Differences in Risky Sexual Behavior According to Sexual Orientation in Korean Adolescents

Adolescents in sexual minority groups are known to be at risk of contracting sexually transmitted diseases through risky sexual behavior. However, few studies have examined associations between sexual orientation and risky sexual behavior and sexually transmitted diseases in Korean adolescents. Therefore, this cross-sectional study used raw data from the Tenth Korea Youth Risk Behavior Web-Based Survey to explore these relationships. Logistic regression analyses were performed to examine the associations between risky sexual behavior and sexual orientation in adolescents. The participants were 6,884 adolescents who provided data regarding demographic characteristics, sexual orientation, and risky sexual behavior. The proportions of homosexual and bisexual subjects who used condoms, engaged in sexual intercourse after drinking alcohol, and experienced sexually transmitted diseases were higher relative to those of heterosexual subjects. Associations between homosexuality and bisexuality and sexually transmitted diseases and engagement in sexual intercourse after drinking remained after multivariate adjustment. Interventions to prevent risky sexual behavior should target sexual orientation, to improve sexual health and prevent sexually transmitted disease in homosexual and bisexual adolescents.     

The relation of social support, connectedness, and collective self-esteem to the psychological well-being of lesbian, gay, and bisexual youth

The present study extended the research on the mental health of lesbian, gay, and bisexual (LGB) youth by testing the relationship of social support, social connectedness, and collective self-esteem to psychological well-being in a sample of 218 LGB youth. Perceived social support significantly predicted psychological well-being subscales; social connectedness and collective self-esteem contributed significantly to the psychological well-being of the LGB participants when controlling for perceived social support. Age moderated the relations between several of the social and psychological well-being variables. Results of the study suggest that helping professionals working with LGB youth consider assessment of the youth's sense of connectedness to those around him/her and esteem related to LGB group membership in addition to assessing general social support.     

Gender differences in substance use and initiation of sexual activity

Even though widespread efforts have focused on educating young adults about HIV and AIDS, many individuals continue to engage in behaviors that place them at risk. These behaviors include frequent experimentation with alcohol and other drugs prior to sex, engaging in sexual activity with different partners, and inconsistent safe sex practices (Butcher et al. 1991). The combination of these risky behaviors causes increased concern about the spread of HIV among those of college age. This study focused on two behaviors by examining the relationship between substance use during adolescence and early initiation of sexual activity in a sample of 950 subjects aged 19–21 in a mid-sized southern city. Results indicate that early use of alcohol and marijuana relates to earlier initiation of sexual activity and subsequent risky sexual behavior among young adults. Also, gender differences were observed for frequent users of marijuana and alcohol with males engaging in riskier sexual practices. Recommendations for interventions are made.     

Alcohol consumption and risky sexual behavior among young adults: evidence from minimum legal drinking age laws

This paper exploits the discrete jump in alcohol consumption at the minimum legal drinking age (MLDA) in the USA and uses a regression discontinuity design to investigate the relationship between drinking and risky sexual behaviors among young adults. Using confidential data from the National Longitudinal Survey of Youth (1997 Cohort), we document that young adults tend to drink up to 2.1 days more once they are granted legal access to alcohol at age 21. Although the discrete jump in alcohol consumption at the MLDA is associated with an increase in the probability of having sex by up to 7.8 percentage points, it does not have a significant impact on the probability of engaging in risky sexual behaviors among young adults. We also document that the effect of the MLDA on the probability of using several different birth control methods is not significant for those who had sex in the past 4 weeks. These results are robust under alternative specifications and imply that although the MLDA law is quite effective in reducing alcohol consumption among young adults, spillover effects of this law on risky sexual behaviors are relatively limited.     

Linking Social Support to Psychological Distress in the Unemployed: The Moderating Role of Core Self-Evaluations

In this study, an integrative analysis involving social support and core self-evaluations (CSE) as concurrent predictors of psychological distress among unemployed adults was conducted. The main aim of this study was to evaluate the relationship between perceptions of social support and CSE with psychological distress among unemployed adults, as well as whether levels of CSE moderated the relations between social support and psychological distress. Results indicated that, along with the expected direct and additional influence, a significant social support × CSE interaction was found in explaining several dimensions of psychological distress beyond the independent effect of socio-demographic variables, social support and CSE independently. Specifically, we found significant interaction for social support × CSE in explaining stress and anxiety symptoms. Our data provide empirical support for theoretical and conceptual work connecting social support, CSE and psychological distress associated with unemployment suggesting that alone, but also in combination, these contextual and personal resources may be particularly relevant for leading to reduced psychological distress during unemployment. Finally, theoretical implications of the joint study of these constructs and their relation with psychological distress in unemployed people are discussed.     

Status Homophily,Sexual Identity,and Lesbian Social Ties

The literature on friendship and social networks finds that individuals form social ties with people who are like them—a much studied concept called homophily. However, few studies have explicitly examined sexual identity as a point of homophily. Scholars from multiple disciplines have long argued that sexuality influences the organization of our social worlds, yet most studies of friendship and social networks under-examine or overlook the influence of sexual identity. This study addresses that gap by looking at status homophily among lesbian social ties to examine the influence of sexual identity, as well as gender, race, class, and family, on their personal networks. Using survey data from 544 U.S. lesbian respondents, the findings make visible some of the factors and forces that shape social ties for lesbians. The results point to the importance of sexuality as an organizing element of social life, and suggest that studies that examine social networks or friendships more often make sexual identity, gender, and intersecting social locations a central focus.     

Changes in Social Exclusion Indicators and Psychological Distress Among Homeless People Over a 2.5-Year Period

Although homelessness is inherently associated with social exclusion, homeless individuals are rarely included in conventional studies on social exclusion. Use of longitudinal survey data from a cohort study on homeless people in four major Dutch cities (n = 378) allowed to examine: changes in indicators of social exclusion among homeless people over a 2.5-year period after reporting to the social relief system, and associations between changes in indicators of social exclusion and changes in psychological distress. Multinomial logistic regression analysis was applied to investigate the associations between changes in indicators of social exclusion and changes in psychological distress. Improvements were found in various indicators of social exclusion, whereas financial debts showed no significant improvement. Changes in unmet care needs, health insurance, social support from family and relatedness to others were related to changes in psychological distress. This study demonstrated improvements in various indicators of social exclusion among homeless people over a period of 2.5 years, and sheds light on the concept of social exclusion in relation to homelessness.     

Satisfaction with Life and Psychosocial Factors among Underserved Minorities with Type 2 Diabetes

The objective of this study was to examine the association between biomedical markers of disease management and psychosocial constructs, while also assessing the correlates and predictors of variability for satisfaction with life (SWL) among African American and Hispanic participants with type 2 diabetes. Data were collected from 142 participants during their first visit within a collaborative care program. Pearson product moment correlations, a multiple linear regression, and a one-way analysis of variance were used to examine the research questions. Researchers found psychological distress, social support, and spirituality accounted for twice the amount of variance in SWL for African American participants compared to Hispanic participants. Social support was the strongest predictor of SWL for African American participants, while psychological distress was the strongest predictor of SWL for Hispanic participants. Social support moderated the relationship between psychological distress and SWL for Hispanic participants, but not African American participants. Spirituality did not moderate the relationship for either ethnic group. One significant relationship was noted for BMI and somatization; otherwise, no significant relationships were documented between psychosocial-spiritual and biomedical constructs, which may relate to limited variability in HbA1c. Clinicians and researchers who work with underserved minority patients with uncontrolled diabetes may see improvement in patients’ SWL when screening, treating, and/or studying psychological distress, interpersonal strain, and existential struggles. It is important for practitioners and researchers to consider ethnic group differences in their work since some dissimilarity existed.     

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.     

Why is the History of Heterosexuality Essential? Beliefs About the History of Sexuality and Their Relationship to Sexual Prejudice

Heterosexual people with more positive attitudes to lesbians and gay men generally believe that homosexuality is immutable, is not a discrete social category, and that homosexuality exists in all cultures and time periods. Equivalent beliefs about heterosexuality and beliefs about components of sexuality have been less often researched. 136 people with diverse sexualities described heterosexuality as more universal across history and culture than homosexuality (Study 1). 69 heterosexual-identified participants similarly believed that love, identity, behavior, and desire were more historically invariant aspects of heterosexuality than of homosexuality (Study 2). Less prejudiced participants thought all components of homosexuality—except for identity—were more historically invariant. Teasing apart beliefs about the history of components of heterosexuality and homosexuality suggests that there is no “essential” relationship between sexual prejudice and the tension between essentialist and constructivist views about the history of sexual identity.     

Sexual Identity in the American Deep South: The Concordance and Discordance of Sexual Activity,Relationships, and Identities

This research explores the association between sexual identity and sexual behavior and how that association varies across gender and race in the American Deep South. Multinomial logistic regression analysis is used to determine the likelihood of each sexual identity given past sexual behavior, sexual relationships, and other social characteristics. The more traditional cultural climate of the South appears to suppress identification as a sexual minority. Sexual identification in the Deep South is primarily a product of sexual activity and sexual relationships, although attitudes toward and contact with the lesbian, gay, bisexual, and transgender (LGBT) community play a minor role. Although most participants' sexual behaviors and identities were in concordance, sexual discordance was highest for White women and lowest for White men. Discordance was also associated with traditional men's roles attitudes, negative homosexuality attitudes, and contact with the LGBT community. It is hoped that these results encourage scholarship that deconstructs the sexual behavior and identity of all groups, not just oppressed groups.     

Footprints in the Sand: Personal,Psychological, and Relational Profiles of Religious,Spiritual, and Atheist LGB Individuals

The present study offers a comparison of the demographic features and lived experiences of lesbian, gay, and bisexual (LGB) individuals with religious, spiritual, or atheist (R/S/A) belief systems. In this sample of 212 participants, the relationship of participants’ R/S/A beliefs to personal variables (e.g., age, gender, race), mental health variables (e.g., life satisfaction, psychological distress, internalized heterosexism, self-esteem), and relational variables (e.g., outness, connection to LGBTQ communities) were assessed. Correlational analyses indicated that level of R/S/A belief was unrelated to self-esteem, life satisfaction, or psychological distress; however, greater religious belief was correlated positively and significantly with internalized heterosexism and outness as LGB. To test the interactions of R/S/A beliefs and categorical variables of interest (e.g., race), log-linear analyses with follow-up chi-square tests were conducted. Findings suggested more similarities than differences for LGB people across R/S/A systems of belief. Limitations and implications for future research are discussed.     

Sexual minority youth victimization and social support: the intersection of sexuality, gender, race, and victimization

In comparison to heterosexual youth, sexual minority youth are more likely to experience victimization. Multiple studies have connected anti-gay prejudice and anti-gay victimization to negative outcomes. Research shows that social support may protect sexual minorities from the harmful effects of anti-gay victimization. However, rates of victimization and the negative outcomes linked to sexual identity within the sexual minority community have been relatively unexplored. Using data from three years of statewide data from heterosexual and sexual minority adolescents in grades 9-12, this study examines victimization, substance use, suicidality, and access to social support by sexuality. Results indicate that sexual minority youth are at increased risk for victimization, substance use, suicidality, and social isolation compared to their heterosexual counterparts. Results also indicate that there is very little bivariate difference within the sexual minority community. Multivariate results indicate differences among sexual minorities' experiences with victimization and substance use.     

Navigating Identities: Subtle and Public Agency of Bicultural Gay Youth

Young people who discover their sexual attraction to people of the same sex often go through a period of ambivalence or distress, especially when they grow up in an environment that condemns homosexuality. The Dutch sociopolitical context makes the expression of same-sex desires among those with non-Dutch roots even more complicated and risky, as prevailing schemes of interpretation render the two identities incompatible. This study explores the expressions of same-sex desires and identities as well as the different forms of agency of bicultural gay youth. In-depth interviews with 14 young adults reveal how young people negotiate bicultural identities in Dutch society that brings to the fore complexities in managing diverse sexual identities and strong religious and cultural affiliations in tandem. Their strategies have the effect of questioning dominant discourses and transcend the oppositional dichotomy between sexual and ethnic forms of sociocultural otherness.     

Validation of the Coping With Discrimination Scale in Sexual Minorities

The Coping With Discrimination Scale (CDS) shows promise as a self-report measure of strategies for coping with racial discrimination. To assess the psychometric properties of the measure for use with sexual minorities (i.e., gay, lesbian, bisexual, or GLB persons), a nonprobability sample of 371 GLB adults completed the instrument along with several standardized, self-report measures. Confirmatory factor analyses supported the five-factor structure of the original scale with the exclusion of five items. Adequate internal consistency reliability was found. Internalization, drug and alcohol use, and detachment subscales were correlated positively with measures of psychological distress and negatively with a measure of life satisfaction, providing evidence of construct validity. The education/advocacy and resistance subscales were largely unrelated to concurrently administered validation measures, consistent with prior findings. Coping strategy use varied as a function of primary sources of social support. The CDS appears to be a psychometrically sound measure of several discrimination coping strategies for use with sexual minorities.     

Social Participation in Poland: Links to Emotional Well-Being and Risky Alcohol Consumption

Social participation has been hypothesised to have both positive and negative impact on health outcomes via a variety of pathways, but previous studies have found few significant effects of social participation, and there is a lack of research from post-communist societies, which are known to be low on social capital. Using cross-sectional data from Poland on 2,970 individuals surveyed in 2009, we investigated the individual-level relationships between formal and informal social participation, emotional well-being, and risky alcohol consumption while controlling for demographic variables, socioeconomic status, employment and partnership status, health, religiosity, and generalised trust. Frequent joint activities with friends and neighbours were related to higher positive affect but also to more risky alcohol consumption. Membership in voluntary organisations was associated with more risky alcohol consumption, especially among younger males and for certain types of organisations. In contrast, volunteer work was related to higher positive affect and fewer depressive symptoms in the whole sample and to less risky alcohol consumption among the younger participants. The findings illustrate that some types of social participation, even if they are not typical of a given context (e.g., volunteering in Poland), may be more beneficial than others.     

Sexual attraction status and adolescent suicide proneness: the roles of hopelessness, depression, and social support

This study explored the relationship between sexual attraction status (same-sex, both-sex, and opposite-sex) and suicidal behavior in a diverse sample of adolescents (N = 1,533 youth). Adolescents with attractions to both sexes reported greater suicide proneness, recent and lifetime suicidal ideation, and past suicide attempts than those with exclusively opposite-sex attractions; individuals reporting same-sex attractions generally demonstrated moderate elevations on these variables. As hypothesized, both hopelessness and depression mediated the relationship between sexual attraction status and suicide proneness. Social support moderated the mediating effect of depression but not hopelessness in the sexual attraction status-suicide proneness link. Targeting the distress that can be associated with experiencing same-sex or both-sex attractions may enhance suicide prevention efforts, particularly in U.S. youth with reduced social support.     

Conceptualizations of homosexual behavior which preclude homosexual self-labeling

Our culture presents people with a problematic pair of messages: engaging in homosexual behavior makes a person a homosexual, and homosexuality is bad. In this context, maintenance of self-esteem, sexual/affectional satisfaction, and coherent identity requires some intricate psychological footwork. This article describes a variety of common conceptualizations of "homosexual behavior" which permit the individual to avoid the stigma of homosexual self-labeling. It is suggested that the "accuracy" of these constructions is less important than the appropriate doubt they cast on our widely held, but psychologically inadequate, concepts of sexual orientation.     

Management of a Concealable Stigmatized Identity: A Qualitative Study of Concealment,Disclosure, and Role Flexing Among Young,Resilient Sexual and Gender Minority Individuals

Disclosure of a sexual or gender minority status has been associated with both positive and negative effects on wellbeing. Few studies have explored the disclosure and concealment process in young people. Interviews were conducted with 10 sexual and/or gender minority individuals, aged 18–22 years, of male birth sex. Data were analyzed qualitatively, yielding determinants and effects of disclosure and concealment. Determinants of disclosure included holding positive attitudes about one’s identity and an implicit devaluation of acceptance by society. Coming out was shown to have both positive and negative effects on communication and social support and was associated with both increases and decreases in experiences of stigma. Determinants of concealment included lack of comfort with one’s identity and various motivations to avoid discrimination. Concealment was also related to hypervigilance and unique strategies of accessing social support. Results are discussed in light of their clinical implications.     

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.