The Relationship Between Anxiety and Sexual Functioning in Lesbians and Heterosexual Women

The association between anxiety and sexual functioning was studied in relation to women's sexual orientation. Participants in lesbian relationships (n = 42) and heterosexual relationships (n = 78) completed the Multidimensional Anxiety Questionnaire and Female Sexual Function Index. No difference was found between groups on the anxiety measure, but lesbians scored higher than heterosexuals on sexual functioning scales for arousal and orgasm. Intercorrelations among sexual functioning scales were dissimilar for lesbians and heterosexuals. Among heterosexuals, anxiety was negatively correlated with overall sexual functioning, lubrication, orgasm, and pain, but among lesbians anxiety was uncorrelated with all sexual functioning variables.     

Chasing Sexual Orientation: A Comparison of Commonly Used Single-Indicator Measures of Sexual Orientation

This research investigated the utility of single-indicator measures of sexual orientation in examining group differences. Adolescents and young adults reported their sexual orientations, preferences, and partners. Results indicate that, (a) depending on the measure of sexual orientation, 10% to 22% cannot be categorized into a sexual orientation group using a single-indicator measure; (b) self-identified sexual orientation is often incongruent with preference and behavior; (c) incongruity differs by gender and self-identified sexual orientation; and (d) detected differences in gay/lesbian, bisexual, and straight individuals vary by measure of sexual orientation. These results indicate that classification of sexual orientation by single-indicator measures can lead to inconsistent conclusions across studies.     

Exploring First Sexual Intercourse,Sexual Orientation,and Sexual Health in Men

In this study the characteristics of the sexual debut of men who have sex with men (MSM) and men who have sex with women (MSW) age 35 or younger (N = 1,201) were compared with one another. We investigated whether these characteristics were associated with sexual health and behavior, and to what extent. Compared to MSW, MSM tended to be older when they had their first sexual intercourse; their first sex partner was older, they felt less ready, and they experienced more pain. We also found that they reported a higher number of lifetime sexual partners and less condom use compared to MSW. Similarities were also ascertained, such as the fact that individuals from both groups do not differ significantly regarding how they experienced their first sexual intercourse emotionally. Many differences between these groups should not always be seen as problematic, whereas others still indicate a need for targeted interventions.     

Queer Phenomenology,Sexual Orientation,and Health Care Spaces: Learning From the Narratives of Queer Women and Nurses in Primary Health Care

ABSTRACT

Queer phenomenology as an interpretive framework can advance health research by illuminating why primary health care providers (HCPs) must move beyond definitions of sexuality as a set of reified identity formations indexed to normative gender, gender of partner, and sexual and reproductive practices. Our interviews with queer women participants and primary care nurses offer an implicit critique of heteronormative health care space, temporality, and power relations, as they form the lived experiences of our participants. We conclude by pointing to the limits of our methodology in exposing the larger relations of power that dictate experiences of heteronormative health care.     

Support for a Fluid-Continuum Model of Sexual Orientation: A Large-Scale Internet Study

In a study with 17,785 subjects obtained over the Internet from the United States and 47 other countries, Kinsey's hypothesis that sexual orientation lies on a continuum was supported. Self-identifications of subjects as gay, straight, bisexual, and other corresponded to broad, skewed distributions, suggesting that such terms are misleading for many people. Sexual orientation range—roughly, how much flexibility someone has in expressing sexual orientation—was also measured. The results support a fluid-continuum model of sexual orientation, according to which genetic and environmental factors determine both the size of the sexual orientation range and the point at which an individual's sexual orientation is centered on the continuum.     

Advance Care Planning by Unmarried Women of Different Sexual Orientations: The Importance of Social Support

We examined social support as a facilitator of advance care planning in unmarried women of different sexual orientations. Survey participants consisted of 215 women, 90 who reported a preference for partnering with women (WPW) and 125 for partnering with men (WPM). Our findings indicate that the association between social support and advance care planning was mixed. Specifically, social support had no significant impact on executing a will for either WPW or WPM. Among WPW, naming a health-care proxy was associated with reporting a partner who provided social support. For WPM, having a partner for social support was not associated with naming a health-care proxy. These insights help in the understanding of women's advance care planning.     

Quantifying Sexual Orientation Among Homeless and Unstably Housed Women in a Longitudinal Study: Identity,Behavior, and Fluctuations Over a Three-Year Period

ABSTRACT

Sexual orientation has been linked to certain health conditions, and yet quantifying sexual orientation in longitudinal studies is challenging. This study examined different methods of accounting for sexual orientation in a cohort study of 300 homeless and unstably housed women followed every 6 months over 3 years. Altogether, 39.7% (n = 119) could be considered sexual minority at one or more time points based on identity and/or behavior; 16.3% (n = 49) reported shifts in sexual identity. Only 24.0% (n = 72) were identified as sexual minority through a single measure of sexual identity, 27.0% (n = 81) were identified with a single measure of identity and behavior, 33.0% (n = 99) were identified through annual measures of identity and behavior, and 22.0%–22.3% (n = 66–67) were identified through latent class analysis including all identity/behavior measures. This study found that sexual fluidity is common in unstably housed women, and many sexual minority women would be missed in longitudinal studies with different methods of accounting for sexual orientation.     

A Population-Based Study of Coupling and Physical Activity by Sexual Orientation for Men

ABSTRACT

Research has suggested that men in relationships are more physically active than men who are single. This study provides a weighted analysis of physical activity by coupling status for men of different sexual orientations. Aggregated data from the United States 2013–2014 National Health Interview Survey were used to conduct multivariate logistic regression analyses. Compared to straight men (n = 29,926), gay men (n = 623) were less likely to be in a relationship (AOR 0.32, CI: 0.25–0.41). Coupled gay men did more physical activity than coupled straight men and were 1.62 (CI: 1.05–2.50) times more likely to be active, 1.67 (CI: 1.10–2.51) times more likely to be high active, 1.89 (CI: 1.24–2.89) times more likely to engage in muscle-strengthening activities, and 2.00 (CI: 1.28–3.11) times more likely to meet aerobic and muscle-strengthening recommendations. Coupling facilitates physical activity for men. However, more research is needed to help explore underlying mechanisms for differences by sexuality.     

The Role of Openness to Experience and Sexual Identity Formation in LGB Individuals: Implications for Mental Health

Openness to experience has been shown to have a positive impact on mental health in the general population, but there is a dearth of information both about why this is the case and on LGB populations in this area. The present article explores the relationship between openness to experience, LGB identity development, and mental health. The results revealed a full mediation model, where the positive impact of openness to experience on mental health is fully mediated by positive LGB identity development. Limitations and implications are discussed.     

Sexual Satisfaction,Solitary, and Dyadic Sexual Desire in Men According to Sexual Orientation

ABSTRACT

Research on male sexual desire and satisfaction according to sexual orientation remains insufficient. An online survey was fulfilled by 415 men (142 gay; 273 heterosexual), and participants completed the SDI-2 and the GMSEX. Main findings suggested that gay men scored significantly higher on both solitary sexual desire and attractive person-related dyadic sexual desire subscales, but not on a partner-related dyadic sexual desire subscale, compared to heterosexual men. Despite sexual orientation, partner-related dyadic sexual desire positively predicts sexual satisfaction, whereas solitary and attractive person-related dyadic sexual desire negatively predicts sexual satisfaction in men. Overall, gay men appear to experience higher levels of both attractive person-related dyadic and solitary sexual desire. Also, experiencing sexual desire toward a partner predicts positively, whereas experiencing desire to engage in sexual behavior with oneself and toward an attractive person predict negatively sexual satisfaction in men.     

The Inquisitorial Trial of a Cross-Dressing Lesbian: Reactions and Responses to Female Homosexuality in 18th-Century Portugal

This article analyzes the inquisitorial trial of Maria Duran, a Catalan novice in the Dominican convent of Nossa Senhora do Paraíso in Portugal. Maria Duran was arrested by the Inquisition in 1741 and, after a lengthy trial, condemned in 1744 to a public lashing and exile. She was suspected of having made a pact with the Devil and was accused by many female witnesses of possessing a “secret penis” that she had allegedly used in her amorous relations with fellow nuns and novices. Her voluminous trial dossier offers a rare and fascinating documentary insight into the often extreme reactions that female homosexuality provoked from both men and women in early modern Portugal. Using the evidence offered by the 18th-century trial of Maria Duran, this article highlights female bewilderment when faced with female-on-female sexual violence and the difficulty that men (in this case, churchmen) had coming to terms with the existence of female homosexuality. It also discusses the case in light of the acts/identity debate among historians of the history of sexuality.     

Patterns of Mental Health Care Utilization Among Sexual Orientation Minority Groups

Prior studies of the utilization of mental health professionals by sexual minority populations have relied on data that are now dated or not nationally representative. These studies have also provided mixed findings regarding gender differences in the utilization of mental health professionals among sexual minority individuals. Using data from the 2013–2015 National Health Interview Surveys, this study investigates (1) how sexual minority individuals compare to heterosexual participants in their utilization of mental health professionals; and (2) gender differences in that utilization. The results indicate sexual minority individuals utilize mental health care professionals at higher rates than heterosexual individuals even after controlling for measures of mental health and other demographic characteristics; this is true for both men and women. However, gender moderates the sexual minority effect on utilization rates. Sexual minority men utilize mental health professionals at a high rate, such that their utilization rates are similar to sexual minority women, contrary to the gender gap seen among heterosexuals.     

Implicit Prejudicial Biases in Student Learning: The Effects of Sexual Orientation

In an investigation of students' potential biases toward gay and lesbian instructors, 93 female and 59 male undergraduates viewed a lecture, rated the instructor and perceived learning, and completed a lecture-retention test. Lectures were given by a man or woman, identified as straight or gay or lesbian. Sexual orientation did not affect the instructor evaluation or perceived learning ratings for any of the groups. Although sexual orientation did not affect the lecture-retention scores for the female students, learning by the male students was significantly lower with the gay male instructor than with the straight male instructor (p = .03), suggesting an implicit bias.     

Gendered Sexuality: A New Model and Measure of Attraction and Intimacy

Currently, the literature related to sexual orientation is ambiguous with regard to the relationship of sexual orientation, sexual identity, attraction, and intimacy. In order to explore the relationships of self-identified categorical sexual identity (which is the most popular method of sexual orientation assessment) with attraction and intimacy, it is imperative that researchers have access to a reliable and valid measure of the latter. The present study proposes a model for conceptualizing attraction and intimacy, termed gendered sexuality, and examines the factor structure of a measure designed to assess the construct. Results suggest that four factors adequately accounted for the variance in gendered sexuality in a large sample of young adults. These factors assess attraction to females, attraction to males, intimacy with females, and intimacy with males. Exploratory analyses provided preliminary evidence of potential construct validity and suggested that discrepancies between desired and available behavior predict dissatisfaction in interpersonal role as measured by the Outcome Questionnaire 45.2.     

Sexual Orientation Microaggressions and the Experience of Sexual Minorities

This qualitative study sought to confirm and expand on previous research on sexual orientation microaggressions—subtle discrimination in the form of verbal, behavioral, and environmental slights and indignities as defined by Sue (2010 Sue, D. W. 2010. “Microaggressions in everyday life: Race”. In gender, and sexual orientation Hoboken, NJ: Wiley [Google Scholar]). The study had two primary research questions: Does the data from the sample validate Sue's (2010) typology of sexual orientation microaggressions? Beyond Sue's (2010) typology, are other themes/types of sexual orientation microaggressions present in the data? Using a focus group methodology, data was collected from a sample of self-identified non-heterosexual college students (N = 12). Data analysis confirmed five previously identified themes from Sue's (2010) typology (Endorsement of Heteronormative Culture, Sinfulness, Homophobia, Heterosexist Language/Terminology, and Oversexualization) and demonstrated two new themes (Undersexualization and Microaggressions as Humor). The implications of sexual orientation microaggressions, along with limitations and future research directions, are discussed.     

Perceived Sexual Orientation of Men and Women with Eating Disorders and Obesity

ABSTRACT

The present study explores the perceived sexual orientation of hypothetical men and women with various eating disorders and obesity. Undergraduates were randomly provided with one vignette describing a male or female with anorexia nervosa (AN), bulimia nervosa (BN), binge-eating disorder, or obesity and were asked about the target’s likely sexual orientation. Significant differences emerged between male and female targets with AN and BN on the forced-choice question, with a greater percentage of participants indicating that the male targets were probably non-heterosexual. On continuous items, participants rated the female targets as significantly more likely to be heterosexual and significantly less likely to be homosexual than male targets. The general public may be more likely to perceive men with eating disorders as gay or bisexual relative to females with eating disorders. Perceived sexual orientation might be an important factor to consider when exploring the potentially unique perspectives of men with eating disorders.     

Parent-Initiated Sexual Orientation Change Efforts With LGBT Adolescents: Implications for Young Adult Mental Health and Adjustment

ABSTRACT

Studies of adults who experienced sexual orientation change efforts (SOCE) have documented a range of health risks. To date, there is little research on SOCE among adolescents and no known studies of parents’ role related to SOCE with adolescents. In a cross-sectional study of 245 LGBT White and Latino young adults (ages 21–25), we measured parent-initiated SOCE during adolescence and its relationship to mental health and adjustment in young adulthood. Measures include being sent to therapists and religious leaders for conversion interventions as well as parental/caregiver efforts to change their child’s sexual orientation during adolescence. Attempts by parents/caregivers and being sent to therapists and religious leaders for conversion interventions were associated with depression, suicidal thoughts, suicidal attempts, less educational attainment, and less weekly income. Associations between SOCE, health, and adjustment were much stronger and more frequent for those reporting both attempts by parents and being sent to therapists and religious leaders, underscoring the need for parental education and guidance.     

Sexual Orientation Change Efforts and the Search for Authenticity

This article is based on structured interviews of a sample of 15 former participants in sexual orientation change efforts (SOCE), who currently identify as gay or lesbian. The primary research question for this study was, “What was the experience of self-identified gay men and lesbians who went through some type of SOCE and eventually asserted themselves as gay or lesbian?” The research concludes that participants sometimes identified as heterosexual during SOCE, but never changed their underlying homosexual orientation, and that suppression, disconnection, and a sense of inauthenticity were significant phenomena of this process.