The Influence of Family Environment Factors on Self-Acceptance and Emotional Adjustment Among Gay,Lesbian, and Bisexual Adolescents

Abstract

The quality of an adolescent's family environment has been shown to contribute to their self-acceptance and emotional adjustment. Studies suggest that sexual minority adolescents face unique challenges while negotiating family relationships but few studies have specifically examined the relationships between these family environments and the adolescent's psychological adjustment. This study examined general aspects of family functioning (family cohesion, family expressiveness, family conflict, parental support) and parental attitudes toward homosexuality as predictors of self-acceptance of sexual orientation identity and emotional adjustment among 102 gay, lesbian, and bisexual adolescents ages 15 to 19 years. Family variables did not predict a significant amount of variance in self-acceptance of sexual orientation identity. However, measures of general family functioning and parental attitudes toward homosexuality accounted for significant amounts of variance in emotional adjustment.     

More Than Just Sex

Abstract

The purpose of this research was to identify behaviors in addition to those of an explicitly sexual or romantic nature that men and women define as unfaithful acts in the context of committed dating relationships. We also sought to identify possible gender differences in the proportions of men and women who have engaged in these unfaithful behaviors while in dating relationships. We examined 219 college men's and women's reported involvement in sexual behaviors, romantic attachments, sexual and nonsexual fantasies, sexual attraction, romantic attraction, flirting, and social participation in dyads and groups with someone other than their current or past dating partner. A sizable proportion of both men and women reported engaging in one or more of the behaviors at some point in their dating history. Proportionately more men than women indicated having engaged in sexual fantasies of various types about someone other than their primary partner and reported “hitting on” someone else while in a dating relationship. No other gender differences emerged. A unique aspect of this study is that we asked young men and women to determine what kinds of behaviors they considered to be unfaithful rather than only examining sexual and emotional behaviors as has been the case in past research. Further, the few significant gender differences we found indicates that the convergence of men's and women's attitudes about sexuality may now be show in their behavior.     

Gender differences in the enactment of sociosexuality: An examination of implicit social motives,sexual fantasies,coercive sexual attitudes,and aggressive sexual behavior

An unrestricted sociosexual orientation (the endorsement of casual sex) has been found to correlate with undesirable behaviors and personality characteristics more so in men than in women. Using a community sample of men and women, we investigated the correlations between sociosexuality and behaviors, motives, attitudes, and fantasies related to sexual aggression. Participants (n = 168; ages 21–45) completed self‐report measures of sociosexual orientation, sexual conservatism, rape myth acceptance, adversarial sexual beliefs, attitudes toward women, sexual behaviors, and perpetration of sexual aggression. Participants also wrote five brief stories that were scored for power and affiliation‐intimacy motives and two sexual fantasies that were coded for the theme of dominance. For both men and women, an unrestricted sociosexual orientation was correlated with behavioral items indicating earlier life experiences with sex, a greater number of lifetime sex partners, and more frequent sexual activity. For men, an unrestricted sociosexual orientation was linked with higher levels of rape myth acceptance and adversarial sexual beliefs; more conservative attitudes toward women; higher levels of power motivation and lower levels of affiliation‐intimacy motivation; and past use of sexual aggression. For women, an unrestricted sociosexual orientation was associated with sexual fantasies of dominance and lower levels of sexual conservatism.     

Predictor Factors Associated with Premarital Sexual Behaviors Among University Students in an Islamic Culture

ABSTRACT

We examined premarital sexual behaviors among Turkish university students and the predictor factors for these behaviors. The study included 638 eligible students (256 women and 382 men). Masturbation was reported by 53.3% of the participants, and sexual intercourse experience was reported by 26.3%. Men, heterosexual orientation, and non-religious/liberal religiosity were predictor factors for masturbation and premarital sexual intercourse/foreplay experience. Men having more sexual experiences than women may indicate gender double standards, while heterosexual orientation as a predictor of sexual behaviors could relate to homophobia, still prominent in Turkey. These findings highlight Islam's restrictive attitude towards sexuality despite continued Western influences.     

Gender differences in the enactment of sociosexuality: an examination of implicit social motives, sexual fantasies, coercive sexual attitudes, and aggressive sexual behavior

An unrestricted sociosexual orientation (the endorsement of casual sex) has been found to correlate with undesirable behaviors and personality characteristics more so in men than in women. Using a community sample of men and women, we investigated the correlations between sociosexuality and behaviors, motives, attitudes, and fantasies related to sexual aggression. Participants (n = 168; ages 21-45) completed self-report measures of sociosexual orientation, sexual conservatism, rape myth acceptance, adversarial sexual beliefs, attitudes toward women, sexual behaviors, and perpetration of sexual aggression. Participants also wrote five brief stories that were scored for power and affiliation-intimacy motives and two sexual fantasies that were coded for the theme of dominance. For both men and women, an unrestricted sociosexual orientation was correlated with behavioral items indicating earlier life experiences with sex, a greater number of lifetime sex partners, and more frequent sexual activity. For men, an unrestricted sociosexual orientation was linked with higher levels of rape myth acceptance and adversarial sexual beliefs; more conservative attitudes toward women; higher levels of power motivation and lower levels of affiliation-intimacy motivation; and past use of sexual aggression. For women, an unrestricted sociosexual orientation was associated with sexual fantasies of dominance and lower levels of sexual conservatism.     

Factors Associated with HIV Sexual Risk Behavior in Male Couples of Mixed HIV Status

Abstract

There are concerns that rates of unprotected anal intercourse and new HIV infections among some gay men have remained at or returned to dangerous levels, similar to those seen in the first decade of the epidemic. Most research on sexual risk behavior of gay men has focused on individuals even though several studies have indicated that unprotected anal intercourse (the most risky of sexual behaviors) is most likely to occur between two men who are regular partners.

This study was conducted with 75 HIV serodiscordant (“mixed HIV status”) male couples. The goals were to assess the types and prevalence of sexual risk behaviors within these dyads, to identify reasons given for engaging in risk behavior with their partner of opposite HIV status, and to examine the association, if any, between risk behaviors and potential individual and partner related factors and context. Both members of the couple were included in all assessments.

There was a tendency for unprotected anal sex to occur more often among younger men, newer couples, Latino men, and men with less education. Lower risk perception and self-efficacy for condom use, desire for sexual spontaneity, intimacy, and personal and partner satisfaction were all related to sexual risk behavior. The men in these relationships also used specific “harm reduction” strategies, based on their own understanding of transmission risk. Therefore it is important to integrate biological and behavioral knowledge to develop effective prevention campaigns. And prevention programs need to consider the ongoing emotional needs of both the HIV seronegative (HIV-) and HIV sero-positive (HIV+) partner.     

Multiple sex partners among college women and men: Sexual behaviors and sexual satisfaction revisited

The purpose of this investigation was to examine the effects of number of lifetime sex partners on sexual behaviors, sexual attitudes, and sexual satisfaction for never‐married college women and men. An anonymous questionnaire was administered in select classes at a midwestern state university. One‐partner group (one sex partner) women, in comparison to few‐partner (two to five sex partners) and many‐partner (six or more sex partners) group women, were more likely to have been older at first intercourse and to report psychological sexual satisfaction, mastur‐batory guilt, and commitment and love as conditions for sexual intercourse. For men, one‐partner group respondents were also more likely than few‐partner and many‐partner group respondents to report older age at first intercourse, masturbatory guilt, and commitment and love as conditions for sexual intercourse. In an era in which early sexual fulfillment clashes with concerns over unsafe sexual practices, these data provide insights into the influence of multiple partner experience on the sexual behavior patterns of young adults.     

Predicting disclosure of MSM status to providers in a primarily socially conservative state

ABSTRACT

Purpose: This study aimed to determine what predicts a man who identifies as MSM living in a conservative state to inform his provider of his sexual behaviors and/or his sexual orientation. Methods: We administered an anonymous online survey to 148 men who reported seeing a general medical provider in the last 12 months. All participants resided in Oklahoma. Results: When controlling for HIV status, previous STI diagnosis, and age, logistic regression modeling yielded significant results (x²(9) = 31.22, p <.001) predicting 70.3% of cases. Age and overall disclosure of sexual orientation and/or sexual behaviors were significant predictors. Conclusion: Individuals who did not disclose their sexual orientation or same-sex behaviors to friends and family members were less likely to inform their providers of their sexual orientation. Disclosure of MSM status provides additional opportunities to enhance primary and secondary prevention strategies in rural and conservative areas that are necessary to optimize health, including but not limited to HIV screening and discussion of pre-exposure prophylaxis that their counterparts in urban settings more readily receive.     

Premarital sexual experience: A longitudinal study∗

The relative importance of women's sex‐role orientation and their observation of maternal sexual affection in predicting college women's attitudes toward 18 sexual behaviors were examined in this investigation. A sample of 122 single female college students from intact families was administered three questionnaires: the Attitudes Toward Women Scale, the Mother's Expression of Affection Scale, and the Sexual Attitude Questionnaire. Stepwise regression analysis was used to determine the relative contribution of sex‐role orientation and maternal expression of affection to attitudes toward each of the sexual behaviors. Findings revealed that sex‐role orientation was a significant predictor of attitudes toward 14 of the 18 specific items. More egalitarian views of women were associated with more positive attitudes toward engaging in a variety of sexual behaviors and taking steps to ensure one's own contraceptive security. Mother's expression of sexual affection toward her spouse was a significant predictor of only two behavioral items. Greater exposure to an affectionate mother was associated with more positive attitudes toward speaking affectionately to men and behaving assertively in a sexual relationship. Implications of the findings for family practitioners are discussed.     

Racial and Sexual Identities of Asian American Gay Men

ABSTRACT

This paper reports results of two studies about the racial and sexual identities of Asian American gay men. In the first study, 32 Asian American gay men completed measures assessing racial and sexual identity attitudes. Results suggested that Assimilationists had the most negative sexual identity attitudes, followed by Marginalists and Separationists, with Integrationists having the most positive sexual identity attitudes. Study 2 was a qualitative study based on interviews with 10 of the participants in Study 1. Twenty-nine themes were identified and grouped under five domains (personal background, coming out, being Asian in the U.S., being gay in the U.S., and multiple identities). Most themes were related to the parallel and interactive processes between participants' racial and sexual identity development. Practical and research implications are discussed.     

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.     

Correlates of Homophobia and Use of Gay Affirmative Practice Among Social Workers

ABSTRACT

Research on social work practice with gay and lesbian clients has historically focused on examining social workers' attitudes towards gay and lesbian individuals, however, no studies have examined the relationship between attitudes and practice using validated measures to assess practice. The focus of this study was therefore to examine the relationship between attitudes and practice with gays and lesbians using the recently developed and validated Gay Affirmative Practice Scale (GAP). Significant relationships were found with the GAP and two measures of homophobia as well as with measures that assessed feelings about lesbians and gay men, contact with gays and lesbians, attendance at workshops that focused on gay and lesbian issues, relationship status, sexual orientation, political party, and primary area of practice. Relationships with measures of attitudes were also examined. Implications for social work practice, education, and research are discussed.     

Same-Sex Sexual Experience in Thailand

Abstract

In this paper I consider a number of studies of rates of same-sex sexual experience among young men and women in Thailand which have been conducted since the late 1980s. Interest in conducting these quantitative studies was prompted, first, by concerns among Thai educators and social commentators about a perceived increase in homosexual behavior among both male and female adolescents and, second, by the need to determine the prevalence of different sexual behaviors considered to be associated with the risk of transmitting the human immunodeficiency virus (HIV). Studies of rates of same-sex experience have a more recent history in Thailand than in the United States or other western countries, beginning in the second half of the 1980s. The first studies were undertaken by researchers working within a psychological framework which problematized homosexuality and which was motivated by a concern to reduce the incidence of homosexuality. This anti-homosexual research program is detailed in Jackson and Sullivan's introductory essay in this volume. The second, HIV/AIDS-influenced set of studies, have been undertaken by epidemiologists and demographers operating within a framework that has not problematized homoer-oticism. In reviewing the Thai research, I critically assess the methodologies of the various studies and point to possible biasing factors in data gathering techniques. I conclude by considering the implications of these studies for the provision of social services to homosexually active men and women in Thailand.     

Sexual Experimentation in Heterosexual,Bisexual, Lesbian/Gay,and Questioning Adolescents From Ages 11 to 15

To examine adolescent sexuality development, we analyzed data from a British cohort study (N = 5,070), which assessed the same 12–14 sexual activities at ages 11, 12, 13, and 15, and sexual orientation identity at age 15. The sexual activities ranged from low (e.g., cuddling), moderate (e.g., kissing), to high (e.g., sexual intercourse) intensity. We found that most adolescents having sexual activities of low‐to‐moderate intensity with same‐sex individuals also had them with other‐sex individuals, and adolescents having other‐sex contacts of low intensity often reported them nonexclusively. Furthermore, other‐sex and same‐sex sexual activities did not reliably distinguish between sexual orientation identities. Sex differences in these phenomena were absent or small. These findings suggest that many adolescents have low‐intensity nonexclusive sexual behaviors.     

Risk Factors of Gay,Lesbian, and Bisexual Adolescents

Abstract

Many researchers of gay, lesbian, and bisexual adolescents describe them as an “invisible” minority. These youth are also one of the most “at risk” youth populations, as they often experience a range of problems related to society's stigmatization of same-sex orientation. Although sexual orientation is not necessarily related to heightened difficulties, lack of social support, infrequent positive interactions, and chronic stress may lead to increased problem behaviors for these youth. To further understand the risk and protective factors experienced by sexual minority adolescents, this article explores a number of these factors and reviews the current empirical research on specific topics, including: family, peer and school, substance use, suicide, and HIV/AIDS issues. Finally, practice implications are discussed to guide clinicians in working more effectively with this youth population.     

Perceptions of Early Sexual Experiences and Adult Sexual Adjustment

Abstract

Individuals' self-evaluations of their childhood and adolescent sexual experiences as positive, mixed, or negative, and the relationship of these evaluations to adult sexual attitudes and adjustment were examined. Undergraduate students (N= 141) at a Northeastern university completed a sex history questionnaire and measures of sexual attitudes and satisfaction. Results supported the hypotheses that positively evaluated early sexual experiences would be associated with greater erotophilia, more acceptance of various sexual behaviors for self and others, and greater sexual satisfaction. Limitations of the study include potential biases of retrospective reports and relatively small sample sizes for some comparisons. Implications for future research include the importance of self-evaluations of early sexual experience as a predictor of later sexual attitudes and adjustment.     

The Adolescent Sexual Development of African American Gay Men with AIDS: Implications for Community-Based Practice

ABSTRACT

This qualitative study describes the adolescent sexual development of ten African American gay men living with AIDS. The informants retrospectively describe the challenges of being a gay adolescent in a mostly heterosexist and homophobic environment. They report unsupportive homophobic and heterosexist family members, community members and school officials. They also describe their burgeoning sexual orientation, sexual initiation as well as consensual and non-consensual sexual experiences with their peers. Additionally, several informants describe seeking sexual experiences with adult men. Later they suggest the adult men became their primary sources of emotional and psychological support. Implications for community practice, intervention and research with both African American gay adolescents and adult men living with AIDS are discussed.     

Behavioral health correlates of exposure to community violence among African-American adolescents in Chicago

AimsThough public health researchers are more aware of behavioral health concerns among African American youth, few studies have explored how exposure to community violence may be related to adverse youth concerns. This study examines the relationship between exposure to community violence and mental health problems, substance use, school engagement, juvenile justice involvement, and STI risk behaviors.MethodsA total of 638 African American adolescents living in predominantly low-income, urban communities participated in the study by completing self-report measures on exposure to community violence, mental health, school engagement proxies, substance use, delinquency markers and sexual risk behaviors.ResultsAdolescents who reported higher rates of exposure to community violence were significantly more likely to report poorer mental health, delinquent behaviors, a history of juvenile justice involvement, lower school bonding and student-teacher connectedness. These youth were also significantly more likely to use alcohol, cigarettes, and illicit substances, and engage in sexual risk behaviors.ConclusionsFindings suggest that there is a critical need for culturally relevant prevention and intervention efforts for African American adolescents who are frequently exposed to community violence.     

Sexual orientation differences in HIV testing motivation among college men

Objective: To investigate sexual orientation differences in college men's motivations for HIV testing. Participants: 665 male college students in the Southeastern United States from 2006 to 2014. Methods: Students completed a survey on HIV risk factors and testing motivations. Logistic regressions were conducted to determine the differences between heterosexual men (HM) and sexual minority men (SMM). Results: SMM were more motivated to get tested by concern over past condomless sex, while HM were more often cited supporting the testing program “on principle” and wanting a free t-shirt. SMM and HM differed in behaviors that impact HIV risk and other demographics. However, differences in testing motivation by concern over past condomless sex or wanting a free t-shirt persisted when controlling for these demographic and behavioral differences. Conclusions: Appropriately designed HIV prevention interventions on college campuses should target SMM's distinct concern over past condomless sex as a testing motivation.