{"title":"Substance use treatment experiences of transgender/transsexual men and women.","authors":"Emilia Lombardi","doi":"10.1300/J463v03n02_05","DOIUrl":"https://doi.org/10.1300/J463v03n02_05","url":null,"abstract":"<p><p>Substance use treatment programs may not be sensitive to transgender/transsexual (trans) issues: thus, the needs of drug/alcohol involved trans men and women may go unmet. Data for this research was collected from a study examining the substance use issues of trans men and women. Confidential, self-administered questionnaires were distributed to trans men and women with current or previous problem (self-assessed) with drugs or alcohol. Trans individuals reported various problems with discrimination that may limit their ability to recover. Overall, there were significant barriers to recovery expressed by the study participants. Treatment and self-help programs need to make their programs more inclusive to trans men and women as the negative experiences experienced by them will likely affect their recovery.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 2","pages":"37-47"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J463v03n02_05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28064420","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 emotional well-being of Asian-American sexual minority youth in school.","authors":"Yuko Homma, Elizabeth M Saewyc","doi":"10.1300/j463v03n01_08","DOIUrl":"https://doi.org/10.1300/j463v03n01_08","url":null,"abstract":"<p><p>This study examined family and school correlates of emotional distress among Asian-American sexual minority youth in the Midwestern United States. Responses from 91 predominantly among Asian-American youth who participated in a state-wide, school-based census survey and reported recent same-gender sexual activity were analyzed. Results showed that sexual minority youth who perceived lower levels of family caring and those with negative perceptions of school climate reported lower self-esteem, which in turn was associated with greater emotional distress. These results highlight the importance of safe and caring environments, and culturally sensitive support for Asian-American sexual minority adolescents.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 1","pages":"67-78"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j463v03n01_08","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27101478","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}
Scott D Rhodes, Thomas McCoy, Kenneth C Hergenrather, Morrow R Omli, Robert H Durant
{"title":"Exploring the health behavior disparities of gay men in the United States: comparing gay male university students to their heterosexual peers.","authors":"Scott D Rhodes, Thomas McCoy, Kenneth C Hergenrather, Morrow R Omli, Robert H Durant","doi":"10.1300/j463v03n01_03","DOIUrl":"https://doi.org/10.1300/j463v03n01_03","url":null,"abstract":"<p><p>Little is known about the health disparities that affect gay men in the United States. Using data collected from an online Internet-based assessment, we sought to compare health-compromising behaviors of gay male university students to their heterosexual peers. Participants included 1,014 self-reported males. Mean age was 20 years (+/-2.5; range 17-30). Of these men, 43 (4.2%) self identified as gay and 971 (95.8%) self identified as heterosexual. After adjusting for age, race, academic classification, residence type, and clustering within university, gay men had higher odds of reporting inconsistent condom use; reporting multiple partners within the past 30 days; reporting a lifetime history of illicit drug use. Understanding the health behavior disparities between gay and heterosexual men is crucial to identifying associated factors and intervening upon them using appropriate and meaningful tailored strategies to reduce these disparities and improve health outcomes.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 1","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j463v03n01_03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27102016","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}
Diana Burgess, Alisia Tran, Richard Lee, Michelle van Ryn
{"title":"Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons.","authors":"Diana Burgess, Alisia Tran, Richard Lee, Michelle van Ryn","doi":"10.1080/15574090802226626","DOIUrl":"https://doi.org/10.1080/15574090802226626","url":null,"abstract":"<p><strong>Objectives: </strong>Previous research has found that lesbian, gay, bisexual and transgender (LGBT) individuals are at risk for a variety of mental health disorders. We examined the extent to which a recent experience of a major discriminatory event may contribute to poor mental health among LGBT persons.</p><p><strong>Methods: </strong>Data were derived from a cross-sectional strata-cluster survey of adults in Hennepin County, Minnesota, who identified as LGBT (n=472) or heterosexual (n=7,412).</p><p><strong>Results: </strong>Compared to heterosexuals, LGBT individuals had poorer mental health (higher levels of psychological distress, greater likelihood of having a diagnosis of depression or anxiety, greater perceived mental health needs, and greater use of mental health services), more substance use (higher levels of binge drinking, greater likelihood of being a smoker and greater number of cigarettes smoked per day), and were more likely to report unmet mental healthcare needs. LGBT individuals were also more likely to report having experienced a major incident of discrimination over the past year than heterosexual individuals. Although perceived discrimination was associated with almost all of the indicators of mental health and utilization of mental health care that we examined, adjusting for discrimination did not significantly reduce mental health disparities between heterosexual and LGBT persons.</p><p><strong>Conclusion: </strong>LGBT individuals experienced more major discrimination and reported worse mental health than heterosexuals, but discrimination did not account for this disparity. Future research should explore additional forms of discrimination and additional stressors associated with minority sexual orientation that may account for these disparities.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 4","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802226626","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27867488","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}
Michelle Teti, Lisa Bowleg, Susan Rubinstein, Linda Lloyd, Zek Berhane, Marla Gold
{"title":"Present but not accounted for: exploring the sexual risk practices and intervention needs of nonheterosexually identified women in a prevention program for women with HIV/AIDS.","authors":"Michelle Teti, Lisa Bowleg, Susan Rubinstein, Linda Lloyd, Zek Berhane, Marla Gold","doi":"10.1080/15574090802226592","DOIUrl":"https://doi.org/10.1080/15574090802226592","url":null,"abstract":"<p><p>Nonheterosexually identified (NHI) women may be present, but not accounted for, in HIV and sexually transmitted infection (STI) prevention interventions. This study used quantitative and qualitative methods to examine the sexual risk behaviors and intervention needs of NHI women in Protect and Respect, a safer sex intervention for HIV-positive women. Study participants (n=32) were predominantly Black, low income, and between 28 and 51 years old. Although NHI participants were more likely than heterosexual participants (p < .05) to report obtaining their income from sex work, hustling, or selling drugs; and having a higher median number of male sex partners, qualitative analyses revealed that the intervention often neglected NHI women's experiences and unique safer sex needs. Heterosexist HIV and STI prevention programs may hinder NHI women's ability to protect themselves and their partners from reinfection and infection respectively. We discuss the implications of our research for future HIV/AIDS and STI research, services and interventions for NHI women.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 4","pages":"37-51"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802226592","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27866867","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":"Belief in the \"free choice\" model of homosexuality: a correlate of homophobia in registered nurses.","authors":"Christopher W Blackwell","doi":"10.1080/15574090802093117","DOIUrl":"https://doi.org/10.1080/15574090802093117","url":null,"abstract":"<p><p>A great amount of social science research has supported the positive correlation between heterosexuals' belief in the free choice model of homosexuality and homophobia. Heterosexuals who believe gay, lesbian, bisexual, and transgender (GLBT) persons consciously choose their sexual orientation and practice a lifestyle conducive to that choice are much more likely to possess discriminatory, homophobic, homonegative, and heterosexist beliefs. In addition, these individuals are less likely to support gay rights initiatives such as nondiscrimination policies or same-sex partner benefits in the workplace or hate crime enhancement legislation inclusive of GLBT persons. Although researchers have demonstrated this phenomenon in the general population, none have specifically assessed it in the nursing workforce. The purpose of this study was to examine registered nurses' overall levels of homophobia and attitudes toward a workplace policy protective of gays and lesbians. These variables were then correlated with belief in the free choice model of homosexuality. Results indicated that belief in the free choice model of homosexuality was the strongest predictor of homophobia in nurses. Implications for nursing leadership and management, nursing education, and future research are discussed.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 3","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802093117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27867484","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":"College major, gender and heterosexism reconsidered under more controlled conditions.","authors":"Leslie E Fisher, Swagata Banik","doi":"10.1300/j463v03n01_06","DOIUrl":"https://doi.org/10.1300/j463v03n01_06","url":null,"abstract":"<p><p>To test the hypothesis that under controlled conditions respondent's gender and college major are related to heterosexism, four groups (n = 40 each)-male psychology majors, female psychology majors, male non-psychology majors, and female non-psychology majors-were formed from an initial sample of convenience (N = 1,947) of urban university students. Respondents were matched for age, race, college level, closeness of relationships to lesbian and gay men, religious affiliation, and religious attendance. Each student was requested to complete the Herek Attitude Scale towards Lesbians and Gay Men and these scores were subjected to a three factor (2x2x2) mixed analysis of variance. The three factors were respondent's gender, respondent's college major, and target's gender with repeated measures on target's gender. A significant respondent's gender by target's gender F(1/156) = 50.59, p < .001 interaction was observed. Male respondent's attitude toward gay males was significantly more negative than that of the other groups which did not differ significantly from one another. Significant main effects due to respondent's gender F(1/156) = 11.9, p < .001 and target's gender F(1/156) = 43.1, p < .001 were also observed. No significant college major effect F(1/156) = 1.60, p >.05 or interaction was found.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 1","pages":"49-53"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j463v03n01_06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27101476","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":"Why LGBT health research, why now.","authors":"Seth L Welles","doi":"10.1300/J463v03n01_01","DOIUrl":"https://doi.org/10.1300/J463v03n01_01","url":null,"abstract":"","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J463v03n01_01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27102014","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, Geoffrey L Ream, Rafael M Díaz, Nabila El-Bassel
{"title":"Intimate partner violence and HIV sexual risk behavior among Latino gay and bisexual men: the role of situational factors.","authors":"Matthew B Feldman, Geoffrey L Ream, Rafael M Díaz, Nabila El-Bassel","doi":"10.1080/15574090802226618","DOIUrl":"https://doi.org/10.1080/15574090802226618","url":null,"abstract":"<p><p>Using a probability sample of 912 Latino gay and bisexual men at bars in 3 U.S. cities (Los Angeles, Miami, New York), this study examines how participation in difficult sexual situations with interpersonal (e.g., wanting to please partner) and circumstantial constraints (e.g., sex in partner's home) may explain associations between dimensions of intimate partner violence (IPV) and HIV sexual risk behavior (unprotected anal intercourse with nonmonogamous partner). Findings suggest that all IPV types contribute to greater participation in sexual situations with circumstantial constraints, and that psychological and sexual IPV are also associated with higher likelihood of unprotected receptive anal intercourse with a nonmonogamous partner. Circumstantial constraints fully mediate the difference attributable to psychological IPV and partially mediate the difference attributable to sexual IPV. Intimacy concerns were unrelated to either IPV or HIV risk behavior. Results suggest HIV prevention and research should investigate immediate circumstances of the sexual encounter that may make engaging in HIV sexual risk behavior more likely.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 4","pages":"75-87"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15574090802226618","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27866869","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}
David S Bimbi, Nancy A Palmadessa, Jeffrey T Parsons
{"title":"Substance use and domestic violence among urban gays, lesbians and bisexuals.","authors":"David S Bimbi, Nancy A Palmadessa, Jeffrey T Parsons","doi":"10.1300/J463v03n02_01","DOIUrl":"https://doi.org/10.1300/J463v03n02_01","url":null,"abstract":"<p><p>Many research studies have identified the co-occurrence of substance use/abuse and domestic violence among heterosexual couples. The present study examined this phenomenon in a large urban sample (N = 1048) of lesbians and gay men attending community events. Nearly one-fourth reported physical domestic violence, and over one-third reported nonphysical domestic violence with a same-gender partner. Women were more likely to report physical domestic violence as well as some forms of nonphysical domestic violence. Further, differences in substance use among victims of domestic violence varied by gender and type of violence. These findings indicate that domestic violence in this population differs from heterosexual couples and further research is necessary to appropriately tailor services to meet their needs.</p>","PeriodicalId":87476,"journal":{"name":"Journal of LGBT health research","volume":"3 2","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J463v03n02_01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28062607","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}