Depressive Distress and Prevalence of Common Problems Among Homosexually Active African American Women in the United States

SUMMARY We report findings from a national survey of 603 homosexually experienced African American women who self-identified as lesbian, gay, or bisexual. Levels of psychological distress greatly exceeded population norms for African American women. The most frequent problems participants reported were romantic relationship and financial difficulties. Problems with using drugs or alcohol to self-medicate psychological distress were the most chronic stressors. Although 31% of women indicated they received emotional support from a counselor or other professional in the prior month, the least likely to receive support were those reporting chronic financial, housing, anger, or substance use problems. These findings underscore the vulnerability of African American women, who navigate the triple stigma of having a minority ethnicity, sexual orientation, and gender.