Heather L Corliss, Marvin Belzer, Catherine Forbes, Erin C Wilson
{"title":"An evaluation of service utilization among male to female transgender youth: qualitative study of a clinic-based sample.","authors":"Heather L Corliss, Marvin Belzer, Catherine Forbes, Erin C Wilson","doi":"10.1300/J463v03n02_06","DOIUrl":"https://doi.org/10.1300/J463v03n02_06","url":null,"abstract":"<p><p>This qualitative study examined experiences with health and social service institutions and experiences related to education, employment, and other social networks among 18 ethnically diverse, male to female (MTF) transgender youth aged 16 to 24 years. Participants were recruited from a youth health clinic where they were receiving services for their transgender/transsexual identity. In-depth, semi-structured interviews explored youths' patterns of service utilization, reasons for seeking care, beliefs about the usefulness of services received, experiences with service providers, barriers to care, and suggestions for improving services tailored to them. Similar to other studies with this population, participants described a multitude of health and social risk experiences as well as complex needs related to healthcare, education, employment, housing, personal relationships, and safety. Results suggest a mixed pattern of both positive and negative experiences within the medical, social and mental health services arenas. To improve support for transgender youth and assist in their positive development, it is essential to improve and expand the availability of culturally competent and effective services for this population.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J463v03n02_06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28064421","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":"Effects of gender identity on experiences of healthcare for sexual minority women.","authors":"K R Hiestand, S G Horne, H M Levitt","doi":"10.1080/15574090802263405","DOIUrl":"https://doi.org/10.1080/15574090802263405","url":null,"abstract":"<p><p>While research examining healthcare experiences of sexual minority individuals is growing, thus far research has been limited on lesbian gender identity and its relationship to physical and mental health. This study explores access to and experiences of healthcare with a sample of 516 butch and femme identified lesbian and bisexual women. In comparison to femme-identified women, it was found that butch women had routine gynecological examinations significantly less frequently, perceived poorer treatment in healthcare settings, were more likely to be out within healthcare settings, placed more importance on securing LGBT-positive healthcare practitioners, and had more difficulty finding LGBT-positive medical doctors. No differences were found for mental health. The results suggest that butch women may be more at risk for physical health concerns than femme women, in particular those illnesses that can be prevented or treated with regular gynecological care (e.g., uterine or cervical cancer). Implications of the study include greater awareness among healthcare professionals of sexual minority gender identity in addition to sexual identity, and more support for butch-identified women to access vital healthcare services.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802263405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27867489","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":"A study of transgender adults and their non-transgender siblings on demographic characteristics, social support, and experiences of violence.","authors":"Rhonda J Factor, Esther D Rothblum","doi":"10.1080/15574090802092879","DOIUrl":"https://doi.org/10.1080/15574090802092879","url":null,"abstract":"<p><p>A national sample of 295 transgender adults and their nontransgender siblings were surveyed about demographics, perceptions of social support, and violence, harassment, and discrimination. Transwomen were older than the other 4 groups. Transwomen, transmen, and genderqueers were more highly educated than nontransgender sisters and nontransgender brothers, but did not have a corresponding higher income. Other demographic differences between groups were found in religion, geographic mobility, relationship status, and sexual orientation. Transgender people were more likely to experience harassment and discrimination than nontransgender sisters and nontransgender brothers. All transgender people perceived less social support from family than nontransgender sisters. This is the first study to compare trans people to nontrans siblings as a comparison group.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802092879","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27867483","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}
Lorraine T Midanik, Laurie Drabble, Karen Trocki, Randell L Sell
{"title":"Sexual orientation and alcohol use: identity versus behavior measures.","authors":"Lorraine T Midanik, Laurie Drabble, Karen Trocki, Randell L Sell","doi":"10.1300/j463v03n01_04","DOIUrl":"https://doi.org/10.1300/j463v03n01_04","url":null,"abstract":"<p><strong>Background: </strong>Few population-based national studies include complete measures of alcohol consumption, alcohol-related problems, and sexual orientation. When measures of sexual orientation are included in alcohol surveys, typically only one measure is included. The purpose of this paper is to compare two ways of measuring sexual orientation and to explore the relationship of each measure with alcohol use and alcohol-related problems.</p><p><strong>Methods: </strong>Data were used from the 2000 National Alcohol Survey, a telephone national alcohol probability survey representative of U.S. adults 18 and over (N = 7,612). Sexual orientation was measured by two self-reported measures: sexual orientation identity and sexual behavior. Alcohol use and problems were assessed by number of drinks in the last year, number of days drank 5 or more drinks in the last year, social consequences, and DSM-IV alcohol dependence.</p><p><strong>Results: </strong>There is no consistent pattern of alcohol use or alcohol-related problems based on how sexual orientation is measured for men. For women, bisexual identity or bisexual behavior was consistently associated with greater alcohol use and problems as compared to heterosexual identity or heterosexual behavior. Use of behavior measures alone appears to provide lower estimates of alcohol- related consequences and dependence among lesbian respondents.</p><p><strong>Conclusions: </strong>These results underscore the utility of using both identity and behavior items to measure sexual orientation particularly for women when assessing alcohol use and alcohol-related problems.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j463v03n01_04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27101474","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":"A positive look at a difficult time: a strength based examination of coming out for lesbian and bisexual women.","authors":"Lorelei Bonet, Brooke E Wells, Jeffrey T Parsons","doi":"10.1300/j463v03n01_02","DOIUrl":"https://doi.org/10.1300/j463v03n01_02","url":null,"abstract":"<p><p>This study reports the results of 337 lesbian and 59 bisexual women who completed a survey of sexual and health behaviors collected at gay, lesbian, and bisexual community events in New York City and Los Angeles. The Stress Related Growth Scale was adapted to capture the unique experience of managing a gay or bisexual identity. Stress related growth (SRG)was positively correlated with age, ethnic community attachment, number of female partners, generativity, and number of years out to self. Women with higher levels of education and women of color scored significantly higher on SRG. Findings indicate that SRG may be more salient when used to explore inherent personal characteristics such as sexual orientation or minority status than general stressful life events.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j463v03n01_02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27102015","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":"Relationships between homosexual and heterosexual interest and their implications for bisexuality: an empirical test.","authors":"Michael W Ross","doi":"10.1300/J463v03n02_03","DOIUrl":"https://doi.org/10.1300/J463v03n02_03","url":null,"abstract":"Conceptualizing heterosexual and homosexual interest as reciprocal constructs can be a source of confusion, and may obstruct understanding of sexual orientation in counseling. We investigated the relationships between homosexual interest, heterosexual interest, and masculinity and femininity. Seventy-eight men attending a homophile organisation completed the Kinsey Scale, and two separate continua measuring degree of homosexual interest and degree of heterosexual interest independently. The correlation between the two continua was -.51, suggesting that homosexual and heterosexual interest are to some extent independent of one another, and that a single continuum which assumes homosexual interest to be the direct converse of heterosexual interest may not be an adequate measure of sexual orientation. No significant relationships between masculinity, femininity and sexual orientation were found. Implications for counseling people with concerns about sexual orientation and sex of partner are discussed.","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J463v03n02_03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28064417","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}
Carol A Reisen, Maria Cecilia Zea, Paul J Poppen, Fernanda T Bianchi
{"title":"Male circumcision and HIV status among Latino immigrant MSM in New York City.","authors":"Carol A Reisen, Maria Cecilia Zea, Paul J Poppen, Fernanda T Bianchi","doi":"10.1080/15574090802263421","DOIUrl":"https://doi.org/10.1080/15574090802263421","url":null,"abstract":"<p><p>This study investigated protective effects of circumcision in a sample of immigrant Latino men who have sex with men (MSM). A survey in Portuguese, Spanish, or English was administered with computer-assisted self-interview technology with audio enhancement (A-CASI) to 482 MSM from Brazil (n=146), Colombia (n=169), and the Dominican Republic (n=167), living in the New York metropolitan area. Logistic regression revealed that after controlling for age, income, education, having had syphilis, having done sex work, and preferring the receptive role in anal intercourse, uncircumcised men were almost twice as likely to be HIV-positive as circumcised men. Follow-up analyses revealed, however, that the protective effects occurred only among the group of Colombian men.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802263421","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27833417","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":"Contested conclusions: claims that can (and cannot) be made from the current research on gay, lesbian, and bisexual teen suicide attempts.","authors":"Elizabeth M Saewyc","doi":"10.1300/j463v03n01_09","DOIUrl":"https://doi.org/10.1300/j463v03n01_09","url":null,"abstract":"<p><p>As the press and communities interpret research reports, their conclusions may go far beyond a study's evidence, especially if groups are trying to support politically-motivated claims about controversial causes and solutions to health problems. Few research designs can \"prove\" cause and effect, especially in population health research. However, some designs are better than others at identifying influences on health. Several strategies can help non-researchers evaluate studies critically. Using these statistics, this paper explores claims that can (and cannot) be made about causes of suicide attempts among gay, lesbian, and bisexual adolescents, based on current research evidence available.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j463v03n01_09","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27101479","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":"The relationship between early drinking contexts of women \"coming out\" as lesbian and current alcohol use.","authors":"Cheryl A Parks, Tonda L Hughes, Kelly E Kinnison","doi":"10.1080/15574090802095823","DOIUrl":"https://doi.org/10.1080/15574090802095823","url":null,"abstract":"Several decades of research show that lesbians are at risk for hazardous drinking. Compared with heterosexual women, lesbians are less likely to abstain from drinking, less likely to decrease their alcohol consumption as they age, and more likely to report alcohol-related problems. Stress associated with lesbian identity and reliance on lesbian or gay bars for socialization and support are frequently posited--but largely untested--explanations for lesbians' heightened risk. Results from general population studies indicate that patterns of alcohol use established early in the life-course or during life transitions influence later alcohol use and alcohol-related problems. Further, heavy-drinking peers, availability of alcohol, and drinking in particular social contexts--such as at bars and parties--are believed to contribute to heavier drinking and to alcohol-related problems. To better understand lesbians' risks for hazardous drinking, we examined relationships between retrospective accounts of drinking patterns and drinking contexts in the early stages of lesbian identity development and current drinking outcomes in a large sample of adult lesbians. Findings suggest that early drinking patterns and drinking contexts influence later alcohol use and have important implications for risk reduction and prevention among lesbians.","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802095823","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27867487","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}
Matthew B Feldman, Rafael M Díaz, Geoffrey L Ream, Nabila El-Bassel
{"title":"Intimate partner violence and HIV sexual risk behavior among Latino gay and bisexual men.","authors":"Matthew B Feldman, Rafael M Díaz, Geoffrey L Ream, Nabila El-Bassel","doi":"10.1300/J463v03n02_02","DOIUrl":"https://doi.org/10.1300/J463v03n02_02","url":null,"abstract":"<p><p>This study examined the relationship between intimate partner violence (IPV) and HIV sexual risk behavior using a probability sample of 912 Latino gay and bisexual men from three U.S. cities. Prevalence estimates of psychological, physical, and sexual abuse are higher in our sample than usually found in the general population of gay and bisexual or heterosexual men, with 52% reporting some type of abuse. IPV also was associated with being HIV positive. Controlling for HIV status, age, and immigrant status, all three dimensions of IPV--psychological, [RR = 2.42; 95% CI = 1.02, 5.78], physical, [RR = 2.86; 95% CI = 1.21, 6.74], and sexual abuse [RR = 4.63; 95% CI = 1.63, 13.18]--were, overall, associated with significantly greater likelihood of unprotected receptive anal intercourse with a non-monogamous partner. Sexual abuse [RR = 3.22; 95% CI = 1.00, 10.37], emerged as significant even while controlling for the other two dimensions of IPV.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J463v03n02_02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28064415","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}