Shemeka Thorpe, Amanda E Tanner, Candice N Hargons
{"title":"Sexual identity factors and minority stressors associated with healthcare stereotype threat and access to care among Black sexual minority women.","authors":"Shemeka Thorpe, Amanda E Tanner, Candice N Hargons","doi":"10.1080/10538720.2022.2056398","DOIUrl":"10.1080/10538720.2022.2056398","url":null,"abstract":"<p><p>Black sexual minority women (SMW) are disproportionately impacted by negative health outcomes, healthcare discrimination, and provider bias. Therefore, the purpose of this study was to investigate which sexual identity characteristics and minority stressors are associated with healthcare stereotype threat and healthcare access for Black SMW. Using secondary data from the <i>Generations Study</i> data, <i>N</i> = 142 Black and/or biracial cisgender women were analyzed using bivariate correlations and stepwise regression models. Healthcare stereotype threat was positively associated with higher perceptions of stigma, sexual identity concealment, and reports of sexual identity centrality. Healthcare access was affected by bisexual identity, masculine gender presentation, and sexual identity concealment. Improving Black SMW's healthcare utilization and experiences in healthcare settings is crucial for promoting health equity. Implications for healthcare providers and discussed.</p>","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47617939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica N Fish, Sarah Kapostasy, Stephen T Russell
{"title":"Be YOU!: A Collaborative Effort to Address Minority Stress for LGBTQ+ Youth in School Settings.","authors":"Jessica N Fish, Sarah Kapostasy, Stephen T Russell","doi":"10.1080/10538720.2022.2148036","DOIUrl":"10.1080/10538720.2022.2148036","url":null,"abstract":"<p><p>LGBTQ youth often experience unsafe school climates and are at greater risk for compromised mental health relative to their heterosexual and cisgender peers. The psychological mediation model posits that these health inequities are produced by minority stress, which operates through several key mechanisms: rumination, emotion regulation, and coping. Efforts towards designing social services that might address these mechanisms, and thus improve LGBTQ youth wellbeing, are limited. Informed by empirical research and therapeutic practices, <i>Be YOU!</i> was conceived as a school-based empowerment program that provides LGBTQ youth with an accessible, safe space where they build skills to reduce rumination and promote emotion regulation and coping strategies for dealing with minority stressors. Developed collaboratively between a local LGBTQ youth center, a local school-based community organization, and university researchers, the <i>Be YOU!</i> partnership effectively circumvented barriers to accessing social services for LGBTQ youth. Findings from the pilot program evaluation showed that youth participation was associated with increased emotion regulation and decreased rumination. The practical impact on and positive feedback from LGBTQ youth suggest that there are measurable benefits and long-term promise in strategic multi-sector partnerships that address social services needs of LGBTQ youth and strengthen their ability to navigate minority stress.</p>","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46768333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sharon N Obasi, Robyn King Myers, Natalie Holt, Richard Mocarski, Debra A Hope, Nathan Woodruff
{"title":"Educational preparedness to care for transgender and gender diverse adults: Perspectives of mental health professionals.","authors":"Sharon N Obasi, Robyn King Myers, Natalie Holt, Richard Mocarski, Debra A Hope, Nathan Woodruff","doi":"10.1080/10538720.2022.2056782","DOIUrl":"10.1080/10538720.2022.2056782","url":null,"abstract":"<p><p>Ensuring that mental health professionals are appropriately trained to provide affirming and sensitive care to transgender and gender diverse (TGD) adults is one mechanism that may reduce the marginalization sometimes experienced by TGD adults in mental health contexts. In this study, mental health professionals (n=142) completed an online survey documenting the sources and types of training received to provide TGD-sensitive care; and, shared a self-assessment of their comfort, competence, and ability to provide TGD-sensitive care. Findings revealed that the majority of the mental health professionals in the study (approximately 81%) received specific training to work with TGD clients from a variety of sources. These mental health professionals also self-reported high levels of comfort, competence, and ability to offer TGD-sensitive care which were statistically significantly associated with the number of hours of TGD-specific training they had received.</p>","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10448943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10108263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mollie C Marr, Samuel R Bunting, Bradley A Blansky, Lexi Dickson, Aayush Gabrani, Nelson F Sanchez
{"title":"Graduate Medical Education Curriculum Regarding the Health and Healthcare of Older Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Adults.","authors":"Mollie C Marr, Samuel R Bunting, Bradley A Blansky, Lexi Dickson, Aayush Gabrani, Nelson F Sanchez","doi":"10.1080/10538720.2023.2172122","DOIUrl":"10.1080/10538720.2023.2172122","url":null,"abstract":"<p><p>Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) adults experience a wide variety of unique challenges accessing healthcare. These barriers may be exacerbated among older LGBTQ+ people due to intersecting, marginalized identities. To prepare physicians to address the healthcare needs of older LGBTQ+ adults, graduate medical education (GME) must include training about the specific needs of this population. Prior studies demonstrate a lack of LGBTQ+ training in GME curricula. Here, we investigated the presence of LGBTQ+ curricula in internal medicine residencies and geriatrics fellowships through a national survey. Over 62.0% of internal medicine (n = 49) and 65.6% (n = 21) of geriatric medicine fellowship program directors, responding to the survey, reported content relevant to the health of older LGBTQ+ adults. Education about LGBTQ+ health in internal medicine residencies and geriatrics fellowships is vital for the provision of culturally-competent healthcare and to create an inclusive environment for older LGBTQ+ patients.</p>","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43807663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Briana L McGeough, Meg Paceley, Sarah E Zemore, Mitchell R Lunn, Juno Obedin-Maliver, Micah E Lubensky, Annesa Flentje
{"title":"Understanding the social and community support experiences of sexual and gender minority individuals in 12-Step programs.","authors":"Briana L McGeough, Meg Paceley, Sarah E Zemore, Mitchell R Lunn, Juno Obedin-Maliver, Micah E Lubensky, Annesa Flentje","doi":"10.1080/10538720.2023.2172759","DOIUrl":"10.1080/10538720.2023.2172759","url":null,"abstract":"<p><p>Sexual and gender minority individuals (<i>e.g.,</i> gay, bisexual, non-binary, transgender; SGMI) are 2-6 times as likely as cisgender heterosexual individuals to experience alcohol or other substance use disorders. SGMI participate in 12-Step groups, such as Alcoholics Anonymous (AA), at high rates. Though social support is an established mechanism through which 12-Step programs support reductions in substance use, little is known about SGMI's experiences of the social support in 12-Step programs. This qualitative study aims to understand the experiences of social and community support among SGMI involved in 12-Step programs. This study employed thematic analysis to interpret open-ended responses from 302 SGMI who had participated in 12-Step programs. Data was from The PRIDE Study, a large, national, online. longitudinal, cohort study of SGMI. Two themes emerged about how SGMI experienced social and community support in 12-Step programs: beneficial connections and harmful environments. Beneficial connections included a sense of community, shared experiences, and skills provision. Harmful environments included marginalization, oppression, violence, and bullying. This study highlights the variability of experiences of SGMI participating in 12-Step programs. These findings suggest that many SGMI may benefit from 12-Step programs but may need support in coping with potential harms that can emerge through participation.</p>","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49651432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“And then I came out…”: A thematic analysis of gay men’s recalled memories of coming out and its impact on their mental health and well-being","authors":"J. L. Allen","doi":"10.1080/10538720.2022.2140242","DOIUrl":"https://doi.org/10.1080/10538720.2022.2140242","url":null,"abstract":"Abstract Background Coming out to parents can have beneficial long-term mental health outcomes for gay men. Though studies have explored the phenomenon of coming out, there are limited qualitative insights regarding the emotions that gay men experienced after disclosing their sexual orientation. Methods Nineteen interviews with Black/African American, Hispanic/Latino American, and White/Caucasian American self-identified and out gay men, ages 19–30, were analyzed using the iterative process associated with inductive qualitative thematic analysis. Results Data showed that parental willingness to engage in conversations about their son’s sexual identity helped sixteen participants to (i) have a release from heteronormative expectations, (ii) have renewed self-confidence, (iii) be unapologetically themselves, and (iv) engage in critical normalization of sexual identity conversations. Interestingly though, for three participants, these conversations had no overall impact on their mental health. Conclusions For the majority, coming out helped to create a positive shift in overall mental health—more specifically the conversations helped improve their self-esteem; as once their parents knew of their sexuality, they no longer cared about social pressures to conform. Accordingly, they began publicly building social support and friendship networks. For a few, coming out was viewed as a formality and had no lasting impact on their overall mental health. Study findings underscored both the benefits and importance of open communications between parents and their gay sons.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47045989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Casey, S. Bowman, E. Power, J. McAloon, Bethany M. Wootton
{"title":"Coping with the Australian marriage law postal survey and its legacy: “I create meaning and joy and connection and community”","authors":"L. Casey, S. Bowman, E. Power, J. McAloon, Bethany M. Wootton","doi":"10.1080/10538720.2022.2140241","DOIUrl":"https://doi.org/10.1080/10538720.2022.2140241","url":null,"abstract":"Abstract People who are lesbian, gay, bisexual, transgender, queer, questioning, or other diverse sexual or gender identities (LGBTQ+) experience psychological distress in the face of public votes regarding their human rights. This was the case during Australia’s 2017 vote on marriage equality. The present study retrospectively explored two key concepts: how LGBTQ + people coped with Australia’s marriage equality vote and its perceived long-term impacts. We conducted 19 semi-structured interviews with LGBTQ + Australians two-and-a-half years after the vote and analyzed transcripts using reflexive thematic analysis. Coping strategies included social withdrawal, seeking affirming spaces, turning helplessness into action, and seeking professional support. Perceived legacy included changed relationships, greater emphasis on LGBTQ + identity and community, losing faith in social and political institutions, commitment to pursuing minority group rights, and changed views on marriage.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41825172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"LGBTQ college students’ lived experiences and perceptions of support on a conservative campus","authors":"Matthew L. McClellan","doi":"10.1080/10538720.2022.2124213","DOIUrl":"https://doi.org/10.1080/10538720.2022.2124213","url":null,"abstract":"Abstract LGBTQ college students have historically experienced hostile campus climates during their time in higher education. While there has been advancement in LGBTQ inclusion, many universities and colleges still do not provide adequate support and services for LGBTQ students. This paper used the results from 14 qualitative interviews that explored the lived experiences of LGBTQ college students’ experiences of campus support and resources at a public university. Despite the presence of a student organization and the university’s commitment to inclusion, I found students wanted more LGBTQ representation and community; experienced homophobia, transphobia, and discrimination; and had mixed feelings about the Safe Zone program. Based on these findings, the paper concludes with proposals for increasing LGBTQ representation, facilitating campus education, and creating inclusive policies.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49166818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Angel Ch Zegarra-López, Diego Garcia-Rabines, Alvaro Okumura-Clark
{"title":"Factors associated with depression in Peruvian LGBT + individuals exposed to discrimination and violence","authors":"Angel Ch Zegarra-López, Diego Garcia-Rabines, Alvaro Okumura-Clark","doi":"10.1080/10538720.2022.2126913","DOIUrl":"https://doi.org/10.1080/10538720.2022.2126913","url":null,"abstract":"Abstract We aimed to analyze the factors associated with depression among LGBT + people exposed to discrimination based on sexual orientation and gender identity in Peru. We conducted secondary analysis on a subset ( 5846) of cases from an online survey of LGBT + people. Individual (age, work status, prior mental health conditions, identity expression fear), structural (forms, agents, and contexts of discrimination), social (family support, relationship status, community participation, activism, knowledge of LGBT + laws), and institutional (sexual health information) variables were associated with depression in our sample. Mental health inequalities are driven by multiple intersecting layers of social factors across individual, structural, social, and institutional levels.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45890217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Steff Du Bois, K. Manser, Winifred Guerra, Marlena Cannon, Jessalena Lee, Arlen C. Moller
{"title":"Examining facilitators and barriers to sexual orientation and gender identity disclosure to healthcare providers among US college students","authors":"Steff Du Bois, K. Manser, Winifred Guerra, Marlena Cannon, Jessalena Lee, Arlen C. Moller","doi":"10.1080/10538720.2022.2116139","DOIUrl":"https://doi.org/10.1080/10538720.2022.2116139","url":null,"abstract":"Abstract Sexual and gender minority (SGM) individuals generally experience health disparities. Frequent nondisclosure of SGM status to healthcare providers contributes to these disparities. We collaborated with an LGBTQIA+ student organization to conduct a virtual focus group exploring facilitators and barriers to SGM disclosure to healthcare providers. Five thematic clusters emerged from our group concept mapping procedure: (1) provider approach to SGM-specific care; (2) indicators of inclusive clinic culture; (3) interpersonal disclosure concerns; (4) harmful provider communication; and (5) persistent behavioral factors in patient-provider relationships. More broadly, participants indicated healthcare providers’ inclusive/exclusive behaviors and communication were generally important to SGM disclosure.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46289265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}