Coping With Sexual Orientation–Related Minority Stress

Little is known about how adolescents cope with minority stressors related to sexual orientation. This study examined 245 lesbian, gay, and bisexual (LGB) young adult’s (ages 21–25) retrospective reports of coping in response to LGB minority stress during adolescence (ages 13–19) to test the reliability and validity of a measure of minority stress coping. Further, the study examined associations between LGB minority stress coping and young adult psychosocial adjustment and high school attainment. Validation and reliability was found for three minority stress coping strategies: LGB-specific strategies (e.g., involvement with LGBT organizations), alternative-seeking strategies (e.g., finding new friends), and cognitive strategies (e.g., imagining a better future). LGB-specific strategies were associated with better psychosocial adjustment and greater likelihood of high school attainment in young adulthood, whereas alternative-seeking and cognitive-based strategies were associated with poorer adjustment and less likelihood of high school attainment.     

Is Patients' Sexual Orientation a Blind Spot of Family Physicians?

ABSTRACT

Even though certain health needs of gay, lesbian, and bisexual (GLB) patients are unique and different from those of the heterosexual patient, physicians do not usually ask patients about their sexual orientation. This study investigates family physicians' common practice regarding their patients' sexual orientation. Most of the physicians surveyed knew of less than 0.5% GLB patients in their practice; 44.4% did not know of any GLB patients. Only one physician commonly asked his patients about their sexual orientation; other physicians rarely or never asked. Asking patients about their sexual orientation significantly (P < 0.01) predicted the number of GLB patients known to the physician. Asking about patients' sexual orientation is not a common practice for family physicians, and, thus, they are usually unaware of the GLB patients in their practice.     

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.     

“Grow the Beard,Wear the Costume”: Resisting Weight and Sexual Orientation Stigmas in the Bear Subculture

ABSTRACT

Being gay and being overweight are two stigmatized statuses in the United States. A range of work has considered the experience of being stigmatized and the consequences of stereotypes for overweight individuals and sexual minorities, but less research has examined the intersection of these two stigmas among larger gay men or collective efforts to resist such stigma. This study qualitatively examines a subculture of gay men, the bears, to test theoretical models of stigma resistance. The analysis demonstrates the transferability of stigma resistance among multiple stigmatized attributes and the use of multiple strategies to resist one stigma. At the same time, it shows how subcultural dynamics both aid and undermine the resistance toward stigma, and the risk of reinforcing stigma’s effect through criticizing others who embody a stereotype. The results also demonstrate how resistance strategies are both empowering and psychologically taxing for stigmatized individuals.     

“All of My Lovers Fit Into This Scale”: Sexual Minority Individuals’ Responses to Two Novel Measures of Sexual Orientation

Previous qualitative research on traditional measures of sexual orientation raise concerns regarding how well these scales capture sexual minority individuals’ experience of sexuality. The present research focused on the critique of two novel scales developed to better capture the way sexual and gender minority individuals conceptualize sexuality. Participants were 179 sexual minority (i.e., gay, lesbian, bisexual, pansexual, queer, asexual) individuals who identified as cisgender (n = 122) and transgender (n = 57). Participants first completed the new scales, then provided qualitative responses regarding how well each scale captured their sexuality. The Sexual-Romantic Scale enabled the measurement of sexual and romantic attraction to each sex independently (same-sex and other-sex). Participants resonated with the way the Sexual-Romantic scale disaggregated sexual and romantic attraction. Although cisgender monosexual (lesbian/gay) individuals positively responded to the separation of same- and other-sex attraction, individuals with either plurisexual (bisexual, pansexual, or fluid) or transgender identities found the binary conceptualization of sex/gender problematic. The Gender-Inclusive Scale incorporated same- and other-sex attraction as well as dimensions of attraction beyond those based on sex (attraction to masculine, feminine, androgynous, and gender non-conforming individuals). The incorporation of dimensions of sexual attraction outside of sex in the Gender-Inclusive Scale was positively regarded by participants of all identities. Findings indicate that the Sexual-Romantic and Gender-Inclusive scales appear to address some of the concerns raised in previous research regarding the measurement of sexual orientation among sexual minority individuals.     

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

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

China Highlights Men''''s Sexual Health

Various activities were held on October 28 in 16 Chinese cities to promote sexual health advice services for men and to mark the country's third Male Health Day. An exhibition on male reproductive health, the first of its kind in the country, was also held in the capital, Beijing, to coincide with the event. China named October 28 Male Health Day in 2000 and hundreds of thousands of Chinese men have shown great interest in related health services over the past two years. This year, the t…     

Health Insurance Coverage and Access to Care by Sexual Orientation and Marital/Cohabitation Status: New Evidence from the 2015–2018 National Health Interview Survey

Population Research and Policy Review - Disparities in health insurance coverage and access to care are well documented between sexual minority adults and their heterosexual peers. Much less...     

Projects Focus on Aging and Sexual Health

China's 150,000 family planning staff members arebeing trained to handle a range of new populationissues including an aging society, HIV/AIDS, andreproductive health, officials said.     

Mothers’ Sexual Identity and Children’s Health

Sexual minority women face a plethora of structural, socioeconomic, and interpersonal disadvantages and stressors. Research has established negative associations between women’s sexual minority identities and both their own health and their infants’ birth outcomes. Yet a separate body of scholarship has documented similarities in the development and well-being of children living with same-sex couples relative to those living with similarly situated different-sex couples. This study sought to reconcile these literatures by examining the association between maternal sexual identity and child health at ages 5–18 using a US sample from the full population of children of sexual minority women, including those who identify as mostly heterosexual, bisexual, or lesbian, regardless of partner sex or gender. Analyses using data from the National Longitudinal Study of Adolescent to Adult Health (N?=?8978) followed women longitudinally and examined several measures of their children’s health, including general health and specific developmental and physical health conditions. Analyses found that children of mostly heterosexual and bisexual women experienced health disadvantages relative to children of heterosexual women, whereas the few children of lesbian women in our sample evidenced a mixture of advantages and disadvantages. These findings underscore that to understand sexual orientation disparities and the intergenerational transmission of health, it is important to incorporate broad measurement of sexual orientation that can capture variation in family forms and in sexual minority identities.

     

Attributions to Sexual Minority Women’s Academic Success

Narratives from 33 sexual minority women were examined to discover what factors contributed to their ability to acquire academic success, and what, if any, attributions are evident in some sexual minority women’s experiences that provide the ability to persist and graduate. Coping strategies the participants used to gain the resiliency and persistence necessary to acquire academic success are discussed. Intrinsic themes were work ethic values, altruism, and self-efficacy. Extrinsic themes were mentors, family, and friends. Sexual minority women identified the complexity of intrinsic and extrinsic attributions that were used to successfully complete a four-year undergraduate degree in the United States.     

Predictors of Sexual Minority Youth’s Reported Suicide Attempts and Mental Health

Lesbian, gay, and bisexual youth (LGBY) report higher rates of mental health concerns compared to heterosexual youth due to minority stressors. This study examined the interpersonal and intrapersonal variables that predict psychological distress and self-reported suicide attempts in a sample of 61 LGBY in the Mid-South, which is a highly overlooked regional area for LGBY research. Youth who lost friends when coming out were 29 times more likely to report suicide attempts, and those who experienced psychological maltreatment from caregivers were 9.5 times more likely to report a suicide attempt. Internalized heterosexism, feelings of guilt or shame, and psychological maltreatment from caregivers were significant predictors of depression and anxiety symptoms. This study highlights the importance of creating affirming spaces for LGBY, particularly in areas of the country that experience greater political oppression of sexual minorities, such as the Mid-South.     

“Honk Against Homophobia”: Rethinking Relations Between Media and Sexual Minorities

The theory of “symbolic annihilation” or “symbolic violence” has been used in academic literature to describe the way in which sexual minorities have been ignored, trivialized, or condemned by the media. This article aims to de-center research from issues of media representation to consider the capacity for minority groups to proactively use new media and its various avenues for interactivity, social networking, and feedback to fight social exclusion. This work suggests that new media has become a space in which the nominally marginal in society may acquire “social artillery”—a term used to describe how sexual minorities utilize their expanding and more readily accessible social connections in digital space to combat instances of homophobia. The research draws on the results of an inquiry into the relation between media and a regional youth social justice group in Australia tackling homophobia. The research demonstrates that the group is becoming increasingly adept and comfortable with using a cross-section of media platforms to fulfill their own objectives, rather than seeing themselves as passive subjects of media representation. This article argues that this sets an example for other socially excluded groups looking to renegotiate their relation with the media in regional areas.     

India’s ‘Missing Women’ and Men’s Sexual Risk Behavior

Although scholars and policymakers have long been concerned with the ??missing women?? of India, little rigorous research has examined the consequences of India??s sex ratio imbalance for young men??s sexual risk behavior and reproductive health. We use data from the third wave of India??s 2005?C2006 National Family and Health Survey to examine the influence of the community female-to-male sex ratio at ages 10?C39 on men??s likelihood of marrying early in life, of engaging in premarital, multi-partnered, and commercial sex, and of contracting a sexually-transmitted disease. We estimate logistic regression models that control for respondents?? demographic and socioeconomic status and that adjust for the clustering of observations within communities. Net of the effects of other characteristics, the female-to-male sex ratio is positively and significantly associated with the likelihood that men marry prior to age 18 and inversely and significantly associated with the odds that men have had intercourse with a commercial sex worker. However, no significant net associations are observed between the sex ratio and the other outcomes. Education, wealth, religious affiliation, caste, and geographic region emerge as significant predictors of Indian men??s sexual risk behaviors.     

Adolescents’ Sexual Initiation: The Interaction of Race/Ethnicity and Immigrant Status

This paper provides an in-depth examination of the joint effects of race/ethnicity and immigrant status on adolescents’ intercourse risk. We employ a sample of 4,535 females and 3,759 males from the National Education Longitudinal Study (NELS 88/94) who were followed for 6 years beginning in the eighth grade. We use discrete-time logistic regression models to estimate the associations of race/ethnicity and immigrant generational status with first intercourse hazard, and to evaluate the statistical interactions between race/ethnicity and immigrant status. Overall, Asian and Hispanic girls had lower and non-Hispanic Black girls had higher estimated risks relative to non-Hispanic White girls. Hispanic boys and White non-Hispanic boys had similar intercourse risks, but Black boys had higher and Asian boys lower relative risks. However, these patterns are contingent on immigrant status. Among girls, the protective effects of Asian or Hispanic identity are found only among second generation youth. Risk profiles for boys are more complex: being a third-plus generation Hispanic is associated with a higher risk while an Asian identity is associated with a lower risk only among first- and second-generation youth. These findings confirm the importance of accounting for the overlap between race/ethnicity and immigrant status in models of adolescent behavior. As the demographic diversity of the US population grows, researchers must include both race/ethnicity and immigrant status in their models of adolescent behavior.     

A Grounded Theory of Sexual Minority Women and Transgender Individuals’ Social Justice Activism

Psychosocial benefits of activism include increased empowerment, social connectedness, and resilience. Yet sexual minority women (SMW) and transgender individuals with multiple oppressed statuses and identities are especially prone to oppression-based experiences, even within minority activist communities. This study sought to develop an empirical model to explain the diverse meanings of social justice activism situated in SMW and transgender individuals’ social identities, values, and experiences of oppression and privilege. Using a grounded theory design, 20 SMW and transgender individuals participated in initial, follow-up, and feedback interviews. The most frequent demographic identities were queer or bisexual, White, middle-class women with advanced degrees. The results indicated that social justice activism was intensely relational, replete with multiple benefits, yet rife with experiences of oppression from within and outside of activist communities. The empirically derived model shows the complexity of SMW and transgender individuals’ experiences, meanings, and benefits of social justice activism.     

An Ecological Framework for Sexual Minority Women’s Health: Factors Associated With Greater Body Mass

In recent years, many studies have focused on the body of sexual minority women, particularly emphasizing their larger size. These studies rarely offer theoretically based explanations for the increased weight, nor study the potential consequences (or lack thereof) of being heavier. This article provides a brief overview of the multitude of factors that might cause or contribute to larger size of sexual minority women, using an ecological framework that elucidates upstream social determinants of health as well as individual risk factors. This model is infused with a minority stress model, which hypothesizes excess strain resulting from the stigma associated with oppressed minority identities such as woman, lesbian, bisexual, woman of color, and others. We argue that lack of attention to the upstream social determinants of health may result in individual-level victim blaming and interventions that do not address the root causes of minority stress or increased weight.     

A “Different Economy of Bodies and Pleasures”?: Differentiating and Evaluating Sex and Sexual BDSM Experiences

ABSTRACT

This study examines how BDSM participants understand sexual experiences. Data are drawn from 32 in-depth, semistructured interviews and discussion-board threads from a large BDSM community Web site. The analysis suggests that many BDSM participants perceive sexual BDSM experiences as not only significantly different from but also better than mainstream or “vanilla” sex. Three primary differentiation mechanisms are identified. First, BDSM participants constructed sex as requiring genital contact, while framing sexual BDSM as creating sexual fulfillment not requiring normative indicators of sexual experiences (e.g., orgasm). Second, participants constructed sexual BDSM as centered on emotional and mental experiences, while perceiving sex as being centered on physical experiences. Third, participants perceived sexual BDSM experiences as facilitating deeper interpersonal connections than those available in sex. Importantly, these mechanisms serve not only a differentiating but also an evaluative function. Most participants in this study reported a strong preference for sexual BDSM over sex.     

Individual Differences in Social Comparison and its Consequences for Life Satisfaction: Introducing a Short Scale of the Iowa–Netherlands Comparison Orientation Measure

Research in social psychology has shown individual variation in the tendency to compare one’s own opinions and abilities with those of other people, raising the question of whether social comparisons are psychological dispositions. To test the empirical validity of this proposition, Gibbons and Buunk (1999) created an instrument, the Iowa–Netherlands Comparison Orientation Measure (INCOM), that measures the tendency to engage in social comparison and captures central aspects of the self and the other. This paper analyzes the reliability and validity of the INCOM scale for the German population and discusses potentials for shortening the instrument for continued use in large-scale population surveys. Interdependencies between psychological and structural characteristics are investigated and consequences for life satisfaction discussed. The results show evidence that individuals systematically vary in their orientation towards social comparison.