Active Duty Military Personnel Presenting for Care at a Gay Men's Health Clinic

ABSTRACT

Under the “Don't Ask, Don't Tell, Don't Pursue, Don't Harass” Department of Defense policy, gay men and women are allowed to serve in the military, but they are not allowed to disclose their sexual orientation. This study was performed to determine the incidence of active duty military personnel seeking care at a Gay Men's Health Clinic. Nine percent of the clients, who had served between June and August 2002, were active duty U.S. Navy sailors. They all expressed fears of being discharged from the military when asked why they did not access military healthcare. The “DADTDPDH” policy breeds distrust between men who have sex with men (MSM) service-members and their healthcare provider and this ensures inadequate healthcare.     

Sex Differences in the Relationship between Military Service Status and Functional Limitations and Disabilities

This paper examines the relationship between military service status (active duty, veteran, never served), sex, and six functional limitations/disabilities using data from the 5% sample of the 2000 U.S. Census. We estimate multivariate logistic regression models separately for men and women, and evaluate sex differences by comparing coefficients across models using a Wald chi-square test and computing predicted probabilities. For both men and women, the highest rates of functional limitation/disability are observed among veterans, while the lowest rates are recorded among active duty personnel. The increased odds of functional limitations/disabilities associated with veteran status is higher among women than men, whereas the decreased odds of functional limitations/disabilities associated with active duty status is lower among women than men. The predicted probabilities, which are based on a subgroup of 40–49 year olds with select sociodemographic characteristics, indicate that veteran women’s probabilities of many types of functional limitations/disabilities equal or exceed those of veteran men. Overall, the findings suggest women experience a more detrimental effect of past military service and a less beneficial effect of current military service. More life course analysis with longitudinal data that accounts for factors that influence sex-differentiation with respect to selection into military service, experiences in the military, and the short- and long-term consequences of military service is needed to fully understand sex differences in the relationship between military service and functional limitations/disabilities.     

African-American lesbian identity management and identity development in the context of family and community

Don't Ask, Don't Tell is gaining attention in family studies literature as a cultural specific context to understand lesbian, gay, and bisexual visibility in African-American families and communities. This policy suggests that sexual minorities are accepted within African-American families and communities as long as they do not label themselves or acknowledge publicly that they engage in same-sex relationships. The narratives of two African-American lesbians (aged 26 and 27 years) are chronicled in the present study to reveal their lesbian identity development, lesbian identity management, and how they defined and navigated Don't Ask, Don't Tell. They encountered challenges and successes in a quest to find communities that would embrace and affirm their multiple marginalized identities. Their stories are offered as a point of entry to further inquiry concerning African-American lesbian visibility and identity proclamation within African-American families and communities.     

Student degree program and attitudes toward gays and lesbians in the military: is there a connection?

Individuals routinely experience discrimination based on sexual orientation. Since the implementation of Don't Ask, Don't Tell in 1994, over 13,000 military personnel have been discharged from the U.S. military on the basis of sexual orientation. As helping professionals, social workers will often provide services to returning gay and lesbian veterans. Therefore, social work programs must ensure that students develop positive attitudes toward and understanding of the needs presented by this population. Little is known about whether a specific degree program can be a predictor of student attitude toward gay and lesbian individuals in the military. Eighty-nine graduate students completed the Attitudes Toward Homosexuals in the Military (ATHM) scale, and scores were compared between two graduate degree programs: Social Work and Business Administration. A statistically significant relationship was found between degree program and ATHM scores. Implications for policy, practice and research related to gay and lesbian veterans are discussed.     

Veteran Status and Body Weight: A Longitudinal Fixed-Effects Approach

About 10–12 % of young men (and increasingly, women) have served a term in the military. Yet, we know relatively little about the consequences of military service for the lives of those who serve. In this article, we provide estimates of the relationship between men’s peacetime military service during the all-volunteer era (AVE) and body weight using longitudinal data on 6,304 men taken from the National Longitudinal Survey of 1979 (NLSY-79). Using fixed-effects estimators on up to 13 years of data and numerous controls for time-varying life-course characteristics linked to body weight, we find that veterans of active-duty military service have higher levels of BMI and obesity. We argue that eating habits learned during service, coupled with patterns of physical activity, lead to a situation whereby veterans making the transition to less active civilian lifestyles gain weight that is not lost over time.     

Measuring years of inactivity,years in retirement,time to retirement,and age at retirement within the Markov model

Retirement-related concepts are treated as random variables within Markov process models that capture multiple labor force entries and exits. The expected number of years spent outside of the labor force, expected years in retirement, and expected age at retirement are computed—all of which are of immense policy interest but have been heretofore reported with less precisely measured proxies. Expected age at retirement varies directly with a person’s age; but even younger people can expect to retire at ages substantially older than those commonly associated with retirement, such as age 60, 62, or 65. Between 1970 and 2003, men allocated most of their increase in life expectancy to increased time in retirement, but women allocated most of their increased life expectancy to labor force activity. Although people can exit and reenter the labor force at older ages, most 65-year-old men who are active in the labor force will not reenter after they eventually exit. At age 65, the probability that those who are inactive will reenter the labor force at some future time is .38 for men and .27 for women. Life expectancy at exact ages is decomposed into the sum of the expected time spent active and inactive in the labor force, and also as the sum of the expected time to labor force separation and time in retirement.     

A Few Good Men and Women: Gender,Race, and Status in the Wartime Volunteer Military

Much is known about the men who entered the US military during draft era wars and the peacetime volunteer era. Relatively less is known about those who turned 18 during the wars in Iraq and Afghanistan. Journalists, advocates, and politicians have expressed concern that wartime volunteer service has been inequitable. Yet there is apparently only one peer-reviewed article that explores the socioeconomic characteristics of the men who came of age after the start of the recent wars, and none that evaluate how race and status of female recruits varied. To assess these questions, the following article develops a theoretical model building on the status attainment and life course traditions. It uses data from the Educational Longitudinal Study of 2002, which contains information about a national sample of people who became eligible to join the armed forces during the height of the wartime volunteer era. It does not find evidence that low-status and minority men were disproportionately likely to enlist. Indeed, those with low-status were less likely to do so, partly because they were excluded by military standards. Men were particularly unlikely to join the armed forces, however, if they grew up in high-status rather than families in the middle of the status distribution. By contrast, women were most likely to join the armed forces if they came from the lower-middle than from anywhere else in the status distribution. Minority men were no more likely than white men to enlist, but black women were disproportionately likely to join the military.     

Understanding educational sequences and their consequences on the timing of marriage

"This study examines educational sequences and their consequences on the timing of marriage using the life history data from the 1983 Korean National Migration Survey....I find that the educational process in Korea becomes stabilized and institutionalized during middle and high schooling as middle and high school education becomes a mass experience. However, both men and women are likely to undergo a disorderly sequence during the transition period from high school to college due to the very fierce college entrance examination. Men are also likely to experience a disorderly sequence before or after military service. Both men and women who experience an interruption in their schooling after graduation from high school have lesser odds of getting married than those who keep their educational process orderly."     

Homosexuality and the Military: A Review of the Literature

Homosexual men and women have been subjected to constant discrimination and stigma while trying to do what most heterosexual individuals take for granted, serving their country. It is somewhat paradoxical that gays and lesbians who are treated as second-class citizens by their own country and government, with limited rights, would want to risk their lives and potentially die for that same country. As the literature illustrates, many homosexual men and women have chosen such a profession in order to justify their existence and demonstrate that they are worthy of the same rights as others. Just as women and African Americans eventually earned their status as equal members of society and proved their worthiness to serve in the military, homosexuals are now trying to achieve the same.     

Exploring First Sexual Intercourse,Sexual Orientation,and Sexual Health in Men

In this study the characteristics of the sexual debut of men who have sex with men (MSM) and men who have sex with women (MSW) age 35 or younger (N = 1,201) were compared with one another. We investigated whether these characteristics were associated with sexual health and behavior, and to what extent. Compared to MSW, MSM tended to be older when they had their first sexual intercourse; their first sex partner was older, they felt less ready, and they experienced more pain. We also found that they reported a higher number of lifetime sexual partners and less condom use compared to MSW. Similarities were also ascertained, such as the fact that individuals from both groups do not differ significantly regarding how they experienced their first sexual intercourse emotionally. Many differences between these groups should not always be seen as problematic, whereas others still indicate a need for targeted interventions.     

Women's perceptions of their healthcare experience when they choose not to breastfeed

Research questionHow do women who choose not to breastfeed perceive their healthcare experience?MethodThis qualitative research study used a phenomenographic approach to explore the healthcare experience of women who do not breastfeed. Seven women were interviewed about their healthcare experience relating to their choice of feeding, approximately 4 weeks after giving birth. Six conceptions were identified and an outcome space was developed to demonstrate the relationships and meaning of the conceptions in a visual format.FindingsThere were five unmet needs identified by the participants during this study. These needs included equity, self sufficiency, support, education and the need not to feel pressured.ConclusionWomen in this study who chose not to breastfeed identified important areas where they felt that their needs were not met. In keeping with the Code of Ethics for Nurses and Midwives, the identified needs of women who do not breastfeed must be addressed in a caring, compassionate and just manner. The care and education of women who formula feed should be of the highest standard possible, even if the choice not to breastfeed is not the preferred choice of healthcare professionals.     

Male nonworkers: Who are they and who supports them?

Although male nonworkers have become a larger fraction of the population since the late 1960s, very little is known about who they are or who supports them. Using data from the March Current Population Survey and the 1979 National Longitudinal Survey of Youth, this article fills that void The picture that emerges is that there is a small cadre of marginal workers who often do not work for periods of a year or more. The vast majority of nonworking men (men who do not work at all during the year) receive unearned income from at least one source, and the amount of unearned income they receive varies significantly by their reason for not working. Family members provide an important alternative source of support for nonworking men who have little or no unearned income of their own.     

A study of the married bisexual male: paradox and resolution

Men who live in conventional marriages and at the same time have significant love-sex relationships with members of their own sex are largely an invisible group in our society. However, there is evidence to suggest that they are not rare, only rarely identified. How these men perceive themselves, reconcile the ordinary aspects of their lives with their atypical sexuality, and conduct themselves in marriage and family life are the focus of this study. Particular attention is paid to two major paradoxes in their lives: the contradiction between their heterosexual public identity which places them comfortably in the mainstream of society and their stigmatized and forbidden homosexual desires and behavior; and the ethical issue of deceiving their wives as well as others to whom they are intimately related. Sixty men drawn from a non-clinical population presented their life stories in extended tape-recorded interviews. These men show great variations in their patterns of psychosexual development as well as in their accoMmodations to marriage and do not fit readily into simple categories. Most of them have found fulfillment and have no wish to change the pattern of their lives. In part, the study contrasts the more successful with the less successful marriages. A major conclusion is that some men are able to express with minimal conflict their homosexual and heterosexual impulses within the framework of a conventional marriage.     

The interrelations of marital status,fertility, family size and intelligence test scores

In this paper data relating to men born in 1924 in the two southernmost counties of Sweden, and called up for military service in 1944 are analyzed. The population registers yield certain demographic and social information about these men, and this may be related to their performance in an intelligence test administered when they were called up. The association between test scores and level of schooling on one hand, and such variables as nuptiality, age at marriage, number of sibs, marital fertility, the incidence of pre-nuptial conceptions and occupational class is discussed, and an estimate of the influence of differential fertility on the trend of intelligence is given.     

“Still Looking for My Jonathan”: Gay Black Men's Management of Religious and Sexual Identity Conflicts

This article looks at homosexual Black men who are heavily involved in fundamentalist African-American churches. These men describe themselves as “out as same-sex loving individuals” even though the messages preached by their church leaders and the doctrines of their churches are, at the very least, heterosexist, but more likely to be stridently anti-homosexuality. Not only do these men attend the churches they are parts of, but they are viewed as leaders in these churches in positions ranging from associate pastor to director of facilities management. The study uses structured interviews to understand how these men manage the conflict between a committed gay identity and a strong religious identity that says the two cannot coexist.     

Gender,aging, and the economics of “active aging”: Setting a new research agenda

The world is aging, and the percentages of older people are on a dramatic ascent. This dramatic demographic aging of human society is not gender neutral; it is mostly about older women. One of the key policy approaches to address the aging revolution is known as “active aging,” crystalized by the WHO in 2002 by three pillars: participation, health, and security. The active aging policy has financial and economic aspects and affects both men and women. However, as argued in this article, a gender-based approach has not been adopted within the existing active aging framework. Therefore, a new gender-specific research agenda is needed, one that focuses on an interrelation between gender and different economic aspects of “active aging” from international, comparative, cultural, and longitudinal perspectives.     

Who Goes to College,Military, Prison,or Long-Term Unemployment? Racialized School-to-Labor Market Transitions Among American Men

This paper analyzes the selection processes behind post-schooling transitions into college enrollment, military service, long-term unemployment, and incarceration relative to civilian employment, examining to what extent these processes are racialized. Rather than analyzing a complete set of alternatives, previous research typically focuses on a limited set of these alternatives at a time, and rarely accounts for incarceration or long-term unemployment. Using individual-level panel data on the first post-high school transition from the National Longitudinal Survey of Youth 1997 Cohort, results show that white men experience positive transitions (college enrollment and military service) at higher rates and for longer periods than black men, who experience negative transitions (long-term unemployment and incarceration) at higher rates for longer periods than whites. Competing risk Cox regression analyses reveal that blacks’ transitions are polarized, showing that blacks in the upper distributions of standardized test scores and socioeconomic status are more likely to pursue a college education relative to their white counterparts, whereas blacks in the bottom of the standardized test score and socioeconomic status distribution are more likely to experience negative transitions than whites. Unlike prior research finding that military service provided “bridging careers” for racial minorities, black men are no longer more likely to join the military than whites. Instead, blacks now face a much higher risk of incarceration. Implications for intra-generational mobility and changing opportunity structures for racial minorities are discussed.     

Race,Place, and Veteran Status: Migration among Black and White Men, 1940–2000

In this paper, I gauge the impact of veteran status on migration probabilities for black and white men in the late 20th century United States, comparing cohorts that were subject to various military staffing policies. I find that white veterans are more likely than are white non-veterans to live outside the state of their birth and to have recently migrated. These effects persist regardless of whether veterans were subject to the draft or the All Volunteer Force staffing policy, and are durable across the life course. Among blacks, elevated rates of veterans’ migration are first observed in 1980. These results illuminate a previously unidentified consequence of veteran status, and may point to a policy-linked mechanism through which prior military employment influences social mobility, the American labor force is redistributed, and the racial composition of states and localities is altered.     

The evolution of population policies in Kenya and Malawi

Our case studies of the evolution of population policies in Kenya and Malawi offer insights into the interaction between the global population movement and national governments. The comparison is useful because it permits identifying the common strategies of a global movement, strategies that are likely to be evident elsewhere; it also permits identifying differences in national responses related to particular domestic contexts. We find a common repertory of movement strategies to influence the governments of Kenya and Malawi to adopt a neo-Malthusian population policy and to implement a family planning program. However, these strategies were promoted more or less aggressively depending on the national response and the chronological period. National responses were related to differences in the governments approaches to nation-building, their willingness to accept foreign influence and the importance they placed on preserving cultural traditions, and to their assessment of benefits they would gain from responding favorably to movement proposals. The data come from written accounts and from interviews with international actors and Kenyan and Malawian elites who participated in the policy development process.     

Go home, gay boy! Or, why do Singaporean gay men prefer to "go home" and not "come out"?

Anglo-American ontologies posit that gay men should come out to match their outer selves with their inner ones. In Confucianized Singapore, however, gay men refrain from coming out to their parents to avoid shaming their families. Instead, they couch their homosexuality in kinship terms and "go home" with their boyfriends (Chou, 2000). "Going home" gains familial acceptance, but it does not challenge mainstream discourses of homosexuality. By examining how Singaporean gay men negotiate their sexuality with their families, I question the validity of coming out and going home as both ontological discourses and strategies.