WorldWideScience

Sample records for bisexuality

  1. Psychotherapy of bisexual men.

    Science.gov (United States)

    Friedman, Richard C; Downey, Jennifer I

    2010-01-01

    We discuss clinical aspects of male bisexuality from a psychodynamic perspective. Bisexuality appears to be an attribute of some but not all men. The factors leading some men to be bisexual, and others exclusively homosexual or heterosexual are not presently known. Although bisexuality itself is not pathological, the adaptational issues of men with major psychiatric disorders who are also bisexual may be complex.

  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. Psychic bisexuality and creativity.

    Science.gov (United States)

    Ferraro, Fausta

    2003-12-01

    This contribution is complementary to a previous publication (Ferraro, 2001), which examined the role of bisexuality in psychopathology. This second article concentrates on the relationship between psychic bisexuality and creativity. After a brief clarification regarding the relationship between psychic bisexuality and option of gender, the author takes up two meanings of the bisexuality concept, both of which are of pre-eminent significance to him. The first is psychic bisexuality as a quality of the self related to the feminine and masculine as pure elements; the second is psychic bisexuality as an expression of identification with both parents, mother and father. The author presents the thoughts of various authors who have examined the link between psychic bisexuality and creativity, based on the same foundation, and then puts forward the hypothesis that in some blocks of creativity an alteration to psychic bisexuality can be traced. This hypothesis is illustrated through two clinical cases that focus on the dynamics impeding creative capacities and illustrate how these dynamics are gradually overcome. In the first more detailed case, he presents a lack of masculine elements, while in the second, using a brief part of an analysis, he presents a predominant lack of feminine elements.

  4. The male bisexuality debate revisited: some bisexual men have bisexual arousal patterns.

    Science.gov (United States)

    Rosenthal, A M; Sylva, David; Safron, Adam; Bailey, J Michael

    2012-02-01

    Self-identified bisexual men report high sexual arousal to both male and female stimuli, but no study to date has compellingly demonstrated that such men have a bisexual pattern of genital arousal. We examined sexual arousal patterns among bisexual men recruited using stringent criteria designed to exclude those who were less likely to have sexual interest in both sexes. Furthermore, we included a bisexual stimulus depicting a man engaged in sex simultaneously with another man and a woman. On average, the bisexual men showed a bisexual arousal pattern, with respect to both self-reported and genital arousal. Additionally, the bisexual men were more aroused by the bisexual stimulus compared with the homosexual and heterosexual men. Some bisexual-identified men have bisexual genital arousal patterns, although it remains unclear how common they are.

  5. Lesbian, Gay, Bisexual, and Transgender Health

    Science.gov (United States)

    ... Bisexual, and Transgender Health Lesbian, Gay, Bisexual, and Transgender Health Overview (active tab) Objectives National Snapshots Lesbian, Gay, Bisexual, and Transgender Health View HP2020 Data for: Lesbian Gay Bisexual ...

  6. Bisexuality, minority stress, and health.

    Science.gov (United States)

    Feinstein, Brian A; Dyar, Christina

    2017-03-01

    Bisexual individuals are at increased risk for negative health outcomes compared to heterosexual individuals and often compared to gay/lesbian individuals as well. The goal of this article is to summarize the current evidence-base on bisexual health disparities, to describe factors that influence them, and to review interventions designed to improve the health of bisexual individuals. Based on our review of the literature, we conclude that there is strong evidence that bisexual individuals are at increased risk for mental health and substance use problems. These disparities are evident across dimensions of bisexuality (identity, attraction, and behavior), but there are important nuances to these findings. There is also evidence that bisexual men are at increased risk for sexually transmitted infections (STIs) compared to heterosexual men and that bisexual women are at increased risk for STIs compared to both lesbians and heterosexual women. Although there are numerous causes of these disparities, a leading contributor is stress related to stigma and discrimination. Most of the interventions that have been developed for bisexual individuals are HIV prevention programs for behaviorally bisexual men of color. Despite less attention to mental health and substance use interventions for bisexual individuals, recent developments show promise in their potential application to this population. Bisexual individuals are at increased risk for mental health, substance use, and sexual health problems, and this is due, in part, to stigma and discrimination. Future research should continue to examine how different dimensions of bisexuality relate to health disparities and factors that influence them. There is also an urgent need to develop, test, and disseminate interventions to improve the health of bisexual individuals.

  7. Bisexual branching diffusions

    Science.gov (United States)

    Mytnik, Leonid; Adler, Robert J.

    1993-12-01

    The limiting behavior of large systems of two types of Brownian particles undergoing bisexual branching is studied. Particles of each type generate individuals of both types, and the respective branching law is asymptotically critical for the two dimensional system, while being subcritical for each individual population. The main result of the paper is that the limiting behavior of suitably scaled sums and differences of the two populations is given by a pair of measure and distribution valued processes which, together, determine the limit behaviors of the individual populations. Proofs are based on the martingale problem approach to general state space processes. The fact that the limit involves both measure and distribution valued processes requires the development of some new methodologies of independent interest.

  8. Bisexuality: the state of the union.

    Science.gov (United States)

    Rust, Paula C Rodríguez

    2002-01-01

    In many contemporary Occidental societies, bisexuality is paradoxical. Commonly conceived as a combination of heterosexuality and homosexuality, bisexuality as such became conceivable only after the popularization of the hetero/homosexual dichotomy during the late 19th and 20th centuries. Paradoxically, however, the concepts of hetero- and homosexuality, reflecting the cultural belief that an individual's feelings of sexual attraction are naturally directed toward the other sex or, alternatively, toward the same sex, simultaneously renders bisexuality--as an attraction to both genders--inconceivable. In this article, I review the historical and cultural processes that produced the paradoxical conceivability of bisexuality. I then discuss the cultural attitudes toward bisexuality that result from this paradox and show how scientific research on bisexuality has been guided by popular conceptions of, and attitudes toward, bisexuality. Finally, I review efforts to reconceptualize bisexuality for both political and scientific purposes, and summarize recent research on bisexuality using these reconceptualizations. This summary includes research on the prevalence of bisexuality, prejudice against bisexuals, patterns of bisexual behavior, and the meaning of bisexual self-identity.

  9. Bisexual Safe Space(s) on the Internet: Analysis of an Online Forum for Bisexuals

    NARCIS (Netherlands)

    Maliepaard, E.M.

    2017-01-01

    Discussions on bisexual safe space(s) and online bisexual spaces are limited. This paper explores the potential of an online forum for bisexuals, their partners, and people who are interested in bisexuality to function as an online safe space. To understand whether the analysed forum is successful

  10. Troubling the canon: bisexuality and queer theory.

    Science.gov (United States)

    Gammon, Mark A; Isgro, Kirsten L

    2006-01-01

    This essay explores the notion that bisexuality and contemporary bisexual political movements both align and trouble canons of queer theories of sexuality and gender. This project provides an historical review and assessment of recent bisexual theorizing to highlight key themes in its evolution as well as a discussion of how these themes have shaped the relationship of bisexuality and queer theory. Drawing on this assessment and a wider discussion of GLBT scholarship, we invite critical inquiry regarding the implications of bisexual theorizing on queer theory and vice versa. We address questions of bisexual epistemologies, its discursive roles within queer theory, and its impact on queer politics and organizing. Noting bisexuality's absence in much of this research and scholarship, we suggest these projects have been limited in their ability to fully and effectively address sexual subjectivity both in theory and in its everyday lived experience.

  11. 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)

  12. Working with the Bisexual Client: How Far Have We Progressed?

    Science.gov (United States)

    Hayes, B. Grant; Hagedorn, W. Bryce

    2001-01-01

    Examines topics such as sexual identity development, factors that influence one's identification with bisexuality, and issues that affect bisexual individuals. Addresses the characteristics and skills of the effective counselor intent on working with the bisexual community. (Contains 20 references.) (GCP)

  13. Inactionable/unspeakable: Bisexuality in the workplace

    OpenAIRE

    Popova, M.

    2017-01-01

    In this paper I argue that inclusion of bisexual employees in workplace contexts is hindered by the interaction of two key factors. On the one hand, bisexuality is frequently "invisible" diversity based predominantly around identity, while workplaces are action-oriented environments. On the other hand, where bisexuality becomes "actionable" in a workplace context (e.g. in its intersections with polyamory), it is insufficiently conformist or respectable for most employers to be able to account...

  14. The Changing Experiences of Bisexual Male Adolescents

    Science.gov (United States)

    Morris, Max; McCormack, Mark; Anderson, Eric

    2014-01-01

    Drawing on in-depth interviews with 15 openly bisexual male youth from sixth forms across the UK, this article documents positive experiences of bisexual male youth in school: participants had positive coming out experiences and did not encounter significant discrimination or harassment because of their sexual identity. Participants attribute this…

  15. The invisible stereotypes of bisexual men.

    Science.gov (United States)

    Zivony, Alon; Lobel, Thalma

    2014-08-01

    Bisexual men have little public visibility, yet previous reports indicate that heterosexuals have specific prejudicial attitudes towards them. This article reports on two studies that examined the stereotypical beliefs of heterosexual men and women regarding bisexual men. In Study 1 (n = 88), we examined awareness of social stereotypes (stereotype knowledge). Most of the participants were unable to describe the various stereotypes of bisexual men. Contrary to previous studies, low-prejudiced participants had more stereotype knowledge than high-prejudiced participants. In Study 2 (n = 232), we examined prejudice in a contextual evaluation task that required no stereotype knowledge. Participants evaluated a single target character on a first date: a bisexual man dating a heterosexual woman, a bisexual man dating a gay man, a heterosexual man dating a heterosexual woman, or a gay man dating a gay man. The findings indicated that participants implemented stereotypical beliefs in their evaluation of bisexual men: compared to heterosexual and gay men, bisexual men were evaluated as more confused, untrustworthy, open to new experiences, as well as less inclined towards monogamous relationships and not as able to maintain a long-term relationship. Overall, the two studies suggest that the stereotypical beliefs regarding bisexual men are prevalent, but often not acknowledged as stereotypes. In addition, the implementation of stereotypes in the evaluations was shown to be dependent on the potential romantic partner of the target. Possible theoretical explanations and implications are discussed.

  16. 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. Copyright © 2013 Elsevier B.V. All rights reserved.

  17. Bisexual Phenomena Among Gay-Identified Men.

    Science.gov (United States)

    Semon, Theodore L; Hsu, Kevin J; Rosenthal, A M; Bailey, J Michael

    2017-01-01

    A high proportion of self-identified gay men exhibit aspects of bisexuality during their lives. Some identify as bisexual before later identifying as gay; this has been called transitional bisexuality. Although many gay men report no attraction to women-or even sexual disgust toward them-others report some slight attraction to women. The latter have been studied as mostly homosexual men. We studied men with and without a history of transitional bisexuality, as well as mostly homosexual (i.e., those with Kinsey scores of 5) and completely homosexual (i.e., those with Kinsey scores of 6) men with respect to their sexual history with women, their current self-reported sexual arousal and disgust toward women and men, and their patterns of genital sexual arousal to female and male stimuli. Gay men with a history of transitional bisexuality generally lacked current sexual attraction and sexual arousal to women, compared with other gay men. Thus, transitional bisexuality among future gay men is mostly a matter of transitional bisexual identification. In contrast, mostly homosexual men showed statistically significant increases in genital arousal to female stimuli, compared with completely homosexual men.

  18. Lesbian and bisexual women's sexual healthcare experiences.

    Science.gov (United States)

    Munson, Siân; Cook, Catherine

    2016-12-01

    To develop insight into the experiences of lesbian and bisexual women accessing sexual health services and an understanding of their needs within the New Zealand context. Lesbian and bisexual women are typically invisible in healthcare settings due to heteronormative assumptions. As lesbian and bisexual women are reluctant to come out to clinicians, opportunities for targeted opportunistic health education are often missed. Lesbian and bisexual women have different needs from both heterosexual women and gay men when seeking healthcare. There has been little exploration of the experiences of lesbian and bisexual women accessing healthcare in the New Zealand context. Qualitative descriptive design. Participants (n = 6) were recruited via advertisements and snowball sampling. Those recruited lived in a provincial city in New Zealand; self-identified as lesbian or bisexual; and met the inclusion criteria. Semi-structured, face-to-face interviews were used to obtain narrative data about participants being recipients of healthcare. Five themes were identified within the data set: Heteronormativity; The conundrum of safer sex; Implied and overt homophobia; Engagement with health promotion; and Resilience. This study highlighted the difficulties that lesbian and bisexual women face when seeking sexual healthcare, primarily due to clinicians' heteronormative assumptions. Lesbian and bisexual women have found ways of navigating the health system that make them feel safe(r) despite experiencing many adversities such as homophobia. This study's findings can be used to guide further research to identify ways to optimise clinicians' engagement with lesbian and bisexual women. Recognition of diversity and skilful communication are essential to rectify inequities and effectively target health information. © 2016 John Wiley & Sons Ltd.

  19. Lesbian, Gay, Bisexual and Transgender Health

    Science.gov (United States)

    ... STD and Hepatitis Testing Resources Viral Hepatitis HPV Violence Prevention Adolescent and School Health Get Tested Find an HIV testing site near you . LGBT Health About LGBT Health Gay and Bisexual Men ...

  20. Bisexual desire and familism: Latino/a bisexual young men and women in New York City.

    Science.gov (United States)

    Muñoz-Laboy, Miguel; Leau, Carmen Juana Yon; Sriram, Veena; Weinstein, Hannah Jean; del Aquila, Ernesto Vasquez; Parker, Richard

    2009-04-01

    Families are of critical importance for Latino communities in the USA. Familism - or the cultural value that weighs on interdependence between nuclear and extended family members for support, emotional connectedness, familial honour, loyalty and solidarity - has been demonstrated to reduce sexual health risks among heterosexual youth, yet this relationship has not been examined among Latino bisexual teenagers. In this study, we examined how familism shapes sexual-decision making regarding behaviour and expressions of bisexuality among Latino youth. To accomplish this, we conducted 25 in-depth interviews and ethnographic observations among bisexual male and female youth (15-19 years of age) for nine months in New York City. We carried out a recurrent theme analysis together with the selection of case studies to illustrate key themes regarding familism and Latino teenage bisexuality. Findings suggest that bisexual Latino youth valued closeness to their families by maintaining family ties and seeking their emotional and material support. The negative consequence for those who wanted to keep their bisexuality private is the constant surveillance of the family network. Familism is a complex construct that has a strong potential for providing insights into sexual health practices of bisexual Latino youth.

  1. Not just bi the bi: the relationship between essentialist beliefs and attitudes about bisexuality

    OpenAIRE

    Hubbard, Katherine; de Visser, Richard O.

    2015-01-01

    In the literature about bisexuality few studies consider bisexual people’s beliefs about bisexuality and none examine essentialist beliefs about bisexuality. In the present study 244 participants (bisexual n = 58, lesbian/gay n = 54 and heterosexual n =132) from the UK were asked via online questionnaire about their attitudes towards bisexuality, homosexuality and heterosexuality, and how stable they perceived bisexuality, homosexuality and heterosexuality to be. They were also asked about t...

  2. HIV among Gay and Bisexual Men

    Science.gov (United States)

    ... Prevention 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 ...

  3. Sampling Lesbian, Gay, and Bisexual Populations

    Science.gov (United States)

    Meyer, Ilan H.; Wilson, Patrick A.

    2009-01-01

    Sampling has been the single most influential component of conducting research with lesbian, gay, and bisexual (LGB) populations. Poor sampling designs can result in biased results that will mislead other researchers, policymakers, and practitioners. Investigators wishing to study LGB populations must therefore devote significant energy and…

  4. Associations of Bisexual-Specific Minority Stress and Health Among Cisgender and Transgender Adults with Bisexual Orientation.

    Science.gov (United States)

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

    2017-09-01

    Among sexual minorities, bisexuals are at the greatest risk for poor health due in part to prejudice and stigma. This research examined associations of bisexual-specific minority stress and health among cisgender (non-transgender) and transgender adults with bisexual orientation. Participants were 488 adults (378 cisgender women, 49 cisgender men, 61 transgender individuals), age 18 to 66 years, with bisexual orientation based on identity and/or attractions to multiple genders. Participants completed an online survey. Hierarchical linear regression analyses were conducted with sexual minority stress and bisexual-specific minority stress as the predictors and physical health, measured by the 36-Item Short Form Survey (SF-36), as the outcome. Models controlled for demographic variables. Moderation analyses were conducted to test for gender differences. Greater bisexual-specific minority stress significantly predicted poorer overall physical health (β = -0.16), greater pain (β = -0.16), and poorer general health (β = -0.25) above and beyond the effects of sexual minority stress. Gender moderated the association between bisexual-specific minority stress and health, such that bisexual-specific minority stress predicted overall physical health and role limitations for transgender individuals but not for cisgender women. Addressing bisexual-specific minority stress is necessary to improve the health and well-being of bisexual individuals.

  5. 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.

  6. Lesbian and bisexual women's adjustment after a breast cancer diagnosis.

    Science.gov (United States)

    Boehmer, Ulrike; Glickman, Mark; Winter, Michael; Clark, Melissa A

    2013-01-01

    Little research has been devoted to lesbian and bisexual survivors' adjustment after breast cancer. To determine differences between lesbian and bisexual survivors and to examine whether sexual minority-specific issues contribute to these survivors' adjustment. We recruited 180 lesbian and bisexual survivors with primary diagnoses of DCIS (ductal carcinoma in situ) or I-III nonrecurrent breast cancer from a cancer registry and the community. The characteristics of lesbian and bisexual survivors of breast cancer were similar, with few exceptions, such as partner status and gender of partner. Sexual minority-specific factors contributed toward explaining lesbian and bisexual survivors' anxiety and depression but did not contribute toward explaining survivors' physical and mental health. Awareness about vulnerabilities due to partner status and about the sexual minority-specific issues that contribute to adjustment is important for medical and mental health professionals who have lesbian and bisexual breast cancer survivors as patients.

  7. 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 ...

  8. Freud reconsidered: bisexuality, homosexuality, and moral judgement.

    Science.gov (United States)

    Murphy, T F

    This article examines methodological problems and unacknowledged moral judgements in Freud's theory of homosexuality. Freud raises the issue of bisexuality in connection with the origins of homosexuality. When critically examined, the theory of bisexuality reduces to a theory of the capacity to be attracted to either females or males, and in that sense explains little about the origin of exclusive homosexual orientation. Freud's further investigations into the origin of homosexuality, strictly speaking, do not provide a clear explanation of sexual exclusivity. Finally, it is argued that Freud's moral assumptions color the nature of his conclusions. At the very least, without morally justifying his procedure, he transforms the course of psychosexual development as determined by psychoanalysis into a moral imperative against which homosexuality is judged a fixated and immature state.

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

    OpenAIRE

    Solli, Maiken

    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 ...

  10. Bisexuality and suicide: a systematic review of the current literature.

    Science.gov (United States)

    Pompili, Maurizio; Lester, David; Forte, Alberto; Seretti, Maria Elena; Erbuto, Denise; Lamis, Dorian A; Amore, Mario; Girardi, Paolo

    2014-08-01

    Many studies of lesbian, gay, and bisexual youth have demonstrated that individuals reporting a bisexual orientation have a particularly high risk of suicidal behavior and substance abuse. It has been also suggested that bisexual individuals (both men and women) have higher rates of depression and anxiety compared with homosexual and heterosexual groups. The aim of the present article was to determine whether or not an association between bisexuality and suicidal behavior exists and to analyze risk factors for suicidal behavior in bisexual individuals. The combined search strategies yielded a total of 339 records screened from PubMed, Scopus, and Web of Knowledge. Duplicate articles, articles that were not in English, and those that did not analyze bisexuality separately from homosexuality were excluded. A quality assessment was performed for each study included. A careful systematic review of the literature was conducted investigating the potential bisexuality-suicidal behavior link. A total of 77 articles from peer-reviewed journals were considered, and the most relevant (N=19) were selected for this review. Individuals reporting a bisexual orientation had an increased risk of suicide attempts and ideation compared with their homosexual and heterosexual peers. Risk factors included related victimization, peer judgments, and family rejection. Bisexual individuals also reported higher rates of mental illness and substance abuse. Bisexual individuals may experience more psychological distress and mental health problems than individuals who identify with a homosexual or heterosexual orientation. Clinicians should consider the potential for suicidal behaviors in bisexual individuals and be alert for increased mental health problems and poor social integration. © 2014 International Society for Sexual Medicine.

  11. Depression and Suicidality among Bisexual Youth: A Nationally Representative Sample

    Science.gov (United States)

    Taliaferro, Lindsay A.; Gloppen, Kari M.; Muehlenkamp, Jennifer J.; Eisenberg, Marla E.

    2018-01-01

    To address gaps in the literature on bisexual youth, we used the first nationally representative sample of high school students from the United States to determine profiles of behaviors related to depressive symptoms, a suicide attempt, and a medically-serious attempt. We examined the data from 922 bisexual students in grades 9-12 who completed…

  12. 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…

  13. Bisexuality, Not Homosexuality: Counseling Issues and Treatment Approaches.

    Science.gov (United States)

    Horowitz, Janna L.; Newcomb, Michael D.

    1999-01-01

    Article focuses on counseling issues relevant to bisexual college students. Discusses counseling concerns, such as marginality, biphobia, and coming out, and identifies treatment implications that pertain specifically to the college counseling population. Describes a treatment model for counseling bisexuals. (Contains 21 references.) (Author/GCP)

  14. Beyond Tolerance: Gays, Lesbians and Bisexuals on Campus.

    Science.gov (United States)

    Evans, Nancy J., Ed.; Wall, Vernon A., Ed.

    This book provides strategies for using what is known about gay, lesbian, and bisexual individuals in a college student affairs setting. These chapters are included: (1) "The Development of Gay, Lesbian, and Bisexual Identities" (Heidi Levine and Nancy J. Evans); (2) "Using Psychosocial Development Theories To Understand and Work…

  15. Self-esteem Among Young Bisexual Women in Norway

    DEFF Research Database (Denmark)

    Buer, Liliana; Anderssen, Norman; Malterud, Kirsti

    2017-01-01

    The aim of this study was to investigate the relationships between self-esteem, perception of social acceptance and feeling of loneliness in a sample of young bisexual, lesbian and heterosexual women, including assessing self-esteem longitudinally across 13 years. The analyses were based on self......-completed questionnaires from the longitudinal study “Young in Norway” (13 years follow-up, 1992-2005). N=1,598 female participants at baseline and follow-up (45 bisexual women, 21 lesbian women, 1,532 heterosexual women), age 25-32 years at follow-up. At baseline, there were no differences in self-esteem, but at follow......-up bisexual women reported lower self-esteem, lower levels of perceived acceptance, and higher levels of loneliness. For bisexual women, self-esteem did not increase from adolescence to adulthood. At follow-up, loneliness had a stronger connection with self-esteem among bisexual women compared to lesbian...

  16. Identifying risk: a comparison of risk between heterosexual-identifying bisexual men and other bisexual men in Vientiane, Laos.

    Science.gov (United States)

    Bowring, Anna; van Gemert, C; Vongsaiya, K; Hughes, C; Sihavong, A; Phimphachanh, C; Chanlivong, N; Toole, M; Hellard, M

    2014-04-01

    Men who have sex with men are a priority population for HIV control in Laos, but encompass men diverse in sexual orientation, gender identification, and behavior. Behaviorally bisexual men and their sexual partners were recruited in Vientiane, Laos, in 2010 using modified snowball sampling. Heterosexual-identifying bisexual men identified as exclusively/predominantly heterosexual and other bisexual men identified as bisexual or predominantly/exclusively homosexual. Sixty (68%) heterosexual-identifying and 38 (32%) other bisexual men were recruited; the median number of sex partners in the past year was eight and seven, respectively. Consistent condom use was low with regular (7%) and casual (35%) partners and did not differ by identity. More heterosexual-identifying (53%) than other bisexual (29%) men reported weekly alcohol consumption. Twelve (20%) heterosexual-identifying and 15 (54%) other bisexual men correctly answered all HIV-knowledge questions. High-risk behaviors for STI and HIV transmission were common. Targeted HIV prevention initiatives are needed, particularly to reach heterosexual-identifying bisexual men.

  17. 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

  18. SEXUAL VICTIMIZATION AND ASSOCIATED RISKS AMONG LESBIAN AND BISEXUAL WOMEN

    Science.gov (United States)

    Hequembourg, Amy L.; Livingston, Jennifer A.; Parks, Kathleen A.

    2012-01-01

    This study examines relationships among childhood sexual abuse (CSA), risky alcohol use, and adult sexual victimization among bisexual and lesbian women. Half (51.2%) of women reported CSA and 71.2% reported adult sexual victimization. Perpetrators were generally male, and 56.4% of women’s most recent adult sexual victimization incidents occurred after coming-out. Regression results indicated that adult sexual victimization severity was associated with a bisexual identity, more severe CSA history, more lifetime sexual partners, and higher alcohol severity scores. Compared to lesbians, bisexual women reported more severe adult sexual victimization experiences, greater revictimization, riskier drinking patterns, and more lifetime male sexual partners. PMID:23759663

  19. Sexual victimization and associated risks among lesbian and bisexual women.

    Science.gov (United States)

    Hequembourg, Amy L; Livingston, Jennifer A; Parks, Kathleen A

    2013-05-01

    This study examines relationships among childhood sexual abuse (CSA), risky alcohol use, and adult sexual victimization among bisexual and lesbian women. Half (51.2%) of women reported CSA and 71.2% reported adult sexual victimization. Perpetrators were generally male, and 56.4% of women's most recent adult sexual victimization incidents occurred after coming out. Regression results indicated that adult sexual victimization severity was associated with a bisexual identity, more severe CSA history, more lifetime sexual partners, and higher alcohol severity scores. Compared to lesbians, bisexual women reported more severe adult sexual victimization experiences, greater revictimization, riskier drinking patterns, and more lifetime male sexual partners.

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

    Science.gov (United States)

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

    2017-01-01

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

  1. Cluster Analysis of the Klein Sexual Orientation Grid in Clinical and Nonclinical Samples: When Bisexuality Is Not Bisexuality.

    Science.gov (United States)

    Weinrich, James D; Klein, Fritz; McCutchan, J Allen; Grant, Igor

    2014-01-01

    We used a cluster analysis to empirically address whether sexual orientation is a continuum or can usefully be divided into categories such as heterosexual, homosexual, and bisexual using scores on the Klein Sexual Orientation Grid (KSOG) in three samples: groups of men and women recruited through bisexual groups and the Internet (Main Study men; Main Study women), and men recruited for a clinical study of HIV and the nervous system (HIV Study men). A five-cluster classification was chosen for the Main Study men (n = 212), a four-cluster classification for the Main Study women (n = 120), and a five-cluster classification for the HIV Study men (n = 620). We calculated means and standard deviations of these 14 clusters on the 21 variables composing the KSOG. Generally, the KSOG's overtly erotic items (Sexual Fantasies, Sexual Behavior, and Sexual Attraction), as well as the Self Identification items, tended to be more uniform within groups than the more social items were (Emotional Preference, Socialize with, and Lifestyle). The result is a set of objectively identified subgroups of bisexual men and women along with characterizations of the extent to which their KSOG scores describe and differentiate them. The Bisexual group identified by the cluster analysis of the HIV sample was distinctly different from any of the bisexual groups identified by the clustering process in the Main Sample. Simply put, the HIV sample's bisexuality is not like bisexuality in general, and attempts to generalize (even cautiously) from this clinical Bisexual group to a larger population would be doomed to failure. This underscores the importance of recruiting non-clinical samples if one wants insight into the nature of bisexuality in the population at large. Although the importance of non-clinical sampling in studies of sexual orientation has been widely and justly asserted, it has rarely been demonstrated by direct comparisons of the type conducted in the present study.

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

    Science.gov (United States)

    Kamen, Charles

    2018-02-01

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

  3. [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.

  4. Riddles of masculinity: gender, bisexuality, and thirdness.

    Science.gov (United States)

    Fogel, Gerald I

    2006-01-01

    Clinical examples are used to illuminate several riddles of masculinity-ambiguities, enigmas, and paradoxes in relation to gender, bisexuality, and thirdness-frequently seen in male patients. Basic psychoanalytic assumptions about male psychology are examined in the light of advances in female psychology, using ideas from feminist and gender studies as well as important and now widely accepted trends in contemporary psychoanalytic theory. By reexamining basic assumptions about heterosexual men, as has been done with ideas concerning women and homosexual men, complexity and nuance come to the fore to aid the clinician in treating the complex characterological pictures seen in men today. In a context of rapid historical and theoretical change, the use of persistent gender stereotypes and unnecessarily limiting theoretical formulations, though often unintended, may mask subtle countertransference and theoretical blind spots, and limit optimal clinical effectiveness.

  5. SEXUAL VICTIMIZATION AND ASSOCIATED RISKS AMONG LESBIAN AND BISEXUAL WOMEN

    OpenAIRE

    Hequembourg, Amy L.; Livingston, Jennifer A.; Parks, Kathleen A.

    2013-01-01

    This study examines relationships among childhood sexual abuse (CSA), risky alcohol use, and adult sexual victimization among bisexual and lesbian women. Half (51.2%) of women reported CSA and 71.2% reported adult sexual victimization. Perpetrators were generally male, and 56.4% of women’s most recent adult sexual victimization incidents occurred after coming-out. Regression results indicated that adult sexual victimization severity was associated with a bisexual identity, more severe CSA his...

  6. “Aren't We All a Little Bisexual?”: The Recognition of Bisexuality in an Unlikely Place

    OpenAIRE

    Anderson, E.; Adams, Adi

    2011-01-01

    The hypermasculine subculture of men's team sports has traditionally been characterized by the one-time rule of homosexuality: one same-sex sexual experience is normally equated with a homosexual orientation. Thus, men have been polarized into sexual identity categories, erasing bisexuality as a legitimate or viable category of sexual identification. Accordingly, in this research the authors examine the perspectives on bisexuality among team sport athletes. Interviewing 60 male soccer players...

  7. Bisexual Invisibility and the Sexual Health Needs of Adolescent Girls.

    Science.gov (United States)

    Arbeit, Miriam R; Fisher, Celia B; Macapagal, Kathryn; Mustanski, Brian

    2016-10-01

    The purpose of this study was to analyze bisexual female youth perspectives on their experiences accessing sexual health information and services provided by a doctor, nurse, or counselor. Specifically, we sought to: (1) understand how youth perceptions of providers' attitudes and behaviors affect their seeking and obtaining sexual health information and services; (2) examine how social stigmas within the family context might be associated with barriers to sexual health information and services; and (3) assess school-based sources of sexual health information. We utilized a mixed-method study design. Data from bisexual female youth were collected through an online questionnaire and asynchronous online focus groups addressing lesbian, gay, bisexual, and transgender health and HIV prevention. Data were analyzed with descriptive statistics and thematic analysis. Barriers to sexual healthcare included judgmental attitudes and assumptions of patient heterosexuality among healthcare providers, and missed opportunities for HIV and sexually transmitted infections (STI) testing. Bisexual stigma within families was associated with restricted youth openness with providers, suggesting fear of disclosure to parent or guardian. School-based sexual health education was limited by a restrictive focus on abstinence and condoms and the exclusion of STI risk information relevant to sex between women. We recommend that practitioners integrate nonjudgmental questions regarding bisexuality into standard contraceptive and sexual health practices involving female youth, including discussion of HIV and STI risk reduction methods. Further support for bisexual health among adolescent girls can come through addressing stigmas of female bisexuality, increasing sensitivity to privacy while engaging parents, and expanding the reach of school-based sexual health education.

  8. 75 FR 27581 - Solicitation for a Cooperative Agreement-Lesbian, Gay, Bisexual, Transgender, and Intersex...

    Science.gov (United States)

    2010-05-17

    ... DEPARTMENT OF JUSTICE National Institute of Corrections Solicitation for a Cooperative Agreement--Lesbian, Gay, Bisexual, Transgender, and Intersex Guidance Project AGENCY: National Institute of..., bisexual, transgender, and intersex (LGBTI) offenders. In addition to providing guidance in selected...

  9. Heteronormativity and sexual partnering among bisexual Latino men.

    Science.gov (United States)

    Muñoz-Laboy, Miguel; Garcia, Jonathan; Wilson, Patrick A; Parker, Richard G; Severson, Nicolette

    2015-05-01

    Our analyses address the question of how bisexual Latino men organize their sexual partnerships. Heteronormativity can be understood as the set of social norms and normative structures that guide sexual partnering among men and women. We provide descriptive statistics to describe bisexual Latino men's sexual partnerships. Logistic and linear regression modeling were used to explore bivariate and multivariate relationships. Of our total sample (N = 142), 41.6 % had unprotected vaginal intercourse 2 months prior to the interview; 21.8 % had unprotected anal intercourse with female partners; 37.5 % had unprotected insertive anal intercourse with male partners; and 22.5 % had unprotected receptive anal intercourse with male partners. In our multivariate model, machismo was directly associated with meeting female partners through formal spaces (workplace, school, and/or church), but inversely associated with meeting male partners in formal spaces. Machismo was positively associated with meeting male sex partners through social networks (i.e., friendship and kinship networks). The more comfortable men were with homosexuality the less likely they were to meet men online and the more likely they were to meet men through social networks of friends and kinship. Interventions to reduce sexually transmitted diseases that target bisexual behavior as an epidemiological "bridge" of transmission from homosexual to heterosexual networks might very well benefit from a more complex understanding of how Latino bisexuality is patterned. Thus, this exploratory analysis might lead to a rethinking of how to address risk and vulnerability among Latino bisexual men and their sexual networks.

  10. 77 FR 33599 - Lesbian, Gay, Bisexual, and Transgender Pride Month, 2012

    Science.gov (United States)

    2012-06-07

    ..., Gay, Bisexual, and Transgender Pride Month, 2012 By the President of the United States of America A... live and love as we see fit. The lesbian, gay, bisexual, and transgender (LGBT) community has written a... coverage to someone just because they are lesbian, gay, bisexual, or transgender. Because we understand...

  11. 76 FR 32853 - Lesbian, Gay, Bisexual, And Transgender Pride Month, 2011

    Science.gov (United States)

    2011-06-07

    ..., Gay, Bisexual, And Transgender Pride Month, 2011 By the President of the United States of America A Proclamation The story of America's Lesbian, Gay, Bisexual, and Transgender (LGBT) community is the story of... as Lesbian, Gay, Bisexual, and Transgender Pride Month. I call upon the people of the United States...

  12. Don't Forget the "B": Considering Bisexual Students and Their Specific Health Needs

    Science.gov (United States)

    Oswalt, Sara B.

    2009-01-01

    Many college health center staff are consciously addressing issues of cultural competency; however, the needs of 1 minority group--bisexuals--are often overlooked. In this article, the author briefly discusses bisexuality, provides an overview of health issues related to bisexuals, and lists specific strategies to address the needs of bisexuals…

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

    Science.gov (United States)

    Rankine, J

    2001-01-01

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

  14. Bisexuals in space and geography: more-than-queer?

    Directory of Open Access Journals (Sweden)

    Emiel Maliepaard

    2015-03-01

    Full Text Available Geographies of sexualities mainly focusses on the lived experiences and sexual identity negotiations of gay men and lesbian women in a society based upon binary divisions of sex, gender, and sexualities. This review article wants to consider a more theoretically informed relational approach to understand the creation and sustaining of the binary system, and the everyday lived experience of bisexuals. This article will review contemporary studies on queer space and studies on the intersections of bisexual theory and queer theory. Drawing inspiration from queer theory, speech act theory, and relational geographies, I propose a focus on encounters, language, embodied practices, and embodied experiences to understand the lives of sexual minorities, and bisexuals in particular. While heteronormativity and monosexuality are important factors (or contexts in the everyday lived experience, they are not all determining for the everyday experiences of people who desire more-than-one gender.

  15. Erasing Bisexual Identity: The Visibility and Invisibility of Bisexuality as a Sexual Identity in the Dutch Homosexual Movement, 1946-1972.

    Science.gov (United States)

    van Alphen, Elise C J

    2017-01-01

    Scholars of bisexuality commonly agree that bisexuality as a distinct sexual identity remained invisible for epistemic reasons until the 1970s. This article examines this dominant explanation for the late invention of bisexual identity by discussing how bisexuality functioned in the homosexual movement in the Netherlands from 1946 to the early 1970s. This historical case study shows that in the Netherlands bisexuality as an identity existed in the movement in the first postwar decades and was erased in the late 1960s, not only for epistemic reasons but also for tactical ones. The article aims to contribute to a better insight into the history of bisexuality and the politics in the Dutch postwar homosexual movement.

  16. Heterosexuals attitudes toward bisexual men and women in the United States.

    Science.gov (United States)

    Herek, Gregory M

    2002-11-01

    This paper examines heterosexual adults attitudes toward bisexual men and women using data from a 1999 national RDD survey (N = 1,335). Ratings on 101-point feeling thermometers were lower (less favorable) for bisexual men and bisexual women than for all other groups assessed--including religious, racial, ethnic, and political groups--except injecting drug users. More negative attitudes toward bisexuals were associated with higher age, less education, lower annual income, residence in the South and rural areas, higher religiosity, political conservatism, traditional values concerning gender and sexual behavior, authoritarianism, and lack of contact with gay men or lesbians. White heterosexual women expressed significantly more favorable attitudes than other women and all men. A gender difference was observed in attitudes toward bisexuals and homosexuals: Heterosexual women rated bisexuals significantly less favorably than they rated homosexuals, regardless of gender, whereas heterosexual men rated male targets less favorably than female targets, regardless of whether the target was bisexual or homosexual.

  17. Male bisexuality and condom use at last sexual encounter: results from a national survey.

    Science.gov (United States)

    Jeffries, William L; Dodge, Brian

    2007-08-01

    Relatively little is known about condom use among bisexual men as separate and distinct from exclusively homosexual and heterosexual men. Most previous research on bisexual men has relied on non-probabilistic, high risk samples with limited generalizability. We examined the relationship between male behavioral bisexuality and condom use in the 2002 cycle of the National Survey of Family Growth (NSFG). Bisexually-active men positively differed from heterosexually- and homosexually-active men on every indicator of confounding risk. However, bisexually-active men did not report using condoms less often than other men during their last sexual encounters with males and females. Indeed, with female partners, bisexually-active men reported higher rates of condom use than other men. These relationships remained when all sociodemographic and confounding risk factors were held constant. Our results suggest that caution must be used when making assumptions about condom use in the general population of bisexual men from non-probabilistic samples.

  18. Bisexual women’s understandings of social marginalisation: The heterosexuals don’t understand us but nor do the lesbians

    OpenAIRE

    Hayfield, N.; Clarke, V.; Halliwell, E.

    2014-01-01

    Drawing on interviews with 20 self-identified bisexual women, this paper contributes to the limited psychological literature on bisexual women by exploring their experiences of social marginalisation. These (mainly white and middle class) British bisexual women reported that they did not feel at home in either lesbian or lesbian, gay, bisexual and transgender communities, nor in the wider (heteronormative) society. They identified a number of understandings – bisexuality as a temporary phase ...

  19. Integrating Gay, Lesbian, and Bisexual Issues into Mainstream Psychology.

    Science.gov (United States)

    Goldfried, Marvin R.

    2001-01-01

    Illustrates how clinical and research writings on gay, lesbian, and bisexual (GLB) issues remain invisible to mainstream psychology in such areas as life span development and aging, teen suicide, substance abuse, victimization, and family and couple relationships, examining determinants of wellbeing among GLBs and discussing what mainstream…

  20. Correlates of health attitudes among homosexual and bisexual men

    Directory of Open Access Journals (Sweden)

    Deborah A. Gust

    2013-03-01

    Full Text Available There is increased emphasis on physician attention to the overall health and wellness of homosexual and bisexual men, though little is known about the health-related attitudes of these groups. This study determined factors associated with the health attitudes of homosexual and bisexual men and identified preferred sources of health information. For this study, the 2008 ConsumerStyles panel survey was used to create three health attitude scales and to determine factors associated with each scale. The three scales were labeled: (1 health motivation; (2 relationship with health care provider; and (3 self-perception of health literacy. In addition to other factors, higher scores for health motivation and relationship with health care provider were associated with black compared with white men. In contrast, lower scores for self-perception of health literacy were associated with black compared with white men. For information on an unfamiliar health condition, most homosexual and bisexual men chose the Internet. Black homosexual and bisexual men reported being motivated to be healthy and working well with their health care provider to manage their health. However, their perception of their own health motivation was low compared with the white men. Attempts to improve health literacy through Internet sites may be helpful in improving health attitudes and reducing negative health outcomes.

  1. 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.

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

    NARCIS (Netherlands)

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

    2013-01-01

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

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

    NARCIS (Netherlands)

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

    2013-01-01

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

  4. Perceived Career Barriers for Gay, Lesbian, and Bisexual Individuals

    Science.gov (United States)

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

    2012-01-01

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

  5. Gay, Lesbian, and Bisexual Adolescents: A Critical Challenge to Counselors.

    Science.gov (United States)

    Coleman, Eli; Remafedi, Gary

    1989-01-01

    Claims that meeting the health care needs of homosexual and bisexual teenagers has become public health imperative. Points out stigma of homosexuality often gives rise to psychosocial problems for teenagers in process of sexual identity development. Offers suggestions to support healthy development, assist recovery from stigma, and avert…

  6. Lesbian, gay and bisexual citizenship: A case study as represented ...

    African Journals Online (AJOL)

    Over the past two decades, sexual citizenship has emerged as a new form of citizenship coupled with increased interest in the challenges to citizenship and social justic e faced by lesbian, gay, bisexual,transgender and intersex (LGBTI) people and, in particular, by sexual minority youth within education systems. In South ...

  7. Lesbian, gay, bisexual and transgender rights in South Africa: a ...

    African Journals Online (AJOL)

    This study investigated the Lesbian, Gay, Bisexual and Transgender (LGBT) discrimination that exists in some parts of South Africa. The article argues that unlike those that identify themselves as heterosexual, the LGBT people are more prone to experience intolerance, discrimination, harassment and the threat of violence ...

  8. Experiences of lesbian, gay, bisexual, transgender and intersex ...

    African Journals Online (AJOL)

    Though participating in sports has many health benefits which contribute to the improvement of quality of life for the individuals, the Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) students are unable to enjoy those benefits due to fear of stigma and discrimination which they experience during sport activities.

  9. Tobacco Product Use Among Lesbian, Gay, and Bisexual Adolescents.

    Science.gov (United States)

    Dai, Hongying

    2017-04-01

    Sexual minority youth face health disparities and a high risk of substance abuse. This study sought to fully characterize the disparity of tobacco use and risk factors in this high-risk subpopulation. Using data from the 2015 Youth Risk Behavior Survey, the current use of various tobacco products (cigarettes, smokeless tobacco, cigars, and e-cigarettes) was compared according to sex and distinct sexual identities (lesbian, gay, bisexual, and unsure). Heterosexual/straight adolescents served as the control group. Of 14 703 respondents, 88.8% were heterosexual/straight, 2.0% were lesbian or gay, 6.0% were bisexual, and 3.2% were unsure about their sexual identity. Sexual minorities had a higher prevalence of tobacco product use than their heterosexual/straight counterparts. Sex had a significant effect on the disparities of tobacco use. Lesbian and bisexual girls had higher odds of reporting current use of any tobacco product, cigarettes, cigars, and e-cigarettes than did straight girls, whereas sexual minority boys had similar smoking behaviors compared with straight boys. Substance use, including marijuana use, drinking, and binge drinking, was significantly associated with any tobacco use. Tobacco use differs among subgroups of sexual minority youth, with lesbians and bisexual girls having a higher prevalence of tobacco use than their straight peers. Heterogeneity of tobacco use across distinct sexual identity groups underscores the need to develop evidence-based tobacco control strategies for sexual minority youth. Copyright © 2017 by the American Academy of Pediatrics.

  10. Minority stress among lesbian, gay, bisexual, and transgender ...

    African Journals Online (AJOL)

    Minority stress among lesbian, gay, bisexual, and transgender (LGBT) university students in ASEAN countries: associations with poor mental health and ... 4.0), and pathological internet use (AOR 1.5, 95% CI 1.1, 2.1), adjusting for age, sex, study year, martial status, religion, subjective economic status, social support, and ...

  11. Overweight and Obesity in Lesbian and Bisexual College Women

    Science.gov (United States)

    Struble, Corrie Barnett; Lindley, Lisa L.; Montgomery, Kara; Hardin, James; Burcin, Michelle

    2010-01-01

    Objective: To estimate and compare the prevalence of overweight and obesity among self-identified lesbian, bisexual, and heterosexual college age women. Methods: A secondary analysis of the Spring 2006 National College Health Assessment was conducted with 31,500 female college students (aged 18 to 25 years) to compare body mass index (calculated…

  12. Lesbian, Gay, and Bisexual Suicidal Behavior: Testing a Constructivist Model.

    Science.gov (United States)

    McBee-Strayer, Sandra M.; Rogers James R.

    2002-01-01

    Surveys 162 self-identified lesbian, gay, and bisexual (LGB) individuals with regard to suicidal behaviors, suicide risk factors, and reasons for living. Approximately 41% of the respondents indicated a serious consideration of suicide including the identification of a specific suicide plan or a past suicide attempt with significant intent to die.…

  13. Identifying as Lesbian vs. Bisexual: The Dilemma for Women.

    Science.gov (United States)

    Dworkin, Sari H.

    In this culture a person's sexual identity falls into one of four groups: heterosexual, homosexual, bisexual, and asexual. Essentialism assumes that one is fixed with a core identity of either heterosexual or homosexual. Constructionism posits that categories of sexuality are constructed to meet the needs of a particular culture, society, and/or…

  14. The Role of Bisexual Issues in Lesbian and Gay Psychology.

    Science.gov (United States)

    Dworkin, Sari H.

    Recent studies show that those lesbians and gays who are comfortable and "out" with their identities exhibit better psychological adjustment than those who are unaccepting and hidden. This paper explores the experiences of bisexuals within the gay and lesbian movement and shows how what is known about sexual orientation and the development of a…

  15. Vicissitudes of bisexuality. Crucial points and clinical implications.

    Science.gov (United States)

    Ferraro, F

    2001-06-01

    The author begins by noting that the heuristic value of the concept of bisexuality can be explored in two directions, involving respectively its role in psychopathology and in the development of creativity and thought. The author concentrates on the first of these aspects, which entails a reconsideration of the 'phallic question'. The status of femininity is investigated on the basis of Freud's and Winnicott's theories of bisexuality and the author here finds an explanation for the repudiation of femininity and for the 'phallic question' thereby implied, which represents the underlying bedrock resulting in interminable analyses. An important element in this rejection is stated to be the maternal aspect of femininity. Particular reference is made to the somatic roots of phallic defences and to their effects on thought and symbolisation. Some brief clinical examples are presented to suggest that the bedrock may be due to the distorted use of sensoriality and of the erotogenic zones. The author contends that the anal zone plays a crucial part in the manifestations of bisexuality and contrasts phallic logic with the logic of triangulation. Numerous literature references and clinical examples support and illustrate her arguments throughout. The author ends with a discussion of the implications of bisexuality for thought and knowledge.

  16. Editorial: Special Issue on Gay, Lesbian, and Bisexual Youth.

    Science.gov (United States)

    Hillier, Lynne; Rosenthal, Doreen

    2001-01-01

    This editorial describes the barriers that exist to carrying out research with gay, lesbian, and bisexual youth. It also discusses why it is important to promote research to this group. Describes the articles that address some of the issues related to this population in this volume of the Journal of Adolescence. (MKA)

  17. Religion and spirituality among bisexual Black men in the USA.

    Science.gov (United States)

    Jeffries, William L; Dodge, Brian; Sandfort, Theo G M

    2008-06-01

    Traditionally, religion has been a major source of institutional support and well-being for Black people in the USA. However, when juxtaposed against sexuality, religion's positive effect upon the lives of non-heterosexual individuals is questionable. Research suggests that non-heterosexuals often abandon structured religion for spirituality due to the homonegativity perpetuated through religious institutions. Although studies have examined religion and spirituality among gays and lesbians, few have examined their roles in the lives of bisexuals. In this study, we analyzed qualitative interviews from 28 bisexual Black men who resided in New York City. In addition to church attendance, participants expressed belonging to religious communities through activities such as music ministry. Despite rejection because of their bisexuality, some participants saw other religious individuals as being accepting of them. Others discussed the church as a place where non-heterosexuals interacted, often for meeting sexual partners. Participants evoked beliefs in God in coping with adverse life experiences; some linked faith to family and sexual responsibilities. Drawing upon relevant literature, we discuss the implications of religion and spirituality for the quality of life of bisexual Black men in the USA.

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

    Science.gov (United States)

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

    2016-01-01

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

  19. Heteronormativity and Sexual Partnering Among Bisexual Latino Men

    Science.gov (United States)

    Garcia, Jonathan; Wilson, Patrick A.; Parker, Richard G.; Severson, Nicolette

    2015-01-01

    Our analyses address the question of how bisexual Latino men organize their sexual partnerships. Heteronormativity can be understood as the set of social norms and normative structures that guide sexual partnering among men and women. We provide descriptive statistics to describe bisexual Latino men’s sexual partnerships. Logistic and linear regression modeling were used to explore bivariate and multivariate relationships. Of our total sample (N = 142), 41.6% had unprotected vaginal intercourse 2 months prior to the interview; 21.8 % had unprotected anal intercourse with female partners; 37.5 % had unprotected insertive anal intercourse with male partners; and 22.5 % had unprotected receptive anal intercourse with male partners. In our multivariate model, machismo was directly associated with meeting female partners through formal spaces (workplace, school, and/or church), but inversely associated with meeting male partners in formal spaces. Machismo was positively associated with meeting male sex partners through social networks (i.e., friendship and kinship networks). The more comfortable men were with homosexuality the less likely they were to meet men online and the more likely they were to meet men through social networks of friends and kinship. Interventions to reduce sexually transmitted diseases that target bisexual behavior as an epidemiological “bridge” of transmission from homosexual to heterosexual networks might very well benefit from a more complex understanding of how Latino bisexuality is patterned. Thus, this exploratory analysis might lead to a rethinking of how to address risk and vulnerability among Latino bisexual men and their sexual networks. PMID:25128415

  20. 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...

  1. Increased diversification rates follow shifts to bisexuality in liverworts

    DEFF Research Database (Denmark)

    Laenen, Benjamin; Machac, Antonin; Gradstein, S. Robbert

    2016-01-01

    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...

  2. Violence against bisexuals, gays and lesbians in Mexico City.

    Science.gov (United States)

    Ortiz-Hernández, Luis; Granados-Cosme, José Arturo

    2006-01-01

    An essential premise of this work is that three dominant ideologies explain oppression against BGL, as a result of a gender system: adhesion to gender stereotypes, androcentrism and heterosexism. Three hundred eighteen bisexual and gay males (BG) and 188 bisexual and lesbian females (BL) were surveyed. By means of a self-applied questionnaire, variables of interest were researched. The following trends were observed: an important number of men and women interviewed suffered violence in their childhood and adolescence because they defied gender stereotypes, and not because of their sexual orientation; BG males were more often victims of violence than BL females. Within the BG group, those who challenged gender stereotypes were more frequently attacked than those who did not; men were identified as aggressors more frequently than women; and in the BG group, gender stereotype transgression was associated with the perception of suffering violence in the future.

  3. Methamphetamine initiation among HIV-positive gay and bisexual men

    OpenAIRE

    Nakamura, Nadine; Semple, Shirley J.; Strathdee, Steffanie A.; Patterson, Thomas L.

    2009-01-01

    This study describes factors associated with methamphetamine initiation in a racially diverse sample of 340 methamphetamine-using, HIV-positive gay and bisexual men. A factor analysis was conducted on reasons for initiation, and four factors were identified: to party, to cope, for energy, and to improve self-esteem. Methamphetamine to party accounted for more than one-third of the variance in the factor analysis. Methamphetamine to cope captured almost 9% of the variance, methamphetamine for ...

  4. 'Just a little hint': bisexual-specific microaggressions and their connection to epistemic injustices.

    Science.gov (United States)

    Bostwick, Wendy; Hequembourg, Amy

    2014-01-01

    A growing body of evidence indicates disproportionate rates of mental health disorders among bisexual women compared to both heterosexual and lesbian women. Such disparities are often attributed to stressors related to minority status, including experiences of prejudice and discrimination. Prior research has made little distinction between the prejudicial experiences of bisexual groups as compared to lesbian/gay groups. Based on qualitative data gathered in focus groups with 10, predominantly White, bisexual-identified women, which occurred in a large city in the USA, we posit that differences in prejudicial experiences do exist for bisexual groups, and that such differences reside in the realms of the epistemic, yet have very real implications for bisexual women's daily lived experiences. We discuss everyday slights and insults, also known as microaggressions, reported by the participants vis-à-vis their bisexual identity. These bisexual-specific microaggressions include hostility; denial/dismissal; unintelligibility; pressure to change; lesbian, gay, bisexual and transgender legitimacy; dating exclusion; and hypersexuality. We consider how such microaggressions may adversely impact mental health and well-being and may assist in explaining the mental health disparities among bisexual women.

  5. Sexual Orientation Self-Presentation Among Bisexual-Identified Women and Men: Patterns and Predictors.

    Science.gov (United States)

    Mohr, Jonathan J; Jackson, Skyler D; Sheets, Raymond L

    2017-07-01

    Writing on the experiences of bisexual-identified people has highlighted the potential complexity of the ongoing process of deciding when and how to present one's sexual orientation identity to others (Rust, 2002). The two studies presented here were designed to contribute basic knowledge regarding self-presentation of sexual orientation among bisexual people. In Study 1, bisexual participants (N = 147) were less likely than their lesbian and gay (LG) peers (N = 191) to present their actual orientation to others, and more likely to present themselves as having a sexual orientation different from their actual orientation. These sexual orientation differences were explained by gender of romantic partner and uncertainty about one's sexual orientation. Sexual orientation differences also emerged in links between self-presentation and outness level. For example, bisexual participants who presented themselves as LG had relatively high everyday outness levels; in contrast, LG participants who presented themselves as bisexual had relatively low everyday outness levels. In Study 2, 240 bisexual women and men indicated their levels of outness as a sexual minority person (potentially including identification as gay, lesbian, queer) and specifically as bisexual. Outness was higher with respect to status as a sexual minority compared to status as bisexual; the magnitude of this difference was predicted by gender of romantic partner and uncertainty about one's sexual orientation. Moreover, even controlling for outness as a sexual minority person, well-being was predicted by outness as bisexual to family members.

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

    Science.gov (United States)

    Formby, Eleanor

    2011-11-01

    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 social contexts. Drawing on understandings of lesbian, gay and bisexual human rights, sexual rights and sexual citizenship, it is argued that these are useful lenses through which to examine and address lesbian and bisexual women's sexual health and related inequalities.

  7. 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. © 2016 The Authors. New Phytologist © 2016 New Phytologist Trust.

  8. Secret encounters: black men, bisexuality, and AIDS in Alabama.

    Science.gov (United States)

    Lichtenstein, B

    2000-09-01

    Black men suffer the highest rates of HIV infection in Alabama. However, little is known about the HIV risks of this sector of the population, primarily because the current public health focus is on women and children. The dearth of research on HIV risk among black men in Alabama is addressed by drawing on focus group, elicitation, and key informant data from an ongoing epidemiologic study on AIDS in that state. These hypothesis-generating qualitative interviews were used to identify three high-risk scenarios: "sex for money or drugs"; "prison sex"; and "sneaky sex" by married or nominally heterosexual men. It was found that covert and unprotected sex among bisexually active black men was commonplace for reasons that included prostitution, habituation to same-sex relations during incarceration, and the desire to maintain a facade of heterosexuality in homophobic communities. It was concluded that bisexual activity is highly correlated with secrecy and unprotected sex. The risks of bisexuality among black men are exacerbated by incarceration, homophobia, drug use, and the prison and public health focus on surveillance rather than prevention.

  9. Sandor Rado, American psychoanalysis, and the question of bisexuality.

    Science.gov (United States)

    Tontonoz, Matthew

    2017-08-01

    The Hungarian-born physician and psychoanalyst Sandor Rado (1890-1972), who practiced for most of his career in the United States, played a central role in shaping American psychoanalysts' views toward homosexuality. Historians have pointed to Rado's rejection of Freud's notion of constitutional bisexuality as the key theoretical maneuver that both pathologized homosexuality and inspired an optimistic approach to its treatment. Yet scholarly analysis of the arguments that Rado made for his rejection of bisexuality is lacking. This article seeks to provide that analysis, by carefully reviewing and evaluating Rado's arguments by the standards of his own day. Because one of Rado's main arguments is that bisexuality is an outdated concept according to modern biology, I consider what contemporary biologists had to say on the topic. The work of behavioral endocrinologist Frank Beach (1911-1988) is important in this context and receives significant attention here. Rado ultimately distanced himself from Beach's behavioral endocrinology, appealing instead to evolutionary discourse to buttress his claim that homosexuality is pathological. This tactic allowed him to refashion psychoanalysis into a moralistic discipline, one with closer ties to a medical school. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  10. Changing HPV vaccination rates in bisexual and lesbian women.

    Science.gov (United States)

    Polek, Carolee; Hardie, Thomas

    2017-06-01

    Human papillomavirus (HPV) vaccination rates continue to be below national targets for women and lower in some sexual minorities. HPV is a primary causal agent in cervical cancer, from which members of the lesbian and bisexual community mistakenly believe they are at low risk. This study characterized rates of HPV vaccination in women based on their sexual orientation. Data were obtained from the Centers for Disease Control and Prevention's National Health Interview Survey 2013-2014. This survey evaluated 5695 women-113 (2%) lesbian, 135 (2.4%) bisexual, and 5446 (95.6%) heterosexual women ages 18-26 in 2006-using logistic regression. A dependent variable of having had HPV vaccination and independent variable of sexual orientation was used. Significant differences were found in vaccine uptake based on sexual orientation. Bisexual women were most likely to be vaccinated, and differed significantly from heterosexual and lesbians which did not differ significantly from each other. The results suggest improvement in sexual minority rates but this finding is tempered by the low rates of vaccination in adult women. The low vaccination rates in adult women and sexual minorities merit further study. The low rates may be a function of the transition from pediatric to adult care and/or practice barriers perceived by sexual minorities. ©2017 American Association of Nurse Practitioners.

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

    Science.gov (United States)

    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 making regarding behavior and expressions of bisexuality among Latino youth. To accomplish this, we conducted 25 in-depth interviews and ethnographic observations in social environments of bisexual male and female youth (15–19 years of age) for nine months (February – October 2007, New York City). We conducted a recurrent theme analysis together with the selection of case studies to illustrate key themes regarding familism and Latino teenage bisexuality. Our findings suggest that bisexual Latino youth valued closeness to their families by maintaining family ties, and seeking their emotional and material support. The negative consequence for those who wanted to keep their bisexuality private is the constant surveillance of the family network. Familism is a complex construct that has a strong potential for providing insights into sexual health practices of bisexual Latino youth. PMID:19296310

  12. 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…

  13. Disclosure and Concealment of Sexual Orientation and the Mental Health of Non-Gay-Identified, Behaviorally Bisexual Men

    Science.gov (United States)

    Schrimshaw, Eric W.; Siegel, Karolynn; Downing, Martin J., Jr.; Parsons, Jeffrey T.

    2013-01-01

    Objective: Although bisexual men report lower levels of mental health relative to gay men, few studies have examined the factors that contribute to bisexual men's mental health. Bisexual men are less likely to disclose, and more likely to conceal (i.e., a desire to hide), their sexual orientation than gay men. Theory suggests that this may…

  14. Sociosexual Identity Development and Sexual Risk Taking of Acculturating Collegiate Gay and Bisexual Men

    Science.gov (United States)

    Wilkerson, J. Michael; Brooks, Ann K.; Ross, Michael W.

    2010-01-01

    How collegiate gay and bisexual men acquire a sociosexual identity appears to affect their sexual health. Analysis of interview data from 25 self-identified collegiate gay or bisexual men resulted in the development of a collective sexual script for men acquiring a sociosexual identity. Changes in an individual's acting out of a cultural scenario…

  15. Perceived Experiences of Anti-Bisexual Prejudice: Instrument Development and Evaluation

    Science.gov (United States)

    Brewster, Melanie E.; Moradi, Bonnie

    2010-01-01

    This research describes the development and psychometric evaluation of the Anti-Bisexual Experiences Scale (ABES). Items were developed on the basis of prior literature, revised on the basis of expert feedback, and submitted to psychometric evaluation. Exploratory factor analysis of data from 350 bisexual participants yielded 3 factors of reported…

  16. 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…

  17. Beyond Knowledge and Awareness: Enhancing Counselor Skills for Work with Gay, Lesbian, and Bisexual Clients.

    Science.gov (United States)

    Kocarek, Catherine E.; Pelling, Nadine J.

    2003-01-01

    Whereas multicultural advances in the area of gay, lesbian, and bisexual issues have been made for increased knowledge and awareness, little development has been made regarding counselor skill building. This article outlines a model of training using role-playing to enhance counselor skill when working with gay male, lesbian, and bisexual male and…

  18. Effects of Client Bisexuality on Clinical Judgment: When Is Bias Most Likely to Occur?

    Science.gov (United States)

    Mohr, Jonathan J.; Weiner, Jennifer L.; Chopp, Regina M.; Wong, Stephanie J.

    2009-01-01

    In this study, the authors investigated whether psychotherapist bias related to client bisexuality is most likely to occur with respect to judgments about stereotype-relevant clinical issues. Participants were 108 psychotherapists who read a fictitious intake report about a male client who was portrayed as heterosexual, gay, or bisexual. Client…

  19. 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....

  20. Community Involvement among Behaviourally Bisexual Men in the Midwestern USA: Experiences and Perceptions across Communities

    Science.gov (United States)

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

    2012-01-01

    Limited research exists regarding community involvement and social support among behaviourally bisexual men. Previous studies suggest that bisexual men experience high levels of social stigma in both heterosexual and homosexual community settings. Research focusing on social support has demonstrated that individuals with limited access to similar individuals experience greater risk for negative health outcomes. Using a community-based research design, participants were recruited using multiple methods in Indianapolis, Indiana, USA. Researchers conducted in-depth, semi-structured interviews with 75 men who reported having engaged in bisexual behaviour within the past six months. Interviews elucidated the experiences of behaviourally bisexual men in heterosexual and homosexual settings, as well as their perceptions of the existence of a bisexual community or bisexual spaces. All participants perceived a lack of a visible bisexual community and expressed difficulty with being comfortable, or feeling belonging, within a variety of heterosexual and homosexual community spaces. Findings suggest the need for interventions focused on community building among, as well as creating spaces specifically designed for, bisexual men in order to increase perceived social support and decrease isolation and possible negative health outcomes. PMID:22978551

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

    Science.gov (United States)

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

    2017-05-01

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

  2. Bisexuality among a cohort of university students: prevalence and psychological distress.

    Science.gov (United States)

    Ciocca, Giacomo; Solano, Caterina; Di Lorenzo, Giorgio; Limoncin, Erika; Mollaioli, Daniele; Carosa, Eleonora; Collazzoni, Alberto; Santarnecchi, Emiliano; Bianciardi, Emanuela; Niolu, Cinzia; Siracusano, Alberto; Rossi, Alessandro; Jannini, Emmanuele A

    2017-12-04

    Sociocultural prejudices and pressures may impair the mental health of bisexual people. We aim to evaluate psychological status according to sexual orientation in a sample of Italian university students, with specific attention to bisexuality and its frequency. Among a recruited sample of 551 university students, we found the following percentages for sexual orientation: heterosexuals 96.9% (n = 534), homosexuals 1.1% (n = 6), bisexuals 2% (n = 11). The cross-sectional analysis for psychological symptoms, with the Symptoms Check List-90 Revised (SCL-90-R), revealed that bisexual subjects have statistically significant higher scores on some symptomatic scales compared to heterosexuals. In particular, obsession-compulsion, paranoid ideation, hostility were significantly higher in bisexuals. Therefore, if heterosexual or homosexual orientation are not specified by particular psychological symptoms, bisexuality is characterized by a strong link with some facets of psychological distress, which are likely caused by a peculiar double stigma. In conclusion, through a specific psychometric tool, we found an association between bisexuality and various forms of psychological suffering. This evidence should further encourage clinicians to accurately assess the psychological health in young bisexual people.

  3. Female Bisexuality from Adolescence to Adulthood: Results from a 10-Year Longitudinal Study

    Science.gov (United States)

    Diamond, Lisa M.

    2008-01-01

    Debates persist over whether bisexuality is a temporary stage of denial or transition, a stable "3rd type" of sexual orientation, or a heightened capacity for sexual fluidity. The present study uses 5 waves of longitudinal data collected from 79 lesbian, bisexual, and "unlabeled" women to evaluate these models. Both the "3rd orientation" and…

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

    Science.gov (United States)

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

    2017-07-21

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

  5. Online maternity information seeking among lesbian, bisexual, and queer women.

    Science.gov (United States)

    Ruppel, Emily H; Karpman, Hannah E; Delk, Carolyn E; Merryman, Mallory

    2017-05-01

    recent research has concluded that barriers to maternity health care exist for lesbian, bisexual, and queer women. This mixed methods study aims to understand patterns in seeking and sharing online health information for LBQ women attempting conception. researchers performed a qualitative content analysis of 400 discussions in lesbian-oriented Facebook groups, containing 1764 total instances of text. 400 discussions from heterosexual-oriented conception and parenting Facebook groups were examined for comparison purposes, though they will not be the focus of this analysis. This paper also presents descriptive statistics on posts observed. posts were drawn from a representative sample of lesbian-oriented conception, pregnancy, and parenting Facebook groups. Posts examined for comparison purposes were drawn from groups that appeared to primarily serve heterosexual women. many participants in lesbian-oriented Facebook groups sought and provided medical information. Their queries focused on the insemination process, and frequently related to posters' specific situations, while heterosexual women tended to seek general advice about the conception and pregnancy process. The accuracy of the content of responses varied, and group members seemed to view the prevalence of contradictory information as positive evidence of diverse perspectives. Even when information was technically correct, posters did not always apply it properly to the question at hand. barriers to maternity care, or a lack of education and initiative among primary care providers, may drive lesbian, bisexual, and queer women to seek health information from peers on the Internet when trying to become pregnant. These exchanges may contribute to misinformation, which may negatively affect lesbian, bisexual, and queer women's fertility outcomes and overall health. clinicians should be conscious of online health information seeking as both a symptom of and cause of sexuality-based disparities. Copyright © 2017

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

    Directory of Open Access Journals (Sweden)

    Henderson, Neil

    2016-08-01

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

  7. Religion and suicide risk in lesbian, gay and bisexual Austrians.

    Science.gov (United States)

    Kralovec, Karl; Fartacek, Clemens; Fartacek, Reinhold; Plöderl, Martin

    2014-04-01

    Religion is known to be a protective factor against suicide. However, religiously affiliated sexual minority individuals often report a conflict between religion and sexual identity. Therefore, the protective role of religion against suicide in sexual minority people is unclear. We investigated the effect of religion on suicide risk in a sample of 358 lesbian, gay and bisexual Austrians. Religion was associated with higher scores of internalized homophobia, but with fewer suicide attempts. Our data indicate that religion might be both a risk and a protective factor against suicidality in religiously affiliated sexual minority individuals.

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

    Science.gov (United States)

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

    2016-12-01

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

  9. Stability of Bisexual Behavior and Extent of Viral Bridging Behavior Among Men Who Have Sex with Men and Women.

    Science.gov (United States)

    Friedman, M Reuel; Stall, Ron; Plankey, Michael; Shoptaw, Steve; Herrick, A L; Surkan, Pamela J; Teplin, Linda; Silvestre, Anthony J

    2017-05-01

    Bisexual men experience significant health disparities likely related to biphobia. Biphobia presents via several preconceptions, including that bisexuality is transitory, and that bisexual men act as viral bridges between men who have sex with men and heterosexual populations. We analyzed data from a prospective cohort of gay and bisexual men, the Multicenter AIDS Cohort Study, to test these preconceptions. Men reporting both male and female sexual partners (MSMW) between 2002 and 2009 (n = 111) were classified as behaviorally bisexual. We assessed five hypotheses over two domains (transience of bisexual behavior and viral bridging). No evidence was found supporting the transitory nature of bisexuality. Trajectories of bisexual behavior were not transient over time. We found little evidence to support substantial viral bridging behavior. Notably, HIV-positive MSMW reported lower proportions of female partners than HIV-negative MSMW. Our results provide no empirical support for bisexual transience and scant support for viral bridging hypotheses. Our results provide key data showing that male bisexual behavior may be stable over long time periods and that behaviorally bisexual men's risk to female sexual partners may be lower than expected.

  10. Successful ageing in lesbian, gay and bisexual older people: a concept analysis.

    Science.gov (United States)

    Caceres, Billy A; Frank, Mayu O

    2016-09-01

    The aim of this study was to report on an analysis of the concept of successful ageing in lesbian, gay and bisexual older people. Research indicates that lesbian, gay and bisexual older people experience significant health disparities. Yet there is a lack of understanding on what factors contribute to successful ageing in this population. Nursing has lagged behind other disciplines in investigating the health of lesbian, gay and bisexual older people. A concept analysis using Rodgers' evolutionary method. Twenty studies were retrieved by searching PubMed, CINAHL, PsycInfo, EMBASE, Cochrane Library and Scopus for English-language peer-reviewed studies published from January 2004 to March 2014. The antecedents, attributes and consequences of the concept were identified through the Rodgers' method of concept analysis. Attributes included support from families of origin and/or families of choice, access to lesbian, gay, and bisexual-friendly services and crisis competence. Self-realisation of lesbian, gay and bisexual identity (coming out to oneself) and age >50 were identified as antecedents. Three consequences of successful ageing in lesbian, gay and bisexual older people were social engagement, optimism and resilience. Successful ageing in lesbian, gay and bisexual older people is defined as a subjective and multifactorial concept that is characterised by support from families of origin/families of choice, access to lesbian, gay, and bisexual-friendly services and the development of crisis competence skills which impact the ageing experience of LGB individuals. Successful ageing models can provide a roadmap for developing culturally competent interventions to address key healthcare issues present in this population. The nursing profession's multidisciplinary knowledge and competence in providing health promotion makes nurses well positioned to take a leading role in reducing disparities of lesbian, gay and bisexual older people. © 2016 John Wiley & Sons Ltd.

  11. Nursing's silence on lesbian, gay, bisexual, and transgender issues: the need for emancipatory efforts.

    Science.gov (United States)

    Eliason, Michele J; Dibble, Suzanne; Dejoseph, Jeanne

    2010-01-01

    The purpose of this study was to selectively review the nursing literature for publications related to lesbian, gay, bisexual, and transgender health, using (1) a key word search of CINAHL, the database of nursing and allied health publications; (2) from the top-10 nursing journals by 5-year impact factor from 2005 to 2009, counting articles about lesbian, gay, bisexual, and transgender issues; and (3) content analysis of the articles found in those journals. Only 0.16% of articles focused on lesbian, gay, bisexual, and transgender health (8 of nearly 5000 articles) and were biased toward authors outside of the United States. We discuss the impact of this silence.

  12. Sexual Relationships, Behaviors, and Experiences among Bisexual Men in Mumbai, India.

    Science.gov (United States)

    Dodge, Brian; Banik, Swagata; Bowling, Jessamyn; Sivasubramanian, Murugesan; Mengle, Shruta; Schick, Vanessa; Herbenick, Debby; Kavi, Ashok Row; Anand, Vivek

    2016-01-01

    This exploratory study aimed to assess a range of sexual behaviors, relationships and related factors among a sample of bisexual men in Mumbai, India. Data collection occurred in two separate phases: 1. focus group discussions were facilitated with local community members in order to finalize an interviewer-administered questionnaire, and 2. structured interviews were conducted with a sample of 50 bisexual men using this questionnaire. Participants self-reported a wide range of sexual behaviors and relationships. Findings have implications for future research and practice focusing on bisexual men in India, as well as their partners of all genders.

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

    Science.gov (United States)

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

    2017-02-01

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

  14. 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

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

    Science.gov (United States)

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

    2016-01-01

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

  16. 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.

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

    National Research Council Canada - National Science Library

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

    2011-01-01

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

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

    Science.gov (United States)

    Angelides, Steven

    2006-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Verrastro Valera

    2016-09-01

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

  20. The association between bullying and physical health among gay, lesbian, and bisexual individuals.

    Science.gov (United States)

    Zou, Christopher; Andersen, Judith P; Blosnich, John R

    2013-01-01

    Research suggests that lesbian, gay, and bisexual (LGB) populations experience higher prevalence of school bullying than heterosexuals. We examined if (a) verbal versus physical bullying were differentially associated with physical health among sexual minorities and (b) if sexual identity (i.e., homosexual [i.e., lesbian/gay] vs. bisexual) moderated the association of bullying on physical health. LGB adults aged 18 to 66 years (n = 463) were recruited online. Participants reported high school experiences of verbal and physical bullying and physician-diagnosed health conditions. Physical and verbal bullying were related to physical health conditions (ps bisexual persons (p bisexually identified individuals compared to lesbian/gay individuals. Future research should strive to disentangle potential differences in the relationship between bullying and health within sexual minority groups.

  1. Income, social support networks, life satisfaction: Lesbians, gays, and bisexuals in Germany

    OpenAIRE

    Kroh, Martin; Kühne, Simon; Kipp, Christian; Richter, David

    2017-01-01

    Towards the very end of this legislative period, a cross-caucus parliamentary majority gave same-sex marriage the green light - progress for the legal equality of homosexuals in Germany. This report focuses on the life situations of homosexual and bisexual people in Germany. The careers they pursue, for example, differ from those of heterosexuals. Hourly wages are an area of significant disparity: homosexual and bisexual men earn less per hour than heterosexual men with the same qualification...

  2. Genetic factors increase fecundity in female maternal relatives of bisexual men as in homosexuals.

    Science.gov (United States)

    Ciani, Andrea Camperio; Iemmola, Francesca; Blecher, Stan R

    2009-02-01

    Recent studies on male homosexuals showed increased fecundity of maternal female relatives of homosexual probands, compared to those of heterosexual controls. We have suggested that these data could be explained by the transmission, in the maternal line, of an X-linked genetic factor that promotes androphilic behavior in females and homosexuality in males. Our original studies were on relatives of male subjects who declared themselves to be exclusively homosexual. However, the relationship between homosexuality and bisexuality, including the possibility of shared genetic factors, is complex and largely unexplored. To cast light on this issue, in the present study we examined whether relatives of bisexuals show the same indirect fitness advantage as previously demonstrated for homosexuals. Subjects completed a questionnaire on their sexual orientation, sexual behavior, and their own and their relatives' fecundity. We studied 239 male subjects, comprising 88 who were exclusively or almost exclusively heterosexual (pooled to comprise our "heterosexual" group), 86 who were bisexual, and 65 exclusively or almost exclusively homosexual individuals (pooled in our "homosexual" group). Bisexuals were here defined on the basis of self-identification, lifetime sexual behavior, marital status, and fecundity. We show that fecundity of female relatives of the maternal line does not differ between bisexuals and homosexuals. As in the previous study on homosexuals, mothers of bisexuals show significantly higher fecundity, as do females in the maternal line (cumulated fecundity of mothers, maternal grandparents, and maternal aunts), compared to the corresponding relatives of heterosexual controls.This study also shows that both bisexuals and homosexuals were more frequently second and third born. However, only homosexuals had an excess of older male siblings, compared to heterosexuals. We present evidence of an X-chromosomal genetic factor that is associated with bisexuality in men

  3. 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.

  4. Health Care Disparities Among Lesbian, Gay, Bisexual, and Transgender Youth: A Literature Review

    OpenAIRE

    Hafeez, Hudaisa; Zeshan, Muhammad; Tahir, Muhammad A; Jahan, Nusrat; Naveed, Sadiq

    2017-01-01

    About 3.5% Americans identify themselves as lesbian, gay, or bisexual while 0.3% identify themselves as transgender. The LGBT (lesbian, gay, bisexual, and transgender) community belongs to almost every race, ethnicity, religion, age, and socioeconomic group. The LGBT youth are at a higher risk for substance use, sexually transmitted diseases (STDs), cancers, cardiovascular diseases, obesity, bullying, isolation, rejection, anxiety, depression, and suicide as compared to the general population...

  5. Aging Perceptions in Older Gay and Bisexual Men in Portugal: A Qualitative Study.

    Science.gov (United States)

    Pereira, Henrique; Serrano, Juan Pedro; de Vries, Brian; Esgalhado, Graça; Afonso, Rosa Marina; Monteiro, Samuel

    2017-01-01

    Aims and Objectives The purpose of this study was to explore the perceptions toward aging among Portuguese gay and bisexual men over 60 years old. Background Despite the growth of the older population, and the increased visibility and acceptance of lesbian, gay, and bisexual people in Western countries, the experience of aging in older gay and bisexual men is only beginning to be understood. Design We used a qualitative research methodology, based on critical gerontology, for establishing research questions and to identify the perspectives on the aging process in older gay and bisexual individuals. Methods We used a structured electronic inquiry with 25 gay and bisexual men over 60 years of age from Portugal. Data were analyzed using thematic analysis to help identify repeated patterns of meaning in the data set. Results The recurrent themes in the narratives of the aging experiences of the participants in the study were as follows: positive perceptions of aging, negative perceptions of aging, coping with being a gay/bisexual man and family ties, professional care, homophobia/discrimination, relationships and social support, intergenerational differences, mediating role of sexual orientation, sociopolitical changes, and personal characteristics. Conclusion Analysis of perceptions about the aging process in older gay and bisexual men emphasized the desire for normalization in the social awareness of sexual orientation. It is important to continue doing research on this topic and disseminate this information among professionals who work with older lesbian, gay, and bisexual people so that they may better understand how they can meet the specific needs of this population.

  6. 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’...

  7. In Lesbian, Gay and Bisexual Individuals: Attachment, Self-compassion and Internalized Homophobia: A Theoretical Study

    OpenAIRE

    Zeynep Set; Ahmet Altýnok

    2016-01-01

    Homophobia is seen as a factor which affects the mental health of not only heterosexual individuals but also of homosexual and bisexual individuals. In this study, attachment, self-compassion and internalized homophobia in lesbian, gay and bisexual (LGB) individuals are evaluated. Furthermore, it is aimed to explain in detail the historical process of the place of the concept of homosexuality in mental health literature and the concepts related tointernalized homophobia. Within this context, ...

  8. Mental health and substance use among bisexual youth and non-youth in Ontario, Canada.

    Directory of Open Access Journals (Sweden)

    Lori E Ross

    Full Text Available Research has shown that bisexuals have poorer health outcomes than heterosexuals, gays, or lesbians, particularly with regard to mental health and substance use. However, research on bisexuals is often hampered by issues in defining bisexuality, small sample sizes, and by the failure to address age differences between bisexuals and other groups or age gradients in mental health. The Risk & Resilience Survey of Bisexual Mental Health collected data on 405 bisexuals from Ontario, Canada, using respondent-driven sampling, a network-based sampling method for hidden populations. The weighted prevalence of severe depression (PHQ-9 ≥ 20 was 4.7%, possible anxiety disorder (OASIS ≥ 8 was 30.9%, possible post-traumatic stress disorder (PCL-C ≥ 50 was 10.8%, and past year suicide attempt was 1.9%. With respect to substance use, the weighted prevalence of problem drinking (AUDIT ≥ 5 was 31.2%, and the weighted prevalence of illicit polydrug use was 30.5%. Daily smoking was low in this sample, with a weighted prevalence of 7.9%. Youth (aged 16-24 reported significantly higher weighted mean scores on depression and post-traumatic stress disorder, and higher rates of past year suicidal ideation (29.7% vs. 15.2% compared with those aged 25 and older. The burden of mental health and substance use among bisexuals in Ontario is high relative to population-based studies of other sexual orientation groups. Bisexual youth appear to be at risk for poor mental health. Additional research is needed to understand if and how minority stress explains this burden.

  9. Mental Health and Substance Use among Bisexual Youth and Non-Youth in Ontario, Canada

    Science.gov (United States)

    Ross, Lori E.; Bauer, Greta R.; MacLeod, Melissa A.; Robinson, Margaret; MacKay, Jenna; Dobinson, Cheryl

    2014-01-01

    Research has shown that bisexuals have poorer health outcomes than heterosexuals, gays, or lesbians, particularly with regard to mental health and substance use. However, research on bisexuals is often hampered by issues in defining bisexuality, small sample sizes, and by the failure to address age differences between bisexuals and other groups or age gradients in mental health. The Risk & Resilience Survey of Bisexual Mental Health collected data on 405 bisexuals from Ontario, Canada, using respondent-driven sampling, a network-based sampling method for hidden populations. The weighted prevalence of severe depression (PHQ-9≥20) was 4.7%, possible anxiety disorder (OASIS≥8) was 30.9%, possible post-traumatic stress disorder (PCL-C≥50) was 10.8%, and past year suicide attempt was 1.9%. With respect to substance use, the weighted prevalence of problem drinking (AUDIT≥5) was 31.2%, and the weighted prevalence of illicit polydrug use was 30.5%. Daily smoking was low in this sample, with a weighted prevalence of 7.9%. Youth (aged 16–24) reported significantly higher weighted mean scores on depression and post-traumatic stress disorder, and higher rates of past year suicidal ideation (29.7% vs. 15.2%) compared with those aged 25 and older. The burden of mental health and substance use among bisexuals in Ontario is high relative to population-based studies of other sexual orientation groups. Bisexual youth appear to be at risk for poor mental health. Additional research is needed to understand if and how minority stress explains this burden. PMID:25111292

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

    Science.gov (United States)

    Flentje, Annesa; Livingston, Nicholas A; Roley, Jason; Sorensen, James L

    2015-11-01

    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. Substance abuse treatment admissions data from the County of San Francisco were used in this investigation of differences in mental and physical health problems and service utilization between LGB (n=1,441) and heterosexual individuals (n=11,770). LGB individuals were more likely to have mental health diagnoses (adjORs ranging from 1.86 to 4.00) and current mental health prescription medications (adjORs from 1.79 to 4.99) than heterosexual counterparts. Gay and bisexual men and bisexual women but not lesbian women, were more likely to be receiving mental health treatment. Gay men and bisexual women were more likely than heterosexual counterparts to report physical health problems. Gay and bisexual men and bisexual women but not lesbian women were more likely to be receiving health care. There were no differences between LGB individuals and heterosexual counterparts in the number of emergency room visits or hospital overnight stays. This study found that LGB individuals entering substance abuse treatment have greater mental and physical health needs than heterosexual counterparts. Implications for healthcare integration, research, and practice are discussed. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Heterosexual behaviour, risk factors and sexually transmitted infections among self-classified homosexual and bisexual men.

    Science.gov (United States)

    Evans, B A; Bond, R A; MacRae, K D

    1998-03-01

    Our study of men presenting at a genitourinary medicine clinic shows that self-classification into homosexual or bisexual does not accurately define behaviour. We found that 8.5% of self-defined homosexual men had had heterosexual intercourse in the past year and that 26% of self-defined bisexual men had not. Overall, 19% of homosexual/bisexual men reported vaginal intercourse in the past year and a further 42% in their lifetime. Compared with heterosexual men attending our clinic, the practising bisexual men were significantly more likely to come from a white ethnic group (P difference in consent for HIV testing between homosexual (43%), practising bisexual (49%) and heterosexual (42%) men despite significantly different perceptions of risk. None of the practising bisexual men was seropositive for HIV infection (P = 0.06) or for syphilis (P = 0.02), or had chlamydial infection, which was found infrequently among homosexual men in general (P = 0.00001). HIV infection found in 19.4% of the exclusively homosexual men was associated with more frequent alcohol consumption (P=0.06).

  12. A Transdiagnostic Minority Stress Treatment Approach for Gay and Bisexual Men’s Syndemic Health Conditions

    Science.gov (United States)

    Pachankis, John E.

    2015-01-01

    Developing and deploying separate treatments for separate conditions seems ill-suited to intervening upon the co-occurring, and possibly functionally similar, psychosocial conditions facing gay and bisexual men. This article argues for the need to create transdiagnostic interventions that reduce multiple syndemic conditions facing gay and bisexual men at the level of their shared source in minority stress pathways. This article first reviews psychosocial syndemic conditions affecting gay and bisexual men, then suggests pathways that might link minority stress to psychosocial syndemics based on recent advancements in emotion science, psychiatric nosology, and cognitive-affective neuroscience, and finally suggests cross-cutting psychosocial treatment principles to reduce minority stress–syndemic pathways among gay and bisexual men. Because minority stress serves as a common basis of all psychosocial syndemic conditions reviewed here, locating the pathways through which minority stress generates psychosocial syndemics and employing overarching treatment principles capable of simultaneously alleviating these pathways will ultimately create a transdiagnostic approach to improving gay and bisexual men’s health. Clinical research and training approaches are suggested to further validate the pathways suggested here, establish the efficacy of treatment approaches tied to those pathways, and generate effective methods for disseminating a transdiagnostic minority stress treatment approach for gay and bisexual men’s psychosocial syndemic health. PMID:26123065

  13. 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

    2013-07-01

    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.

  14. 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.

  15. Sexual Self-Identification among Behaviorally Bisexual Men in the Midwestern United States

    Science.gov (United States)

    Baldwin, Aleta; Dodge, Brian; Schick, Vanessa; Hubach, Randolph D.; Bowling, Jessamyn; Malebranche, David; Goncalves, Gabriel; Schnarrs, Phillip W.; Reece, Michael; Fortenberry, J. Dennis

    2014-01-01

    Previous social and behavioral research on identity among bisexual men, when not subsumed within the category of men who have sex with men (MSM), has primarily focused on samples of self-identified bisexual men. Little is known about sexual self-identification among men who are behaviorally bisexual, regardless of sexual identity. Using qualitative data from 77 in-depth interviews with a diverse sample of behaviorally bisexual men (i.e., men who have had sex with at least one woman and at least one man in the past six months) from a large city in the Midwestern United States, we analyzed responses from a domain focusing on sexual self-identity and related issues. Overall, participants’ sexual self-identification was exceptionally diverse. Three primary themes emerged: (1) a resistance to, or rejection of, using sexual self-identity labels; (2) concurrent use of multiple identity categories and the strategic deployment of multiple sexual identity labels; and (3) a variety of trajectories to current sexual self-identification. Based on our findings, we offer insights into the unique lived experiences of behaviorally bisexual men, as well as broader considerations for the study of men’s sexuality. We also explore identity-related information useful for the design of HIV/STI prevention and other sexual health programs directed toward behaviorally bisexual men, which will ideally be variable and flexible in accordance with the wide range of diversity found in this population. PMID:25344028

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

    Science.gov (United States)

    Martinez, Omar; 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. Men described their unique migration experiences as behaviourally bisexual men in this area of the USA, as well as related sexual risk behaviours and health concerns. Lack of culturally congruent public health and community resources for behaviourally bisexual men in the Midwestern USA were identified as significant barriers. As in other studies, familial and community relationships were significant for the participants, especially in terms of the decision to disclose or not disclose their bisexuality. Additionally, alcohol and other drugs were often used while engaging in sexual behaviours particularly with male and transgender, as well as female, partners. Behaviourally bisexual Latino men may benefit from receiving positive and affirmative individual- and structural-level support in regards to their unique experiences in this and other settings. PMID:21815839

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

    Science.gov (United States)

    Muñoz-Laboy, Miguel A.

    2015-01-01

    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 study. Four configurations of sexual desire were constructed to reflect what was found in this population of bisexually-active Latino men: (a) lifetime homoerotic desire and casual sex with women; (b) lifetime heteroerotic desire, but commercial sex with men; (c) lifetime heteroerotic/transgender desire; (d) lifetime sexual desire for women and men. These configurations are explored in detail in this article. The analysis presented here is intended to offer insights into the overall study of Latino male bisexuality and into the foundations for the design of HIV and STI prevention programs directed toward bisexually-active Latino men and their partners. PMID:26412977

  18. The influence of early drinking contexts on current drinking among adult lesbian and bisexual women.

    Science.gov (United States)

    Parks, Cheryl A; Heller, Nina Rovinelli

    2013-01-01

    Differences exist in alcohol-related outcomes across subgroups of sexual minority women. Likewise, stressors associated with coming out and living as lesbian or bisexual are hypothesized to be highly variable. Lesbians' and bisexual women's risks for hazardous drinking are explored in a 2006 NIAAA-funded interview study of women living in the Northeastern United States. The primary objective of the present study is to replicate and extend an earlier analysis of the relationship between early drinking contexts and current drinking outcomes of adult lesbians with a convenience sample that includes a subgroup of self-identified bisexual women. Potential differences in the early drinking contexts of these two groups of self-identified lesbian and bisexual women are also explored. Bivariate and multiple regression analyses are used to examine relationships between early drinking contexts and current drinking of a racially and age-diverse convenience sample of 145 adult lesbian (N = 94) and bisexually identified (N = 51) women. Consistent with previous research, patterns established while coming out have an enduring effect on drinking outcomes of lesbians; findings for bisexual women are inconclusive. Implications for research and practice are discussed.

  19. Focusing "down low": bisexual black men, HIV risk and heterosexual transmission.

    Science.gov (United States)

    Millett, Gregorio; Malebranche, David; Mason, Byron; Spikes, Pilgrim

    2005-01-01

    INTRODUCTION: Black men who have sex with men (MSM) and women but who do not identify as gay or disclose their bisexual activities to main female partners, also known as men "on the down-low," have been cited as the main reason for the increase in HIV infections in black women. METHODS: Three online databases (PsychInfo, MEDLINE and AIDSLINE) were searched for scientific articles related to men on the down-low. A total of 24 articles and two conference abstracts were selected for review. RESULTS: Data from existing studies of MSM reveal low agreement between professed sexual identity and corresponding sexual behavior among black and other MSM; show that black MSM are more likely than MSM of other racial or ethnic groups to be bisexually active or identified; and, compared with white MSM, are less likely to disclose their bisexual or homosexual activities to others. However, black MSM who do not disclose their homosexual or bisexual activities engage in a lower prevalence of HIV risks than black MSM who do disclose; and black men who are currently bisexually active account for a very small proportion of the overall population of black men (2%). CONCLUSION: The high prevalence of HIV in the black community and the greater likelihood of bisexuality among black men place heterosexual black women at risk for HIV infection. However, the contribution of high-risk heterosexual black men to the rising HIV caseload among black women has been largely ignored. Future research must evaluate the relative contributions of bisexual men and exclusively heterosexual black men to HIV cases among black women. PMID:16080458

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

    Science.gov (United States)

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

    2010-04-01

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

  1. 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.

  2. 'Lavender retirement': a questionnaire survey of lesbian, gay and bisexual people's accommodation plans for old age.

    Science.gov (United States)

    Neville, Stephen; Henrickson, Mark

    2010-12-01

    A global increase in older people will also mean an increase in the numbers of lesbian, gay and bisexual people requiring residential support. All health practitioners working with older people need to be aware of the existence of older lesbian, gay and bisexual people in order to provide health care that is appropriate. This study describes lesbian, gay and bisexual people's accommodation plans for old age through a cross-sectional quantitative survey design. Participants were recruited through mainstream and lesbian, gay and bisexual media and venues. A total of 2269 participants completed the 133-item survey. When asked about what accommodation plans they had for their older years lesbian, gay and bisexual people identified that they were least likely to choose living in a retirement community/facility. However, if unable to live independently the majority of respondents identified they would prefer to live in a retirement facility that specifically catered for people who did not identify as heterosexual. This study has found that the residential support sector needs to be prepared to provide a health service that is person-centred, free from discriminatory practices and meets the needs of all health consumers regardless of sexual orientation. © 2010 Blackwell Publishing Asia Pty Ltd.

  3. Perceived Determinants of Mental Health for Bisexual People: A Qualitative Examination

    Science.gov (United States)

    Dobinson, Cheryl; Eady, Allison

    2010-01-01

    Objectives. We examined the determinants of mental health, as perceived by bisexual people, in order to begin understanding the disparities in the rates of mental health problems reported by bisexual people versus those reported by heterosexual people, and, in many studies, gay men and lesbians. Methods. Our community-based participatory action research project comprised focus groups and semistructured interviews with 55 bisexual people across the province of Ontario, Canada. Results. Perceived determinants of emotional well-being identified by participants could be classified as macrolevel (social structure), mesolevel (interpersonal), or microlevel (individual). In the context of this framework, monosexism and biphobia were perceived to exert a broad-reaching impact on participants' mental health. Conclusions. Like other marginalized populations, bisexual people perceive experiences of discrimination as important determinants of mental health problems. Additional research is required to examine the relationships between these perceived determinants of emotional well-being and specific mental health outcomes and to guide interventions, advocacy, and support for bisexual people. PMID:20075326

  4. Survey of curriculum on homosexuality/bisexuality in departments of family medicine.

    Science.gov (United States)

    Tesar, C M; Rovi, S L

    1998-04-01

    This study assesses what US departments of family medicine are doing to teach undergraduate medical students about homosexuality/bisexuality and the care of gay, lesbian, and bisexual patients. A two-page, 14-item, self-administered questionnaire was sent to predoctoral directors at all US medical schools with departments of family medicine (n = 116). The questionnaire asked about teaching methods and curriculum hours, whether other departments address the topic, and if there is a gay/lesbian/bisexual student group at the medical school. Of the 116 predoctoral directors surveyed, 95 (82%) responded. The mean number of departmental curriculum hours devoted to this topic was 2.5 hours for all 4 years of undergraduate medical school. About half (50.6%) of respondents reported that their department spent zero hours teaching about homosexuality/bisexuality. There were no differences in time spent by geographic region, size of school, or between public and private institutions. The most frequently cited teaching method was lectures in medical ethics, followed closely by lectures in human sexuality. About half of the responding family medicine departments did not include this topic in their curricula. Homosexuality/bisexuality should be included in family medicine's curriculum to ensure that future primary care physicians can properly care for all of their patients. Recommendations for curriculum modifications are provided.

  5. Dietary Patterns during Adulthood among Lesbian, Bisexual, and Heterosexual Women in the Nurses' Health Study II.

    Science.gov (United States)

    VanKim, Nicole A; Austin, S Bryn; Jun, Hee-Jin; Hu, Frank B; Corliss, Heather L

    2017-03-01

    Lesbian and bisexual women are at greater risk of being obese than heterosexual women; however, there is little research on dietary intake among lesbian and bisexual women. This study estimated differences in dietary quality and intake during adulthood comparing heterosexual women to lesbian and bisexual women. Biennial mailed questionnaires were used to collect data from a cohort between 1991 and 2011. Heterosexual-identified women were the reference group. More than 100,000 female registered nurses in the United States, aged 24 to 44 years, were recruited in 1989 to participate in the Nurses' Health Study II. More than 90% of the original sample are currently active in the study. About 1.3% identified as lesbian or bisexual. Dietary measures were calculated from a 133-item food frequency questionnaire administered every 4 years. Measures included diet quality (Alternative Healthy Eating Index-2010 and Dietary Approaches to Stop Hypertension); calorie, fat, and fiber intake; and glycemic load and index. Multivariable adjusted repeated measures linear regression models were fit. On average, lesbian and bisexual women reported better diet quality (Pbisexual women reported higher diet quality than heterosexuals. More research examining how diet affects risk for chronic conditions, such as diabetes, among sexual minorities is needed. Physical activity, sedentary behavior, disordered eating behaviors, and psychosocial and minority stress should be explored as potential contributors to higher rates of obesity among sexual minority women. Copyright © 2017 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  6. "Como Se Dice HIV?" Adapting Human Immunodeficiency Virus Prevention Messages to Reach Homosexual and Bisexual Hispanic Men: The Importance of Hispanic Cultural and Health Beliefs.

    Science.gov (United States)

    Bowdy, Matthew A.

    HIV/AIDS prevention messages catered to Anglo homosexual/bisexual men are not effective in teaching preventative behaviors to Hispanic homosexual/bisexual men. Hispanic sociocultural traits associated with homosexuality and bisexuality prevent the effectiveness of these messages. The Hispanic family is also extremely important in influencing…

  7. From Silence to Safety and Beyond: Historical Trends in Addressing Lesbian, Gay, Bisexual, Transgender Issues in K-12 Schools

    Science.gov (United States)

    Griffin, Pat; Ouellett, Mathew

    2003-01-01

    The purpose of this article is to provide an historical overview of changing perspectives in education practice and literature on addressing lesbian, gay, bisexual, transgender (LGBT) issues in public K-12 schools. This article describes how the presentation and analysis of lesbian, gay, bisexual, and transgender issues in the past 80 years have…

  8. What Gay, Bisexual and Other Men Who Have Sex with Men Need to Know about Sexually Transmitted Diseases

    Science.gov (United States)

    ... Twitter STD on Facebook CDC Fact Sheet: What Gay, Bisexual and Other Men Who Have Sex with Men Need to Know About Sexually Transmitted ... has sex can get an STD, sexually active gay, bisexual and other men who have sex with men (MSM) are at greater risk. In ...

  9. A Holistic Approach to Addressing HIV Infection Disparities in Gay, Bisexual, and Other Men Who Have Sex with Men

    Science.gov (United States)

    Halkitis, Perry N.; Wolitski, Richard J.; Millett, Gregorio A.

    2013-01-01

    Gay, bisexual, and other men who have sex with men (MSM) have been disproportionately affected by HIV and AIDS since the beginning of the epidemic in the United States and in many other parts of the world. The HIV epidemic is inextricably tied to other health problems that disproportionately affect gay, bisexual, and other MSM including…

  10. 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…

  11. The Significance of Privacy and Trust in Providing Health-Related Services to Behaviorally Bisexual Men in the United States

    Science.gov (United States)

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

    2012-01-01

    Previous research suggests that bisexual men face unique health concerns in comparison to their exclusively homosexual and heterosexual counterparts. However, little is known about behaviorally bisexual men's experiences with health services, including ways of providing services that would be most appropriate to meet the health needs of this…

  12. We’re Here and We’re Queer: Sexual Orientation and Sexual Fluidity Differences Between Bisexual and Queer Women

    Science.gov (United States)

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

    2017-01-01

    Theorists and researchers have noted an overlap between bisexually-identified and queer-identified individuals. Whereas early definitions of bisexuality may have been predominantly binary (i.e., attracted to women and men), in recent years there has been a move toward a more “queer” understanding of bisexuality (e.g., attraction to more than one gender beyond female and male). The purpose of this study was to examine similarities and differences between bisexually-identified and queer-identified adult women, ages 18–66 years, on sociodemographic characteristic, two dimensions of sexual orientation (sexual behaviors and attractions), fluidity in attractions and sexual orientation identity, and identity centrality and affirmation in an online sample (N = 489), which was mostly from the United States (73.5%). Our results indicated that bisexual and queer women were similar in terms of sociodemographic characteristics, with the exception of education; queer women were more educated than bisexual women. Queer women were also more likely than bisexual women to report variability in their sexual behaviors and attractions and more fluidity in their sexual orientation identity. Additionally, queer women reported higher levels of identity centrality and affirmation than bisexual women. Considerations for sexual minority women’s health research are discussed. PMID:29249909

  13. Women's sexual identity patterns: differences among lesbians, bisexuals, and unlabeled women.

    Science.gov (United States)

    Brooks, Kelly D; Quina, Kathryn

    2009-01-01

    To better understand women with same-sex attractions who do not identify as lesbian or bisexual (i.e., unlabeled women), we examined differences and similarities among self-designated lesbian, bisexual, and unlabeled women. Two hundred eight non-heterosexual women ranging in age from 18 to 69 years (85% identified as White) completed an online survey examining indicators of sexual orientation and beliefs and self-perceptions associated with sexual identity. Compared to lesbians, unlabeled women reported the weakest collective sexual identities and, along with bisexuals, they were less likely to view sexual orientation as fixed, being more focused on the "person, not the gender." Unlabeled women reported the greatest likelihood that their sexual identity would change in the future. These findings highlight the complexity of women's sexual identities and question the adequacy of categorical approaches.

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

    Science.gov (United States)

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

    2015-01-01

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

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

    Science.gov (United States)

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

    2004-07-01

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

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

    Directory of Open Access Journals (Sweden)

    Brian Joseph Gillespie

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

  17. Negotiating sexuality in home care settings: older lesbians and bisexual women's experiences.

    Science.gov (United States)

    Grigorovich, Alisa

    2015-01-01

    There is evidence that lesbians and bisexual women often face prejudice and stigma when accessing routine primary healthcare services. However, limited research to date has examined their experiences outside of primary healthcare contexts or the perspectives of older healthcare users. This paper presents findings from a qualitative study of older lesbians and bisexual women in Ontario who accessed publicly-funded home care services. In qualitative in-depth interviews, 16 women responded to questions about their decision making around disclosure of their sexuality, home care workers' reactions to disclosure and their experiences of receiving care. The thematic analysis of participants' responses demonstrated that they experienced isolation and ongoing anxiety, as well overt and subtle examples of heterosexism and discrimination. However, there was also evidence of participants' resilience and resistance to heteronormativity and sexual minority stress. These findings have implications for our understanding of lesbians' and bisexual women's healthcare experiences and for policy recommendations.

  18. 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.

  19. 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. © The Author(s) 2016.

  20. The Significance of Privacy and Trust in Providing Health-Related Services to Behaviorally Bisexual Men in the United States

    Science.gov (United States)

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

    2012-01-01

    Previous research suggests that bisexual men face unique health concerns in comparison to their exclusively homosexual and heterosexual counterparts. However, little is known about behaviorally bisexual men’s experiences with health services, including ways of providing services that would be most appropriate to meet the health needs of this population. This study sought to understand preferences for health-related services among behaviorally bisexual men in the Midwestern United States. Using a community-based research approach, a diverse sample of 75 behaviorally bisexual men was recruited for in-depth interviews. Qualitative data were analyzed utilizing inductive coding through established team-based protocols to ensure reliability. Themes emerged involving the importance of privacy and trust when reaching, recruiting, and engaging behaviorally bisexual men in health services. Findings suggest that multifaceted approaches are needed, including those that provide relevant and confidential services while allowing for the development and ongoing maintenance of trust. PMID:22676463

  1. Sexual Behaviors and Experiences among Behaviorally Bisexual Men in the Midwestern United States

    Science.gov (United States)

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

    2011-01-01

    Research examining the sexual behaviors and experiences of behaviorally bisexual men is limited. Most studies focus primarily on highlighting sexual risk behaviors among groups of “men who have sex with men (MSM)” or “gay and bisexual men,” which may not be appropriate in terms of behaviorally bisexual men’s sexual repertoires with both men and women. This study aimed to assess a broad range of sexual behaviors and associated experiences among bisexual men living in the midwestern United States. An interviewer-administered questionnaire containing items from the National Survey of Sexual Health and Behavior assessed lifetime and recent (i.e., past six months and last event) sexual behaviors and experiences with both male and female partners among a diverse sample of 75 behaviorally bisexual men. Responses were quantified and analyzed using descriptive and multivariate statistics. A wide range of sexual behaviors with partners of both genders was found. Vaginal intercourse and oral sex with both men and women were the most commonly reported behaviors. Subjective reports of pleasure, arousal, and sexual function during sexual activity were similar with both male and female partners. Many participants reported using condoms during insertive sexual behaviors with male and female partners, but less during oral sex. Unprotected receptive anal sex was less commonly reported. Overall, participants reported a variety of sexual behaviors and experiences; however, unlike other populations, they shared these with partners of both genders. Results have implications for interventions targeting the sexual behaviors and associated issues among behaviorally bisexual men. PMID:22187027

  2. Discrimination against gay, lesbian and bisexual family physicians by patients

    Science.gov (United States)

    Druzin, P; Shrier, I; Yacowar, M; Rossignol, M

    1998-01-01

    BACKGROUND: Discrimination against gay, lesbian and bisexual (GLB) patients by physicians is well known. Discrimination against GLB physicians by their colleagues and superiors is also well known and includes harassment, denial of positions and refusal to refer patients to them. The purpose of this study was to identify and quantify the attitudes of patients toward GLB physicians. METHODS: Telephone interviews were conducted with 500 randomly selected people living in a large urban Canadian city. Subjects were asked if they would refuse to see a GLB family physician and, if so, to describe the reason why. They were then given a choice of 6 reasons obtained from consultation with 10 GLB people and 10 heterosexual people. RESULTS: Of the 500 subjects 346 (69.2%) were reached and agreed to participate. Of the 346 respondents 41 (11.8%) stated that they would refuse to see a GLB family physician. The 2 most common reasons for the discrimination (prevalence rate more than 50%) were that GLB physicians would be incompetent and the respondent would feel "uncomfortable" having a GLB physician. Although more male than female respondents discriminated against GLB physicians, the difference was not statistically significant. The proportion of male and female respondents who discriminated increased with age (p discrimination against GLB family physicians is significant. The results suggest that the discrimination is based on emotional reasons and is not related to such factors as misinformation about STDs and fear of being thought of sexually. Therefore, educational efforts should be directed against general perceptions of homosexuality rather than targeting specific medical concerns. PMID:9526472

  3. Sexual orientation, bullying for being labeled gay or bisexual, and steroid use among US adolescent boys.

    Science.gov (United States)

    Parent, Mike C; Bradstreet, Tyler C

    2018-03-01

    Use of anabolic-androgenic steroids is a public health concern for adolescent boys. This study examined bullying based on being labeled gay/bisexual and steroid use among US adolescent boys, including sexual orientation disparities. Data from 2660 boys from the 2015 Youth Behavior Risk Survey were used. Among heterosexual boys, steroid use was higher among those who reported being bullied due to being labeled gay or bisexual. No such relationship existed among non-heterosexual boys. The results speak to the need to address issues of masculinity in clinical work with boys and young men.

  4. Family relationships and sexual orientation disclosure to family by gay and bisexual men in Jamaica

    Science.gov (United States)

    White, Yohann; Sandfort, Theo; Morgan, Kai; Carpenter, Karen; Pierre, Russell

    2016-01-01

    Gay and bisexual men in Jamaica encounter stigma and discrimination due to criminalization of and negative attitudes towards same-sex sexuality. Disclosure of sexual orientation may be self-affirming, but could increase exposure to negative responses and stressors. Outcomes of an online survey among 110 gay and bisexual Jamaican men ages 18 to 56 years suggest that disclosure to family is affected by level of economic independence. Furthermore, negative familial responses to sexual identity significantly predicted depression. Social and structural interventions, and efforts to strengthen positive family relationships, are needed to foster an environment that enables well-being among sexual minorities in Jamaica. PMID:28243342

  5. In Lesbian, Gay and Bisexual Individuals: Attachment, Self-compassion and Internalized Homophobia: A Theoretical Study

    Directory of Open Access Journals (Sweden)

    Zeynep Set

    2016-12-01

    Full Text Available Homophobia is seen as a factor which affects the mental health of not only heterosexual individuals but also of homosexual and bisexual individuals. In this study, attachment, self-compassion and internalized homophobia in lesbian, gay and bisexual (LGB individuals are evaluated. Furthermore, it is aimed to explain in detail the historical process of the place of the concept of homosexuality in mental health literature and the concepts related tointernalized homophobia. Within this context, studies regarding attachment, self-compassion and internalized homophobia inLGB individuals are addressed and suggestions are made regarding their relationship with mental health. [JCBPR 2016; 5(3.000: 135-144

  6. Towards the Development of an Intimate Partner Violence Screening Tool for Gay and Bisexual Men

    Science.gov (United States)

    Stephenson, Rob; Hall, Casey D.; Williams, Whitney; Sato, Kimi; Finneran, Catherine

    2013-01-01

    Introduction: Recent research suggests that gay and bisexual men experience intimate partner violence (IPV) at rates comparable to heterosexual women. However, current screening tools used to identify persons experiencing IPV were largely created for use with heterosexual women. Given the high prevalence of IPV among gay and bisexual men in the United States, the lack of IPV screening tools that reflect the lived realities of gay and bisexual men is problematic.This paper describes the development of a short-form IPV screening tool intended to be used with gay and bisexual men. Methods: A novel definition of IPV, informed by formative Focus Group Discussions, was derived from a quantitative survey of approximately 1,100 venue-recruited gay and bisexual men. From this new definition, a draft IPV screening tool was created. After expert review (n=13) and cognitive interviews with gay and bisexual men (n=47), a screening tool of six questions was finalized.A national, online-recruited sample (n=822) was used to compare rates of IPV identified by the novel tool and current standard tools. Results: The six-item, short-form tool created through the six-stage research process captured a significantly higher prevalence of recent experience of IPV compared to a current and commonly used screening tool (30.7% versus 7.5%, ptool described additional domains of IPV not currently found in screening tools, including monitoring behaviors, controlling behaviors, and HIV-related IPV. The screener takes less than five minutes to complete and is 6th grade reading level. Conclusion: Gay and bisexual men experiencing IPV must first be identified before services can reach them. Given emergent literature that demonstrates the high prevalence of IPV among gay and bisexual men and the known adverse health sequela of experiencing IPV, this novel screening tool may allow for the quick identification of men experiencing IPV and the opportunity for referrals for the synergistic management of

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

    Science.gov (United States)

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

    2014-11-01

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

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

    Directory of Open Access Journals (Sweden)

    Horim Yi

    2017-10-01

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

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

    Science.gov (United States)

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

    2017-01-01

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

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

    Science.gov (United States)

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

    2017-07-01

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

  11. Bisexual Women's Experience of Microaggressions and Microaffirmations: A Community-Based, Mixed-Methods Scale Development Project.

    Science.gov (United States)

    Flanders, Corey E; LeBreton, Marianne; Robinson, Margaret

    2018-02-23

    In order to better serve bisexual women, clinicians and researchers need tools that accurately reflect and capture bisexual women's experiences of stigma and affirmation. These tools are essential as research indicates that bisexual women experience poorer mental health than either heterosexual or lesbian women. Our community-based study developed and psychometrically evaluated the Bisexual Microaggression and Microaffirmation Scales for Women (BMMS-W). We held focus groups and advisory committee meetings with bisexual women to identify common experiences of microaggressions and microaffirmations and drafted over 200 potential survey items. Exploratory factor analysis of data from 382 participants across Canada and the U.S. yielded five microaggression factors (dismissal; mistrust; sexualization; social exclusion; and denial of complexity) and four microaffirmation factors (acceptance; social support; recognition of bisexuality and biphobia; and emotional support). Confirmatory factor analysis of data from a separate sample of 323 participants across Canada and the U.S. tested the model. The development of the BMMS-W responds to calls to examine the distinctiveness of bisexual women's experience and gives mental health service providers and researchers a tool to better understand their experiences.

  12. 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…

  13. Lesbian, Gay, Bisexual, and Transgender Rights: A Human Rights Perspective. Human Rights Education Series, Topic Book.

    Science.gov (United States)

    Donahue, David M.

    This curriculum is intended to further thoughtful examination and responsible action among high school students about lesbian, gay, bisexual, and transgender (LGBT) issues. Unlike other curricula this discussion is not in the context of civil or political rights but in the broader context of human rights. These rights, as defined in the Universal…

  14. 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…

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

    Science.gov (United States)

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

    2017-01-01

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

  16. Teacher Discourse on Lesbian, Gay and Bisexual Pupils in Scottish Schools

    Science.gov (United States)

    McIntyre, Elizabeth

    2009-01-01

    This paper reports on a study which surveyed and interviewed teachers on their perceptions of the barriers and facilitators to the inclusion of lesbian, gay and bisexual (LGB) pupils in school. The outcomes indicated that there was a silencing of diverse sexualities in schools. In theory, teachers had adopted an individual liberal humanitarian…

  17. Breaking the Silence. Supporting Gay, Lesbian, Bisexual, Transgender, and Questioning Youth.

    Science.gov (United States)

    Sanford, Gary

    1999-01-01

    Asserts that most gay young people grow up in a culture where social forces preclude healthy growth. Looks at the attitudes that define this culture, and challenges families, youth-serving agencies, and communities to provide gay, lesbian, bisexual, transgender, and questioning youth with the love, protection, and support that they deserve. (JOW)

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

    Science.gov (United States)

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

    1998-01-01

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

  19. Lesbian, Gay, and Bisexual Homeless Youth: An Eight-City Public Health Perspective

    Science.gov (United States)

    Van Leeuwen, James M.; Boyle, Susan; Salomonsen-Sautel, Stacy; Baker, D. Nico; Garcia, J. T.; Hoffman, Allison; Hopfer, Christian J.

    2005-01-01

    This article reports on results of a one-day public health survey conducted in six states by homeless youth providers to measure and compare risk factors between lesbian, gay, and bisexual (LGB) homeless youth and non-LGB homeless youth. This article intends to inform the child welfare field on existing gaps in services and areas where more…

  20. 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…

  1. Statistics in Social Context: Using Issues of Lesbians, Gays, Bisexuals and Transsexuals in Teaching Statistics.

    Science.gov (United States)

    Kellermeier, John

    2002-01-01

    Describes a "criticalmathematics" approach to teaching statistics that uses gay, lesbian, bisexual, and transsexual issues and statistics about them as teaching examples. The inclusions of these social issues gives the analysis of statistical data more relevance and encourages students to question, understand, and confront information more…

  2. Chasing the rainbow: lesbian, gay, bisexual, transgender and queer youth and pride semiotics.

    Science.gov (United States)

    Wolowic, Jennifer M; Heston, Laura V; Saewyc, Elizabeth M; Porta, Carolyn; Eisenberg, Marla E

    2017-05-01

    While the pride rainbow has been part of political and social intervention for decades, few have researched how lesbian, gay, bisexual, transgender and queer young people perceive and use the symbol. How do lesbian, gay, bisexual, transgender and queer youth who experience greater feelings of isolation and discrimination than heterosexual youth recognise and deploy the symbol? As part of a larger study on supportive lesbian, gay, bisexual, transgender and queer youth environments, we conducted 66 go-along interviews with lesbian, gay, bisexual, transgender and queer youth people from Massachusetts, Minnesota and British Columbia. During interviews, young people identified visible symbols of support, including recognition and the use of the pride rainbow. A semiotic analysis reveals that young people use the rainbow to construct meanings related to affiliation and positive feelings about themselves, different communities and their futures. Constructed and shared meanings help make the symbol a useful tool for navigating social and physical surroundings. As part of this process, however, young people also recognize that there are limits to the symbolism; it is useful for navigation but its display does not always guarantee supportive places and people. Thus, the pride rainbow connotes safety and support, but using it as a tool for navigation is a learned activity that requires caution.

  3. 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…

  4. Sexual Agreement Classifications for Gay and Bisexual Men and Implications for Harm Reduction HIV Prevention

    Science.gov (United States)

    Wilkerson, J. Michael; Smolenski, Derek J.; Morgan, Richard; Rosser, B. R. Simon

    2012-01-01

    HIV prevention educators frequently encourage gay and bisexual men (GBM) to negotiate condom use prior to sexual engagement. Identifying groups of GBM based on their presexual agreements can aid efforts to tailor interventions. Using cross-sectional data from 1,188 GBM who reported having sex with a nonprimary sex partner in the 90 days prior to…

  5. 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

  6. 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…

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

    Directory of Open Access Journals (Sweden)

    Z. Zarabi Zadeh

    2010-12-01

    Full Text Available 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.

  8. 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…

  9. Special Issue: Stonewall's Legacy--Bisexual, Gay, Lesbian, and Transgender Students in Higher Education

    Science.gov (United States)

    Marine, Susan

    2011-01-01

    This monograph explores the progress being made on American college campuses, particularly four-year colleges and universities, through the lens of change in the time since the Stonewall riots happened in June 1969. Frequently heralded as the opening salvo in the war against oppression of bisexual, gay, lesbian, and transgender (BGLT) people and…

  10. 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…

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

    Science.gov (United States)

    Frost, David M.; Meyer, Ilan H.

    2009-01-01

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

  12. 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.

  13. 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 with men are at increased risk of becoming infected with both the hepatitis A virus and the hepatitis B virus. Although these ...

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

    Science.gov (United States)

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

    2013-01-01

    Sexual identity development is a central task of adolescence and young adulthood and can be especially challenging for sexual minority youth. Recent research has moved from a stage model of identity development in lesbian, gay, and bisexual (LGB) youth to examining identity in a non-linear, multidimensional manner. In addition, although families…

  15. Childhood Gender Atypicality, Victimization, and PTSD among Lesbian, Gay, and Bisexual Youth

    Science.gov (United States)

    D'Augelli, Anthony R.; Grossman, Arnold H.; Starks, Michael T.

    2006-01-01

    This study examined childhood gender atypicality, lifetime victimization based on sexual orientation, and current mental health, including trauma symptoms and posttraumatic stress disorder (PTSD), among 528 lesbian, gay, and bisexual youth. Nearly 80% reported verbal victimization, 11% physical, and 9% sexual, with males reporting significantly…

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

    Science.gov (United States)

    Olive, James L.

    2015-01-01

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

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

    OpenAIRE

    Frost, David M.; Meyer, Ilan H.

    2009-01-01

    We examined the associations between internalized homophobia, outness, community connectedness, depressive symptoms, and relationship quality among a diverse community sample of 396 lesbian, gay, and bisexual (LGB) individuals. Structural equation models showed that internalized homophobia was associated with greater relationship problems both generally and among coupled participants independent of outness and community connectedness. Depressive symptoms mediated the association between inter...

  18. 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…

  19. 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…

  20. 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…

  1. 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…

  2. 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…

  3. 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…

  4. 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…

  5. An Examination of Counselors' Religiosity, Spirituality, and Lesbian-, Gay-, and Bisexual- Affirmative Counselor Competence

    Science.gov (United States)

    Farmer, Laura Boyd

    2017-01-01

    Counselors in school and community settings, counselor educators and counseling students (N = 453) participated in a study of self-perceived competence to serve lesbian, gay and bisexual (LGB) clients. Using the same large data set as Farmer, Welfare, and Burge (2013), the author examined different research questions focused on counselor…

  6. 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…

  7. 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.

  8. 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…

  9. 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…

  10. Functional bisporangiate cones in Pinus johannis (Pinaceae): Implications for the evolution of bisexuality in seed plants.

    Science.gov (United States)

    Flores-Rentería, Lluvia; Vázquez-Lobo, Alejandra; Whipple, Amy V; Piñero, Daniel; Márquez-Guzmán, Judith; Domínguez, C A

    2011-01-01

    Bisexuality (male and female function in one structure) has been reported as a key innovation of angiosperms. Although there are several reports of "teratological" bisporangiate (bisexual) cones in gymnosperms, there have been none on the viability of their ovules and pollen. Analyses of the development and arrangement of female and male structures on bisporangiate cones of Pinus johannis enables us to gain insight on the origin of bisexuality in seed plants, for both angiosperms and gymnosperms. Viability of bisporangiate cones was assayed by performing manual crosses and using anatomical and histological methods. We determined that bisporangiate cones of P. johannis produce functional pollen and ovules. Male and female organs occupy basal and apical positions, respectively, the same positions found in almost all bisporangiate strobili in gymnosperms and bisexual flowers in angiosperms. The viability and spatial distribution of female and male organs of bisporangiate cones and their frequent occurrence in gymnosperms suggest a common mechanism in all seed plants for the production of bisporangiate structures. This idea is further supported by the presence of homologous genes for sexual organ identity in gymnosperms and angiosperms as reported by other authors. The lack of bisporangiate structure in gymnosperms may be primarily due to selection to avoid inbreeding rather than to genetic constraint.

  11. Measuring Attitudes Regarding Bisexuality in Lesbian, Gay Male, and Heterosexual Populations.

    Science.gov (United States)

    Mohr, Jonathan J.; Rochlen, Aaron B.

    1999-01-01

    Reports on studies on the development and validation of the Attitudes Regarding Bisexuality Scale (ARBS). In heterosexuals, subscales were strongly related to attitudes toward lesbians and gay men, frequency of religious attendance, political ideology, and prior contact. In lesbians and gay men, subscales correlated with prior experiences and…

  12. Visibility Management in School and Beyond: A Qualitative Study of Gay, Lesbian, Bisexual Youth.

    Science.gov (United States)

    Lasser, Jon; Tharinger, Deborah

    2003-01-01

    Proposes visibility management as a key construct in gay, lesbian, and bisexual (GLB) identity development. Visibility management refers to the dynamic, ongoing process by which GLB youth make careful, planned decisions about whether they will disclose their sexual orientation, to whom and how they disclose, and how they continue to monitor the…

  13. Work Discrimination and Coping Strategies: Conceptual Frameworks for Counseling Lesbian, Gay, and Bisexual Clients.

    Science.gov (United States)

    Chung, Y. Barry

    2001-01-01

    Proposes conceptual models for work discrimination and discrimination coping strategies pertaining to lesbian, gay, and bisexual workers. The work discrimination model includes three dimensions (formal vs. informal, potential vs. encountered, and perceived vs. real), and the coping strategies model outlines methods that deal with potential and…

  14. Gay, Lesbian, and Bisexual Youths' Perceptions of Their High School Environments and Comfort in School.

    Science.gov (United States)

    Elze, Diane E.

    2003-01-01

    Study investigated gay, lesbian, and bisexual adolescents' perceptions of their school environment; their experiences with victimization and professional support in school; and individual, peer, and family factors associated with perceptions of and comfort in school environments. Findings suggest school social workers can play key roles in…

  15. How Counselors Are Trained to Work with Bisexual Clients in CACREP-Accredited Programs

    Science.gov (United States)

    Bonjo, Laurie Anne

    2013-01-01

    In spite of recent progress toward addressing the need for cultural competence with lesbian and gay-identified clients, bisexual-identified clients continue to be marginalized in the principles, theories, and methods of studying sexuality as well as in the training provided by counselor educators. A descriptive content analysis was conducted to…

  16. Ethical and Professional Issues in Career Assessment with Lesbian, Gay, and Bisexual Persons.

    Science.gov (United States)

    Chung, Y. Barry

    2003-01-01

    Proposes a framework for the consideration of ethical and professional issues in career assessment with lesbian, gay, and bisexual persons. The framework includes three domains--practice, research, and education--and outlines counselor attitudes/awareness, knowledge, and skills for the first two domains. (Contains 57 references.) (SK)

  17. Contributions of Multicultural Counseling to Counselor Competence with Lesbian, Gay, and Bisexual Clients.

    Science.gov (United States)

    Israel, Tania; Selvidge, Mary M. D.

    2003-01-01

    This article outlines the contributions of multicultural counseling to 3 areas of counselor competence with lesbian, gay male, and bisexual male and female (LGB) clients: conceptualization of competence, counselor education, and assessment of counselor competence. The authors describe the foundations of multicultural counseling and extend the…

  18. 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…

  19. Perceived Social Support from Friends and Family and Psychosocial Functioning in Bisexual Young Adult College Students

    Science.gov (United States)

    Sheets, Raymond L., Jr.; Mohr, Jonathan J.

    2009-01-01

    In this study, the authors investigated the degree to which perceived social support was associated with depression, life satisfaction, and internalized binegativity in a sample of 210 bisexual young adult college students. Two types of social support (general and sexuality specific) and 2 sources of social support (family and friends) were…

  20. 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 people,…

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

    Science.gov (United States)

    Shah, Shanon

    2016-01-01

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

  2. 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…

  3. A comparative analysis of a community and general sample of lesbian, gay and bisexual individuals

    NARCIS (Netherlands)

    Kuyper, L.; Fernee, H; Keuzenkamp, S.

    2016-01-01

    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

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

    Science.gov (United States)

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

    2015-09-01

    Bisexual- and lesbian-identified women have significantly worse mental health than heterosexual women. Less evidence exists about mental health differences between lesbian and bisexual women. Self-completion survey with community-based, opportunistic sampling recruited 937 bisexual-identified and 4769 lesbian-identified women. Associations between sexual identity and mental health indicators were assessed by logistic regression, controlling for age, income, student status and employment. As a group, bisexual women were younger, poorer, and more likely to be trans-identified, minority ethnic identified and to use marijuana, compared with lesbians. Bisexuals were more likely than lesbians to report eating problems (adjusted odds ratio (AOR) = 1.64, P < 0.001), self-harm (AOR = 1.37, P = 0.001), depressed feelings (AOR = 1.26, P = 0.022) and anxiety (AOR = 1.20, P = 0.037). Fewer bisexual women attended lesbian or bisexual social events, were 'out', or had experienced any sexuality-related discrimination, compared with lesbians. More bisexual women reported poor mental health or psychological distress than did lesbians. Bisexual women may be more likely to experience social stress due to the 'double discrimination' of homophobia and biphobia. This stress, experienced mainly as internalized and felt stigma, could result in greater risk for poor mental health compared with lesbians. Addressing both biphobia and homophobia within UK society has important preventative mental health implications. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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

    Directory of Open Access Journals (Sweden)

    Brian Dodge

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

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

    Science.gov (United States)

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

    2016-01-01

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

  7. Factors Influencing Access to Sexual Health Care Among Behaviorally Bisexual Men in Vientiane, Laos: A Qualitative Exploration.

    Science.gov (United States)

    Bowring, Anna L; Pasomsouk, Nakhornphet; Higgs, Peter; Sychareun, Vanphanom; Hellard, Margaret; Power, Robert

    2015-11-01

    In Laos, men who have sex with men (MSM) are disproportionately affected by HIV, and bisexual behavior among men is common. We conducted a qualitative study to explore access and influences on sexual health care seeking among bisexual men in Vientiane. In 2013, behaviorally bisexual men were recruited from bars, clubs and dormitories for 5 focus group discussions and 11 in-depth interviews. Participants (aged 18-35 years) commonly reported high-risk sexual behaviors, yet most had never been tested for HIV, and none reported testing for sexually transmitted infections. Common barriers to testing were low perception of risk, expectation of symptoms, fear of HIV, shyness, perceived stigma, confidentiality concerns, and waiting times. Many men were unaware of available services. Most clinics cannot provide comprehensive HIV and sexually transmitted infection services. Strategies are needed to generate demand for testing, improve the capacity of sexual health care providers, and promote available services among behaviorally bisexual men in Vientiane. © 2015 APJPH.

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

    NARCIS (Netherlands)

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

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

  9. The Interrelations Between Internalized Homophobia, Depressive Symptoms, and Suicidal Ideation Among Australian Gay Men, Lesbians, and Bisexual Women.

    Science.gov (United States)

    McLaren, Suzanne

    2016-01-01

    Internalized homophobia has been linked to depression among gay men, lesbians, and bisexuals. Relatively little research has investigated the link between internalized homophobia and suicidal thoughts and behaviors. The current research investigated the interrelations among internalized homophobia, depressive symptoms, and suicidal ideation by testing additive, mediation, and moderation models. Self-identified Australian gay men (n = 360), lesbians (n = 444), and bisexual women (n = 114) completed the Internalized Homophobia Scale, the Center for Epidemiological Studies Depression Scale, and the suicide subscale of the General Health Questionnaire. Results supported the additive and partial mediation models for gay men and the mediation and moderation models for lesbians. None of the models were supported for bisexual women. The findings imply that clinicians should focus on reducing internalized homophobia and depressive symptoms among gay men and lesbians, and depressive symptoms among bisexual women, to reduce suicidal ideation.

  10. “…And Then There was the Down Low”: Introduction to Black and Latino Male Bisexualities

    Science.gov (United States)

    Sandfort, Theo G. M.; Dodge, Brian

    2008-01-01

    Although a recent proliferation of mass media has drawn attention to “the new Down Low phenomenon” (presumably “secretive” homosexuality among married Black men), relatively little research has explored bisexual behavior and identity among ethnic minority men in the United States or elsewhere. Although the study of bisexuality in Black and Latino men is significant in its own right, disproportionate rates of HIV/AIDS among these men make the current dearth of scientific information even more urgent and concerning. In this special section, we have compiled a diverse array of empirical and theoretical perspectives on Black and Latino male bisexualities. A wide range of information on the individual, social, and sexual lives of these men, and potential relations to risk behavior, are presented. This article introduces this new body of work and offers suggestions for future research directions for culturally appropriate interventions for Black and Latino bisexual men. PMID:18506614

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

    Science.gov (United States)

    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 toward bisexuality, from both homosexual and heterosexual individuals, impacted participants’ feelings regarding their own sexualities. Isolation was also commonly reported. Programs are greatly needed that focus on the specific mental health and other concerns voiced by these men. Based on our study findings, such programs should emphasize self-acceptance, social network and community building, and ways to maximize available social support, similar to community-level empowerment interventions that have shown success among gay-identified men. PMID:22745591

  12. An exploration of bisexual, lesbian, and heterosexual women's body dissatisfaction, and body hair and make-up practices

    OpenAIRE

    Hayfield, N.; Halliwell, E.; Clarke, V.

    2017-01-01

    Body image pressures for heterosexual women are well established. However, lesbian body image is less well understood, while bisexual women have largely been overlooked with the psychological literature. Further, women's investment in ‘traditional’ appearance practices associated with femininity are underexplored. The current study explored differences between 472 heterosexual, lesbian, and bisexual women on measures of body satisfaction, body hair practices, and cosmetics use. While there we...

  13. It is more than sex and clothes: Culturally safe services for older lesbian, gay, bisexual, transgender and intersex people.

    Science.gov (United States)

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

    2015-10-01

    This paper outlines the development of culturally safe services for older lesbian, gay, bisexual, transgender and intersex people. It draws on a framework for cultural safety, developed in New Zealand which incorporates an understanding of how history, culture and power imbalances influence the relationship between service providers and Maori people. This has been adapted to the needs of older lesbian, gay, bisexual, transgender and intersex Australians. © 2015 AJA Inc.

  14. Substance use among lesbian, gay, and bisexual clients entering substance abuse treatment: Comparisons to heterosexual clients.

    Science.gov (United States)

    Flentje, Annesa; Heck, Nicholas C; Sorensen, James L

    2015-04-01

    This study evaluated whether sexual orientation-specific differences in substance use behaviors exist among adults entering substance abuse treatment. Admissions records (July 2007-December 2009) were examined for treatment programs in San Francisco, California receiving government funding. Lesbian, gay, and bisexual (LGB) persons (n = 1,441) were compared to heterosexual persons (n = 11,770) separately by sex, examining primary problem substance of abuse, route of administration, age of first use, and frequency of use prior to treatment. Regarding bisexual males, the only significant finding of note was greater prevalence of methamphetamine as the primary substance of abuse. When compared to heterosexual men, gay and bisexual men evidenced greater rates of primary problem methamphetamine use (44.5% and 21.8%, respectively, vs. 7.7%, adjusted odds ratios [ORs] 6.43 and 2.94), and there was lower primary heroin use among gay men (9.3% vs. 25.8%, OR 0.35). Among LGB individuals, race and ethnicity did not predict primary problem substance, except that among LGB men and women, a non-White race predicted cocaine use (OR 4.83 and 6.40, respectively), and among lesbian and bisexual women, Hispanic ethnicity predicted lower odds of primary cocaine use (OR 0.24). When compared to heterosexual men, gay men were more likely to smoke their primary problem substance (OR 1.61), first used this substance at an older age (M = 23.16 vs. M = 18.55, p substance fewer days prior to treatment (M = 8.75 vs. M = 11.41, p substance use for gay and bisexual men entering substance abuse treatment, but women did not evidence differences. Gay men evidenced unique factors that may reflect less severity of use when entering treatment including fewer days of use and a later age of initiation of their primary problem substances. The results underscore the importance of being sensitive to differences between gay, bisexual, and heterosexual males when considering substance use disorders. (Psyc

  15. 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. © The Author(s) 2015.

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

    Science.gov (United States)

    Anderssen, Norman; Malterud, Kirsti

    2017-08-01

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

  17. Building nurses' capacity to address health inequities: incorporating lesbian, gay, bisexual and transgender health content in a family nurse practitioner programme.

    Science.gov (United States)

    Yingling, Charles T; Cotler, Karen; Hughes, Tonda L

    2017-09-01

    To describe our experience in incorporating lesbian, gay, bisexual and transgender health content into the family nurse practitioner curriculum at a Midwestern college of nursing in the United States. Globally, lesbian, gay, bisexual and transgender people face disparities in the domains of physical health, behavioural risks, mental health and victimisation. There remains a paucity of nursing research on most aspects of lesbian, gay, bisexual and transgender health and access to care. To date, nursing leadership and curricular bodies have not provided clear guidance on the role of nurse educators in preparing nursing students to provide care to lesbian, gay, bisexual and transgender people. Discursive paper describing the development of a lesbian, gay, bisexual and transgender health learning module for inclusion in a family nurse practitioner programme. We summarise health disparities experienced by lesbian, gay, bisexual and transgender people, describe the process of module development and outline the learning content included in the module. We also discuss challenges faced in incorporating lesbian, gay, bisexual and transgender content into nursing curricula. Despite the lack of formal direction from the nursing sector, nursing faculty should prepare nursing students to provide culturally sensitive and competent care to lesbian, gay, bisexual and transgender people. Our experience incorporating lesbian, gay, bisexual and transgender-specific content into the family nurse practitioner programme has proven to be positive for both students and faculty. Given their large numbers and presence across systems of care, nurses are uniquely positioned to address barriers to care faced by lesbian, gay, bisexual and transgender people. Modules such as the one described here can be used by nurse faculty to guide the inclusion of lesbian, gay, bisexual and transgender-specific content in family nurse practitioner or other nursing courses-as well as to guide the development

  18. Health care services for lesbian and bisexual women: some Canadian data.

    Science.gov (United States)

    Mathieson, Cynthia M; Bailey, Natasha; Gurevich, Maria

    2002-02-01

    Specific health needs and health services for lesbian and bisexual women are relatively invisible in existing research, with little Canadian data on these topics. To redress such gaps, data were selectively analyzed from a larger study with 98 lesbian/bisexual women living in a Maritime Province in Canada. As part of a semistructured interview, women were asked to indicate whether a particular health care service was important to them. General physical examination, Pap smear, breast examination, and holistic medicine were the four services chosen with the highest frequency. HIV/AIDS information/screening and safer sex information were judged important by over half of the participants. When asked to rank their top three services, however, participants chose the physical examination, holistic medicine, and psychological counseling. Our results are discussed in terms of barriers to basic health care, accessibility of services, and the importance of accurate information about AIDS and safer sex.

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

    Science.gov (United States)

    Lim, Fidelindo A; Hsu, Richard

    2016-01-01

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

  20. Elevated rates of suicidal behavior in gay, lesbian, and bisexual youth.

    Science.gov (United States)

    Bagley, C; Tremblay, P

    2000-01-01

    Both clinical and epidemiological literature point to elevated rates of suicidal behaviors in gay, lesbian, and bisexual youth (GLBY). Recent North American and New Zealand studies of large populations (especially the US Youth Risk Behavior Surveys from several states) indicate that gay, lesbian, and bisexual adolescents (males in particular) can have rates of serious suicide attempts at least four times those of apparently heterosexual youth. There are various reasons why this figure is likely to be an underestimate. Reasons for these elevated rates of suicidal behavior include a climate of homophobic persecution in schools, and sometimes in family and community--values and actions that stigmatize homosexuality and that the youth who has not yet "come out" has to endure in silence.

  1. Health Care Disparities Among Lesbian, Gay, Bisexual, and Transgender Youth: A Literature Review.

    Science.gov (United States)

    Hafeez, Hudaisa; Zeshan, Muhammad; Tahir, Muhammad A; Jahan, Nusrat; Naveed, Sadiq

    2017-04-20

    About 3.5% Americans identify themselves as lesbian, gay, or bisexual while 0.3% identify themselves as transgender. The LGBT (lesbian, gay, bisexual, and transgender) community belongs to almost every race, ethnicity, religion, age, and socioeconomic group. The LGBT youth are at a higher risk for substance use, sexually transmitted diseases (STDs), cancers, cardiovascular diseases, obesity, bullying, isolation, rejection, anxiety, depression, and suicide as compared to the general population. LGBT youth receive poor quality of care due to stigma, lack of healthcare providers' awareness, and insensitivity to the unique needs of this community. The main objective of this literature review is to highlight the challenges faced by the LGBT youth and to enhance the awareness among physicians about the existing disparities in order to provide a more comprehensive, evidence-based, and humane medical care to this community.

  2. Positive Identity Experiences of Young Bisexual and Other Nonmonosexual People: A Qualitative Inquiry.

    Science.gov (United States)

    Flanders, Corey E; Tarasoff, Lesley A; Legge, Melissa Marie; Robinson, Margaret; Gos, Giselle

    2017-01-01

    The majority of LGBTQ psychological research focuses on dysfunction. The exclusion of strengths-based perspectives in LGBTQ psychology limits the understanding of LGBTQ mental health. In this article we report experiences that young bisexual and other nonmonosexual people perceive as affirming of their sexual identity. A 28-day, daily diary study was used to investigate whether bisexual-identified participants encountered positive experiences related to their sexual identity, and which type of experiences they perceived to be positive. Using a constructivist grounded theory approach, participants' experiences were organized according to a social ecological model. Experiences were reported at the intrapersonal, interpersonal, and institutional levels, but most positive sexual identity experiences occurred at the interpersonal level. Implications for positive health outcome research and the integration of positive psychology with LGBTQ psychology are discussed, as well as study limitations.

  3. 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.

  4. Infantile bisexuality and the 'complete oedipal complex': Freudian views on heterosexuality and homosexuality.

    Science.gov (United States)

    Heenen-Wolff, Susann

    2011-10-01

    In the psychoanalytical discussion of what is 'mature' sexuality we speak of the 'genital' stage and the 'resolution' of the oedipal complex in the form of identification with the parent of the same sex and a heterosexually-directed object choice. A close reading of Freud's texts about sexuality shows that such a normative view cannot be corroborated by his viewpoint. He suggests that infantile sexuality is bisexually orientated, the final object choice due to repression of either homosexual or heterosexual desires. As Freud puts it, genital heterosexuality occurs out of necessity for procreation. In order to enrich the present psychoanalytical discussion about homosexuality and bisexuality the author returns to Freud's theories in this context. Copyright © 2011 Institute of Psychoanalysis.

  5. Rape Myth Acceptance Among Lesbian, Gay, Bisexual, and Mostly Heterosexual College Students.

    Science.gov (United States)

    Worthen, Meredith G F

    2017-09-01

    Although there is a wealth of existing research on various correlates and patterns of rape myth acceptance (RMA), including how RMA relates to homophobia (i.e., antigay and antilesbian perspectives) and negativity toward lesbian, gay, and bisexual (LGB) men and women rape victims, no research to date has specifically focused on RMA among LGB and "mostly heterosexual" men and women. The current study examines how gender, sexual identity, personal experiences with rape (i.e., knowing/being a survivor), feminist identity, patriarchal gender norms, attitudes toward lesbian, gay, bisexual, and transgender (LGBT) people, and the interactions among these relate to LGB college students' ( n = 389; 24% gay/lesbian, 19% bisexual, 57% mostly heterosexual) RMA using the Illinois Rape Myth Acceptance Scale-Short Form. Findings show that being a woman, being LGB, identifying as a feminist, and knowing/being a survivor are all negatively related to RMA, whereas patriarchal gender norms are positively related to RMA. Attitudes toward LGBT people had differing effects whereby attitudes toward gay men were unassociated with RMA, attitudes toward lesbian women and trans men were negatively associated with RMA, and attitudes toward bisexual men and women and trans women differed depending on the comparison reference group (exclusive heterosexuals, n = 1,551, mostly heterosexuals, n = 222). Furthermore, the interacting effects of these identities, experiences, and perspectives also revealed significant findings that add complexity to these relationships. Overall, this research seeks to fill the gaps in the literature, expand our knowledge about rape myths, and contribute to new lines of inquiry that focus on LGB people's perspectives to work toward a deeper understanding of rape myths, so that ultimately, these damaging perspectives can be dispelled.

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

    Science.gov (United States)

    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, the major transcriptional regulator of the pathway. However, the downstream targets of the pathway are largely unknown, and homology-based approaches have failed to yield downstream transcriptional regulators or other targets. In this study, we applied insertional mutagenesis via Agrobacterium tumefaciens transkingdom DNA delivery to identify mutants with unisexual reproduction defects. In addition to elements known to be involved in sexual development (Crg1, Ste7, Mat2, and Znf2), three key regulators of sexual development were identified by our screen: Znf3, Spo11, and Ubc5. Spo11 and Ubc5 promote sporulation during both bisexual and unisexual reproduction. Genetic and phenotypic analyses provide further evidence implicating both genes in the regulation of meiosis. Phenotypic analysis of sexual development showed that Znf3 is required for hyphal development during unisexual reproduction and also plays a central role during bisexual reproduction. Znf3 promotes cell fusion and pheromone production through a pathway parallel to and independent of the pheromone signaling cascade. Surprisingly, Znf3 participates in transposon silencing during unisexual reproduction and may serve as a link between RNAi silencing and sexual development. Our studies illustrate the power of unbiased genetic screens to reveal both novel and conserved circuits that operate sexual reproduction. PMID:23966871

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

    Science.gov (United States)

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

    2015-01-01

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

  8. 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...

  9. 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

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

    Science.gov (United States)

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

    2013-01-01

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

  11. Sex differences in psychosocial correlates of concurrent substance use among heterosexual, homosexual and bisexual college students.

    Science.gov (United States)

    Schauer, Gillian L; Berg, Carla J; Bryant, Lawrence O

    2013-07-01

    College students identifying as Lesbian, Gay or Bisexual (LGB) are at increased risk for substance use. Few studies have assessed correlates of concurrent substance use, which increases the risk for substance use disorders. The current study aimed to (1) examine differences in substance use among male and female sexual minorities and (2) explore the impact of psychosocial factors on the relationship between sexual identity and concurrent substance use. A web-based survey assessing health behavior, psychosocial characteristics, attitudes and demographics was administered to students from six colleges in the southeastern US. A total of 4840 students responded to the survey; 2.9% reported a homosexual identity (n = 111) and 3.5% reported a bisexual identity (n = 135). Multivariable modeling was used to assess the relationship between sexual identity and the number of substances used, adjusting for demographic and psychosocial factors. Bisexual females were significantly more likely than their homosexual or heterosexual counterparts to report tobacco use (p differences in substances used existed among males. Adjusted for age and ethnicity, homosexually- and bisexually-identified females were more likely to have concurrent substance use than those who identified as heterosexual (p < 0.0001 and p < 0.0001, respectively). Adjusting for psychosocial factors decreased the magnitude and significance of the association (p < 0.01 and p < 0.001, respectively). Female sexual minorities are at high risk for substance use. Targeting specific psychosocial factors might be useful in efforts to address use of tobacco, alcohol and marijuana among LGB young adults.

  12. The Role of Maladaptive Cognitions in Hypersexuality among Highly Sexually Active Gay and Bisexual Men

    OpenAIRE

    Pachankis, John E.; Rendina, H. Jonathon; Ventuneac, Ana; Grov, Christian; Parsons, Jeffrey T.

    2014-01-01

    Cognitive appraisals about sex may represent an important component of the maintenance and treatment of hypersexuality, but they are not currently represented in conceptual models of hypersexuality. Therefore, we validated a measure of maladaptive cognitions about sex and examined its unique ability to predict hypersexuality. Qualitative interviews with a pilot sample of 60 highly sexually active gay and bisexual men and expert review of items yielded a pool of 17 items regarding maladaptive ...

  13. Correlated Preferences for Male Facial Masculinity and Partner Traits in Gay and Bisexual Men in China.

    Science.gov (United States)

    Zheng, Lijun; Zheng, Yong

    2015-07-01

    Previous studies have documented the correlation between preferences for male facial masculinity and perceived masculinity: women who rate their male partner as more masculine tend to prefer more masculine faces. Men's self-rated masculinity predicts their female partner's preference for masculinity. This study examined the association between other trait preferences and preference for male facial masculinity among 556 gay and bisexual men across multiple cities in China. Participants were asked to choose the three most important traits in a romantic partner from a list of 23 traits. Each participant was then asked to choose a preferred face in each of 10 pairs of male faces presented sequentially, with each pair consisting of a masculinized and feminized version of the same base face. The results indicated that preferences for health and status-related traits were correlated with preferences for male facial masculinity in gay and bisexual men in China; individuals who were more health- or status-oriented in their preferences for a romantic partner preferred more masculine male faces than individuals with lower levels of these orientations. The findings have implications for the correlated preferences for facial masculinity and health- and status-related traits and may be related to perceived health and dominance/aggression of masculine faces based on a sample of non-Western gay and bisexual men.

  14. Pros and cons of condom use among gay and bisexual men as explored via the Internet.

    Science.gov (United States)

    Gullette, Donna L; Turner, Joan G

    2003-01-01

    The purpose of this study was to conduct a survey utilizing Internet technology related to gay and bisexual men's condom use behavior as an expression of safer sexual practices. A total of 241 self-identified gay and bisexual men responded to the questionnaire in a 3-month period of time. Confidentiality was assured by utilizing an electronic system whereby the respondents e-mail address was eliminated. The study was conceptually guided by the use of the Transtheoretical Model of Behavioral Change (TMC) and the pros and cons of condom of use were explored. Fifty-six percent of the participants reported that one advantage (pro) of using condoms with casual partners was that it would make them safer from disease. About half of the respondents (n = 119, 49%) reported a history of one or more sexually transmitted diseases. There were 14 variables found to be significantly associated with using a condom with primary and casual partners among gay and bisexual men. Essentially, findings from this study corresponded to results obtained by more traditional data collection methods. Therefore, the authors conclude that electronic data collection may well be an alternative means for collecting sensitive data such as those collected in this study.

  15. 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.

  16. Stability of Sexual Attractions Across Different Timescales: The Roles of Bisexuality and Gender.

    Science.gov (United States)

    Diamond, Lisa M; Dickenson, Janna A; Blair, Karen L

    2017-01-01

    We examined the stability of same-sex and other-sex attractions among 294 heterosexual, lesbian, gay, and bisexual men and women between the ages of 18 and 40 years. Participants used online daily diaries to report the intensity of each day's strongest same-sex and other-sex attraction, and they also reported on changes they recalled experiencing in their attractions since adolescence. We used multilevel dynamical systems models to examine individual differences in the stability of daily attractions (stability, in these models, denotes the tendency for attractions to "self-correct" toward a person-specific setpoint over time). Women's attractions showed less day-to-day stability than men's, consistent with the notion of female sexual fluidity (i.e., heightened erotic sensitivity to situational and contextual influences). Yet, women did not recollect larger post-adolescent changes in sexual attractions than did men, and larger recollected post-adolescent changes did not predict lower day-to-day stability in the sample as a whole. Bisexually attracted individuals recollected larger post-adolescent changes in their attractions, and they showed lower day-to-day stability in attractions to their "less-preferred" gender, compared to individuals with exclusive same-sex or exclusive other-sex attractions. Our results suggest that both gender and bisexuality have independent influences on sexual fluidity, but these influences vary across short versus long timescales, and they also differ for attractions to one's "more-preferred" versus "less-preferred" gender.

  17. Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States.

    Science.gov (United States)

    Mays, V M; Cochran, S D

    2001-11-01

    Recent studies suggest that lesbians and gay men are at higher risk for stress-sensitive psychiatric disorders than are heterosexual persons. We examined the possible role of perceived discrimination in generating that risk. The National Survey of Midlife Development in the United States, a nationally representative sample of adults aged 25 to 74 years, surveyed individuals self-identifying as homosexual or bisexual (n = 73) or heterosexual (n = 2844) about their lifetime and day-to-day experiences with discrimination. Also assessed were 1-year prevalence of depressive, anxiety, and substance dependence disorders; current psychologic distress; and self-rated mental health. Homosexual and bisexual individuals more frequently than heterosexual persons reported both lifetime and day-to-day experiences with discrimination. Approximately 42% attributed this to their sexual orientation, in whole or part. Perceived discrimination was positively associated with both harmful effects on quality of life and indicators of psychiatric morbidity in the total sample. Controlling for differences in discrimination experiences attenuated observed associations between psychiatric morbidity and sexual orientation. Higher levels of discrimination may underlie recent observations of greater psychiatric morbidity risk among lesbian, gay, and bisexual individuals.

  18. Sexuality and safer sex: the issues for lesbians and bisexual women.

    Science.gov (United States)

    Stevens, P E; Hall, J M

    2001-01-01

    Nursing interventions to help women reduce their risk of contracting HIV must be designed from an in-depth understanding of the complex sociocultural patterns of sexuality in particular communities and among specific subgroups. In this data collection phase of a community-based HIV prevention project, the objective was to understand HIV risk-taking and HIV risk-reduction activities of lesbians and bisexual women. Qualitative field study. Data were collected in women's bars and dance clubs and at selected lesbian/bisexual community events in San Francisco. Interviews were conducted with 1,189 racially diverse, socially and sexually active lesbians and bisexual women. Inductive content analysis produced two themes: realities of sexual behavior and sexual expressions and their meanings. Realities of sexual behavior included an assumption that women who have sex with other women cannot get HIV, a lack of familiarity with HIV prevention strategies, inconsistent practice of safer sex with men and/or women, and the negative effect of alcohol or drug use on safer sex efforts. Sexual expressions and their meaning included trust in monogamy, a sense that safer sex practices detracted from intimacy and eroticism, the difficulty of negotiating sexual behaviors with men or women, and dealing with partner resistance to safer sex practices. Specific recommendations for practice are the need for nurses to understand the range and diversity of women's sexual behaviors, to develop skills in conducting inclusive sexual histories, and to develop a comprehensive approach to sexual health.

  19. Disparities in psychological distress impacting lesbian, gay, bisexual and transgender cancer survivors.

    Science.gov (United States)

    Kamen, Charles; Mustian, Karen M; Dozier, Ann; Bowen, Deborah J; Li, Yue

    2015-11-01

    Recent studies have highlighted disparities in cancer diagnosis between lesbian, gay, bisexual and transgender (LGBT) and heterosexual adults. Studies have yet to examine disparities between LGBT and heterosexual cancer survivors in prevalence of psychological distress. Data for the current study were drawn from the LIVESTRONG dataset, a US national survey that sampled 207 LGBT and 4899 heterosexual cancer survivors (all cancer types, 63.5% women, mean age 49) in 2010. Symptoms of psychological distress were assessed with dichotomous yes/no items in three symptom clusters (depression related to cancer, difficulties with social relationships post-cancer, fatigue/energy problems). We selected a sample of 621 heterosexual survivors matched by propensity score to the 207 LGBT survivors and assessed disparities in count of symptoms using Poisson regression. We also performed subgroup analyses by self-reported sex. Relative to heterosexuals, LGBT cancer survivors reported a higher number of depression and relationship difficulty symptoms. Exploratory analyses revealed that disparities in number of symptoms were visible between gay, bisexual, and transgender versus heterosexual men but not between lesbian, bisexual, and transgender versus heterosexual women. This study highlights several disparities in psychological distress that exist between LGBT and heterosexual survivors. A need remains for interventions tailored to LGBT survivors and for studies examining disparities within subgroups of LGBT survivors. Copyright © 2015 John Wiley & Sons, Ltd.

  20. Depression in Lesbian, Gay, and Bisexual Members of the Canadian Armed Forces.

    Science.gov (United States)

    Scott, Roger L; Lasiuk, Gerri C; Norris, Colleen M

    2016-10-01

    Lesbians, gay men, and bisexuals have been shown to have different risks for mood and anxiety disorders than heterosexuals in population studies, but there is a paucity of research in this area in military populations. This study examined the relationship between sexual orientation and depression in the Canadian Armed Forces (CAF). Data were drawn from the Canadian Forces Mental Health Survey 2013 (n = 8165), a representative sample of Regular and Reserve members of the Canadian military. Binomial logistic regression was used to predict 12-month and lifetime odds ratios for major depressive episode (MDE) stratified by sexual orientation and sex. Gay male members had higher risk (AOR = 3.80, 95% CI 1.60-9.05) for lifetime MDE, but not for past 12-month MDE compared to heterosexual males. There was no significant difference in risk for lesbians or bisexuals compared to heterosexuals. The results suggest that gay male members of the CAF are at higher risk for a history of MDE, but not current MDE. This may be a result of ongoing discrimination and stigma faced by gay men in the military or may reflect MDE that occurred before military service. The lack of difference in MDE risk for lesbian and bisexual members compared to heterosexual members is an important positive finding.

  1. Isolation of lesbian, gay, bisexual and transgender youth: a dimensional concept analysis.

    Science.gov (United States)

    Johnson, Michael J; Amella, Elaine J

    2014-03-01

    To present the findings of a dimensional analysis of isolation in the context, and from the perspective, of lesbian, gay, bisexual and transgender youth. Lesbian, gay, bisexual and transgender youth are often at greater risk for negative health outcomes compared with heterosexual youth. Isolation is one risk factor cited throughout the literature; however, the concept is complicated and has many uses and thus warrants clarification. Concept Analysis. Sources comprise 35 English language research articles retrieved from CINAHL and EBSCOHost (1987-2012). A dimensional concept analysis was undertaken to analyse how the concept, isolation, is socially constructed. This dimensional analysis revealed five socially constructed dimensions and four sub-dimensions. These findings indicate that there is substantial variability in the concept of isolation. These differences and variations are most notably observed in the 20 articles (57%) that had more than one dimension. Although some of these articles were explicit with the different meanings and use of the concept, most of the papers had wide variability in the use and meaning of the concept. The disproportionately greater physical and mental health disparities between lesbian, gay, bisexual and transgender and heterosexual youth are a signal to conduct more research to clarify the concept of isolation, to develop instrumentation to identify at-risk youth and to explore predictors and consequences of isolation. Nurses and others can lead the way in translating this knowledge into strategies that will improve the health and lives of these young people. © 2013 John Wiley & Sons Ltd.

  2. Demographic analysis of arrhenotokous parthenogenesis and bisexual reproduction of Frankliniella occidentalis (Pergande) (Thysanoptera: Thripidae).

    Science.gov (United States)

    Ding, Tianbo; Chi, Hsin; Gökçe, Ayhan; Gao, Yulin; Zhang, Bin

    2018-02-20

    Frankliniella occidentalis (Pergande) (Thysanoptera: Thripidae) is a serious pest that is capable of bisexual and arrhenotokous reproduction. In arrhenotokous reproduction, virgin females initially produce male offspring; later, when their sons are sexually mature, the mothers begin bisexual reproduction by carrying out oedipal mating with their sons. Because a virgin female produces many male offspring before oedipal mating occurs, multiple oedipal mating is common. In this study, we investigated the effect of multiple oedipal mating on the population growth of F. occidentalis by using the age-stage, two-sex life table theory. In the arrhenotokous cohorts, all unfertilized eggs developed into males. In the bisexual cohorts, the offspring sex ratio was significantly female biased with the mean number of female offspring and male offspring being 72.68 and 29.00, respectively. These were the same as the net reproductive rate of female offspring and male offspring. In arrhenotokous cohorts, the number of males available for oedipal mating significantly affected the production of female offspring. The number of female offspring increased as the number of sons available for oedipal mating increased. Correctly characterizing this unique type of reproduction will provide important information for predicting the timing of future outbreaks of F. occidentalis, as well as aiding in formulating successful management strategies against the species.

  3. Lesbian, gay and bisexual parents' experiences of nurses' attitudes in child health care-A qualitative study.

    Science.gov (United States)

    Andersen, Anna-Eva; Moberg, Catherine; Bengtsson Tops, Anita; Garmy, Pernilla

    2017-12-01

    To describe lesbian, gay and bisexual parents' experiences of nurses' attitudes in child healthcare. Lesbian, gay and bisexual people are often reluctant to disclose their gender identity for fear of discrimination. This fear may lead to avoidance of healthcare for themselves or their children and may negatively affect families' health and well-being. A qualitative inductive design was employed. Semistructured interviews were conducted with 14 lesbian, gay or bisexual parents (11 mothers and three fathers) with child health care experiences in southern Sweden. Interviews were analysed using qualitative content analysis. Two themes were identified. One, a "sense of marginalisation," included lesbian, gay and bisexual parents' experiences of heteronormative attitudes among child healthcare nurses which led them to feel alienated and questioned as parents. Another, "being respected for who you are," included experiences of being respected and included at child healthcare appointments. Findings paint a complex picture of lesbian, gay and bisexual parents' interactions with child healthcare nurses in that they experienced both positive and negative attitudes. Knowledge gaps about lesbian, gay and bisexual families within the child healthcare field must be filled. Child health care nurses should work with the entire family to provide the best care for the child; however, discrimination in health care is common and often caused by a lack of knowledge. The number of children living with same-sex parents has increased more than ten-fold since the end of the 1990s. It is therefore important to explore lesbian, gay and bisexual parents' experiences with child healthcare nurses' attitudes to improve quality of care. © 2017 John Wiley & Sons Ltd.

  4. Sex markets and sexual opportunity structures of behaviorally bisexual latino men in the urban metropolis of new york city.

    Science.gov (United States)

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

    2014-04-01

    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 systems, sexual scripts, and social institutions to configure their bisexual behaviors. Drawing on 60 in-depth interviews with bisexual Latino men in New York City, we first describe and analyze venues that constitute sexual geographies that facilitate and impede sexual interaction. These also allow for a degree of autonomy in decision-making, as men travel throughout the urban sexual landscape and sometimes even manage to reject norms, such as those imposed by Christian religion. We explore some of the cultural meaning systems and social institutions that regulate sex markets and influence individual decision-making. Secrecy and discretion-regulated by the family, masculinity, migration, and religion-only partially shaped sexual behavior and relationships. These factors create a flux in "equilibrium" in bisexual sex markets in which sociocultural-economic structures constantly interplay with human agency. This article contributes to the literature in identifying dynamic spaces for sexual health interventions that draw on individual agency and empowerment.

  5. Gay and Bisexual Adolescent Boys' Perspectives on Parent-Adolescent Relationships and Parenting Practices Related to Teen Sex and Dating.

    Science.gov (United States)

    Feinstein, Brian A; Thomann, Matthew; Coventry, Ryan; Macapagal, Kathryn; Mustanski, Brian; Newcomb, Michael E

    2017-12-26

    Close parent-adolescent relationships and specific parenting practices (e.g., communication about sex, monitoring) are associated with reduced sexual risk behavior among heterosexual youth. Despite gay/bisexual male youth being at increased risk of HIV, little is known about parental influences on their sexual behavior. As such, the goal of the current study was to examine parent-adolescent relationships and parenting practices related to teen sex and dating from the perspective of gay/bisexual adolescent boys. Online focus groups were conducted with 52 gay/bisexual male youth ages 14-17 years. Most gay/bisexual adolescent boys felt that their sexual orientation had an influence on their relationships with their parents and discussions about sex/dating. Although some felt that their relationships improved after coming out, a larger percentage reported that it put strain on their relationships. Discussions about sex/dating generally decreased after coming out, but some youth described positive conversations with their parents. Many reported that their parents struggled with whether or not to adapt parenting practices (e.g., rules about dating) after they came out. Youth consistently noted that parent-adolescent relationships and parenting practices depended on the adolescent's level of outness. Findings have important implications for refining HIV prevention programs for gay/bisexual adolescent boys, especially interventions that include parents.

  6. 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.

  7. Sexuality-Related Communication within the Family Context: Experiences of Bisexual Parents with Their Children in the United States of America

    Science.gov (United States)

    Bowling, Jessamyn; Dodge, Brian; Bartelt, Elizabeth

    2017-01-01

    Although many self-identified bisexual individuals report having at least one child, bisexual parents' unique experiences, including sexuality-related communication with their children, have been largely absent from the parenting literature. We conducted in-depth interviews via telephone (or digital telephony such as voice over Internet protocol)…

  8. Methamphetamine use among gay and bisexual men in Australia : Trends in recent and regular use from the Gay Community Periodic Surveys

    NARCIS (Netherlands)

    Lea, Toby; Mao, Limin; Hopwood, Max; Prestage, Garrett; Zablotska, Iryna; de Wit, John|info:eu-repo/dai/nl/06883652X; Holt, Martin

    BACKGROUND: Gay and bisexual men typically report high rates of illicit drug use, including methamphetamine use. This paper aimed to analyse trends in crystal methamphetamine ('crystal') and powder methamphetamine ('speed') use among gay and bisexual men in Australia, and characterise the

  9. 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,…

  10. 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

  11. The AIDS profile in a low risk country: the central role of bisexual men.

    Science.gov (United States)

    Petridou, E; Polychronopoulou, A; Hatzakis, A; Roukas, K; Kordosis, T; Zakopoulou, N; Trichopoulos, D

    2000-01-01

    Policies and measures for the prevention of human immunodeficiency virus Type 1 (HIV-1) transmission require adequate information about the risk profile of AIDS which is time-, place- and population-dependent. We have studied the risk factors for AIDS among men in Greece, a country with relatively low incidence of AIDS. A case-control study of all male patients with incident disease, who have been diagnosed in the major university-affiliated, AIDS Unit from February 1995 through August 1997 was conducted in Athens, Greece, a country with relatively low incidence of AIDS. Eighty-three AIDS patients were enrolled and an equal number of orthopaedic patients as controls. All interviews were conducted by the same physician and took place in the hospital. There were no differences among heterosexual men with AIDS, homo- or bi-sexual men with AIDS, and controls with respect to any socio-economic variable. The odds ratio for AIDS among homo- or bi-sexual men, in comparison with heterosexual men, was 51.5 (95% confidence intervals 21.6-122.7). Blood transfusion, intravenous drug abuse and haemophilia were less important risk factors for AIDS in this study. Condom use was generally very low and there was a tendency for lesser use among men at highest risk for HIV transmission, that is, those with a preference for receptive anal intercourse. AIDS among men in Greece is mainly driven by homosexual behaviour, but the relatively high proportion of bisexual men and the relatively low frequency of condom use are warning signs for the potential of the epidemic to expand in the future. The relatively low incidence of AIDS in Greece, in comparison with other European populations, may be due to a phase difference in the epidemic, but it could also be due to the traditional role separation of homosexuals in this geographical area, and the easy accessibility of disposable syringes and needles in Greece.

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

    Science.gov (United States)

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

    2016-01-14

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

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

    Science.gov (United States)

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

    2016-09-01

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

  14. "We Might Get Some Free Beers": Experience and Motivation for Transactional Sex Among Behaviorally Bisexual Men in Vientiane, Laos.

    Science.gov (United States)

    Bowring, Anna L; Pasomsouk, Nakhornphet; Hughes, Chad; van Gemert, Caroline; Higgs, Peter; Sychareun, Vanphanom; Hellard, Margaret; Power, Robert

    2017-05-01

    People engaging in transactional sex are considered a key population for HIV prevention. Prior quantitative surveys demonstrated that behaviorally bisexual men in Vientiane, Laos commonly transact sex. In 2013, we conducted a qualitative study to explore behaviorally bisexual men's experience, motivations, and perceptions related to transactional sex in Vientiane. Behaviorally bisexual men were recruited from bars, nightclubs, and dormitories for five focus group discussions (FGDs) and 11 in-depth interviews (n = 31). Additionally, young women were recruited from a university, garment factory, and nightclub for four FGDs (n = 22). Transcripts were translated and thematically coded. Bisexual male participants most commonly described being paid for sex by male-to-female transgender people and buying sex from women. Both male and female participants reported that older, single women pay younger men for sex. Negotiation and direction of sexual transactions are influenced by age, attraction, and wealth. Common motivations for selling sex included the need for money to support family or fund school fees, material gain, or physical pleasure. Transactional sex was often opportunistic. Some behaviorally bisexual men reported selling sex in order to pay another more desirable sex partner or to buy gifts for their regular sex partner. Participants perceived high risk associated with intercourse with female sex workers but not with other transactional sex partners. Health interventions are needed to improve knowledge, risk perception, and health behaviors, but must recognize the diversity of transactional sex in Vientiane. Both physical and virtual settings may be appropriate for reaching behaviorally bisexual men and their partners.

  15. Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults.

    Science.gov (United States)

    Ryan, Caitlin; Huebner, David; Diaz, Rafael M; Sanchez, Jorge

    2009-01-01

    We examined specific family rejecting reactions to sexual orientation and gender expression during adolescence as predictors of current health problems in a sample of lesbian, gay, and bisexual young adults. On the basis of previously collected in-depth interviews, we developed quantitative scales to assess retrospectively in young adults the frequency of parental and caregiver reactions to a lesbian, gay, or bisexual sexual orientation during adolescence. Our survey instrument also included measures of 9 negative health indicators, including mental health, substance abuse, and sexual risk. The survey was administered to a sample of 224 white and Latino self-identified lesbian, gay, and bisexual young adults, aged 21 to 25, recruited through diverse venues and organizations. Participants completed self-report questionnaires by using either computer-assisted or pencil-and-paper surveys. Higher rates of family rejection were significantly associated with poorer health outcomes. On the basis of odds ratios, lesbian, gay, and bisexual young adults who reported higher levels of family rejection during adolescence were 8.4 times more likely to report having attempted suicide, 5.9 times more likely to report high levels of depression, 3.4 times more likely to use illegal drugs, and 3.4 times more likely to report having engaged in unprotected sexual intercourse compared with peers from families that reported no or low levels of family rejection. Latino men reported the highest number of negative family reactions to their sexual orientation in adolescence. This study establishes a clear link between specific parental and caregiver rejecting behaviors and negative health problems in young lesbian, gay, and bisexual adults. Providers who serve this population should assess and help educate families about the impact of rejecting behaviors. Counseling families, providing anticipatory guidance, and referring families for counseling and support can help make a critical

  16. 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.

  17. How Do Discrepancies between Victimization and Rejection Expectations in Gay and Bisexual Men Relate to Mental Health Problems?

    Science.gov (United States)

    Sattler, Frank A; Christiansen, Hanna

    2017-01-01

    Introduction: Victimization and rejection expectations predict mental health problems in gay and bisexual men. Furthermore, it was shown that victimization predicts rejection expectations. Nevertheless, the levels of these two variables do not necessarily correspond as indicated by low inter-correlations, resulting in the question "How do discrepancies in the two variables relate to mental health problems?" This study tests if non-corresponding levels of victimization and rejection expectations in gay and bisexual men relate to mental health problems differently than corresponding levels of victimization and rejection expectations. It furthermore tests for linear and curvilinear relationships between victimization, rejection expectations, and mental health problems. Methods: Data from N = 1423 gay and bisexual men were obtained online. Victimization and rejection expectations were tested for discrepant values (differing 0.5 SD or more) and those that were in agreement (differing less than 0.5): 33.7% of participants were in agreement, 33.0% reported higher rejection expectations than victimization, and 33.3% v.v. Then, a polynomial regression and a surface analysis were conducted. Results: Discrepant values in victimization and rejection expectations or the direction of the discrepancy did not relevantly predict mental health problems. Findings indicate that victimization and rejection expectations predict mental health problems linearly as well as convexly (upward curving) in gay and bisexual men. Discussion: This study replicates findings that gay and bisexual men with more experiences of victimization and rejection expectations demonstrated more mental health problems. Furthermore, this study is the first one to find a convex relationship between these predictors and mental health problems, implicating that disproportionally high mental health problems exist in those gay and bisexual men with high levels of victimization and rejection expectations. On the other

  18. Disclosure and Concealment of Sexual Orientation and the Mental Health of Non-Gay-Identified, Behaviorally-Bisexual Men

    Science.gov (United States)

    Schrimshaw, Eric W.; Siegel, Karolynn; Downing, Martin J.; Parsons, Jeffrey T.

    2013-01-01

    Objective Although bisexual men report lower levels of mental health relative to gay men, few studies have examined the factors that contribute to bisexual men’s mental health. Bisexual men are less likely to disclose, and more likely to conceal (i.e., a desire to hide), their sexual orientation than gay men. Theory suggests that this may adversely impact their mental health. This report examined the factors associated with disclosure and with concealment of sexual orientation, the association of disclosure and concealment with mental health, and the potential mediators (i.e., internalized homophobia, social support) of this association with mental health. Method An ethnically-diverse sample of 203 non-gay-identified, behaviorally-bisexual men who do not disclose their same-sex behavior to their female partners were recruited in New York City to complete a single set of self-report measures. Results Concealment was associated with higher income, a heterosexual identification, living with a wife or girlfriend, more frequent sex with women, and less frequent sex with men. Greater concealment, but not disclosure to friends and family, was significantly associated with lower levels of mental health. Multiple mediation analyses revealed that both internalized homophobia and general emotional support significantly mediated the association between concealment and mental health. Conclusions The findings demonstrate that concealment and disclosure are independent constructs among bisexual men. Further, they suggest that interventions addressing concerns about concealment, emotional support, and internalized homophobia may be more beneficial for increasing the mental health of bisexual men than those focused on promoting disclosure. PMID:23276123

  19. 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.

  20. Substance Abuse Prevention, Assessment, and Treatment for Lesbian, Gay, Bisexual, and Transgender Youth.

    Science.gov (United States)

    Aromin, Romulo Alcalde

    2016-12-01

    Knowing how to manage substance abuse in all youth is an important aspect of pediatric care, including providing clinically appropriate anticipatory guidance, monitoring, assessment, and treatment. Although most lesbian, gay, bisexual, and transgender (LGBT) youth do not abuse substances, as a group they experience unique challenges in self-identity development that put them at an increased risk for substance abuse. This article addresses prevention and management of substance use in LGBT youth relevant to pediatrics and allied professions as an aspect of their overall health care. It reviews basic information about substance abuse in youth and special considerations for LGBT youth. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. El proceso de resiliencia en el desarrollo de la identidad lesbiana, gay y bisexual

    OpenAIRE

    Gil Hernández, Gloria Elena

    2007-01-01

    [ES] El proceso que lleva a la superación de adversidades consiguiendo con ello ganancias personales o grupales se denomina resiliencia. Este innovador marco de las ciencias sociales se presenta como idóneo para su aplicación al proceso de desarrollo positivo de la identidad lesbiana, gay y bisexual; siendo la homofobia social y la propia homofobia interiorizada la adversidad a superar. Con el objetivo de localizar y confirmar factores promotores del proceso, llevamos a cabo esta investigació...

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

    Science.gov (United States)

    McClain, Zachary; Peebles, Rebecka

    2016-12-01

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

  3. Cancer and lesbian, gay, bisexual, transgender/transsexual, and queer/questioning (LGBTQ) populations.

    Science.gov (United States)

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

    2015-01-01

    This article provides an overview of the current literature on seven cancer sites that may disproportionately affect lesbian, gay, bisexual, transgender/transsexual, and queer/questioning (LGBTQ) populations. For each cancer site, the authors present and discuss the descriptive statistics, primary prevention, secondary prevention and preclinical disease, tertiary prevention and late-stage disease, and clinical implications. Finally, an overview of psychosocial factors related to cancer survivorship is offered as well as strategies for improving access to care. © 2015 American Cancer Society.

  4. Intergroup dialogue courses on sexual orientation: lesbian, gay and bisexual student experiences and outcomes.

    Science.gov (United States)

    Dessel, Adrienne B; Woodford, Michael R; Warren, Naomi

    2011-01-01

    Intergroup dialogue is a method of social justice education. Most intergroup dialogue research explores race and gender identities. Sexual orientation dialogues are uncommon and not yet examined empirically. This qualitative study explores sexual orientation dialogue courses from the perspective of lesbian, gay, and bisexual (LGB) student participants. Understanding target, or marginalized, group perspective of planned intergroup experiences is important given concerns raised in the literature. We document student motivations for participating in dialogues, core outcomes, and main challenges that arose in dialogue. Core outcomes include learning about and accepting one's sexual identity and empowerment. Challenges include those stemming from invisibility of sexual orientation identity. Recommendations are made for intergroup dialogue practice and research.

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

    Science.gov (United States)

    Bourne, Adam; Hammond, Gary; Hickson, Ford; Reid, David; Schmidt, Axel J; Weatherburn, Peter

    2013-11-20

    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 conceptions of what constitutes the 'best sex'. The EMIS survey of 2010 recruited more than 180,000 respondents from 38 European countries to complete an online questionnaire about sexual health and behaviour. The 12,942 English language, UK-based responses to the open ended question, "What's your idea of the best sex life?" were subjected to a detailed content analysis. A framework was devised to reflect and describe the key themes emerging from the data, which was then used to code all responses to one (or more) of these themes. Further statistical analysis sought to establish if and how responses differed according to key demographic variables. Eight themes emerged that capture the diversity of gay and bisexual men's sexual desires. Most common among responses was a desire for sex within committed relationships, followed by a desire for sex which is emotionally or psychologically connected. Men also expressed a desire for volume and variety in their sexual lives, and for sex that is free from physical, social or psychological harm. Comparative analysis identified that older men were less likely to idealise a relationship or emotional connection, but were more likely to specify the sexual acts or behaviours they wished to engage in. Attending to what men value or aspire to can help ensure interventions are engaging and meaningful to the target population. HIV prevention interventions need to attend to the broad range of sexual desires held by gay and bisexual men in delivery of holistic sexual

  6. 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. © 2016 The American Association of Suicidology.

  7. 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.

  8. 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

  9. Negotiating multiple identities: how African-American gay and bisexual men persist at a predominantly White institution.

    Science.gov (United States)

    Goode-Cross, David T; Tager, David

    2011-01-01

    This consensual qualitative research (CQR) study explores factors contributing to the persistence of African-American gay and bisexual men at a predominately White institution (PWI). Eight participants consistently noted that involvement with an African-American community was crucial to navigating the challenges of attending a PWI. Participants reported that their racial identity was more salient than their sexual orientation in creating social support, and they described feeling uncomfortable using lesbian, gay, bisexual, and transgender (LGBT) resources. Implications, including education about sexual orientation within African-American campus communities, LGBT outreach to communities of color, and continued institutional support for African-American campus organizations, are discussed.

  10. Sexually Explicit Media Use by Sexual Identity: A Comparative Analysis of Gay, Bisexual, and Heterosexual Men in the United States.

    Science.gov (United States)

    Downing, Martin J; Schrimshaw, Eric W; Scheinmann, Roberta; Antebi-Gruszka, Nadav; Hirshfield, Sabina

    2017-08-01

    Advances in production and distribution of sexually explicit media (SEM) online have resulted in widespread use among men. Limited research has compared contexts of use and behaviors viewed in Internet SEM by sexual identity. The current study examined differences in recent SEM use (past 6 months) by sexual identity among an ethnically diverse sample of 821 men who completed an online survey in 2015. Both gay and bisexual men reported significantly more frequent use of Internet SEM compared to heterosexual men. Although most participants reported viewing SEM at home (on a computer, tablet, or smartphone), significantly more gay men reported SEM use at a sex party or commercial sex venue than either heterosexual or bisexual men. Sexual identity predicted viewing of high-risk and protective behaviors in separate logistic regression models. Specifically, compared to heterosexual men, gay and bisexual men had increased odds of viewing condomless anal sex (gay OR 5.20, 95 % CI 3.35-8.09; bisexual OR 3.99, 95 % CI 2.24-7.10) and anal sex with a condom (gay OR 3.93, 95 % CI 2.64-5.83; bisexual OR 4.59, 95 % CI 2.78-7.57). Compared to gay men, heterosexual and bisexual men had increased odds of viewing condomless vaginal sex (heterosexual OR 27.08, 95 % CI 15.25-48.07; bisexual OR 5.59, 95 % CI 3.81-8.21) and vaginal sex with a condom (heterosexual OR 7.90, 95 % CI 5.19-12.03; bisexual OR 4.97, 95 % CI 3.32-7.44). There was also evidence of identity discrepant SEM viewing as 20.7 % of heterosexual-identified men reported viewing male same-sex behavior and 55.0 % of gay-identified men reported viewing heterosexual behavior. Findings suggest the importance of assessing SEM use across media types and contexts and have implications for research to address the potential influence of SEM on sexual behavior (e.g., investigate associations between viewing condomless vaginal sex and engaging in high-risk encounters with female partners).

  11. [Relative risk for AIDS between homo/bisexual and heterosexual men].

    Science.gov (United States)

    Beloqui, Jorge A

    2008-06-01

    To assess the relative risk for AIDS between men who have sex with other men and heterosexual men. Estimates on the proportion of men who have sex with men in Brazil and AIDS data from Brazil's Information System for Notifiable Diseases, were utilized. Estimates were calculated for the relative risk (RR) for AIDS of men who have sex with men with respect to heterosexual masculine population in Brazil; state and city of São Paulo; and state and city of Rio de Janeiro, from 1996 to 2003. The trajectory of the RR in this period was also analyzed. The estimates for relative risk decreased, with a tendency to stabilize: from 34.3 to 19.3 in the entire country and from 32.1 and 6.3 in the locations analyzed. In the country in 2003, the relative risk of bisexual men in relation to heterosexual men was 16.0. The RR for exclusive homosexuals had a decreasing trajectory in all of the locations studied, but not for the bisexual population. In all locations, the relative risk for men who have sex with other men was higher in relation to heterosexual men. This result indicates a high and persistent vulnerability among this population.

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

    International Nuclear Information System (INIS)

    Bolderston, A.; Ralph, S.

    2016-01-01

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

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

    Science.gov (United States)

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

    2015-03-01

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

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

    Science.gov (United States)

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

    2012-01-01

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

  15. 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.

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

    Science.gov (United States)

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

    2014-01-01

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

  17. Australian gay and bisexual men's use of erectile dysfunction medications during recent sexual encounters.

    Science.gov (United States)

    Prestage, Garrett; Jin, Fengyi; Bavinton, Benjamin; Grulich, Andrew; Brown, Graham; Pitts, Marian; Hurley, Michael

    2014-03-01

    Use of erectile dysfunction medications (EDMs) is relatively common among gay and bisexual men and has been associated with human immunodeficiency virus sexual risk behavior. We aimed to determine what factors were related to EDM use on occasions when participants engaged in protected anal intercourse (PAIC) and when they engaged in unprotected anal intercourse (UAIC) with casual partners. An online cross-sectional survey was conducted, resulting in a sample of 1,376 Australian gay and bisexual men who reported an occasion of anal intercourse with casual male partners in the previous year. The main outcome measure was the use of EDM during most recent occasions of PAIC and UAIC. Men were as likely to use EDM on occasions when they were using condoms (11.6%) as they were on occasions when they did not use condoms (13.0%). There was no association between use of EDM and self-esteem, nor was there an association between sexual risk behavior and self-esteem. Men who used EDM were more sexually active overall and appeared to often use EDM to enhance and extend their sexual experiences. Men did not appear to use EDM specifically for the purposes of risk-taking and mainly used EDM to enhance sexual pleasure. Mental health issues were not indicated by use of EDM. © 2013 International Society for Sexual Medicine.

  18. 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.

  19. Bisexual Behavior Among Male Injection Drug Users in New York City.

    Science.gov (United States)

    Reilly, Kathleen H; Neaigus, Alan; Wendel, Travis; Marshall, David M; Hagan, Holly

    2016-02-01

    Drug using men who have sex with men and women (MSMW) may be at high risk for HIV infection and transmitting HIV to sex partners. In 2012, injection drug users (IDUs) were sampled in New York City for the National HIV Behavioral Surveillance cross-sectional study using respondent-driven sampling. Logistic regression was used to calculate crude and adjusted odds ratios (aOR) and 95 % confidence intervals (95 %CI) to determine correlates of bisexual behavior in the past 12 months. Of 333 participants, 47(14.1 %) reported MSMW. Variables independently associated (p bisexual sexual identity (vs. "straight") (adjusted odds ratio (aOR) 92.6; 95 % CI 18.9, 454.5), Bronx residence [vs. Manhattan (aOR 8.4; 95 %CI 1.6,43.7)], past 12 month behaviors of having sex with ≥3 sex partners (aOR 18.1; 95 % CI 3.3,98.4), "sold" sex (aOR 8.5; 95 % CI 2.3, 31.5), "bought" sex (aOR 0.2; 95 % CI 0.1, 0.9), and injection methamphetamine use (aOR 20.5; 95 % CI 3.0, 139.7). MSM IDUs are an important subgroup to consider for HIV interventions, as they may not be reached through HIV prevention programming aimed at MSM.

  20. Sexual problems in homo- and bisexual men - the context of the issue.

    Science.gov (United States)

    Grabski, Bartosz; Kasparek, Krzysztof

    2017-02-26

    The aim of the paper is to present a specific context for the occurrence of sexual problems, i.e., sexual dysfunction in the population of homo - and bisexual men. Sexual problems and revealing them are usually a big challenge for men. In case of homo - and bisexual men additional psychological and social factors may contribute to the occurrence of these problems, as well as make experiencing them more painful, but also impede looking for and receiving an adequate help. These factors are connected to the specific features of gay men sexuality, such as: lack of obvious sexual scripts for homosexual men, full reversibility of all sexual roles and positions in contacts between two men or no fear of unwanted pregnancy, but also with the unique psychosocial context such as: minority stress and internalized homophobia. Clinicians - psychiatrists, sexologists and psychologists - should be aware of their existence to deliver a more effective professional and culturally competent care, which is free of prejudice, based on deepened reflection and void of automatic transference of experiences with work with heterosexual men.

  1. Social network composition and sexual risk-taking among gay and bisexual men in Atlanta, GA.

    Science.gov (United States)

    Finneran, Catherine; Stephenson, Rob

    2014-01-01

    Social network composition is known to effect patterns of reported sexual risk-taking among men who have sex with men (MSM); however, consensus as to the directionality and size of these effects is lacking. We examined the relationships between novel aspects of social network composition and sexual risk-taking using a cross-sectional survey of 870 MSM. Social network composition was found to have mixed effects on reported sexual risk-taking: reporting proportionally more lesbian, gay, or bisexual (LGB)-identified friends and reporting friends who were on average significantly older than the respondent were both associated with reporting increased sexual risk, while reporting proportionally more LGB-identified friends in relationships and reporting a social network proportionally more aware of the respondent's homosexuality/bisexuality were both associated with reporting decreased sexual risk. The support structures created by differing social network compositions-and particularly the presence of LGB couples-may be a potential area for targeting sexual risk-reduction interventions for MSM.

  2. Constructions of lesbian, gay, bisexual and queer identities among young people in contemporary Australia.

    Science.gov (United States)

    Willis, Paul

    2012-01-01

    This paper focuses on young people's construction of lesbian, gay, bisexual and queer (LGBQ) identities in contemporary Australia. Through the perspectives of young people, it seeks to position their understanding of LGBQ identities alongside current theoretical and empirical debates about the individual and social significance attached to these identity frames. In this qualitative study, 28 young people (aged 18 to 26 years) shared their stories of identifying as LGBQ through online, face-to-face or telephone interviews. The findings highlight how varying elements of LGBQ identities continue to have currency within this group and how young people adopt and refer to these terms interchangeably and in tandem. This is balanced alongside an awareness of both the limitations of lesbian, gay, bisexual and queer identity categories and of the homophobic discourses informing these subject positions. The paper concludes by arguing that health and social care professionals have a integral role to play in supporting LGBQ youth through a process of co-authorship - to work in partnership to construct more enabling self-stories that transcend restrictive identity frames.

  3. The role of maladaptive cognitions in hypersexuality among highly sexually active gay and bisexual men.

    Science.gov (United States)

    Pachankis, John E; Rendina, H Jonathon; Ventuneac, Ana; Grov, Christian; Parsons, Jeffrey T

    2014-05-01

    Cognitive appraisals about sex may represent an important component of the maintenance and treatment of hypersexuality, but they are not currently represented in conceptual models of hypersexuality. Therefore, we validated a measure of maladaptive cognitions about sex and examined its unique ability to predict hypersexuality. Qualitative interviews with a pilot sample of 60 highly sexually active gay and bisexual men and expert review of items yielded a pool of 17 items regarding maladaptive cognitions about sex. A separate sample of 202 highly sexually active gay and bisexual men completed measures of sexual inhibition and excitation, impulsivity, emotional dysregulation, depression and anxiety, sexual compulsivity, and a measure of problematic hypersexuality. Factor analysis confirmed the presence of three subscales: perceived sexual needs, sexual costs, and sexual control efficacy. Structural equation modeling results were consistent with a cognitive model of hypersexuality whereby magnifying the necessity of sex and disqualifying the benefits of sex partially predicted minimized self-efficacy for controlling one's sexual behavior, all of which predicted problematic hypersexuality. In multivariate logistic regression, disqualifying the benefits of sex predicted unique variance in hypersexuality, even after adjusting for the role of core constructs of existing research on hypersexuality, AOR = 1.78, 95 % CI 1.02, 3.10. Results suggest the utility of a cognitive approach for better understanding hypersexuality and the importance of developing treatment approaches that encourage adaptive appraisals regarding the outcomes of sex and one's ability to control his sexual behavior.

  4. 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…

  5. 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…

  6. 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…

  7. 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…

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

    Science.gov (United States)

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

    2014-01-01

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

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

    Science.gov (United States)

    Snow, Kevin C.

    2018-01-01

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

  10. Lesbian, Gay, and Bisexual Victimization in the Military: An Unintended Consequence of "Don't Ask, Don't Tell"?

    Science.gov (United States)

    Burks, Derek J.

    2011-01-01

    The integration of lesbian, gay, and bisexual (LGB) individuals into the U.S. military is a long-standing and politically and socially divisive issue. Exclusionary and pseudo-inclusionary policies that restrict openly LGB individuals from military service are also of long duration. Yet LGB servicemembers have continued to serve covertly in the…

  11. 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…

  12. 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…

  13. The Importance of Disclosure: Lesbian, Gay, Bisexual, Transgender/Transsexual, Queer/Questioning, Intersex (LGBTQI) Individuals and the Cancer Continuum

    Science.gov (United States)

    Quinn, Gwendolyn P.; Schabath, Matthew B.; Sanchez, Julian; Sutton, Steven K.; Green, B. Lee

    2015-01-01

    Precis The Lesbian, Gay, Bisexual, Transgender/Transsexual, Queer/Questioning, Intersex (LGBTQI) population experiences cancer health disparities due to lack of disclosure and knowledge about increased cancer risk. Oncology health care providers and institutions should create environments that encourage disclosure of sexual orientation and identity. PMID:25521303

  14. [Effects of violence and discrimination on the mental health of bisexuals, lesbians, and gays in Mexico City].

    Science.gov (United States)

    Ortiz-Hernández, Luis; García Torres, María Isabel

    2005-01-01

    The objectives of this study were to estimate the prevalence of suicidal ideation, suicide attempts, mental disorders, and alcoholism in bisexuals, lesbians, and gays in Mexico City and analyze the possible relationship between violence, discrimination, and the mental health of these population groups. A questionnaire was administered to 506 bisexuals, lesbians, and gays attending support organizations and institutions. Eight forms of discrimination and fourteen forms of violence based on sexual orientation were researched. The study found the following prevalence rates: 39.0% suicidal ideation, 15.0% suicide attempts, 27.0% mental disorders, and 18.0% alcoholism. Prevalence of alcoholism was 21.0% among bisexual and lesbian women, which is higher than in other women. Discrimination was correlated with suicide attempts and mental disorders, whereas violence was a risk factor for suicidal ideation, suicide attempts, mental disorders, and alcoholism. Violence and to a lesser extent discrimination suffered by bisexuals, lesbians, and gays are associated with psychological distress, and policies are needed to counter this situation.

  15. 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…

  16. How Gay and Bisexual Men Compensate for the Lack of Meaningful Sex Education in a Socially Conservative State

    Science.gov (United States)

    Currin, Joseph M.; Hubach, Randolph D.; Durham, André R.; Kavanaugh, Katherine E.; Vineyard, Zachary; Croff, Julie M.

    2017-01-01

    The information shared in schools on sex education in the USA is highly variable depending on the state and sometimes city in which a student lives. Gay and bisexual students living in a socially conservative, primarily rural state such as Oklahoma often receive little information about sexual health information that pertains to their behaviours…

  17. 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…

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

    Science.gov (United States)

    Treat, Alena R.; Whittenburg, Becky

    2006-01-01

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

  19. Laboring in Silence: Young Lesbian, Gay, Bisexual, and Queer-Identifying Workers' Negotiations of the Workplace Closet in Australian Organizations

    Science.gov (United States)

    Willis, Paul

    2011-01-01

    The workplace closet is a fundamental fixture in the working lives of many lesbian, gay, bisexual, and queer (LGBQ)-identifying employees who do not feel safe for their sexual identity to be known in their place of employment. Previous research draws attention to the processes of identity management that some workers adhere to for ensuring that…

  20. 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…

  1. "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,…

  2. 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…

  3. 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…

  4. 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.

  5. Queer Student Leaders: A Case Study of Leadership Development and Lesbian, Gay, Bisexual, and Transgender Student Involvement.

    Science.gov (United States)

    Renn, Kristen A.; Bilodeau, Brent

    The purpose of this study was to explore a possible relationship between involvement in student leadership activities and the development of lesbian, gay, bisexual, and transgender (LGBT; "queer") campus activists and leaders. This paper focuses on the experience of planning a regional LGBT conference; later papers will explore long-term…

  6. Sexual orientation and health : general and minority stress factors explaining health differences between lesbian, gay, bisexual and heterosexual individuals

    NARCIS (Netherlands)

    Kuyper, L.S.

    2011-01-01

    Previous studies show that lesbian, gay and bisexual (LGB) individuals report more health problems than heterosexual individuals. However, several important gaps remain in the knowledge regarding the explanations for these health differences. In general, there is a lack of differentiation between

  7. Preventing Sexual Risk Behaviors among Gay, Lesbian, and Bisexual Adolescents: The Benefits of Gay-Sensitive HIV Instruction in Schools.

    Science.gov (United States)

    Blake, Susan M.; Ledsky, Rebecca; Lehman, Thomas; Goodenow, Carol; Sawyer, Richard; Hack, Tim

    2001-01-01

    Compared the sexual risk taking behaviors of gay, lesbian, and bisexual (GLB) and heterosexual adolescents, evaluating associations between gay-sensitive school HIV instruction and GLB adolescents' risk behaviors. Surveys indicated that GLB students had more high risk behaviors than heterosexual students, and those in schools with gay-sensitive…

  8. 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…

  9. Making It Better for Lesbian, Gay, Bisexual, and Transgender Students through Teacher Education: A Collaborative Self-Study

    Science.gov (United States)

    Kitchen, Julian; Bellini, Christine

    2012-01-01

    Teacher education programs have a critical role in helping incoming teachers develop a deeper understanding of lesbian, gay, bisexual, and transgender (LGBT) issues and their moral and legal obligations to counter homophobic bullying. In this self-study, two educators--a university professor and a classroom teacher, who facilitated a workshop…

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

    Science.gov (United States)

    Bower-Phipps, Laura

    2017-01-01

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

  11. 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…

  12. 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…

  13. "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,…

  14. ‘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

  15. Attitudes Toward Lesbian, Gay, and Bisexual College Students: The Contribution of Pluralistic Ignorance, Dynamic Social Impact, and Contact Theories.

    Science.gov (United States)

    Bowen, Anne M.; Bourgeois, Martin J.

    2001-01-01

    Surveyed college dormitory residents regarding their personal comfort with lesbian, gay, and bisexual (LGB) students. Results highlighted widespread pluralistic ignorance. Students typically rated themselves as less anti-gay than other students. Building of residence significantly predicted students' attitudes. Perceiving that one or two LGB…

  16. 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…

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

    DEFF Research Database (Denmark)

    Anderssen, Norman; Malterud, Kirsti

    2017-01-01

    Aims: Epidemiological research on lesbian, gay and bisexual populations raises concerns regarding self-selection and group sizes. The aim of this research was to present strategies used to overcome these challenges in a national population-based web survey of self-reported sexual orientation and ...

  18. 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…

  19. Impact of Beliefs about HIV Treatment and Peer Condom Norms on Risky Sexual Behavior among Gay and Bisexual Men

    Science.gov (United States)

    Peterson, John L.; Bakeman, Roger

    2006-01-01

    The association between perceptions about condom use among one's peers, beliefs about new HIV treatments, and HIV sexual risk behavior was examined in a large urban sample ( N = 454) of gay and bisexual men in the Southeast. Results partially confirmed the hypothesis that men who endorsed new HIV treatment beliefs would report lower norms for…

  20. 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

  1. New to New York: Ecological and Psychological Predictors of Health Among Recently Arrived Young Adult Gay and Bisexual Urban Migrants.

    Science.gov (United States)

    Pachankis, John E; Eldahan, Adam I; Golub, Sarit A

    2016-10-01

    Young gay and bisexual men might move to urban enclaves to escape homophobic environments and achieve greater sexual and social freedom, yet little is known about the health risks that these young migrants face. Drawing on recent qualitative depictions of gay and bisexual men's urban ecologies and psychological research on motivation and goal pursuit, we investigated migration-related motivations, experiences, health risks, and their associations among young gay and bisexual men in New York City. Gay and bisexual men (n = 273; ages 18-29) who had moved to New York City within the past 12 months completed an online survey regarding their hometowns, new urban experiences, migration motivations, and health risks. Not having a college degree, HIV infection, hometown stigma, within-US migration, and moving to outside a gay-dense neighborhood were associated with moving to escape stress; hometown structural stigma and domestic migration were associated with moving for opportunity. Migrating from larger US-based hometowns, having recently arrived, and moving for opportunity predicted HIV transmission risk. Social isolation predicted lower drug use but more mental health problems. Higher income predicted lower HIV and mental health risk but higher alcohol risk. Hometown interpersonal discrimination predicted all health risks, but hometown structural stigma protected against drug risk. Findings offer a comprehensive picture of young gay and bisexual male migrants' experiences and health risks and help build a theory of high-risk migration. Results can inform structural- and individual-level interventions to support the health of this sizeable and vulnerable segment of the urban population.

  2. Lesbian, gay and bisexual college student perspectives on disparities in weight-related behaviours and body image: a qualitative analysis.

    Science.gov (United States)

    VanKim, Nicole A; Porta, Carolyn M; Eisenberg, Marla E; Neumark-Sztainer, Dianne; Laska, Melissa N

    2016-12-01

    To (1) explore college students' perceived sexual orientation-related barriers to engaging in physical activity, eating healthfully and maintaining healthy body images and (2) identify types of campus resources on physical activity, healthy eating and body image available to lesbian, gay and bisexual college students. Previous research has highlighted sexual orientation disparities in weight status, physical activity, healthy eating and body image. Despite this, little is known about the context surrounding these disparities. Cross-sectional study using individual interviews. Thirty (15 males, 15 females) lesbian, gay, bisexual, queer and pansexual-identified college students, aged 18-30 years participated in the study. Quasi-inductive coding was used to analyse transcribed interview data and an iterative coding process was used to organise data into themes. Many felt their sexual orientation helped them be physically active, engage in healthful eating habits and have a positive body image. However, sexual orientation was also identified as a stressor that adversely impacted physical activity and eating habits. Lesbian, gay and bisexual students may have to negotiate their sexuality in ways that could adversely influence their physical activity, eating habits and body image. Both clinical and institutional interventions should be inclusive of all people, including lesbian, gay and bisexual, queer, and pansexual students. Further, tailored interventions to meet the specific health needs of sexual minority populations are needed. Clinicians need to understand the context in which sexual minority young adults experience health promotion messaging and programming. Clinic-based tailored interventions are critical as part of a multi-faceted approach in promoting physical activity and healthier eating habits for all young people, including lesbian, gay, bisexual, queer and pansexual, to more effectively address the prevention of chronic diseases. © 2016 John Wiley & Sons

  3. Occurrence of multiple mental health or substance use outcomes among bisexuals: a respondent-driven sampling study

    Directory of Open Access Journals (Sweden)

    Greta R. Bauer

    2016-06-01

    Full Text Available Abstract Background Bisexual populations have higher prevalence of depression, anxiety, suicidality and substance use than heterosexuals, and often than gay men or lesbians. The co-occurrence of multiple outcomes has rarely been studied. Methods Data were collected from 405 bisexuals using respondent-driven sampling. Weighted analyses were conducted for 387 with outcome data. Multiple outcomes were defined as 3 or more of: depression, anxiety, suicide ideation, problematic alcohol use, or polysubstance use. Results Among bisexuals, 19.0 % had multiple outcomes. We did not find variation in raw frequency of multiple outcomes across sociodemographic variables (e.g. gender, age. After adjustment, gender and sexual orientation identity were associated, with transgender women and those identifying as bisexual only more likely to have multiple outcomes. Social equity factors had a strong impact in both crude and adjusted analysis: controlling for other factors, high mental health/substance use burden was associated with greater discrimination (prevalence risk ratio (PRR = 5.71; 95 % CI: 2.08, 15.63 and lower education (PRR = 2.41; 95 % CI: 1.06, 5.49, while higher income-to-needs ratio was protective (PRR = 0.44; 0.20, 1.00. Conclusions Mental health and substance use outcomes with high prevalence among bisexuals frequently co-occurred. We find some support for the theory that these multiple outcomes represent a syndemic, defined as co-occurring and mutually reinforcing adverse outcomes driven by social inequity.

  4. Partnership agreements less likely among young gay and bisexual men in Australia - data from a national online survey of gay and bisexual men's relationships.

    Science.gov (United States)

    Kolstee, Johann; Philpot, Steven; Grierson, Jeffrey; Bavinton, Benjamin R; Duncan, Duane; Prestage, Garrett

    2017-08-01

    How gay and bisexual men (GBM) establish partnership agreements may be affected by several factors, including age. The ability to communicate with a partner about sexual agreements has important sexual health implications for GBM. To assess differences in partnership agreements among GBM. We surveyed GBM about their partnerships using a national, anonymous online survey in 2013-14. We compared men who had monogamous partnerships with men who had non-monogamous partnerships, according to age and other factors. Regarding the nature of their partnership with their primary regular partner (PRP), younger men were less likely to have an agreement of any sort and were less likely to have discussed it. Younger men were more likely to report having a monogamous partnership, but they were also less likely to report condomless anal intercourse with their PRP. In multivariate analysis of partnership arrangements, having a non-monogamous partnership with their PRP was associated with being older (adjusted odds ratio=1.03; 95% confidence interval=1.02-1.04; Prelationship', younger men were particularly less likely to do so. Due to less communication with partners about sexual agreements, when young GBM engage in sexual risk behaviour they may be at an increased risk of HIV and other sexually transmissible infections.

  5. 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

  6. From "nothing" to "something" to "everything": bisexuality and metaphors of the mind.

    Science.gov (United States)

    Stimmel, B

    1996-01-01

    Psychoanalytic understanding of female sexuality has continued to evolve since Freud presented it as a central and abiding question in psychoanalytic theory. This paper is an attempt to demonstrate that much of what we have learned and added to our theory is based in part on the classical thinking which remains a foundation of psychoanalytic wisdom about human sexuality in general, male and female. And this foundation rests on the cornerstone of the human longing for completeness, for "everything"--a bisexual core. A clinical case, the basis of psychoanalytic data, demonstrates, primarily through the analysis of a dream, the neurotic derailments that follow upon a disavowal of the need for the little girl to identify with the metaphorical representation of male genitalia. The theoretical underpinnings of this perspective are presented as well as a correction of a common misreading of Freud's ideas about anatomical "bedrock."

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

    Science.gov (United States)

    Nagata, Jason M

    2017-01-01

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

  8. 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.

  9. Outside looking in: the community impacts of anti-lesbian, gay, and bisexual hate crime.

    Science.gov (United States)

    Bell, James G; Perry, Barbara

    2015-01-01

    Hate crime scholars have long argued that the harms of hate crime extend beyond the immediate victim to negatively impact the victim's reference community. However, this assertion is speculative and in need of empirical support. Utilizing focus group data from 15 people who identified as lesbian, gay, bisexual, or pansexual, this pilot study explored the extent to which the harms of anti-LGB hate crime spread beyond the immediate victim to impact nonvictims in the LGB community. The findings suggest that anti-LGB hate violence can have profound and negative effects on the psychological and emotional well-being of nonvictims who are LGB and may result in dramatic behavioral change as well. The findings also indicate that hate violence negatively affected participants' decisions to disclose their sexual orientation to others. On a more positive note, however, awareness of such violence may also mobilize some people within the LGB community.

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

    Science.gov (United States)

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

    2018-02-01

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

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

    Science.gov (United States)

    Margolies, Liz; Brown, Carlton G

    2018-02-01

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

  12. Teaching lesbian, gay, bisexual, and transgender issues in dental education: a multipurpose method.

    Science.gov (United States)

    Brondani, Mario A; Paterson, Randy

    2011-10-01

    Discussion of lesbian, gay, bisexual, and transgender (LGBT) issues has fallen short in dental curricula. This article aims to describe the didactic approach used to present issues of sexuality in the D.M.D. curriculum at the University of British Columbia. This descriptive article discusses the main pedagogies employed to present and discuss LGBT issues: lecture-based seminars, guest panel discussion with members of the LGBT community, poster discussion, and student reflections on the topic of sexuality. The approach to sexual diversity presented here does not profess to make an otherwise homophobic student LGBT-friendly, but it exposes all students to alternative views of sexuality, challenges their values and beliefs, and celebrates diversity. The methodology presented has had a positive impact upon students as illustrated by their reflections, but further discussion is needed to better understand the implications of LGBT issues in both academic and professional settings.

  13. 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.

  14. Minority Stress and Intimate Partner Violence Among Gay and Bisexual Men in Atlanta.

    Science.gov (United States)

    Stephenson, Rob; Finneran, Catherine

    2017-07-01

    Intimate partner violence (IPV) rates are disproportionately high among sexual minority populations. Few studies have examined the plausible relationship between minority stress and IPV among men who have sex with men. This study examines the associations between IPV and three indicators of minority stress: internalized homophobia, sexuality-based discrimination, and racism, in a large venue-based sample of gay and bisexual men from Atlanta, USA. Each of the minority stress measures was found to be significantly associated with increased odds of self-reporting any form of receipt of IPV. Significant associations were also identified between perpetration of IPV and minority stressors, with most types of IPV perpetration linked to internalized homophobia. This study confirms findings in a growing body of research supporting the relationship between minority stress and increased prevalence of IPV among men who have sex with men, and points to the need to address structural factors in IPV prevention programs for male-male couples.

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

    Science.gov (United States)

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

    2017-06-01

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

  16. 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.

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

    Science.gov (United States)

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

    2017-07-01

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

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

    Science.gov (United States)

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

    2017-10-24

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

  19. 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 county) agencies. The primary successes of this group included meaningful and gratifying parenting and successful testing of whether adoption might be a natural next step after foster parenting. The primary challenges included insensitive, inappropriate, and difficult social workers; state or local laws that worked against successful foster parenting by LGB adults; failure to recognize parents' partners; and lack of support by the system to acknowledge the important role of LGB parents. Numerous recommendations are identified for improving how LGB foster parents are supported within child welfare systems including foster parent and social worker training in LGB issues.

  20. Four men in treatment: an evolving perspective on homosexuality and bisexuality, 1965 to 2000.

    Science.gov (United States)

    Roughton, R E

    2001-01-01

    The author surveys his work with gay and bisexual men and his evolving clinical understanding, spanning a thirty-five-year period from 1965 to 2000. Four cases are discussed briefly, one from each decade, to illustrate the changing clinical approach, and the following conclusions drawn: (1) sexual orientation and mental health should be approached as independent dimensions; (2) heterosexual orientation is not a required outcome for successful analysis; (3) an analytic process focused on uncovering a presumed "pathological etiology" inevitably distorts the process and obscures more relevant analytic needs; (4) unrecognized heterosexist assumptions and unfamiliarity with norms of gay men's lives pose special barriers to analytic work with gay men. Ongoing self-analysis and self-education are necessary to reduce interferences that keep analysts from listening to their gay patients with open and unbiased attention.

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

    Science.gov (United States)

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

    2016-12-01

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

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

    Science.gov (United States)

    Raley, Amber B; Lucas, Jennifer L

    2006-01-01

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

  3. Disclosure of sexual preference to physicians by black lesbian and bisexual women.

    Science.gov (United States)

    Cochran, S D; Mays, V M

    1988-01-01

    Physicians' ability to diagnose and treat health care problems, particularly those with a psychosocial component, is facilitated by accurate information concerning the life-styles of their patients. White lesbians have been shown to be generally reluctant to disclose sexual orientation to their physicians, but little, if anything, is known about black lesbians. Black women, self-identified as bisexuals (N = 65) and lesbians (N = 529), were asked whether they had disclosed their homosexual behavior to their physicians. In the sample, only a third of the women had. Previous sexual experiences, both heterosexual and homosexual, were also queried to illuminate patterns of gynecologic health risk factors. Nearly all of the women reported previous heterosexual experiences. PMID:3250107

  4. 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.

  5. 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

  6. Androgyne becomes bisexual in sexological theory: Plato to Freud and neuroscience.

    Science.gov (United States)

    Money, J

    1990-01-01

    Plato conceptualized primordial humans as androgynes, the children of the moon. The primordial hermaphroditism of the mammalian embryo became known 2 1/2 millennia later in the mid-19th century. By 1864 Ulrichs had transposed the new knowledge from embryology to sexology to explain those to whom he gave the name Urnings (after Uranus who gave womanless birth to Venus from sea spume) as having "a woman's mind trapped in a man's body" (anima muliebris corpore virili inclusa). Urning became displaced by sexual inversion, and eventually by homosexual, a term coined together with heterosexual by Kertbeny as recently as 1869. The embryological principle of primordial hermaphroditism became linked to evolutionary Darwinism by way of Haeckel's principle of recapitulation, epitomized as "ontogeny recapitulates phylogeny." The recapitulation principle became linked, in turn, to the principle of intrapsychic primordial bisexuality, which became a cornerstone of Freud's psychoanalytic theory. Genetics influences the outcome of bipotentiality not directly but by way of hormonal programming of the brain, prenatally or neonatally, rather than pubertally and in maturity. Bipotentiality within the brain has been investigated chiefly in the hypothalamus where male/female dimorphism has been recognized, but its determinants and stages of differentiation, both prenatal and postnatal, remain to be fully ascertained. Neuroanatomical research on the outcome of male/female bipotentiality as gay, straight, or in between is politically and morally opposed by those who postulate a bipotential preference or voluntary choice. In stimulus-response associationism, to which behavior-modification theory belongs, bisexuality is equipotential, and either alternative may be evoked, ostensibly, dependent on the stimulus situation. In ethological theory, the effectiveness of stimulus-response bonding is confined chronologically to a critical period of development and is restricted phylogenetically by

  7. Self-Reported Penis Size and Experiences with Condoms Among Gay and Bisexual Men

    Science.gov (United States)

    Grov, Christian; Wells, Brooke E.

    2018-01-01

    As researchers and community-based providers continue to encourage latex condom use as a chief strategy to prevent HIV transmission among men who have sex with men, research is needed to better explore the intersecting associations among penis size (length and circumference), condom feel, ease of finding condoms, recent experience of condom failure (breakage and slippage), and unprotected anal sex. Data were taken from a 2010 community-based survey of self-identified gay and bisexual men in New York City (n = 463). More than half (51.4 %) reported penile length as 6–8 in. long (15–20 cm) and 31.5 % reported penile circumference as 4–6 in. around (10–15 cm). Variation in self-reported penile dimensions was significantly associated with men’s attitudes toward the typical/average condom, difficulty finding condoms that fit, and the experience of condom breakage. Men who had engaged in recent unprotected insertive anal intercourse reported significantly higher values for both penile length and circumference, and these men were significantly more likely to report that the average/typical condom was “too tight.” Most men had measured their length (86.2 %) and/or circumference (68.9 %), suggesting that penile measurement might be a common and acceptable practice among gay and bisexual men. As HIV and STI prevention providers continue to serve as leading distributers of free condoms, these findings further highlight the need for condom availability to be in a variety of sizes. Improving condom fit and attitudes toward condoms may also improve condom use and minimize condom slippage and breakage. PMID:22552706

  8. The Role of Maladaptive Cognitions in Hypersexuality among Highly Sexually Active Gay and Bisexual Men

    Science.gov (United States)

    Pachankis, John E.; Rendina, H. Jonathon; Ventuneac, Ana; Grov, Christian; Parsons, Jeffrey T.

    2014-01-01

    Cognitive appraisals about sex may represent an important component of the maintenance and treatment of hypersexuality, but they are not currently represented in conceptual models of hypersexuality. Therefore, we validated a measure of maladaptive cognitions about sex and examined its unique ability to predict hypersexuality. Qualitative interviews with a pilot sample of 60 highly sexually active gay and bisexual men and expert review of items yielded a pool of 17 items regarding maladaptive cognitions about sex. A separate sample of 202 highly sexually active gay and bisexual men completed measures of sexual inhibition and excitation, impulsivity, emotional dysregulation, depression and anxiety, sexual compulsivity, the Hypersexual Disorder Screening Inventory proposed by the American Psychiatric Association’s DSM-5 Workgroup on Sexual and Gender Identity Disorders (2010). Factor analysis confirmed the presence of three subscales: perceived sexual needs, sexual costs, and sexual control efficacy. Structural equation modeling results were consistent with a cognitive model of hypersexuality whereby magnifying the necessity of sex and disqualifying the benefits of sex partially predicted minimized self-efficacy for controlling one’s sexual behavior, all of which predicted problematic hypersexuality. In multivariate logistic regression, disqualifying the benefits of sex predicted unique variance in hypersexuality, even after adjusting for the role of core constructs of existing research on hypersexuality, AOR = 1.78, 95% CI 1.02, 3.10. Results suggest the utility of a cognitive approach for better understanding hypersexuality and the importance of developing treatment approaches that encourage adaptive appraisals regarding the outcomes of sex and one’s ability to control his sexual behavior. PMID:24558123

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

    Science.gov (United States)

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

    2017-07-01

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

  10. Effects of Mindfulness Interventions on Health Outcomes in Older Lesbian/Bisexual Women.

    Science.gov (United States)

    Ingraham, Natalie; Eliason, Michele J; Garbers, Samantha; Harbatkin, Dawn; Minnis, Alexandra M; McElroy, Jane A; Haynes, Suzanne G

    2016-07-07

    Lesbian and bisexual (LB) women are at higher risk for obesity, but no reported interventions focus on older LB women who are overweight or obese. The Healthy Weight in Lesbian and Bisexual Women study funded five programs (n = 266 LB women age ≥40); two examined effects of mindfulness interventions on health outcomes. Analysis of variance and regression measured the impact of mindfulness-based programs on health behaviors and quality of life (MCS). Outcomes were also compared between intervention sites (mindfulness vs. standard weight loss approaches). Mindful Eating Questionnaire (MEQ) subscale scores improved significantly from preassessment to postassessment in mindfulness interventions. LB women who reported an increase (top tertile) in mindful eating had the most significant increase in MCS scores (35.3%) compared with those with low gains (low and medium tertile) in mindfulness (3.8%). MEQ score increase predicted 40.8% of the variance (adjusted) in MCS score, R(2) = .431, F(6,145) = 18.337, p mindfulness were significantly related to increases in physical activity and some nutrition outcomes. Mindfulness intervention sites showed within-person improvements in MCS and fruit and vegetable intake, whereas standard intervention sites showed within-person decreases in alcohol intake and increases in physical activity level. Although weight loss was not a primary outcome at the mindfulness sites, small but significant weight loss and weight-to-height ratio decreases were reported at all five sites. Increases in mindfulness were associated with a number of significant self-reported health improvements, including a great increase in perceived mental health quality of life. Mindfulness may be a promising practice to address health issues in aging LB women. Copyright © 2016 Jacobs Institute of Women's Health. All rights reserved.

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

    Science.gov (United States)

    Frederick, David A; Fales, Melissa R

    2016-01-01

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

  12. The bereavement experiences of lesbian, gay, bisexual and/or trans* people who have lost a partner: A systematic review, thematic synthesis and modelling of the literature.

    Science.gov (United States)

    Bristowe, Katherine; Marshall, Steve; Harding, Richard

    2016-09-01

    Socially excluded populations have poorer access to care; however, little attention has been paid to lesbian, gay, bisexual and/or trans* people. Lesbian, gay, bisexual and/or trans* people are at increased risk of certain life-limiting illnesses and may not receive the care and support they need at the end of life and into bereavement. To identify and appraise the evidence of the bereavement experiences of lesbian, gay, bisexual and/or trans* people who have lost a partner and develop an explanatory model of lesbian, gay, bisexual and/or trans* partner bereavement. Systematic review (in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines) and thematic synthesis with assessment of reporting and rigour. Quantitative or qualitative articles reporting bereavement experiences of lesbian, gay, bisexual and/or trans* partners were included, excluding articles reporting multiple losses in the context of HIV or AIDS. PsycINFO, MEDLINE, Web of Science, Scopus, Cochrane Library. Inclusion dates: database inception - 30 April 2015. A total of 23 articles reporting on 13 studies were identified. Studies described universal experiences of the pain of losing a partner; however, additional barriers and stressors were reported for lesbian, gay, bisexual and/or trans* people, including homophobia, failure to acknowledge the relationship, additional legal and financial issues and the 'shadow' of HIV or AIDS. A novel model was developed to explain how the experience for lesbian, gay, bisexual and/or trans* people is shaped by whether the relationship was disclosed and acknowledged in life and into bereavement and how this impacts upon needs and access to care. There is a need for healthcare providers to avoid hetero-normative assumptions; be mindful of additional stressors in bereavement for lesbian, gay, bisexual and/or trans* people; and consider additional sources of support to deliver individualised holistic care. © The Author

  13. 'Nurses don't deal with these issues': nurses' role in advance care planning for lesbian, gay, bisexual and transgender patients.

    Science.gov (United States)

    Carabez, Rebecca; Scott, Megan

    2016-12-01

    We used a question from the Healthcare Equality Index to explore nurses' knowledge and understanding of medical advance directives, medical power of attorney and other legal documents for lesbian, gay, bisexual and transgender patients. Until the landmark ruling in Obergefell vs. Hodges, lesbian, gay, bisexual and transgender individuals and same-sex couples have had limited relationship rights as only a few states recognised marriages and provided legal protections for same-sex couples. Health care providers' knowledge of and attitudes towards advance care planning plays a significant role in determining whether or not individuals successfully complete advance directives, yet advance care planning for lesbian, gay, bisexual and transgender individuals is poorly understood among both health care providers and same-sex couples. These data were part of a larger research study that explored the current state of lesbian, gay, bisexual and transgender-sensitive nursing practice. Undergraduate nursing students recruited and interviewed nurse key informants (n = 268) about medical advance directives, medical power of attorney and other legal documents for lesbian, gay, bisexual and transgender patients. Nearly 50% of key informants indicated a lack of knowledge of advance directives, over 26% reported the difficulties nurses face regarding advance directives are the same for both lesbian, gay, bisexual and transgender and heterosexual patients, and nearly 25% indicated difficulties including having to decide who has the legal right to make decisions for the patient. The study demonstrated the need for education and training for practising nurses in advance care planning for lesbian, gay, bisexual and transgender patients and same-sex couples. Nurses are in a position to act as educators, advocates and decision makers for their patients. Nurse's lack of understanding of advance care planning may negatively impact the type and quality of care lesbian, gay, bisexual and

  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 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...

  15. 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

  16. 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

    2016-01-01

    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.

  17. 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.

  18. 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.

  19. Syngonanthus androgynus, a Striking New Species from South America, its Phylogenetic Placement and Implications for Evolution of Bisexuality in Eriocaulaceae.

    Science.gov (United States)

    Watanabe, Mauricio Takashi Coutinho; Hensold, Nancy; Sano, Paulo Takeo

    2015-01-01

    In the present study, we describe and illustrate a remarkable new species of Syngonanthus from South America (Bolivia, Brazil and Peru). This new species is quickly distinguished from all species in the genus by trimerous and bisexual flowers, a unique set of characteristics in Syngonanthus. Complementary to this study, sequences of 33 species were downloaded from GenBank and four species had sequences newly generated for this study. Molecular phylogenetic analyses based on nuclear ribosomal ITS and the plastid regions psbA-trnH and trnL-F were performed to determine its systematic position. The results have shown S. androgynus closely related to a well-supported clade that has been treated as Syngonanthus sect. Carphocephalus. Floral traits associated with this new plant also were surveyed. Character reconstruction suggests that the bisexual flowers originated independently more than once in the genus. However, trimerous flowers appear to be an ancestral condition of the whole genus.

  20. 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.

  1. Addressing the healthcare needs of older Lesbian, Gay, Bisexual, and Transgender patients in medical school curricula: a call to action.

    Science.gov (United States)

    Cannon, Sophie M; Shukla, Vipul; Vanderbilt, Allison A

    2017-01-01

    Medical students matriculating in the coming years will be faced with treating an expansive increase in the population of older lesbian, gay, bisexual, and transgender (LGBT) patients. While these patients face healthcare concerns similar to their non-LGBT aging peers, the older LGBT community has distinct healthcare needs and faces well-documented healthcare disparities. In order to reduce these healthcare barriers, medical school curricula must prepare and educate future physicians to treat this population while providing high quality, culturally-competent care. This article addresses some of the unique healthcare needs of the aging LGBT population with an emphasis on social concerns and healthcare disparities. It provides additional curricular recommendations to aid in the progressive augmentation of medical school curricula. Liaison Committee on Medical Education (LCME); LGBT: Lesbian, gay, bisexual, transgender.

  2. 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

    2016-01-01

    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.

  3. Suicidal ideation and attempts in North American school-based surveys: are bisexual youth at increasing risk?

    Science.gov (United States)

    Saewyc, Elizabeth M; Skay, Carol L; Hynds, Patricia; Pettingell, Sandra; Bearinger, Linda H; Resnick, Michael D; Reis, Elizabeth

    2007-01-01

    This study explored the prevalence, disparity, and cohort trends in suicidality among bisexual teens vs. heterosexual and gay/lesbian peers in 9 population-based high school surveys in Canada and the U.S. Multivariate logistic regressions were used to calculate age-adjusted odds ratios separately by gender; 95% confidence intervals tested cohort trends where surveys were repeated over multiple years. Results showed remarkable consistency: bisexual youth reported higher odds of recent suicidal ideation and attempts vs. heterosexual peers, with increasing odds in most surveys over the past decade. Results compared to gay and lesbian peers were mixed, with varying gender differences in prevalence and disparity trends in the different regions.

  4. Implicit Sexual Attitude of Heterosexual, Gay and Bisexual Individuals: Disentangling the Contribution of Specific Associations to the Overall Measure

    Science.gov (United States)

    Anselmi, Pasquale; Vianello, Michelangelo; Voci, Alberto; Robusto, Egidio

    2013-01-01

    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. PMID:24260142

  5. Justification-Suppression and Normative Window of Prejudice as Determinants of Bias Toward Lesbians, Gays, and Bisexual Adoption Applicants.

    Science.gov (United States)

    DeVault, Alicia; Miller, Monica K

    2017-12-08

    Despite gains in equality for lesbians, gays, and bisexuals (LGB), these couples still face discrimination in adoption scenarios. Guided by the normative window of prejudice and the justification-suppression model, participants read about a suitable or unsuitable couple applying to adopt a child. Participants indicated whether the couple should be allowed to adopt the child and how committed the couple is to being parents. Heterosexuals were perceived as less committed parents compared to LGB parents; sexual orientation was not related to adoption decisions. There was a significant interaction between sexual orientation and suitability for perceptions of commitment to parenting: in the suitable condition, heterosexuals were perceived as less committed parents compared to gays; in the unsuitable condition, heterosexuals were perceived as less committed parents compared to bisexuals. This interaction was nonsignificant for adoption decisions. Future research should determine if these findings relate to other sexual orientations or gender identities.

  6. Syngonanthus androgynus, a Striking New Species from South America, its Phylogenetic Placement and Implications for Evolution of Bisexuality in Eriocaulaceae.

    Directory of Open Access Journals (Sweden)

    Mauricio Takashi Coutinho Watanabe

    Full Text Available In the present study, we describe and illustrate a remarkable new species of Syngonanthus from South America (Bolivia, Brazil and Peru. This new species is quickly distinguished from all species in the genus by trimerous and bisexual flowers, a unique set of characteristics in Syngonanthus. Complementary to this study, sequences of 33 species were downloaded from GenBank and four species had sequences newly generated for this study. Molecular phylogenetic analyses based on nuclear ribosomal ITS and the plastid regions psbA-trnH and trnL-F were performed to determine its systematic position. The results have shown S. androgynus closely related to a well-supported clade that has been treated as Syngonanthus sect. Carphocephalus. Floral traits associated with this new plant also were surveyed. Character reconstruction suggests that the bisexual flowers originated independently more than once in the genus. However, trimerous flowers appear to be an ancestral condition of the whole genus.

  7. Voice, silence, and diversity in 21st century organizations: strategies for inclusion of gay, lesbian, bisexual, and transgender employees

    OpenAIRE

    Myrtle P. Bell; Mustafa F. Özbilgin; T. Alexandra Beauregard; Olca Sürgevil

    2011-01-01

    Employee voice has been largely examined as a universal concept in unionized and non-unionized settings, with insuffi cient attention to diversity of workers (Rank, 2009). As invisible minorities, gay, lesbian, bisexual, and transgender (GLBT) employees provide a valuable focal point from which to examine employee voice mechanisms. Positing that GLBT employees are often silenced by what is perceived as “normal” in work organizations, this paper identifi es some of the negative consequences of...

  8. Romantic Relationships and Their Social Context Among Gay/Bisexual Male Youth in the Castro District of San Francisco

    OpenAIRE

    Strong, Thomas

    2007-01-01

    This article examines the culture of romantic relationships among gay/bisexual male youth in the Castro District of San Francisco.The article seeks to specify the cultural ideology that informs these relationships, drawing upon ethnographic observation, autobiographical accounts, and informant cultural exegesis. The article also seeks to link thinking and experience inside romantic relationships (e.g., bonding, jealousy) to patterns of social behavior associated with romantic r...

  9. Twenty years on: lesbian, gay and bisexual police officers' experiences of workplace discrimination in England and Walespolicing and society

    OpenAIRE

    Jones, Matthew Leonard; Williams, Matthew Leighton

    2013-01-01

    Twenty years ago Mark Burke's pioneering research into homosexuality and policing evidenced widespread prejudice and hostility toward lesbian, gay and bisexual police officers in nine forces across England and Wales. These serving officers were felt to represent the most serious kind of contamination and threat to the integrity of the British Police Service by their heterosexual colleagues. Twenty years on this research, which represents one of the largest ever surveys of LGB police officers ...

  10. Addressing the healthcare needs of older Lesbian, Gay, Bisexual, and Transgender patients in medical school curricula: a call to action

    OpenAIRE

    Cannon, Sophie M.; Shukla, Vipul; Vanderbilt, Allison A.

    2017-01-01

    ABSTRACT Medical students matriculating in the coming years will be faced with treating an expansive increase in the population of older lesbian, gay, bisexual, and transgender (LGBT) patients. While these patients face healthcare concerns similar to their non-LGBT aging peers, the older LGBT community has distinct healthcare needs and faces well-documented healthcare disparities. In order to reduce these healthcare barriers, medical school curricula must prepare and educate future physicians...

  11. Discrepancies in Lesbian, Gay, Bisexual, and Transgender Patient Care and How Pharmacists Can Support an Evolved Practice

    OpenAIRE

    Maxwell, Erin; Salch, Stephanie; Boliko, Monique; Anakwe-Charles, Genevieve

    2017-01-01

    We live in an increasingly multicultural society with people from different ethnicities and beliefs. In recent years, we have witnessed a growing group of people who identify as having diverse sexual orientations and gender identities. Members of the lesbian, gay, bisexual, and transgender (LGBT) community have historically been marginalized by the health care industry. The disproportionate prevalence of LGBT health concerns and cultural prejudices may be overlooked by many practitioners. As ...

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

    Science.gov (United States)

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

    2018-01-01

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

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

    OpenAIRE

    Stevens, Sally

    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 ...

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

    OpenAIRE

    Fahie, Declan

    2016-01-01

    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...

  15. 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...

  16. The occurrence of an exotic bisexual Artemia species, Artemia franciscana, in two coastal salterns of Shandong Province, China

    Science.gov (United States)

    Zheng, Bo; Sun, Shichun; Ma, Lin

    2004-10-01

    The alien halophilous Artemia species, Artemia franciscana, was found in Chengkou Saltern and Yangkou Saltern of Shandong Province, P.R. China. Although the indigenous parthenogenetic Artemia is detectable, the exotic species is dominant in both salterns. The cross-breeding tests between the exotic A. franciscana and 5 bisexual Artemia species were conducted. The results of hybridization and morphological observations on the exotic A. franciscana are briefly presented in this short communication.

  17. Substance Use in Lesbian, Gay, and Bisexual Populations: An Update on Empirical Research and Implications for Treatment

    Science.gov (United States)

    Green, Kelly E.; Feinstein, Brian A.

    2011-01-01

    Historically, substance use problems were thought to be more prevalent in lesbian, gay, and bisexual (LGB) populations, and correcting skewed perceptions about substance abuse among LGB individuals is critically important. This review provides an update on empirical evidence on LGB substance use patterns and treatment outcome, with specific focus on clinical implications of findings. Compared to earlier studies, the recent research included in this review has used more sophisticated methodologies, more representative samples, and also has investigated multiple dimensions of sexual orientation in relation to substance use patterns. Findings from recent research suggest that lesbians and bisexual women are at greater risk for alcohol and drug use disorders and related problems, and that gay and bisexual men are at greater risk for illicit drug use and related problems. Several sociocultural factors have emerged as correlates of substance use patterns in LGB populations (e.g., affiliation with gay culture, HIV-status), and several demographic characteristics (e.g., female, older age) do not appear to be as robust of protective factors against substance abuse for LGB individuals compared to heterosexual populations. Bisexual identity and/or behavior in particular seem to be related to increased risk for substance abuse. In terms of treatment outcome, limitations of extant research prevent conclusions about the relative impact of LGB-specific interventions, and further research that includes women and uses more equivalent comparison interventions is needed. Clinical implications of research findings are discussed for case identification, selection of treatment goals (e.g., moderation versus abstinence), targets for intervention, and specific treatment modalities. PMID:22061339

  18. Gay and Bisexual Men's Perceptions of the Donation and Use of Human Biological Samples for Research: A Qualitative Study.

    Directory of Open Access Journals (Sweden)

    Chris Patterson

    Full Text Available Human biological samples (biosamples are increasingly important in diagnosing, treating and measuring the prevalence of illnesses. For the gay and bisexual population, biosample research is particularly important for measuring the prevalence of human immunodeficiency virus (HIV. By determining people's understandings of, and attitudes towards, the donation and use of biosamples, researchers can design studies to maximise acceptability and participation. In this study we examine gay and bisexual men's attitudes towards donating biosamples for HIV research. Semi-structured telephone interviews were conducted with 46 gay and bisexual men aged between 18 and 63 recruited in commercial gay scene venues in two Scottish cities. Interview transcripts were analysed thematically using the framework approach. Most men interviewed seemed to have given little prior consideration to the issues. Participants were largely supportive of donating tissue for medical research purposes, and often favourable towards samples being stored, reused and shared. Support was often conditional, with common concerns related to: informed consent; the protection of anonymity and confidentiality; the right to withdraw from research; and ownership of samples. Many participants were in favour of the storage and reuse of samples, but expressed concerns related to data security and potential misuse of samples, particularly by commercial organisations. The sensitivity of tissue collection varied between tissue types and collection contexts. Blood, urine, semen and bowel tissue were commonly identified as sensitive, and donating saliva and as unlikely to cause discomfort. To our knowledge, this is the first in-depth study of gay and bisexual men's attitudes towards donating biosamples for HIV research. While most men in this study were supportive of donating tissue for research, some clear areas of concern were identified. We suggest that these minority concerns should be accounted

  19. 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.

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

    Science.gov (United States)

    Deacon, Rachel M; Mooney-Somers, Julie

    2017-07-01

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

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

    Science.gov (United States)

    Zhang, Xiaoyun; Wu, Li-Tzy

    2017-01-05

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

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

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

    2017-01-01

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

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

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    McDermott, Elizabeth

    2015-11-01

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

  4. DNA damage and micronuclei in parthenogenetic and bisexual Darevskia rock lizards from the areas with different levels of soil pollution.

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    Simonyan, Anna; Hovhannisyan, Galina; Sargsyan, Anzhela; Arakelyan, Marine; Minasyan, Seyran; Aroutiounian, Rouben

    2018-06-15

    Natural species are widely used as indicator organisms to estimate of the impact of environmental pollution. Here we present the results of first study of a reliability of parthenogenetic Darevskia аrmeniaca and bisexual Darevskia raddei rock lizards as sentinels for monitoring of environmental genotoxicity. The comet assay and micronucleus test were applied to the lizards sampled in six areas in Armenia and Artsakh with different levels of soil contamination. The results obtained showed a clear relationship between the pollution level of lizards' habitats and the frequency of DNA damage in the comet assay. Low baseline frequency of micronuclei in D. аrmeniaca and D. raddei, however, makes this parameter ineffective for environmental genotoxicity evaluation. The parthenogenetic lizards D. аrmeniaca showed higher sensitivity toward genotoxic pollutions compared with bisexual D. raddei living in the same environment. The correlations between soil content of heavy metals Cr, Cu, Zn, Mo, Pb and DNA damage in D. аrmeniaca and between Cu, As, Mo, Pb and DNA damage in D. raddei were revealed. Overall, the lizards D. raddei and D. аrmeniaca appeared to be sensitive species in detecting soil pollution in natural environment. The application of the comet assay in Darevskia lizard species can be considered as a more appropriate method than a micronucleus test. The use of parthenogenetic lizards D. аrmeniaca as bioindicator will permit to assess the environmental genotoxicity independent of the genetic polymorphism of bisexual species. Copyright © 2018. Published by Elsevier Inc.

  5. An exploration of religion and spirituality among young, HIV-infected gay and bisexual men in the USA.

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    Jeffries, William L; Okeke, Janice O; Gelaude, Deborah J; Torrone, Elizabeth A; Gasiorowicz, Mari; Oster, Alexandra M; McCree, Donna Hubbard; Bertolli, Jeanne

    2014-01-01

    Although religion and spirituality can promote healthy behaviours and mental well-being, negative religious experiences may harm sexual minority men's health. Despite increasing vulnerability to HIV infection among young gay and bisexual men, few studies examine how religion and spirituality might affect them. To this end, we interviewed young gay and bisexual men who were diagnosed with HIV infection during January 2006-June 2009. Questionnaires assessed religious service attendance, disclosure of sexuality within religious communities, and beliefs about homosexuality being sinful. A subset described religious and spiritual experiences in qualitative interviews. We calculated the prevalence of religion- and spirituality-related factors and identified themes within qualitative interviews. Among men completing questionnaires, 66% currently attended religious services, 16% believed they could disclose their sexuality at church, and 37% believed homosexuality was sinful. Participants who completed qualitative interviews commonly discussed religious attendance and negative experiences within religious settings. They often expressed their spirituality through prayer, and some used it to cope with adverse experiences. These data suggest that religion and spirituality are notable factors that shape young, HIV-infected gay and bisexual men's social contexts. Programmes and interventions that constructively engage with religious institutions and are sensitive to spiritual beliefs may promote these men's health.

  6. Setting the scene: locations for meeting sex partners among behaviorally bisexual men in Vientiane, Laos, and opportunities for health promotion.

    Science.gov (United States)

    Bowring, Anna L; van Gemert, Caroline; Vongsaiya, Kongchay; Hughes, Chad; Sihavong, Amphoy; Phimphachanh, Chansy; Chanlivong, Niramonh; Agius, Paul A; Toole, Mike; Hellard, Margaret

    2014-12-01

    Behaviorally bisexual men (BBM) in Vientiane, Laos report high-risk sexual behaviors. We explore settings for meeting sex partners and associated risk behaviors among BBM in Laos. BBM and their sexual partners were recruited in Vientiane Capital using modified snowball sampling (2010). Settings for usually meeting sex partners and associations with risk behaviors were assessed. Among 88 BBM, the most common settings for men meeting male, kathoey, and female sex partners were private residences (48%, 37%, 51%, respectively) and hospitality settings (39%, 31%, 40%, respectively). Hospitality settings were more commonly reported by heterosexual-identifying BBM, and private residences more commonly reported by bisexual/homosexual-identifying BBM. Inconsistent condom use was high across partners and settings. Meeting partners in hospitality settings was associated with reporting a high number of female sex partners and frequently drinking alcohol before sex. Our results suggest that targeted health promotion initiatives in bars, clubs, and beer-shops could reach a high proportion of high-risk bisexual men, particularly heterosexual-identifying BBM.

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

    Science.gov (United States)

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

    2008-01-01

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

  8. Depression mediates and moderates effects of methamphetamine use on sexual risk taking among treatment-seeking gay and bisexual men.

    Science.gov (United States)

    Fletcher, Jesse B; Reback, Cathy J

    2015-08-01

    Mounting evidence suggests a syndemic relation between methamphetamine use and depression to increase sexual risk taking (i.e., HIV transmission risk behavior) among men who have sex with men. This prospective analysis of longitudinal data collected from an outpatient methamphetamine abuse treatment program for gay and bisexual men assessed whether symptoms of depression mediated and/or moderated the associations between methamphetamine use and unprotected insertive/receptive anal intercourse. From November 2005 through October 2007, 167 treatment-seeking gay and bisexual men (63% HIV-positive) enrolled in and attended a 16-week methamphetamine abuse outpatient treatment program. Participants' depressive symptoms, biomarker-confirmed methamphetamine use, and self-reported sexual risk taking were assessed at baseline and follow-up evaluations. Path analysis tested the mediating and moderating effects of depression on the associations between methamphetamine use and unprotected insertive/receptive anal intercourse. Methamphetamine use during the treatment period had a significant indirect (Coef. = -.15; 95% CI [-.23, -.06]), but no direct (Coef. = .11; ns) or total effect (Coef. = -.04; ns) on participants' sexual risk taking after accounting for the significant mediating (Coef. = .56; 95% CI [.33, .78]) and moderating (Coef. = -.03; 95% CI [-.04, -.02]) effects of depression. Depression fully mediated and weakly moderated associations between methamphetamine use and sexual risk taking in this sample. Interventions and treatment programs to reduce sexual risk taking among gay and bisexual men should simultaneously address methamphetamine use and depression to optimize health outcomes. (c) 2015 APA, all rights reserved).

  9. Post-exposure prophylaxis for HIV infection in gay and bisexual men. Implications for the future of HIV prevention.

    Science.gov (United States)

    Kalichman, S C

    1998-08-01

    To assess the psychological and behavioral characteristics of gay and bisexual men who intend to use antiretroviral post-exposure prophylaxis (PEP) to prevent HIV infection. Gay and bisexual men who had not tested HIV seropositive and were not in long-term exclusive sexual relationships (n = 327) completed anonymous surveys consisting of demographic characteristics, gay community acculturation, experience with and attitudes toward PEP, substance use, and sexual behavior in the past 6 months. A large annual Gay Pride festival in Atlanta, Georgia. There were 8 (3%) men who had already used PEP and 85 (26%) who planned to use PEP to prevent themselves from becoming HIV infected. Compared to the 242 (74%) men who did not indicate plans to use PEP, those planning to use PEP were younger, less well educated, more likely to have used illicit substances in the past 6 months, and were more likely to have a history of injection drug use. Men intending to use PEP were also more likely to have practiced unprotected anal and oral intercourse as the receptive partner and were more likely to have multiple anal intercourse partners with whom they were receptive. Gay and bisexual men are generally supportive of the immediate use of PEP and a significant number of men are planning to use PEP, particularly less educated men who use multiple substances and practice the highest-risk sexual behaviors. Concurrent behavioral interventions must, therefore, be considered critical in the advancement of PEP.

  10. Increases in Sex with Same-Sex Partners and Bisexual Identity Across Cohorts of Women (but Not Men

    Directory of Open Access Journals (Sweden)

    Paula England

    2016-11-01

    Full Text Available We use data from the 2002–2013 National Surveys of Family Growth to examine change across U.S. cohorts born between 1966 and 1995 in whether individuals have had sex with same-sex partners only, or with both men and women, and in whether they have a bisexual or gay identity. Adjusted for age, race/ethnicity, immigrant status, and mother’s education, we find increases across cohorts in the proportion of women who report a bisexual identity, who report ever having had sex with both sexes, or who report having had sex with women only. By contrast, we find no cohort trend for men; roughly 5 percent of men in every cohort have ever had sex with a man, and the proportion claiming a gay or bisexual attraction changed little. We speculate that this gender difference is rooted in a broader pattern of asymmetry in gender change in which departures from traditional gender norms are more acceptable for women than men.

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

    Directory of Open Access Journals (Sweden)

    Xiaoyun Zhang

    2017-01-01

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

  12. Exploring the Sexual Development Experiences of Black Bisexual Male Adolescents Over Time.

    Science.gov (United States)

    Morgan, Anthony; Saunders, Brianna; Dodge, Brian; Harper, Gary; Arrington Sanders, Renata

    2018-01-03

    Scant research has sought to explore the development of dimensions of sexual orientation among Black bisexual male adolescents (BBMA). Understanding how sexual attractions, behaviors, and identities evolve among BBMA over time is crucial to understanding the most appropriate support strategies to provide during this developmental period. We sought to understand and describe the sexual orientation development experiences in a sample of BBMA over the course of 1 year. We further sought to understand the sociocontextual factors that may play a role during this development process. Fifteen BBMA, aged 15-19 years, were interviewed about sexual debut experiences (baseline) and were re-interviewed three times over a 1-year period about sexual attractions, behaviors, and identity at each follow-up point. A three-person team used inductive open coding to analyze each participant's data set. The mean Kinsey scale score for the sample was 2.93 (SD = 1.2) most closely translating to "heterosexual/gay-equally." A case study analysis was used to identify themes related to sexual attractions, behavior, and identity over time, within and across participants. Among the sample of young men, two unique groups were identified based on self-reported sexual identity and experiences of same- and other-sex sexual attractions and behaviors over time. The first group consisted of seven young men who consistently described their sexual identity as bisexual from baseline to the final follow-up. These young men also described similar experiences related to same- and other-sex sexual and romantic attractions and more consistently described same- and other-sex sexual behaviors. The second group consisted of eight young men that described changing sexual identity and same- and other-sex sexual romantic attractions over time. Participants described sociocontextual factors such as religion, masculinity, and homophobia played during their development. Findings from this study underscore the

  13. The Association of Lesbian, Gay, and Bisexual Identity Facets With Smoking Dependence Motives.

    Science.gov (United States)

    Smith, Nathan Grant; Winderman, Kate; King, Brooke; Obasi, Ezemenari M; Reitzel, Lorraine R

    2018-02-07

    Lesbian, gay, and bisexual (LGB) adults have higher rates of smoking than heterosexual adults. LGB individuals face unique stressors, including challenges associated with having a LGB identity. The extent to which these unique stressors are related to dependence motives in LGB adult smokers, however, has not been previously explored. The current study was conducted to redress these gaps. Participants (N = 52; Mage = 42.8; 55.8% Black/African American) were recruited from the local community. Identity facets were measured by the Lesbian, Gay, and Bisexual Identity Scale (LGBIS). Dependence motives were measured by the Brief Wisconsin Inventory of Smoking Dependence Motives. Linear multiple regressions were calculated with the predictors of seven LGBIS subscales for primary and secondary dependence motives, respectively. Primary dependence motives (core nicotine dependence features) were predicted by affirmation of LGB identity (β = 0.44). Secondary dependence motives (eg, taste, cognitive/affective enhancement) were predicted by uncertainty of LGB identity (β = 0.43). LGB identity affirmation was associated with primary dependence motives, suggesting that a positive view of one's sexual orientation is a risk factor for dependence. It may be that identity affirmation is related to stronger involvement with the LGB community, which has smoking-friendly norms. Identity uncertainty was associated with secondary dependence motives; this unique identity challenge may represent a stressor contributing to smoking dependence. Findings can help explain the higher rate of smoking in LGB populations and offer avenues to better tailor smoking cessation interventions. The current study is the first to examine multidimensional aspects of LGB identity in explaining smoking dependence motives among LGB adults. Results reveal that LGB identity challenges are associated with dependence motives, suggesting that interventions targeting these challenges may be help reduce LGB smoking

  14. Condom use among gay/bisexual male substance abusers using the timeline follow-back method.

    Science.gov (United States)

    Crosby, G M; Stall, R D; Paul, J P; Barrett, D C; Midanik, L T

    1996-01-01

    Sexual risk for HIV transmission under the influence of alcohol and/or other drugs is not simply a cause-effect relationship: not everyone who drinks or uses other drugs has unprotected sex. The purpose of this study is to explore differences between substance using gay/bisexual men who use condoms during anal sex from those who do not. These differences are identified by comparing men whose anal sex while under the influence of alcohol and/or drugs is consistently protected to men whose anal sex while under the influence of alcohol and/or drugs is consistently unprotected. Gay/bisexual men entering substance abuse treatment at a gay-identified agency in San Francisco were recruited to complete surveys and to be interviewed about sexual behavior, substance use, and related variables using an extended version of the Timeline Follow-back (TL). The TL procedure uses a blank calendar form and a series of questions to cue recall of drinking, drug use, and anal intercourse on each of the 30 days prior to the last date of alcohol and/or drug use. Men whose anal sex while under the influence of alcohol and/or drugs is consistently unprotected were significantly more likely to report having less than a college education (p = .04), more likely to have an income of less than $20,000 (p = .01), more likely to use amyl nitrite (p = .01) and cocaine (p = .02), and more likely to report a higher frequency of anal sex (p = .007). In addition, they were less likely to approve of sex without love (p = .003), less likely to perceive that safer sex is the community norm (p friends to practice safer sex (p = .001). However, HIV status did not differentiate between the two groups. These two groups provide clear and interesting contrasts in terms of behavior, thus comparisons of the factors influencing sexual safety in these subgroups may enhance our understanding of risk taking. A better understanding of possible mediating variables can be important both in guiding future research in

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

    Directory of Open Access Journals (Sweden)

    Melissa M. Barnhill

    2017-07-01

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

  16. 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. (c) 2014 APA, all rights reserved.

  17. Finding the perfect doctor: identifying lesbian, gay, bisexual, and transgender-competent physicians.

    Science.gov (United States)

    Khalili, Joshua; Leung, Lucinda B; Diamant, Allison L

    2015-06-01

    We assessed the existence of procedures and policies for identifying lesbian, gay, bisexual, and transgender (LGBT)-competent physicians at US academic faculty practices, and sought to identify physician training programs that enhance LGBT competency. We invited all 138 Liaison Committee on Medical Education-accredited US academic faculty practices to participate in a survey in 2012. We systematically assessed their procedures and policies to identify LGBT-competent physicians and their LGBT-competency training. We also assessed geographic region, funding source, and an LGBT health center in the same state. We performed univariate, bivariate, and multivariate logistic regression analyses. The response rate was 50%. Few participants had existing procedures (9%) or policies (4%) to identify LGBT-competent physicians. Procedures included online directories with self-identified LGBT-competent physicians available to the public. Sixteen percent of participants reported having comprehensive LGBT-competency training, and 52% reported having no training. Of note, 80% of participants indicated interest to do more to address these issues. There exist both need and interest for US academic faculty practices to develop procedures, policies, and programs that improve access to LGBT-competent physicians and to train physicians to become LGBT-competent.

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

    Science.gov (United States)

    Zelle, Andraya; Arms, Tamatha

    2015-07-01

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

  19. 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.

  20. Psychological well-being among religious and spiritual-identified young gay and bisexual men.

    Science.gov (United States)

    Meanley, Steven; Pingel, Emily S; Bauermeister, José A

    2016-03-01

    Religiosity and spirituality are often integral facets of human development. Young gay and bisexual men (YGBM), however, may find themselves at odds when attempting to reconcile potentially conflicting identities like religion and their sexual orientation. We sought to explore how different components of religiosity (participation, commitment, spiritual coping) are linked to different markers of psychological well-being (life purpose, self-esteem, and internalized homophobia). Using data collected in Metro Detroit ( N = 351 ages 18-29 years; 47% African American, 29% Non-Latino White, 8% Latino, 16% Other Race), we examined how components of religiosity/spirituality were associated with psychological well-being among religious/spiritual-identified participants. An overwhelming majority (79.5%) identified as religious/spiritual, with most YGBM (91.0%) reporting spirituality as a coping source. Over three quarters of our religious/spiritual sample (77.7%) reported attending a religious service in the past year. Religious participation and commitment were negatively associated with psychological well-being. Conversely, spiritual coping was positively associated with YGBM's psychological well-being. Programs assisting YGBM navigate multiple/conflicting identities through sexuality-affirming resources may aid improve of their psychological well-being. We discuss the public health potential of increasing sensitivity to the religious/spiritual needs of YGBM across social service organizations.

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

    Science.gov (United States)

    Barnes, David M; Meyer, Ilan H

    2012-10-01

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

  2. Incorporating Couples-Based Approaches into HIV Prevention for Gay and Bisexual Men: Opportunities and Challenges

    Science.gov (United States)

    Mizuno, Yuko; Smith, Dawn K.; Grabbe, Kristina; Courtenay-Quirk, Cari; Tomlinson, Hank; Mermin, Jonathan

    2016-01-01

    Thirty years after the beginning of the HIV epidemic, gay, bisexual, and other men who have sex with men (collectively called MSM) bear a disproportionate burden of HIV in the United States and continue to acquire a distressingly high number and proportion of new infections. Historically, HIV prevention for MSM has been focused on individual-level behavior change, rarely intervening with MSM as part of a couple. Yet, an estimated 33–67% of HIV infections among MSM are acquired from primary sexual partners, suggesting that work with MSM as couples could be an important contributor to prevention. Given the emergence of high impact combination HIV prevention, it is timely to consider how work with the broad variety of male couples can improve both personal and community health. Couples HIV testing and counseling for MSM is an important advance for identifying men who are unaware that they are HIV-positive, identifying HIV-discordant couples, and supporting men who want to learn their HIV status with their partner. Once men know their HIV status, new advances in biomedical prevention, which can dramatically reduce risk of HIV transmission or acquisition, allow men to make prevention decisions that can protect themselves and their partners. This paper highlights the present-day challenges and benefits of using a couples-based approach with MSM in the era of combination prevention to increase knowledge of HIV status, increase identification of HIV discordant couples to improve targeting prevention services, and support mutual disclosure of HIV status. PMID:24233328

  3. Childhood Trauma, Adult Sexual Assault, and Adult Gender Expression among Lesbian and Bisexual Women.

    Science.gov (United States)

    Lehavot, Keren; Molina, Yamile; Simoni, Jane M

    2012-09-01

    Several studies have demonstrated that lesbian and bisexual women are more likely than heterosexual women to report childhood abuse and adult sexual assault. It is unknown, however, which sexual minority women are most likely to experience such abuse. We recruited adult sexual minority women living in the US through electronic fliers sent to listservs and website groups inviting them to complete an online survey ( N =1,243). We examined differences in both childhood abuse and adult sexual assault by women's current gender identity (i.e., butch , femme , androgynous , or other ) and a continuous measure of gender expression (from butch/masculine to femme/feminine), adjusting for sexual orientation identity, age, education, and income. Results indicated that a more butch/masculine current self-assessment of gender expression, but not gender identity, was associated with more overall reported childhood trauma. Although one aspect of gender expression, a more butch/masculine gender role, was associated with adult sexual assault, feminine appearance and a femme gender identity also significantly predicted adult sexual assault. These findings highlight the significance of gender identity and expression in identifying women at greater risk for various abuse experiences.

  4. The embodiment of tourism among bisexually-behaving Dominican male sex workers.

    Science.gov (United States)

    Padilla, Mark B

    2008-10-01

    While theories of "structure" and social inequality have increasingly informed global health efforts for HIV prevention--with growing recognition of the linkages between large-scale political and economic factors in the distribution and impact of the HIV/AIDS epidemic--there is still little theorization of precisely how structural factors shape the very bodies and sexualities of specific populations and groups. In order to extend the theoretical understanding of these macro-micro linkages, this article examines how the growth of the tourism industry in the Dominican Republic has produced sexual practices and identities that reflect both the influence of large-scale structural processes and the resistant responses of local individuals. Drawing on social science theories of political economy, embodiment, and authenticity, I argue that an understanding of patterns of sexuality and HIV risk in the region requires analysis of how political-economic transformations related to tourism intersect with the individual experiences and practices of sexuality on the ground. The analysis draws on long-term ethnographic research with bisexually behaving male sex workers in two cities in the Dominican Republic, including participant observation, in-depth interviews, focus groups, and surveys. By examining the global and local values placed on these men's bodies and the ways sex workers use their bodies to broker tourists' pleasure, we may better understand how the large-scale structures of the tourism industry are linked to the specific meanings and practices of sexuality.

  5. Living Arrangement and Loneliness Among Lesbian, Gay, and Bisexual Older Adults

    Science.gov (United States)

    Kim, Hyun-Jun; Fredriksen-Goldsen, Karen I.

    2016-01-01

    Purpose of the Study: Loneliness is a key health risk for older adults. Utilizing the loneliness model, we examine the relationship between living arrangement and loneliness among lesbian, gay, and bisexual (LGB) older adults, taking into consideration potential correlates including social resources and personal constraints. Design and Methods: We use data from a national survey of LGB adults aged 50 and older (N = 2,444). Types of living arrangement include living with a partner or spouse, living alone, and living with someone other than a partner or spouse. Results: Compared with LGB older adults living with a partner or spouse, both those living alone and living with others reported higher degrees of loneliness, even after controlling for other correlates. The results of a multivariate regression analysis reveal that social support, social network size, and internalized stigma partially account for the relationship between living arrangement and loneliness. Implications: Living arrangement was found to be an independent correlate of loneliness among LGB older adults. Targeted interventions are needed to reduce loneliness for those living alone and those living with someone other than a partner or spouse in part by enhancing social resources and reducing risks of internalized stigma. Eliminating discriminatory policies against same-sex partnerships and partnered living arrangements is recommended. PMID:25213482

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

    Science.gov (United States)

    Hancock, Adrienne; Haskin, Gregory

    2015-05-01

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

  7. Living Arrangement and Loneliness Among Lesbian, Gay, and Bisexual Older Adults.

    Science.gov (United States)

    Kim, Hyun-Jun; Fredriksen-Goldsen, Karen I

    2016-06-01

    Loneliness is a key health risk for older adults. Utilizing the loneliness model, we examine the relationship between living arrangement and loneliness among lesbian, gay, and bisexual (LGB) older adults, taking into consideration potential correlates including social resources and personal constraints. We use data from a national survey of LGB adults aged 50 and older (N = 2,444). Types of living arrangement include living with a partner or spouse, living alone, and living with someone other than a partner or spouse. Compared with LGB older adults living with a partner or spouse, both those living alone and living with others reported higher degrees of loneliness, even after controlling for other correlates. The results of a multivariate regression analysis reveal that social support, social network size, and internalized stigma partially account for the relationship between living arrangement and loneliness. Living arrangement was found to be an independent correlate of loneliness among LGB older adults. Targeted interventions are needed to reduce loneliness for those living alone and those living with someone other than a partner or spouse in part by enhancing social resources and reducing risks of internalized stigma. Eliminating discriminatory policies against same-sex partnerships and partnered living arrangements is recommended. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  8. Infrequent condom use with casual partners among New Zealand gay and bisexual men.

    Science.gov (United States)

    Saxton, Peter J; Dickson, Nigel P; Hughes, Anthony J; Ludlam, Adrian H

    2015-12-04

    To identify predictors of non-condom use among gay and bisexual men (GBM) in New Zealand with casual male partners. We analysed anonymous self-completed data from GBM who participated in the communitybased Gay Auckland Periodic Sex Survey (GAPSS) and Internet-based Gay Online Sex Survey (GOSS), undertaken in 2014. Infrequent condom use was defined as not using condoms "always" or "almost always" during anal intercourse in the prior six months. Of the 1,912 GBM reporting anal intercourse with a casual partner, 27.2% reported infrequent condom use. Being recruited from Internet dating sites, Pacific ethnicity, having over 20 recent male partners, infrequent condom use with a current regular partner, or being HIV-positive were independently predictive of infrequent condom use. Conversely, being older, having a tertiary degree, using a condom at first anal intercourse, being exclusively receptive with a casual partner/s, and seeing condoms promoted through multiple channels predicted frequent condom use. Attitudes to condoms and safe sex were strongly predictive of actual condom use. Social marketing should target the modifiable predictors of condom use, such as attitudes to safe sex. Interventions also need to engage successfully with GBM reporting non-modifiable traits such as HIV-positive GBM.

  9. Resilience among gay/bisexual young men in Western Kenya: psychosocial and sexual health outcomes.

    Science.gov (United States)

    Harper, Gary W; Wade, Ryan M; Onyango, Daniel Peter; Abuor, Pauline A; Bauermeister, Jose A; Odero, Wilson W; Bailey, Robert C

    2015-12-01

    To explore associations between intrapersonal and interpersonal factors and both sexual and psychosocial resilient outcomes among young gay, bisexual, and other men who have sex with men (GBMSM) in Western Kenya. Cross-sectional observational study. Five hundred and eleven GBMSM ages 18-29 were recruited from nine communities in Western Kenya using community-based mobilization strategies. Participants completed an audio computer-assisted self-interview survey in English or Duhluo. We estimated four three-step hierarchical linear regression models to examine associations between predictors (intrapersonal and interpersonal factors) and four resilient outcomes (psychological well-being, self-esteem, condom use, HIV testing). Psychosocial well-being model (modeled conversely as depression/anxiety) was significant (F(13,424) = 106.41, P Self-esteem model was significant (F(12,425) = 6.40, P HIV-seropositivity, perceived social support, internalized homonegativity, and LGB difficult process as predictors. Condom use model was significant (F(13,379) = 4.30, P self-esteem, and reactions to trauma as predictors. HIV testing model was significant (F(12,377) = 4.75, P HIV-related resilient outcomes for young GBMSM in Western Kenya. HIV prevention programs for this population should be developed in collaboration with GBMSM and include intervention components that promote resilience.

  10. Improving alcohol and mental health treatment for lesbian, bisexual and queer women: Identity matters.

    Science.gov (United States)

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

    2018-02-01

    Lesbian, bisexual and queer (LBQ) women experience substantial unmet alcohol and mental health treatment needs. This paper explores the way in which sexual identity shapes experience, and needs, in relation to alcohol and mental health treatment, and presents key messages for improving treatment. Twenty-five in-depth interviews were undertaken with same-sex attracted Australian women, aged 19-71. Interview transcripts were analysed thematically. Key messages offered by participants focused on language, disclosure and practitioner training. Variation in sexual identity did not alter treatment expectations or needs; however, we noted an important difference with respect to identity salience, with high LBQ identity salience linked with preference for disclosure and acknowledgement of sexual identity in treatment interactions, and low identity salience linked with a preference not to disclose and for sexual identity not to require acknowledgement in treatment. Treatment providers may find it useful to gather information about the centrality of sexual identity to LBQ women as a means of overcoming treatment barriers related to heteronormative conventions and discrimination, language and disclosure. Implications for public health: Treatment providers should adopt more inclusive language, seek information about identity salience and the importance of sexual identity to the current treatment, and regularly pursue LBQ-related professional development upskilling. © 2017 The Authors.

  11. 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.

  12. Chlamydia trachomatis serovar G infection in a bisexual male with urethritis.

    Science.gov (United States)

    Rawre, Jyoti; Dhawan, Benu; Saigal, Karnika; Khanna, Neena

    2016-01-01

    We report a case of Chlamydia trachomatis serovar G urogenital tract infection in a 33-year-old human immunodeficiency virus-1 (HIV-1) seropositive Indian bisexual male. This case highlights the emergence of a new serovar in India. The patient was tested positive for C. trachomatis by both cryptic plasmid and omp A gene polymerase chain reaction (PCR). On further characterization using polymerase chain reaction - restriction fragment length polymorphism (PCR-RFLP) and omp A gene sequencing, the strain was found to be C. trachomatis serovar G. His spouse was also found to be infected with C. trachomatis serovar G. Phylogenetic analysis was performed on the clinical isolates obtained from both partners and were found to be identical to the isolates available in GenBank. The sexual network could not be traced further. Detection of a new genotype suggests importation of a new strain into the population probably by sexual contact with a person from a geographical area where the strain is common. Identifying circulating genotypes in the community can assist in developing strategies for improved sexually transmitted disease control.

  13. Developing Bisexual Attract-and-Kill for Polyphagous Insects: Ecological Rationale versus Pragmatics.

    Science.gov (United States)

    Gregg, Peter C; Del Socorro, Alice P; Hawes, Anthony J; Binns, Matthew R

    2016-07-01

    We discuss the principles of bisexual attract-and-kill, in which females as well as males are targeted with an attractant, such as a blend of plant volatiles, combined with a toxicant. While the advantages of this strategy have been apparent for over a century, there are few products available to farmers for inclusion in integrated pest management schemes. We describe the development, registration, and commercialization of one such product, Magnet(®), which was targeted against Helicoverpa armigera and H. punctigera in Australian cotton. We advocate an empirical rather than theoretical approach to selecting and blending plant volatiles for such products, and emphasise the importance of field studies on ecologically realistic scales of time and space. The properties required of insecticide partners also are discussed. We describe the studies that were necessary to provide data for registration of the Magnet(®) product. These included evidence of efficacy, including local and area-wide impacts on the target pest, non-target impacts, and safety for consumers and applicators. In the decade required for commercial development, the target market for Magnet(®) has been greatly reduced by the widespread adoption of transgenic insect-resistant cotton in Australia. We discuss potential applications in resistance management for transgenic cotton, and for other pests in cotton and other crops.

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

    Science.gov (United States)

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

    2009-01-01

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

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

    Science.gov (United States)

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

    2012-01-01

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

  16. 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.

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

    Science.gov (United States)

    Aguilar, Elizabeth; Fried, Jacquelyn

    2015-02-01

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

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

    Science.gov (United States)

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

    2011-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Sello Sithole

    2015-12-01

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

  20. 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

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

    Science.gov (United States)

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

    2015-01-01

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

  2. 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.

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

    Science.gov (United States)

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

    2015-07-01

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

  4. 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.

  5. Childhood Trauma, Adult Sexual Assault, and Adult Gender Expression among Lesbian and Bisexual Women

    Science.gov (United States)

    Molina, Yamile; Simoni, Jane M.

    2013-01-01

    Several studies have demonstrated that lesbian and bisexual women are more likely than heterosexual women to report childhood abuse and adult sexual assault. It is unknown, however, which sexual minority women are most likely to experience such abuse. We recruited adult sexual minority women living in the US through electronic fliers sent to listservs and website groups inviting them to complete an online survey (N=1,243). We examined differences in both childhood abuse and adult sexual assault by women’s current gender identity (i.e., butch, femme, androgynous, or other) and a continuous measure of gender expression (from butch/masculine to femme/feminine), adjusting for sexual orientation identity, age, education, and income. Results indicated that a more butch/masculine current self-assessment of gender expression, but not gender identity, was associated with more overall reported childhood trauma. Although one aspect of gender expression, a more butch/masculine gender role, was associated with adult sexual assault, feminine appearance and a femme gender identity also significantly predicted adult sexual assault. These findings highlight the significance of gender identity and expression in identifying women at greater risk for various abuse experiences. PMID:24003263

  6. Are the Fathers Alright? A Systematic and Critical Review of Studies on Gay and Bisexual Fatherhood.

    Science.gov (United States)

    Carneiro, Francis A; Tasker, Fiona; Salinas-Quiroz, Fernando; Leal, Isabel; Costa, Pedro A

    2017-01-01

    The purpose of the present systematic and critical review was to assess the findings and to identify the gaps in the literature concerning gay and bisexual fathers. A comprehensive search of relevant literature using electronic databases and reference lists for articles published until December 2016 was conducted. A total of 63 studies, spanning from 1979 to 2016, were collected. More than half of the studies were published after 2011 and the overwhelming majority were conducted in the United States. Nine themes were identified in the studies reviewed: (1) Pathways to fatherhood; (2) Motivations for fatherhood; (3) Parenting experiences and childrearing; (4) Family life and relationship quality; (5) Gender and father identities and gender-role orientation; (6) Disclosure of sexual identity; (7) Social climate; (8) Father's psychosocial adjustment; and (9) Children's psychosocial adjustment. It was found that research on gay fatherhood appears to be more heterogeneous than on lesbian motherhood, perhaps because of the variety of pathways to parenthood (via co-parenting, adoption, fostering, or surrogacy). Two-father families are becoming more visible in research on sexual minority parenting and gradually transforming the conceptualization of parenting in family research.

  7. Are the Fathers Alright? A Systematic and Critical Review of Studies on Gay and Bisexual Fatherhood

    Directory of Open Access Journals (Sweden)

    Francis A. Carneiro

    2017-09-01

    Full Text Available The purpose of the present systematic and critical review was to assess the findings and to identify the gaps in the literature concerning gay and bisexual fathers. A comprehensive search of relevant literature using electronic databases and reference lists for articles published until December 2016 was conducted. A total of 63 studies, spanning from 1979 to 2016, were collected. More than half of the studies were published after 2011 and the overwhelming majority were conducted in the United States. Nine themes were identified in the studies reviewed: (1 Pathways to fatherhood; (2 Motivations for fatherhood; (3 Parenting experiences and childrearing; (4 Family life and relationship quality; (5 Gender and father identities and gender-role orientation; (6 Disclosure of sexual identity; (7 Social climate; (8 Father's psychosocial adjustment; and (9 Children's psychosocial adjustment. It was found that research on gay fatherhood appears to be more heterogeneous than on lesbian motherhood, perhaps because of the variety of pathways to parenthood (via co-parenting, adoption, fostering, or surrogacy. Two-father families are becoming more visible in research on sexual minority parenting and gradually transforming the conceptualization of parenting in family research.

  8. 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.

  9. Attachment orientation and sexual risk behaviour among young Black gay and bisexual men

    Science.gov (United States)

    Cook, Stephanie H.; Watkins, Daphne C.; Calebs, Benjamin; Wilson, Patrick A.

    2016-01-01

    This mixed methods study used an explanatory sequential design to examine the relationship between attachment and sexual behavior among young Black gay and bisexual men (YBGBM). Cross sectional online surveys and sex diaries were completed by a sample of YBGBM in New York City (n = 153) to assess the association between adult attachment insecurity and sexual risk behavior. The Experiences in Close Relationships Scale-Revised (ECR-R) was used to assess three types of adult attachment (i.e., secure, anxious, and avoidant). Participants reported condomless sex encounters, as well as serodiscordant condomless anal sex encounters, as measures of sexual risk. Quantitative findings suggested that there were few associations between attachment type and sexual risk behavior; only men with attachment avoidance were likely to engage in condomless sex. However, qualitative findings illuminated some of the social complexities of the association between attachment in childhood, attachment in young adulthood and intimate partnerships, which could be linked to young adult sexual risk behavior. The study findings highlight the need for researchers to further examine the process by which individual differences in attachment orientation are related to YBGBM’s sexual behavior. PMID:27570578

  10. 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.

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

    Science.gov (United States)

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

    2017-10-01

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

  12. Using human rights-based approaches to conceptualise lesbian and bisexual women's health inequalities.

    Science.gov (United States)

    Fish, Julie; Bewley, Susan

    2010-07-01

    This article makes a contribution to current debates in human rights-based approaches to lesbian and bisexual (LB) women's health. With reference to concepts embodied in the Yogyakarta Principles, it is proposed that the right to health includes access to health information, participation, equity, equality and non-discrimination. Specifically, the article examines how LB women's health can be considered as a health inequality and discusses international developments to reduce disparities. Drawing on qualitative data collected in an online survey, the article reports on sexual minority women's experiences of health-care. Participants were recruited via a purposive sampling strategy; questionnaires were completed by 6490 respondents of whom 5909 met the study criteria of residence in the UK, sexual orientation and completing the survey once. Analysis revealed four broad themes: heteronormativity in health-care; improving attitudes among healthcare professionals; equality in access; raising awareness and informed communities. The accounts highlight the centrality of human rights principles: fairness, respect, equality, dignity and autonomy. The implications for healthcare policy and practice are discussed including ways to empower staff and service users with knowledge and skills and ensuring non-discrimination in health service delivery.

  13. Psychological well-being among religious and spiritual-identified young gay and bisexual men

    Science.gov (United States)

    Meanley, Steven; Pingel, Emily S.; Bauermeister, José A.

    2015-01-01

    Religiosity and spirituality are often integral facets of human development. Young gay and bisexual men (YGBM), however, may find themselves at odds when attempting to reconcile potentially conflicting identities like religion and their sexual orientation. We sought to explore how different components of religiosity (participation, commitment, spiritual coping) are linked to different markers of psychological well-being (life purpose, self-esteem, and internalized homophobia). Using data collected in Metro Detroit (N = 351 ages 18–29 years; 47% African American, 29% Non-Latino White, 8% Latino, 16% Other Race), we examined how components of religiosity/spirituality were associated with psychological well-being among religious/spiritual-identified participants. An overwhelming majority (79.5%) identified as religious/spiritual, with most YGBM (91.0%) reporting spirituality as a coping source. Over three quarters of our religious/spiritual sample (77.7%) reported attending a religious service in the past year. Religious participation and commitment were negatively associated with psychological well-being. Conversely, spiritual coping was positively associated with YGBM’s psychological well-being. Programs assisting YGBM navigate multiple/conflicting identities through sexuality-affirming resources may aid improve of their psychological well-being. We discuss the public health potential of increasing sensitivity to the religious/spiritual needs of YGBM across social service organizations. PMID:28163799

  14. Negotiating dominant masculinity ideology: strategies used by gay, bisexual and questioning male adolescents.

    Science.gov (United States)

    Wilson, Bianca D M; Harper, Gary W; Hidalgo, Marco A; Jamil, Omar B; Torres, Rodrigo Sebastián; Fernandez, M Isabel

    2010-03-01

    In the context of a U.S. dominant masculinity ideology, which devalues men who are not heterosexually identified, many gay, bisexual and questioning (GBQ) adolescent males must develop their own affirming and health-promoting sense of masculinity. In order to promote the well-being of GBQ young men, exploration of their reactions and responses to dominant images of masculinity is needed. We qualitatively analyzed interviews with 39 GBQ African American, Latino, and European American male adolescents (15-23 years old). Participants reported a range of responses to traditional masculinity ideologies, most of which centered on balancing presentations of masculine and feminine characteristics. Negotiation strategies served a variety of functions, including avoiding anti-gay violence, living up to expected images of masculinity, and creating unique images of personhood free of gender role expectations. These data suggest a complex picture of GBQ male adolescents' management of masculinity expectations and serve as a basis for culturally and developmentally specific HIV prevention programs.

  15. 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.

  16. Women's Health and Mindfulness (WHAM): A Randomized Intervention Among Older Lesbian/Bisexual Women.

    Science.gov (United States)

    Ingraham, Natalie; Harbatkin, Dawn; Lorvick, Jennifer; Plumb, Marj; Minnis, Alexandra M

    2017-05-01

    Lesbian and bisexual (LB) women have higher body weight than heterosexual women. Interventions focused on health and well-being versus weight loss may be more likely to succeed among LB women. This article describes effects of Women's Health and Mindfulness, a 12-week pilot intervention addressing mindfulness, healthy eating, and physical activity, on outcomes associated with chronic disease risk among overweight and obese LB women older than 40 years. Eighty women were randomized, using a stepped-wedge design, to either an immediate- or a delayed-start intervention group; the delayed-start group served as the control. Eligible participants were aged 40 years or older, identified as LB, and had a body mass index of 27 or greater. We compared differences in biological markers of chronic disease, mindfulness, nutrition, and physical activity between immediate- and delayed-start intervention groups. We observed clinically significant improvements in low-density lipoprotein cholesterol but no change in hemoglobin A1c. We found evidence of intervention effects on improved mindfulness and mindful eating scores and on nutrition (improved vegetable intake). The Women's Health and Mindfulness pilot intervention appears to have initiated positive behavioral and physical health changes in this population. Refinements to the intervention model, such as extended intervention duration, and longer term follow-up are warranted to determine sustained effects.

  17. Correlates of depressed mood among young stimulant-using homeless gay and bisexual men.

    Science.gov (United States)

    Nyamathi, Adeline; Branson, Catherine; Idemundia, Faith; Reback, Cathy; Shoptaw, Steven; Marfisee, Mary; Keenan, Colleen; Khalilifard, Farinaz; Liu, Yihang; Yadav, Kartik

    2012-10-01

    Homeless gay and bisexual (G/B) men are at risk for suicide attempts and have high risk of depressed mood, defined as elevated level of depressive symptoms. This study describes baseline socio-demographic, cognitive, psychosocial, and health- and drug-related correlates of depressed mood in 267 stimulant-using homeless G/B young men who entered a study designed to reduce drug use. G/B men without social support were 11 times more likely to experience depressed mood than their counterparts who had support; those who reported severe body pain were almost six times more likely to report depressed mood than those without pain. Other factors that increased risk of depressed mood included being homeless in the last four months, injecting drugs, reporting poor or fair health status, and high levels of internalized homophobia. This study is one of the first studies to draw a link between pain experienced and depressed mood in homeless young G/B men. Understanding the correlates of depressed mood among homeless G/B young men can help service providers design more targeted treatment plans and provide more appropriate referrals to ancillary care services.

  18. Internalized homophobia, mental health, sexual behaviors, and outness of gay/bisexual men from Southwest China.

    Science.gov (United States)

    Xu, Wenjian; Zheng, Lijun; Xu, Yin; Zheng, Yong

    2017-02-17

    Social attitudes toward male homosexuality in China so far are still not optimistic. Sexual minorities in China have reported high levels of internalized homophobia. This Internet-based study examined the associations among internalized homophobia, mental health, sexual behaviors, and outness among 435 gay/bisexual men in Southwest China from 2014 to 2015. Latent profile analysis, confirmatory factor analysis, univariate logistic regression, and separate multivariate logistic regression analyses were conducted. This descriptive study found the Internalized Homophobia Scale to be suitable for use in China. The sample demonstrated a high prevalence of internalized homophobia. Latent profile analysis suggested a 2-class solution as optimal, and a high level of internalized homophobia was significantly associated with greater psychological distress (Wald = 6.49, AOR = 1.66), transactional sex during the previous 6 months (Wald = 5.23, AOR = 2.77), more sexual compulsions (Wald = 14.05, AOR = 2.12), and the concealment of sexual identity from others (Wald = 30.70, AOR = 0.30) and parents (Wald = 6.72, AOR = 0.49). These findings contribute to our understanding of internalized homophobia in China, and highlight the need to decrease gay-related psychological stress/distress and improve public health services.

  19. Barriers to Help Seeking for Lesbian, Gay, Bisexual, Transgender, and Queer Survivors of Intimate Partner Violence.

    Science.gov (United States)

    Calton, Jenna M; Cattaneo, Lauren Bennett; Gebhard, Kris T

    2016-12-01

    Intimate partner violence (IPV) is a pervasive and devastating social problem that is estimated to occur in one of every four opposite-sex relationships and at least one of every five same-sex romantic relationships. These estimates may not represent violence against those who identify as transgender or genderqueer, and very little comprehensive research has been conducted on IPV within these populations. One statewide study on IPV found rates of IPV were as high as one of every two transgender individuals. In order to cope with the effects of abuse or leave an abusive partner, many lesbian, gay, bisexual, transgender, and genderqueer (LGBTQ) IPV survivors seek support from others. However, LGBTQ IPV survivors may experience unique difficulties related to their sexual orientation and gender identity when seeking assistance. This article reviews the literature on LGBTQ IPV and suggests three major barriers to help-seeking exist for LGBTQ IPV survivors: a limited understanding of the problem of LGBTQ IPV, stigma, and systemic inequities. The significance and consequences of each barrier are discussed, and suggestions for future research, policy, and practice are provided. © The Author(s) 2015.

  20. Thriving and Adapting: Resilience, Sense of Community, and Syndemics among Young Black Gay and Bisexual Men.

    Science.gov (United States)

    Reed, Sarah J; Miller, Robin Lin

    2016-03-01

    We examined resilience associated with the avoidance of psychosocial health conditions (i.e., syndemics) that increase vulnerability for HIV among young Black gay and bisexual men. We used analytic induction to compare a sample of 23 men who showed no evidence of syndemic conditions to a sample of 23 men who experienced syndemic conditions. The men who avoided syndemics reported supportive relationships with people who helped them to develop a strong sense of identity, provided them with opportunities to give back to their communities, and promoted positive norms about health. In contrast, the men experiencing syndemic conditions described numerous instances of trauma and oppression that infringed upon their desire to form positive relationships. Among these men, experiences of oppression were associated with shame, identity incongruence, social isolation, relational disconnection, mistrust of men, and expectations of further marginalization. We examined participants' experiences through the framework of the psychosocial sense of community. Results of this study provide evidence for using strength-based intervention strategies to prevent syndemic conditions. Findings suggest that to attenuate socio-structural barriers to health and comorbid psychosocial health concerns, interventions must address young men's social isolation and promote positive identity and sense of community. © Society for Community Research and Action 2016.

  1. 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.

  2. Are Sexual Minorities More at Risk? Bullying Victimization Among Lesbian, Gay, Bisexual, and Questioning Youth.

    Science.gov (United States)

    Kahle, Lindsay

    2017-07-01

    Bullying has garnered the attention of researchers and policy makers alike, because of various negative physical, mental, and educational outcomes that stem from these experiences. Certain youth are more at risk for bullying victimization (ASPA, 2012). Thus, research highlighting and addressing these experiences is crucial to provide safer environments for youth. This study utilizes the 2013 Youth Risk Behavior Surveillance System (YRBSS) data to investigate whether or not experiences of victimization differ for lesbian, gay, bisexual, and questioning (LGBQ) youth. Drawing from a sample of 12,642 9th through 12th grade youth, this study investigates two primary areas: (a) the prevalence of traditional bullying, electronic bullying, and homophobic bullying victimizations among LGBQ youth, and (b) the interaction of sexual orientation and gender with traditional bullying, electronic bullying, and homophobic bullying victimizations. Results suggest that LGBQ youth experience all types of bullying victimization at higher rates than heterosexual youth. Results also highlight the importance of the interaction of sexual orientation and gender in bullying victimization. Findings reveal that LGBQ females, LGBQ males, and heterosexual females experience each type of victimization at higher rates than heterosexual males. Findings confirm that disparities exist in bullying victimization among LGBQ youth, and thus cannot be ignored in schools. School policies must explicitly acknowledge and address how sexual orientation and gender matter within the constructs of youth violence if they wish to create safer learning environments for youth.

  3. 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.

  4. 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.

  5. Understanding Attachment Transitions Through the Lived Experiences of Young Black Gay and Bisexual Men.

    Science.gov (United States)

    Cook, Stephanie H; Valera, Pamela; Wood, Erica P; Calebs, Benjamin J; Wilson, Patrick A

    2018-03-26

    We conducted a mixed-methods study to identify factors that influence transitions in attachment style between childhood and adulthood among 28 young Black gay and bisexual men (YBGBM) in the United States. We used a phenomenological approach to data integration, with the major component to the results being garnered from the qualitative interviews. We organized our results by four attachment transition groups: stable secure (secure attachment in childhood and young adulthood), stable insecure (insecure attachment in childhood and young adulthood), secure to insecure (secure in childhood and insecure in adulthood) and insecure to secure (insecure in childhood and secure in adulthood). Within each of the typologies, two major themes emerged: social support and religion. Generally, transitions from secure to insecure attachment were related to experiences of perceived rejection by a parental figure during adolescence that corresponded with sexual orientation disclosure. Transitions from insecure to secure attachment appeared to be related to the absence of an attachment figure early in life, but with the acquisition of an attachment figure during early to late adolescence. The findings from our study suggest a need for attachment-based approaches to social support interventions, as well as for an increased understanding of social and cultural factors that impact attachment changes among practitioners who use attachment-based therapy models for YBGBM.

  6. 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.

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

    Science.gov (United States)

    Ayala, George; Santos, Glenn-Milo

    2016-01-01

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

  8. Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women.

    Directory of Open Access Journals (Sweden)

    Theo G M Sandfort

    Full Text Available Even though women who have sex with women are usually understood to be at no or very low risk for HIV infection, we explored whether lesbian and bisexual women in a geographical area with high HIV prevalence (Southern Africa get tested for HIV and whether, among those women who get tested, there are women who live with HIV/AIDS. The study was conducted in collaboration with community-based organizations in Botswana, Namibia, South Africa and Zimbabwe. Data were collected via written surveys of women who in the preceding year had had sex with a woman (18 years and older; N = 591. Most participating women identified as lesbian and black. Almost half of the women (47.2% reported ever having had consensual heterosexual sex. Engagement in transactional sex (lifetime was reported by 18.6% of all women. Forced sex by men or women was reported by 31.1% of all women. A large proportion of the women reported to ever have been tested for HIV (78.3%; number of lifetime female and male partners was independently associated with having been tested; women who had engaged in transactional sex with women only or with women and men were less likely to have been tested. Self-reported HIV prevalence among tested women who knew their serostatus was 9.6%. Besides age, the sole independent predictor of a positive serostatus was having experienced forced sex by men, by women, or by both men and women. Study findings indicate that despite the image of invulnerability, HIV/AIDS is a reality for lesbian and bisexual women in Southern Africa. Surprisingly, it is not sex with men per se, but rather forced sex that is the important risk factor for self-reported HIV infection among the participating women. HIV/AIDS policy should also address the needs of lesbian, bisexual and other women who have sex with women.

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

    Science.gov (United States)

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

    2014-12-01

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

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

    Science.gov (United States)

    Sell, Randall L; Dunn, Patricia M

    2008-01-01

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

  11. 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; Ybarra, Michele L

    2016-08-04

    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. 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. 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. 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 participants. Recruitment for the

  12. Quantitative and mixed analyses to identify factors that affect cervical cancer screening uptake among lesbian and bisexual women and transgender men.

    Science.gov (United States)

    Johnson, Michael J; Mueller, Martina; Eliason, Michele J; Stuart, Gail; Nemeth, Lynne S

    2016-12-01

    The purposes of this study were to measure the prevalence of, and identify factors associated with, cervical cancer screening among a sample of lesbian, bisexual and queer women, and transgender men. Past research has found that lesbian, bisexual and queer women underuse cervical screening service. Because deficient screening remains the most significant risk factor for cervical cancer, it is essential to understand the differences between routine and nonroutine screeners. A convergent-parallel mixed methods design. A convenience sample of 21- to 65-year-old lesbian and bisexual women and transgender men were recruited in the USA from August-December 2014. Quantitative data were collected via a 48-item Internet questionnaire (N = 226), and qualitative data were collected through in-depth telephone interviews (N = 20) and open-ended questions on the Internet questionnaire. Seventy-three per cent of the sample was routine cervical screeners. The results showed that a constellation of factors influence the use of cervical cancer screening among lesbian, bisexual and queer women. Some of those factors overlap with the general female population, whereas others are specific to the lesbian, bisexual or queer identity. Routine screeners reported feeling more welcome in the health care setting, while nonroutine screeners reported more discrimination related to their sexual orientation and gender expression. Routine screeners were also more likely to 'out' to their provider. The quantitative and qualitative factors were also compared and contrasted. Many of the factors identified in this study to influence cervical cancer screening relate to the health care environment and to interactions between the patient and provider. Nurses should be involved with creating welcoming environments for lesbian, bisexual and queer women and their partners. Moreover, nurses play a large role in patient education and should promote self-care behaviours among lesbian women and transgender

  13. Suicidal ideation and self-harm in lesbian, gay, bisexual, and transgender youth.

    Science.gov (United States)

    Liu, Richard T; Mustanski, Brian

    2012-03-01

    Suicide is the third-leading cause of death among adolescents and nonsuicidal self-harm occurs in 13%-45% of individuals within this age group, making these phenomena major public health concerns. Lesbian, gay, bisexual, and transgender (LGBT) youth particularly are at risk for engaging in these behaviors. Nevertheless, relatively little is known about the specific risk factors associated with suicidal ideation and self-harm behaviors in the population. This study provides a longitudinal evaluation of the relative contributions of general and LGBT-specific risk factors as well as protective factors to the occurrence of suicidal ideation and self-harm in an ethnically diverse sample of LGBT youth. A community sample of 246 LGBT youth (aged 16-20 years) was followed prospectively over five time points at regular 6-month intervals. Participants completed a baseline structured interview assessing suicide attempt history and questionnaires measuring gender nonconformity, impulsivity, and sensation-seeking. At follow-up assessments, participants completed a structured interview assessing self-harm and questionnaires for suicidal ideation, hopelessness, social support, and LGBT victimization. Data were collected from 2007 to 2011, and HLM analyses were conducted in 2011. A history of attempted suicide (p=0.05); impulsivity (p=0.01); and prospective LGBT victimization (p=0.03) and low social support (p=0.02) were associated with increased risk for suicidal ideation. Suicide attempt history (psuicidal ideation and self-harm in LGBT youth, which may, in part, account for the higher risk of these phenomena observed in this population. Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  14. The consequences of substance use among gay and bisexual men: a Consensual Qualitative Research analysis.

    Science.gov (United States)

    Mullens, Amy B; Young, Ross McD; Hamernik, Elisabeth; Dunne, Michael

    2009-06-01

    Substance use is common among gay/bisexual men and is associated with significant health risks (e.g. HIV transmission). The consequences of substance use, across the range of substances commonly used, have received little attention. The purpose of this study is to map participant's beliefs about the effects of substance use to inform prevention, health promotion and clinical interventions. Participants were interviewed about experiences regarding their substance use and recruited through medical and sexual health clinics. Data were collected though a consumer panel and individual interviews. Responses regarding perceived consequences of substance use were coded using Consensual Qualitative Research (CQR) methodology. Most participants reported lifetime use of alcohol, cannabis, stimulants and amyl nitrite, and recent alcohol and cannabis use. A wide range of themes were identified regarding participant's thoughts, emotions and behaviours (including sexual behaviours) secondary to substance use, including: cognitive functioning, mood, social interaction, physical effects, sexual activity, sexual risk-taking, perception of sexual experience, arousal, sensation, relaxation, disinhibition, energy/activity level and numbing. Analyses indicated several consequences were consistent across substance types (e.g. cognitive impairment, enhanced mood), whereas others were highly specific to a given substance (e.g. heightened arousal post amyl nitrite use). Prevention and interventions need to consider the variety of effects of substance use in tailoring effective education programs to reduce harms. A diversity of consequences appear to have direct and indirect impacts on decision-making, sexual activity and risk-taking. Findings lend support for the role of specific beliefs (e.g. expectancies) related to substance use on risk-related cognitions, emotions and behaviours.

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

    Science.gov (United States)

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

    2016-01-01

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

  16. 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

  17. A longitudinal study of predictors of suicide attempts among lesbian, gay, bisexual, and transgender youth.

    Science.gov (United States)

    Mustanski, Brian; Liu, Richard T

    2013-04-01

    This short-term prospective study examined general and lesbian, gay, bisexual, and transgender (LGBT)-specific risk and protective factors for suicide attempts in an ethnically diverse sample of LGBT youth (N = 237, 47.7 % male). A structured psychiatric interview assessed clinical depression and conduct disorder symptoms, as well as past and prospective suicide attempts over a 1-year follow-up period (91 % retention). Participants completed questionnaires measuring general risk factors for suicide attempts, including hopelessness, impulsiveness, and perceived social support. They also completed measures of LGBT-specific suicide risk factors, including gender nonconformity, age of first same-sex attraction, and LGBT victimization. Correlation and multivariate regression analyses were conducted to examine the relations between predictors and suicide attempt, and to identify mediators. Of nine variables examined, seven were related to lifetime history of attempted suicide: hopelessness, depression symptoms, conduct disorder symptoms, impulsivity, victimization, age of first same-sex attraction, and low family support. Depressive symptoms and hopelessness mediated the relation between multiple risk and resilience factors and suicide attempts. Suicide attempt history was the strongest predictor of prospective suicide attempts. Participants who previously attempted suicide (31.6 % of the sample) had more than 10 times greater odds of making another attempt in the 1-year follow-up period than were those who had made no previous attempt. These results highlight the need for suicide prevention programs for LGBT youth and suggest the importance of addressing depression and hopelessness as proximal determinants and family support and victimization, which have more distal effects.

  18. 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.

  19. JARINGAN SOSIAL ORGANISASI LESBIAN, BISEXUAL, DAN TRANSGENDER: STUDI KASUS ORGANISASI ARDHANARY INSTITUTE DI JAKARTA

    Directory of Open Access Journals (Sweden)

    Sri Setiawati

    2017-08-01

    Full Text Available This paper discusses the social networks that is done by Ardhanary Institute LBT Women (Lesbian, Bisexual, Transgender organization in Jakarta. With the thesis that the environment in Indonesia are not permissive and cons with the presence of LGBT / LBT this organization even dare to "coming out", if it is not supported by an enabling environment through social networks. This discussion describes the social networks that made this organization, from building social relationships between actors / individuals up with foreign institutions (international and domestic, as well as with the mass media.As the study of anthropology, then more emphasis on the social network that is descriptive, not at the level of analytics. Data collection technique was not  through measurement but more in the process of intensive observations, in-depth interviews and participatory observation. Using an ethnographic feminist approach, where the relationships globally can only be understood in the " real materials interlocked closely in the everyday encounter", namely action and everyday practicewhich became  the subject of ethnography research.Conclusions: 1. The social  network that is done  by Ardhanary Institute  organization through a relationship between actors and LBT/LGBT organizations in these areas. Externally also through multiple agencies (domestic and foreign. The actor, who is in this organization as a motivator, facilitator, and inspirator as well as the implications effect "struggling" for the movement of other LBT organizations in Indonesia 2. This organization is actively building a broader network through cooperation with other women's organizations, crisis centers, health care providers, safe houses, legal aid organizations and the National Commission for Women. And build working relationships with law enforcement agencies in providing assistance to victims of LBT violence.

  20. Office-based care for lesbian, gay, bisexual, transgender, and questioning youth.

    Science.gov (United States)

    Levine, David A

    2013-07-01

    The American Academy of Pediatrics issued its last statement on homosexuality and adolescents in 2004. This technical report reflects the rapidly expanding medical and psychosocial literature about sexual minority youth. Pediatricians should be aware that some youth in their care may have concerns or questions about their sexual orientation or that of siblings, friends, parents, relatives, or others and should provide factual, current, nonjudgmental information in a confidential manner. Although most lesbian, gay, bisexual, transgender, and questioning(LGBTQ) youth are quite resilient and emerge from adolescence as healthy adults, the effects of homophobia and heterosexism can contribute to increased mental health issues for sexual minority youth. LGBTQ and MSM/WSW (men having sex with men and women having sex with women) adolescents, in comparison with heterosexual adolescents,have higher rates of depression and suicidal ideation, high errates of substance abuse, and more risky sexual behaviors. Obtaining a comprehensive, confidential, developmentally appropriate adolescent psychosocial history allows for the discovery of strengths and assets as well as risks. Pediatricians should have offices that are teen-friendly and welcoming to sexual minority youth. This includes having supportive, engaging office staff members who ensure that there are no barriers to care. For transgender youth, pediatricians should provide the opportunity to acknowledge and affirm their feelings of gender dysphoria and desires to transition to the opposite gender. Referral of transgender youth to a qualified mental health professional is critical to assist with the dysphoria, to educate them,and to assess their readiness for transition. With appropriate assistance and care, sexual minority youth should live healthy, productive lives while transitioning through adolescence and young adulthood.

  1. School Protective Factors and Substance Use Among Lesbian, Gay, and Bisexual Adolescents in California Public Schools.

    Science.gov (United States)

    De Pedro, Kris Tunac; Esqueda, Monica Christina; Gilreath, Tamika D

    2017-06-01

    The majority of studies examining substance use among lesbian, gay, and bisexual (LGB) youth have focused on a wide array of risk factors (e.g., victimization). Few studies have explored the protective role of schools. This study aims to fill this gap in the literature and inform programs aimed at reducing substance use among LGB youth. More specifically, this study explores the extent to which school connectedness and support from teachers and other adults at school are associated with substance use among LGB youth in school and within the past 30 days. A secondary analysis of the 2013-2015 California Healthy Kids Survey (CHKS) was conducted to examine associations between school protective factors (i.e., school connectedness and adult support) and substance use among LGB youth, above and beyond a key risk factor, school victimization. The study outcomes were past 30-day and in-school use of cigarettes, alcohol, marijuana, inhalants, prescription pain medication, and other illegal drugs. Overall, school connectedness and school adult support were associated with lower odds of substance use. For example, higher levels of school connectedness were associated with 22% decreased odds of past 30-day inhalant use (adjusted odds ratio [AOR] = 0.78; 95% confidence interval [CI] = 0.72-0.86), and 25% decreased odds of past 30-day prescription pain medication use (AOR = 0.75; 95% CI = 0.69-0.82). Higher levels of adult support in school were also associated with 17% decreased odds of marijuana use on school property in the past 30 days (AOR = 0.83; 95% CI = 0.77-0.91). The results indicate a need for substance use prevention programs that integrate school connectedness and adult support in school.

  2. 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. Copyright © 2015 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.

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

    Science.gov (United States)

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

    2015-08-01

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

  4. 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. © The Author(s) 2015.

  5. Correlates of clinical breast examination among lesbian, gay, bisexual, and queer women.

    Science.gov (United States)

    Lacombe-Duncan, Ashley; Logie, Carmen H

    2016-12-27

    Lesbian, gay, bisexual, and queer (LGBQ) women have increased risk of breast cancer yet lower use of early detection screening than heterosexual women. This lower use may be due in part to sexual stigma. The study purpose was to explore correlates of past two-year clinical breast examination (CBE) among LGBQ women to better understand screening disparities, particularly among gender non-conforming LGBQ women. A cross-sectional Internet-based survey was conducted with LGBQ women in 2011-2012. We conducted multivariate logistic regression to assess the associations between individual, social/structural and health care factors and past two-year CBE among LGBQ women (n = 414), including a subsample of gender non-conforming LGBQ women (n = 148). In multivariate analyses, significant correlates of past two-year CBE among the full sample included sexually transmitted infection knowledge (OR: 1.12, 95% CI: 1.05, 1.19), sexual risk practices (OR: 0.92, 95% CI: 0.87, 0.98), past two-year Papanicolaou test (OR: 8.36, 95% CI: 4.24, 16.45), having a regular source of health care (OR: 4.84, 95% CI: 2.60, 9.01), and health care provider knowing one's sexual orientation (OR: 3.60, 95% CI: 2.29, 5.81). Among gender non-conforming LGBQ women, perceived gender non-conformity stigma (OR: 0.85, 95% CI: 0.74, 0.99) and belief that one's health care provider is uncomfortable with one's sexual orientation (OR: 0.33, 95% CI: 0.11, 1.00) were also associated with lower screening. These findings enhance understanding of individual, social/structural, and health care factors correlated with CBE among LGBQ women. More research is needed to understand the complex interplay of these factors to inform multi-level interventions to address screening disparities for diverse LGBQ women.

  6. Mental health, drug use and sexual risk behavior among gay and bisexual men.

    Science.gov (United States)

    Prestage, Garrett; Hammoud, Mohamed; Jin, Fengyi; Degenhardt, Louisa; Bourne, Adam; Maher, Lisa

    2018-02-08

    Compared to the general population, among gay and bisexual men (GBM) prevalence rates of anxiety and depression, and of drug use, are high. This paper explores the relationship between mental health, sexual risk behavior, and drug use among Australian GBM. We identify factors associated with indicators of poor mental health. Between September 2014 and July 2017, 3017 GBM responded to measures of anxiety and depression in an online cohort study of drug use. Mean age was 35.3 years (SD 12.8). 17.9% screened positive for current moderate-severe anxiety and 28.3% for moderate-severe depression. The majority (52.2%) reported use of illicit drugs in the previous six months, including 11.2% who had used methamphetamine. One third had high (20.4%) or severe (10.6%) risk levels of alcohol consumption, and 18.3% who were current daily smokers. Most illicit drug use in general was not associated with either anxiety or depression, but men who used cannabis were more likely to show evidence of depression (p = 0.005). Among recent methamphetamine users, 28.0% were assessed as dependent: dependent users were more likely to show evidence of both depression and anxiety than were non-dependent users. High or severe risk drinking was associated with depression and daily tobacco use was associated with both anxiety and depression. Depression and anxiety was associated with: less personal support, viewing oneself as 'feminine', and being less socially engaged with gay men. Sexual risk behavior was not associated with either depression or anxiety. Prevalence of anxiety and depression was high, as was prevalence of licit and illicit drug use. Substance use was associated with anxiety and depression only when the use was considered problematic or dependent. Social isolation and marginalization are strong drivers of poor mental health, even within this population for whom anxiety and depression are common. Copyright © 2018 Elsevier B.V. All rights reserved.

  7. Adapting and Validating a Scale to Measure Sexual Stigma among Lesbian, Bisexual and Queer Women

    Science.gov (United States)

    Logie, Carmen H.; Earnshaw, Valerie

    2015-01-01

    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

  8. Validation of the Minority Stress Scale Among Italian Gay and Bisexual Men

    Science.gov (United States)

    Pala, Andrea Norcini; Dell’Amore, Francesca; Steca, Patrizia; Clinton, Lauren; Sandfort, Theodorus; Rael, Christine

    2017-01-01

    The experience of sexual orientation stigma (e.g., homophobic discrimination and physical aggression) generates minority stress, a chronic form of psychosocial stress. Minority stress has been shown to have a negative effect on gay and bisexual men’s (GBM’s) mental and physical health, increasing the rates of depression, suicidal ideation, and HIV risk behaviors. In conservative religious settings, such as Italy, sexual orientation stigma can be more frequently and/or more intensively experienced. However, minority stress among Italian GBM remains understudied. The aim of this study was to explore the dimensionality, internal reliability, and convergent validity of the Minority Stress Scale (MSS), a comprehensive instrument designed to assess the manifestations of sexual orientation stigma. The MSS consists of 50 items assessing (a) Structural Stigma, (b) Enacted Stigma, (c) Expectations of Discrimination, (d) Sexual Orientation Concealment, (e) Internalized Homophobia Toward Others, (f) Internalized Homophobia toward Oneself, and (g) Stigma Awareness. We recruited an online sample of 451 Italian GBM to take the MSS. We tested convergent validity using the Perceived Stress Questionnaire. Through exploratory factor analysis, we extracted the 7 theoretical factors and an additional 3-item factor assessing Expectations of Discrimination From Family Members. The MSS factors showed good internal reliability (ordinal α > .81) and good convergent validity. Our scale can be suitable for applications in research settings, psychosocial interventions, and, potentially, in clinical practice. Future studies will be conducted to further investigate the properties of the MSS, exploring the association with additional health-related measures (e.g., depressive symptoms and anxiety). PMID:29479555

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

    Science.gov (United States)

    Synnes, Oddgeir; Malterud, Kirsti

    2018-03-01

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

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

    Science.gov (United States)

    Lennon-Dearing, Robin; Delavega, Elena

    2016-09-01

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

  11. 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 ...

  12. Patterns of HIV testing practices among young gay and bisexual men living in Scotland: a qualitative study

    Directory of Open Access Journals (Sweden)

    Nicola Boydell

    2017-08-01

    Full Text Available Abstract Background Increasing overall rates, and frequency, of HIV testing in populations at risk is a key public health objective and a critical dimension of HIV prevention efforts. In the UK, men who have sex with men (MSM remain one of the communities most at risk of HIV and, within this, young gay men are a key risk group. Understanding HIV testing practices is important in the development of interventions to promote testing among young gay and bisexual men. Methods Qualitative interviews were conducted with thirty young gay and bisexual men (aged 18–29 in Scotland. Thematic analysis of men’s accounts of their approach to HIV testing identified three overarching patterns of testing: ‘habitual’, ‘reactive’ and ‘ ad hoc’. Results This qualitative study, the first to explore patterns of HIV testing practices among young gay and bisexual men in the UK, contributes novel findings around the role of social support and ‘community’ in shaping young men’s approaches to HIV testing. The findings suggest that social support can play an important role in encouraging and facilitating HIV testing among young gay men, however, social norms of non-testing also have the potential to act as a barrier to development of a regular routine. Men with habitual testing practices framed HIV testing as both a personal and ‘community’ responsibility, and more effective than testing in response to risk events or emergent symptoms. Men who reported reactive testing practices described testing for HIV primarily in response to perceived exposure to sexual risk, along with ‘transitional moments’ such as starting, ending or changes to a relationship. Among young men who reported testing on an ad hoc basis, inconvenience and disruptions to HIV testing practices, particularly where men lacked social support, acted as a barrier to developing a routine of regular testing. Conclusions Our findings suggest that interventions which seek to increase

  13. Relationship cognitions and longitudinal trajectories of sexual risk behavior among young gay and bisexual men: The P18 cohort study.

    Science.gov (United States)

    Cook, Stephanie H; Halkitis, Perry N; Kapadia, Farzana

    2016-10-01

    This study examines how romantic relationship cognitions are associated with changes of condomless anal sex among emerging adult gay and bisexual men. The sample was drawn from four waves of a prospective cohort study ( N = 598; M age  = 18.2). Results suggest that condomless anal sex increased over the emerging adulthood period. Romantic relationship fear was associated with increased receptive condomless anal sex. Perceptions of greater romantic relationship control increased the likelihood of having insertive and receptive condomless anal sex. Findings suggest that romantic relationship cognitions are important to consider when understanding longitudinal changes in condomless anal sex in this population.

  14. 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. Copyright © 2012 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

  15. 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 ...

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

    Science.gov (United States)

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

    2016-04-01

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

  17. 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.

  18. Patterns of HIV testing practices among young gay and bisexual men living in Scotland: a qualitative study.

    Science.gov (United States)

    Boydell, Nicola; Buston, Katie; McDaid, Lisa Margaret

    2017-08-17

    Increasing overall rates, and frequency, of HIV testing in populations at risk is a key public health objective and a critical dimension of HIV prevention efforts. In the UK, men who have sex with men (MSM) remain one of the communities most at risk of HIV and, within this, young gay men are a key risk group. Understanding HIV testing practices is important in the development of interventions to promote testing among young gay and bisexual men. Qualitative interviews were conducted with thirty young gay and bisexual men (aged 18-29) in Scotland. Thematic analysis of men's accounts of their approach to HIV testing identified three overarching patterns of testing: 'habitual', 'reactive' and ' ad hoc'. This qualitative study, the first to explore patterns of HIV testing practices among young gay and bisexual men in the UK, contributes novel findings around the role of social support and 'community' in shaping young men's approaches to HIV testing. The findings suggest that social support can play an important role in encouraging and facilitating HIV testing among young gay men, however, social norms of non-testing also have the potential to act as a barrier to development of a regular routine. Men with habitual testing practices framed HIV testing as both a personal and 'community' responsibility, and more effective than testing in response to risk events or emergent symptoms. Men who reported reactive testing practices described testing for HIV primarily in response to perceived exposure to sexual risk, along with 'transitional moments' such as starting, ending or changes to a relationship. Among young men who reported testing on an ad hoc basis, inconvenience and disruptions to HIV testing practices, particularly where men lacked social support, acted as a barrier to developing a routine of regular testing. Our findings suggest that interventions which seek to increase rates of HIV testing and testing frequency among young gay and bisexual men should include a

  19. Recruiting Young Gay and Bisexual Men for a Human Papillomavirus Vaccination Intervention Through Social Media: The Effects of Advertisement Content.

    Science.gov (United States)

    Reiter, Paul L; Katz, Mira L; Bauermeister, Jose A; Shoben, Abigail B; Paskett, Electra D; McRee, Annie-Laurie

    2017-06-02

    Web-based approaches, specifically social media sites, represent a promising approach for recruiting young gay and bisexual men for research studies. Little is known, however, about how the performance of social media advertisements (ads) used to recruit this population is affected by ad content (ie, image and text). The aim of this study was to evaluate the effects of different images and text included in social media ads used to recruit young gay and bisexual men for the pilot test of a Web-based human papillomavirus (HPV) vaccination intervention. In July and September 2016, we used paid Facebook advertisements to recruit men who were aged 18-25 years, self-identified as gay or bisexual, US resident, and had not received HPV vaccine. A 4x2x2 factorial experiment varied ad image (a single young adult male, a young adult male couple, a group of young adult men, or a young adult male talking to a doctor), content focus (text mentioning HPV or HPV vaccine), and disease framing (text mentioning cancer or a sexually transmitted disease [STD]). Poisson regression determined whether these experimental factors affected ad performance. The recruitment campaign reached a total of 35,646 users who viewed ads for 36,395 times. This resulted in an overall unique click-through rate of 2.01% (717/35,646) and an overall conversion rate of 0.66% (241/36,395). Reach was higher for ads that included an image of a couple (incidence rate ratio, IRR=4.91, 95% CI 2.68-8.97, PFacebook ads are a convenient and cost-efficient strategy for reaching and recruiting young gay and bisexual men for a Web-based HPV vaccination intervention. To help optimize ad performance among this population, researchers should consider the importance of the text and image included in the social media recruitment ads. ©Paul L Reiter, Mira L Katz, Jose A Bauermeister, Abigail B Shoben, Electra D Paskett, Annie-Laurie McRee. Originally published in JMIR Public Health and Surveillance (http

  20. Photographic evidence of interspecies mating in geckos of the Lepidodactylus lugubris unisexual-bisexual complex (Squamata: Gekkonidae)

    Science.gov (United States)

    Buden, Donald W.; Cianchini, Carlos; Taborosi, Danko; Fisher, Robert N.; Bauer, Aaron; Ineich, Ivan

    2014-01-01

    An interspecies mating between unisexual Lepidodactylus lugubris and a male of the bisexual Lepidodactylus moestus was photographed by Carlos Cianchini on Kosrae [Island], FSM, at 18:15 h on 22 August 2013 (Figure 1). The mating pair was on a window frame inside a house at Pukusruk Wan village (05°21'01" N, 163°00'41" E, elev. 28 m a.s.l.) on the northeastern side of the island. This is the first direct evidence of mating between these two species.