Victimization in a Nationwide Sample of Gay and Bisexual Men

Research indicates a high level of bias-related victimization among gay and bisexual men, but the total amount of victimization experienced by this population, including sexual orientation bias-related, other bias-related, and non-bias-related victimization, has hardly been examined. The relationship between coping and non-sexual orientation bias-related victimization among these populations has also received little research attention. This study examines total victimization during the previous 6 months and dispositional coping in a nationwide nonprobability sample of 297 self-identified gay and bisexual men. Results showed a high incidence of total victimization, with 72% of participants reporting a victimization occurrence. Emotion-oriented coping was positively correlated with victimization. The results indicate that many gay and bisexual men live in stressful environments which may contribute to negative health and mental health outcomes among them.     

Gay Fathers Expanding the Possibilities for Us All

Abstract

This article describes a qualitative research study of 21 men who became fathers as openly gay men. The fathers were interviewed using a semi-structured questionnaire in a focus group format. The data were analyzed using grounded theory methodology. The narrative data depict the men's paths toward fatherhood. The themes elicited from their narratives suggested how gay men are changing traditional cultural norms for fathers, families, and masculinity. The authors propose that by degendering parenting, reconceptualizing family, and reworking masculine gender roles, gay fathers are expanding role norms in novel ways that may serve as alternative models for all families.     

“It Takes a Man to Put Me on the Bottom”: Gay Men’s Experiences of Masculinity and Anal Intercourse

In anal intercourse between gay men, men who are typically insertive (“tops”) are often perceived as, and may identify as, more masculine than those who are typically receptive (“bottoms”). “Versatile” men, who may adopt either position, may be perceived as more gender balanced and may transcend the gender-role stereotypes associated with self-labeling as top or bottom. The aim of this study was to explore how gay men’s beliefs about masculinity were associated with their beliefs about the gendered nature of sexual self-labels and their behavior in anal intercourse. Individual semistructured interviews were undertaken with 17 UK-based gay men. Interpretative phenomenological analysis (IPA) identified that perceptions of tops and bottoms as gendered social identities varied depending on the extent to which gay men subscribed to the mandates of hegemonic masculinity, the dominant masculinity in Western society. The findings also suggested that some gay men differentiated between top and bottom as social identities and topping and bottoming as gendered behaviors. This had implications for gay men’s behaviors in anal intercourse. It is suggested that future efforts to engage with gay men about their sexual behavior should account for their beliefs regarding the gender-role stereotypes associated with gay sexual self-labels.     

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.     

Stress and Safety for Gay Men at Work Within Masculinized Industries

Lesbians and gay men still have concerns related to being openly gay at work and maintaining health and wellness. A gay man working within a masculinized industry (historically male-dominated and higher risk, with an emphasis on authority and masculinity) may have additional concerns that are augmented by the nature of his work and related to maintaining safety and reducing stress experienced on the job. The purpose of this article is to examine some of the safety and stress concerns gay men in these industries may face. Fictional, composite cases—derived from relevant news stories and literature published in academic journals—were analyzed through a guided inquiry process based loosely on Riessman's (1993) narrative evaluation. Discussion and implications focus on policies, practices, and future directions for research that may help to ameliorate some of the issues faced by gay men at work within masculinized industries.     

Shame,Internalized Homonegativity,and Religiosity: A Comparison of the Stigmatization Associated with Minority Stress with Gay Men in Australia and Malaysia

ABSTRACT

In this study we explore aspects of minority stress by comparing Malaysian (n = 234) and Australian (n = 123) gay men on internalized homonegativity (IH) and internalized shame (IS) in a 2 × 2 multivariate analysis (country × relationship status). Religious motivation (RM) was also included as a variable because of the importance of religion in Malaysia as compared to Australia. Malaysian gay men scored higher on IH, IS, and RM. Single men reported higher levels of IS than did those in relationships. These results are discussed in terms of the minority stress model (Meyer, 2003).     

Attachment Style,Rules Regarding Sex,and Couple Satisfaction: A Study of Gay Male Couples

This article explores the characteristics of open and closed relationships in 170 gay men according to their levels of satisfaction, their attachment styles, and the rules of having sex outside their relationships for open couples. We found no significant difference between open or closed relationships in levels of satisfaction or attachment styles. However, we found that gay men in open relationships who have explicit rules about having sex with other men are significantly more satisfied that those gay men with no rules. A content analysis of the rules is presented and implications for therapy are drawn from the findings.     

The Interplay of Syndemic Production and Serosorting in Drug-Using Gay and Bisexual Men

The relationships between mental health, substance use, and sexual behaviors among gay and bisexual men in a sample of 450 club drug-using men from New York City were examined using syndemics theory. Risk scores for each participant were based on variables measuring substance use and mental health burden. Participants with higher risk scores were significantly more likely to engage in risk behaviors. Risk taking was also explained by serosorting, suggesting that syndemics theory in and of itself, while significant in explaining risk, is not sufficient. These findings suggest we need to understand the interplay between social, emotional, and cognitive factors to understand sexual risk taking.     

Midlife and Older Gay Men Living with HIV/AIDS: The Influence of Resiliency and Psychosocial Stress Factors on Health Needs

HIV/AIDS research has mostly focused on younger gay men. This cross-sectional study originated from a larger study of 316 respondents to include a subsample of 38 midlife and older gay men living with HIV/AIDS. The study explores physical and mental health utilization rates, including physical and mental health status. Resiliency, internal health locus of control beliefs, and psychosocial stressors of age and sexual orientation discrimination, stigma, and internalized homophobia were also examined. A total of 65.8% of the HIV/AIDS participants received no mental health services the past year, despite reporting higher mental health distress. Of those reporting an HIV status, 10.5% indicated having no health visits in the preceding year and more delays in seeking care when needed and unmet health needs for which services were not sought. Participants reporting higher resiliency indicated less mental health distress and better health access indicators. Stigma and internalized homophobia negatively affected resiliency. Implications for practitioners working with midlife and older gay men are provided.     

“My Adoptive Father”

Abstract

Gay men's intimate life worlds have been the topic of some empirical inquiry since the late twentieth century. Drawing on the symbolism of love, friendship, and biology, these studies discuss the recent changes in queer communities that have shaped contemporary discourse about gay and lesbian family life. What appears missing in these intimate accounts are the lesser known readings of gay male intimate relationships which are both sensitive to the complex, interactive, and often contradictory experiences of everyday family life and attentive to the contextual ways these stories become constructed. This paper is a presentation of an experimental case study narrative which grapples with the practical, everyday considerations of what it means to create and sustain a supportive familial relationship between two gay men. Documenting the complexities of this contemporary familial arrangement provides us with some important opportunities for gay storytelling. In this instance, it allowed the author to better understand how two gay men like Ted and Simon came to construct their own notions of a father-son relationship. It also encourages us to explore how new gay identities and relationships are forged and negotiated over time through the biographical lens of family membership.     

Anal Cancer Screening: Barriers and Facilitators Among Ethnically Diverse Gay,Bisexual, Transgender,and Other Men Who Have Sex With Men

ABSTRACT

Knowledge and beliefs about anal cancer screening among gay and other men who have sex with men remains unclear, despite data that suggests significant risk for intra-anal HPV-related cancers. Nevertheless, community-based screening activities may be most effective when stakeholder perspectives are addressed. We conducted four focus groups among 16 male and 3 female health care advocates experienced in working with diverse gay and other men who have sex with men in Los Angeles. Barriers to anal cancer screening included lack of awareness, stigma, psychological and physical discomfort, the anus as hidden/private, primary concern with HIV, and men's lack of healthcare seeking. Facilitators were community screening sites, novel strategies such as home testing, health care system changes and targeted educational campaigns, which may increase anal cancer awareness and screening among ethnically diverse men who have sex with men.     

"Macho men" and preventive health care: implications for older men in different social classes

The gender paradox in mortality--where men die earlier than women despite having more socioeconomic resources--may be partly explained by men's lower levels of preventive health care. Stereotypical notions of masculinity reduce preventive health care; however, the relationship between masculinity, socioeconomic status (SES), and preventive health care is unknown. Using the Wisconsin Longitudinal Study, the authors conduct a population-based assessment of masculinity beliefs and preventive health care, including whether these relationships vary by SES. The results show that men with strong masculinity beliefs are half as likely as men with more moderate masculinity beliefs to receive preventive care. Furthermore, in contrast to the well-established SES gradient in health, men with strong masculinity beliefs do not benefit from higher education and their probability of obtaining preventive health care decreases as their occupational status, wealth, and/or income increases. Masculinity may be a partial explanation for the paradox of men's lower life expectancy, despite their higher SES.     

Social Work Educators’ Attitudes Toward Gay Men and Lesbians: A National Assessment

A sample of 927 U.S. social work educators expressed limited negative attitudes toward lesbians and slightly more negative attitudes toward gay men in this cross-sectional, national study using standardized survey instruments with proven psychometric properties. Faculty most likely to express negative attitudes toward lesbians included those employed at a religiously affiliated university (whether sectarian or non-sectarian), identifying as African-American and male, working in an urban or suburban setting (rather than a rural one), and having probationary tenure-track status. These individual and institutional characteristics accounted for 7.8% of the variance in social work educators’ negative attitudes toward lesbians. Faculty most likely to express negative attitudes toward gay men included those identifying as African-American, employed at a religiously affiliated university, identifying as heterosexual and male. These variables explained 12.4% of the variance in social work educators’ negative attitudes toward gay men. Implications for social work education are addressed and suggestions generated regarding how social work educators and their educational programs can ensure that they are preparing competent, unbiased practitioners who can advance social justice and reduce oppression among gay and lesbian clients.     

Responding to the Mental Health and Grief Concerns of Homeless HIV-Infected Gay Men

Summary

Aging, homeless HIV-infected gay men confront multiple bereavement and mental health issues. Needs assessment interviews with this population in the streets of New York City facilitate the initial review and provision of clinically and culturally appropriate service delivery strategies for these disenfranchised gay men to access bereavement support and mental health care systems.     

Are There Differing Patterns of Health Care Access and Utilization Among Male Sexual Minorities in the United States?

Disparities in health care access and utilization among male sexual minorities in the United States were explored using data from the National Survey of Family Growth (N = 8,846). Bisexual men had a small disadvantage in health insurance coverage but no differences were found in health insurance or consistency of coverage between gay and heterosexual men. Gay men were more likely to have a usual place of care, but were not more likely to utilize services. The current study provides inconclusive evidence for systematic disparities in health care access and utilization among gay and bisexual men in the United States.     

Introduction: Queering Later Life

Summary

The field of sexual trauma developed from the sociopolitical movements of the feminist, rape, and child protection movements. As thinking in the field developed, however, it has been difficult to integrate the perspective of the male survivor of sexual trauma into these perspectives. Gay men, in particular, have been notably absent from the literature, except when their abuse history is discussed as an etiology for their sexuality. It is clear that gay men suffer violence and oppression in the form of homophobia—an abuse with a sexual focus. Integrating the experience of gay men who have suffered trauma into perspectives regarding sexual trauma offers a possibility to enhance understanding about, as well as prevention efforts against, the sexual abuse of children. This includes expanding definitions and vocabulary regarding sexual trauma, as well as recognizing the impact on mental health professionals of working with survivors of sexual trauma.     

Negotiating Emotional Support: Sober Gay Latinos and Their Families

This study explores how sober gay Latino men obtain support from their families. Familial ties can be a protective health factor, yet many gay Latinos experience rejection from family members because of their sexuality. There are very few studies that examine the extent and quality of emotional support from kin for this population. Understanding family dynamics within the context of recovery and sexuality can increase our understanding of how to leverage family ties to develop alcohol abuse interventions. The study was conducted via semistructured interviews with 30 sober gay Latinos using a grounded theory approach. Analyses of the qualitative data identified the following themes: family values shaped the participants’ perception of their range of choices and emotional responses; participants reported feeling loved and supported even when sexuality was not discussed with parents; and family support for sobriety is essential. Findings suggest that familial ties shape perceptions of support and importance of disclosing sexual identity. Family support often results from agreements about sexual identity disclosure, and some families can overcome cultural and religious taboos on sexuality. Future studies should investigate families that negotiate acceptance with their gay members, and whether they exhibit heterosexual biases that may influence the psychological stress of gay Latino men who wish to be sober.     

Gay Men

Summary

This report presents the findings from four ethnographic studies of older gay men (Brown, 1997; Brown, Sarosy, Cook & Quarto, 1997; Cook, 1991; Quarto, 1996; Sarosy, 1996). There were 69 total participants who ranged in age from 36 to 79 years; most were from 50 to 65 years of age. The purpose of these studies was to examine how older gay men have adjusted, psychologically and socially, to their sexual orientation and aging process. Participants reported that they spend 50% time or more with gay friends within their own age cohorts. Many reported being involved with the gay community in some capacity, while about 15% had no involvement with the gay community. Most participants were in regular contact with their families. Most stated that their families were aware of their sexual orientation. Most of the participants reported experiencing discrimination due to sexual orientation, and one third had experienced discrimination within the gay community based on age or ethnicity. With regard to sex life, the studies found an overall lowered frequency of sexual activity. Participants felt that HIV/AIDS has had a devastating impact on older gay men, interrupting the normal aging process for those who have contracted it and prematurely aging those who care for them. The studies' findings identified the qualities of healthy adaptation to aging for older gay males: having satisfying relationship, self-acceptance as one ages, good health, an active life with a variety of interests, and financial security.     

Sexual coercion in gay male and lesbian relationships: Predictors and implications for support services

Numerous studies have documented the prevalence of forced sex in heterosexual couples. Positive effects of this research include increases in awareness about the problem among helping professionals and the public, as well as increases in support services and prevention programs. However, no research has been done on sexual coercion in gay male and lesbian relationships, and few support services exist. Therefore, this study is an investigation of the prevalence and correlates of coercive sex in gay male and lesbian relationships. Participants were 36 women and 34 men who were in gay or lesbian relationships. The results indicated that 12% of the gay men and 31% of the lesbians reported being victims of forced sex by their current or most recent partners. The higher reporting rate among women may be due to greater awareness of issues pertaining to sexual abuse, and greater likelihood of identifying various forms of coercion as force. For men, being a victim of forced sex was generally associated with being a victim of other forms of violence. For both sexes, victims of forced sex believed that it would be relatively difficult to get counseling. Implications for support services are discussed.