Unraveling Health Disparities Among Sexual and Gender Minorities: A Commentary on the Persistent Impact of Stigma

ABSTRACT

LGBT (lesbian, gay, bisexual, and transgender) populations experience disparities in health outcomes, both physical and mental, compared to their heterosexual and cisgender peers. This commentary confronts the view held by some researchers that the disparate rates of mental health problems reported among LGBT populations are the consequences of pursuing a particular life trajectory, rather than resulting from the corrosive and persistent impact of stigma. Suggesting that mental health disparities among LGBT populations arise internally, de novo, when individuals express non-heterosexual and non-conforming gender identities ignores the vast body of evidence documenting the destructive impact of socially mediated stigma and systemic discrimination on health outcomes for a number of minorities, including sexual and gender minorities. Furthermore, such thinking is antithetical to widely accepted standards of health and wellbeing because it implies that LGBT persons should adopt and live out identities that contradict or deny their innermost feelings of self.     

School context and American Indian substance use

The present study extends prior research exploring the role of school contextual factors in predicting individual adolescent substance use by examining how a school’s racial composition is associated with American Indian adolescent tobacco and marijuana use. Using a subsample of 523 American Indian students from the restricted use Add Health data, we consider both individual and school contextual factors across 99 schools. Our results suggest that a school’s racial composition is associated with individual tobacco and marijuana use among American Indian youth, but in different ways depending upon the substance. Our findings illustrate the importance of extending research on the correlates of substance use for racial and ethnic minorities beyond studies examining African-Americans and/or Hispanics.     

PRESTRUCTURING COOPERATION AMONG ACTING-OUT YOUTH

In the past 15 years, the authors and their students have frequently used the treasure hunt in activity treatment groups. Experience confirms that the planned use of the treasure hunt's activity structure has powerful treatment effects. Repeated student testimonials about the efficacy of the treasure hunt and the usefulness of this paper as an example of programming prompts us to share it with other practitioners. This paper is a case illustration of the planning and use of treasure hunt as a means of influencing behavioral change in a group of emotionally troubled boys, specifically how to prevent or eliminate destructive conflict and initiate cooperation. The practitioners intended change operations, the responses desired in the members, and a synopsis of outcomes are presented (c.f., Churchill, 1959).     

Social assistance assessments of couple households: A vignette study on applicants’ ethnicity and gendered family roles

Social work professionals’ assessments of social assistance (SA) eligibility for a heterosexual couple with a baby are examined. Professionals (n = 899) spread over 43 social service offices in 19 Swedish municipalities assessed a vignette. According to the vignette, one of the parents abstained from paid work to take parental leave, which caused the couple's need for SA. Two vignette dimensions were varied: the couple's ethnicity (Swedish/Arabic) and gendered family roles (mother/father going on parental leave). Data were analysed using multilevel logistic regression modelling. The results show that the combination of the couple's gendered family roles and ethnicity seems to have bearing on the assessments. Professionals were most prone to grant SA to couples with Swedish names where the mother went from work to parental leave. The lowest granting rate was found in assessments of couples with the same gender setting and Arabic names.     

The color of corrections: Racial politics and prison privatization

Privatizing the administration of American prisons represents a popular tool of correctional governance. In turn, policy and public administration researchers are routinely studying the consequences of prison privatization on criminal justice outcomes such as recidivism rates and prisoner complaints. However, much less attention has been paid to the antecedents of privatization decisions occurring across states, in particular how racial determinants might be influencing privatization outcomes. Building upon existing policy research with theories of social construction and negative racial classification, we argue that privatization debates over corrections management become more racialized when Black prisoners comprise a larger share of the state prison population, predicting higher overall levels of privatization usage. We further argue that this Black prisoner presence-privatization relationship is context-specific and conditioned by two additional variables: (1) levels of mass racial stereotyping and (2) partisan composition of state government. The statistical analysis demonstrates that racial determinants do significantly influence state prison privatization decisions and in complex ways as theorized. In states where Blacks make up a larger share of the prison population, privatization usage is found to be higher. Additionally, in line with theoretical expectations, Black prisoner presence is associated with increased privatization levels most strongly in states where citizenries hold heightened levels of racial fear and Republicans have increased legislative presence. This research is of keen interest to scholars of public policy and management, who could pay more heed to the ways in which race influences decisions around administrative structuring and outcomes for taxpayers and clients.     

HPV vaccine acceptance among a sample of Southern men who have sex with men: A comparison of younger and older men

Objectives: Do short, online educational messages about the human papillomavirus (HPV) influence younger and older men who have sex with men (MSM) differently? Second, what are the HPV knowledge levels and risk perceptions of Southern MSM living outside of major metropolitan areas? Methods: This study draws on participants who completed an anonymous online survey asking about their knowledge, risk assessment, and vaccine acceptance regarding HPV. Results: Knowledge about HPV was low among the MSM in this study. After reading a one-page information intervention, vaccine acceptability increased by a statistically significant amount among both a Younger and Older cohort but risk perception only increased among the younger respondents. Single men regardless of age cohort reported sharper increases in perceived risk after the intervention, but relationship status did not produce significant differences in vaccine acceptability. Conclusion: Online, brief interventions may be effective means of increasing motivation to vaccinate among Southern MSM.     

The Interface of Racial Identity Development with Identity Complexity in Clinical Social Work Student Practitioners

This paper examines the influence that one's racial identity development plays in the overall professional identity development of clinical social work student practitioners. The author discusses race, as a construct, in a post-modern world. Utilizing Saari's (1993, 2000) discussion of identity complexity, the paper demonstrates how the ability to dialogue about issues of race, in a complex and multi-faceted way, is reflective of evolution in one's racial identity development. To further one's identity development, the importance of a dialogical mode of interaction (Bahktin, 1986, 1993) is emphasized.     

The Past and Present Cultural Experiences of Adopted Korean American Adults

This study used a mixed-method approach to examine the past and present cultural life experiences of Korean adult adoptees. Open-ended responses across four developmental periods (childhood, adolescence, young adulthood, and adulthood) were qualitatively analyzed and categorized into seven categories of cultural activities. We then quantitatively investigated the relationship between these domains and ethnic identity. Ethnic identity was positively correlated with only cultural experiences from young adulthood. The practical relevance of the research findings to adopted adults and adoptive families is discussed.     

机器中的幽灵 ——解读文本内外的《宣叙》

莫里森的批评论著《在黑暗中演奏：白色与文学想象》是作家对美国经典文学长期审视和反思的结果。通过分析白人经典作品中的非裔在场,我们可以揭示出“美国性”的本质和美国“文学白色”神话的炮制过程。如果将短篇小说《宣叙》与《演奏》并置,我们可以看到故事中的麦基其实是对后者所评述的美国经典文学中非裔在场的影射。麦基这个人物的再现是反射性的,与美国经典文学对非裔人物的再现如出一辙。二者的不同在于,故事揭示并最终反拨了人物再现的内在机制。《宣叙》对美国经典文学的观照,实质上是以隐晦的手法介入美国文学的经典辩论,传达了作者文化修正的愿望。