Health care issues among lesbian, gay, bisexual, transgender and intersex (LGBTI) populations in the United States: Introduction

This supplemental issue of the Journal of Homosexuality presents research that explores a variety of health care issues encountered by lesbian, gay, bisexual, transgender and intersex (LGBTI) population groups in the United States over the 10-year period from 1993 to 2002. Topics include access to health care, utilization of care, training of medical and mental health providers, and the appropriate preparation of clinical offices and waiting areas. Authors used a variety of community-based public health research methods, including participant and provider surveys and retrospective chart reviews of patients, to develop this body of research, providing a recent-historical perspective on the complex health care and health-related needs of sexual and gender minorities. Particularly for transgender and intersex populations, the state of research describing their health care needs is in its infancy, and much remains to be done to design effective medical and mental health programs and interventions.     

Immigration data and national population estimates for the United States

The immigration component in national population estimates is comparatively small, but it is not insignificant and may indeed be an important source of error. Therefore, it warrants the considera-tion of those concerned with population estimates. The paper considers alternative methods for deriving estimates of immigration from the raw data and presents estimates of net immigration from 1950 to 1965. They are developed from estimates previously published by the Bureau of the Census, but they differ at some points where new data have become available or where a review of the data has led to a change in judgment on how best to use them. The paper also presents suggestions on how immigration statistics might be altered for purposes of improving the estimates.Census data may be used to estimate net immigration by three different methods, but upon analysis each method proves to be inadequate. Hence, data based on visas surrendered at the port of entry must be the principal source of immigration estimates. These data have their limitations because (1) they do not cover net arrivals of citizens from abroad and from Puerto Rico, (2) they do not report departures of aliens, and (3) they do not allocate all immigrants to year of entry. Alien registration and passenger data offer possible alternative estimates.The paper attempts to measure unrecorded immigration, discusses how net arrivals of citizens from abroad and from Puerto Rico may be estimated, and how the age, sex, and race of immigrants may be treated.     

Availability of child care in the United States: A description and analysis of data sources

Lack of high-quality, affordable, and accessible child care is an often-cited impediment to a manageable balance between work and family. Researchers, however, have been restricted by a scarcity of data on the availability of child care across all U.S. communities. In this paper we describe and evaluate several indicators of child care availability that have been released by the U.S. Census Bureau over the last 15 years. Using community- and individual-level analyses, we find that these data sources are useful for indicating child care availability within communities, even though they were collected for other purposes. Furthermore, our results generally suggest that the data on child care availability are equally valid across communities of different urbanicity and average income levels, although it appears that larger geographic areas more accurately capture the child care market of centers than that of family day care providers. Our analyses indicate that center child care is least available in nonmetropolitan, poor communities, and that family day care is most available in nonmetropolitan, mixed-income communities. We discuss the benefits and limitations of the data sources, and point to directions for future data developments and research.     

Making history: the challenge of gay and lesbian studies

This paper addresses a central problem of gay and lesbian studies: how is the subject to be defined? Current essentialist and constructionist positions are ultimately ahistorical and reductionist, reflecting the residual influence of the medical model and its sexual definition. In place of a single-dimensional and a priori sexual category, the author proposes sociosexual specialization as the appropriate focus of gay and lesbian studies and outlines a heuristic, multidimensional model for describing not only contemporary, but historical and cross-cultural evidence. Six dimensions of social and sexual variation are reviewed: sexuality, subjectivity and identity, gender, social roles, economic roles, and spirituality.     

Gay and lesbian partnership: Evidence from California

Much recent research on sexual minorities has used couples-based samples, which--by construction--provide no information on nonpartnered individuals. We present the first systematic empirical analysis of partnership and cohabitation among self-identified gay men and lesbians using two independent, large, population-wwbased data sources from California. These data indicate that 37%-46% of gay men and 51%-62% of lesbians aged 18-59 are in cohabiting partnerships (compared with 62% of heterosexual individuals in coresidential unions at comparable ages). Unlike previous research, we find that white and highly educated gay men and lesbians are more likely to be partnered, and we confirm that same-sex cohabiting partners in our data have demographic characteristics that are similar to California same-sex couples from Census 2000. We also present the first detailed analysis of officially registered domestic partnerships in California. We find that almost half of partnered lesbians are officially registered with the local or state government, while less than a quarter of partnered gay men are officially registered. We conclude with implications of our findings for couples-based research on gay men and lesbians, as well as recommendations for survey data collection.     

(In)visibility in lesbian and gay student organizing: the case of gay student services

Drawing on newspaper, movement correspondence, and interview data, I examine the (in)visibility of a lesbian and gay student group, Gay Student Services (GSS), in a hostile university campus in Texas from the mid-1970s through the 1980s. GSS formed to create a safe space for sexual minorities at Texas A&M University (TAMU) and asked university officials to recognize the group officially. TAMU's resistance to their request forced GSS to file a lawsuit to achieve recognition. Using interviews with past members and archival data, such as newspapers and movement correspondence, I examine how GSS utilized (in)visibility to navigate the hostile environment. By controlling their (in)visibility, GSS members protected the organization from scrutiny and protect members' safety.     

Forecasts of population in the United States

In this paper the author discusses the work of the Division of the U.S. Bureau of the Census, which is concerned with forecasting populations. He traces the development of these activities and considers some of the actual forecasts that have been made.     

Considerations of family structure and gender composition: the lesbian and gay stepfamily

Lesbian and gay stepfamilies are unique family forms which must be investigated as such. This paper explores the similarities and dissimilarities between heterosexual stepfamilies and lesbian/gay stepfamilies, arguing that similarity of structure is impacted by gender composition. Utilizing face-to-face and telephone interviews with biological and stepparents in 23 lesbian and gay stepfamilies, the results show that while lesbian and gay stepfamilies share some challenges and strengths with heterosexual stepfamilies, they also evidence a unique and flexible adaptation to becoming a family. The paper is aimed at delineating future areas for lesbian and gay stepfamily research.     

Marriage and family therapists' comfort working with lesbian and gay male clients: the influence of religious practices and support for lesbian and gay male human rights

The purpose of this study was to explore potential influences on marriage and family therapists' comfort level when working with lesbian and gay male clients, including sex, age, race, sexual orientation, political orientation, religious practices of the therapist, as well as the level of support for lesbian and gay male human rights. Participants in this study were 199 experienced therapists. Results indicated that higher levels of religious practices were related to lower levels of support for lesbian and gay male human rights and to lower levels of comfort working with lesbian and gay male clients. When support for lesbian and gay male human rights was considered, the level of religious practices was no longer predictive of comfort working with lesbian and gay male clients.     

Identity in political context: lesbian/gay representation in the public sphere

Discourses constructed to represent lesbians and gay men in the public sphere generate an essentialist identity which is both necessary and damaging. Legislative debate illustrates the production of a constrictive and homogeneous identity rejected by many gay/lesbian scholars and activists. Discussion of the rhetorical power of identity claims has produced alternative stances toward variant sexuality. This discussion can be advanced by challenging dominant constructions of civil rights and the public sphere.     

Sexual orientation and education politics: gay and lesbian representation in American schools

In what has sometimes provoked a "culture war" over America's schools, gays and lesbians have sought an expanded voice in the making of education policy. This paper explores the factors that promote gay representation on school boards, how this variable in turn influences gay representation in both administrative and teaching positions, and how all three forms of gay representation relate to school board policies regarding sexual orientation education. Three of the four models drawn from the social movement literature help to explain gay school board representation. In a manner similar to other minority groups, gay representation on school boards directly or indirectly promotes the appointment of gays to administrative and teaching positions and the adoption of policies that address the problems faced by gay and lesbian students in the public schools.     

Intergenerational Transmission of Age at First Birth in the United States: Evidence from Multiple Surveys

It is well established that the timing of childbearing is transmitted from parents to children in the United States. However, little is known about how the intergenerational link has changed over time and under structural and ideological transformations associated with fertility behaviors. This study first considers changes across two birth cohorts from the National Longitudinal Survey of Youth (NLSY) in the extent to which parents’ age at first birth is transmitted to their children. The first cohort includes individuals born during the late 1950s through the early 1960s (NLSY79), while the second includes individuals born in the early 1980s (NLSY97). Results from discrete-time event history analyses indicate that the intergenerational transmission of age at first birth significantly increased for both daughters and sons. These results were confirmed by analyses of data from three cycles of the National Survey of Family Growth spanning the same time period. Over this period, age at first childbirth became increasingly younger for children born to teenage mothers and increasingly older for those born to mothers who began parenthood after age 25. These patterns have important implications for the reproductive polarization hypothesis.     

The rise and fall of civil unions: lessons from the Connecticut legislature's abandonment of gay and lesbian citizens

On April 20, 2005, Connecticut Governor M. Jodi Rell signed into law "An Act Concerning Civil Unions" (Public Act No. 05-10, 2005). That Act did two things: First, it afforded to qualifying same-sex couples many of the rights and benefits that the state makes available to married heterosexual couples. Second, it "defended" heterosexual marriage by defining marriage as involving one man and one woman. Although it might seem that the legislature was moving in an obviously correct direction, its decision to establish a statutory scheme consigning same-sex couples to civil unions was integral to the ideological exclusion of gays and lesbians from marriage and, thereby, implied that they are unfit for family life. The Democrats' and Republicans' focus was on the formal equality guaranteed by the civil union legislation. But the heart of the legislation is disenfranchisement. Connecticut lawmakers placed the stamp of legitimacy on a policy that officially excluded lesbians and gays from full membership in civil society. To many gay and lesbian citizens in Connecticut, it was a slap in the face and awakened a realization that lawmakers' professed egalitarian ideals and the realities of defining who belonged to their communities may not coincide.