Normal Queers: Straight Parents Respond to Their Children's “Coming Out”

This article explores how normative understandings of gender, family, and sexuality provide the foundation for stigma, an avenue out of deviance, and the means by which stigma is perpetuated. Using participant‐observation and interview data from a support group for families of lesbian women and gay men, I examine the destigmatizing identity work with which straight parents responded to their children's lesbian and gay identities. The parents' reliance on conventional understandings of gender, sexuality, and parenting invoked and affirmed heteronormative conceptions of normalcy. This redrawing—and not fundamentally challenging—of the lines defining sexual normalcy left intact systemic logics supporting heterosexist sexual hierarchies.     

Sociodemographic and Health-Related Risk Factors Among African-American,Caucasian and Hispanic Homeless Men: A Comparative Study

Data from a 1989-1990 cross-sectional survey of homeless adults in California were stratified by ethnicity to examine whether adverse childhood events and adult medical disorders preceding homelessness differed between 269 African-American, 599 Caucasian, 201 foreign-born Hispanic, and 136 native-born Hispanic men. Although African-Americans were overrepresented (21%) compared with their presence in local (3%) and state (7%) populations, within the homeless they were better educated and more likely to have held white collar jobs than Caucasians or Hispanics. In addition, despite being more likely to grow up in poverty, African-Americans reporled lower prevalences of alcohol and drug abuse, overnight psychiatric hospitalizations, placement in foster care, and physical or sexual abuse than Caucasians. Foreign-born Hispanics were the most likely to have low levels of education and job skills, but were least impaired by adult medical disorders. Native-born Hispanics reported lower rates of adverse childhood events, illegal drug use, and psychiatric hospitalizations than Caucasians, but were most likely among the three ethnic groups to suffer from alcohol abuse. The lower prevalences of adverse childhood events, addictive disorders, and psychiatric hospitalizations among homeless African-Americans, despite their higher representation in absolute numbers, suggests that factors such as childhood poverty may play a disproportionate role in homelessness among this ethnic minority group.     

Project VOGUE: A Partnership for Increasing HIV Knowledge and HIV Vaccine Trial Awareness Among House Ball Leaders in Western New York

Men who have sex with men (MSM) and transgender individuals of color, the largest demographic in the House Ball Community (HBC), are amongst the group at highest risk for HIV infection in the United States. The HBC have limited access to culturally appropriate HIV education. This study aimed to develop a partnership with HBC leaders to uncover strategies for increasing HIV prevention knowledge, including participation in HIV vaccine trials. To this end a research institution-community-HBC partnership was established. In-depth qualitative and quantitative data were collected from the 14 HBC leaders in Western New York, revealing that knowledge of HIV and related vaccine trials was limited. Barriers to increasing HIV knowledge included fear of peer judgment, having inaccurate information about HIV, and lack of education. Among the HBC, community partnerships will further aid in the development of future HIV prevention programs and increase individuals’ willingness to participate in future HIV vaccine trials.     

Delivering LGBT-sensitive substance use treatment to sexual minority women

Abstract

Epidemiologic studies have consistently found elevated rates of alcohol and other substance use among sexual minority women (SMW), and despite calls for “lesbian, gay, bisexual, and transgender (LGBT)-specific” services and culturally tailored interventions, few such services exist. This study involved qualitative interviews with directors from substance use treatment programs (N?=?10) about how they addressed the needs of SMW. Strategies implemented primarily focused on creating a safe and welcoming environment for sexual minority clients. Findings highlight challenges involved in meeting the treatment needs of SMW and provide guidance to researchers and service providers on how to improve the quality of care for them.     

Risk Factors for Chlamydia Trachomatis Infection in a California Collegiate Population

Abstract

Chlamydia trachomatis infection in college students has not undergone a detailed large-scale evaluation. The authors undertook a cross-sectional study of 4,086 students enrolled on the campuses of California State University, Sacramento, and 3 local community colleges from fall 2000 through spring 2002. They used an outreach screening model to determine the presence of infection by testing urine for chlamydial DNA by polymerase chain reaction. Participants completed demographic and behavioral risk questionnaires and a chlamydia knowledge assessment. Overall, 3.4% of participants tested positive for infection. Screening of male and female students was evenly distributed and incidence rates for males (3.03%) and females (3.78%) were similar. Variables associated with significantly increased risk were younger than 25 years, ethnicity other than White, more than one sexual partner in the preceding year or a new partner in the preceding 2 months, and current symptoms. Innovative outreach programs to screen a majority of at-risk college students should be developed.     

A characterization of the independence - distribution - preserving covariance structure for the multivariate maximum squared - radii statistic

Necessary and sufficient conditions on the observation covariance structure and on the set of linear transformations are given for which the distribution of the multivariate maximum squared - radii statistic for detecting a single multivariate outlier is invariant from the distribution assuming the usual independence covariance structure. Thus, we extend the work of Baksalary and Puntanen (1990), who have given necessary and sufficient conditions for an independence-distribution-preserving covariance structure for Grubbs' statistic for detecting a univariate outlier. We also extend the work of Marco, Young, and Turner (1987) and Pavur and Young (1991), who have given sufficient conditions for an independence-distribution-preserving dependency structure for the multivariate squared - radii statistic.     

The Nanaimo and Charles Camsell Indian Hospitals: First Nations' narratives of health care, 1945 to 1965

First Nations' perspectives on health and health care as delivered by doctors, nurses, and Canada's former Indian hospital system form a significant part of Canada's medical history, as well as a part of First Nations people's personal histories. Oral histories collected in Alberta and British Columbia suggest that First Nations people who experienced the Nanaimo and Charles Camsell Indian hospitals between 1945 and 1965 perceive the value of their experiences to be reflected in their survivance, a concept recalled through narratives emphasizing both humour and pain, as well as past and present personal resilience.