Measuring Love: Sexual Minority Male Youths' Ideal Romantic Characteristics

Research examining how sexual minorities characterize love within same-sex relationships is scarce. In this study, we examined the validity of Sternberg's Triangular Theory of Love in a sample of sexual minority male youth (N = 447). To test the adequacy of the theory for our population, we examined the psychometric properties of the Triadic Love Scale (TLS) and tested whether the three underlying constructs of the theory (Intimacy, Passion, and Commitment) emerged when participants were asked to consider their ideal relationship with another man. Using confirmatory factor analysis (CFA), we found support for the three-factor solution to characterize sexual minority male youths' ideal romantic relationship, after minimizing item cross-loadings and adapting the content of the Passion subscale. We discuss the implications of our findings regarding the measurement of the TLS among sexual minority male youth and propose ways to enhance its measurement in future research.     

Functional outcomes among sexual minority youth emancipating from the child welfare system

The heterogeneity of youth emancipating from the foster care system makes it difficult to establish the extent to which their functional outcomes are equivalent across different subgroups. In the present study, we use secondary data from the Multi Site Evaluation of Foster Youth Programs (MSEYP) to explore the challenges faced by sexual minority youths in comparison to their heterosexual peers. We focus on measurements of key independent living outcomes at age 19 to obtain a broad picture of how sexual minority youth fare during the period of transition to adulthood. Bivariate results indicate that the deficits for sexual minority youth are noteworthy across all categories of functional outcomes (i.e. education, employment, homelessness and financial stability). Furthermore, results from binary logistic regression models indicate that sexual orientation was associated with each category of functional outcomes, even when controlling for demographics and child welfare history factors. Findings suggest that sexual minority youth leaving foster care are particularly vulnerable to negative outcomes and may require more intensive supports during the period of transition to adulthood. Implications for practice and future research are discussed.     

Mental Health Service Delivery to Sexual Minority and Gender Non-Conforming Students in Schools: A Winnicottian Approach

Current research highlights the increased risk factors that sexual minority (lesbian, gay, bisexual) and gender minority (transgender/gender non-conforming) students face as compared to their heterosexual and cisgender peers. These risk factors include higher rates of depression, suicide, substance use, school dropout, sexually transmitted infections, experiences with bullying on school campuses and increased risk of homelessness. Although this research has aided our understanding of the needs and risks of this population of youth, few articles have emerged from these data which offer a comprehensive theoretical approach to work clinically with these adolescents in school-based settings. This article explores how school mental health staff can address the behavioural health needs of sexual and gender minority students through the adoption of a Winnicottian theoretical approach. With an intensive focus on academic achievement, schools have historically been limited in their usage of evidence-based data to create programs which adequately address the mental health needs of student populations on their campuses. Yet, sexual and gender minority students are likely to be present in almost every school in the country. Schools can serve as gateways to mental health access and can offer innovative and culturally responsive practices across racial, ethnic, class, and geographic lines. As the single largest holders of the student population in the United States, schools have the ability to play a significant role in mental health service provision for sexual and gender minority youth.     

Measuring Sexual Orientation: A Review and Critique of U.S. Data Collection Efforts and Implications for Health Policy

The U.S. Department of Health and Human Services’ (HHS) Healthy People 2020 goals sought to improve health outcomes among sexual minorities; HHS acknowledged that a dearth of sexual orientation items in federal and state health surveys obscured a broad understanding of sexual minority–related health disparities. The HHS 2011 data progression plan aimed to advance sexual orientation data collection efforts at the national level. Sexual orientation is a complex, multidimensional construct often composed of sexual identity, sexual attraction, and sexual behavior, thus posing challenges to its quantitative and practical measurement and analysis. In this review, we (a) present existing sexual orientation constructs; (b) evaluate current HHS sexual orientation data collection efforts; (c) review post-2011 data progression plan research on sexual minority health disparities, drawing on HHS survey data; (d) highlight the importance of and (e) identify obstacles to multidimensional sexual orientation measurement and analysis; and (f) discuss methods for multidimensional sexual orientation analysis and propose a matrix for addressing discordance/branchedness within these analyses. Multidimensional sexual orientation data collection and analysis would elucidate sexual minority–related health disparities, guide related health policies, and enhance population-based estimates of sexual minority individuals to steer health care practices.     

Gender matters: constructing a model of adolescent sexual health

This article illustrates the construction of a new model of adolescent sexual health, one that addresses the complex relationships between gender and adolescent sexuality. A review of sexual health models highlights the absence of gender; in contrast, research illuminates the significance of gender. This article describes the process of building a model of sexual health explicitly for girls, guided by feminist research on adolescent girls' sexuality and a "web of theories". It also describes the unanticipated challenges of making a companion model for boys and the ensuing shift from a gender-specific approach to an integrated gendered model of adolescent sexual health. Gender complementarity is defined and forwarded as a way to incorporate gender into a model of adolescent sexual health.     

"We are not aliens, we're people, and we have rights." Canadian human rights discourse and high school climate for LGBTQ students

Canadian law protects people from discrimination on the grounds of sexual orientation, but our public schools do not fulfill their ethical and legal obligations where sexual and gender minority youth are concerned. This article reports on a national survey study on homophobia and transphobia in Canadian high schools. Participants (n = 3,607) were questioned about school climate, harassment, school attachment, and institutional interventions. We found that schools were neither safe nor respectful for sexual and gender minority students, and we argue that ongoing exposure to this situation undermines students' respect for the Charter of Rights and their faith in adults.     

Assessing School Climate Among Sexual Minority High School Students

ABSTRACT

Gay, lesbian, bisexual, transgender, questioning, and intersex (i.e., sexual minority) youth are often targets of aggression because of their sexual identity, both in and out of schools. Literature on school-related aggression toward sexual minority youth often relies on quantitative surveys or retrospective studies. Little non-retrospective research has been done with this population investigating the nature of bullying, school climate, and the effects of being a sexual minority youth in schools. Sixteen sexual minority high school youth participated in face-to-face, in-depth interviews. Results for the themes from these interviews are presented in four categories: Sexual minorities' overall perspective on their school climate, the nature of aggression in schools against sexual minorities when present, the characteristics of the victims and bullies, and the consequences of being a sexual minority in schools. These youth's perspectives provide support for existing literature on the nature of bullying while providing additional insights into the nature and deficiencies of the resources available to them at schools. Ideas for future research with sexual minority youth in school-based settings also are included.     

Exploring racial identities through participatory visual and ethnographic methods: (Re)presenting the identities of ethnic minority youth in Hong Kong

There is increasing research attention to the integration of ethnic minority youth in Hong Kong. Within this attention lies an interest in how these young people make sense of their identities in relation to their schooling experiences. From a qualitative methodological viewpoint, researchers’ positionalities, including their cultural background and scholarly motivations, have implications on the ways in which they (re)present their findings. Using the axes of insider and outsider, we reflect on and compare how we have approached two studies with ethnic minority youth in Hong Kong. We discuss the potential affordances and tensions of cultural insider and outsider roles in our research to highlight the cultural dynamics in our interactions with our participants. As we advance dialogue on how researchers approach their work through their own cultural positionalities, we offer a nuanced account of the complexities surrounding the ‘making’ of ethnic minority young people’s identities in Hong Kong.     

Nonmetropolitan sexual and gender minority youths' friendships: Perceptions of social support among SGM and non-SGM peers

ABSTRACT

Sexual and gender minority (SGM) youth are at risk of victimization which can lead to poor outcomes. Social support can mitigate the effects of minority stressors, yet little is known about social support among nonmetropolitan SGM youth. This study utilized minority stress theory (Meyer, 2003) and Weeks' (1996) theory of how sexual minority communities are constructed to understand how nonmetropolitan SGM youth perceive the support they receive from SGM and non-SGM friends. Qualitative interviews were conducted with nonmetropolitan SGM youth. Youth received general emotional support, relationship advice, and protection from SGM and non-SGM friends. From their SGM friends, participants reported receiving greater closeness and emotional intimacy and assistance with SGM identity development. Participants indicated that receiving acceptance for their SGM identity was important from their non-SGM friends. Participants also discussed the limits to support their non-SGM friends could offer. Implications for practice and research are discussed.     

Really troubled girls: Gender differences in risky sexual behavior and its correlates in a sample of juvenile offenders

Despite numerous studies on the myriad of psychosocial factors that affect youthful offenders, research on gender differences with respect to risky sexual behavior are limited. Using data on juvenile offenders in a residential facility, we analyzed impact of gender on sexual behavior (N = 227). Girls reported higher likelihood of diagnosis with sexually transmitted diseases, and injecting drug use including heroin and cocaine than boys. Multivariate analysis indicated that number of sexual partners, childhood trauma, and services received from emergency shelter and psychiatric settings were associated with risky sexual behavior. Discouraging, abusive and dysfunctional home environment with little support from parents/caregivers, or teachers, priests/religious leaders appear to dispose youth to a life of risky sex, drugs and delinquency.     

Harassment Due to Gender Nonconformity Mediates the Association Between Sexual Minority Identity and Depressive Symptoms

The visibility of a stigmatized identity is central in determining how individuals experience that identity. Sexual minority status (e.g., identifying as gay, lesbian, or bisexual) has traditionally been identified as a concealable stigma, compared with race/ethnicity or physical disability status. This conceptualization fails to recognize, however, the strong link between sexual minority status and a visible stigma: gender nonconformity. Gender nonconformity, or the perception that an individual fails to conform to gendered norms of behavior and appearance, is strongly stigmatized, and is popularly associated with sexual minority status. The hypothesis that harassment due to gender nonconformity mediates the association between sexual minority status and depressive symptoms was tested. Heterosexual and sexual minority–identified college and university students (N = 251) completed questionnaires regarding their sexual minority identity, experiences of harassment due to gender nonconformity, harassment due to sexual minority status, and depressive symptoms. A mediational model was supported, in which the association between sexual minority identity and depressive symptoms occurred via harassment due to gender nonconformity. Findings highlight harassment due to gender nonconformity as a possible mechanism for exploring variability in depressive symptoms among sexual minorities.     

Sexual minority youth in romantic relationships: Associations with youth well-being

This study investigated differences in depressive symptoms, loneliness, and self-esteem for monosexual (lesbian, gay) and plurisexual (bisexual, pansexual, queer) sexual minority youth (SMY) by relationship status (single, partnered) and relationship configuration (same-gender partner, different-gender partner). Participants included 338 SMY (M_age = 19.10 years) who reported on their relationship status, partner's gender identity, well-being, and ability to confide in partner about LGBTQ issues. Results indicated that for plurisexual youth, single status was associated with greater loneliness; plurisexual youth with same-gender partners reported fewer depressive symptoms and marginally greater ability to confide in their partner about LGBTQ issues than those with different-gender partners. Findings reveal similarities across SMY while also highlighting some unique challenges among plurisexual youth with different-gender partners.     

Understanding Sexual Minority Health Disparities in Rural Areas

This article reviews research from several disciplines including sociology, psychology, and public health to examine recent inconsistencies in findings of rural/urban health disparities among sexual minority populations. Previous work has found that sexual minorities (lesbian, gay, and bisexual individuals) report worse health than their heterosexual counterparts on many physical and mental health measures. To understand this occurrence, scholars have situated these findings most often within either minority stress or fundamental cause frameworks. These theories attribute health differences to unique stressors and stigmatization experienced by sexual minorities within a heteronormative social climate. This review provides an overview of specific health disparities by gender and sexual orientation, critically examines research on rural/urban health differences among sexual minorities, and offers three avenues for future research to help remedy the inconsistent results of previous rural/urban sexual minority health disparities research. Discussions of the ‘rural effect,’ rural social support resources, and the importance of geographic region for health are included as opportunities to further social scientific research on sexual minority health disparities.     

Sexual and gender identity work on social media

How do sexual and gender minorities use social media to express themselves and construct their identities? We discuss findings drawn from focus groups conducted with 17 sexual and gender minority social media users who shared their experiences of online harms. They include people with gay, lesbian, bisexual, trans, queer, asexual, non-binary, pansexual, poly, and kink (LGBTQ+) identities. We find that sexual and gender minorities face several challenges online, but that social media platforms provide important spaces for them to feel understood and accepted. We use Goffman's work to explore how sexual and gender minorities engage in ‘front region’ performances online as part of their identity work. We then turn to Hochschild's concepts of ‘feeling rules’ and ‘framing rules’ to argue that presentations of self, or front region performances, must include the role of feelings and how they are socially influenced to be understood.     

School-Based Groups to Support Multiethnic Sexual Minority Youth Resiliency: Preliminary Effectiveness

Sexual minority youth (SMY) face multiple challenges as a result of their marginalized sexual and/or gender identities, yet evidence informed programs for the population are absent from the literature. This study describes the pilot research efforts of affirmative supportive safe and empowering talk (ASSET), the first LGBTQ affirmative school-based group counseling intervention created specifically to promote resiliency. In a pilot uncontrolled trial, multiethnic SMY (n = 263) completed measures of self-esteem, social connectedness, and proactive coping at baseline and following completion of the ASSET intervention. Post-intervention analysis using general linear modeling suggests that self-esteem and proactive coping increased significantly across all subgroups, while social connectedness remained constant. ASSET holds promise to enhance the resiliency of SMY in school-based practice settings. Further research should address the effect of ASSET participation on measures of risk and resiliency, and compare outcomes across multiple group interventions.     

The push for transgender inclusion: Exploring boundary spanning in the gay–straight alliance

Gay–straight alliance (or gender‐sexuality alliance; GSA) is a high‐school based club aimed at providing a safer environment for sexual and gender minority youth as well as their straight allies. Yet, as a club historically rooted in addressing sexual orientation‐related concerns, less attention has been given to understanding the changing relational dynamics of internal GSA activities aimed at expanding membership boundaries through the promotion of transgender inclusivity. I address this by bridging existing scholarship on GSAs, social movements, and the sociology of culture to showcase the impact boundary‐spanning strategies are having on GSA mobilization, in‐group solidarity, and external political and social activism. My findings reveal that membership boundary negotiations around gender diversity issues are shifting the social landscape of these clubs. Emerging barriers that impede boundary‐spanning efforts are also highlighted and discussed. More broadly, I generate new theoretical insights into how boundary spanning can shape political and social activism as well as offer promising future research directions in this area.     

The Effects of Sexual Orientation,Gender Identity,and Gender Role on the Mental Health of Women in Taiwan's T-Po Lesbian Community

SUMMARY

We obtained via the Internet a convenience sample of Taiwanese heterosexual (n = 287) and sexual minority females (n = 260). A significantly greater percentage of sexual minorities (lesbian and bisexual females) than heterosexuals reported they had used tobacco or alcohol. Relative to heterosexuals, sexual minorities were significantly more likely to report a serious suicide attempt. Overall, gender identity (masculine, feminine, and androgynous) and gender role (butch, femme, and pure or undifferentiated) were poor discriminators of lesbian mental health. Differences between sexual minorities and heterosexuals were more robust than were the variations in gender identities and gender roles among lesbian and bisexual women. We discuss the implications of these findings for further clinical research.     

A Social Ecology of Bias-Based Bullying of Sexual and Gender Minority Youth: Toward a Conceptualization of Conversion Bullying

Homophobic bullying is pervasive and deleterious, and a source of extensive health and mental health disparities affecting sexual and gender minority youth (SGMY). Investigations conducted over the past two decades across the social ecology of SGMY indicate individual (e.g., gender), microsystem (e.g., schools), and exosystem level (e.g., community norms) factors associated with homophobic bullying. Emerging evidence at the macrosystem level demonstrates the powerful influence of laws, policies, and ideologies on the population health of sexual minority adults. Based on social ecological theory and emerging evidence at the macrosystem level, we advance a conceptualization of the religious social ecology of homophobic bullying and articulate the construct of conversion bullying, a form of bias-based bullying that may be unique to SGMY. Conversion bullying is manifested in the invocation of religious rhetoric and rationalizations in repeated acts of peer aggression against SGMY that cause harm, based on the premise that same-sex attractions and behaviors are immoral or unnatural and with implicit or explicit communication that one should change one's sexuality to conform to heteronormative ideals. We describe implications of conversion bullying for social work practice, education, social policy, and research.     

Self‐Efficacy About Sexual Risk/Protective Behaviors: Intervention Impact Trajectories Among American Indian Youth

For adolescents, normative development encompasses learning to negotiate challenges of sexual situations; of special importance are skills to prevent early pregnancy, HIV, and other sexually transmitted diseases. Disparities in sexual risk among American Indian youth point to the importance of intervening to attenuate this risk. This study explored the impact of Circle of Life (COL), an HIV prevention intervention based on social cognitive theory, on trajectories of self‐efficacy (refusing sex, avoiding sexual situations) among 635 students from 13 middle schools on one American Indian reservation. COL countered a normative decline of refusal self‐efficacy among girls receiving the intervention by age 13, while girls participating at age 14 or older, girls in the comparison group, and all boys showed continuing declines.