Mental health of lesbian, gay, and bisexual youth: A developmental resiliency perspective

Research suggests that lesbian, gay, and bisexual (LGB) youth are at increased risk for both victimization and internalizing mental health problems, but limited research has studied their association or factors that increase resilience. The sample included 425 LGBs between the ages of 16 and 24 year. The majority had disclosed their sexual orientation to family or friends (98%) and 97% had someone in their lives who was accepting. Racial/ethnic minority and female participants in general reported lower levels of disclosure and acceptance. Most participants reported some form of sexual orientation-related victimization (94%). Victimization was associated with psychological distress, but a compensatory model indicated that in the context of this victimization both peer and family support had significant promotive effects. A test of a protective model found social support did not ameliorate negative effects of victimization. The positive effects of family support decreased with age. Peer and family support were particularly important, but they did not significantly dampen the negative effects of victimization. Our findings suggest that mental health professionals working with LGB youth should address social support and that public health approaches are needed to reduce levels of victimization.     

Lesbian,gay, bisexual,and transgender families and health

Research consistently demonstrates that family relationships are key determinants of health, but most research on health and families focuses on a heterosexual and cisgender context. Sexual and gender identities often are overlooked or erased in family and health research. We present an overview of the current state of research on LGBT families and health, using a life course approach and pointing to the ways that LGBT people's experiences of families occur within a broader social structural context, with implications for their health and the health of their family members. We focus on parenthood, parent–child ties, intimate relationships, and caregiving. We also identify two theoretical obstacles for studies of LGBT families and health as well as important research areas for moving forward, such as the inclusion of non‐binary and queer identities in our studies of family and health. Incorporation of LGBT and other queer families and family forms into our health research interrogates assumptions within family and health research and offers insight into how to move the field forward.     

Lesbian, gay, and bisexual clients' experiences in treatment for addiction

This study examined the extent to which lesbian, gay, and bisexual clients perceived their addiction counselors and treatment programs to be sensitive to issues related to sexual orientation. The experiences they considered most successful were reported as more affirmative than experiences they considered least successful; however, in neither situation were counselors or treatment programs consistently affirmative.     

Conservative Christian teachers: possible consequences for lesbian,gay and bisexual youth

This essay explores the effects evangelical and/or fundamentalist Christian educators could have on the experiences of lesbian, gay and bisexual (LGB) individuals in schools. Evangelical and/or fundamentalist Christian educators’ beliefs about LGB individuals may be at odds with the goals of equity, social justice and activism a true multicultural education provides. Teacher educators, in particular multicultural teacher educators, must understand the historical and social influences Christianity has on how LGB persons are perceived and how teachers who are fundamentalist and/or evangelical may consciously or unconsciously oppress and marginalize these students and other LGB members of the education community.     

A public health perspective for youth gambling

The recent emergence of gambling problems among youth around the world is alarming. For those most vulnerable in our society, children and adolescents, problem gambling presents a serious public health concern. Our current knowledge and understanding of the magnitude of the problem and its considerable impact upon the well-being of youth compels us to respond in a timely and effective manner. A general public health paradigm to gambling, originally articulated by Wynne (1997) and Korn and Shaffer (1999), highlights the importance of such an approach. However, a conceptual model and framework to understand and specifically address youth problem gambling within a public health framework is needed. This article articulates a theoretical framework and model that will help facilitate the development, implementation and evaluation of a comprehensive, multi-level health promotion and prevention strategy for youth problem gambling.     

Considering the community influence for lesbian,gay, bisexual,and transgender youth

Lesbian, gay, bisexual and transgender (LGBT) youth experience typical tasks of adolescence, but may also face heterosexist and homophobic environments and LGBT-related victimization that can lead to greater risk of poor psychological outcomes compared to non-LGBT youth. LGBT youth who are supported by peers, parents, and school personnel may be protected from these negative outcomes. One oft-cited recommendation to increase beneficial outcomes for LGBT students is the creation of a gay–straight alliance (GSA) in the school. Beneficial outcomes have been documented for LGBT students who attend schools with GSAs, but there seems to be a significant lapse in the literature with regard to community factors. The likelihood that acceptance and support at the community level leads to similar amounts of acceptance and support at the school level (in terms of supportive peers, faculty, and parents) and thus significantly affects student outcomes is discussed. Acknowledging the benefits of GSAs, this article suggests that the presence of GSAs in a given school may be indicative of overall community support and the benefits linked to GSAs may be better explained by these community-related factors.     

Lesbian,gay, and bisexual religiosity across the life span: Associations with group identification and identity salience

This study explores the intersection of sexual and religious identities in lesbian, gay, and bisexual (LGB) individuals by looking at variables associated with religiosity in this community. Ordinary least squares (OLS) regression analysis was used to explore variables that are associated with religiosity in sexual minority individuals. Religious history, connection to the LGB community, and being a person of color were associated with higher levels of religiosity. Feeling that one’s LGB identity is an important part of their identity was associated with lower levels of religiosity. Implications for the LGB community are discussed.     

Mental disorder,subsistence strategies,and victimization among gay,lesbian, and bisexual homeless and runaway adolescents

This study compares participation in deviant subsistence strategies, street victimization, and lifetime prevalence of five mental disorders (conduct disorder, major depressive disorder, post‐traumatic stress disorder, alcohol abuse, and drug abuse) among heterosexual males and females (n = 366) and gay, lesbian, and bisexual (n = 63) homeless and runaway adolescents from the first wave of a longitudinal study of homeless youth in four Midwestern states. The results indicate that gay, lesbian, and bisexual adolescents were more likely to have been physically and sexually abused by caretakers, were more likely to engage in risky survival strategies when on their own (including survival sex), were more likely to be physically and sexually victimized when on the streets, and were more likely to meet criteria for mental disorder than were their heterosexual counterparts.     

Mental disorder, subsistence strategies, and victimization among gay, lesbian, and bisexual homeless and runaway adolescents

This study compares participation in deviant subsistence strategies, street victimization, and lifetime prevalence of five mental disorders (conduct disorder, major depressive disorder, post-traumatic stress disorder, alcohol abuse, and drug abuse) among heterosexual males and females (n = 366) and gay, lesbian, and bisexual (n = 63) homeless and runaway adolescents from the first wave of a longitudinal study of homeless youth in four Midwestern states. The results indicate that gay, lesbian, and bisexual adolescents were more likely to have been physically and sexually abused by caretakers, we more likely to engage in risky survival strategies when on their own (including survival sex), were more likely to be physically and sexually victimized when on the streets, and were more likely to meet criteria for mental disorder than were their heterosexual counterparts.     

Voices from the stories untold: Lesbian,gay, bisexual,trans, and queer college students' experiences with campus climate

ABSTRACT

Twelve self-identified college students within the lesbian, gay, bisexual, transgender, and queer (LGBTQ) spectrum were interviewed on campus climate perceptions and their experiences of discrimination and isolation at their university. Thematic analysis was conducted to identify themes from the data. This process resulted in the emergence of three themes, identified as discrimination, isolation, and avoidance. The most salient experiences of discrimination and isolation reported by participants came from within LGBTQ organizations or from lesbian or gay male individuals that participants sought out for social support. LGBTQ intra-community discrimination was considered to be particularly damaging to participants' sense of belonging and involvement within the LGBTQ community. Discrimination and isolation from straight-identified organizations or individuals was reported mostly in the context of fraternities/sororities and religious organizations. Furthermore, actions by members of these latter groups caused participants to avoid these groups out of expectations of negative interactions. These results inform empirical research to bring awareness to acts of discrimination that continue to take place within the university toward LGBTQ students. Specific implications for social work practice with LGBTQ college students and future research on diverse LGBTQ populations and resources are discussed.     

A comparison of risk factors for sexual victimization among gay, lesbian, bisexual, and heterosexual homeless young adults

Although high rates of sexual victimization have been reported among homeless youth, less is known about whether the risk factors vary for gay, lesbian, and bisexual youth compared to heterosexual youth. Based on a sample of 172 homeless young adults ages 19 to 26, results revealed that depressive symptoms, prostitution, and having friends who traded sex were significantly associated with higher levels of sexual victimization. Gay, lesbian, and bisexual young adults experienced more sexual victimization compared to heterosexual young adults. A test for interactions revealed that the effect of sexual orientation on sexual victimization was moderated by trading sex and having friends who traded sex. Finally, there is support for partial mediation of the effects of sexual abuse, neglect, and depressive symptoms on sexual victimization through other risk factors.     

Lesbian and bisexual women in Cuba: family,rights, and policy

This article draws on interviews with 17 self-identified lesbian and bisexual women living in Havana, Cuba, focusing on state support for their family relationships. It examines some of the tensions and contradictions between international and national policy, and societal norms, some of which support LGBT people, and some of which do not. In many ways, Cuba is progressive and has actively protected women’s rights. However, non-heterosexual and gender non-conforming women appear to have been somewhat overlooked in the gains of the Revolution, as there are few specific policies protecting their rights. The key policy points participants raised were the need for same-sex marriage and the lack of assisted reproduction for those in same-sex relationships. Nonetheless, Cuba’s traditional non-nuclear family forms also provide some social space for LGBT parents and queer families.     

Attitudes toward lesbians, gay men, bisexual women, and bisexual men in Germany

Attitudes toward lesbians, gay men, bisexual women, and bisexual men were assessed in a national representative sample of 2,006 self-identified heterosexual women and men living in Germany. Replicating previous findings, younger people held more favorable attitudes than older people; women held more favorable attitudes than men; and men held more favorable attitudes toward female than male homosexuality, whereas women did not differentiate. However, women held more favorable attitudes toward homosexuals than toward bisexuals, whereas men did not differentiate. Knowing a homosexual person was an important predictor of attitudes, as was political party preference. Both same-sex and opposite-sex sexual attraction were substantially related with attitudes. Our findings support the notion that attitudes toward lesbians, gay men, bisexual women, and bisexual men are related but distinct constructs.     

Attitudes toward lesbians,gay men,bisexual women,and bisexual men in Germany

Attitudes toward lesbians, gay men, bisexual women, and bisexual men were assessed in a national representative sample of 2,006 self‐identified heterosexual women and men living in Germany. Replicating previous findings, younger people held more favorable attitudes than older people; women held more favorable attitudes than men; and men held more favorable attitudes toward female than male homosexuality, whereas women did not differentiate. However, women held more favorable attitudes toward homosexuals than toward bisexuals, whereas men did not differentiate. Knowing a homosexual person was an important predictor of attitudes, as was political party preference. Both same‐sex and opposite‐sex sexual attraction were substantially related with attitudes. Our findings support the notion that attitudes toward lesbians, gay men, bisexual women, and bisexual men are related but distinct constructs.     

The role of family interactions in HIV risk for gay and bisexual male youth: A pilot study

Despite ongoing prevention efforts, young gay and bisexual males continue to engage in sexual behaviors that place them at disproportionately high risk for HIV infection. Parental monitoring and parent–child communication have been found to be associated with low-risk sexual behavior among heterosexual youth, but the role of family interactions for gay and bisexual male youth remains largely unexplored. To help address this gap, an exploratory study of recorded and coded interactions among 35 gay and bisexual youth and their parents was done to begin to identify which types of family interactions were associated with youth high-risk sexual behavior. Parent–son communication that was mutual and low in conflict was found to be most prevalent among youth with the fewest reported high-risk sexual behaviors. These preliminary findings, along with a case example, demonstrate how social workers can coach families to engage in productive and potentially influential interactions that reduce HIV-related sexual behaviors among young gay and bisexual males.     

Victimization experiences of lesbian, gay, and bisexual individuals: a meta-analysis

This meta-analysis quantitatively compiled the results of studies from 1992 to 2009 to determine the prevalence and types of victimization experienced by lesbian, gay, and bisexual (LGB) individuals. Based on the results of three searches, 386 studies were retrieved and coded. Comparisons were made across all LGB individuals (138 studies), between LGB and heterosexual individuals (65 studies), and between LGB females and males (53 studies), with over 500,000 participants. Multiple types of victimization were coded, including discrimination, physical assault, and school victimization. Findings revealed that for LGB individuals, reports of victimization experiences were substantial (e.g., 55% experienced verbal harassment, and 41% experienced discrimination) and some types have increased since a 1992 review, while others have decreased. LGB individuals experienced greater rates of victimization than heterosexual individuals (range: d = .04–.58). LGB males experienced some types of victimization more than LGB females (e.g., weapon assault and being robbed) but, overall, the gender differences were small. It can be concluded that LGB individuals still experience a substantial amount of victimization. Implications for research methods are discussed, including recommendations for sampling and measurement of victimization.

[Supplementary materials are available for this article. Go to the publisher's online edition of Journal of Sex Research for the following free supplemental resource(s): Supplementary Tables. These tables are referred to in the text of this article as “Table S1,” “Table S2,” etc.]     

Cyberbullying and health: A preliminary investigation of the experiences of Canadian gay and bisexual adult men

The majority of cyberbullying studies are within the school environment. This quantitative study investigates cyberbullying among Canadian gay and bisexual men outside of the educational setting through a cross-sectional survey. Of the 7,430 respondents, 4.6% reported cyberbullying in the past year, with younger, Aboriginal, lower-educated, lower-income respondents reporting higher odds of experiencing cyberbullying. Victimization from cyberbullying was significantly associated with experiences of antigay discrimination as well as worry about antigay prejudice. A variety of negative health outcomes were also associated with cyberbullying, including intimate partner violence and suicidality. Implications for social service providers and future research are discussed.