety of factors - including internal conflict and violence, homonegativity and 'social cleansing', gender and sexual identity and poverty - strongly shaped the varied experiences of displacement. Migration, sexual violence, exchange sex and low rates of HIV testing were risk factors that increased vulnerability for HIV in this displaced sample. Although displacement and HIV in Colombia are major problems, both are understudied. PMID:23586420

  10. Racial Disparities in Health Behaviors and Conditions Among Lesbian and Bisexual Women: The Role of Internalized Stigma

    Science.gov (United States)

    Molina, Yamile; Lehavot, Keren; Beadnell, Blair; Simoni, Jane

    2013-01-01

    There are documented disparities in physical health behaviors and conditions, such as physical activity and obesity, with regard to both race/ethnicity and sexual orientation. However, physical health disparities for lesbian and bisexual (LB) women who are also racial minorities are relatively unexplored. Minority stressors, such as internalized stigma, may account for disparities in such multiply marginalized populations. We sought to (1) characterize inequalities among non-Hispanic white and African American LB women and (2) examine the roles of internalized sexism and homophobia in disparities. Data on health behaviors (diet, physical activity); physical health (hypertension, diabetes, overweight/obesity); internalized sexism; and internalized homophobia were collected via a web-based survey. Recruitment ads were sent electronically to over 200 listservs, online groups, and organizations serving the lesbian, gay, and bisexual community in all 50 U.S. states. The analytic sample consisted of 954 white and 75 African American LB women. African American participants were more likely than white participants to report low fruit/vegetable intake and physical activity, a higher body mass index, and a history of diabetes and hypertension. There were no racial differences in internalized homophobia, but African American women reported higher levels of internalized sexism. Internalized sexism partially mediated racial disparities in physical activity and diabetes, but not in the other outcomes. Findings suggest that African American LB women may be at greater risk than their white counterparts for poor health and that internalized sexism may be a mediator of racial differences for certain behaviors and conditions. PMID:25364769

  11. 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. PMID:25894645

  12. The health, social care and housing needs of lesbian, gay, bisexual and transgender older people: a review of the literature.

    Science.gov (United States)

    Addis, Samia; Davies, Myfanwy; Greene, Giles; Macbride-Stewart, Sara; Shepherd, Michael

    2009-11-01

    This paper reports the findings of a literature review of the health, social care and housing needs of older lesbian, gay, bisexual and transgender (LGBT) adults undertaken in 2006 for the Welsh Assembly Government. Peer-reviewed literature was identified through database searches of BNI, PubMed, CINAHL, DARE, ASSIA and PsychInfo. Follow-up searches were conducted using references to key papers and journals as well as specific authors who had published key papers. A total of 187 papers or chapters were retrieved, of which 66 were included in the study; major themes were identified and the findings synthesised using a meta-narrative approach. The main themes that emerged from the review were isolation, health behaviours, mental health and sexual health behaviours. The literature indicates that the health, social care and housing needs of LGBT older people is influenced by a number of forms of discrimination which may impact upon the provision of, access to and take up of health, social care and housing services. Understanding of the health, social care and housing needs of older LGBT people is limited and research in this area is scarce. The research which exists has been criticised for using small samples and for tending to exclude participants from less affluent backgrounds. The focus of research tends to be on gay men and lesbians; consequently, the needs of bisexual and transgender people remain largely unknown. Additionally, research which does exist tends to focus on a narrow range of health issues, often related to the health needs of younger LGBT people. Discrimination in various forms has a major impact on needs and experiences, leading to marginalisation of LGBT people both in the provision of health and social care services and neglect of these groups in public health research. PMID:19519872

  13. Racial Disparities in Health Behaviors and Conditions Among Lesbian and Bisexual Women: The Role of Internalized Stigma.

    Science.gov (United States)

    Molina, Yamile; Lehavot, Keren; Beadnell, Blair; Simoni, Jane

    2014-03-13

    There are documented disparities in physical health behaviors and conditions, such as physical activity and obesity, with regard to both race/ethnicity and sexual orientation. However, physical health disparities for lesbian and bisexual (LB) women who are also racial minorities are relatively unexplored. Minority stressors, such as internalized stigma, may account for disparities in such multiply marginalized populations. We sought to (1) characterize inequalities among non-Hispanic white and African American LB women and (2) examine the roles of internalized sexism and homophobia in disparities. Data on health behaviors (diet, physical activity); physical health (hypertension, diabetes, overweight/obesity); internalized sexism; and internalized homophobia were collected via a web-based survey. Recruitment ads were sent electronically to over 200 listservs, online groups, and organizations serving the lesbian, gay, and bisexual community in all 50 U.S. states. The analytic sample consisted of 954 white and 75 African American LB women. African American participants were more likely than white participants to report low fruit/vegetable intake and physical activity, a higher body mass index, and a history of diabetes and hypertension. There were no racial differences in internalized homophobia, but African American women reported higher levels of internalized sexism. Internalized sexism partially mediated racial disparities in physical activity and diabetes, but not in the other outcomes. Findings suggest that African American LB women may be at greater risk than their white counterparts for poor health and that internalized sexism may be a mediator of racial differences for certain behaviors and conditions. PMID:25364769

  14. HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand.

    Directory of Open Access Journals (Sweden)

    Suwat Chariyalertsak

    Full Text Available BACKGROUND: HIV prevalence among men who have sex with men (MSM and transgender (TG persons is high and increasing in Chiang Mai, northern Thailand. OBJECTIVES: To describe demographic, socioeconomic, sexual behavior and interest in future HIV prevention trials among gay and bisexual MSM and TG presenting for HIV testing (VCT and pre-screening for the iPrEx pre-exposure chemoprophylaxis trail. METHODS: In 2008-09, MSM/TG participants attending VCT were interviewed and tested for HIV and STI. Univariate and multivariate regression analyses were done to assess associations with HIV infection. RESULTS: A total of 551 MSM clients (56.1% gay, 25.4% TG, and 18.5% bisexual (BS were enrolled. The mean age was 23.9 years. HIV prevalence among MSM overall was 12.9% (71/551; 16.5% among gay men, 9.3% among TG, and 6.9% among BS. Consistent use of condom was low, 33.3% in insertive anal sex and 31.9% in receptive anal sex. Interest in participation was high, 86.3% for PrEP, 69.7% for HIV vaccine trials, but 29.9% for circumcision. HIV was independently associated with being gay identified, aOR 2.8, p = 0.037 and with being aged 25-29, aOR 2.7, p = 0.027. Among repeat testers, HIV incidence was 8.2/100 PY, 95% CI, 3.7/100PY to 18.3/100PY. CONCLUSION: HIV risks and rates varied by self-reported sexual orientation and gender identity. HIV was associated with sexual practices, age, and being gay-identified. These are populations are in need of novel prevention strategies and willing to participate in prevention research.

  15. Occupations, social vulnerability and HIV/STI risk: The case of bisexual Latino men in the New York City metropolitan area

    Science.gov (United States)

    Muñoz-Laboy, Miguel; Severson, Nicolette; Bannan, Shauna

    2015-01-01

    This article examines the relationship between the work environment, type of occupation and sexual risk-taking among behaviourally bisexual Latino men, in which data were analysed from a mixed-methods study of 148 behaviourally bisexual Latino men, aged 18–60. The authors draw on both sex market theory and the literature on structural violence and labour to situate sexual risk-taking within broader dimensions of social inequalities and organisation. Manual labour, hospitality and retail/professional fields are examined and compared. Major findings include (1) a high incidence of unprotected anal intercourse among manual labourers (2) a high incidence of unprotected vaginal intercourse with alcohol use and concurrent sex with females among hospitality workers (3) less sexual risk behaviour, sexual risk behaviour with alcohol and fewer concurrent sex partners among those in the retail/professional fields. Findings are discussed in relation to global economic forces, masculinity and social and symbolic capital. PMID:25299059

  16. Occupations, social vulnerability and HIV/STI risk: The case of bisexual Latino men in the New York City metropolitan area.

    Science.gov (United States)

    Muñoz-Laboy, Miguel; Severson, Nicolette; Bannan, Shauna

    2014-01-01

    This article examines the relationship between the work environment, type of occupation and sexual risk-taking among behaviourally bisexual Latino men, in which data were analysed from a mixed-methods study of 148 behaviourally bisexual Latino men, aged 18-60. The authors draw on both sex market theory and the literature on structural violence and labour to situate sexual risk-taking within broader dimensions of social inequalities and organisation. Manual labour, hospitality and retail/professional fields are examined and compared. Major findings include (1) a high incidence of unprotected anal intercourse among manual labourers (2) a high incidence of unprotected vaginal intercourse with alcohol use and concurrent sex with females among hospitality workers (3) less sexual risk behaviour, sexual risk behaviour with alcohol and fewer concurrent sex partners among those in the retail/professional fields. Findings are discussed in relation to global economic forces, masculinity and social and symbolic capital. PMID:25299059

  17. Gay-Straight Alliances, Social Justice Involvement, and School Victimization of Lesbian, Gay, Bisexual, and Queer Youth: Implications for School Well-Being and Plans to Vote

    OpenAIRE

    Toomey, Russell B.; Russell, Stephen T.

    2013-01-01

    Few studies have investigated school-based, positive development for lesbian, gay, bisexual, and queer (LGBQ) youth, despite knowledge of their heightened negative school experiences compared to heterosexual youth (e.g., school victimization). This study examines associations among participation in Gay-Straight Alliance (GSA)–related social justice activities, GSA presence, and GSA membership with victimization based on sexual orientation and school-based well-being (i.e., school safety, scho...

  18. Tal Como Somos/Just As We Are: An Educational Film to Reduce Stigma towards Gay and Bisexual Men, Transgender Individuals & Persons Living with HIV/AIDS

    OpenAIRE

    Ramirez-Valles, Jesus; Kuhns, Lisa M.; Manjarrez, Dianna

    2013-01-01

    In this paper we describe the development and dissemination of a film-based educational intervention to reduce negative attitudes towards gay and bisexual men and transgender women (GBT) and people living with HIV/AIDS (PLWHA) in Latino communities, with a focus on youth. The intervention, Tal Como Somos/Just as We Are, is based on stigma and attribution theories, extensive formative research, and community input. Evaluation findings among educators and school youth suggest the film has the p...

  19. The Physical and Mental Health of Lesbian, Gay Male, and Bisexual (LGB) Older Adults: The Role of Key Health Indicators and Risk and Protective Factors

    OpenAIRE

    Fredriksen-Goldsen, Karen I.; Emlet, Charles A.; Kim, Hyun-Jun; Muraco, Anna; Erosheva, Elena A.; GOLDSEN, JAYN; Hoy-Ellis, Charles P.

    2012-01-01

    Purpose: Based on resilience theory, this paper investigates the influence of key health indicators and risk and protective factors on health outcomes (including general health, disability, and depression) among lesbian, gay male, and bisexual (LGB) older adults. Design and Methods: A cross-sectional survey was conducted with LGB older adults, aged 50 and older (N = 2,439). Logistic regressions were conducted to examine the contributions of key health indicators (access to health care and hea...

  20. Exploring lesbian, gay, bisexual, and queer (LGBQ) people’s experiences with disclosure of sexual identity to primary care physicians: a qualitative study

    OpenAIRE

    Law, Marcus; Mathai, Anila; Veinot, Paula; Webster, Fiona; Mylopoulos, Maria

    2015-01-01

    Background It has been demonstrated that health disparities between lesbian, gay, bisexual and queer (LGBQ) populations and the general population can be improved by disclosure of sexual identity to a health care provider (HCP). However, heteronormative assumptions (that is, assumptions based on a heterosexual identity and experience) may negatively affect communication between patients and HCPs more than has been recognized. The aim of this study was to understand LGBQ patients’ perceptions ...

  1. Cytogenetics of bisexual species and their asexual hybrid clones in European spined loaches, genus Cobitis. I. Karyotypes and extensive polymorphism of major ribosomal sites in four parental species

    Czech Academy of Sciences Publication Activity Database

    Rábová, Marie; Ráb, Petr; Boron, A.; Bohlen, Jörg; Janko, Karel; Šlechtová, Vendula; Flajšhans, Martin

    2004-01-01

    Roč. 106, č. 1 (2004), s. 16. ISSN 1424-8581. [European Colloquium on Animal Cytogenetics and Gene Mapping/16./. 06.07.2004-09.07.2004, Jouy-en-Josas] R&D Projects: GA AV ČR IBS5045111; GA AV ČR IAA6045405 Grant ostatní: UWM(PL) 0208.805 Keywords : bisexual species Subject RIV: EB - Genetics ; Molecular Biology

  2. “We don't exist”: a qualitative study of marginalization experienced by HIV-positive lesbian, bisexual, queer and transgender women in Toronto, Canada

    OpenAIRE

    Logie, Carmen H.; LLana James; Wangari Tharao; Mona R Loutfy

    2012-01-01

    Background: Lesbian, bisexual, queer and transgender (LBQT) women living with HIV have been described as invisible and understudied. Yet, social and structural contexts of violence and discrimination exacerbate the risk of HIV infection among LBQT women. The study objective was to explore challenges in daily life and experiences of accessing HIV services among HIV-positive LBQT women in Toronto, Canada. Methods: We used a community-based qualitative approach guided by an intersectional theore...

  3. 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...

  4. The process of developing a community-based research agenda with lesbian, gay, bisexual, transgender and queer youth in the Northwest Territories, Canada

    OpenAIRE

    Logie, Carmen H.; Lys, Candice

    2015-01-01

    Background. Youth in Canada’s Northwest Territories (NWT) experience sexual and mental health disparities. Higher rates of sexual and mental health concerns among lesbian, gay, bisexual, transgender and queer (LGBTQ) youth in comparison with heterosexual and cisgender peers have been associated with stigma and discrimination. Although LGBTQ youth in the NWT are situated at the nexus of Northern and LGBTQ health disparities, there is little known about their health, well-being and experiences ...

  5. Preventing HIV among Latino and African American Gay and Bisexual Men in a Context of HIV-Related Stigma, Discrimination, and Homophobia: Perspectives of Providers

    OpenAIRE

    Brooks, Ronald A.; Etzel, Mark A.; Hinojos, Ernesto; Henry, Charles L.; Perez, Mario

    2005-01-01

    HIV-related stigma, discrimination, and homophobia impede community based efforts to combat HIV disease among Latino and African American gay and bisexual men. This commentary highlights ways to address these social biases in communities of color in Los Angeles from the perspectives of staff from HIV prevention programs. Information was collected from HIV prevention program staff participating in a two-day symposium. The outcomes from the symposium offer strategies for developing and implemen...

  6. The process of developing a community-based research agenda with lesbian, gay, bisexual, transgender and queer youth in the Northwest Territories, Canada

    OpenAIRE

    Logie, Carmen H.; Candice Lys

    2015-01-01

    Background: Youth in Canada's Northwest Territories (NWT) experience sexual and mental health disparities. Higher rates of sexual and mental health concerns among lesbian, gay, bisexual, transgender and queer (LGBTQ) youth in comparison with heterosexual and cisgender peers have been associated with stigma and discrimination. Although LGBTQ youth in the NWT are situated at the nexus of Northern and LGBTQ health disparities, there is little known about their health, well-being and experiences ...

  7. Sexual Risk Behaviors and Acceptability of HIV Pre-Exposure Prophylaxis Among HIV-Negative Gay and Bisexual Men in Serodiscordant Relationships: A Mixed Methods Study

    OpenAIRE

    Brooks, RA; Landovitz, RJ; Kaplan, RL; Lieber, E; Lee, SJ; Barkley, TW

    2012-01-01

    The objective of this mixed methods study was to examine current sexual risk behaviors, acceptability and potential adoption of pre-exposure prophylaxis (PrEP) for HIV prevention, and sexual behavior intentions with PrEP adoption among HIV-negative gay and bisexual men (GBM) in HIV serodiscordant relationships. A multiracial/ethnic sample of 25 HIV-negative GBM in serodiscordant relationships completed a qualitative interview and a brief interviewer-administered survey. A modified grounded th...

  8. Prevalence of Mental Disorders, Psychological Distress, and Mental Health Services Use Among Lesbian, Gay, and Bisexual Adults in the United States

    OpenAIRE

    Cochran, Susan D; Sullivan, J. Greer; Mays, Vickie M.

    2003-01-01

    Recent estimates of mental health morbidity among adults reporting same-gender sexual partners suggest that lesbians, gay men, and bisexual individuals may experience excess risk for some mental disorders as compared with heterosexual individuals. However, sexual orientation has not been measured directly. Using data from a nationally representative survey of 2,917 midlife adults, the authors examined possible sexual orientation-related differences in morbidity, distress, and mental health se...

  9. Perceived importance of five different health issues for gay and bisexual men: implications for new directions in health education and prevention.

    Science.gov (United States)

    Grov, Christian; Ventuneac, Ana; Rendina, H Jonathon; Jimenez, Ruben H; Parsons, Jeffrey T

    2013-07-01

    This study assessed the perceived importance of five health issues for gay and bisexual men (N = 660) using time-space sampling in gay bars/clubs and bathhouses in New York City: "HIV & STDs," "Drugs & Alcohol," "Body Image," "Mental Health," and "Smoking." This study compared ratings based on demographic differences, recent substance use, recent sexual risk behavior, and whether or not participants owned a smart device (e.g., "smart" phone, iPad, iPod touch). Contrary to research indicating that gay and bisexual men may be experiencing HIV prevention fatigue, this study identified that HIV and STIs were perceived as most important. Drugs and alcohol and mental health were also rated high, suggesting that providers may be well served to include mental health and drugs and alcohol as part of their comprehensive approach to HIV prevention. A majority of participants (72%) owned a smart device. Smart device owners rated health issues similarly to those who did not, suggesting that such devices may be a useful platform to reach gay and bisexual men for health education and prevention. PMID:23093075

  10. A Pilot Trial of a Sexual Health Counseling Intervention for HIV-Positive Gay and Bisexual Men Who Report Anal Sex without Condoms

    Science.gov (United States)

    Hart, Trevor A.; Stratton, Natalie; Coleman, Todd A.; Wilson, Holly A.; Simpson, Scott H.; Julien, Rick E.; Adam, Barry D.

    2016-01-01

    Background Even in the presence of promising biomedical treatment as prevention, HIV incidence among men who have sex with men has not always decreased. Counseling interventions, therefore, continue to play an important role in reducing HIV sexual transmission behaviors among gay and bisexual men and other men who have sex with men. The present study evaluated effects of a small-group counseling intervention on psychosocial outcomes and HIV sexual risk behavior. Method HIV-positive (HIV+) peer counselors administered seven 2-hour counseling sessions to groups of 5 to 8 HIV+ gay and bisexual men. The intervention employed information provision, motivational interviewing, and behavioral skills building to reduce sexual transmission risk behaviors. Results There was a significant reduction in condomless anal sex (CAS) with HIV-negative and unknown HIV-status partners, from 50.0% at baseline to 28.9% of the sample at 3-month follow-up. Findings were robust even when controlling for whether the participant had an undetectable viral load at baseline. Significant reductions were also found in the two secondary psychosocial outcomes, loneliness and sexual compulsivity. Conclusions The findings provide preliminary evidence that this intervention may offer an efficient way of concurrently reducing CAS and mental health problems, such as sexual compulsivity and loneliness, for HIV+ gay and bisexual men. Trial Registration ClinicalTrials.gov NCT02546271 PMID:27054341

  11. Sequence Evolution and Expression of the Androgen Receptor and Other Pathway-Related Genes in a Unisexual Fish, the Amazon Molly, Poecilia formosa, and Its Bisexual Ancestors

    Science.gov (United States)

    Zhu, Fangjun; Schlupp, Ingo; Tiedemann, Ralph

    2016-01-01

    The all-female Amazon molly (Poecilia formosa) originated from a single hybridization of two bisexual ancestors, Atlantic molly (Poecilia mexicana) and sailfin molly (Poecilia latipinna). As a gynogenetic species, the Amazon molly needs to copulate with a heterospecific male, but the genetic information of the sperm-donor does not contribute to the next generation, as the sperm only acts as the trigger for the diploid eggs’ embryogenesis. Here, we study the sequence evolution and gene expression of the duplicated genes coding for androgen receptors (ars) and other pathway-related genes, i.e., the estrogen receptors (ers) and cytochrome P450, family19, subfamily A, aromatase genes (cyp19as), in the Amazon molly, in comparison to its bisexual ancestors. Mollies possess–as most other teleost fish—two copies of the ar, er, and cyp19a genes, i.e., arα/arβ, erα/erβ1, and cyp19a1 (also referred as cyp19a1a)/cyp19a2 (also referred to as cyp19a1b), respectively. Non-synonymous single nucleotide polymorphisms (SNPs) among the ancestral bisexual species were generally predicted not to alter protein function. Some derived substitutions in the P. mexicana and one in P. formosa are predicted to impact protein function. We also describe the gene expression pattern of the ars and pathway-related genes in various tissues (i.e., brain, gill, and ovary) and provide SNP markers for allele specific expression research. As a general tendency, the levels of gene expression were lowest in gill and highest in ovarian tissues, while expression levels in the brain were intermediate in most cases. Expression levels in P. formosa were conserved where expression did not differ between the two bisexual ancestors. In those cases where gene expression levels significantly differed between the bisexual species, P. formosa expression was always comparable to the higher expression level among the two ancestors. Interestingly, erβ1 was expressed neither in brain nor in gill in the analyzed

  12. Sequence Evolution and Expression of the Androgen Receptor and Other Pathway-Related Genes in a Unisexual Fish, the Amazon Molly, Poecilia formosa, and Its Bisexual Ancestors.

    Directory of Open Access Journals (Sweden)

    Fangjun Zhu

    Full Text Available The all-female Amazon molly (Poecilia formosa originated from a single hybridization of two bisexual ancestors, Atlantic molly (Poecilia mexicana and sailfin molly (Poecilia latipinna. As a gynogenetic species, the Amazon molly needs to copulate with a heterospecific male, but the genetic information of the sperm-donor does not contribute to the next generation, as the sperm only acts as the trigger for the diploid eggs' embryogenesis. Here, we study the sequence evolution and gene expression of the duplicated genes coding for androgen receptors (ars and other pathway-related genes, i.e., the estrogen receptors (ers and cytochrome P450, family19, subfamily A, aromatase genes (cyp19as, in the Amazon molly, in comparison to its bisexual ancestors. Mollies possess-as most other teleost fish-two copies of the ar, er, and cyp19a genes, i.e., arα/arβ, erα/erβ1, and cyp19a1 (also referred as cyp19a1a/cyp19a2 (also referred to as cyp19a1b, respectively. Non-synonymous single nucleotide polymorphisms (SNPs among the ancestral bisexual species were generally predicted not to alter protein function. Some derived substitutions in the P. mexicana and one in P. formosa are predicted to impact protein function. We also describe the gene expression pattern of the ars and pathway-related genes in various tissues (i.e., brain, gill, and ovary and provide SNP markers for allele specific expression research. As a general tendency, the levels of gene expression were lowest in gill and highest in ovarian tissues, while expression levels in the brain were intermediate in most cases. Expression levels in P. formosa were conserved where expression did not differ between the two bisexual ancestors. In those cases where gene expression levels significantly differed between the bisexual species, P. formosa expression was always comparable to the higher expression level among the two ancestors. Interestingly, erβ1 was expressed neither in brain nor in gill in the

  13. Gay and Bisexual Men's Perceptions of Police Helpfulness in Response to Male-Male Intimate Partner Violence

    Directory of Open Access Journals (Sweden)

    Catherine Finneran

    2013-08-01

    Full Text Available Introduction Despite several recent studies documenting high rates of intimate partner violence (IPV among gay and bisexual men (GBM, the literature is silent regarding GBM’s perceptions of IPV within their community. We examine GBM’s perceptions of same-sex IPV: its commonness, its severity, and the helpfulness of a hypothetical police response to a GBM experiencing IPV.Methods: We drew data from a 2011 survey of venue-recruited GBM (n¼989. Respondents were asked to describe the commonness of IPV, severity of IPV, and helpfulness of a hypothetical police response to IPV among GBM and among heterosexual women. We fitted a logistic model for the outcome of viewing the police response to a gay/bisexual IPV victim as less helpful than for a female heterosexual IPV victim. The regression model controlled for age, race/ethnicity, education, sexual orientation, employment status, and recent receipt of physical, emotional, and sexual IPV, with key covariates being internalized homophobia and experiences of homophobic discrimination.Results: The majority of respondents viewed IPV among GBM as common (54.9% and problematic(63.8%. While most respondents had identical perceptions of the commonness (82.7% and severity (84.1% of IPV in GBM compared to heterosexual women, the majority of the sample (59.1% reported perceiving that contacting the police would be less helpful for a GBM IPV victim than for a heterosexual female IPV victim. In regression, respondents who reported more lifetime experiences of homophobic discrimination were more likely to have this comparatively negative perception (odds ratio: 1.11, 95% confidence interval: 1.06, 1.17.Conclusion: The results support a minority stress hypothesis to understand GBM’s perceptions of police helpfulness in response to IPV. While IPV was viewed as both common and problematic among GBM, their previous experiences of homophobia were correlated with a learned anticipation of rejection and stigma from

  14. The Relationship Between Sexual Activity and Depressive Symptoms in Lesbian, Gay, and Bisexual Youth: Effects of Gender and Family Support.

    Science.gov (United States)

    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. PMID:26067299

  15. Correlates of hepatitis B virus and HIV knowledge among gay and bisexual homeless young adults in Hollywood.

    Science.gov (United States)

    Nyamathi, Adeline; Salem, Benissa; Reback, Cathy J; Shoptaw, Steven; Branson, Catherine M; Idemundia, Faith E; Kennedy, Barbara; Khalilifard, Farinaz; Marfisee, Mary; Liu, Yihang

    2013-01-01

    Homeless gay and bisexual (G/B) young men have multiple risk factors that increase their risk of contracting hepatitis B virus (HBV) and human immunodeficiency virus (HIV). This study used baseline information from structured instruments to assess correlates of knowledge to HIV and HBV infection from 267 young (18-39 year old) G/B active methamphetamine, cocaine, and crack-using homeless men enrolled in a longitudinal trial. The study is designed to reduce drug use and improve knowledge of hepatitis and HIV/AIDS in a community center in Hollywood, California. Regression modeling revealed that previous hepatitis education delivered to G/B men was associated with higher levels of HIV/AIDS and hepatitis knowledge. Moreover, higher HIV/AIDS knowledge was associated with combining sex and drinking alcohol. Associations with hepatitis B knowledge was found among G/B men who were engaging in sex while under the influence of marijuana, who were receiving support from non-drug users, and who had been homeless in the last 4 months. Although being informed about HIV/AIDS and hepatitis did not preclude risky sexual and drug use behavior, knowledge about the dangers of concurrent sex with substance use is important. As higher levels of knowledge of hepatitis was associated with more moderate drug use, early access to testing and teaching harm reduction strategies remain critical to reduce exposure and infection of HBV and HIV in this population. PMID:22879650

  16. Scaffolded interviewing with lesbian, gay, bisexual, transgender, queer, and questioning youth: a developmental approach to HIV education and prevention.

    Science.gov (United States)

    Welle, Dorinda L; Clatts, Michael C

    2007-01-01

    The field of education has long recognized that adolescent development and learning are made possible by the structural supports or "scaffolds" that adults create with young people. Although the work of Lev Vygotsky (1978, 1987) has inspired developmentally-supportive approaches to education in the United States and internationally, his work has been largely overlooked in the field of HIV education and prevention. This article introduces an approach to scaffolded interviewing that builds narrative and relational "platforms" for young people's self-development and facilitates health communication, trust and rapport, and HIV awareness. Developed over the course of a 2-year longitudinal ethnographic study with 45 lesbian, gay, bisexual, transgender, queer, and questioning youths, scaffolded interviewing aims to build the relational and narrative foundations for young people's active engagement in HIV education and prevention. In scaffolded interviewing, three kinds of platforms or supportive structures serve to scaffold enhanced health communication and HIV awareness: (a) the interview design (a strategic sequencing of life history and HIV-related questions), (b) the developing relationship between interviewer and study participant, and (c) the young person's own narration of a "real" and developing self. Through their participation in scaffolded interviewing, young people develop their own foundations for HIV awareness and HIV prevention by using the narrative and relational supports of the research or clinical interview and the identity terminologies relevant to their own self-development. PMID:17403491

  17. Exploring the Cervical Cancer Screening Experiences of Black Lesbian, Bisexual, and Queer Women: The Role of Patient-Provider Communication.

    Science.gov (United States)

    Agénor, Madina; Bailey, Zinzi; Krieger, Nancy; Austin, S Bryn; Gottlieb, Barbara R

    2015-01-01

    Few studies have focused on the health and health care of U.S. black lesbian, bisexual, and queer (LBQ) women. To understand the facilitators of and barriers to cervical cancer screening in this population, focus group discussions were conducted in Boston and Cambridge, Massachusetts between November and December 2012. Using purposive sampling methods, the authors enrolled 18 black LBQ women who participated in one of four focus groups. Using thematic analysis, patient-provider communication was identified, which consisted of four sub-themes--health care provider communication style and demeanor; heteronormative provider assumptions; heterosexism, racism, and classism; and provider professional and sociodemographic background--as the most salient theme. Participants reported fears and experiences of multiple forms of discrimination and preferred receiving care from providers who were knowledgeable about same-sex sexual health and shared their life experiences at the intersection of gender, race/ethnicity, and sexual orientation. The cervical cancer screening experiences of black LBQ women would be improved by training all health care providers in same-sex sexual health, offering opportunities for clinicians to learn about the effects of various forms of discrimination on women's health care, and increasing the presence of LBQ women of color in health care settings. PMID:25909663

  18. Parental acceptance and illegal drug use among gay, lesbian, and bisexual adolescents: results from a national survey.

    Science.gov (United States)

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

    2010-07-01

    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 life stress on substance use among GLB youths. Drawing on a large national online survey, the authors examined drug use in 1906 GLB youths 12 to 17 years of age. Overall, 20 percent of the youths reported using illegal substances in the past 30 days. Results from multivariate analyses revealed that stress, as measured by suicidal ideation, significantly increased the risk of drug use. A positive reaction from the mother to the youth's coming out served as a significant protective factor, whereas involvement in a queer youth group had no effect. The authors found evidence that, for GLB adolescents, parental acceptance of sexual identity is an important aspect of a strong family relationship and, thus, has important ramifications for their healthy development. Implications of the findings for social work practice are discussed. PMID:20632661

  19. The workings of homonormativity: lesbian, gay, bisexual, and queer discourses on discrimination and public displays of affections in Portugal.

    Science.gov (United States)

    de Oliveira, João Manuel; Costa, Carlos Gonçalves; Nogueira, Conceição

    2013-01-01

    This article analyzes how heteronormative discourse may be (re)produced by the very same people it serves to oppress, binding heteronormativity to a specific form of homonormativity. Furthermore, this article also links Portuguese history and society by discussing the context and the recent legal changes that led to legislation providing for same-sex marriage. Using thematic analysis of 14 interviews, this article demonstrates how heteronorms are upheld in the discourses of the lesbian, gay, bisexual, and queer (LGBQ) participants. Themes linked to public displays of affection and discrimination emerged from the interviews. Participant discourses are analyzed in terms of their incorporation of heteronorms. Homonormativity is present in both the themes subject to analysis. Analysis of the interviews shows how transgressing the heteronorm implies costs and is ultimately perceived as a personal risk. This article concludes that the lack of discursive resistance denies the possibility of re-signification and subversion even in LGBQ discourses. This clearly indicates the pervasiveness of discourses reiterating heteronorms, even those issued by those most oppressed by such norms. PMID:24059969

  20. A mixed-methods study of condom use and decision making among adolescent gay and bisexual males.

    Science.gov (United States)

    Mustanski, Brian; DuBois, L Zachary; Prescott, Tonya L; Ybarra, Michele L

    2014-10-01

    Young men who have sex with men have the highest rates of new HIV infections in the U.S., but they have been understudied relative to other populations. As a formative step for the development of a text messaging HIV prevention intervention, this mixed methods study aimed to understand how adolescent gay and bisexual males (AGBM) make decisions about condom use and factors that may differ based on age, sexual experience, and rural versus urban residency. Four online, asynchronous focus groups were conducted with 75 14-18 year old AGBM across the U.S. Qualitative analyses uncovered themes related to relationship influences on condom use (e.g. marriage, trust), access issues, and attitudes and experiences that both encouraged as well as discouraged condom use. Mixed methods analyses explored differences between groups in endorsement of themes. For example, younger and sexually experienced participants were more likely to report the cost of condoms was prohibitive and sexually experienced and rural youth were more likely to describe being influenced by emotional aspects of the relationship. These data highlight both opportunities for as well as the importance of tailoring HIV prevention programs for sub-groups of AGBM. PMID:24906532

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

    Science.gov (United States)

    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. PMID:25019542

  2. Recollections of bullying at school and their long-term implications for lesbians, gay men, and bisexuals.

    Science.gov (United States)

    Rivers, Ian

    2004-01-01

    This study explores the relationship between experiences of bullying at school, adult mental health status, and symptoms of posttraumatic stress among a sample of 119 UK residents who identified as lesbian, gay, or bisexual. Participants completed a series of questionnaires that focused upon school experiences, suicide ideation at school, sexual history, relationship status and negative affect, recent positive and negative life-events, internalized homophobia, and symptoms associated with posttraumatic stress. The results suggested that posttraumatic stress was a potential issue for 17% of participants who also scored significantly higher for depression, and reported having had more casual sexual partners than their peers. However, those who were found to exhibit symptoms of post-traumatic stress were also more accepting of their sexual orientation. A small number of participants used prescription or nonprescription drugs, or alcohol to help them cope with memories of bullying. It is suggested that posttraumatic stress may be a feature of the adult lives of men and women who experienced frequent and prolonged bullying at school as a result of their actual or perceived sexual orientation. PMID:15580852

  3. Substance use, sexual behaviour and prevention strategies of Vancouver gay and bisexual men who recently attended group sex events.

    Science.gov (United States)

    Rich, Ashleigh J; Lachowsky, Nathan J; Cui, Zishan; Sereda, Paul; Lal, Allan; Birch, Robert; Montaner, Julio; Moore, David; Hogg, Robert S; Roth, Eric A

    2016-01-01

    Group sex events are an epidemiologically important part of some gay and bisexual men's sexual culture in Canada. Associated with condomless anal intercourse and polysubstance use, such events have been cited as disproportionally contributing to HIV infection rates. We analysed questionnaire data from the Momentum Health Study in Vancouver, Canada, to understand substance use, sexual behaviour, psychosocial variables (Sexual Sensation Seeking, Sexual Escape Motivation, Treatment Optimism) and HIV prevention strategies (sero-sorting, strategic positioning, avoiding anal sex, disclosure, treatment as prevention) of men attending such events, which were defined as group (n ≥ 4 partners) sex parties, blackout events and darkrooms. Analysis by multivariable logistic regression compared men attending group sex events within the past six months (n = 180) with non-attendees (n = 539). Results showed that attendees reported: (1) significantly higher use of sex drugs and alcohol consumption, (2) higher scores on the Sexual Sensation Scale, more anal sex partners, greater odds of any condomless anal sex with sero-discordant partners and greater odds of reporting fisting and sex toy use and (3) different prevention practices that varied by HIV-serostatus. Findings are interpreted in light of the importance of pleasure, sociality and HIV/STI prevention strategies associated with group sex events. Findings contribute to the development of appropriate education and intervention for attendees. PMID:26443295

  4. Barebacking among gay and bisexual men in New York City: explanations for the emergence of intentional unsafe behavior.

    Science.gov (United States)

    Halkitis, Perry N; Parsons, Jeffrey T; Wilton, Leo

    2003-08-01

    This study was undertaken to assess the frequency with which gay and bisexual men in New York City engage in intentional unprotected anal sex, or "barebacking," and to examine explanations about the emergence of barebacking. A total of 518 men completed a brief intercept survey. Of the 448 men who were familiar with the term "barebacking" 204 (45.5%) reported bareback sex in the past 3 months prior to assessment. HIV seropositive men were significantly more likely than HIV seronegative men to report this behavior and reported significantly more sexual partners with which they had engaged in intentional unprotected anal intercourse. Participants reported significantly more acts of seroconcordant bareback sex (intentional unprotected anal intercourse with a partner of the same HIV status) than those of serodiscordant bareback sex. Men who reported barebacking also reported significantly more benefits associated with this behavior. The Internet and the availability of sexually oriented chat rooms, HIV treatment advances, emotional fatigue regarding HIV, and the increased popularity of "club" drugs were commonly cited as reasons for the barebacking phenomenon. PMID:12856896

  5. Comparative studies on in vitro sperm decondensation and pronucleus formation in egg extracts between gynogenetic and bisexual fish

    Institute of Scientific and Technical Information of China (English)

    CHANG JIAN LI; JIAN FANG GUI

    2003-01-01

    A cell-free system based upon the egg extracts from gynogenetic gibel carp (Carassius auratus gibelio)or bisexual red common carp (Cyprinus carpio red variety) was developed to investigate developmentalbehaviors of the demembranated sperm nuclei. Both red common carp and gibel carp sperm nuclei coulddecondense fully and form pronuclei in the red common carp egg extracts. Gibel carp sperm nuclei couldalso decondense fully and form pronuclei in the gibel carp egg extracts, but red common carp sperm nucleicould not decondense sufficiently in the same extracts. The significant differences of morphological changeswere further confirmed by ultrastructural observation of transmission electron microscopy. The data furtheroffer cytological evidence for gonochoristic reproduction in the gynogenetically reproducing gibel carp. Inaddition, the sperm nuclei in vitro decondensation is dependent on the pH in the extracts, and the decon-densed efficiency is optimal at pH 7. However, no DNA replication was observed in the two kinds of eggextracts during the incubation period of the sperm nuclei. It is suggested that the egg extracts preparedfrom the gynogenetic gibel carp should be a valid in vitro system for studying molecular mechanism ongynogenesis and reproduction mode diversity in fish.

  6. Novel approaches to HIV prevention and sexual health promotion among Guatemalan gay and bisexual men, MSM, and transgender persons.

    Science.gov (United States)

    Rhodes, Scott D; Alonzo, Jorge; Mann, Lilli; Downs, Mario; Simán, Florence M; Andrade, Mario; Martinez, Omar; Abraham, Claire; Villatoro, Guillermo R; Bachmann, Laura H

    2014-08-01

    The burden of HIV is disproportionate for Guatemalan sexual minorities (e.g., gay and bisexual men, men who have sex with men [MSM], and transgender persons). Our bi-national partnership used authentic approaches to community-based participatory research (CBPR) to identify characteristics of potentially successful programs to prevent HIV and promote sexual health among Guatemalan sexual minorities. Our partnership conducted Spanish-language focus groups with 87 participants who self-identified as male (n=64) or transgender (n=23) and individual in-depth interviews with ten formal and informal gay community leaders. Using constant comparison, an approach to grounded theory, we identified 20 characteristics of potentially successful programs to reduce HIV risk, including providing guidance on accessing limited resources; offering supportive dialogue around issues of masculinity, socio-cultural expectations, love, and intimacy; using Mayan values and images; harnessing technology; increasing leadership and advocacy skills; and mobilizing social networks. More research is clearly needed, but participants reported needing and wanting programming and had innovative ideas to prevent HIV exposure and transmission. PMID:25068181

  7. Perceived importance of five different health issues for gay and bisexual men: Implications for new directions in health education and prevention

    OpenAIRE

    Grov, Christian; Ventuneac, Ana; Rendina, H. Jonathon; Jimenez, Ruben; Parsons, Jeffrey T.

    2012-01-01

    This study assessed the perceived importance of five health issues for gay and bisexual men (N=660) using time-space sampling in gay bars/clubs and bathhouses in New York City: “HIV & STDs,” “Drugs & Alcohol,” “Body Image,” “Mental Health,” and “Smoking.” This study compared ratings based on demographic differences, recent substance use, recent sexual risk behavior, and whether or not participants owned a smart device (e.g., “smart” phone, iPad, iPod touch). Contrary to research indicating th...

  8. Barriers to HIV testing and characteristics associated with never testing among gay and bisexual men attending sexual health clinics in Sydney

    Directory of Open Access Journals (Sweden)

    Damian P Conway

    2015-08-01

    Full Text Available Introduction: HIV diagnoses among gay and bisexual men have increased over the past decade in Australia. HIV point-of-care testing (POCT was introduced in Australia in 2011 as a strategy to increase HIV testing by making the testing process more convenient. We surveyed gay and bisexual men undergoing POCT to assess barriers to HIV testing and characteristics associated with not having previously tested for HIV (never testing. Methods: During 2011 and 2012, gay and bisexual men who were undergoing POCT at four Sydney sexual health clinics self-completed questionnaires assessing testing history and psychological and structural barriers to HIV testing. Bivariate and multivariate logistic regression was used to assess associations between patient characteristics and never testing. Results: Of 1093 participants, 981 (89.9% reported ever testing for HIV and 110 (10.1% never testing. At least one barrier to testing was reported by 1046 men (95.7%, with only 47 men (4.3% not reporting any barrier to testing. The most commonly reported barriers to testing were annoyance at having to return for results (30.2%, not having done anything risky (29.6%, stress in waiting for results (28.4%, being afraid of testing positive (27.5% and having tested recently (23.2%. Never testing was independently associated with being non-gay-identified (adjusted odds ratio [AOR]: 1.9; 95% confidence interval [CI]: 1.1–3.2, being aged less than 25 years (AOR: 2.4; 95% CI: 1.6–3.8, living in a suburb with few gay couples (AOR: 1.9; 95% CI: 1.2–3.0, being afraid of testing HIV-positive (AOR: 1.6; 95% CI: 1.0–2.4, not knowing where to test (AOR: 3.8; 95% CI: 1.3–11.2 and reporting one or no sexual partners in the last six months (AOR: 2.7; 95% CI: 1.2–6.2. Conclusions: Barriers to HIV testing were commonly reported among the clinic-based gay and bisexual men in this study. Our findings suggest further health promotion and prevention strategies are needed to address the

  9. HIV/AIDS stigma: Measurement and relationships to psycho-behavioral factors in Latino gay/bisexual men and transgender women

    OpenAIRE

    Molina, Y.; Ramirez-Valles, J.

    2013-01-01

    Despite the increased interest in HIV/AIDS stigma and its negative effects on the health and social support of people living with HIV/AIDS (PLWHA), little attention has been given to its assessment among Latino gay/bisexual men and transgender women (GBT) living with HIV/AIDS. The purpose of this paper is twofold: to develop a multidimensional assessment of HIV/AIDS stigma for Latino GBT living with HIV/AIDS, and to test whether such stigma is related to self-esteem, safe sex self-efficacy, s...

  10. Deborah Abbott: Out in the Redwoods, Documenting Gay, Lesbian, Bisexual, Transgender History at the University of California, SAnta Cruz, 1965-2003

    OpenAIRE

    Reti, Irene H.; Brashear, Regan; Abbott, Deborah

    2004-01-01

    Deborah Abbott is a writer, health activist, teacher, river guide and current director of the Gay, Lesbian, Bisexual and Transgender Resource Center at UCSC. Since assuming her position in November of 1997, she has given new shape and direction to the Center. As an American studies major, I was eager to interview  Deb Abbott. Deb Abbott to learn more about the queer history of UCSC, as well as about her work within two local feminist health organizations: the Santa Cruz Women's Health Collect...

  11. Effectiveness of a multidimensional web-based intervention program to change Brazilian health practitioners' attitudes toward the lesbian, gay, bisexual and transgender population.

    Science.gov (United States)

    Costa, Angelo Brandelli; Pase, Paola Fagundes; de Camargo, Eric Seger; Guaranha, Camila; Caetano, Adriano Henrique; Kveller, Daniel; da Rosa Filho, Heitor Thomé; Catelan, Ramiro Figueiredo; Koller, Silvia Helena; Nardi, Henrique Caetano

    2016-03-01

    The objective of this study was to assess the effectiveness of a multidimensional (educational, affective and behavioural) web-based intervention to change healthcare practitioners' attitudes toward lesbian, gay, bisexual and transgender population. It aimed to measure gender and sexual (GenSex) prejudice pre- and post-intervention in relation to sociodemographic characteristics. A total of 307 health practitioners from southern Brazil enrolled and completed the follow-up assessment. The intervention had significant effects, varying across traditionally high prejudiced groups. State- and street-level continuous prejudice reduction policies are suggested. PMID:26987830

  12. Barriers to HIV testing and characteristics associated with never testing among gay and bisexual men attending sexual health clinics in Sydney

    Science.gov (United States)

    Conway, Damian P; Holt, Martin; Couldwell, Deborah L; Smith, Don E; Davies, Stephen C; McNulty, Anna; Keen, Phillip; Cunningham, Philip; Guy, Rebecca

    2015-01-01

    Introduction HIV diagnoses among gay and bisexual men have increased over the past decade in Australia. HIV point-of-care testing (POCT) was introduced in Australia in 2011 as a strategy to increase HIV testing by making the testing process more convenient. We surveyed gay and bisexual men undergoing POCT to assess barriers to HIV testing and characteristics associated with not having previously tested for HIV (never testing). Methods During 2011 and 2012, gay and bisexual men who were undergoing POCT at four Sydney sexual health clinics self-completed questionnaires assessing testing history and psychological and structural barriers to HIV testing. Bivariate and multivariate logistic regression was used to assess associations between patient characteristics and never testing. Results Of 1093 participants, 981 (89.9%) reported ever testing for HIV and 110 (10.1%) never testing. At least one barrier to testing was reported by 1046 men (95.7%), with only 47 men (4.3%) not reporting any barrier to testing. The most commonly reported barriers to testing were annoyance at having to return for results (30.2%), not having done anything risky (29.6%), stress in waiting for results (28.4%), being afraid of testing positive (27.5%) and having tested recently (23.2%). Never testing was independently associated with being non-gay-identified (adjusted odds ratio [AOR]: 1.9; 95% confidence interval [CI]: 1.1–3.2), being aged less than 25 years (AOR: 2.4; 95% CI: 1.6–3.8), living in a suburb with few gay couples (AOR: 1.9; 95% CI: 1.2–3.0), being afraid of testing HIV-positive (AOR: 1.6; 95% CI: 1.0–2.4), not knowing where to test (AOR: 3.8; 95% CI: 1.3–11.2) and reporting one or no sexual partners in the last six months (AOR: 2.7; 95% CI: 1.2–6.2). Conclusions Barriers to HIV testing were commonly reported among the clinic-based gay and bisexual men in this study. Our findings suggest further health promotion and prevention strategies are needed to address the

  13. Stress-related growth, coming out, and internalized homonegativity in lesbian, gay, and bisexual youth. An examination of stress-related growth within the minority stress model.

    Science.gov (United States)

    Cox, Nele; Dewaele, Alexis; van Houtte, Mieke; Vincke, John

    2011-01-01

    This study investigates how young lesbian, gay, and bisexual (LGB) individuals deal with coming out and how perceived personal growth may result from that experience. We considered stress-related growth as a mediator between coming-out experiences and internalized homonegativity (IH). Our sample was taken from an online survey and is comprised of 502 LGBs aged 14-30. The social environment's acceptance of an individual's sexual orientation and the individual's social identification influence stress-related growth. Several coming-out indicators influence internalized homonegativity and, although growth perception does not function as a mediator between coming out and internalized homonegativity, it has a direct effect on IH. PMID:21213178

  14. The Schooling Experience of Lesbian, Gay, and Bisexual Youth in lsrael: Falling Below and Rising Above as a Matter of Social Ecology.

    Science.gov (United States)

    Erhard, Rachel L; Ben-Ami, Eyal

    2016-01-01

    Research on the schooling experience of lesbian, gay, and bisexual (LGB) youth in Israel and in other Western countries has been largely risk-focused, whereas extrinsic and intrinsic protective factors, which enable LGB adolescent students to cope with school homophobic bullying, are often overlooked. To address this shortcoming, the researchers conducted a qualitative study based on semistructured interviews with 20 LGB-identified secondary school students. The findings and implications emphasized the key role of adequate ecological protective factors for LGB youth in enhancing effective coping mechanisms in response to school homophobic bullying. PMID:26472143

  15. Sexually transmitted diseases in homosexual and bisexual males from a cohort of human immunodeficiency virus negative volunteers (Project Horizonte, Belo Horizonte, Brazil

    Directory of Open Access Journals (Sweden)

    L Lignani Jr

    2000-12-01

    Full Text Available Sexually transmitted diseases (STD are very frequent in the whole world. Males who do not use a condom during their sexual relations are at great risk. We report cases of STD during six months of observation, among homosexual/bisexual males who participate in the Project Horizonte. There were 16 cases of genital warts, 6 cases of human immunodeficiency virus infection, 24 cases of unspecific urethritis, 28 cases of herpes simplex virus infection, 30 cases of syphilis, 58 cases of gonorrhea and 84 cases of pediculosis. We concluded that a condom must be used in all sexual relations and new counseling techniques are needed, to avoid this situation.

  16. Evidence for a Syndemic in Aging HIV-positive Gay, Bisexual, and Other MSM: Implications for a Holistic Approach to Prevention and Healthcare

    OpenAIRE

    Halkitis, Perry N.; Kupprat, Sandra A.; Hampton, Melvin B.; Perez-Figueroa, Rafael; Kingdon, Molly; Eddy, Jessica A.; Ompad, Danielle C.

    2012-01-01

    The theory of syndemics has been widely applied in HIV prevention studies of gay, bisexual, and other MSM over the last decade. Our investigation is the first to consider the applicability of the theory in a sample of aging (ages 50 and over) HIV-positive MSM, which is a growing population in the United States. A sample of 199 men were actively recruited and assessed in terms of mental health and drug use burden, as well as sexual risk behaviors. Bivariate and multivariable analyses indicate ...

  17. The Limit Properties of the Bisexual Branching Process with Two Kinds of Immigration%双移民两性分支过程的极限性质

    Institute of Scientific and Technical Information of China (English)

    刘宣

    2015-01-01

    考虑同时带个体移民和配对单元移民的两性分支过程,称为双移民两性分支过程。本文首先介绍这种两性分支过程模型,然后讨论过程的状态性质,在一定的条件下得到过程的正常返性,最后研究第n代每个配对单元平均增长率的极限行为并利用马氏链的相关结论给出过程的极限性质。%In this paper,we consider a bisexual branching process with individual immigration and unit immigration called two types of immigration.First we introduce this bisexual Galton-Watson branching processes, then discuss the properties of its state space and ob-tained positive recurrent in some conditions.Finally thelimit behaviour of the mean growth rate per mating unit is studied and the limit properties for the process is investigated by using relevant conclusions of Markovchain.

  18. Injecting drug use among gay and bisexual men in Sydney: prevalence and associations with sexual risk practices and HIV and hepatitis C infection.

    Science.gov (United States)

    Lea, Toby; Mao, Limin; Bath, Nicky; Prestage, Garrett; Zablotska, Iryna; de Wit, John; Holt, Martin

    2013-05-01

    Injecting drug use is commonly reported among gay and bisexual men in Australia. We examined the prevalence and covariates of injecting drug use among men participating in the Sydney Gay Community Periodic Survey between 2004-06 and 2011. In 2004-06, data was collected about which drugs were injected, while in 2011, data was collected about hepatitis C (HCV) and esoteric sexual practices. In 2004-06, 5.6 % of men reported injecting drugs in the previous 6 months; 3.4 % reported methamphetamine injection and 0.4 % heroin injection. In 2011, men who injected drugs were less likely to be employed full-time, and more likely to be HCV-positive, HIV-positive, to have used party drugs for sex, and to have engaged in esoteric sexual practices. The strong associations between injecting drug use, sexual risk practices and blood-borne virus infection suggests the need for combined sexual health and harm reduction services for gay and bisexual men who inject drugs. PMID:23321949

  19. "The normative idea of queer is a white person": understanding perceptions of white privilege among lesbian, bisexual, and queer women of color in Toronto, Canada.

    Science.gov (United States)

    Logie, Carmen H; Rwigema, Marie-Jolie

    2014-01-01

    White privilege constructs whiteness as normative and central to lesbian, gay, bisexual, and queer (LGBQ) identities and is reproduced through social norms, media representations, and daily interactions. We aimed to enhance understanding of the processes by which white privilege was experienced among lesbian, bisexual, and queer (LBQ) women of color in Toronto, Canada. We conducted two focus groups with LBQ women of color, one with participants who self-identified as masculine of center (n = 8) and the second with participants who identified as feminine of center (n = 8). Findings indicate that LBQ women of color experience intersectional stigma (e.g., homophobia, racism, sexism) on a daily basis. Participant narratives revealed that white privilege shaped the representations of women of color in a particular way that promoted their exclusion from white LBQ spaces and broader society. By representing queerness as white, LBQ women of color were rendered invisible in both queer and racialized communities. LBQ women of color were further marginalized by constructions of "real" women as passive, feminine and white, and conversely perceptions of women of color as aggressive, emotional, and hypersexualized. These representations inform spatialized practices and social interactions through constructing racialized communities as discriminatory and "backwards" while maintaining the invisibility of white privilege and racism in LBQ spaces. PMID:24641077

  20. Motivators, concerns, and barriers to adoption of preexposure prophylaxis for HIV prevention among gay and bisexual men in HIV-serodiscordant male relationships.

    Science.gov (United States)

    Brooks, Ronald A; Kaplan, Rachel L; Lieber, Eli; Landovitz, Raphael J; Lee, Sung-Jae; Leibowitz, Arleen A

    2011-09-01

    The purpose of this study was to identify factors that may facilitate or impede future adoption of preexposure prophylaxis (PrEP) for HIV prevention among gay and bisexual men in HIV-serodiscordant relationships. This qualitative study utilized semistructured interviews conducted with a multiracial/-ethnic sample of 25 gay and bisexual HIV-serodiscordant male couples (n=50 individuals) recruited from community settings in Los Angeles, CA. A modified grounded theory approach was employed to identify major themes relating to future adoption of PrEP for HIV prevention. Motivators for adoption included protection against HIV infection, less concern and fear regarding HIV transmission, the opportunity to engage in unprotected sex, and endorsements of PrEP's effectiveness. Concerns and barriers to adoption included the cost of PrEP, short- and long-term side effects, adverse effects of intermittent use or discontinuing PrEP, and accessibility of PrEP. The findings suggest the need for a carefully planned implementation program along with educational and counseling interventions in the dissemination of an effective PrEP agent. PMID:21476147

  1. Examining the Psychometric Properties of the Sexual Excitation/Sexual Inhibition Inventory for Women (SESII-W) in a Sample of Lesbian and Bisexual Women.

    Science.gov (United States)

    Jozkowski, Kristen N; Sanders, Stephanie A; Rhoads, Kelley; Milhausen, Robin R; Graham, Cynthia A

    2016-09-01

    The Sexual Excitation/Sexual Inhibition Inventory for Women (SESII-W) assesses propensities for sexual excitation (SE) and inhibition (SI). Previous research utilizing the SESII-W included samples comprised exclusively or almost entirely of heterosexual women. The purpose of this study was to examine the psychometric properties of the SESII-W and assess its relation to aspects of sexual function within a sample of lesbian and bisexual women. The sample included 974 self-identified bisexual (n = 733) or lesbian/homosexual (n = 241) women who completed an online survey including items assessing women's sexual behaviors, feelings, and functioning, sociodemographics, and the SESII-W. The sample was split; exploratory factor analyses were conducted on the first half, yielding eight lower-order factors with two higher-order factors. Confirmatory factor analysis was conducted on the second half and suggested reasonable model fit. SI was positively correlated with sexual problems and negatively correlated with sexual pleasure; the correlations were significant but small. Hierarchical regression analyses were conducted to examine the relationships between SESII-W scores and sexual problems/sexual pleasure, controlling for age, relationship duration, and relationship status. Four lower-order factors predicted reports of sexual problems. Findings indicated the SESII-W has similar psychometric properties among sexual minority women as it does among heterosexual women. PMID:26479215

  2. 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

    Science.gov (United States)

    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…

  3. 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

    Science.gov (United States)

    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…

  4. 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…

  5. Gay and bisexual men's awareness and knowledge of treatment as prevention: findings from the Momentum Health Study in Vancouver, Canada

    Directory of Open Access Journals (Sweden)

    Allison Carter

    2015-08-01

    Full Text Available Introduction: Awareness and knowledge of treatment as prevention (TasP was assessed among HIV-positive and HIV-negative gay, bisexual and other men who have sex with men (GBMSM in Vancouver, Canada. Methods: Baseline cross-sectional survey data were analyzed for GBMSM enrolled, via respondent-driven sampling (RDS, in the Momentum Health Study. TasP awareness was defined as ever versus never heard of the term “TasP.” Multivariable logistic regression identified covariates of TasP awareness. Among those aware of TasP, men's level of knowledge of TasP was explored through an examination of self-perceived knowledge levels, risk perceptions and short-answer definitions of TasP which were coded as “complete” if three TasP-related components were identified (i.e. HIV treatment, viral suppression and prevention of transmission. Information source was also assessed. Analyses were stratified by HIV status and RDS adjusted. Results: Of 719 participants, 23% were HIV-positive, 68% Caucasian and median age was 33 (Interquartile range (IQR 26,47. Overall, 46% heard of TasP with differences by HIV status [69% HIV-positive vs. 41% HIV-negative GBMSM (p<0.0001]. In adjusted models: HIV-positive GBMSM were more likely to have heard of TasP if they were Canadian born, unemployed, not using party drugs and had higher CD4 counts; HIV-negative GBMSM were more likely to have heard of TasP if they were Caucasian (vs. Aboriginal, students, had higher education, a regular partner and multiple sexual partners. Among those aware of TasP 91% of HIV-positive and 69% of HIV-negative GBMSM (p<0.0001 felt they knew “a lot” or “a bit in general” about TasP; 64 and 41% (p=0.002 felt HIV treatment made the risk of transmission “a lot lower”; and 21 and 13% (p<0.0001 demonstrated “complete” TasP definitions. The leading information source was doctors (44% for HIV-positive GBMSM and community agencies (38% for HIV-negative GBMSM, followed by gay media for

  6. Increasing Belief in the Effectiveness of HIV Treatment as Prevention: Results of Repeated, National Surveys of Australian Gay and Bisexual Men, 2013-15.

    Science.gov (United States)

    Holt, Martin; Lea, Toby; Schmidt, Heather-Marie; Murphy, Dean; Rosengarten, Marsha; Crawford, David; Ellard, Jeanne; Kolstee, Johann; de Wit, John

    2016-07-01

    We surveyed Australian gay and bisexual men, assessing belief in HIV treatment as prevention (TasP) and support for early treatment. We identified the characteristics of participants who believed in TasP and supported early treatment using multivariate logistic regression. In 2013, 1316 men participated; 1251 participated in 2015. Belief in TasP increased from 2.6 % in 2013 to 13.1 % in 2015 (p education, having recent condomless anal intercourse with casual male partners, and ever having taken post-exposure prophylaxis. Support for early HIV treatment was associated with being younger, living in New South Wales and being in paid employment. We recommend continued monitoring of the growing gap in belief about TasP between HIV-positive men and HIV-negative/untested men. PMID:26803613

  7. 赤霉素诱导小桐子产生两性花%Induction of Bisexual Flowers by Gibberellin in Monoecious Biofuel Plant Jatropha curcas (Euphorbiaceae)

    Institute of Scientific and Technical Information of China (English)

    皮雪静; 潘帮珍; 徐增富

    2013-01-01

    Biofuel plant Jatropha curcas (physic nut) seeds contain about 30% -40% oil, which is a promising feed-stock for producing aviation biofuel and biodiesel. Physic nut is a monoecious plant that produces both male and female flowers in the same inflorescence. The proportion of female flowers in physic nut inflorescences is very low, which is probably one of the most important reasons for its poor seed yield. This study was undertaken to determine the effects of gibberellic acid (GA3) on the flower and seed development of physic nut. The results showed that exogenous appli-cation of GA3 induced bisexual flowers and asexual flowers in physic nut inflorescences. With the increase in the num-ber of induced bisexual flowers, the number of female flowers on the same inflorescence decreased, but the sum of fe-male flowers and bisexual flowers did not varied significantly, suggesting that gibberellin induced bisexual flowers may be derived from the female flowers. In addition, the number of seeds in each fruit, seed size and weight, seed weight per infructescence and seed oil content were all significantly reduced in physic nut plants treated with high concentra-tions of GA3 (500-1 500 mg·L-1 ), which suggested that the development of seeds from GA3-treated physic nut plants was abnormal. These results help us to understand the role of gibberellin in regulation of physic nut flower and seed development, and are valuable for the genetic improvement of physic nut seed yield by molecular breeding.%小桐子(Jatropha curcas)种子含油率高,油脂组成适合于生产生物燃油,是制备航空生物燃油和生物柴油的理想原料.小桐子是一种雌雄同株植物,雌雄花着生于同一花序,其花序中雌花比例很低,可能是其种子产量低的主要原因之一.本文研究用不同浓度的赤霉素外源喷施处理小桐子花序芽对其花和种子发育的影响.结果表明:外源赤霉素处理能够诱导小桐子产生两性花,且处理浓度

  8. Experiences of Intimate Partner Violence and Subsequent Police Reporting Among Lesbian, Gay, Bisexual, Transgender, and Queer Adults in Colorado: Comparing Rates of Cisgender and Transgender Victimization.

    Science.gov (United States)

    Langenderfer-Magruder, Lisa; Whitfield, Darren L; Walls, N Eugene; Kattari, Shanna K; Ramos, Daniel

    2016-03-01

    Research indicates that lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals are at high risk of victimization by others and that transgender individuals may be at even higher risk than their cisgender LGBQ peers. In examining partner violence in particular, extant literature suggests that LGBTQ individuals are at equal or higher risk of partner violence victimization compared with their heterosexual peers. As opposed to sexual orientation, there is little research on gender identity and partner violence within the LGBTQ literature. In the current study, the authors investigated intimate partner violence (IPV) in a large sample of LGBTQ adults (N = 1,139) to determine lifetime prevalence and police reporting in both cisgender and transgender individuals. Results show that more than one fifth of all participants ever experienced partner violence, with transgender participants demonstrating significantly higher rates than their cisgender peers. Implications focus on the use of inclusive language as well as future research and practice with LGBTQ IPV victims. PMID:25392392

  9. Cues-to-Action in Initiating Lesbian, Gay, Bisexual, and Transgender-Related Policies Among Magnet Hospital Chief Nursing Officers: A Demographic Assessment.

    Science.gov (United States)

    Klotzbaugh, Ralph; Spencer, Gale

    2015-01-01

    This study explored Magnet Chief Nursing Officers' cues-to-action initiating lesbian, gay, bisexual, or transgender (LGBT)-specific policies. Homonegativity has a negative effect on employee recruitment and retention and patient satisfaction. Little has been known about what cues-to-action might initiate LGBT inclusive training. Surveys were mailed to 343 Chief Nursing Officers. Cues-to-action survey was used to assess what inspires initiation of LGBT training. Demographic surveys were used to assess what impact variables might have on cues-to-action. Age, sex, religiosity, location, and region had significant effect on cues-to-action. Developing demographically informed training and policies for LGBT equality in health care is suggestive of greater employee and patient satisfaction. PMID:25932818

  10. An exploration of family therapists' beliefs about the ethics of conversion therapy: the influence of negative beliefs and clinical competence with lesbian, gay, and bisexual clients.

    Science.gov (United States)

    McGeorge, Christi R; Carlson, Thomas Stone; Toomey, Russell B

    2015-01-01

    The majority of the literature on conversion therapy has focused on clients' experiences and rationales for seeking such therapy. This study sought to explore differences in the beliefs and clinical competence of therapists who practice and believe in the ethics of conversion therapy and those who do not. The sample for this study included 762 family therapists who were members of the American Association of Marriage and Family Therapy. Data were collected using electronic surveys that assessed participants' negative beliefs about and perceived clinical competence with lesbian, gay, and bisexual (LGB) individuals. Results indicate that those who believe in the ethics of and/or practice conversion therapy report statistically higher levels of negative beliefs about LGB individuals and lower levels of clinical competence working with LGB clients. Implications for clinical practice and organizational policy are discussed. PMID:24750074

  11. Prospective Measurement of Daily Health Behaviors: Modeling Temporal Patterns in Missing Data, Sexual Behavior, and Substance Use in an Online Daily Diary Study of Gay and Bisexual Men.

    Science.gov (United States)

    Rendina, H Jonathon; Ventuneac, Ana; Mustanski, Brian; Grov, Christian; Parsons, Jeffrey T

    2016-08-01

    Daily diary and other intensive longitudinal methods are increasingly being used to investigate fluctuations in psychological and behavioral processes. To inform the development of this methodology, we sought to explore predictors of and patterns in diary compliance and behavioral reports. We used multilevel modeling to analyze data from an online daily diary study of 371 gay and bisexual men focused on sexual behavior and substance use. We found that greater education and older age as well as lower frequency of substance use were associated with higher compliance. Using polynomial and trigonometric functions, we found evidence for circaseptan patterns in compliance, sexual behavior, and substance use, as well as linear declines in compliance and behavior over time. The results suggest potential sources of non-random patterns of missing data and suggest that trigonometric terms provide a similar but more parsimonious investigation of circaseptan rhythms than do third-order polynomial terms. PMID:26992392

  12. The Meaning of 'Regular Partner' in HIV Research Among Gay and Bisexual Men: Implications of an Australian Cross-Sectional Survey.

    Science.gov (United States)

    Bavinton, Benjamin R; Duncan, Duane; Grierson, Jeffrey; Zablotska, Iryna B; Down, Ian A; Grulich, Andrew E; Prestage, Garrett P

    2016-08-01

    Estimates of the proportion of HIV infections coming from within regular sexual relationships among gay and bisexual men (GBM) vary widely. Research surveys use various partner type categories, but there is little understanding of how men classify their partners. We conducted an online cross-sectional survey of Australian GBM exploring sexual relationships, including 2057 men reporting on 2566 regular partnerships. Just over half of the partnerships were considered 'relationships', while the remainder were non-romantic 'fuckbuddy'-style arrangements. In multivariable analysis, factors associated with considering the partnership a 'relationship' were: using a 'romantic' descriptor, partnership length, monogamous agreements, any condomless anal sex with each other, love, and commitment. The category of 'regular partner' can mask diverse partnership types, which have different meanings to GBM, associated behaviours, and HIV risks. Certain HIV prevention techniques may be more suited to particular types of partnerships. 'Fuckbuddy' arrangements need to be more explicitly acknowledged in HIV prevention. PMID:26971284

  13. Nursing students' perceptions of their knowledge of lesbian, gay, bisexual, and transgender issues: effectiveness of a multi-purpose assignment in a public health nursing class.

    Science.gov (United States)

    Carabez, Rebecca; Pellegrini, Marion; Mankovitz, Andrea; Eliason, Michele J; Dariotis, Wei Ming

    2015-01-01

    Nurses work with diverse populations, but the nursing literature lacks research, theoretical frameworks, or practice guidelines regarding lesbian, gay, bisexual, and transgender (LGBT) health. Through diverse teaching strategies, students explored issues related to LGBT patients, families, and nurses using a cultural humility lens. Diverse teaching strategies included readings, a 2-hour presentation on LGBT health issues, and an assignment to conduct a scripted interview with two nurse key informants, based on the Health Care Equality Index (HEI). Students completed an online LGBT awareness preinterview survey, completed interviews, and completed a postinterview survey. Students showed a significant increase in knowledge about sexual orientation and gender identity and research and interview methods from pretest to posttest. The diverse teaching strategies involved in this assignment can enhance student knowledge, attitudes, and skills related to LGBT health care needs and increase appreciation of nursing research. PMID:25545145

  14. Sociodemographic characteristics explain differences in unprotected sexual behavior among young HIV-negative gay, bisexual, and other YMSM in New York City.

    Science.gov (United States)

    Halkitis, Perry N; Figueroa, Rafael Perez

    2013-03-01

    Young gay, bisexual, and other men who have sex with men (YMSM) under age 30 in New York City are at high risk for acquiring HIV. Using the theoretical framing of fundamental causes, this analysis examined the extent to which sociodemographic factors (race/ethnicity, perceived familial socioeconomic status [SES], U.S.-born status, and sexual orientation) explain the likelihood that HIV-negative YMSM ages 18 and 19 engage in unprotected sexual behavior, which may place them at risk for serconversion. Data were drawn from the baseline (Wave 1) assessment of a cohort study (N=592) collected between July 2009 and May 2011. The sample consisted predominantly of racial/ethnic minority YMSM (70.8%). A high level of association was demonstrated for each of the demographic factors with unprotected sexual behaviors. Multinomial logistic regression analyses were undertaken to examine associations between demographic covariates with the likelihood of engaging in unprotected sexual behaviors with male partners (any unprotected anal intercourse, as well as unprotected receptive anal, insertive anal, and receptive oral intercourse) irrespective of partner serostatus, in the month prior to assessment. U.S-born status and perceived socioeconomic status consistently were significant in differentiating risk behaviors. Being born outside the U.S. and perceiving a lower SES was associated with greater levels of risk. These findings suggest that efforts to address the disproportionate burden of HIV disease among YMSM in the United States must not focus solely on issues of race/ethnicity, but must be tailored and targeted to low SES and foreign-born young gay and bisexual men. It is posited that these demographic factors may lead to disproportionate levels of psychosocial burdens, which engender risk. PMID:23442029

  15. The prevalence and correlates of undiagnosed HIV among Australian gay and bisexual men: results of a national, community-based, bio-behavioural survey

    Directory of Open Access Journals (Sweden)

    Martin Holt

    2015-11-01

    Full Text Available Introduction: Gay and bisexual men (GBM with undiagnosed HIV are believed to contribute disproportionately to HIV transmission in Australia but national prevalence estimates have been lacking. Methods: From November 2013 to November 2014, we recruited men at gay venues and events in six Australian states and territories. Of 7291 survey participants, 3071 men also provided an oral fluid sample for testing and decided whether to receive their test results or not. We calculated raw and population-weighted prevalence estimates and identified associations with undiagnosed infection using logistic regression. Results: Of 3071 participants, 213 men tested HIV-positive (6.9%, 95% confidence interval [CI] 6.0 to 7.8%, of whom 19 (8.9%, 95% CI 5.8 to 13.5% were previously undiagnosed. After weighting for the size of the gay and bisexual male population in each state or territory, national HIV prevalence was estimated to be 7.2% (95% CI 6.3 to 8.1, of which 9.1% (95% CI 6.0 to 13.6% were estimated to be undiagnosed. Compared with HIV-negative participants, men with undiagnosed HIV were more likely to report meeting partners at sex venues, using antiretroviral drugs as pre-exposure prophylaxis, condomless anal intercourse with casual partners, using party drugs for sex, injecting drugs and using amyl nitrite, crystal methamphetamine or gamma hydroxybutyrate in the six months prior to the survey. Discussion: The results indicate that the prevalence of undiagnosed HIV is relatively low among Australian GBM but is higher among men who report riskier sex and drug practices. Conclusions: The results underline the importance of targeted HIV prevention and frequent testing for men at increased risk of infection.

  16. To have sex or not to have sex? An online focus group study of sexual decision making among sexually experienced and inexperienced gay and bisexual adolescent men.

    Science.gov (United States)

    DuBois, L Zachary; Macapagal, Kathryn R; Rivera, Zenaida; Prescott, Tonya L; Ybarra, Michele L; Mustanski, Brian

    2015-10-01

    Adolescent gay and bisexual men (AGBM) are at disproportionately high risk for HIV and other sexually transmitted infections, yet healthy sexuality and HIV prevention programs grounded in experiences unique to AGBM (e.g., coming out) are lacking, as is the formative work necessary to inform such programs. A richer understanding of factors informing AGBM's decisions to have or not have sex is needed. To fill this gap in the literature, we conducted qualitative and mixed-methods analyses of data collected in online focus groups with 75 ethnically diverse 14-18-year-old AGBM across the United States. Findings suggest that many reasons why AGBM choose to have or abstain from sex mirror those noted in the previous literature as influential for heterosexual adolescents (e.g., temptation, "horniness"). AGBM conveyed additional experiences/concerns that appeared unique to their sexual identity, particularly fears about pain during anal sex, and difficulties safely and accurately identifying same-sex partners. Both sexually experienced and inexperienced youth voiced reasons to wait or stop having sex. Sexually inexperienced youth said their motivations centered on wanting to avoid STIs and HIV, a desire to wait for the right partner, and the specialness of sex. On the other hand, sexually experienced AGBM said they stopped having sex if there was not an available partner they had interest in, or to improve their romantic relationship. Thus, while our findings suggest that there may be common factors across sexual identities that impact youth's sexual decision making, healthy sexuality programs for AGBM also need to address issues specific to being gay and bisexual. PMID:25925896

  17. “We don't exist”: a qualitative study of marginalization experienced by HIV-positive lesbian, bisexual, queer and transgender women in Toronto, Canada

    Directory of Open Access Journals (Sweden)

    Carmen H Logie

    2012-09-01

    Full Text Available Background: Lesbian, bisexual, queer and transgender (LBQT women living with HIV have been described as invisible and understudied. Yet, social and structural contexts of violence and discrimination exacerbate the risk of HIV infection among LBQT women. The study objective was to explore challenges in daily life and experiences of accessing HIV services among HIV-positive LBQT women in Toronto, Canada. Methods: We used a community-based qualitative approach guided by an intersectional theoretical framework. We conducted two focus groups; one focus group was conducted with HIV-positive lesbian, bisexual and queer women (n=7 and the second with HIV-positive transgender women (n=16. Participants were recruited using purposive sampling. Focus groups were digitally recorded and transcribed verbatim. Thematic analysis was used for analyzing data to enhance understanding of factors that influence the wellbeing of HIV-positive LBQT women. Results: Participant narratives revealed a trajectory of marginalization. Structural factors such as social exclusion and violence elevated the risk for HIV infection; this risk was exacerbated by inadequate HIV prevention information. Participants described multiple barriers to HIV care and support, including pervasive HIV-related stigma, heteronormative assumptions in HIV-positive women's services and discriminatory and incompetent treatment by health professionals. Underrepresentation of LBQT women in HIV research further contributed to marginalization and exclusion. Participants expressed a willingness to participate in HIV research that would be translated into action. Conclusions: Structural factors elevate HIV risk among LBQT women, limit access to HIV prevention and present barriers to HIV care and support. This study's conceptualization of a trajectory of marginalization enriches the discussion of structural factors implicated in the wellbeing of LBQT women and highlights the necessity of addressing LBQT women

  18. When Parents Separate and One Parent ‘Comes Out’ as Lesbian, Gay or Bisexual: Sons and Daughters Engage with the Tension that Occurs When Their Family Unit Changes

    OpenAIRE

    Siobhán C Daly; Pádriag MacNeela; Sarma, Kiran M.

    2015-01-01

    The experiences of Irish sons and daughters born into heterosexually-organised parental partnerships/unions whose parents have separated and one has come out as Lesbian, Gay or Bisexual (LGB) were explored through a grounded theory approach. 15 adult children (over the age of 18 years), who varied in age when their parents separated and one disclosed as LGB, were interviewed. The primary concern that emerged centred on participants having to adjust to their parents' being separated, as oppose...

  19. Survey of human immunodeficiency virus infection and sexually transmitted diseases in homosexual and bisexual men attending genitourinary medicine clinics in the UK during 1986-88. The British Cooperative Clinical Group.

    OpenAIRE

    1990-01-01

    A multicentre investigation was made into the prevalence of sexually transmitted diseases and HIV infection amongst homosexual/bisexual (HS/BS) men attending genitourinary medicine clinics in the UK during the final quarters of 1986, 1987, and 1988. The results from individual clinics have been collated into regional groupings in order to assess geographical and temporal trends. A statistical analysis has also been performed on the data from 19 large teaching hospital clinics which contribute...

  20. What is the potential for bisexual men in China to act as a bridge of HIV transmission to the female population? Behavioural evidence from a systematic review and meta-analysis

    OpenAIRE

    Chow, Eric PF; Wilson, David P.; Zhang, Lei

    2011-01-01

    Background HIV prevalence among men who have sex with men (MSM) in China has rapidly increased in recent years. It is suggested that MSM could be a potential bridge of HIV transmission to the general female population. We investigated the bisexual behaviour of MSM in China through systematic review and meta-analysis. Methods We conducted a systematic review and meta-analyses on published peer-reviewed Chinese and English literature during 2001-2010 according to the PRISMA guidelines. Marital ...

  1. Alcohol, tobacco and illicit drug use amongst same-sex attracted women: results from the Western Australian Lesbian and Bisexual Women's Health and Well-Being Survey

    Directory of Open Access Journals (Sweden)

    McManus Alexandra

    2009-09-01

    Full Text Available Abstract Background The prevalence of alcohol, tobacco and illicit drug use has been reported to be higher amongst lesbian and bisexual women (LBW than their heterosexual counterparts. However, few studies have been conducted with this population in Australia and rates that have been reported vary considerably. Methods A self-completed questionnaire exploring a range of health issues was administered to 917 women aged 15-65 years (median 34 years living in Western Australia, who identified as lesbian or bisexual, or reported having sex with another woman. Participants were recruited from a range of settings, including Perth Pride Festival events (67.0%, n = 615, online (13.2%, n = 121, at gay bars and nightclubs (12.9%, n = 118, and through community groups (6.9%, n = 63. Results were compared against available state and national surveillance data. Results LBW reported consuming alcohol more frequently and in greater quantities than women in the general population. A quarter of LBW (25.7%, n = 236 exceeded national alcohol guidelines by consuming more than four standard drinks on a single occasion, once a week or more. However, only 6.8% (n = 62 described themselves as a heavy drinker, suggesting that exceeding national alcohol guidelines may be a normalised behaviour amongst LBW. Of the 876 women who provided data on tobacco use, 28.1% (n = 246 were smokers, nearly double the rate in the female population as a whole. One third of the sample (33.6%, n = 308 reported use of an illicit drug in the previous six months. The illicit drugs most commonly reported were cannabis (26.4%, n = 242, meth/amphetamine (18.6%, n = 171, and ecstasy (17.9%, n = 164. Injecting drug use was reported by 3.5% (n = 32 of participants. Conclusion LBW appear to use alcohol, tobacco and illicit drugs at higher rates than women generally, indicating that mainstream health promotion messages are not reaching this group or are not perceived as relevant. There is an urgent

  2. Differential gene expression profiling in the developed ovaries between the parthenogenetic and bisexual female rice water weevils, Lissorhoptrus oryzophilus Kuschel (Coleoptera: Curculionidae)

    Institute of Scientific and Technical Information of China (English)

    YANG Pu; ZHOU WenWu; ZHANG Qin; CHENG JiaAn; ZHU ZengRong; WAY M O

    2009-01-01

    The rice water weevil, Lissorhoptrus oryzophilus Kuschel (Coleoptera: Curculionidee), reproduces by sex in the Southeastern United States, but reproduces by parthenogenesis in California and other in-vaded regions in Asia and Europe. The objective of this study was to create a parthenogenetic gene expression profile of the rice water weevil in order to gain a better insight into the molecular mecha-nisms of parthenogenesis in the weevil. Suppression subtractive hybridization (SSH) technique was employed for profiling differential gene expression in the developed ovary between the parthenoge-netic and bisexual female rice water weevils. A total of 70 contigs were obtained, and the BLASTX search identified putatively 28 genes with differential functions. According to the cytological process of parthenogenesis, the tubulin alpha-1 chain and signal transduction genes etc. were selected for real time quantitative RT-PCR analyses, and their possible functions related to the molecular mechanism of parthenogenesis were discussed. The tubulin alpha-1 chain and some signal transduction genes may be related to the molecular mechanisms of parthenogenesis of the rice water weevil.

  3. Comparison of Anastrepha ludens (Diptera: Tephritidae) Bisexual and Genetic Sexing (Tapachula-7) Strains: Effect of Hypoxia, Fly Density, Chilling Period, and Food Type on Fly Quality.

    Science.gov (United States)

    Arredondo, José; Ruiz, Lía; Hernández, Emilio; Montoya, Pablo; Díaz-Fleischer, Francisco

    2016-04-01

    The use of genetic sexing strain (GSS) insects in the sterile insect technique (SIT) makes necessary the revision of quality parameters of some stressful steps used during the packing process for aerial release because of possible differences in tolerance between fly strains. Here, we determined the effect of three periods of hypoxia (12, 24, and 36 h at pupal stage), three cage densities (1.0, 1.3, and 1.5 flies/cm2), two different foods (protein/sugar (1/24) and Mubarqui), and three chilling times (20 min [control], 90, and 180 min) on the quality parameters of flies of two Anastrepha ludens (Loew) strains (bisexual and GSS Tapachula-7). In general, the response to stressful conditions of both fly strains was qualitatively equivalent but quantitatively different, as flies of both strains responded equally to the stressful factors; however, flies of Tapachula-7 exhibited lower quality parameters than the control flies. Thus, hypoxia affected the flying ability but not the emergence or longevity of flies. The food type affected the adult weight; protein/sugar produced heavier flies that also survived longer and had a greater mating propensity. Flies under the lowest density were better fliers that those at the other two densities. Increasing chilling time reduced flight ability but not longevity or mating propensity. The implications of these findings for the use of A. ludens GSS in SIT programs are discussed herein. PMID:26685109

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

    Science.gov (United States)

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

    2015-10-01

    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

  5. Is healthcare caring in Hawai'i? Preliminary results from a health assessment of lesbian, gay, bisexual, transgender, questioning, and intersex people in four counties.

    Science.gov (United States)

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

    2014-06-01

    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, Honolulu, Kaua'i, and Maui counties. Results suggest that LGBTQI people in these counties generally rated their self-assessed health as "very good" or "excellent," but had slightly higher rates of smoking and less health insurance coverage than the general population of Hawai'i. Many respondents reported challenges to their health, and negative experiences with healthcare. Unlike prior studies that have shown no difference or a rural disadvantage in care, compared to urban locations, Hawai'i's counties did not have a clear rural disadvantage. Honolulu and Kaua'i Counties demonstrated better health indicators and lower percentages of people who had delayed care due to gender identity concerns. Findings suggest that health/mental health care providers should address potential bias in the workplace to be able to provide more culturally competent practice to LGBTQI people in Hawai'i. PMID:24959391

  6. Recommendations for promoting the health and well-being of lesbian, gay, bisexual, and transgender adolescents: a position paper of the Society for Adolescent Health and Medicine.

    Science.gov (United States)

    2013-04-01

    Adolescent health care providers frequently care for patients who identify as lesbian, gay, bisexual, or transgendered (LGBT), or who may be struggling with or questioning their sexual orientation or gender identity. Whereas these youth have the same health concerns as their non-LGBT peers, LGBT teens may face additional challenges because of the complexity of the coming-out process, as well as societal discrimination and bias against sexual and gender minorities. The Society for Adolescent Health and Medicine encourages adolescent providers and researchers to incorporate the impact of these developmental processes (and understand the impacts of concurrent potential discrimination) when caring for LGBT adolescents. The Society for Adolescent Health and Medicine also encourages providers to help positively influence policy related to LGBT adolescents in schools, the foster care system, and the juvenile justice system, and within the family structure. Consistent with other medical organizations, the Society for Adolescent Health and Medicine rejects the mistaken notion that LGBT orientations are mental disorders, and opposes the use of any type of reparative therapy for LGBT adolescents. PMID:23521897

  7. When Parents Separate and One Parent 'Comes Out' as Lesbian, Gay or Bisexual: Sons and Daughters Engage with the Tension that Occurs When Their Family Unit Changes.

    Directory of Open Access Journals (Sweden)

    Siobhán C Daly

    Full Text Available The experiences of Irish sons and daughters born into heterosexually-organised parental partnerships/unions whose parents have separated and one has come out as Lesbian, Gay or Bisexual (LGB were explored through a grounded theory approach. 15 adult children (over the age of 18 years, who varied in age when their parents separated and one disclosed as LGB, were interviewed. The primary concern that emerged centred on participants having to adjust to their parents' being separated, as opposed to their parent being LGB. This involved engaging with the tension that arose from the loss of the parental union, which involved changes to the home environment and adapting to new parental partners and family units. Heightened reflection on sexual orientation and an increased sensitivity to societal LGB prejudice were specifically associated with a parent coming out as LGB. How parents negotiated disclosing the changes to others, the level of support available to parents, and how capable parents were at maintaining the parent-child relationship had an impact on the tension experienced by sons and daughters. Participants moved from initially avoiding and resisting the family changes that were occurring to gradual consonance with their altered family environments. Concluding directions for research and clinical considerations are suggested.

  8. When Parents Separate and One Parent 'Comes Out' as Lesbian, Gay or Bisexual: Sons and Daughters Engage with the Tension that Occurs When Their Family Unit Changes.

    Science.gov (United States)

    Daly, Siobhán C; MacNeela, Pádraig; MacNeela, Pádriag; Sarma, Kiran M

    2015-01-01

    The experiences of Irish sons and daughters born into heterosexually-organised parental partnerships/unions whose parents have separated and one has come out as Lesbian, Gay or Bisexual (LGB) were explored through a grounded theory approach. 15 adult children (over the age of 18 years), who varied in age when their parents separated and one disclosed as LGB, were interviewed. The primary concern that emerged centred on participants having to adjust to their parents' being separated, as opposed to their parent being LGB. This involved engaging with the tension that arose from the loss of the parental union, which involved changes to the home environment and adapting to new parental partners and family units. Heightened reflection on sexual orientation and an increased sensitivity to societal LGB prejudice were specifically associated with a parent coming out as LGB. How parents negotiated disclosing the changes to others, the level of support available to parents, and how capable parents were at maintaining the parent-child relationship had an impact on the tension experienced by sons and daughters. Participants moved from initially avoiding and resisting the family changes that were occurring to gradual consonance with their altered family environments. Concluding directions for research and clinical considerations are suggested. PMID:26710277

  9. Determinants of Human Immunodeficiency Virus (HIV prevalence in homosexual and bisexual men screened for admission to a cohort study of HIV negatives in Belo Horizonte, Brazil: Project Horizonte

    Directory of Open Access Journals (Sweden)

    Carneiro Mariângela

    2003-01-01

    Full Text Available Project Horizonte, an open cohort of homosexual and bisexual human immunodeficiency virus (HIV-1 negative men, is a component of the AIDS Vaccine Program, in Belo Horizonte, Minas Gerais, Brazil. The objective of this study was to compare volunteers testing HIV positive at cohort entry with a sample of those who tested HIV negative in order to identify risk factors for prevalent HIV infection, in a population being screened for enrollment at Project Horizonte. A nested case-control study was conducted. HIV positive volunteers at entry (cases were matched by age and admission date to three HIV negative controls each. Selected variables used for the current analysis included demographic factors, sexual behavior and other risk factors for HIV infection. During the study period (1994-2001, among the 621 volunteers screened, 61 tested positive for HIV. Cases were matched to 183 HIV negative control subjects. After adjustments, the main risk factors associated with HIV infection were unprotected sex with an occasional partners, OR = 3.7 (CI 95% 1.3-10.6, receptive anal intercourse with an occasional partner, OR = 2.8 (95% CI 0.9-8.9 and belonging to the negro racial group, OR = 3.4 (CI 95% 1.1-11.9. These variables were associated with an increase in the risk of HIV infection among men who have sex with men at the screening for admission to an open HIV negative cohort.

  10. Event-Level Analysis of Anal Sex Roles and Sex Drug Use Among Gay and Bisexual Men in Vancouver, British Columbia, Canada.

    Science.gov (United States)

    Rich, Ashleigh J; Lachowsky, Nathan J; Cui, Zishan; Sereda, Paul; Lal, Allan; Moore, David M; Hogg, Robert S; Roth, Eric A

    2016-08-01

    This study analyzed event-level partnership data from a computer-assisted survey of 719 gay and bisexual men (GBM) enrolled in the Momentum Health Study to delineate potential linkages between anal sex roles and the so-called "sex drugs," i.e., erectile dysfunction drugs (EDD), poppers, and crystal methamphetamine. Univariable and multivariable analyses using generalized linear mixed models with logit link function with sexual encounters (n = 2514) as the unit of analysis tested four hypotheses: (1) EDD are significantly associated with insertive anal sex roles, (2) poppers are significantly associated with receptive anal sex, (3) both poppers and EDD are significantly associated with anal sexual versatility, and (4) crystal methamphetamine is significantly associated with all anal sex roles. Data for survey respondents and their sexual partners allowed testing these hypotheses for both anal sex partners in the same encounter. Multivariable results supported the first three hypotheses. Crystal methamphetamine was significantly associated with all anal sex roles in the univariable models, but not significant in any multivariable ones. Other multivariable significant variables included attending group sex events, venue where first met, and self-described sexual orientation. Results indicate that GBM sex-drug use behavior features rational decision-making strategies linked to anal sex roles. They also suggest that more research on anal sex roles, particularly versatility, is needed, and that sexual behavior research can benefit from partnership analysis. PMID:26525571

  11. Depression, Compulsive Sexual Behavior, and Sexual Risk-Taking Among Urban Young Gay and Bisexual Men: The P18 Cohort Study.

    Science.gov (United States)

    Storholm, Erik David; Satre, Derek D; Kapadia, Farzana; Halkitis, Perry N

    2016-08-01

    Young gay, bisexual, and other men who have sex with men (YMSM) are at increased likelihood of experiencing depression and engaging in condomless sexual behaviors. The goal of the current investigation was to examine the relationship between negative mood and compulsive sexual behavior (CSB) and to assess for their individual and combined influence on sexual risk-taking behavior among a diverse sample of YMSM in New York City (the P18 Cohort Study). We first analyzed sociodemographic, depressive symptoms, CSB, and sexual risk-taking from the cross-sectional data of 509, 18- or 19-year-old YMSM recruited using non-probability sampling. We found a significant positive correlation between CSB and depression and between CSB and frequency of condomless anal sex acts reported over the last 30 days. Multivariate results found that the presence of both depression and CSB contributed to elevated sexual risk-taking among these urban YMSM. Clinical implications include the importance of assessing for CSB when depression is present and vice versa in order to improve HIV prevention. Informed by minority stress theory and syndemic theory, our results suggest that interventions focused on the health of YMSM recognize that mental health and social context all interact to increase physical health vulnerability vis-a-vis sexual behaviors, depression, and CSB. Thus, HIV prevention and intervention programs need to incorporate mental health components and services that address these needs. PMID:26310878

  12. Preferences for Masculinity Across Faces, Bodies, and Personality Traits in Homosexual and Bisexual Chinese Men: Relationship to Sexual Self-Labels and Attitudes Toward Masculinity.

    Science.gov (United States)

    Zheng, Lijun; Zheng, Yong

    2016-04-01

    This study examined preferences for masculinity across faces, bodies, and personality traits in 462 homosexual and bisexual men in China. The impact of sexual self-labels (tops, bottoms, and versatiles) and attitude toward male masculinity on preferences for masculinity were also examined. Participants were asked to select the seven most desirable personality traits for a romantic partner from a list of 32 traits of gender roles. A series of 10 masculinized and feminized dimorphic images of male faces and bodies were then presented to participants, who were required to identify their preferred image. The results indicated that participants preferred more masculine faces, bodies, and personality traits. Significant differences in preferences for masculinity were found between tops, bottoms, and versatiles, with both bottoms and versatiles preferring more masculine faces, bodies, and personality traits than did tops. In addition, preferences for masculinity across faces, bodies, and traits showed a significant positive correlation with each other for all sexual self-labels, indicating a consistent preference for masculinity. Attitude toward male masculinity was significantly correlated with facial, body, and trait preferences; individuals with more rigid attitudes toward male masculinity (low acceptance of femininity in males) preferred more masculine characters. These results indicate a consistent preference for masculinity between both physical features (faces and bodies) and personality traits (instrumentality) that may be affected by observer perception. PMID:25975213

  13. HIV/STI associated risk behaviors among self-identified lesbian, gay, bisexual, and transgender college students in the United States.

    Science.gov (United States)

    Lindley, Lisa L; Nicholson, Thomas J; Kerby, Molly B; Lu, Ning

    2003-10-01

    An Internet survey was conducted during the 2001-2002 academic year to examine the health risk behaviors, including HIV/STI associated behaviors, of self-identified lesbian, gay, bisexual, and transgender (LGBT) college students in the United States. A total of 450 LGBT college students completed the entire online survey. Most respondents attended a 4-year (96.9%), coeducational (98.6%), non-religiously affiliated (87.5%), public (68.6%) institution. Eighty-nine percent reported having sex with someone of the same sex and 45% had multiple (6 or more) sex partners during their lifetime. Most reported using a condom consistently during penile-vaginal (61%) and anal sex (63%). However, only 4% used a condom or other barrier consistently during oral sex and 28% used a condom or other barrier during their last sexual encounter. Injection drug use and needle-sharing behavior was low (2.1% and 1.1%, respectively). Comparisons with heterosexual college students' HIV/STI associated risk behaviors are included. Results may be useful for HIV/STI prevention programs targeting LGBT college students. PMID:14626464

  14. Intimate partner violence prevention services and resources in Los Angeles: issues, needs, and challenges for assisting lesbian, gay, bisexual, and transgender clients.

    Science.gov (United States)

    Ford, Chandra L; Slavin, Terra; Hilton, Karin L; Holt, Susan L

    2013-11-01

    Intimate partner violence (IPV) is as prevalent in lesbian, gay, bisexual, and transgender (LGBT) relationships as it is in heterosexual ones; however, the issues, needs, and challenges associated with assisting or advocating on behalf of LGBT persons are poorly understood. Using community-based participatory approaches, we conducted a brief survey of professionals (e.g., shelter staff, domestic violence prevention and intervention programs, law enforcement) affiliated with one or more domestic violence prevention and/or intervention networks in Los Angeles, California. The sample, which included professionals (N = 54) from diverse programs/agencies, was obtained using purposive and snowball sampling. Participants self-administered a 33-item, online questionnaire. Analyses primarily involved descriptive statistics (frequencies, proportions). Most respondents had little or no training in LGBT IPV; nevertheless, nearly 50% of them reported having assisted LGBTs "sometimes" or "often" in the past year. Nearly all (92%) reported that their agencies/programs lack staff with dedicated responsibilities to LGBT IPV. The most frequent requests for assistance respondents reported receiving from LGBTs were for counseling, safe housing, legal assistance, and assistance navigating the medical system. The findings suggest that staff believe their agencies/programs inadequately address LGBT IPV but that many of the inadequacies (e.g., lack of staff training on LGBT IPV) are remediable. PMID:23221370

  15. Challenges to and opportunities for improving mental health services for lesbian, gay, bisexual, and transgender people in Ireland: a narrative account.

    Science.gov (United States)

    McCann, Edward; Sharek, Danika

    2014-12-01

    The views and opinions of people who use mental health services are being increasingly acknowledged in relation to rights-based, socially-inclusive, and recovery-oriented care. However, little is known of the experiences of lesbian, gay, bisexual, and transgender (LGBT) people in this respect. The aim of the present study was to explore the experiences and needs of LGBT people in relation to mental health services. The study was an exploratory design utilizing mixed methods. Both quantitative and qualitative data were collected using a survey instrument (n = 125) and in-depth semistructured interviews (n = 20) with a sample of people who had completed the survey. This paper will report on the findings from the interview data. The data were thematically analysed, and the main themes that emerged included accessing services, treatment choices, mental health service experiences, and other supports. The findings inform the discussion, and recommendations are made in terms of future mental health practice, education, and research. PMID:25039498

  16. A pilot training programme for health and social care professionals providing oncological and palliative care to lesbian, gay and bisexual patients in Ireland.

    LENUS (Irish Health Repository)

    Reygan, Finn C G

    2012-05-09

    OBJECTIVE: The international literature points to the specific cancer risks and palliative care needs of lesbian, gay and bisexual (LGB) populations. However, with the exception of a programme in the USA, there is a lack of training internationally for health and social care professionals providing oncological and palliative care to LGB patients. In Ireland, a training project funded by the Irish Cancer Society, the Irish Hospice Foundation and the Health Service Executive developed a training pilot programme for health and social care professionals providing oncological and palliative care to LGB patients. METHODS: Over 200 (N = 201) oncology and palliative care staff participated in 17 brief, 50-min trainings in pilot sites. Evaluation of the training included self-report questionnaires at the end of each training and an evaluation interview with one participant from each of the four sites. RESULTS: The majority of participants reported that they would recommend the training to their colleagues, were interested in further training in the area and found the training useful for their practice. They also reported becoming more familiar with LGB-related language and terminology, became more knowledgeable of LGB health issues and reported becoming more confident in providing care to LGB patients. CONCLUSIONS: Recommendations are that the training be made available across the health services in Ireland and included in postgraduate courses for trainee health and social care professionals. Copyright © 2012 John Wiley & Sons, Ltd.

  17. Rapid HIV Testing Is Highly Acceptable and Preferred among High-Risk Gay And Bisexual Men after Implementation in Sydney Sexual Health Clinics.

    Directory of Open Access Journals (Sweden)

    Damian P Conway

    Full Text Available Rapid HIV testing (RHT is well established in many countries, but it is new in Australia. We assessed the acceptability of RHT and its associations among gay, bisexual and other men who have sex with men (GBM after implementation of RHT in Sydney sexual health clinics.GBM were invited to complete an acceptability questionnaire before and after provision of the result of finger-prick blood RHT, comparing their experience of RHT with conventional HIV testing (CHT involving venipuncture. Logistic regression was used to assess associations between patient characteristics and the preference for RHT over CHT next time they tested for HIV.Of 1061 GBM who received non-reactive RHT results, 59% found RHT less stressful than CHT and 34% reported no difference, and 61% found RHT more comfortable than CHT and 26% reported no difference. Nearly all men were satisfied with RHT result delivery (99% and the RHT process overall (99%. Most men (79% preferred RHT for their next HIV test and this preference was stronger in men who were aged 35-44 years (adjusted odds ratio [AOR] 2.49, p<0.01, reported they would test more often if RHT was available (AOR 1.66, p=0.01, found returning for results annoying (AOR 1.67, p=0.01, and found RHT less stressful (AOR 2.37, p<0.01 and more comfortable (AOR 1.62, p=0.02 than CHT. Men concerned about the reliability of RHT were less than half as likely to prefer RHT for their next HIV test (AOR 0.44, p<0.01.Most GBM preferred RHT to CHT next time and this preference was associated with finding RHT more convenient, more comfortable and less stressful than CHT. These findings suggest that in a clinic setting RHT should be considered to improve the patient experience and may potentially increase uptake and frequency of HIV testing.

  18. Rapid HIV Testing Is Highly Acceptable and Preferred among High-Risk Gay And Bisexual Men after Implementation in Sydney Sexual Health Clinics

    Science.gov (United States)

    Conway, Damian P.; Guy, Rebecca; Davies, Stephen C; Couldwell, Deborah L.; McNulty, Anna; Smith, Don E.; Keen, Phillip; Cunningham, Philip; Holt, Martin

    2015-01-01

    Background Rapid HIV testing (RHT) is well established in many countries, but it is new in Australia. We assessed the acceptability of RHT and its associations among gay, bisexual and other men who have sex with men (GBM) after implementation of RHT in Sydney sexual health clinics. Methods GBM were invited to complete an acceptability questionnaire before and after provision of the result of finger-prick blood RHT, comparing their experience of RHT with conventional HIV testing (CHT) involving venipuncture. Logistic regression was used to assess associations between patient characteristics and the preference for RHT over CHT next time they tested for HIV. Results Of 1061 GBM who received non-reactive RHT results, 59% found RHT less stressful than CHT and 34% reported no difference, and 61% found RHT more comfortable than CHT and 26% reported no difference. Nearly all men were satisfied with RHT result delivery (99%) and the RHT process overall (99%). Most men (79%) preferred RHT for their next HIV test and this preference was stronger in men who were aged 35-44 years (adjusted odds ratio [AOR] 2.49, p<0.01), reported they would test more often if RHT was available (AOR 1.66, p=0.01), found returning for results annoying (AOR 1.67, p=0.01), and found RHT less stressful (AOR 2.37, p<0.01) and more comfortable (AOR 1.62, p=0.02) than CHT. Men concerned about the reliability of RHT were less than half as likely to prefer RHT for their next HIV test (AOR 0.44, p<0.01). Conclusions Most GBM preferred RHT to CHT next time and this preference was associated with finding RHT more convenient, more comfortable and less stressful than CHT. These findings suggest that in a clinic setting RHT should be considered to improve the patient experience and may potentially increase uptake and frequency of HIV testing. PMID:25898140

  19. Risk factors associated with HIV infection among male homosexuals and bisexuals followed in an open cohort study: Project Horizonte, Brazil (1994-2010.

    Directory of Open Access Journals (Sweden)

    Ana Paula Silva

    Full Text Available There has recently been an increase in HIV infection rates among men who have sex with men (MSM. This study aimed at investigating risk factors associated with incident HIV infection in a MSM cohort-Project Horizonte, Belo Horizonte, Minas Gerais, Brazil.This is a nested case-control study in an ongoing open cohort of homosexual and bisexual men, carried out in 1994-2010, during which 1,085 volunteers were enrolled. Each HIV seroconverted volunteer (case was compared with three randomly selected HIV negative controls, matched by admission date and age (±3 years. During follow-up, 93 volunteers seroconverted and were compared with 279 controls.The risk factors associated with HIV seroconversion were: contact with partner's blood during sexual relations (OR 3.7; 95% CI 1.2-11.6, attendance at gay saunas in search for sexual partners (OR 2.6; 95% CI 1.3-5.4, occasional intake of alcohol when flirting and engaging in sexual activity (OR 2.5; 95% CI 1.3-5.1, inconsistent use of condoms in receptive anal sex (OR 2.4; 95% CI 1.1-5.4, little interest to look up information about AIDS (OR 2.6; 95% CI 1.0-6.7 particularly in newspapers (OR 3.4; 95% CI 1.4-8.1.This study shows that MSM are still engaging in risk behavior, such as unprotected anal intercourse, despite taking part in a cohort study on various preventive measures. New preventive strategies in touch with the epidemic's development and the specificities of this particular population are needed.

  20. The process of developing a community-based research agenda with lesbian, gay, bisexual, transgender and queer youth in the Northwest Territories, Canada

    Directory of Open Access Journals (Sweden)

    Carmen H. Logie

    2015-08-01

    Full Text Available Background: Youth in Canada's Northwest Territories (NWT experience sexual and mental health disparities. Higher rates of sexual and mental health concerns among lesbian, gay, bisexual, transgender and queer (LGBTQ youth in comparison with heterosexual and cisgender peers have been associated with stigma and discrimination. Although LGBTQ youth in the NWT are situated at the nexus of Northern and LGBTQ health disparities, there is little known about their health, well-being and experiences of stigma. This short communication discusses the process of developing a LGBTQ youth community-based research programme in the NWT. Methods: We developed an interdisciplinary research team of LGBTQ and allied young adults, including indigenous and non-indigenous researchers, community organisers and service providers in the NWT. We conducted meetings in Yellowknife with LGBTQ youth (n=12 and key stakeholders (n=15, including faculty, students, community groups and health and social service providers. Both meetings included LGBTQ and allied participants who were LGBTQ, indigenous, youth and persons at the intersection of these identities. Results: LGBTQ youth participants discussed community norms that devalued same sex identities and stigma surrounding LGBTQ-specific services and agencies. Stigma among LGBT youth was exacerbated for youth in secondary schools, gender non-conforming and transgender youth and young gay men. In the stakeholder meeting, service providers discussed the importance of integrating LGBTQ issues in youth programmes, and LGBTQ community groups expressed the need for flexibility in service delivery to LGBTQ youth. Stakeholders identified the need to better understand the needs of indigenous LGBTQ youth in the NWT. Conclusions: Community-based LGBTQ groups, researchers and health and social service providers are interested in addressing LGBTQ youth issues in the NWT. The emergence of LGBTQ community building, support groups and activism