Rural Lesbians and Gays

Abstract

The author examines rural helping professionals' perceptions of lesbian and gay consumers and the effects their perceptions have on the provision of services to this population, including the tensions that result when helping professionals' perceptions hinder their acceptance of gay and lesbian consumers. This article uses reports from helping professionals to supplement the discussion. This article challenges helping professionals to evaluate their perceptions of gay and lesbian social service consumers which may hinder their accepting these consumers so that practitioners may gain full acceptance of their gay and lesbian service consumers.     

Time to ask and tell: Voices of older gay and bisexual male veterans regarding community services

ABSTRACT

This participatory action study involved lesbian, gay, bisexual, transgender, and queer (LGBTQ) veterans in determining community-based service needs for health and wellness, illuminating perspectives of older LGBTQ veterans regarding community services. This study explored veterans' perceptions of being LGBTQ later in life. The study included data from interviews with gay and bisexual male veterans ages 51 to 87. Participants valued engagement as part of community. Their recommendations for action included communal meals, transportation, housing, and the coming-out process. Community services facilitated community engagement to support health and wellness for LGBTQ older veterans. The authors used participatory action research (PAR), a method of systematic inquiry integrating the perspective of persons living the experience, to organize the study. Further PAR is recommended to implement community services to meeting health and wellness needs of participants.     

Seeing the Same Thing Differently: Program Director,Faculty, and Student Perceptions of MSW LGBT Competence

ABSTRACT

This exploratory study examined MSW education’s organizational-level lesbian, gay, bisexual, and transgender (LGBT) competence. Data were gathered from a sample of MSW program directors, faculty members, and students (N=1385) from 34 MSW programs in the United States. Hierarchical linear modeling analyzed differences in perceptions of organizational LGBT competence between MSW programs and among participants in the same program. Results showed organizational LGBT competence varied significantly among MSW programs and indicated program directors, faculty members, and students had different perceptions of the competence of their shared program. Specifically, directors rated the LGBT competence of their program higher than faculty, and faculty rated their program higher than students did. Implications for research and suggestions for social work education are discussed.     

Workplace Problems and Needs for Lesbian and Gay Male Employees

Abstract

This article presents research findings pursuant to the problems and needs of lesbian and gay male employees, as perceived from a randomly selected national sample of employee assistance professionals. The research was based on a conceptual model for framing workplace interventions addressing issues of protection, inclusion and equity (PIE) for gay/lesbian employees. Findings indicate that heterosexual employees greatly underestimate the level of discrimination sexual minorities experience; women respondents were more sensitive to gay/ lesbian workplace issues than men; existing EAP and human resource services, programs and policies inadequately address gay/lesbian needs; significant differences exist between heterosexual and gay/lesbian employees' on perceptions of diversity training content and gay/lesbian EAP professionals feel the workplace is only somewhat “safe” for them as sexual minority employees.     

The Privatization of Social Services from Public to Sectarian

ABSTRACT

This article explores the privatization of social services from public to sectarian points of view while examining the implications of the Charitable Choice movement on the gay and lesbian community. The history of this movement is explored from a developmental perspective outlining the socioeconomic makeup of gays and lesbians, the societal perceptions and mythology of the economic status of homosexuals, and actual figures related to the number of gays and lesbians who rely on publicly supported social service providers. The article explores the history as well as the positive and negative aspects this type of privatization movement involves. Finally, a comprehensive assessment of the effects of this movement on the gay and lesbian community is presented and future recommendations will be made.     

The Influence of Gender on the Placement of Children with Gay or Lesbian Adoptive Parents

Abstract

This study examines the opinions of men and women from a random phone sample of super voters (those persons voting in the last three out of four possible elections) in Florida (N = 413) toward gay men and/or lesbians as adoptive parents. The survey gathered information on whether the respondents would place boys or girls available for adoption with gay men or lesbians. Controlling for various demographic variables, bivariate logistic regressions were performed for each possible parent/child combination. Several variables were consistently significant across the models tested, explaining from 22 to 29% of the variance. These included race/ethnicity, religious identification, respondent's gender, and political ideology. Implications of this study for policy-makers and child welfare practitioners are posited.     

An Exploratory Investigation of Gay Stepfathers' Perceptions of Their Role

Abstract

This phenomenological study explored the gay stepfather role in its definitions, evolution, and factors that influenced how it was assumed and performed. Five gay men, living in a gay stepfamily that included the full or joint custody of the biological children of their partner, were asked to describe their perceptions of their family role in an open-ended, semi-structured interview. Data from all interviews were analyzed using the Atlas ti computer program (Muhr, 1997) that allowed identification of themes held commonly among the participants. Overall, the participants described stepfather roles and stepfamilies in terms that do not appear to be significantly different from heterosexual counterparts. The participants consistently mentioned the need for flexibility and patience in developing various aspects of their stepfather role such as co-parent/caretaker and friend/confidant. All participants discussed commitment to their families and the benefits gained in their stepfather role. Most had an effective, working relationship with the children's mothers. Interestingly, disclosure was not an issue in these families, and they reported feeling supported by extended family members.     

Shame,Internalized Homonegativity,and Religiosity: A Comparison of the Stigmatization Associated with Minority Stress with Gay Men in Australia and Malaysia

ABSTRACT

In this study we explore aspects of minority stress by comparing Malaysian (n = 234) and Australian (n = 123) gay men on internalized homonegativity (IH) and internalized shame (IS) in a 2 × 2 multivariate analysis (country × relationship status). Religious motivation (RM) was also included as a variable because of the importance of religion in Malaysia as compared to Australia. Malaysian gay men scored higher on IH, IS, and RM. Single men reported higher levels of IS than did those in relationships. These results are discussed in terms of the minority stress model (Meyer, 2003).     

The relation between cultural values and condom use among Latino gay men

ABSTRACT

Latino men who have sex with men (MSM) are the second largest group to be affected by human immunodeficiency virus (HIV). Latino cultural values may influence sexual behaviors that can result in HIV acquisition. This study explored the relations among traditional machismo, caballerismo, familismo, unprotected anal intercourse (UAI), and the appeal of sex without condoms (ASWC) among Latino gay men. Results indicated that higher levels of familial honor and traditional machismo predicted higher levels of ASWC. These findings suggest that exploration of gender roles and family are important factors to be included in HIV prevention and intervention programs.     

Hookah and Cigarette Smoking Among African American College Students: Implications for Campus Risk Reduction And Health Promotion Efforts

ABSTRACT

Objective: To identify individual and institutional risks and protections for hookah and cigarette smoking among African American (AA) college students. Participants: AA college students (N = 1,402; mean age = 20, range = 18–24 years; 75% female) who completed the Fall 2012 American College Health Association–National College Health Assessment II. Methods: Respondents were stratified into 4 mutually exclusive groups by last-30-day smoking status: cigarette-only use (5.1%), hookah-only use (5.9%), dual use (2.4%), and nonuse (86.6%). Multinomial logistic regression models identified the relative odds of exclusive and dual hookah and cigarette smoking. Results: Current hookah and cigarette smoking rates were comparably low. Age, gender identity, current substance use, interest in tobacco use information, and student population prevailed as risks and protections for hookah and cigarette smoking. Conclusions: Campus health promotion campaigns may need to tailor messages to AA students, particularly those who use substances, to underscore the health risks of hookah and cigarette smoking.     

Delivering LGBT-sensitive substance use treatment to sexual minority women

Abstract

Epidemiologic studies have consistently found elevated rates of alcohol and other substance use among sexual minority women (SMW), and despite calls for “lesbian, gay, bisexual, and transgender (LGBT)-specific” services and culturally tailored interventions, few such services exist. This study involved qualitative interviews with directors from substance use treatment programs (N?=?10) about how they addressed the needs of SMW. Strategies implemented primarily focused on creating a safe and welcoming environment for sexual minority clients. Findings highlight challenges involved in meeting the treatment needs of SMW and provide guidance to researchers and service providers on how to improve the quality of care for them.     

A Mixed-Methods Evaluation of Social Work Learning Outcomes in Interprofessional Training with Medicine and Pharmacy Students

ABSTRACT

Social work has moved firmly into a need for partnership training models, as our newest Educational Policy and Accreditation Standards explicitly call for interprofessional education (IPE). Although IPE is not a new model, we have not been consistently involved in training partnerships. Three professional schools formed partnerships to provide IPE events for social work (n = 42), medicine (n = 108), and pharmacy (n = 49) students. Social work students showed positive change on a validated measure of attitudes and beliefs regarding interprofessional practice, and debriefing included rich discussions about challenges of communication and boundaries and perceptions of hierarchy and skills of other teammates in the context of case-based learning, guided by faculty from all three professions.     

“I Want to Feel Like a Full Man”: Conceptualizing Gay,Bisexual, and Heterosexual Men’s Sexual Difficulties

Current understandings of sexual difficulties originate from a model that is based on the study of heterosexual men and women. Most research has focused on sexual difficulties experienced by heterosexual men incapable of engaging in vaginal penetration. To better understand men’s perceptions and experiences of sexual difficulties, seven focus groups and 29 individual interviews were conducted with gay (n = 22), bisexual (n = 5), and heterosexual (n = 25) men. In addition, the extent to which difficulties reported by gay and bisexual men differ from heterosexual men was explored. Data were analyzed using thematic analysis applying an inductive approach. Two intercorrelated conceptualizations were identified: penis function (themes: medicalization, masculine identity, psychological consequences, coping mechanisms) and pain (themes: penile pain, pain during receptive anal sex). For the most part, gay, bisexual, and heterosexual men reported similar sexual difficulties; differences were evident regarding alternative masculinity, penis size competition, and pain during receptive anal sex. The results of this study demonstrate the complexity of men’s sexual difficulties and the important role of sociocultural, interpersonal, and psychological factors. Limitations and suggested directions for future research are outlined.     

Knowledge and perception of female nursing students about human papillomavirus (HPV), cervical cancer,and attitudes toward HPV vaccination

Objective: The researchers aimed to evaluate the knowledge and perceptions of first-year female nursing students about human papillomavirus (HPV), cervical cancer (CC), and HPV vaccination. Participants: The sample included 690 female nursing students from sampled universities between April and June 2015. Methods: Students were surveyed by using a pretested HPV and CC awareness questionnaire. Results: More than half of the students (65.1%) answered questions incorrectly with a mean HPV knowledge score of 6.085?±?3.38. The majority of students (82.6%) did not hear HPV vaccine. Only, 2.8% of the students had been vaccinated. A statistically significant relationship was found between HPV knowledge score and hearing about HPV vaccine (U?=?28280.500, p?=?.015), and believing HPV vaccine protectiveness (χ²?=?14.153, p?=?.001). Conclusions: This study highlights the lack of knowledge and low level of awareness about HPV, CC, and HPV vaccination among first-year nursing college students.     

Social and Demographic Characteristics of Gay,Lesbian, and Heterosexual Adults with and Without Children

SUMMARY

This is the first study to compare lesbian mothers (n = 150), lesbians without children (n = 236), heterosexual mothers (n = 175), heterosexual women without children (n = 38), gay fathers (n = 40), gay men without children (n = 163), heterosexual fathers (n = 157), and heterosexual men without children (n = 32) on social and demographic characteristics. Demographic differences included age, education, length of relationship, religion, and geographic location. Only 28% of gay fathers and 37% of lesbian mothers had at least one child from their current relationship. For women the most important factor in predicting contact with family of origin was sexual orientation, while for men it was parenting status. More gay and lesbian parents had disclosed their sexual orientation than those without children. Gay fathers reached most milestones in the coming-out process between 2.5 and 4 years later than gay men without children, while lesbian mothers reached all milestones in the coming-out process 3 to 5 years later than lesbians without children. Lesbian mothers who had children before coming out reached developmental milestones 4 to 8 years later than lesbian mothers who had children after coming out.     

Special Interest Groups in Alcohol Anonymous:

Millions of alcoholics around the world find their recovery in “working the program” of Alcoholics Anonymous (AA). Most AA members find belonging to an AA group and attending meetings to be very important parts of working the program. Many recovering alcoholics, however, find that “special interest groups” are highly desirable in their recovery. This is the case of many gay men who see gay groups as critical in their achieving and maintaining sobriety. In this article, we will explore the special interest groups in terms of their definitions, types, and history. We will than take one group, gay men, and see why they have formed special interest AA groups, the positives of such groups, and the limitations of such groups. Clinical implication will then be provided.     

Improving alcohol screening for college students: Screening for alcohol misuse amongst college students with a simple modification to the CAGE questionnaire

ABSTRACT

Objective: To improve the CAGE (Cut down, Annoyed, Guilty, Eye opener) questionnaire's predictive accuracy in screening college students. Participants: The sample consisted of 219 midwestern university students who self-administered a confidential survey. Methods: Exploratory factor analysis, confirmatory factor analysis, receiver operating characteristics (ROC), and Cronbach's alpha were used to analyze factor structure, validity, and reliability. Results: The modified CAGE correctly classified students with alcohol abuse (“AA students”; area under the curve [AUC] = 0.7765) and students with alcohol dependency (“AD students”; AUC = 0.8392) more often than CAGE (AA students: AUC = 0.6977; AD students: AUC = 0.7437), and these differences are statistically significant (AA students: χ²(1) = 14.72, p < .001; AD students: χ²(1) = 7.71, p < .01). Using 2-point cut scores, CAGE correctly identified 59.38% of AD students as AD, whereas the modified CAGE correctly identified 87% of AD students as AD. Using 1-point cut scores, CAGE correctly identified 65% AA students, whereas the modified CAGE identified 85.29%. Conclusions: The modified CAGE has better accuracy than CAGE in predicting AA and AD among college populations.     

In college and in recovery: Reasons for joining a Collegiate Recovery Program

ABSTRACT

Objective: Collegiate Recovery Programs (CRPs), a campus-based peer support model for students recovering from substance abuse problems, grew exponentially in the past decade, yet remain unexplored. Methods: This mixed-methods study examines students' reasons for CRP enrollment to guide academic institutions and referral sources. Students (N = 486) from the 29 CRPs nationwide operating in 2012 completed an online survey in 2013. Results: Students were somewhat older than traditional age (mean age = 26). Now sober for 3 years (mean), they had experienced severe dependence on multiple substances. One third reported they would not be in college were it not for a CRP, and 20% would not be at their current institution. Top reasons for joining a CRP were the need for same-age peer recovery support and wanting to “do college sober,” recognizing that college life challenges sobriety. Conclusions: CRPs appear to meet their mission of allowing recovering students to pursue educational goals in “an abstinence hostile environment.” Findings emphasize the need for more institutions to address the support needs of students in recovery.     

The Second Closet: A Qualitative Study of HIV Stigma Among Seropositive Gay Men in a Southern U.S. City

ABSTRACT

Objectives: Stigma connected with HIV/AIDS has decreased considerably since the early epidemic yet affects those living with HIV in many ways. Little research, particularly qualitative research, concerning HIV stigma from the perspective of gay men has emerged. The present qualitative study aimed to fill this evidence gap by examining how HIV stigma is perceived and experienced by gay men who have become HIV-infected and how they respond to this stigma. Methods: Thematic analysis of 19 gay men's narratives identified six main themes. Results: Encountering HIV stigmatization was common and was linked to the physical stigmata identifying respondents as HIV-positive. Overwhelmingly, they found stigmatization to be most intensely felt within gay communities. One profound theme was internalized HIV stigma, referring to respondents’ internalized negative feelings about their HIV status. A related theme was the closeted nature of HIV. Lastly, regarding how the men dealt with the HIV diagnosis and experiences of HIV stigma, a theme of adaptation became clear. Conclusions: Although exploratory, the results can serve as a beginning framework for understanding and assisting seropositive gay men who experience HIV stigma. The findings are important because it is realistic to expect that in a climate in which HIV has become increasingly invisible and closeted and in which infections are on the rise, gay and bisexual men will be increasingly affected and infected by HIV.