Black,Queer, and Looking for a Job: An Exploratory Study of Career Decision Making Among Self-Identified Sexual Minorities at an Urban Historically Black College/University

This thematically analyzed study seeks to explore the career decision perceptions of sexual minority college students at an urban historically black college/university (HBCU). This qualitative focus group study delved into how sexual minorities feel their visible variables of race, gender expression, and degree of disclosure influence their career thought process. Theories relative to the study included Krumboltz’s social learning theory of career decision-making, gender role theory, racial socialization, Cass’s homosexual identity model, and impression management. Though participants initially proclaimed they did not allow their sexual minority identity to affect their career decisions, their overall responses indicated otherwise.     

An Exploration of Sexual Minority Stress Across the Lines of Gender and Sexual Identity

Despite growing evidence to suggest that gays, lesbians, and bisexuals experience a range of stressors and consequences related to their sexual minority status, no known studies to date have employed focus group discussion to explore and document their perceptions of sexual minority stress. In this exploratory study, we present focus group data on a range of sexual minority stressors as described by 43 gay men, lesbians, and bisexual men and women. We explore gender and sexual identity differences in the respondents' perceptions of heteronormativity, disclosure issues in different social settings, sources of support, and strategies for coping with stress. Respondents reported that women's same-sex relationships were eroticized and distorted to accommodate heterosexual male desire, while men were negatively depicted as sexually promiscuous and deviant. These differing stereotypes held important consequences for disclosure decisions and affected men's and women's social interactions with heterosexual men. Bisexual respondents reported unique strategies to cope with exclusion and isolation associated with misunderstandings about their sexual identities. Directions for future research on sexual minority stress 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.     

Perceptions of Same-Sex Relationships and Marriage as Gender Role Violations: An Examination of Gendered Expectations (Sexism)

The current study sought to add to the literature that has demonstrated a link between sexism and sexual prejudice. The study evaluated whether a community sample with an age range of 19–64 (n = 122), including 32% sexual minority participants, believe that dating, sex, and marriage with same-sex partners are perceived to be gender role violations. Results varied by participant sexual/gender identity (LGBTQ or heterosexual) and political ideology. Liberal LGBTQ persons do not see same-sex relationships as gender role violations; LGBTQ non-liberals and heterosexual liberals rated same-sex relationships as mild violations; and non-liberal heterosexuals perceive same-sex relationships as “moderate” violations. Our results suggest both positive movement in attitudes toward same-sex relationships, including same-sex marriage, and broader recognition that gender identity, gender role expression, and sexual orientation are separate and distinct components of one’s overall sexual identity.     

LGBTQ+ Young Adults on the Street and on Campus: Identity as a Product of Social Context

Lesbian, gay, bisexual, queer, and other sexual and gender minority (LGBTQ+) young adults face unique identity-related experiences based on their immersion in distinctive social contexts. The predominant framework of performing separate analyses on samples of LGBTQ+ young people by their primary social status obfuscates more holistic understandings of the role of social context. Using 46 in-depth interviews with LGBTQ+ college students and LGBTQ+ homeless young adults, we ask: How are LGBTQ+ young adults’ capacities for “doing” their gender and sexual identities shaped by their distinctive social contexts? In developing their identities, both groups of LGBTQ+ young adults navigated their social environments to seek out resources and support. Most college students described their educational contexts as conducive to helping them develop their identities, or “undo” rigid norms of gender and sexuality. Homeless young adults’ social environments, meanwhile, imposed complex barriers to self-expression that reinforced more normative expectations of “doing” gender and sexual identities.     

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.     

Examining Sexual Orientation Disparities in Unmet Medical Needs Among Men and Women

Using the National Longitudinal Study of Adolescent Health (N = 13,810), this study examines disparities in unmet medical needs by sexual orientation identity during young adulthood. We use binary logistic regression and expand Andersen’s health care utilization framework to identify factors that shape disparities in unmet medical needs by sexual orientation. We also investigate whether the well-established gender disparity in health-seeking behaviors among heterosexual persons holds for sexual minorities. The results show that sexual minority women are more likely to report unmet medical needs than heterosexual women, but no differences are found between sexual minority and heterosexual men. Moreover, we find a reversal in the gender disparity between heterosexual and sexual minority populations: heterosexual women are less likely to report unmet medical needs than heterosexual men, whereas sexual minority women are more likely to report unmet medical needs compared to sexual minority men. Finally, this work advances Andersen’s model by articulating the importance of including social psychological factors for reducing disparities in unmet medical needs by sexual orientation for women.     

Minority Stress and Binge Eating Among Lesbian and Bisexual Women

Previous research demonstrates that lesbian and bisexual (LB) women report more binge eating behaviors compared to heterosexual women although the explanations for this disparity are not well understood. LB women also experience distal (e.g., discrimination) and proximal (e.g., expectations of rejection) minority stressors that are related to negative mental and physical health outcomes. The present study investigated the association between minority stressors and binge eating behaviors in LB women. A sample of 164 LB women completed an online survey that included measures of distal and proximal sexual minority stressors, emotional-focused coping, social isolation, negative affect, and binge eating. The resultant model partially supported both the psychological mediation framework and the affect regulation model. The principal finding was that among LB women, proximal stressors were associated with social isolation and emotion-focused coping, which in turn were associated with negative affect and ultimately binge eating. Overall, the study provides evidence that minority stress is associated with binge eating and may partially explain the disparity in binge eating between LB and heterosexual women.     

Mothers’ Sexual Identity and Children’s Health

Sexual minority women face a plethora of structural, socioeconomic, and interpersonal disadvantages and stressors. Research has established negative associations between women’s sexual minority identities and both their own health and their infants’ birth outcomes. Yet a separate body of scholarship has documented similarities in the development and well-being of children living with same-sex couples relative to those living with similarly situated different-sex couples. This study sought to reconcile these literatures by examining the association between maternal sexual identity and child health at ages 5–18 using a US sample from the full population of children of sexual minority women, including those who identify as mostly heterosexual, bisexual, or lesbian, regardless of partner sex or gender. Analyses using data from the National Longitudinal Study of Adolescent to Adult Health (N?=?8978) followed women longitudinally and examined several measures of their children’s health, including general health and specific developmental and physical health conditions. Analyses found that children of mostly heterosexual and bisexual women experienced health disadvantages relative to children of heterosexual women, whereas the few children of lesbian women in our sample evidenced a mixture of advantages and disadvantages. These findings underscore that to understand sexual orientation disparities and the intergenerational transmission of health, it is important to incorporate broad measurement of sexual orientation that can capture variation in family forms and in sexual minority identities.

     

Coming Out and the Potential for Growth in Sexual Minorities: The Role of Social Reactions and Internalized Homonegativity

Coming out is a significant and sometimes difficult process in the lives of sexual minorities, but disclosure can also affect wellbeing in positive ways, including reduced distress and greater relationship satisfaction. This study investigates the possibility of stress-related growth and depreciation following coming out. To obtain a diverse sample with varying coming-out experiences, data were collected from undergraduate students as well as from online sources, including lesbian, gay, and bisexual support groups and Pride groups. Regression analyses indicated that negative social reactions to coming out predicted both growth and depreciation, although they more strongly predicted depreciation. Positive social reactions were positively related to stress-related growth, while internalized homonegativity was inversely associated with growth. Although the two sample sources (online and campus) differed in some ways, sample source was not a significant predictor in the regressions, nor was it indicated as a moderator in exploratory ANOVA analyses.     

Beyond Happiness: Minority Stress and Life Meaning Among LGB Individuals

ABSTRACT

Scholars have recently started to examine how minority stressors are associated with wellbeing outcomes among lesbian, gay, and bisexual (LGB) people. Such studies have examined mainly hedonic wellbeing, and those that have investigated eudaimonic wellbeing have tended to use composite measures. The present study draws from this literature to examine how minority stressors are associated with a key indicator of eudaimonic wellbeing: life meaning. Drawing from the minority stress model, we examined these associations using structural equation modeling among 266 LGB adults. Expectations of rejection and identity concealment, but not discrimination or internalized homophobia, had significant negative associations with life meaning. Discrimination had negative indirect associations with life meaning via expectations of rejection and concealment. Our results highlight the nuanced relations that exist between minority stressors and life meaning and highlight the need to move beyond composite measures of wellbeing. Implications for clinical practice and directions for research are discussed.     

Explaining the association of race and ethnicity with the HIV/AIDS-related attitudes,behaviors and skills of high school students

This study deals with intervening factors such as family composition, religiosity, and HIV/AIDS knowledge in understanding the association of race and ethnicity with HIV/AIDS-related attitudes and behaviors. Data represent Wave 1 of a five-month panel design involving 10th grade students in eight public high schools in Dade County (greater Miami) Florida. Significant differences in attitudes and behaviors were found among racial/ethnic groups. Specifically, Hispanics had more negative attitudes about condom use than blacks or whites. Whites had the most permissive, and blacks the least permissive, sexual attitudes. Hispanics felt least confident and blacks felt most confident about interpersonal sexual skills. Blacks were most likely to have had sexual intercourse, and whites least likely. Religiosity was found to be a significant intervening variable in the less permissive sexual attitudes of both blacks and Hispanics. The most significant implication of this study is that racial/ethnic differences in sexual behavior can be explained more fully by socio-environmental factors such as family structure or religiosity than by knowledge or attitudes. Thus, interventions directed toward minority populations should focus on the development of alternative social environments that would support more positive behaviors. More specifically, extended family, religious youth groups, and other community organizations should be brought into the HIV/AIDS risk-reduction arena.     

Older women and sexuality: Narratives of gender,age, and living environment

Little research has explored the intersection of aging and sexuality. This qualitative study is informed by a life course approach and narrative gerontology methods. Semistructured interviews were conducted with 13 women age 55 and older to explore the effects of gender, aging, and living environment on past and current sexual experiences. Subthemes from each major theme are discussed, including: (a) messages about and perceived effects of gender, (b) perceived effects of aging, and (c) perceived effects of living environment. Findings support the use of dynamical systems theory to study women’s sexual experiences.     

Disclosure patterns within social networks of gay men and lesbians

Gay men and lesbians must make decisions about disclosure of their sexual orientation. Past research has focused on an individual's overall level of disclosure or on disclosure to a specific subset of individuals. This study used a new measure, the Disclosure Grid, to assess the disclosure patterns of 89 gay men and 55 lesbians across their entire social network. In addition to assessing disclosure to each network member, the Grid also assessed perceived relationship quality prior to disclosure and currently. Finally, the Grid assessed perceptions of each network member's initial and current acceptance of the gay or lesbian person's sexual orientation. Data provide a rich portrait of disclosure patterns among a heterogeneous, urban sample of lesbians and gay men. Analyses also found support for three hypotheses about disclosure, relationship quality, and acceptance. For example, it was found that participants have better relationships with individuals they have directly told about their sexual orientation than with people who found out in an indirect manner.     

Concealing Concealment: The Mediating Role of Internalized Heterosexism in Psychological Distress Among Lesbian,Gay, and Bisexual Older Adults

ABSTRACT

Recent population-based studies indicate that sexual minorities aged 50 and older experience significantly higher rates of psychological distress than their heterosexual age-peers. The minority stress model has been useful in explaining disparately high rates of psychological distress among younger sexual minorities. The purpose of this study is to test a hypothesized structural relationship between two minority stressors—internalized heterosexism and concealment of sexual orientation—and consequent psychological distress among a sample of 2,349 lesbian, gay, and bisexual adults aged 50 to 95 years old. Structural equation modeling indicates that concealment has a nonsignificant direct effect on psychological distress but a significant indirect effect that is mediated through internalized heterosexism; the effect of concealment is itself concealed. This may explain divergent results regarding the role of concealment in psychological distress in other studies, and the implications will be discussed.     

LGBT-Competence in Social Work Education: The Relationship of School Contexts to Student Sexual Minority Competence

This study examined the relationship between master of social work programs’ (MSW) support of lesbian, gay, bisexual, and transgender people (LGBT-competence) and the sexual minority competence (LGB-competence) of social work students. Data were gathered from a sample of MSW program directors, faculty members, and students (N = 1385) within 34 MSW programs in the United States. A series of hierarchical linear models tested if a MSW program’s LGBT-competence was associated with the LGB-competence of its students. Results showed a significant relationship between organizational LGBT-competence and individual LGB-competence within schools of social work, and that programs with greater LGBT-competence also had students who felt more competent to work with sexual minorities. These findings suggest schools of social work can take substantive action at an organizational level to improve the professional LGB-competence of future social workers. Implications for social work education are discussed.     

Heterosexual Marital Intention: Effects of Internalized Homophobia,Homosexual Identity,Perceived Family Support,and Disclosure Among Chinese Gay and Bisexual Men

ABSTRACT

The present study explored the factors that influence the likelihood that 217 Chinese gay/bisexual men will engage in heterosexual marriage, focusing on the Chinese cultural context, in which filial duties to marry, have children, and support one’s parents in their old age are taken seriously. Data on heterosexual marital intention (HMI) were examined in relation to demographics, internalized homophobia, homosexual identity formation (HIF), perceived family support, and disclosure. We estimated a multinomial logistic regression model for HMI. Internalized homophobia was a predictor for HMI. Lower levels of HIF and disclosure were found in gay/bisexual men who have married or who intend to marry; and the more family support gay/bisexual men perceived, the more likely they were to enter heterosexual marriages. The findings could help to better evaluate and comprehend the factors leading to heterosexual marriages involving Chinese gay/bisexual men. The social implications of this research are also discussed.     

Gender Role Violations and the Sexual Double Standard

ABSTRACT

The sexual double standard (SDS) suggests that women are evaluated negatively and men positively for engaging in similar sexual behaviors. According to social role theory, the SDS exists due to gender role structures. Consequently, perceived violations of women’s sexual behavior are associated with the SDS. In addition to gender role violations of sexual behavior, two additional violations of gender roles exist: heterosexual sexual orientation norms and gender role characteristics. The current study aims to investigate whether the SDS persists for sexual orientation–violating and gender role characteristic–violating targets, and to examine which of the three gender role violations influence evaluations of others’ sexual behavior. A U.S. sample of 483 participants evaluated target individuals who were either female or male, heterosexual/gay man or lesbian, feminine or masculine, and had 1 or 12 sexual partners. Results indicate that SDS persists for gender role–violating targets but is exhibited differently for targets violating heterosexual sexual orientation norms and gender role characteristics.     

Perceptions of Campus Climate by Sexual Minorities

Previous research has indicated that students who identify as lesbian, gay, bisexual, or transgender (LGBT) often have negative experiences on university campuses due to their sexual orientation or gender identity. Direct and indirect experiences contribute to an overall perception of the campus climate. This study used an online survey to assess students' perceptions of campus climate, their experiences confronting bias, support of family members and friends, and whether they had considered leaving campus. Multiple regression analysis indicated that perceptions of poorer campus climate were predicted by greater unfair treatment by instructors, more impact from anti-lesbian, gay, bisexual, transgender, or queer (LGBTQ) bias on friends’ and families’ emotional support, and having hidden one's LGBT identity from other students. Cluster analyses revealed four groups of participants distinguished by openness about their sexual orientation and negative experiences, with one group appearing to be at risk for poor retention. Results are discussed in terms of the needs of LGBTQ students on campus.     

Could the EQ-5D be Used to Predict Mortality and Hospitalization Over a Long Term Period?

Although numerous studies have demonstrated that social support affects a range of life experiences, only a few have examined the moderators and mediators such as self-esteem. According to self-control theory, self-control represents one’s ability to override or change one’s inner responses, and to interrupt undesired behavioral tendencies and refrain from acting on them. A high level of self-control may help individuals to mediate or moderate negative affect and thus weaken any adverse effects, contributing to their subjective well-being (SWB) in the long run. The current study explored how this interaction may affect the subjective well-being of the Chinese elderly, for whom self-control and social support are especially important life management issues. The study examined whether self-control mediates and moderates the relationship between social support and SWB among the elderly Chinese population. The data were collected from 335 elderly Chinese people (162 females and 173 males) from ten cities in central China, who completed the Chinese Social Support Scale, Trait Self-control Scale, Life Satisfaction Scale and Positive and Negative Affect Scale. The results showed that self-control, social support and SWB were strongly and significantly related. Hierarchical regression analysis showed that self-control partially mediated the influence of social support on SWB. Moreover, self-control moderated the relationship between social support and positive affect, but not life satisfaction and negative affect. These findings imply that self-control is a critical indicator of SWB and can serve as a basis for differentiating between intervention strategies that promote SWB among the elderly by helping them manage positive and negative affect. Future studies should further examine the internal mechanisms by which self-control influences SWB.