Conducting Research Among Older Lesbian,Gay, and Bisexual Adults

Gerontologists and developmental researchers have neglected the study of sexual orientation among older adults. The apparent assumptions are either that it does not exist or that it is not necessary to know; consequently, older lesbian, gay, and bisexual (LGB) adults remain invisible groups with the exception of a relatively small number of studies using convenience samples. This article examines some conceptual, practical and ethical challenges involved in designing and conducting research among older LGB adults. The limitations and emphases of extant research and the challenges in conducting such research are examined. The design of two studies that focused on mental and physical health and on care-giving among older LGB adults are discussed to suggest ways of meeting the challenges.     

Sexual Compulsivity and Sexual Behaviors Among Gay and Bisexual Men and Lesbian and Bisexual Women

Within the existing body of research, the information pertaining to sexual compulsivity (SC) among women, both homo- and heterosexual, remains rather limited in comparison to men. The aim of this study was to assess the prevalence of SC in a community sample of gay and bisexual men and lesbian and bisexual women and to identify differences in sexual practices based on classification as sexually compulsive within gender. Supporting previous research, the findings indicated that gay and bisexual men were significantly higher in SC when compared to lesbian and bisexual women. Similarly, sexually compulsive gay and bisexual men were more likely to report drug use with sex than their non-sexually compulsive peers, suggesting that “party n' play” may play a larger role for men with SC. In addition, the findings demonstrated empirical support for the proposition that lesbian and bisexual women with symptoms of SC were more likely to engage in specialized sexual behaviors in comparison to their non-sexually compulsive peers. These data suggest that SC manifests differently in gay, lesbian, and bisexual men and women.     

Caregiving and Care Receiving Among Older Lesbian,Gay, and Bisexual Adults

Abstract

A survey research design was used to examine caregiving, care receiving, and the willingness to provide caregiving among lesbian, gay, and bisexual (LGB) older adults recruited from community groups. More than one-third reported receiving care from people other than healthcare providers in the last five years; more than two thirds provided care to other LGB adults. Those who had given care were more likely than non-caregivers to give care in the future. The gender and sexual orientation of recipients of future help affected participants' willingness to provide care, as did their education level and style of coping. Participants willing to provide care to older LGB adults perceived such experiences to be less burdensome and more personally rewarding than those who were un-willing to provide care.     

Well-Being Among Spanish Lesbian,Gay, Bisexual and Heterosexual Adults: Disclosure of Sexual Orientation to Family and Friends

Relevance of disclosure of minority sexual orientation on subjective (SWB) and psychological well-being (PWB) was analyzed. Participants were 236 men and 238 women self-identified as lesbian, gay, and bisexual (LGB) or heterosexual. No differences in SWB were found between heterosexuals and LGBs. Heterosexual women showed greater environmental mastery than bisexual men and greater purpose in life than lesbian and bisexual women. Outcomes showed greater well-being among LGBs who disclosed their minority sexual orientation to parents later in life. Disclosing minority sexual orientation to parents was related with greater PWB. Further research that takes a differential approach to improve well-being for LGBs is needed.     

Sexual Orientation Victimization and Posttraumatic Stress Symptoms Among Lesbian,Gay, and Bisexual Youth

This cross-sectional study utilized data gathered from 350 lesbian, gay, and bisexual (LGB) youth, and examined the relationship between significant life experiences and posttraumatic stress symptoms (PSS), with an ultimate goal of analyzing contribution of sexual orientation victimization (SOV) to PSS among LGB youth. Results of bivariate analyses indicate that verbal and physical sexual orientation victimization, childhood gender atypicality, internalized homophobia, and stressful life events unrelated to sexual orientation were all individually related to PSS. Multivariate analysis showed that verbal and physical sexual orientation victimization explained a significant portion of variance, over and above the study's other variables. Internalized homophobia, stressful life events, and verbal sexual orientation victimization were found to be the most significant predictors of PSS among LGB youth.     

The Role of Religion and Stress in Sexual Identity and Mental Health Among Lesbian,Gay, and Bisexual Youth

This study investigated religious stress, gay‐related stress, sexual identity, and mental health outcomes in lesbian, gay, and bisexual (LGB) adolescents and emerging adults. The model examined negative LGB identity as a mediator of the relationships between (1) religious stress and mental health, and (2) gay‐related stress and mental health. The data indicated that negative LGB identity fully accounted for both relationships. Findings suggest that a negative sense of sexual identity for LGB youth helps explain the links between religious and gay‐related stressors and mental health. As LGB youth may have limited control over these stressors, the importance of helping LGB youth maintain a positive LGB identity, despite homonegative messages from others, is discussed.     

Psychotherapy with Lesbian,Gay, Bisexual,and Transgender Older Adults

A small literature has addressed psychotherapy with lesbian, gay, bisexual, and transgender (LGBT) samples over the past two decades. Older adults have also been investigated in a growing number of psychotherapy research studies. However, psychotherapy specifically with LGBT older adults has not received adequate investigation. This review relies on converging lines of research to provide an integrated discussion of evidence-based psychological treatments (EBTs) with current research and clinical observations in the field of gerontology and suggests ways in which these topics can inform psychotherapy practice with LGBT older adults. We summarize current research on aging in several areas of practical interest to psychotherapists seeking to apply EBTs in their work with LGBT older adults. These areas include: adult development, coping, stigmatization, social context, and the effects of cohort membership. The results of these studies belie stereotypes regarding both the aging process, in general, and more specifically LGBT older adulthood, with significant implications for the practice of psychotherapy. EBTs are adaptable to a variety of issues encountered in later life by LGBT older adults, and these modifications to therapeutic technique are addressed throughout.     

Happily Religious: The Surprising Sources of Happiness Among Lesbian,Gay, Bisexual,and Transgender Adults

This article analyzes the impact of religion on reported levels of subjective well‐being (general happiness) among lesbian, gay, bisexual, and transgender (LGBT) adults. Although previous studies find religious affiliation to be a significant predictor of subjective well‐being among the general population in the United States, limited quantitative research investigates general happiness among sexual and gender minorities. This study augments the existing literature by using a national survey of LGBT adults conducted by the Pew Research Center in 2013. The results show that religious affiliation is a significant predictor of LGBT individuals’ happiness. LGBT individuals who identify as Catholic, agnostic or atheist, or with no particular religious affiliation report lower levels of happiness compared to mainline Protestants. Surprisingly, no significant differences are found between mainline Protestants (whose church doctrine often accepts same‐sex relations) and evangelical Protestants (whose church doctrine often condemns same‐sex relations). In addition, income is the only control variable that affects general happiness. Our analysis reveals interesting differences in the determinants of subjective well‐being between the LGBT and general population.     

Older Gay,Lesbian, and Bisexual Adults: Tools for Age-Competent and Gay Affirmative Practice

This article presents a demographic snapshot of older GLB adults, discusses the barriers to service provision, and melds aging competencies with that of affirmative practice with GLB individuals. Its goals are to delineate the specific knowledge, attitudes, and skills recommended for age-competent and gay affirmative practice with an aging GLB population.     

Stress and Adaptation Among Families of Lesbian,Gay, and Bisexual Youth

Abstract

As research has accumulated on gay, lesbian, and bisexual (GLB) youth, more attention is being directed to their families. Research on the families of GLB youth is limited, although several studies have identified parental reactions to learning their offspring is GLB, and others have attempted to discover patterns of responses within families. Some problems with current research on the families of GLB youth are identified. A human development model is described which can help direct future research efforts.     

Sexual Assault Risks Among Gay and Bisexual Men

The goal of this study was to examine lifetime patterns of sexual assault and associated risks among a purposive sample of gay and bisexual men (N = 183; 18 to 35 years old, M = 24.3). Cross-sectional data were collected via written, self-administered questionnaires and face-to-face, event-based qualitative interviews. Alcohol severity scores indicated high rates of hazardous drinking (53.0%) and possible dependence (14.2%) among participants. One-half of men (50.8%) reported childhood sexual abuse (CSA), and 67.2% reported adult sexual assault (ASA). Average age at most recent ASA was 21 years. Most perpetrators (83.9%) of recent ASA incidents were male; 67.0% of participants reported consuming alcohol and/or drugs prior to the most recent incident. Regression findings indicated more severe CSA experiences and past alcohol-related problems predicted recent severe ASA. Although we found similarities between gay and bisexual men in lifetime sexual assault history, we found some distinct differences in ASA risk factors. Bisexual men reported higher alcohol severity scores, more female ASA perpetrators, higher internalized homophobia scores, and fewer male sexual partners than gay men. Findings suggest the need for interventions that reduce ASA risk among sexual minority men—and the potential benefits of focusing on alcohol consumption in risk reduction efforts.     

Planning for the Residential Needs of Lesbian,Gay, Bisexual,and Transgender Older Adults

Lesbian, gay, bisexual, and transgender (LGBT) older adults experience housing-related barriers. Previous research has described residential challenges experienced by this population, but few studies have examined implementation of housing solutions. This exploratory study conducted 7 semistructured phone interviews with program directors and/or development managers from initiatives offering residential services to LGBT older adults. Qualitative analysis identified themes that characterize the implementation of housing solutions. Study results suggest that future residential solutions for LGBT older adults should consider housing in relation to other aging-related barriers and frame solutions that promote collaboration among community actors (e.g., residential and service providers).     

Lesbian,Gay, Bisexual,and Transgender Families

This article reviews new scholarship on lesbian, gay, bisexual, and transgender families. The past decade witnessed rapid expansion of data and strong research designs. The most notable advance was in studies on variation among mostly planned lesbian comother families. Cumulative evidence suggests that although many of these families have comparatively high levels of shared labor and parental investment, they may not be as “genderless” as previously depicted. Gay men's diverse paths to family formation and planned parenthood have also been explored, but almost no research studies their children's experiences. Conceptualizations of sexual orientation expanded to include bisexuals and others, and some understanding of the experiences of transgender people has begun to emerge. Future work should explore relationships among members of the families they create.     

Mental Health and Clinical Correlates in Lesbian,Gay, Bisexual,and Queer Young Adults

Abstract

Objective: This study examined the prevalence of mental health disorders and their clinical correlates in a university sample of lesbian, gay, bisexual, and queer (LGBQ) students. Participants: College students at a large public university. Methods: An anonymous, voluntary survey was distributed via random e-mail generation to university students during April and May of 2011. LGBQ students were compared with their heterosexual counterparts on psychological and physical status as well as academic performance. Results: LGBQ students reported worse depressive symptoms, higher levels of perceived stress, considered themselves less attractive, and were more likely to be overweight. LGBQ students were significantly more likely to report histories of affective, substance use, and certain anxiety disorders as well as compulsive sexual behavior and compulsive buying. Conclusions: The higher rates of many psychiatric conditions among LGBQ students underscore the need for universities to provide LGBQ students a nonjudgmental environment to discuss sexual orientation and health issues.     

Risk Factors of Gay,Lesbian, and Bisexual Adolescents

Abstract

Many researchers of gay, lesbian, and bisexual adolescents describe them as an “invisible” minority. These youth are also one of the most “at risk” youth populations, as they often experience a range of problems related to society's stigmatization of same-sex orientation. Although sexual orientation is not necessarily related to heightened difficulties, lack of social support, infrequent positive interactions, and chronic stress may lead to increased problem behaviors for these youth. To further understand the risk and protective factors experienced by sexual minority adolescents, this article explores a number of these factors and reviews the current empirical research on specific topics, including: family, peer and school, substance use, suicide, and HIV/AIDS issues. Finally, practice implications are discussed to guide clinicians in working more effectively with this youth population.     

Lesbian,Gay, and Bisexual Speaker Panels Lead to Attitude Change Among Heterosexual College Students

The contact hypothesis (Allport, 1954 Allport, G. W. 1954. The nature of prejudice, Cambridge, MA: Addison-Wesley.  [Google Scholar]) suggests that a speaker panel intervention may be effective in reducing prejudice toward sexual minorities among heterosexual individuals. Addressing methodological limitations of prior studies, the present study compared the effects of a speaker panel presentation versus a control condition in altering attitudes among 186 heterosexual university students. After controlling for context effects by collecting attitude measures presumably as part of a separate study, we found that students who received the speaker panel intervention generally demonstrated more positive attitudes afterward.     

Partner Violence Victimization Among Lesbian,Gay, Bisexual,Transgender, and Queer Youth: Associations Among Risk Factors

Literature shows that youth who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ) experience high rates of victimization across various contexts, though there is little research specific to partner violence victimization. Given the deleterious effects of partner violence seen in both youth generally and LGBTQ adults, it is imperative to investigate partner violence among LGBTQ youth. The authors investigated the prevalence of partner violence among a community sample of LGBTQ youth (N = 140) and examined potential correlates of said violence. Approximately half of the participants had ever experienced some form of partner violence. Rates of ever experiencing partner violence were approximately 2.5 times higher for youth who had binge drank in the past month or ever experienced familial abuse and nearly three times higher for youth who had experienced an episode of homelessness in the past year. Implications for professionals who serve LGBTQ youth are discussed.     

The Construction of Sexual Identities in an Online Gay,Lesbian, and Bisexual Bulletin Board System

An online bulletin board system was used to focus on how sexual minority gay, lesbian, and bisexual (GLB) individuals perceive and display their individual and collective sexual identities through textual and visual communication processes. While exploring sexual identity construction, four major themes emerged: “coming out,” separation, equality and civil rights, and misconceptions. Concepts of identity negotiation theory help to conceptualize the observed sexual identity construction processes. This work provides insight into how GLB individuals around the world perceive, construct, and perform their sexuality as well as how they perceive the majority culture as viewing them.     

Career Decision Making of Lesbian,Gay, and Bisexual Individuals

In this article, the career decision making of lesbian, gay, and bisexual individuals is discussed in the framework of personal (interests, values, and skills) and environmental factors and their interactive influences. Suggestions for research and practice are proposed.     

Mental Health of Lesbian,Gay, and Bisexual Youth and Young Adults: Differential Effects of Age,Gender, Religiosity,and Sexual Orientation

Drawing on minority stress theory, this study examined the mental health effects of the added burden of disadvantaged social status in an Israeli sample of 461 self‐identified lesbian, gay, and bisexual (LGB) youths. Bisexuality was associated with lower levels of well‐being, and, at a younger age, with higher levels of mental distress. In bisexuals, this relationship was fully mediated by family support and acceptance, internalized homophobia, and LGB social contact. Religiosity was associated with low levels of family and friends’ support and acceptance, and high levels of internalized homophobia. These findings highlight the mental vulnerability of LGB adolescents and bisexuals, as well as the social vulnerability of sexual minorities in the religious sector, and the importance of social support to increase mental health.