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Zheng L, Hart TA, Noor SW, Wen G. Stressors Based on Sexual Orientation and Mental Health Among Lesbian, Gay, and Bisexual Individuals in China: Minority Stress and Perceived Pressure to Get Married. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1769-1782. [PMID: 32285312 DOI: 10.1007/s10508-020-01693-z] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Revised: 03/23/2020] [Accepted: 03/23/2020] [Indexed: 06/11/2023]
Abstract
Chinese Confucian filial piety posits that getting married and having children to maintain family bloodlines is a fundamental duty of children to their parents. Chinese lesbian, gay, and bisexual (LGB) individuals experience added stresses because of the pressure to get married from parents, social environments, and themselves. However, no research thus far has examined the influence of this added stressor, called "pressure to get married," on the mental health of LGB individuals in China. This study examined the influence of sexual orientation-based stresses (i.e., LGB minority stress and perceived pressure to get married) on mental health among 543 Chinese single LGB individuals (259 gay men, 161 lesbians, 68 bisexual men, and 55 bisexual women). We developed a new measure of stress based on perceived pressure to get married and found three factors based on pressure sources: social pressure, parental pressure, and internalized pressure. Both minority stress and perceived pressure to get married were associated with worse mental health. Minority stress and perceived external pressure (i.e., perceived social and parental pressure) were found to be components of a second-order latent variable, called sexual orientation-based stress, which was associated with worse mental health. Sexual orientation-based stress is associated with mental health through coping/emotion and cognitive, but not social, processes. The results indicate that the pressure to get married experienced by Chinese LGB individuals need to be examined further. The findings indicated that the perceived pressure to get married was another significant stressor based on sexual orientation and minority stress, and was associated with mental health among Chinese LGB individuals.
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Baker NA, Halford WK. Assessment of Couple Relationships Standards in Same-Sex Attracted Adults. FAMILY PROCESS 2020; 59:537-555. [PMID: 30921472 DOI: 10.1111/famp.12447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Relationship standards are beliefs about what makes a good romantic relationship. To date, no research on relationship standards in same-sex relationships has been conducted. This paper describes development of the Rainbow Couples Relationship Standards Scale (Rainbow CRSS). In common with measures of relationship standards developed with heterosexuals, the Rainbow CRSS assesses the importance people attach to Couple Bond standards (expression of love, caring, intimacy), Family Responsibility standards (extended family relations, maintenance of face and harmony), Religion, and Relationship Effort standards. The Rainbow CRSS also assesses three standards hypothesized to be of particular importance to same-sex couples: Relationship Outness (public disclosure of the relationship), Sexual Openness (acceptance of open sexual relationship), and Dyadic Coping with Homophobic discrimination. Participants were 414 same-sex attracted men and women who completed the Rainbow CRSS online, plus some validation scales. The Rainbow CRSS showed a coherent two-level factor structure that was similar to that in heterosexual couples for the Couple Bond and Family Responsibility Scales. Same-sex attracted people's standards were similar for men and women, and for singles versus those in a relationship. Same-sex attracted people's standards were very similar in endorsement of Couple Bond, Family Responsibility, Religion, and Relationship Effort standards to those of heterosexuals. The Relationship Outness and Dyadic Coping with Homophobia scales assessed potentially important standards that reflect some distinctive challenges for same-sex couple relationships.
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Corbin WR, Ong TQ, Champion C, Fromme K. Relations among religiosity, age of self-identification as gay, lesbian, or bisexual, and alcohol use among college students. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2020; 34:512-520. [PMID: 32077708 PMCID: PMC8405059 DOI: 10.1037/adb0000559] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Research indicates that lesbian, gay, and bisexual (LGB) youth are at increased risk for heavy drinking relative to their heterosexual peers. One possible contributing factor is that religiosity fails to provide the significant protection for LGB youth that it provides in general population samples. Although prior studies provide some support for this hypothesis, there is little research on the reasons that religiosity may fail to protect against heavy drinking among LGB youth. The current study addressed this question by examining relations among religiosity, age of self-identification as LGB, and alcohol use in a sample of 162 young adults self-identified as lesbian, gay, bisexual, or questioning. Age of self-identification was conceptualized as an indicator of stress or internal conflict between religious beliefs and self-identification. We hypothesized that higher levels of religiosity would be associated with a later age of identification as LGB, which, in turn, would contribute to heavier drinking. Path analyses conducted in Mplus provided support for this hypothesis, with higher levels of religiosity indirectly contributing to increased alcohol use through later age of self-identification. Whereas additional studies directly assessing stress associated with the self-identification process are needed, the results of this study suggest that religiosity may serve as a risk, rather than protective, factor among LGB youth. The development of religious support groups specifically for LGB youth may help these individuals reconcile their religious beliefs with their emerging sexual identities, thereby allowing them to derive some of the same benefits that heterosexual youth derive from religious beliefs and practices. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Denes A, Dillow MR, DelGreco M, Lannutti PJ, Bevan JL. Forgive and Forget?: Examining the Influence of Blame and Intentionality on Forgiveness Following Hypothetical Same-Sex Infidelity in the Context of Heterosexual Romantic Relationships. JOURNAL OF SEX RESEARCH 2020; 57:482-497. [PMID: 31144529 DOI: 10.1080/00224499.2019.1612831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The present study investigated responses to imagined same-sex infidelity committed by a partner in a heterosexual relationship. The motivational theory of infidelity and research on communicative infidelity were used as guiding frameworks for exploring differences in perceptions of blame and intentionality as a result of varying motivations for engaging in same-sex infidelity (i.e., cheating due to attraction, experimentation, sexual preoccupation, sexual depression, sociosexuality, jealousy, vengefulness, or not viewing the infidelity as cheating). It was predicted that greater perceptions of blame and intent would be associated with more negative transgression-related interpersonal motivations (i.e., more revenge and avoidance; less benevolence) and an increased expectation of terminating the relationship due to the partner's same-sex infidelity. Whether these relationships would replicate or differ according to the partner's motive for committing the hypothetical same-sex infidelity was also tested. Results revealed that, in general and across motives, attributions of blame were positively associated with revenge, avoidance, and relationship termination; perceived intentionality was positively associated with avoidance; and blame was negatively associated with benevolence. Furthermore, across most motives, blame was indirectly associated with relationship termination through avoidance and benevolence, and these associations were not moderated by biological sex. These findings and their implications for research on infidelity specifically, and relational functioning more broadly, are discussed.
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McCann E, Donohue G, Timmins F. An Exploration of the Relationship Between Spirituality, Religion and Mental Health Among Youth Who Identify as LGBT+: A Systematic Literature Review. JOURNAL OF RELIGION AND HEALTH 2020; 59:828-844. [PMID: 32052279 DOI: 10.1007/s10943-020-00989-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
There is a growing interest in addressing spirituality in health care with evidence emerging that personal spiritual and religious practices, and support of these, can influence mental health in a positive way. However, there can be distinct challenges to spiritual expression and mental health issues for youth who identify as LGBT+. The goal of this paper was to undertake a systematic review of the available evidence to investigate the relationship between mental health, spirituality and religion as experienced by LGBT+ youth. A comprehensive literature search was conducted using medical and psychological databases that focused on spirituality, mental health and LGBT+ youth. The search yielded a total of ten articles published in English between May 2008 and June 2018. The key findings highlighted issues around discriminatory attitudes, shame related to disclosure, spirituality as a supportive resource, internalised conflict and external factors around sexual orientation concerns. The psychological, social and health implications are presented and discussed.
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Xu Y, Norton S, Rahman Q. Sexual Orientation and Cognitive Ability: A Multivariate Meta-Analytic Follow-Up. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:413-420. [PMID: 31975035 PMCID: PMC7031189 DOI: 10.1007/s10508-020-01632-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 01/06/2020] [Accepted: 01/07/2020] [Indexed: 06/10/2023]
Abstract
A cross-sex shift model of human sexual orientation differences predicts that homosexual men should perform or score in the direction of heterosexual women, and homosexual women in the direction of heterosexual men, in behavioral domains such as cognition and personality. In order to test whether homosexual men and women's cognitive performance was closer to that of heterosexual men or that of heterosexual women (i.e., sex-atypical for their sex and closer to that of the opposite-sex), we conducted a multivariate meta-analysis based on data from our previous meta-analysis (Xu, Norton, & Rahman, 2017). A subset of this data was used and comprised 30 articles (and 2 unpublished datasets) and 244,434 participants. The multivariate meta-analysis revealed that homosexual men were sex-atypical in mental rotation (Hedges' g = -0.36) and the water level test (Hedges' g = -0.55). In mental rotation, homosexual men were in-between heterosexual men and women. There was no significant group difference on spatial location memory. Homosexual men were also sex-atypical on male-favoring spatial-related tasks (Hedges' g = -0.54), and female-favoring spatial-related tasks (Hedges' g = 0.38). Homosexual women tended to be sex-typical (similar to heterosexual women). There were no significant group differences on male-favoring "other" tasks or female-favoring verbal-related tasks. Heterosexual men and women differed significantly on female-favoring "other" tasks. These results support the cross-sex shift hypothesis which predicts that homosexual men perform in the direction of heterosexual women in sex differentiated cognitive domains. However, the type of task and cognitive domain tested is critical.
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Afdile M, Jääskeläinen IP, Glerean E, Smirnov D, Alho J, Äimälä A, Sams M. Contextual knowledge provided by a movie biases implicit perception of the protagonist. Soc Cogn Affect Neurosci 2020; 14:519-527. [PMID: 30993342 PMCID: PMC6545537 DOI: 10.1093/scan/nsz028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 04/04/2019] [Accepted: 04/09/2019] [Indexed: 12/17/2022] Open
Abstract
We are constantly categorizing other people as belonging to our in-group (‘one of us’) or out-group (‘one of them’). Such grouping occurs fast and automatically and can be based on others’ visible characteristics such as skin color or clothing style. Here we studied neural underpinnings of implicit social grouping not often visible on the face, male sexual orientation. A total of 14 homosexuals and 15 heterosexual males were scanned in functional magnetic resonance imaging
while watching a movie about a homosexual man, whose face was also presented subliminally before (subjects did not know about the character’s sexual orientation) and after the movie. We discovered significantly stronger activation to the man’s face after seeing the movie in homosexual but not heterosexual subjects in medial prefrontal cortex, frontal pole, anterior cingulate cortex, right temporal parietal junction and bilateral superior frontal gyrus. In previous research, these brain areas have been connected to social perception, self-referential thinking, empathy, theory of mind and in-group perception. In line with previous studies showing biased perception of in-/out-group faces to be context dependent, our novel approach further demonstrates how complex contextual knowledge gained under naturalistic viewing can bias implicit social perception.
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Farr RH, Bruun ST, Simon KA. Family conflict observations and outcomes among adopted school-age children with lesbian, gay, and heterosexual parents. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2019; 33:965-974. [PMID: 31343211 DOI: 10.1037/fam0000576] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Children's externalizing problems are associated with family conflict among children and their biological parents, yet these linkages have remained unexamined among adoptive or lesbian and gay parent families. Investigating family processes facilitative of adjustment among adoptees, who face unique developmental challenges, is warranted. This multimethod study of 96 (26 lesbian, 29 gay, 41 heterosexual parent) adoptive families examined observations of adoptive family conflict and associations with child adjustment and feelings about adoption (children's Mage = 8 years). The sample was recruited from 5 private, domestic infant adoption agencies across the United States. Parents and children reported about children's externalizing problems and feelings about adoption, respectively. Observations of family conflict interaction were rated from videotaped family discussions. Family interactions were associated with children's behavioral and adoption-specific adjustment, yet analysis of variance and hierarchical linear modeling analyses revealed no differences by parental sexual orientation in family dynamics (i.e., negativity/conflict, positive affect, cohesiveness) or child outcomes. Parents generally reported children to have few externalizing behaviors. Children reported positive feelings, moderate preoccupation, and low negativity about their adoption. These findings extend the family systems literature about conflict and child development among diverse families with sexual minority parents and adopted children. Practitioners who work with adoptive and sexual minority parent families can encourage positive and cohesive family interactions in supporting children's adjustment. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Lin IH, Ko NY, Huang YT, Chen MH, Lu WH, Yen CF. Effect of Same-Sex Marriage Referendums on the Suicidal Ideation Rate among Nonheterosexual People in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16183456. [PMID: 31533353 PMCID: PMC6765861 DOI: 10.3390/ijerph16183456] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 09/13/2019] [Accepted: 09/16/2019] [Indexed: 12/29/2022]
Abstract
: Taiwan held voter-initiated referendums to determine same-sex marriage legalization on 24 November 2018. This study aims to compare suicidal ideation rates in heterosexual and nonheterosexual participants of a first-wave survey (Wave 1, 23 months before the same-sex marriage referendums) and a second-wave survey (Wave 2, one week after the same-sex marriage referendums) in Taiwan and to examine the influence of gender, age, and sexual orientation on the change in suicidal ideation rates in nonheterosexual participants. In total, 3286 participants in Wave 1 and 1370 participants in Wave 2 were recruited through a Facebook advertisement. Each participant completed an online questionnaire assessing suicidal ideation. The proportions of heterosexual and nonheterosexual participants with suicidal ideation were compared between the Wave 1 and Wave 2 surveys. Suicidal ideation rates between participants in the Wave 1 and Wave 2 surveys were further compared by stratifying nonheterosexual participants according to gender, age, and sexual orientation. Nonheterosexual participants in the Wave 2 survey had a higher suicidal ideation rate than those in the Wave 1 survey, whereas no difference was observed in suicidal ideation rates between heterosexual participants in Wave 2 and Wave 1. Nonheterosexual participants who were female, younger, gay, lesbian, and bisexual in Wave 2 had a higher suicidal ideation rate than those in Wave 1. The suicidal ideation rate significantly increased in nonheterosexual participants experiencing the same-sex marriage referendums in Taiwan. Whether civil rights of sexual minority individuals can be determined through referendums should be evaluated.
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Streed CG, Anderson JS, Babits C, Ferguson MA. Changing Medical Practice, Not Patients - Putting an End to Conversion Therapy. N Engl J Med 2019; 381:500-502. [PMID: 31390498 DOI: 10.1056/nejmp1903161] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Tran US, Kossmeier M, Voracek M. Associations of Bisexuality and Homosexuality with Handedness and Footedness: A Latent Variable Analysis Approach. ARCHIVES OF SEXUAL BEHAVIOR 2019; 48:1451-1461. [PMID: 30498915 PMCID: PMC6594983 DOI: 10.1007/s10508-018-1346-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Revised: 02/10/2018] [Accepted: 11/07/2018] [Indexed: 06/09/2023]
Abstract
Non-right-handedness appears to be more common among bisexuals and homosexuals than among heterosexuals, which might be indirect evidence of effects of prenatal androgen exposure. Current data suggest higher prenatal testosterone levels among bisexual and homosexual women, but are inconclusive for men. This study examined the association between sexual orientation and non-right-handedness for sex differences and whether higher rates of mixed-handedness, rather than left-handedness, might be the driving factor. This allowed for more specific tests regarding the predictions of two competing theories of prenatal androgen exposure, the Geschwind-Galaburda theory and the callosal hypothesis, than in previous research. Being a potentially better indicator of cerebral lateralization than handedness, associations with footedness were also explored. To counter inconsistencies and shortcomings of previous research, we utilized two large discovery and replication datasets (ns = 2368 and 1565) and applied latent variable analysis to reliably classify lateral preferences (i.e., handedness, footedness). This maximized the statistical conclusion validity and allowed for direct tests of replicability. Sexual orientation was differentially associated with lateral preferences among men and women. Associations among women were consistent with predictions of the Geschwind-Galaburda theory, whereas among men they were consistent with predictions of the callosal hypothesis. The results were further consistent with models of homosexuality that suggest a role of parental epigenetic marks on sexually dimorphic fetal development. Research efforts should be increased with regard to footedness and epigenetic theories of homosexuality.
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Badenes-Ribera L, Sánchez-Meca J, Longobardi C. The Relationship Between Internalized Homophobia and Intimate Partner Violence in Same-Sex Relationships: A Meta-Analysis. TRAUMA, VIOLENCE & ABUSE 2019; 20:331-343. [PMID: 29333955 DOI: 10.1177/1524838017708781] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
A meta-analysis was conducted to investigate the association between internalized homophobia and intimate partner violence (IPV) perpetration and victimization in same-sex relationships. The literature search and the application of the inclusion criteria made it possible to identify 10 studies, 2 of which were excluded due to missing data. Therefore, eight studies were finally included in the meta-analysis. The results showed positive and statistically significant associations between internalized homophobia and IPV perpetration and victimization, indicating that higher levels of internalized homophobia were related to higher levels of IPV. Specifically, the pooled effect size for the relationship between internalized homophobia and IPV perpetration (all forms), it was r+ = .147, 95% confidence interval (CI) = [.079, .214]; for the association between internalized homophobia and physical/sexual IPV perpetration, it was r+ = .166, 95% CI [.109, .221]; p < .0001; for the relationship between internalized homophobia and psychological IPV perpetration, it was r+ = .145, 95% CI [.073, .216]; and for the association between internalized homophobia and any type of IPV victimization, it was r+ = .102, 95% CI [.030, .173]. Implications of these results for clinical practice and future research are discussed.
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Kimmes JG, Mallory AB, Spencer C, Beck AR, Cafferky B, Stith SM. A Meta-Analysis of Risk Markers for Intimate Partner Violence in Same-Sex Relationships. TRAUMA, VIOLENCE & ABUSE 2019; 20:374-384. [PMID: 29333967 DOI: 10.1177/1524838017708784] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Research on intimate partner violence (IPV) has largely focused on heterosexual relationships, but, in recent years, researchers have expanded their focus to include same-sex relationships. Using meta-analytic techniques, this study was conducted to examine the relative strength of various risk markers for men and women being perpetrators and victims of physical IPV in same-sex relationships. Articles were identified through research search engines and screened to identify articles fitting the inclusion criteria, a process that resulted in 24 studies and 114 effect sizes for the meta-analysis. The strongest risk marker among those with at least two effect sizes for both male and female perpetration was psychological abuse perpetration. The strongest risk marker among those with at least two effect sizes for IPV victimization was also perpetration of psychological abuse for males and psychological abuse victimization for females. Among same-sex-specific risk markers, internalized homophobia and fusion were the strongest predictors for being perpetrators of IPV for men and women, respectively. HIV status and internalized homophobia were the strongest risk markers for IPV victimization for men and women, respectively. Of 10 comparisons between men and women in risk markers for IPV perpetration and victimization, only 1 significant difference was found. The results suggest that although same-sex and heterosexual relationships may share a number of risk markers for IPV, there are risk markers for physical IPV unique to same-sex relationships. Further research and increased specificity in measurement are needed to better study and understand the influence of same-sex-specific risk markers for IPV.
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Pepping CA, Cronin TJ, Halford WK, Lyons A. Minority Stress and Same-Sex Relationship Satisfaction: The Role of Concealment Motivation. FAMILY PROCESS 2019; 58:496-508. [PMID: 29709056 DOI: 10.1111/famp.12365] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Most lesbian, gay, and bisexual (LGB) people want a stable, satisfying romantic relationship. Although many of the predictors of relationship outcomes are similar to those of heterosexual couples, same-sex couples face some additional challenges associated with minority stress that also impact upon relationship quality. Here, we investigate the association between minority stressors and relationship quality in a sample of 363 adults (M age = 30.37, SD = 10.78) currently in a same-sex romantic relationship. Internalized homophobia and difficulties accepting one's LGB identity were each negatively associated with relationship satisfaction via heightened concealment motivation. We also examined the protective role of identity affirmation on relationship quality, finding a direct positive relationship between the two variables. Minority stressors were negatively associated with couple relationship satisfaction via heightened concealment motivation. The finding that identity affirmation directly predicted increased couple satisfaction also highlights the important role of protective factors in same-sex couple relationships.
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Perales-Puchalt J, Gauthreaux K, Flatt J, Teylan MA, Resendez J, Kukull WA, Chan KCG, Burns J, Vidoni ED. Risk of dementia and mild cognitive impairment among older adults in same-sex relationships. Int J Geriatr Psychiatry 2019; 34:828-835. [PMID: 30864178 PMCID: PMC6502266 DOI: 10.1002/gps.5092] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Accepted: 03/05/2019] [Indexed: 12/28/2022]
Abstract
INTRODUCTION Sexual minority discrimination might lead to a higher risk of mild cognitive impairment (MCI) and dementia. The aim of this study was to assess the risk of MCI and dementia between older adults in same-sex relationships (SSR) and opposite-sex relationships (OSR). METHODS We analyzed longitudinal data from the National Alzheimer's Coordinating Center up to September 2017. Analyses included cognitively normal individuals 55+ at baseline who had a spouse, partner, or companion as study partner at any assessment. Associations were calculated using survival analysis adjusting for demographics and APOE-e4 carrier status. RESULTS Hazard ratios of MCI and dementia did not differ statistically between SSR and OSR individuals in the total sample nor stratified by sex. CONCLUSION The lack of association between SSR and MCI and dementia warrants future research into their potential resilience mechanisms and the inclusion of sexual minority status questions in research and surveillance studies. The potential recruitment bias caused by nonprobabilistic sampling of the cohort and the reporting and ascertainment bias caused by using SSR to infer sexual minority status may have influenced our findings.
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Landry J, Kensler P. Providing Culturally Sensitive Care to Women Who Are in the Sexual Minority or Are Gender Nonconforming. Nurs Womens Health 2019; 23:163-171. [PMID: 30844366 DOI: 10.1016/j.nwh.2019.01.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 11/30/2018] [Accepted: 01/01/2019] [Indexed: 06/09/2023]
Abstract
Women who are in the sexual minority or are gender nonconforming experience more physical and mental health disparities compared with those in the sexual majority. Individuals in the minority have reported a fear of being judged or a feeling of being invisible to health care providers. Many nurses believe that they treat all patients the same, but they may be unaware of the special cultural needs of individuals in the minority. In this article, we describe health disparities experienced by lesbian, gay, bisexual, transgender, questioning/queer, and intersex (LGBTQI) populations; explain definitions and terms to improve communication; and discuss best practices to provide inclusive environments for these individuals. We also discuss the process of coming out and how nurses can best meet the needs of individuals in the different stages of coming out.
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Ioverno S, Baiocco R, Lingiardi V, Verrastro V, D'Amore S, Green RJ. Attitudes towards same-sex parenting in Italy: the influence of traditional gender ideology. CULTURE, HEALTH & SEXUALITY 2019; 21:188-204. [PMID: 29676655 DOI: 10.1080/13691058.2018.1459846] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
This study aimed to examine the role of gender ideology, religiosity and political conservatism on attitudes toward same-sex parenting in Italy at a time when same-sex parent families are undergoing attacks from ideological campaigns opposing non-traditional gender roles and families. We collected data from 4,187 heterosexual respondents about attitudes towards two-father and two-mother parenting, homonegativity, attitudes toward traditional masculinity and femininity, religious involvement and political conservatism. We conducted multiple group structural equation model analyses to test whether sex moderated any of the estimated associations among variables. Results showed that traditional beliefs about femininity were directly associated with negative attitudes towards two-mother and two-father parenting, while traditional beliefs about masculinity had a significant direct effect only on two-father parenting. Homonegativity partially mediated the association between religiosity, political conservatism and traditional beliefs about masculinity and femininity on negative attitudes toward both types of same-sex parenting. Gender differences were found for the indirect effects of political conservatism and religiosity on attitudes towards same-sex parenting. The theoretical contributions and implications of the findings are discussed.
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Amezcua-Gutiérrez C, Marisela HG, Fernández Guasti A, Aguilar MAC, Guevara MA. Observing Erotic Videos With Heterosexual Content Induces Different Cerebral Responses in Homosexual and Heterosexual Men. JOURNAL OF HOMOSEXUALITY 2018; 67:639-657. [PMID: 30526443 DOI: 10.1080/00918369.2018.1550331] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
To determine the cerebral functionality associated with the perception and processing of erotic stimuli in men with different sexual orientation, this work evaluated the electroencephalographic activity (EEG) from several cortical areas, as well as subjective arousal in homosexual and heterosexual men during observation of an erotic film with heterosexual content. The heterosexual men rated the erotic video with higher general and sexual arousal than the homosexual participants. During observation of the neutral and erotic videos, both groups showed a decreased amplitude of the alpha band in prefrontal and parietal cortices, indicating increased attention. When watching the erotic video, the homosexual men showed an increased amplitude of the theta and fast bands only in the prefrontal cortex, which could be related to the cognitive processing of the erotic stimulus. These EEG results should broaden our knowledge of the cortical mechanisms related to the different perception and processing of erotic stimuli in men with different sexual orientations.
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Ryan C, Toomey RB, Diaz RM, Russell ST. Parent-Initiated Sexual Orientation Change Efforts With LGBT Adolescents: Implications for Young Adult Mental Health and Adjustment. JOURNAL OF HOMOSEXUALITY 2018; 67:159-173. [PMID: 30403564 PMCID: PMC10371222 DOI: 10.1080/00918369.2018.1538407] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Studies of adults who experienced sexual orientation change efforts (SOCE) have documented a range of health risks. To date, there is little research on SOCE among adolescents and no known studies of parents' role related to SOCE with adolescents. In a cross-sectional study of 245 LGBT White and Latino young adults (ages 21-25), we measured parent-initiated SOCE during adolescence and its relationship to mental health and adjustment in young adulthood. Measures include being sent to therapists and religious leaders for conversion interventions as well as parental/caregiver efforts to change their child's sexual orientation during adolescence. Attempts by parents/caregivers and being sent to therapists and religious leaders for conversion interventions were associated with depression, suicidal thoughts, suicidal attempts, less educational attainment, and less weekly income. Associations between SOCE, health, and adjustment were much stronger and more frequent for those reporting both attempts by parents and being sent to therapists and religious leaders, underscoring the need for parental education and guidance.
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Oi K, Wilkinson L. Trajectories of Suicidal Ideation from Adolescence to Adulthood: Does the History of Same-Sex Experience Matter? ARCHIVES OF SEXUAL BEHAVIOR 2018; 47:2375-2396. [PMID: 30105619 DOI: 10.1007/s10508-018-1234-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2017] [Revised: 04/10/2018] [Accepted: 05/14/2018] [Indexed: 06/08/2023]
Abstract
The fluidity of same-sex experience (SSE) can be conceptualized as both a risk and a resource that impacts suicidal ideation over time. Considering whether SSE occurs in adolescence, adulthood, or both, this study suggests that SSE in both adolescence and adulthood is associated with depression and low self-esteem throughout the life course, resulting in chronic susceptibility to suicidal ideation. Yet due to variation in both accumulation of risk and resources over time, trajectories of suicidal ideation during the transition to adulthood likely vary by timing of SSE. To test these hypotheses, we fit latent growth curve models to a gender-stratified sample taken from the National Longitudinal Study of Adolescent to Adult Health (7608 men, 8070 women). We created four groups of SSE: no SSE (6322 men, 5981 women), SSE in adolescence only (634 men, 480 women), SSE in adulthood only (372 men, 1081 women), and SSE in adolescence and adulthood (280 men, 528 women). Men and women with SSE in both life stages had the greatest risk of suicidal ideation in adolescence and in adulthood. Yet women with first SSE in adulthood had less of a decline in suicidal ideation over time, relative to those with no SSE and those with SSE in adolescence only, and this was partially due to higher depression and lower self-esteem. Results suggest greater support is needed for adolescents expressing non-normative sexualities and for those with first SSE in adulthood, a group that is more difficult to identify in schools.
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Willis P, Raithby M, Maegusuku-Hewett T. "It's a nice country but it's not mine": Exploring the meanings attached to home, rurality and place for older lesbian, gay and bisexual adults. HEALTH & SOCIAL CARE IN THE COMMUNITY 2018; 26:908-916. [PMID: 30033526 DOI: 10.1111/hsc.12616] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Revised: 05/17/2018] [Accepted: 06/16/2018] [Indexed: 06/08/2023]
Abstract
An ageing population across European nations, including the United Kingdom, brings with it new challenges for health and social care services and precipitates social policy initiatives targeted at meeting the care and support needs of a rapidly expanding number of older people. Ageing in place is one such policy driver-policy efforts that seek to promote the maintenance of older citizens residing in their own homes for as long as possible with minimal state intervention. Current generations of older lesbian, gay and bisexual (LGB) people have endured homophobia throughout their life histories, and sexual identity can shape perceptions and experiences of ageing, including experiences of home life, community and place. Our objective is to examine the meanings attached to home and place for older LGB adults living independently across three dimensions: rural places as "home," connections to LGB communities, and social care provision in the home. We present interview findings from a mixed-methods study on the social inclusion of older LGB adults in Wales. Twenty-nine LGB-identifying adults (50-76 years) self-selected to participate in semistructured interviews between 2012 and 2013. Thematic findings from interviews indicate varying and contradictory meanings attached to home life in rural places, the importance of connection to communities of identity across geographical and online localities, and a high degree of ambivalence towards the prospect of receiving social care services in the home. We argue that a more nuanced understanding of the subjective meanings attached to home, rurality and community for older LGB people is needed to fully support LGB citizens to continue to live independently in their homes.
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Chan CD, Howard LC. When Queerness Meets Intersectional Thinking: Revolutionizing Parallels, Histories, and Contestations. JOURNAL OF HOMOSEXUALITY 2018; 67:346-366. [PMID: 30372381 DOI: 10.1080/00918369.2018.1530882] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Intuitively distinguishing the myriad of critically informed paradigms requires an in-depth analysis of genealogies, histories, and philosophical underpinnings grounding each paradigm. Despite significant parallels between queer theory and intersectionality theory, the distinction of these two paradigms acts in both complicated and complementary manners that necessitate a dialogue on the contributions emanating from both paradigms to LGBTQ studies. This article targets the following goals: (1) explicate genealogy, history, and philosophical tenets of intersectionality and queer theory; (2) dialogue about the complementary yet complex relationships between the two paradigms; and (3) illustrate the promise of the complex relationship and distinction for LGBTQ studies.
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Seitz DK. "It's Not About You": Disappointment as Queer Pedagogy in Community-Engaged Service-Learning. JOURNAL OF HOMOSEXUALITY 2018; 67:305-314. [PMID: 30335583 DOI: 10.1080/00918369.2018.1528078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Increasingly popular in the neoliberal university, community-engaged service-learning (CESL) courses offer rich yet contradictory opportunities for LGBTQ studies students to synthesize queer critiques of community and identity with experiences in LGBTQ communities. Much CESL scholarship has focused on the tensions between benefits to community and to students, prioritizing either radical social change or student satisfaction. Beside such debates, I propose the queer ethical, pedagogical, and political value of disappointment in the tedium and contradictions of community itself. Such queer disappointment, I contend, might enable students to cultivate the emotional and critical capacities to engage in community work on sustainable, dedramatized, and unentitled terms.
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Scharrón-Del Río MR. Intersectionality Is Not a Choice: Reflections of a Queer Scholar of Color on Teaching, Writing, and Belonging in LGBTQ Studies and Academia. JOURNAL OF HOMOSEXUALITY 2018; 67:294-304. [PMID: 30335600 DOI: 10.1080/00918369.2018.1528074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Drawing on my experience as a queer, genderqueer, Puerto Rican counselor educator, this article considers how LGBTQAI+ studies and academia can expand to better include people with multiple marginalized identities. This article highlights some of the contradictions that educators face when engaging in the liberatory praxis that connects and creates a sense of belonging during these tumultuous times. This reflection suggests a decolonizing approach to intersectionality and highlights the importance of transcending binary discourse to engage in deconstructing the multiple layers of colonization in our internal and external spaces that is necessary for liberatory praxis. Finally, a few recommendations for how LGBTQAI+ studies and academia can support scholars with multiple marginalized identities are identified.
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Heaphy B. Reflexive convention: civil partnership, marriage and family. THE BRITISH JOURNAL OF SOCIOLOGY 2018; 69:626-645. [PMID: 28906547 DOI: 10.1111/1468-4446.12308] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Drawing on an analysis of qualitative interview data from a study of formalized same-sex relationships (civil partnerships) this paper examines the enduring significance of marriage and family as social institutions. In doing so, it intervenes in current debates in the sociology of family and personal life about how such institutions are undermined by reflexivity or bolstered by convention. Against the backdrop of dominating sociological frames for understanding the links between the changing nature of marriage and family and same-sex relationship recognition, the paper analyses the diverse and overlapping ways (including the simple, relational, strategic, ambivalent and critical ways) in which same-sex partners reflexively constructed and engaged with marriage and family conventions. My analysis suggests that instead of viewing reflexivity and convention as mutually undermining, as some sociologists of family and personal life do, it is insightful to explore how diverse forms of reflexivity and convention interact in everyday life to reconfigure the social institutions of marriage and family, but do not undermine them as such. I argue the case for recognizing the ways in which 'reflexive convention', or reflexive investment in convention, contributes to the continuing significance of marriage and family as social institutions.
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