Sexual Orientation and Sexual Health Care Needs: A Comparison of Women Beneficiaries in Outpatient Military Health Care Settings

ABSTRACT

The objectives of this study are to compare the sexual concerns, interest and experiences in discussing these concerns with their doctor for women of “Only Men” and “Some to Only Women” sexual orientation. A survey was mailed to women patients from two military outpatient settings, with 1,196 women responding. Of eligible respondents (N = 1,170), 90% reported “Only Men” and 10% reported “Some to Only Women” sexual orientation. Sexual concerns varied by sexual orientation, while interest and experience in discussing sexual concerns and desire for physicians to initiate the topic differed minimally. Women with “Some to Only Women” sexual orientation have both similar and differing sexual concerns compared to “male-only” oriented women. Larger primary care patient-based studies of sexual health care needs of sexual minorities are needed.     

Being Who I Am: Effective Teaching,Learning, Student Support,and Societal Change Through LGBQ Faculty Freedom

Framed within the context of a heterosexist society in which not all sexual minority faculty feel professionally and/or personally safe stepping out of the classroom closet, this qualitative study examines the phenomenon of non-heterosexual faculty disclosing their sexual orientation to students in their classrooms. Findings demonstrate the depth and magnitude of impact the disclosure has on teaching, learning, student support, and societal change. Overarching is that faculty do not necessarily view the experience as “coming out in the classroom,” but rather as “being who I am” in terms of freedom to present an authentic self, if so desired, to students.     

Concealing Concealment: The Mediating Role of Internalized Heterosexism in Psychological Distress Among Lesbian,Gay, and Bisexual Older Adults

ABSTRACT

Recent population-based studies indicate that sexual minorities aged 50 and older experience significantly higher rates of psychological distress than their heterosexual age-peers. The minority stress model has been useful in explaining disparately high rates of psychological distress among younger sexual minorities. The purpose of this study is to test a hypothesized structural relationship between two minority stressors—internalized heterosexism and concealment of sexual orientation—and consequent psychological distress among a sample of 2,349 lesbian, gay, and bisexual adults aged 50 to 95 years old. Structural equation modeling indicates that concealment has a nonsignificant direct effect on psychological distress but a significant indirect effect that is mediated through internalized heterosexism; the effect of concealment is itself concealed. This may explain divergent results regarding the role of concealment in psychological distress in other studies, and the implications will be discussed.     

Negotiating Religiosity and Sexual Identity Among Hispanic Lesbian Mothers

ABSTRACT

Hispanic lesbian mothers face bicultural tensions that stigmatize their roles as mothers. Religion could produce heightened conflict given their potential incompatibility with the role of a “good mother.” In particular, there is a potential for conflict between the definition of a “good mother” set forth in Catholicism and the sexual orientation of Hispanic lesbians. I conducted semistructured in-depth interviews to examine how Hispanic lesbian mothers negotiate their Catholic religious identity with aspects of their sexual identity. More specifically, I examined the strategies that Hispanic lesbian mothers use to reconcile or navigate perceived conflict between their roles as a Catholic and as a lesbian. The research questions to be answered were: How do Hispanic lesbian mothers negotiate a Catholic religious and a sexual identity? How do Hispanic lesbian mothers create and maintain a religious narrative? How do Hispanic lesbian mothers redefine religion and spirituality?     

Minding the Noise: Conducting Health Research Among Bisexual Populations and Beyond

In this article, we draw upon our experiences conducting health-related studies with sexual minorities to suggest guidelines and best-practices for carrying out research among bisexual populations specifically. Too often bisexuality has been treated as “noise in the data,” because it does not conform to monosexual notions of sexual orientation. We discuss methodological, theoretical and conceptual concerns as they pertain to conducting research among bisexual persons. We hope that the insights we offer will prompt greater attention to bisexual groups and their specific concerns, not only among health researchers, but among those from other fields and disciplines as well.     

Labeling Same-Sex Sexuality in a Tolerant Society That Values Normality: The Dutch Case

Studies have pointed to a trend in Western societies toward the normalization of homosexuality and emerging “post-gayness” among young people, who no longer consider their sexual identity meaningful in defining themselves. This article takes a closer look at the Dutch case where tolerance is regarded as a national virtue, while society remains heteronormative. In 38 interviews with Dutch same-sex-attracted young people, we investigated the labels they used to describe their sexual orientation to reveal what they can tell us about normalization, tolerance, and heteronormativity. In their labeling strategies, participants de-emphasized their sexual identity, othered, and reinforced the hetero/homo binary. They preferred labels without connotations to gender expression. While post-gay rhetoric was ideologically appealing, its use was not an outcome of their sexual orientation having become insignificant; it rather enabled them to produce normality. We discuss the findings against the backdrop of “Dutch tolerance,” which rests on an ideology of normality.     

Measuring Adult Children’s Perceptions of Their Parents’ Acceptance and Rejection of Their Sexual Orientation: Initial Development of the Parental Acceptance and Rejection of Sexual Orientation Scale (PARSOS)

ABSTRACT

The Parental Acceptance and Rejection of Sexual Orientation Scale was administered to 256 self-identified lesbian, gay, bisexual, or queer adults who had been out of the closet to their parents for at least 1 year. Principal component analysis revealed a clear two-component solution: parental acceptance and parental rejection. Findings showed that perceived maternal sexual orientation-specific acceptance was higher, and perceived maternal sexual orientation-specific rejection was lower, for gay/bisexual sons compared to their lesbian/bisexual daughters. Results of regression analyses suggest that both perceived sexual orientation specific acceptance and rejection predicted adult children’s psychological symptoms after accounting for perceived global parental acceptance and rejection and the child’s gender. The scale’s utility for research and practice are noted.     

Hearing “That’s So Gay” and “No Homo” on Campus and Substance Use Among Sexual Minority College Students

ABSTRACT

Sexual orientation microaggressions are common on college campuses and can contribute to negative outcomes; yet little is known about their relationship with substance use outcomes. Among a convenience sample of cisgender sexual minority college students (n= 574; 57.0% female, 24.9% people of color, 50.7% gay/lesbian; 72.4% public school) from 37 states (67.8% Midwest), this analysis investigates the association between hearing “that’s so gay” and “no homo” on campus and hazardous alcohol use and the frequency of illicit drug use. Using multivariable regression analyses, the commonly heard phrases “that’s so gay” and “no homo” were each found to significantly increase the risk for hazardous drinking and the frequency of drug use among students. Efforts should be made to create more welcoming campus climates for sexual minority students by reducing the use of these microaggressions and, in the meantime, offering supports to mitigate their harmful effects.     

Queen of Fights: Lesbians in Tunisian Sports

ABSTRACT

Sport within the Muslim context, including in the location of this study, Tunisia, remains an institution designed for the promotion of a heterosexual form of masculinity and the degradation of both femininity and women’s athleticism. Unlike recent advancements in the West, homosexuality remains viewed almost entirely negatively by the political, religious, and social debates in Muslim cultures. This overt hostility has almost entirely erased any visible gay culture within Muslim sports. It is within this context that this study finds importance. It represents the first-ever examination into the lives of lesbian Muslim athletes, in either a Muslim majority or non-majority state. Conducted on three lesbian athletes living in the Islamic country of Tunisia, we show that each is out of the closet to varying degrees but that homophobia within their sports—even on majority lesbian teams—remains rife. We discuss the coping strategies these athletes invoke to negotiate their sexual orientation in this highly homophobic nation and homohysteric sporting culture.     

The Charisma and Deception of Reparative Therapies: When Medical Science Beds Religion

ABSTRACT

In this article, I examine the history and resurgence of interest in sexual reorientation or reparative therapies. I begin with a critique of the contemporary “ex-gay” movement, interrogating Exodus as the prototype of a politico-religious transformational ministry that works to “cure” homosexuals, and examine how Exodus utilizes ex-gay testimony to deceive harried homosexuals looking for escape from the effects of internalized and cultural homophobia. Next, I investigate how reparative therapies function as orthodox treatments that charismatically meld conservative religious perspectives with medical science to produce a pseudoscience promising to treat homosexuality effectively. In this regard, I assess the ongoing debate regarding gay-affirming versus reparative therapies by first looking at the history of medicalizing homosexuality and then surveying the debate spurred by Robert L. Spitzer's research. I conclude with a consideration of research needed to measure whether efficacious change in sexual orientation is possible.     

Richmond Barthé: Black Homoeroticism and the Raptures of the Hermaphroditic Body

ABSTRACT

African American sculptor Richmond Barthé (1901–1989) conjoined issues of sexuality and race in works that foreground the aesthetic worth of Black bodies. While exposing Western figuration practices that exclude Black people from artistic visibility, Barthé also targeted the African American distaste for the explicit treatment of nudity. Barthé’s androgynous sculptures have by now become the trademark of his art, but Barthésian scholarship still neglects the significance of a small group of statues, which de-emphasize the aura of same-sex desire, in order to explore the intricacies of corporeal ambisexuality. In view of his homoerotic depictions and the presence of the hermaphrodite at the core of his disruption of the sexual dichotomy, the frequent assumption that Barthé remained “closeted all his life” does not stand critical scrutiny. Instead of taking refuge in the sexual closet, Barthé debunked the man/woman binary as the foremost epistemic construct that prompts the societal need for sexual self-misrepresentations.     

Gay Seouls: Expanding Religious Spaces for Non-Heterosexuals in South Korea

What Protestant congregations offer spaces for worship and dialogue among persons with different sexual orientations? The academic literature finds or assumes that non-heterosexuals are stigmatized or invisible in theologically conservative congregations and are welcomed in progressive, affirming congregations. This article develops an alternative claim that some conservative or evangelical congregations offer attractive spaces for non-heterosexuals to worship and dialogue. We illustrate with an exploratory study of four congregations in South Korea—two theologically progressive, two evangelical—whose pastors welcomed everybody regardless of sexual orientation or gender identity. The “inclusive-evangelical” congregations retained conservative theology on sexuality (sexual relations only within heterosexual marriage) but offered more empathic dialogue with non-heterosexuals than did most evangelical congregations; they also provided more resources, conventional religious culture, and ties to traditional affective networks than the affirming-progressive congregations. Inclusive-evangelical congregations offer an institutional venue for non-heterosexual Christians in Korea to potentially reconcile three central values: conservative Christianity, traditional (Confucian) affective networks, and expressive individualism.     

Coming In: Queer Narratives of Sexual Self-Discovery

Many models of queer sexuality continue to depict a linear narrative of sexual development, beginning in repression/concealment and eventuating in coming out. The present study sought to challenge this by engaging in a hermeneutically informed thematic analysis of interviews with eight queer people living in Western Australia. Four themes were identified: “searching for identity,” “society, stigma, and self,” “sexual self-discovery,” and “coming in.” Interviewees discussed internalized homophobia and its impact on their life; experiences and implications of finding a community and achieving a sense of belonging; the concept of sexual self-discovery being a lifelong process; and sexuality as fluid, dynamic, and situational rather than static. The article concludes by suggesting that the idea of “coming in”—arriving at a place of acceptance of one’s sexuality, regardless of its fluidity or how it is viewed by society—offers considerable analytic leverage for understanding the journeys of sexual self-discovery of queer-identified people.     

Debating LGBT Workplace Protections in the Bible Belt: Social Identities in Legislative and Media Discourse

ABSTRACT

This article reports a case study of the legislative and media discourse surrounding the addition of sexual orientation and gender identity language to the employment nondiscrimination ordinance of a city in the heart of the Bible Belt. The purpose of the study is to uncover how different identities were constructed and contested at city council meetings and in the news media on the way to passing legal protection for LGBT city employees in a region that is often characterized by anti-gay prejudice. This debate over the nondiscrimination ordinance centered on the question of whether LGBT identities are equivalent to identity categories based on race, gender, or religious belief, and it was shaped by various intergroup communication dynamics, specifically between members of the LGBT minority and the straight majority, between LGBT and Christian identities, and between “true” and “false” Christian identities.     

Implicit Association Task and Perception of Homosexuality: Differences between African American and Non-Hispanic Caucasian Homosexual Males

ABSTRACT

This study investigated the relationship between sexual orientation and minority group membership in a sample of African American and non-Hispanic Caucasian (NHC) homosexual men. Participants competed measures of pathology, sexual orientation, and ethnic identity. They completed two IATs, one using homosexual symbols and the other ethnically diverse homosexual images. Results indicated that African American participants reported more ethnic and sexual orientation discriminatory experiences than NHC. It was also found that both groups exhibited a positive association toward gay symbols. Both groups also demonstrated a bias toward NHC homosexual images, although the bias was stronger for NHC participants. Moderation analyses indicated that as internalized homophobia increased, preference for gay NHC images decreased, and that high ethnically discriminatory experiences resulted in stronger associations between NHC images and “good” attributes. Overall, the results partially support the minority stress theory and highlight some important differences between African American and NHC homosexual men.     

Public Sexual Cultures: A Systematic Review of Qualitative Research Investigating Men's Sexual Behaviors with Men in Public Spaces

Resurgent HIV and sexually transmitted infection incidence among men who have sex with men (MSM) requires an urgent re-examination of sexual transmission sites. To these ends, we systematically review qualitative literature concerning men's sexual behaviors within public sex environments (PSEs). Sex, therein, is negotiated by the highly codified, largely nonverbal practice of “cruising.” A generic, shared PSE sexual culture emerges from the literature—across locations, countries, and decades—because of the importance of concealment and common structural constraints on sexual encounters in PSEs. However, differences in local geography and facilities may transform key features of this, resulting in specific, local sexual cultures emerging for each locale. We argue that, although sexual cultures developed to minimize nonsexual cruising risks, they may be exploited to improve contemporary in situ outreach work.     

Gender Role Violations and the Sexual Double Standard

ABSTRACT

The sexual double standard (SDS) suggests that women are evaluated negatively and men positively for engaging in similar sexual behaviors. According to social role theory, the SDS exists due to gender role structures. Consequently, perceived violations of women’s sexual behavior are associated with the SDS. In addition to gender role violations of sexual behavior, two additional violations of gender roles exist: heterosexual sexual orientation norms and gender role characteristics. The current study aims to investigate whether the SDS persists for sexual orientation–violating and gender role characteristic–violating targets, and to examine which of the three gender role violations influence evaluations of others’ sexual behavior. A U.S. sample of 483 participants evaluated target individuals who were either female or male, heterosexual/gay man or lesbian, feminine or masculine, and had 1 or 12 sexual partners. Results indicate that SDS persists for gender role–violating targets but is exhibited differently for targets violating heterosexual sexual orientation norms and gender role characteristics.     

Sexistential Crisis: An Intersectional Analysis of Gender Expression and Sexual Orientation in Masculine Overcompensation

ABSTRACT

Masculine overcompensation—a phenomenon where men react to masculinity threats by endorsing hypermasculine ideals—has been demonstrated among straight men but has yet to be examined among gay men. The current study therefore proposed to examine whether gay men overcompensate similarly to their straight counterparts by providing participants with randomized feedback that threatened their masculinity. Overcompensation was measured in 867 online respondents by administering a series of questionnaires regarding views of pornography, rape, sex roles, and political orientation. Although our hypothesis was not confirmed, results revealed the intersectionality of both sexual orientation and self-reported gender expression regarding the formation of different views and beliefs. Specifically, masculinity was differentially related to homophobic attitudes, more callous views toward victims of sexual assault, and various components of attitudes toward pornography in gay and straight men. Masculine gay males held stereotypically masculine views less strongly than their masculine straight counterparts, providing evidence that gay males adopt a different type of masculinity than straight males—something of a “masculinity lite.” Such findings point to the converging influence of sexual orientation and gender expression as contributors relevant to the attitudes of gay and straight men. This information adds to a growing body of literature on differences between gay and straight men and can be used to inform theory, education, and clinical practice, particularly in settings where men grapple with the implications of their masculinity.     

Navigating Islam and Same-Sex Liaisons Among Men in Turkey

ABSTRACT

This study reports the experiences of 20 Turkish men in having sex with men in an Islamic society. As part of a broader study on Turkish homosexualities, the article analyzes responses to the question, “What joys and difficulties have you experienced regarding your sexual orientation in relation to Islam?” to elicit responses on how Islam and homosexuality might coexist in everyday life.     

The Relationship Between Homosexuality,Internalized Homo-Negativity,and Mental Health in Men Who Have Sex with Men

ABSTRACT

Whether homosexuality or internalized homo-negativity is the critical variable affecting the mental health of men who have sex with men has long been debated. As part of a larger study, 422 Midwestern homosexual men completed questionnaires examining degree of homosexuality, internalized homo-negativity, and depression. Logistic regression modeling identified internalized homo-negativity, but not degree of homosexuality, as significantly associated with greater adjustment depression (OR?=?1.5), major depression (OR?=?2.6), dysthymia (OR?=?1.5), and likelihood of being in therapy (OR?=?1.4). Internalized homo-negativity was also negatively associated with overall sexual health, psychosexual maturation, comfort with sexual orientation, “outness,” and peer socialization. Internalized homo-negativity, not homosexuality, appears associated with negative health outcomes. Providers should promote sexual health and avoid interventions that reinforce internalized homo-negativity.