Advancing Research on LGBTQ Microaggressions: A Psychometric Scoping Review of Measures

ABSTRACT

Understanding the nature and consequences of LGBTQ microaggressions is critical to fostering equity and wellbeing among sexual and gender minorities. Yet little guidance is available for researchers seeking psychometrically robust measures of subtle LGBTQ slights, invalidations, and insults. To address this gap, we conducted a scoping review of multi-item quantitative measures that included at least one question addressing LGBTQ microaggressions. This article reports the study characteristics and psychometric properties of 27 original measures we identified and their subsequent adaptations. The article concludes with an assessment of strengths and limitations of LGBTQ microaggression measurement, highlighting aspects of measurement innovation on which future researchers can build. As microaggressions remain a powerful and underexplored mechanism of sexual and gender minority oppression, this review will help to both advance methodological quality in this critical research area and enhance our understanding of how microaggressions manifest in the lives of LGBTQ individuals.     

Techniques For Developing Health Quality of Life Scales for Point of Service Use

Clinical and health policy research frequently involves health status measurement using generic or disease specific instruments. These instruments are generally developed to arrive at several scales, each measuring a distinct domain of health quality of life (HQOL). Clinical settings are starting to explore how to integrate patient perspectives of HQOL outcomes into patient care. However, the length of many HQOL instruments poses a challenge in terms of patient burden, as well as clinic flow time. The most popular paradigm for scale construction utilizes classical test theory methodology and can lead to excessive and redundant items in an effort to bolster reliability measurements such as Cronbach’s alpha above levels of accepted reliability. This paper presents techniques for utilizing item response theory to arrive at single item scales that are diagnostically informative and short enough to have clinical utility. A danger of such dramatic scale reduction is that validity might be compromised. This danger is addressed in terms of criterion related validity and sensitivity to clinical changes over a 36 months period. The reduction methods are illustrated using selected scales from the Arthritis Impact Measurement Scales 2 (AIMS2) with data obtained from the study Pharmaceutical Care Outcomes: The Patient Role (PCOPR).     

Family matters: the role of the family in immigrants' destination language acquisition

Studies of immigrants' destination language acquisition to date have focused on the individual. In contrast, this paper is concerned with the relationships among family members in the determinants of destination language proficiency among immigrants. A model of immigrant language proficiency is augmented to include dynamics among family members. It is tested using data on a sample of recent immigrants. Children are shown to have a negative effect on their mother's language proficiency, but no effect on their father's. There is a substantial positive correlation between the language skills of spouses. This is due to the correlation between spouses in both the measured and the unmeasured determinants of destination language skills, even when country of origin fixed effects are held constant.

The impact of immigration on the internal migration of natives and immigrants

In this paper we examine the internal migratory response, by native-born non-Hispanic white men and foreign-born men in the United States, to recent immigration. Our analysis does not support the claim that natives have made a migratory response to recent immigration. Native-born men and foreign-born men were less likely to leave states that received large numbers of immigrants in the 1980s than they were to leave other states, and native-born men had less propensity toward out-migration than did foreign-born men. Out-migration was most likely to be deterred if recent immigrants originated in Europe or Asia. Although native-born non-Hispanic white men showed a tendency toward out-migration if recent immigrants originated in Latin America or the Caribbean, this result was insignificant after we controlled for state economic and regional context.     

The racial crossover in comorbidity, disability, and mortality

This study analyzed one respondent per household who was age 70 or more at the time of the household's inclusion in Wave 1 (1993-1994) and whose survival status was determinable at Wave 2 (1995-1996) of the Survey on Asset and Health Dynamics Among the Oldest Old (AHEAD Survey). At age 76 at Wave 1, there was a racial crossover in the cumulative number of six potentially fatal diagnoses (chronic lung disease, cancer, heart disease, hypertension, diabetes, and stroke) from a higher cumulative average number for blacks to a higher average number for whites. Also, there was a racial crossover at age 86 in the cumulative average number of disabilities in the Advanced Activities of Daily Living (AADLs), from a higher average for blacks to a higher average for whites. Between Waves 1 and 2, there was a racial crossover in the odds of mortality from higher odds for blacks to higher odds for whites; this occurred at about age 81. The results are consistent with the interpretation that the racial crossover in comorbidity (but not the crossover in AADL disability) propelled the racial crossover in mortality.     

Compromised birth outcomes and infant mortality among racial and ethnic groups

Demography - Research based on hospital records demonstrates that many births classified as normal according to conventional demographic measurement are intrauterine growth-retarded (IUGR) when...     

The moderating effect of threat on the relationship between population concern and environmental concern

Two hundred sixty-one research participants completed a questionnaire designed to measure concern for the environment and concern for population growth. The introduction to the questionnaire focused on either threat to society, personal threat, or no threat. Contrary to some previous research findings, a positive correlation between concern for the environment and concern for population growth was found. This finding is explained by the simultaneity of measurement of the two constructs, item phrasing, and the possibility that previous research findings lacked transhistorical reliability. The threat manipulation was found to moderate the relationship between concern for the environment and concern for population growth. Analyses of demographic variables showed that women expressed more environmental concern that men, and that regular church attendees expressed the least concern for population growth.     

Ageing in a spectacular 'youth culture': continuity, change and community amongst older goths

This article explores the continuing involvement in youth music and style cultures of older participants through examination of the case study of the goth scene. It does so in the context of a widespread neglect, until recently, of what happens to participants of 'youth cultures' as they move beyond adolescence and also of a growing consensus about the broadening of youth itself as a life course period. Drawing on recent work on older participants in other music and style related groupings, the article uses original qualitative research to examine the developing lives and identities of goths as they become older. Rather than regarding continuing participation as a simple extension of youth, the focus is on the ways participation accompanied and was reconciled with material, domestic and physical elements of developing adult lives. Through reference to the case study, I emphasize the ways the experience of ageing for long-term music and style culture participants can constitute a collective experience.     

Race-ethnicity and medical services for infertility: stratified reproduction in a population-based sample of U.S. women

Evidence of group differences in reproductive control and access to reproductive health care suggests the continued existence of "stratified reproduction" in the United States. Women of color are overrepresented among people with infertility but are underrepresented among those who receive medical services. The authors employ path analysis to uncover mechanisms accounting for these differences among black, Hispanic, Asian, and non-Hispanic white women using a probability-based sample of 2,162 U.S. women. Black and Hispanic women are less likely to receive services than other women. The enabling conditions of income, education, and private insurance partially mediate the relationship between race-ethnicity and receipt of services but do not fully account for the association at all levels of service. For black and Hispanic women, social cues, enabling conditions, and predisposing conditions contribute to disparities in receipt of services. Most of the association between race-ethnicity and service receipt is indirect rather than direct.     

The Relationship of Social Support to African American Caregivers' Help-Seeking for Emotional Problems

This study analyzes whether social support serves as a link to or substitute for formal services among African American female caregivers seeking help with emotional problems. It also analyzes other determinants of help-seeking. It relies on data from the Black Rural and Urban Caregivers Mental Health and Functioning Study and is guided by a modified version of the behavioral model of health services use. Using hierarchical binary logistic regression, analyses reveal that only age, stress, and support from fellow church members are statistically significantly associated with the likelihood of help-seeking. These results support the linking hypothesis, suggesting that the social support received by African American women caregivers in the context of their religious organizations helps to link them to services.