“It's Just My Job To Be ‘Out’”: Tenure Stories of Lesbian, Gay, And Bisexual Academics

Lesbian, gay, and bisexual (LGB) professors who undergo the tenure review process face the possibility that homophobic prejudice and discrimination will hurt their chances of receiving promotion. In light of this potential for bias, the tenure stories of LGB academics reflect a concern for unmasking tactics of discrimination in order to dismantle institutional homophobia. The author analyzes tenure and promotion narratives of LGB professors from both sociological and folkloric perspectives, and argues that these narratives function to build solidarity within LGB communities, and provide an important means by which academics who face the potential of prejudice and retributory marginalization for their sexual orientation can expose discriminatory practices.     

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.     

The comparison of attachment styles among Iranian lesbian,gay, and bisexual and heterosexual people

This study was conducted in order to compare the attachment styles of sexual minorities and their heterosexual counterparts. The study participants consisted of a non-probability sample of 62 lesbians and gay men (LG) and 13 bisexual men and women (mean age = 25.50, SD = 5.09) living in various cities in Iran. There were also 75 heterosexuals selected from the general population and matched with the study group based on age, sex, and educational level. Each person completed the Revised Adult Attachment Scale (RAAS) and a demographic data sheet. In addition, the groups of sexual minorities were also asked to address additional items related to their status as sexual minorities. The results showed that, compared to heterosexual participants, lesbian, gay, and bisexual (LGB) people scored significantly higher on the anxiety subscale of RAAS. Among sexual minorities, there was no significant difference between bisexual and LG people's attachment styles. Also, those who were not satisfied with their orientation were less dependent and more anxious. Different developmental experiences and negative social attitudes toward LGB people could explain the more anxious attachment style in the LGB group.     

Heterosexism,racism, and mental illness discrimination: Experiences of people with mental health conditions and their families

Experiencing discrimination related to race/ethnicity, sexual orientation, or having a mental health condition is associated with negative outcomes. Research comparing types of discrimination or considering intersectionalities is lacking. This study reports findings from interviews with people with mental illnesses (PWMI) or family members of PWMI; all study participants also are of color and/or lesbian, gay, or bisexual. Findings include the following: participants experienced multiple forms of discrimination, mental illness discrimination shares characteristics with racism and heterosexism, and heterosexuals and people of color reported more mental illness discrimination than their counterparts. Implications for change advocates, mental health providers, and researchers are offered.     

Dual Impact: Outness and LGB Identity Formation on Mental Health

Conflicting literature exists for the relationship among outness, sexual minority identity formation, and mental health among lesbian, gay, and bisexual (LGB) individuals. The present study examines the complex relationship among outness, identity, and mental health among 192 lesbian, gay, and bisexual individuals collected from an online sample. The findings revealed that outness has a complex, dual impact on mental health. Specifically, outness was found to have both positive and negative consequences for mental health, with identity development accounting for the positive aspects of outness. Directions for future research and implications for clinicians are discussed.     

Mental health of lesbian, gay, and bisexual youth: A developmental resiliency perspective

Research suggests that lesbian, gay, and bisexual (LGB) youth are at increased risk for both victimization and internalizing mental health problems, but limited research has studied their association or factors that increase resilience. The sample included 425 LGBs between the ages of 16 and 24 year. The majority had disclosed their sexual orientation to family or friends (98%) and 97% had someone in their lives who was accepting. Racial/ethnic minority and female participants in general reported lower levels of disclosure and acceptance. Most participants reported some form of sexual orientation-related victimization (94%). Victimization was associated with psychological distress, but a compensatory model indicated that in the context of this victimization both peer and family support had significant promotive effects. A test of a protective model found social support did not ameliorate negative effects of victimization. The positive effects of family support decreased with age. Peer and family support were particularly important, but they did not significantly dampen the negative effects of victimization. Our findings suggest that mental health professionals working with LGB youth should address social support and that public health approaches are needed to reduce levels of victimization.     

Prevalence of Depression and Anxiety Among Bisexual People Compared to Gay,Lesbian, and Heterosexual Individuals:A Systematic Review and Meta-Analysis

Over the past decade, evidence has accumulated to suggest that bisexual people experience higher rates of poor mental health outcomes compared to both heterosexual and gay/lesbian individuals. However, no previous meta-analyses have been conducted to establish the magnitude of these disparities. To address this research gap, we conducted a systematic review and meta-analysis of studies that reported bisexual-specific data on standardized measures of depression or anxiety. Of the 1,074 full-text articles reviewed, 1,023 were ineligible, predominantly because they did not report separate data for bisexual people (n = 562 studies). Ultimately, 52 eligible studies could be pooled in the analysis. Results indicate that across both outcomes, there is a consistent pattern of lowest rates of depression and anxiety among heterosexual people, while bisexual people exhibit higher or equivalent rates in comparison to lesbian/gay people. On the basis of empirical and theoretical literature, we propose three interrelated contributors to these disparities: experiences of sexual orientation-based discrimination, bisexual invisibility/erasure, and lack of bisexual-affirmative support. Implications for interventions to improve the health and well-being of bisexual people are proposed.     

Victimization experiences of lesbian, gay, and bisexual individuals: a meta-analysis

This meta-analysis quantitatively compiled the results of studies from 1992 to 2009 to determine the prevalence and types of victimization experienced by lesbian, gay, and bisexual (LGB) individuals. Based on the results of three searches, 386 studies were retrieved and coded. Comparisons were made across all LGB individuals (138 studies), between LGB and heterosexual individuals (65 studies), and between LGB females and males (53 studies), with over 500,000 participants. Multiple types of victimization were coded, including discrimination, physical assault, and school victimization. Findings revealed that for LGB individuals, reports of victimization experiences were substantial (e.g., 55% experienced verbal harassment, and 41% experienced discrimination) and some types have increased since a 1992 review, while others have decreased. LGB individuals experienced greater rates of victimization than heterosexual individuals (range: d = .04–.58). LGB males experienced some types of victimization more than LGB females (e.g., weapon assault and being robbed) but, overall, the gender differences were small. It can be concluded that LGB individuals still experience a substantial amount of victimization. Implications for research methods are discussed, including recommendations for sampling and measurement of victimization.

[Supplementary materials are available for this article. Go to the publisher's online edition of Journal of Sex Research for the following free supplemental resource(s): Supplementary Tables. These tables are referred to in the text of this article as “Table S1,” “Table S2,” etc.]     

Region,Social Identities,and Disclosure Practices as Predictors of Heterosexist Discrimination Against Sexual Minorities in the United States

Exposure to heterosexist discrimination may vary by a person's place of residency. Utilizing a minority stress perspective, an online survey of self‐identified lesbian, gay, and bisexual (LGB) individuals (n = 285) examined whether rural and small town inhabitants experienced greater exposure to six types of enacted stigma. After comparing the frequency of enacted stigma by community type, findings demonstrated that rural LGBs reported experiencing more homophobic statements, property damage, and employment discrimination than urban LGBs. Small town LGBs also encountered additional amounts of housing discrimination and were more often chased by strangers compared with urban sexual minorities. Finally, disclosure practices and hierarchies based on race and social class also influenced exposure to discrimination. The importance of spatial factors often intensified when respondents disclosed their sexual identity more publicly. When exploring racial and class differences, affluent sexual minorities experienced less employment discrimination and white sexual minorities were less likely to experience several forms of heterosexist events (especially being punched and kicked).     

Impediments to Academic Performance of Bisexual College Students

Abstract

Objective: To investigate health-related impediments to academic success for bisexual college students. Participants: Respondents to the Fall 2011 American College Health Association–National College Health Assessment II (ACHA-NCHA II) survey who self-identified as bisexual, heterosexual, gay, or lesbian. Methods: Secondary analyses of the ACHA-NCHA II data were conducted to compare the experiences of bisexual students with both each other (bisexual men and bisexual women) and those of their nonbisexual counterparts (heterosexual and gay/lesbian students). Results: Bisexual college students are a large and distinct sexual minority group. On all measures with the exception of discrimination, bisexual college students reported the strongest threats to academic success of all sexual orientations. Conclusions: Given the unique impediments for bisexual students, college health professionals should consider specifically addressing needs for bisexual students, bisexual women in particular.     

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.     

To Refer or Not to Refer: Exploring Family Therapists' Beliefs and Practices Related to the Referral of Lesbian,Gay, and Bisexual Clients

This study explored how negative beliefs toward lesbian, gay, and bisexual (LGB) individuals and LGB clinical competence influenced family therapists' beliefs and practices regarding referring based on the sexual orientation of the client. The sample consisted of 741 experienced clinicians. The results of this study indicated that the majority of the participants believe it is ethical to refer LGB clients; however, most had never made such a referral. Furthermore, participants who had referred based solely on the client's sexual orientation reported higher levels of negative beliefs toward LGB individuals and lower levels of LGB clinical competence. Finally, negative beliefs toward LGB persons not only predicted the practice of referring, but also the belief that it is ethical to refer an LGB client.     

Lesbian,Gay, Bisexual,and Queer People's Perceptions of the Criminal Justice System: Implications for Social Services

Previous literature has found historically marginalized groups report more negative perceptions of the criminal justice system and lower levels of procedural justice, which then influences their mental health and their willingness to report crimes. While previous research on procedural justice has focused mostly on racial and ethnic minority groups, it is hypothesized that lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals would also report negative experiences of the criminal justice system. The current study utilized focus groups with 16 participants who identified as lesbian, gay, bisexual, and queer (LGBQ), with ages ranging from 26 to 35 years (M = 30.5 years, SD = 3.5). Participants were asked open-ended questions about how they felt about various aspects of the criminal justice system (e.g., police officers, courts, legal processes, etc.). Through the consensual qualitative research (CQR) process, researchers identified five domains that influenced participants’ experiences of the criminal justice system: (a) gender presentation, (b) influences of intersectional identities, (c) systemic and political issues, (d) experiences of discrimination, and (e) help-seeking behaviors and the criminal justice system. Implications for social services are discussed.     

The Relationship Between Sexual Minority Verbal Harassment and Utilization of Health Services: Results from Countywide Risk Assessment Survey (CRAS) 2004

In this article we examine the prevalence of and associations between sexual orientation–based verbal harassment and reported utilization of health services across levels of sexual orientation in a diverse sample of adult recipients of Los Angeles County–funded HIV-related health and social services. Thirty-two percent reported they had experienced verbal harassment, the majority (80.3%) of whom identified as lesbian, gay, or bisexual (LGB). Those who reported being verbally harassed received significantly more services overall than those who were not verbally harassed, and service utilization varied by sexual orientation. These findings inform future efforts to identify and assess social discrimination in health and social service settings.     

Hazards of stigma: the sexual and physical abuse of gay, lesbian, and bisexual adolescents in the United States and Canada

Some studies suggest lesbian, gay, and bisexual (LGB) teens are at higher risk than peers for violence at home, in school, and in the community. That can bring them into the child welfare system or services for runaway and homeless teens. This study compared self-reported experiences of sexual and physical abuse based on sexual orientation and gender in seven population-based surveys of youth. The authors used c2 and age-adjusted odds of abuse to compare bisexual to heterosexual, mostly heterosexual, and gay and lesbian students. They also provide case studies to illustrate the experiences of such youth.     

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 Orientation Differences in Whites’ Racial Attitudes

Historical and anecdotal accounts present a contradictory image of predominantly white lesbian, gay, bisexual, trans, and queer (LGBTQ ) communities in the United States: a unique celebration of racial and other forms of diversity, yet pervasive racial discrimination and exclusion that mirrors racism of the broader society. However, no study to date has compared the racial attitudes of white heterosexual and white LGB Americans. Using nationally representative data from the American National Election Survey 2012 Times Series Study, I investigate the effect of sexual orientation on whites’ racial attitudes in the domains of symbolic, color‐blind, and old‐fashioned racism. Compared to white heterosexuals, white LGB people hold more favorable attitudes toward black people, most notably in the domain of symbolic racism. On average, over 40% of sexual orientation gaps in whites’ racial attitudes is explained by white LGB respondents’ more liberal political ideology; their greater awareness of homophobic discrimination explains, on average, one‐fifth of these sexual orientation gaps. These findings suggest that white LGB racial attitudes must be examined at the intersection of their privileged racial and disadvantaged sexual identities.     

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.     

Rural/Non-Rural differences in psychosocial risk factors among sexual minorities

The purpose of this study was to examine rural versus non-rural differences in the following risk factors among sexual minority adults: victimization/discrimination, fundamental religiosity, identification and involvement in the lesbian, gay, bisexual, and transgender (LGBT) community, social support, and level of comfort disclosing sexual identity to others. The study recruited sexual minority individuals via online communications to LGBT organizations. Of the total sample (N = 699), 23.3% resided in rural areas and 76.7% resided in non-rural areas. A MANCOVA was conducted to determine if there was a significant overall relation of rural versus non-rural location to the five risk factors of interests, while controlling for age, sex, race, relationship status, and sexual identity. Post hoc ANCOVAs were then conducted to explore the specific directionality of the significant differences. Results revealed rural sexual minorities reported greater identification with fundamental religious beliefs, less comfort in disclosing their sexual identity to others, more experiences of victimization and discrimination, less identification with and involvement in the LGBT community, and less perceived social support when compared to their non-rural counterparts. These findings suggest sexual minorities residing in rural areas may experience increased exposure to negative risk factors. Implications for mental health providers working with rural sexual minorities are discussed.     

Mostly Heterosexual and Lesbian/Gay Young Adults: Differences in Mental Health and Substance Use and the Role of Minority Stress

Individuals mostly attracted to other-sex but also to same-sex partners are a distinct and common sexual orientation group with possibly increased levels of health problems. The current study examined whether mostly heterosexual individuals differed in mental health and substance use from lesbian/gay individuals and whether sexual minority risk and protective factors offer an explanation in a sample of 528 Dutch young adults (16 to 25 years old, M = 21.2 years). Mostly heterosexual participants reported higher levels of psychological distress, suicidality, drug use, and smoking than lesbian/gay participants and equal levels of binge drinking. They also reported higher levels of internalized negativity to same-sex attractions, less openness to family members and others, less community involvement, and lower numbers of lesbian/gay/bisexual friends. However, bootstrapped mediation analysis showed that the differences in minority stress risk and protective factors did not mediate most of the differences in mental health and substance use with one exception: higher levels of psychological distress were mediated by the higher levels of internalized negativity to same-sex attractions. The limited explanatory power of the minority stress factors combined with the elevated level of problems of mostly heterosexual individuals call for future studies examining other risk and protective factors.