The Influence of Campus Experiences on the Level of Outness Among Trans-Spectrum and Queer-Spectrum Students

This study utilized MANOVA and hierarchical multiple regression to examine the relationships between campus experiences and coming-out decisions among trans- and queer-spectrum undergraduates. Findings revealed higher levels of outness/disclosure for cisgender LGBQ women, and more negative perceptions of campus climate, classroom climate, and curriculum inclusivity and higher use of campus resources for trans-spectrum students. Results also revealed that higher levels of outness significantly related to poorer perceptions of campus responses and campus resources. Implications address the need to foster an encouraging and supportive campus and classroom climate and to improve the relationships with LGBTQ resource centers for trans- and queer-spectrum students.     

Perceptions of Same-Sex Relationships and Marriage as Gender Role Violations: An Examination of Gendered Expectations (Sexism)

The current study sought to add to the literature that has demonstrated a link between sexism and sexual prejudice. The study evaluated whether a community sample with an age range of 19–64 (n = 122), including 32% sexual minority participants, believe that dating, sex, and marriage with same-sex partners are perceived to be gender role violations. Results varied by participant sexual/gender identity (LGBTQ or heterosexual) and political ideology. Liberal LGBTQ persons do not see same-sex relationships as gender role violations; LGBTQ non-liberals and heterosexual liberals rated same-sex relationships as mild violations; and non-liberal heterosexuals perceive same-sex relationships as “moderate” violations. Our results suggest both positive movement in attitudes toward same-sex relationships, including same-sex marriage, and broader recognition that gender identity, gender role expression, and sexual orientation are separate and distinct components of one’s overall sexual identity.     

Non-Heterosexuality,Relationships, and Young Women’s Contraceptive Behavior

Non-heterosexual young women have a higher rate of unintended pregnancy than their heterosexual peers, but their fertility behaviors are understudied. We use longitudinal data from the Relationship Dynamics and Social Life study to investigate mechanisms contributing to non-heterosexual women’s higher pregnancy risk. These data include weekly reports of relationships, sex, and contraceptive use over 30 months. We compare the relationships and fertility behaviors of three groups: exclusively heterosexual (consistent heterosexual behavior, identity, and attraction); mostly heterosexual (heterosexual identity with same-sex behavior and/or same-sex attraction); and LGBTQ (any non-heterosexual identity). We find that mostly heterosexual and LGBTQ women behave differently from exclusively heterosexual women in ways likely to elevate their risk of unintended pregnancy: more distinct partners during the study period, more sexual intercourse with men, less frequent contraceptive use, less use of a dual method (condom plus hormonal method), and more gaps in contraceptive coverage. Mostly heterosexual women resemble LGBTQ women in their contraceptive behavior but have significantly more intercourse with men, which may increase their pregnancy risk relative to both LGBTQ and exclusively heterosexual women. We conclude by considering implications for LGBTQ health and the measurement of sexual minority populations.     

Cherry Picking: Virginity Loss Definitions Among Gay and Straight Cisgender Men

Virginity loss is a vital milestone in the development of one’s sexual identity. Unfortunately, there is very little literature available studying virginity loss definitions among the wider straight population, and even less examining virginity loss among LGBTQ+ populations. The present study recruited 251 (45.4%) cisgender straight men and 114 (54.6%) cisgender gay men. An online, anonymous survey was administered to explore whether they considered various male-on-male (M-M) and male-on-female (M-F) sexual behaviors as constitutive of virginity loss. Results indicate that more gay men than straight considered M-M receptive anal intercourse (i.e., bottoming) and M-F penetrative anal intercourse to be constitutive of virginity loss. Results also indicate that both gay and straight men almost unanimously endorsed M-F penovaginal sex to be constitutive of virginity loss. This study is a first-step toward gaining a better understanding of LGBTQ+ virginity loss conceptualizations. Future research is strongly encouraged.     

Performativity Double Standards and the Sexual Orientation Climate at a Southern Liberal Arts University

This study employs quantitative and qualitative methods to examine how heterosexual, bisexual, and gay students rate and describe a Southern, religiously affiliated university’s sexual orientation climate. Using qualitative data, queer theory, and the concept tyranny of sexualized spaces, we explain why non-heterosexual students have more negative perceptions of the university climate than heterosexual male students, in both bivariate and multivariate analyses. Although heterosexual students see few problems with the campus sexual orientation climate, bisexual men and women describe being challenged on the authenticity of their orientation, and lesbian and, to a greater extent, gay male students report harassment and exclusion in a number of settings. These distinct processes are influenced by broader heteronormative standards. We also shed much-needed light on how gendered sexual performativity double standards within an important campus microclimate (fraternity parties) contribute to creating a tyrannical sexualized space and negatively affect overall campus climate perceptions.     

Primary Care Providers’ Attitudes,Practices, and Knowledge in Treating LGBTQ Communities

ABSTRACT

Cultural competency in lesbian, gay, bisexual, transgender, and queer (LGBTQ) health care has been found to be lacking within various medical specialties, but no studies have compared competency among primary care providers. The authors compared 127 primary care providers’ cultural competency regarding LGBTQ health using a survey that assessed providers’ attitudes, practices, and knowledge. Overall, 78.0% of respondents agreed that they were comfortable treating LGBTQ patients. Yet many providers did not feel well informed on specific LGBTQ health needs (70.1%), on clinical management of LGBTQ care (74.8%), nor on referring patients with LGBTQ issues (78.7%). Overall accuracy on LGBTQ knowledge questions was 51.0%. This study revealed a lack of cultural competency and much need for improvement as primary care providers endorsed negative attitudes, biases, inconsistencies in clinical practice, and deficiencies in medical knowledge in specialty-specific ways. There is a need for greater LGBTQ-specific education to increase providers’ comfortability and competency in the needs, management, and referrals within LGBTQ health care.     

Perceptions of Campus Climate by Sexual Minorities

Previous research has indicated that students who identify as lesbian, gay, bisexual, or transgender (LGBT) often have negative experiences on university campuses due to their sexual orientation or gender identity. Direct and indirect experiences contribute to an overall perception of the campus climate. This study used an online survey to assess students' perceptions of campus climate, their experiences confronting bias, support of family members and friends, and whether they had considered leaving campus. Multiple regression analysis indicated that perceptions of poorer campus climate were predicted by greater unfair treatment by instructors, more impact from anti-lesbian, gay, bisexual, transgender, or queer (LGBTQ) bias on friends’ and families’ emotional support, and having hidden one's LGBT identity from other students. Cluster analyses revealed four groups of participants distinguished by openness about their sexual orientation and negative experiences, with one group appearing to be at risk for poor retention. Results are discussed in terms of the needs of LGBTQ students on campus.     

Exploring Homophobia in Tbilisi,Georgia

The purpose of this study is to determine statistical predictors of homophobic attitudes among the residents of Tbilisi, Georgia. We analyze 2013 survey data from a representative sample of the Tbilisi adult population. Residents were asked about their attitudes, beliefs, and political and social values in the context of the May 17, 2013 attack on LGBT activists on the International Day Against Homophobia and Transphobia (IDAHOT). Findings show that homophobia is significantly predicted by male gender, lower levels of education, acceptance of social inequality, nonliberal attitudes, and perceiving homosexuals as a “threat to national security.” However, psychological perceptions and personal experiences also indirectly influence homophobic attitudes: the findings suggest that males report homophobic attitudes more often than females do and tend to be even more homophobic when they believe that homosexuality is inborn rather than acquired. The study also found that people without liberal attitudes tend to be more homophobic when they have personal contacts with homosexuals. This article highlights the need for a more comprehensive approach to education and the promotion of liberal values as well as legal equality for LGBTQ individuals to decrease the level of homophobia in Georgian society and, specifically, in Tbilisi.     

Remembering gay/lesbian media characters: can Ellen and Will improve attitudes toward homosexuals?

The purpose of the current research was twofold. First, a pilot study was conducted in which participants were asked to recall any memorable gay or lesbian television or film character and complete a survey about their perceptions of the character. Results indicated that over two-thirds of heterosexual participants recalled either Ellen or Will, and evaluative ratings for these characters were generally positive. The second purpose of this research was to examine the priming effects of remembering portrayals of homosexual characters in the media. Therefore, an experiment was conducted to directly assess the effects of thinking about either a positive or negative homosexual character on general heterosexuals' attitudes toward gay men and lesbians. Results indicated that those recalling a positive portrayal later showed a more positive attitude toward gay men than those recalling a negative portrayal, and women had a more positive attitude overall than men toward gay men and lesbians. Such findings illustrate the importance of positive role models in entertainment media as potential primes of social attitudes.     

Is the Lack of Specific Lesbian,Gay, Bisexual,Transgender and Queer/Questioning (LGBTQ) Health Care Education in Medical School a Cause for Concern? Evidence From a Survey of Knowledge and Practice Among UK Medical Students

Lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) people frequently report negative health care encounters. Medical professionals may inadequately manage LGBTQ persons’ health if they have not received training in this area. An anonymous survey measuring efficacy in health situations among LGBTQ persons was answered by 166 medical students across all years of a UK university. Results show that 84.9% of participants reported a lack of LGBTQ health care education, with deficits in confidence clarifying unfamiliar sexual and gender terms, deciding the ward in which to nurse transgender patients, finding support resources, and discussing domestic abuse with LGBTQ patients. Most participants reported that they would not clarify gender pronouns or ask about gender or sexual identity in mental health or reproductive health settings. Participants reported infrequently observing doctors making similar inquiries. Participants held positive attitudes toward LGBTQ patients, with attitude scores positively correlating with LGBTQ terminology knowledge scores (r_s = 0.5052, p < .01). Addressing gender identity and sexuality issues within medical curricula may remove barriers to accessing health care and improve encounters for LGBTQ patients.     

Essentialist Beliefs About Homosexuality Predict Positive and Negative Behavioral Intentions Toward Lesbian Women and Gay Men

This study focuses on essentialist beliefs about homosexuality as determinants of discriminatory intentions against gay men and lesbian women (LG) and the readiness to engage in positive action toward them. A sample of 997 exclusively heterosexual adults participated in an online study set in Croatia, a country with high homophobia undergoing social change that threatens the higher status of the heterosexual majority. Beliefs about immutability and universality of homosexuality were associated with less intention to discriminate and more readiness to engage in positive behavior, while discreteness beliefs were inversely related to both. Furthermore, attitudes toward LGs seem to be the mechanism behind the observed links. Results suggest essentialist beliefs might be fuel for attitudes, which are in turn associated with behavioral intentions. Importantly, essentialist beliefs had both indirect (with attitudes as mediators) and direct effects on behavioral intentions speaking in favor of their robust role in explaining LG-related phenomena.     

Perceptions of the LGBTQ College Campus Climate Scale: Development and Psychometric Evaluation

ABSTRACT

This article reports the development and psychometric properties of scores on a new scale designed to assess views of the university/college campus climate concerning LGBTQ students and issues: Perceptions of the LGBTQ College Campus Climate Scale. This 6-item scale includes two subscales: College Response to LGBTQ Students and LGBTQ Stigma. We provide evidence for structural validity (via exploratory and confirmatory factor analyses) and reliability for scores on this new measure. Supporting construct validity, Perceptions of the LGBTQ College Campus Climate full scale and subscales were each positively correlated with experiences of LGBTQ victimization on campus, anxiety, and depression and negatively correlated with satisfaction with college and intention to persist in college. Relationships with mental health and academic outcomes held true, even after controlling for LGBTQ victimization experiences, providing support for incremental validity. Implications for future research and practice are discussed.     

A Comparison of Trans Women,Trans Men,Genderqueer Individuals,and Cisgender Brothers and Sisters on the Bem Sex-Role Inventory: Ratings by Self and Siblings

A U.S. national sample of 295 transgender adults (trans women, trans men, and genderqueer individuals) and their cisgender siblings completed the Bem Sex-Role Inventory about their siblings as well as themselves, which enabled a comparison between self-perceptions and sibling’s perceptions of personality characteristics. Self-reported personality characteristics scored as feminine of trans women were not statistically different from those of their cisgender sisters, but they were significantly higher than self-reported femininity scores of trans men, genderqueer individuals, and cisgender brothers. Self-reported personality characteristics scored as masculine of trans men did not differ significantly from those of their cisgender brothers, but they were higher than those of trans women. Trans men and cisgender brothers were viewed by their siblings in a more sex-typed way than they rated themselves, whereas trans women and cisgender sisters were rated by their siblings in a less sex-typed way than they viewed themselves.     

Understanding How Policy and Culture Create Oppressive Conditions for LGBTQ2S Youth in the Shelter System

This study examined the experiences that lesbian, gay, bisexual, transgender, queer, questioning, and two-spirit (LGBTQ2S) homeless youth have in shelters and the disjunctures that occur for this population in Toronto’s shelter system. The attitudes and behaviors of shelter workers and management toward LGBTQ2S youth were also explored. A critical action research approach, informed by critical ethnography and institutional ethnography was employed. Thirty-three people participated in this study in the Greater Toronto Area. The study triangulated data from interviews, focus groups, observations, and document analysis. The systemic enactment of homophobia, transphobia, and hegemonic masculinity are often normalized in shelters and create significant barriers to safe, accessible, and supportive services for LGBTQ2S youth. Excessive bureaucratic regulation and the lack of necessary bureaucratic regulation in highly significant areas play a key role in creating the disjunctures that occur for LGBTQ2S youth in shelters.     

Girls Get Free Drinks: Undergraduates’ Misunderstandings of Heterosexual Privilege

Heterosexual privilege is a challenging concept to teach in undergraduate courses. Using data from self-reflection essays on the first and last days of the semester, we present students’ learning and growth in their understanding of heterosexual privilege and their ability to distinguish it from cisgender privilege. The majority of students accurately identified an instance of heterosexual privilege in their lives and discussed the counterpart to privilege: the marginalization and/or disenfranchisement experienced by individuals who hold other sexual identities. This article highlights the two most common misunderstandings of heterosexual privilege that emerged in students’ writing. On the first day of class, 18.2% outright denied that heterosexual privilege exists, and 17.6% conflated gender with sexuality. It reduced to 11.9% and 11.3%, respectively, on the last day of class. We saw growth in students’ sophistication of perspective even for some students who demonstrated these misunderstandings at the end of the term.     

Positive Identity Experiences of Young Bisexual and Other Nonmonosexual People: A Qualitative Inquiry

The majority of LGBTQ psychological research focuses on dysfunction. The exclusion of strengths-based perspectives in LGBTQ psychology limits the understanding of LGBTQ mental health. In this article we report experiences that young bisexual and other nonmonosexual people perceive as affirming of their sexual identity. A 28-day, daily diary study was used to investigate whether bisexual-identified participants encountered positive experiences related to their sexual identity, and which type of experiences they perceived to be positive. Using a constructivist grounded theory approach, participants’ experiences were organized according to a social ecological model. Experiences were reported at the intrapersonal, interpersonal, and institutional levels, but most positive sexual identity experiences occurred at the interpersonal level. Implications for positive health outcome research and the integration of positive psychology with LGBTQ psychology are discussed, as well as study limitations.     

Evaluations of Antigay Hate Crimes and Hate Crime Legislation: Independent and Differentially Predicted

Minimal studies have investigated individuals’ evaluations of antigay hate crimes and hate crime legislation simultaneously, with most research focusing on one or the other. In a sample of 246 heterosexual undergraduates, the present study found that evaluations of antigay hate crimes and hate crime legislation were unrelated. Higher social dominance orientation (SDO) and crime control orientation scores were associated with more positive evaluations of antigay hate crimes. Positive evaluations of hate crime legislation were associated with more positive attitudes toward gay men and lesbians. We also found that the relationship between SDO and evaluations were mediated by crime control beliefs (for hate crimes evaluations) and antigay attitudes (for hate crime legislation evaluations). The present findings have possible implications for the manner in which organizations advocate for the extension of hate crime legislation to include sexual orientation.     

Is Gaydar Affected by Attitudes Toward Homosexuality? Confidence,Labeling Bias,and Accuracy

Previous research has largely ignored the relationship between sexual orientation judgement accuracy, confidence, and attitudes toward homosexuality. In an online study, participants (N = 269) judged the sexual orientation of homosexual and heterosexual targets presented via a series of facial photographs. Participants also indicated their confidence in each judgment and completed the Modern Homonegativity Scale (Morrison & Morrison, 2002). We found that (1) homosexual men and heterosexual women were more accurate when judging photographs of women as opposed to photographs of men, and (2) in heterosexual men, negative attitudes toward homosexual men predicted confidence and bias when rating men’s photographs. Findings indicate that homosexual men and heterosexual women are similar in terms of accuracy in judging women’s sexuality. Further, especially in men, homophobia is associated with cognitive biases in labeling other men but does not have a relationship with increased accuracy.     

Negotiating the Intersection of Racial Oppression and Heteronormativity

This qualitative study examines the narratives of seven heterosexual, cisgender individuals who identify both as persons of color and as positively disposed toward LGB and transgender-identified persons. Using psycho-discursive qualitative methodology, the authors will present the narrative strategies taken up by these positively disposed cisgender heterosexuals of color as they attempt to position themselves as supportive of LGB and transgender persons while negotiating the discourse of heteronormativity. The three narrative strategies have been titled differentiation, empathy, and coherence. In addition to mapping the three narrative strategies, the authors also explore why informants may choose certain strategies over others and argue that the intersection of social identities must be considered when attempting to understand social oppression. Implications for the human services fields will be discussed.     

Coping With Stress as an LGBTQ+ Health Care Professional

Lesbian, gay, bisexual, transgender, queer, and other sexual/gender minority (LGBTQ+) health care providers face both general work-related stresses and working in heteronormative settings with ill-informed or hostile coworkers and patients, yet there has been little study of whether the coping strategies are specific to LGBTQ+ stress. We analyzed qualitative data from 277 health care professionals. Sources of stress included religiously and politically conservative coworkers, coworker/patient lack of knowledge, stresses of being closeted, and concerns about being out to patients. Consequences of being out as LGBTQ+ included lack of promotions, gossip, refusals of tenure, and anti-LGBTQ+ comments and behaviors in the workplace. Respondents showed mostly positive coping strategies to deal with stress, including becoming educators/advocates and self-care activities. Self-care options were common in rural areas with few LGBTQ+ social resources. Negative coping strategies were reported by 18% of respondents. The study highlights the extra burden of stress on LGBTQ+ health care providers.