Substance Use Patterns and Consequences Among Lesbians,Gays, and Bisexuals

Substance abuse among gays and lesbians may be considered a “neglected area” of drug use research in criminology and criminal justice. In the current study, we seek to address the lack of scientific inquiry on substance use among lesbians, gays, and bisexuals by drawing from an availability sample of 179 lesbian, gay, and bisexual (LGB) adults to examine substance use patterns as well as the relationship of self-esteem with problems associated with using alcohol and drugs. Results showed consistency in the frequency of tobacco, alcohol, marijuana, and cocaine use in the past year; however, more gay and bisexual men than gay and bisexual women reported problems stemming from substance use.     

Coming Out as Lesbian or Gay

Abstract

The homosexual adolescent's decision to come out as gay or lesbian for the first time is a task which requires a certain level of inner and outer resources. Despite the fact that coming out is viewed by the literature as one of many necessary developmental steps in sexual identity formation and self-acceptance, coming out can be viewed as a unique stage in this developmental continuum. Coming out is an acknowledgment of one's orientation to another person. Thus, coming out is more than an intrapsychic process; it influences interpersonal relationships as well. A whole host of factors, including identity confusion, low self-esteem, depression, alienation, withdrawal, substance abuse, and indulgence in self-destructive behavior, may result if the adolescent has little or no support in this critical developmental stage process. Involvement in the gay community or other types of homosexual peer groups offers a unique sense of support that is especially needed during the coming out period.     

Gay Youth

Abstract

In recent years there has been a growing awareness among parents and social service professionals of the complex sexual identity development of adolescents. Despite this, adolescents continue to struggle to define their sexual identity. Gay and lesbian adolescents in particular are at risk for a host of problems, including substance abuse and suicide. In this context it is important for social service researchers to study adolescent sexual identity and to report their findings in such a way as to be accessible to professionals and to the public.     

Parental Attachment Among Korean–American Adolescents

The present study examined the relationship between parental care and control perceived by Korean–American adolescents, and further investigated the relationships between parental attachment styles and mental health measures including self-esteem, depression, and social support. The relationship between parental care and parental control resulted in a significantly negative correlation. Parental care showed significantly positive correlations with self-esteem and social support, and a negative correlation with depression. Parental control showed a significantly negative correlation with self-esteem, and a significantly positive correlation with depression. The analysis demonstrated that optimal parenting showed significantly higher self-esteem, lower depression, and higher social support than the other groups.     

Networks,Neighborhoods, and Depression: Negative Interactions by Social Support Members as a Mediator of Neighborhood Characteristics and Depressive Symptoms in a Sample of Recovering Substance Abusing Women

Abstract

Although social networks and substance abuse have been extensively studied, less is known about the role social networks play in the context of neighborhood disorder and depression. Sixty-five women were recruited from CASAWORKS for Families, a national demonstration project for substance abusing women. Average participant age was 31; half of the sample was European American, 40% African American, and 10% was other ethnicities. The average length of time in the program was about three months. We found that negative interactions partially mediated the relationship between neighborhood disorder and depression. Specifically, higher levels of neighborhood disorder predicted increased negative social exchange that in turn predicted higher levels of depressive symptoms. However, mediation analysis indicated that the strength of the relationship between neighborhood disorder and depression was attenuated when negative interactions were considered. These results support the importance of community endeavors that seek to improve basic living conditions in disadvantaged communities.     

Internalized homophobia and depression in lesbian women: The protective role of pride

This study sought to examine the association between internalized homophobia and depressive symptoms in lesbian women, and establish whether such a relationship was mediated by collective self-esteem, self-esteem, and self-disclosure. Participants were 225 self-identified lesbian women in the community. Structural equation modeling was used to demonstrate that an underlying construct, labeled pride, reflected participants’ levels of self-esteem, collective self-esteem, and self-disclosure. Internalized homophobia was moderately and negatively predictive of pride, and pride was strongly and negatively predictive of depression. Results highlight the potentially protective role of pride in the prevention of depression among lesbian women.     

Substance Use, Self-Esteem, and Self-Efficacy Among Homeless and Runaway Youth in New Orleans

Each year, nearly 1.7 million children and adolescents in the US run away or are forced out by their caregivers. Although several studies have examined numerous risk and protective factors among homeless and runaway youth (HRY), little is known about this population’s self-efficacy. This cross-sectional study investigates substance use, self-esteem, and self-efficacy in 51 HRY in New Orleans. Results include high rates of substance use disorders, lower self-esteem and self-efficacy compared with that of non-HRY in previous studies, and no significant correlation between substance use and self-esteem or self-efficacy. The authors interpret these findings and discuss their implications for practice and future research.     

Beyond Performance Enhancement: Polypharmacy among Collegiate Users of Steroids

Abstract

The extremely low prevalence of steroid use among college students makes it virtually impossible to conduct analyses on any single college campus. By studying a cohort of 58,625 college students from 78 institutions that administered the Core Alcohol and Drug Survey in 1990 and 1991, a critical mass of 175 users on which it was possible to conduct statistical analyses was identified. Compared with a randomly selected group of nonusers, the steroid users reported consuming dramatically more alcohol and demonstrated higher rates of binge drinking. In addition, a significantly higher percentage of steroid users reported using tobacco, marijuana, cocaine, amphetamines, sedatives, hallucinogens, opiates, inhalants, and designer drugs. A higher percentage of steroid users than nonusers also reported experiencing negative consequences as a result of substance abuse, and a greater percentage of the steroid users reported family histories of abuse of alcohol and other drugs. Implications from the standpoint of student development are discussed.     

Out in the Margins

Using a social construction model of both disability and lesbianism this paper focuses on the intersection of these two identities in questioning the accessibility of the lesbian community to women who are both lesbian and disabled. Whilst many physical barriers and lack awareness can contribute to the exclusion of disabled lesbian women from the lesbian community, so also can the unquestioned assumptions by many ablebodied lesbian women that disabled lesbian women are asexual and are somehow 'other', and are 'different' from themselves. Disabled lesbian women may be forced to contend with, and resist, discrimination from both an ablebodied heterosexist society and ablebodied discrimination from within the lesbian community. Within the discussion of identities will be an attempt to problematize my own ablebodied lesbian identity in both doing the research and in writing this paper. The challenges of addressing the complex issues of identity commonality, difference, and diversity will be discussed within a feminist perspective.     

Lesbian Identity Management at Various Stages of the Coming Out Process: A Qualitative Study

This qualitative study is designed to explore how women at various stages of lesbian identity development make decisions about managing their identities. Management of identity was studied in terms of how women came out or stayed hidden and how they made decisions both to disclose and to conceal. The Cass (1984) Stage Allocation Measure was used as a means to categorize women at various stages of lesbian identity development. Twenty-five adult women were individually interviewed using a semi-structured interview schedule. A journal was kept by each woman for one month. The major findings indicated that women at different stages of lesbian identity development use both disparate and similar identity-management and decision-making strategies. Underlying and connecting lesbian identity management and development was the need to maintain self-esteem and safety.     

The relationship of social support and economic self-sufficiency to substance abuse outcomes in a long-term recovery program for women.

A growing literature suggests that women experience chemical dependency in a very different manner than men. Their needs in treatment may also vary. In particular, women with low incomes face greater economic hardship, and may be more subject to the influence of social support in maintaining recovery. Despite evidence for the relationship of both employment and social support in substance abuse treatment outcomes, many programs are reducing services and lengths of stay. The authors explored outcomes for fifty-nine women who attended long-term substance abuse treatment in a womens' facility that emphasized employment and economic self-sufficiency. Reductions in substance use were associated with an increase in economic autonomy. Improvement in other life domains was positively associated with measures of economic self-sufficiency. Women living in drug-free social environments had higher rates of abstinence and better overall functioning. At least among women who participated in our study, economic outcomes, substance use, and general functioning went hand-in-hand. Eliminating services such as employment assistance may, while reducing cost, also negatively impact outcomes among the most vulnerable clientele.     

Early childhood and maternal antecedents to drug use.

In a longitudinal study, the substance use/abuse histories were obtained on a community sample of 640, (mean age of 24.9 years) randomly selected from the 8,000 Philadelphia black subjects who had been studied comprehensively from birth to seven years of age in the National Collaborative Perinatal Project (NCPP). Among other conclusions, it is postulated from some of the many significant associations found between early life variables and substance use/abuse in early adulthood, that an infant is at risk who has the following combination of characteristics and family situation: outgoing, responsive, assertive or impulsive, or willful, and who is in an unfavorable family environment, with a mother who is generally negative toward the infant, has a larger number of small children and has had more fetal deaths, in a generally poor social environment.     

The effect of poor parenting on male and female dating violence perpetration and victimization

This study examines the effects of poor parenting on dating violence perpetration and victimization among approximately 900 males and females from the National Longitudinal Survey of Adolescent Health (Add Health). Results revealed that more physical abuse and low parental warmth were linked to greater substance use and higher rates of delinquency. In addition, low parental warmth, more neglect, and greater delinquency had positive direct effects on dating violence perpetration, whereas more physical abuse, low parental warmth, and increased delinquency were all positively associated with dating violence victimization. Finally, delinquency mediated the link between low parental warmth and dating violence perpetration and victimization. The results provide some support for both social learning theory and an antisocial orientation perspective.     

Psychological abuse in Spanish same-sex couples: prevalence and relationship between victims and perpetrators

This study investigates the prevalence of psychological abuse victimization in same-sex couples and the relationship between being a victim and a perpetrator of these negative behaviours. The final sample consisted of 107 adults residing in Spain who identified themselves as lesbian women and gay men, and who had been involved in a conflictive same-sex relationship. Participants were asked how frequently they would label their experience of psychological abuse and three different estimation methods were used. Furthermore, the relationship between being a victim and being a perpetrator of psychological abuse behaviours was calculated through the behavioural estimation method using a questionnaire. The results showed that the prevalence rates varied from 11.3% to 56.6%, depending on the estimation method, and they revealed that there was no correlation between receiving and enacting psychological abuse behaviours. The variation in prevalence rates highlights methodological differences that limit the extent to which comparisons can be made across studies. Three estimation methods are introduced to stimulate future research on this issue.     

Understanding communities of neglectful parents: child caregiving networks and child neglect

This article focuses on family social networks and the community of caregivers of neglected children. If neglect is part of family functioning, who watches over the children? Using a case study approach, this study researched 12 children and their parents. Several concepts, such as multiple caregiving and kin keepers, revealed that study children were cared for by many people. Social network mapping used in this study indicated that families were not isolated from the larger community, had various forms of negative and positive social support, were low income, and were involved in substance abuse and domestic violence. Understanding the patterns that emerge from the complex web of family, friends, social service agencies, and the larger social community in which neglected children live can result in better community building.     

HIV Risk Behavior in Gay Men with Unstable Self-Esteem

This article describes a model of interpersonal factors that may help to explain why some gay men have difficulty in adopting or maintaining safer sex habits. These men may have self-esteem that is unstable. The condition of self-esteem fragility is likely to lead to deficits in the experience of intimacy and social support, and to feelings of loneliness, among these men. When they use avoidant Coping to deal with the stress associated with such experiences, these men may engage in unsafe sex. The article considers implications of this model for HIV prevention efforts, counseling, and research. Prevention must stress the importance of gay men's identification and involvement with a gay/lesbian community.     

Standing OUT/Fitting IN: Identity,Appearance, and Authenticity in Gay and Lesbian Communities

Sexuality scholars have noted the historical connection between appearance and gay or lesbian identity. However, as the social landscape for lesbian women and gay men has shifted over the past forty years, little research has documented how such changes influence gay and lesbian individuals' appearance choices as they form, manage, and maintain their identities. To explore the impact of this “post‐closet” ( Seidman 2002 ) era on the identities and appearances of lesbians and gays, in‐depth interviews were conducted with twenty individuals, aged eighteen to thirty. Findings suggest that while most people use appearance to attain a sense of authenticity after “coming out,” achieving a feeling of authenticity in gay and lesbian spaces presents unique challenges as individuals come under scrutiny by the community.     

Exploring racial and ethnic differences in recreational drug use among gay and bisexual men in New York city and Los Angeles

Reported rates of recreational drug use among gay and bisexual men are currently rising. Although there has been much empirical research documenting current trends in drug use among gay and bisexual men, little research has empirically contrasted differential rates across urban epicenters, while even less has addressed racial or ethnic variation (between and within cities). This knowledge is essential both for the development of effective culturally-sensitive health education prevention/services and for understanding drug use prevalence among urban epicenters. Using the men's data gathered from large-scale gay, lesbian, and bisexual (GLB) community events in New York and Los Angeles in the fall of 2003 and spring of 2004 (N = 2,335), this study explored racial and ethnic variance in the use of methamphetamine, cocaine, MDMA/ecstasy (methylenedioxy-methamphetamine), ketamine, GHB (gamma-hydroxy-butyrate), marijuana, and nitrate inhalants (poppers) among gay and bisexual men both between and within cities (NYC and LA). Levels of recent drug use were fairly consistent between New York City and Los Angeles; however there was some between and within city racial and ethnic variance. In particular, Asian/Pacific Islander men were among those least likely to report use of some drugs. Findings suggest substance use in the gay community permeates geographic boundaries in addition to some racial and ethnic boundaries such that interventions targeting drug-using gay and bisexual men should appropriately attend to racial and ethnic diversity within communities.     

From social workers to socio-therapists: the transformative journey of substance abuse therapists

ABSTRACT

The efficiency of interventions in addiction is associated with the processes of practitioners’ professional development. Identity formation is studied extensively for clinical professions but little research focuses on social workers working in addiction settings. This study examined the experience of social workers working in a community treatment network in Greece. Fifteen interviews were conducted with 11 women and 4 men, ranging between 29 and 47 years οf age, who worked in different centers within the network. Data were analyzed following the guidelines of Interpretative Phenomenological Analysis, offering in-depth examinations of people’s lived experience. The results delineate a series of transformations in professional identity comprising a process of biographization. The participants highlighted intrapersonal and relational factors that influence this process which leads to self-understanding and engagement with the therapeutic community. The results contribute to deciphering the factors that influence social workers’ experience in their professional identity formation in substance abuse treatment contexts.     

Exploring Strengths of Gay Men in 12-Step Recovery

The purpose of this study is to qualitatively explore the strengths of gay men in 12-step recovery for substance abuse. To advance this line of inquiry, an interview guide comprised of open-ended interview questions was used to investigate cognitive, emotional, behavioral, social, community, and spiritual characteristics among a snowball sample of urban gay men (N = 15) in Los Angeles, California.

Active participation in 12-step recovery reflected an abundance of identifiable strengths. Themes included (1) strong social support, (2) viable coping mechanisms, and (3) personal strengths that are indicative of persons experiencing high self-esteem.