Lesbian,Gay, Bisexual,Transgender, Queer/Questioning (LGBTQ) Perceptions and Health Care Experiences

The goal of this study was to explore attitudes, health knowledge, and experiences with health care setting and providers among lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) individuals and to identify areas for improvement. Members of Equality Florida? residing in the five counties of the Tampa Bay region were recruited through e-mail invitation to complete a 60-item questionnaire assessing demographics, attitudes, and experiences with health care providers (HCPs). Additional open-ended questions focused on experiences with HCPs and suggestions for ways to improve HCPs' cultural competency. A total of 632 respondents completed the survey of which 41% were gay men and 29% were lesbian. The majority of participants were White, non-Hispanic (93%), married/partnered (78%), and had health insurance (88%). The majority (67%) reported they always or often disclosed their sexual orientation/identity to an HCP and few had negative reactions in the health care setting (<10%). Health care settings with equality signs and gender-neutral language were perceived as safer. Participants' responses suggested need for policy changes and improved cultural competence among HCPs. Results show high rates of sexual orientation disclosure, greater acceptance from providers of LGBTQ status, and the need for examination of hospital policies and improved cultural competency.     

A Study of Effective and Ineffective Listening Dyads Using the Systems Theory Principle of Entropy

In this investigation, listening was conceptualized as the process of how individuals perceive, process, remember, and understand oral messages (Bostrom, 1990; Rhodes, 1989; Watson and Barker, 1984; Wolvin &; Coakley, 1992). Using the Bem Sex Role Inventory (BSRI; Bem, 1976; Bem, 1985) and the Listening Styles Profile (Watson, Barker, &; Weaver, 1995); four predominant listening styles were examined as a function of respondent sex and gender-role self-perception. Consistent with expectations, the data show that gender-role self-perception mediated reported listener styles. Independent of sex, the findings revealed that communal respondents prefer a people-oriented listening style; whereas agentic respondents prefer an action, time, and content-oriented listening style. Significant sex-differences were also evident in listening styles. Females reported a relational, people-oriented style of listening while males reported a more action, content, and time-oriented style of listening. Further, no sex by gender role self-perception interaction was evident. The implications of these findings for future research and application are discussed.     

Exploring and Adapting a Conceptual Model of Sexual Positioning Practices and Sexual Risk Among HIV-Negative Black Men Who Have Sex With Men

Estimates show a 50% lifetime human immunodeficiency virus (HIV) risk among Black men who have sex with men (BMSM) in the United States(U.S.). Studying the dynamics of sexual positioning practices among BMSM could provide insights into the disparities observed among U.S. groups of men who have sex with men (MSM). This study explored sexual positioning dynamics among HIV-negative BMSM and how they aligned with a theoretical model of sexual positioning and HIV/sexually transmitted infection (STI) risk among MSM. In-depth qualitative interviews were conducted with 29 HIV-negative BMSM between ages 25 and 35 in Los Angeles. Comments related to sexual behaviors were reviewed for relevance regarding oral or anal sexual positioning practices. Data presented represent the range of themes related to decision making regarding sexual positioning. Personal preference, partner attraction, HIV avoidance, and feeling obligated to practice partner preferences influenced sexual positioning. Drug use also affected decision making and was sometimes preferred in order to practice receptive anal intercourse. These variables build on the conceptual model of sexual positioning practices and sexual risk, and add understanding to the relationship between preferences, practices, and risk management. Future research on risk among HIV-negative BMSM should quantify the relative impact of personal preferences, partner attraction, partner type, compromise, and substance use on sexual positioning practices and risk.     

Is risky sex rational?

Consideration of a simple model of sexual decision‐making suggests that many individuals who engage in risky sexual practices do so for “rational” reasons. Within a framework of subjective values and perceptions, risky sex may be rational in the sense that the benefits derived from sexual expression outweigh the threat of loss from AIDS. One implication of this conceptualization is that in order to understand risky behavior, primary consideration must be accorded the perceptions, attitudes, and desires of the individual.     

FROM OLD SOUTH TO NEW SOUTH? BLACK-WHITE RESIDENTIAL SEGREGATION IN MICROPOLITAN AREAS

This article examines black-white residential segregation in micropolitan areas across the South. Micropolitan areas are newly defined urban clusters with a core population that ranges from 10,000 to 50,000. By shifting the focus to the nonmetropolitan South, we take debates about the “American dilemma” back to a historically important terrain of black-white relations that few scholars have systematically examined in the post-Civil Rights era. Using the most recent census, we find that the dynamics of residential segregation in our sample of micropolitan areas reflect both important opportunities and constraints. In contrast to their counterparts in metropolitan areas, blacks in the nonmetropolitan South face “only” moderate levels of segregation. Surprisingly, southern micropolitan areas afford greater opportunities for spatial assimilation to the least economically advantaged blacks as well as those who are more advantaged. Perhaps most importantly, this finding holds for micropolitan areas located in the historic Black Belt as well as elsewhere; however, several patterns emerge that suggest a set of barriers to spatial assimilation similar to those facing African Americans in metropolitan areas. In sum, our analysis clarifies the complexities of black-white segregation in the “New South/Old South,” pushing scholars to more systematically map the distinct trajectories of “American Apartheid” across time and place in the United States.     

The Salvaging of Identities among Homeless Men: Reflections for Social Work

Abstract

This research reveals the social and individual processes that dominate the experiences of homeless men through an exploration of their struggle to achieve ontological worth. Drawing on eight in-depth interviews with homeless men who are experiencing homelessness, this research demonstrates this struggle is because of the situated nature of identities that homeless men continually reconstruct and renegotiate. It proposes that relations to this set of identities are relevant to homeless men, in particular the construction and reconstruction of their identities within homelessness. The central findings of this research reveal that homeless men actively manage their identities to cope with the instability inherent to the experience. The implications of this for social work practice are explored, focusing on the importance of self-conception and the restoration of positive identities.     

A mind to stay: on encountering the panhandle of Texas

Venturing into unfamiliar territory, reflective travellers struggle to place it as much as to place themselves in it. In this article, the author draws on six nineteenth‐century accounts to examine ways in which that struggle has taken place in and around what is now known as the Texas Panhandle, in southwestern United States. Interplay of political and natural boundaries was characteristic of many twentieth‐century conflicts and continues to inform conflict in the twenty‐first century, so the experience of the Panhandle, which was placed in the context of a series of nineteenth‐century border disputes, may prove instructive.     

Genealogies and Gene-ideologies: The Legitimacy of the Beta Israel (Falasha)

The migration of the vast majority of Beta Israel (Falasha) to Israel has been accompanied by major shifts in the discourse regarding their ‘Jewishness’ and ‘Ethiopian-ness’. This article discusses the adoption of traditions of Danite descent in place of traditions of Solomonic descent and the emergence of genetics as the most important identity marker, replacing reckonings of lineage. The first shift is connected to the migration of the Beta Israel from Ethiopia to Israel; the second to changing concepts of what represents ‘proof’ of identity in the modern and post-modern world.