Sexual Orientation Health Disparities in Chronic Respiratory Disorders

Smoking, a leading cause of chronic respiratory disorders, is elevated among sexual minority (i.e., lesbian, gay, and bisexual) individuals. Elevations in smoking among sexual minority individuals may contribute to increased rates of chronic respiratory disorders among older sexual minority individuals. Data from 161,741 individuals (3.6% sexual minorities) aged 45 and older from the 2020 Behavioral Risk Factor Surveillance System were used to examine disparities in chronic respiratory disorders among older sexual minority individuals. Mediation was used to analyze a model with smoking mediating the relationship between sexual minority identity and self-reported chronic respiratory disorder. The results indicated that smoking mediated the relationship between sexual minority identity and self-reported chronic respiratory disorder. Smoking was 1.2 times more common, and the prevalence of chronic respiratory disorders was 1.2 times higher, among sexual minority individuals compared to heterosexual individuals. The present study indicates that smoking disparities observed among sexual minority individuals are linked to increased risk for chronic respiratory disorders, and also indicate that sexual minorities have an excess burden of chronic respiratory disorders.

Perceptions from the public on farmworker contributions to the U.S. economy and attitudes toward farmworkers

OBJECTIVE

Farmworkers in the United States contribute to the trillion-dollar agriculture industry through their work in agricultural fields, orchards, ranches, dairies, processing, and packing houses. Seventy-three percent of migrant and seasonal farmworkers in the United States are immigrants and face negative attitudes and prejudices. The present study was designed to better understand how farmworkers in the United States are perceived by nonworkers.

METHOD

Using a sample of 242 adult participants (Mage = 26.85, SD = 9.78; 53.7% non-Hispanic White) from the United States collected online, data were collected on negative attitudes toward immigrants, perceptions of farmworkers' contribution to the economy, and voting on hypothetical bills related to immigration.

RESULTS

Negative attitudes toward immigrants and perception of economic contribution were both significant in estimating voting, as was their interaction. At high levels of negative attitudes toward immigrants, knowledge of the economic contribution of farmworkers buffered the relationship between negative attitudes and support for pro-immigrant voting. Specifically, those who perceived farmworkers to contribute to the economy were more likely to indicate hypothetical pro-immigrant voting.

CONCLUSIONS

The present study highlights awareness of the importance of farmworkers to our economy in relation to attitudes toward farmworkers. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Grit is associated with decreased mental health help-seeking among student veterans

Objective: To examine the role of grit as a mediator of the relationship between student-veteran status and not seeking mental health help. Participants: A diverse and nationally representative sample of students (8,203 women, 4,934 men) from 18 U.S. colleges and universities included in the Understanding Student Distress and Academic Success study was used. Method: Data were analyzed using structural equation modeling to assess associations between military service, grit, and help seeking. Results: Military service was positively associated with both facets of grit: consistency of interests (CI) and perseverance of effort (PE). CI, but not PE, mediated the relationship between military service and never having sought mental health help. Conclusions: These results suggest that grit mediates the relationship between military service and not seeking mental health help. Interventions for student-veterans that emphasize the utility of mental health treatment may be useful to diminish the negative influence of grit on help-seeking.

Anabolic Steroid Use and Intimate Partner Violence Among Sexual Minority Men

This study examined the relationship between intimate partner violence (IPV) and use of anabolic-androgenic steroids (AAS), in a relationship context, among men who have sex with men (MSM). The sample was collected online via Prolific.co and consisted of 491 MSM. Data were analyzed using structural equation modeling. While accounting for the influence of factors known to be linked to IPV (adverse childhood experiences and alcohol use), the use of AAS in a relationship context was uniquely linked to greater perpetration of IPV. AAS use was not uniquely linked to IPV victimization. Findings from this study contribute to literature on IPV among MSM by including a group-specific risk factor (AAS use) in modeling risk for IPV. Limitations, implications, and future directions for research are discussed.

The Role of Minority Stressors in Digital Dating Abuse Victimization and Perpetration among Sexual Minority Men

Digital dating abuse (DDA), a manifestation of intimate partner violence (IPV), is becoming more relevant. Despite elevated rates of IPV among sexual minority individuals and increased experiences of DDA, research has focused largely on face-to-face forms of IPV (e.g., physical assault) among presumed heterosexual couples. The minority stress theory offers a lens through which we can understand the elevated rates of IPV, including DDA, among sexual minority individuals. The purpose of this study was to explore the role of minority stressors in DDA victimization and perpetration among sexual minority men. A sample of 491 cisgender gay and bisexual men (M_age = 31.35, SD_age = 11.60) was recruited online. Consistent with prior research, discrimination was associated positively with internalized homophobia (IHP). Discrimination and IHP were directly linked to DDA victimization and perpetration. Indirect effect from discrimination to DDA victimization and perpetration, mediated by IHP, were significant. This study highlights the relationship between minority stressors and DDA among sexual minority men and indicates the need for more work on DDA among marginalized groups including sexual and gender minorities.

Psychology of Women Quarterly: Citation Network Analysis of its Landscape and Evolution

Psychology of Women Quarterly (PWQ) is a leading outlet for feminist psychology research. To elucidate the interrelations of PWQ publications over time, we conducted a citation network analysis of its 2,747 articles and 4,517 citation links. Of the 16 citation clusters that emerged, many echoed key elements of PWQ's scope. These included Cluster 1: feminist consciousness and sexism; Cluster 2: body image and objectification; Cluster 3: feminist psychology, epistemology, and methodology; Cluster 4: gender and educational and occupational experiences; Cluster 5: rape and sexual assault; Cluster 6: power and violence in close relationships; Cluster 7: sexual harassment and workplace discrimination; and Cluster 8: women and power with attention to race and nation. Areas of citation disconnection revealed avenues for resisting citation silos and advancing pantheoretical feminist frameworks on the continuum of patriarchal violence. Small and discontinued clusters were areas ripe for feminist revisiting (e.g., reproductive justice). PWQ articles were cited in an increasing number and breadth of journals over time. These findings can inform authors, reviewers, and editors to advance the next decades of scholarship in PWQ in ways that resist citation silos, revive research on critical domains of women's lives, and foster the feminist edge of our scholarship.

Demographic and behavioral factors associated with kratom use among U.S. college students

Objective: Kratom use represents a growing risk for public health. The present study examined demographic and behavioral factors linked with kratom use. Participants: Participants were college students in the United States who participated in the 2019-2020 Healthy Minds Study. Methods: Participants completed survey-based assessment of kratom use and related demographic, behavioral, and mental health variables. Results: Kratom use was linked with being White, male or transgender/gender nonconforming, identifying as a sexual minority, use of alcohol or marijuana, and depressive symptoms. Kratom use was not uniquely linked to exercise or anxiety. Conclusions: The results of the present study can be used to inform initial targeting of efforts to reduce kratom use among college students.

Mental health stigma and professional help-seeking behaviors among Asian American and Asian international students

Objective: To examine the relationship between stigma and mental health help-seeking among Asian American and Asian international college students. Participants: Asian American college students (401 men, 858 women) and Asian international college students (384 men, 428 women). Methods: Data from the 2018-2019 Healthy Minds Study were used to assess perceived stigma, personal stigma, and help-seeking behaviors of college students. Results: Personal stigma mediated the relationship between perceived stigma and professional help-seeking intentions. The relationship between perceived stigma and personal stigma differed by international status, such that the relationship between perceived stigma and personal stigma was stronger for Asian international students. The indirect effect between perceived stigma and professional help-seeking via personal stigma also differed by international status. Conclusions: These results suggest that, consistent with prior work, stigma impacts help-seeking among Asian college students and international student status affects the strength of the key relationship between perceived stigma and personal stigma.

Policy attitudes toward adolescents transitioning gender

Anti-transgender policies and state legislative initiatives that focus on school bathroom use and hormone use have emerged in recent years. These policies are generally written by and voted on by cisgender people, and as such, it is crucial to understand influences on nonaffirming attitudes toward policies that can impact trans youth. The present study aimed to extend research on transphobic attitudes in general to attitudes toward policies that impact youth undergoing transition. Latent variable covariances and structural equation modeling were used to test the relations between transphobia, genderism, homophobia, need for closure, sexual orientation, social dominance orientation, attitudes toward sexual minorities, beliefs about gender roles, aggression, religious fundamentalism, and contact with sexual and gender minority individuals, as they are related to attitudes toward hormone use and bathroom use for trans youth. Analyses of data from a sample of 248 cisgender adults indicated that genderism and transphobia was associated with attitudes toward gender-affirming hormone use and bathroom use for trans youth; need for closure was associated with gender-affirming attitudes toward bathroom use, but was not associated with hormone use. Sexual orientation was linked to attitudes toward gender-affirming policies, such that nonheterosexual participants had more affirming attitudes toward trans youths' bathroom use, but not hormone use. Implications for future research, advocacy efforts to promote rights for trans youth, and clinical work with trans youth and/or parents/guardians of trans youth are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Competition or Community? The Backstage Experience of Men in Bodybuilding Competitions

Bodybuilding is an increasingly popular sport in the United States. Across fields of psychology, history, sociology, and anthropology, bodybuilding has been examined as being related to, or as manifestly being, a pathology. Extant work on men who are bodybuilders are often built on the assumption that narcissism, self-doubt, and insecurity are the driving forces for men's involvement. The present study sought to examine the experiences of eleven men who have competed in bodybuilding competitions. In contrast to the dominant academic discourse on bodybuilding as an embodiment of toxic masculinity or as a reaction to underlying feelings of inferiority, the study participants described friendly, supportive competition contexts. That such feelings were found backstage, as opposed to in a gym, strengthens the need for a more nuanced distinction between bodybuilding as a culture, and bodybuilding as a sport. This study disrupts dominant narratives of bodybuilding as pathological and contributes to work on the construction of gender and masculinity in sport. The present work suggests a scholarly approach to men's bodybuilding in an open and nuanced manner that does not focus on pathologizing bodybuilding or competition.

The Impact of Mental Health Care Provider Website Transgender and Nonbinary Affirmation on Site User Experience for Transgender/Nonbinary and Cisgender People

Transgender and gender nonbinary (TGNB) individuals use provider information, such as websites, to ascertain whether providers are affirming of TGNB identities. Yet, providers may be unsure about what level of affirmation is sufficient to be perceived as affirming and may be concerned that cisgender people may have negative reactions to website material that is TGNB affirming. The present study undertook a user experience (UX) investigation of TGNB and cisgender participants' UX of mental health provider websites. Participants (310 cisgender, 224 TGNB) were recruited online. Participants viewed one of five mock provider websites. Results of a multivariate analysis of covariance (MANCOVA) indicated that TGNB had more positive evaluations of the three more affirming sites, compared to the less affirming sites, along UX domains related to likelihood of going to that provider, Mental Health Help-Seeking Attitudes, positive emotional UX, and negative emotional UX. Regardless of gender identity, participants rated the three more affirming sites as more welcoming. The results support the use of TGNB affirmation in the UX of TGNB individuals viewing provider websites and further suggest that TGNB affirmation does not detract from the UX of cisgender people. Implications for affirming practice with TGNB populations are reviewed.

Variance Composition, Reliability, Validity, and Measurement Invariance of the Toronto Alexithymia Scale-20 in Nonclinical Samples

The present study extended prior work on the Toronto Alexithymia Scale-20 (TAS-20). The TAS-20 total scale score is commonly used in research in the psychology of men and masculinities and in clinical practice, but most published confirmatory factor analyses (CFA's) do not support this use. Using a sample of 913 men and women, variance composition was assessed, and model-based dimensionality and reliability coefficients were calculated, finding evidence for unidimensionality, which supports the use of the total scale raw score but not that of the subscales, although the model fit was less than desired. Convergent and concurrent evidence was found for the validity of the TAS-20 in men as a unidimensional scale (N = 505) by examining relationships with latent variables of several constructs in the nomological network. An assessment of measurement invariance by gender (men, women) found evidence for metric invariance, indicating that cisgender men and women understand the scale in the same way. It is recommended that the TAS-20 scale developers follow recommended procedures to trim composite measurement scales to improve the psychometric properties (i.e., model fit) of the TAS.

Heterosexual Self-Presentation, Identity Management, and Sexual Functioning Among Men Who Have Sex with Men

Research and clinical work on sexual functioning in men has traditionally focused on the presence or absence of erectile dysfunction (ED) or the inability to maintain an erection sufficient for satisfactory sexual performance. However, for men who have sex with men (MSM), receptive anal intercourse is a common form of sexual expression. Existing work on men's sexual dysfunction does not effectively address receptive anal sex functioning, and there is a need to understand how stressors can impact this common sexual behavior. The goal of the present study was to understand how stressors can impact erective and receptive anal sex functioning among MSM. In the present study, we hypothesized that minority stress (as operationalized by integrating identity management and heterosexual self-presentation) would have an impact on MSM's sexual functioning overall and adapted a previous measure of sexual dysfunction (International Index of Erectile Functioning) to better assess this relationship. Data were collected from 228 men (M_age = 31.74, SD = 9.41); exploratory factor analysis was used to create a new measure of sexual functioning, and regression analyses were used to examine the relationships between heterosexual self-presentation and identity management and sexual functioning. Results demonstrated that higher heterosexual self-presentation was associated with more functional impairment in erectile function and receptive anal sex functioning as well as use of functional enhancement medications or substances. The results of the present study extend extant work on minority stress to sexual functioning of MSM and are relevant to the sexual health concerns of MSM.

Mapping the terrain of Journal of Counseling Psychology: A citation network analysis

In this study, we conducted a citation network analysis of the Journal of Counseling Psychology (JCP) to elucidate the scope, evolution, and interconnections of JCP publications as reflected in how authors use (i.e., cite) these publications. We used CitNetExplorer to analyze a network of 4,718 JCP publications and 16,959 citation links. The analysis yielded 19 clusters in JCP's citation network. The most dominant facet of the citation network focused on counseling, counseling process, and counseling outcome. The clusters in this facet shifted from an early focus on perceptions of counselors to continuing examinations of what happens in counseling. Another dominant facet comprised clusters on vocational psychology, shifting from an earlier focus on vocational choice and interest, to career counseling and decision making, to vocational and academic development processes and predictors. These major facets converged toward a continuing cluster focused on methodology and analysis along with race, gender, sexuality, and other diversity scholarship. This suggests that diversity-focused publications in JCP often employ and cite methodological and analytic advances. The results also reveal discontinued areas of scholarship in JCP that are ripe for revisiting and rebuilding in new directions (e.g., anger and social justice activism; clinical judgment and artificial intelligence). The results suggest that a promising next step in the evolution of JCP would be for authors to engage with and cite diversity scholarship as central to "general" domains of JCP scholarship. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Parasocial Relationships and Depression Among LGBQ Emerging Adults Living With Their Parents During COVID-19: The Potential for Online Support

Lesbian, gay, bisexual, and queer (LGBQ) youth continue to be disproportionately at risk for depression. During COVID-19 social distancing, LGBQ youth who live with family may be more consistently exposed to potentially discriminatory family situations, and may receive reduced community and mental health support. However, the Internet offers opportunities to interact with lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities by watching videos of, and developing one-way relationships-or parasocial relationships-with, LGBTQ media personalities on platforms such as YouTube. The current study explored how parasocial relationships with LGBTQ YouTubers may moderate the links between family support, loneliness, and depression symptoms among LGBQ emerging adults living with their parents during the COVID-19 pandemic. A sample of 183 LGBQ emerging adults (age 18-23) was recruited from the United States in mid-July 2020. Results of a moderated mediation regression indicated that parasocial relationship strength moderated the links between family support and loneliness, and loneliness and depression symptoms. The associations between family support and loneliness, and between loneliness and depression symptoms, were weakened by high parasocial relationship strength. These findings contribute to understanding parasocial relationships' connections to well-being among marginalized groups during a crisis and highlight the potential of online solutions to emerging mental health disparities being experienced by LGBQ youth disproportionally affected by the COVID-19 pandemic.

Development and evaluation of a new short form of the Conformity to Masculine Norms Inventory (CMNI-30)

The Conformity to Masculine Norms Inventory (CMNI) has been an important tool in researching masculinity. With the original measure at 94 items (Mahalik et al., 2003), there have been several abbreviated forms developed from 11 to 55 items. However, in confirmatory factor analyses (CFA's) testing 13 common factors, bifactor, hierarchical, and unidimensional models, only 4 models demonstrated adequate fit to the data, and most of these were for the still quite long 46-item version. As a result, there was no psychometrically strong truly short form of the CMNI. In the present study, data from 1561 community and university men were used to develop a short form. First an exploratory factor analysis using a portion of the data was conducted, which resulted in a 10-subscale dimensionality, followed by CFA estimating a common factors model. The results of the CFA were used to create two candidate models for a 30-item short form of the CMNI, based on Classical test theory (CTT) and optimized CTT. The best-fitting candidate model for the CMNI-30 was CTT. Next, the fit of the 29, 46, and 94 item models were compared to the 30-item version, which had the superior fit. Then, measurement invariance between White men and men of color was assessed, choosing this comparison because hegemonic masculinity is theorized to marginalize men of color. Evidence was found for full configural and metric, and partial scalar and residuals invariance. Finally, significant relationships between CMNI-30 scores and indicators of depression and anxiety provides preliminary concurrent evidence for its validity. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Psychosocial Barriers to Pre-exposure Prophylaxis (PrEP) Uptake: The Roles of Heterosexual Self-Presentation, Sexual Risk, and Perceived Peer PrEP Use

Several challenges have emerged in ensuring uptake of preexposure prophylaxis (PrEP) for HIV prevention. By applying the health belief model, the present study assessed associations between novel psychosocial variables and PrEP use among gay and bisexual men. Logistic regression analyses indicated that heterosexual self-presentation, sexual risk, PrEP conspiracy beliefs, and perceived peer PrEP use were positively associated with PrEP use. Greater understanding of the psychosocial barriers to PrEP use for unique at-risk populations can facilitate the development of socially informed prevention strategies.

What Is Bad From the Gander Is Bad From the Goose: Development and Validation of the Women's Objectification of Women Scale

Existing measures of experiences of sexualization and objectification of women focus on behaviors that men do toward women. However, women may also contribute to the objectification of other women. The aim of the present study was to develop the Women's Objectification of Women Scale (WOWS). Through a series of four studies using samples of college women and samples obtained through MTurk, we (a) established that existing measures of objectification focus on behaviors that men perform, (b) gathered qualitative data on women's experiences of objectification by women, (c) developed models of the WOWS using classical test theory methods and item response theory, and (d) subjected the WOWS to confirmatory factor analysis and validity testing. The WOWS is a psychometrically sound, brief assessment of women's experiences of objectification by other women and may help further research on women's interpersonal experiences as they pertain to body image concerns, mental health, and well-being.

Mapping the Travels of Intersectionality Scholarship: A Citation Network Analysis

In this study, we conducted a citation network analysis of intersectionality scholarship. We aimed to elucidate content domains in this scholarship's citation network. In addition, we explored a citation-based genealogy of this scholarship, attending to the representation of women of color identified in prior critical analyses of intersectionality scholarship as key but under-acknowledged contributors to intersectional thought and praxis. We used CitNetExplorer to analyze a network of 17,332 records and 60,132 citation links. The analysis yielded 17 clusters, with the five largest clusters focusing on (1) conceptualizing intersectionality theory, methodology, and analysis; (2) psychology, identity stigma, and multiple minority statuses; (3) sociology of gender inequality, labor markets, and organizations; (4) political science, political systems and policy, including in the European context; and (5) violence against women, gender and health, and health equity. Although some of the key women of color contributors to intersectional thought were among the most cited authors in the network, others were cited infrequently or not at all across the network and clusters. Taken together, the analyses revealed substantial and ongoing engagement with efforts to define and refine intersectionality as epistemology and methodology. However, the analyses pointed to the need for scholars to reengage with, cite, and follow the examples of the women of color who contributed to intersectional thought by actually doing intersectional praxis that directly advances social justice aims. Some of the smaller clusters in the citation network reflected content domains, such as environmental justice and community planning, ripe for such activist-scholar work. Online slides for instructors who want to use this article for teaching are available on PWQ's website at http://journals.sagepub.com/doi/suppl/10.1177/0361684320902408.

Masculinity threats influence evaluation of hypermasculine advertisements

The precarious manhood paradigm posits that many men view their gender as a social status that must be earned and maintained, and can be lost. The present study applied the precarious manhood paradigm to a hypermasculine advertisement. A sample of 208 men was collected online. Using a false feedback paradigm, men's masculinity was either threatened, or not threatened. The men then viewed one of two commercials. One commercial was a neutral, control advertisement, and one was a hypermasculine advertisement. We also measured participants' endorsement of masculine norms. Results of a moderated moderation analysis indicated that men in the threat condition were more likely to view the hypermasculine advertisement as being masculinity-enhancing, if they also endorsed the masculine norms of Winning, Heterosexual Self-Presentation, and Power over Women. Results for future research applying precarious manhood to advertising, and implications for clinical work with men, are discussed.

An Inductive Analysis of Young Adults' Conceptions of Femininity and Masculinity and Comparison to Established Gender Inventories

This study provides an analysis of the content of feminine and masculine characteristics/behaviors described in writing by 366 young women and 289 young men from the U.S. Emergent characteristics/behaviors were placed into domains. For both femininity and masculinity, the domains of "physical differences related to sex" and "emphasized physical differences" emerged. For masculinity, additional domains were: "activities and interests focused on the body," "powerful or oriented toward power," and "emotion-control or emotionally-limited." For femininity, additional domains were "lacking power," "orientation to other people," and "emotional." We then compared the characteristics/behaviors and domains we discovered to gender inventories that are commonly used in the contemporary period. The masculine domains focused on physical differences, activities, and interests that emerged from the present study are mostly absent from these masculinity inventories. The domains focused on power and restricted emotion are evident in these inventories, but these inventories do not cover all of the characteristics within our domains. The feminine domains that emerged from the present study are more often covered in these inventories, but some of the specific feminine characteristics we found are not evident in these inventories. Results are discussed in terms of gender role theory, gender inequality, and potential application for qualitative and quantitative inquiries into the construction of gender.

An Inhospitable World: Exploring a Model of Objectification Theory With Trans Women

In this study, we investigated key tenets of objectification theory, a prominent model of body image disturbance, as it relates to trans women's disordered eating and intention to obtain silicone injections-a specific health risk for this population. We also incorporated appearance congruence, or the degree to which an individual personally feels that their gender expression matches their gender identity, into the objectification theory model. Results of a structural equation model using data from a sample of 173 trans women from the United States indicated that the basic objectification theory model held among this sample and that appearance congruence was associated negatively with body surveillance. However, appearance congruence did not have significant direct or indirect links (via body surveillance and body shame) with disordered eating or intention to obtain silicone injections. Thus, disordered eating and intention to obtain silicone injections are potential negative outcomes of the process of objectification among trans women, and appearance congruence does not appear to be uniquely linked to health risks associated with internalization of cultural standards of attractiveness, body surveillance, and body shame. Our findings support the application of the tenets of objectification theory with trans women as they apply to disordered eating and intention to obtain silicone injections and also indicate the need to identify other positive influences on trans women's body image to counteract internalization of cultural standards of attractiveness.

Homophobic Bullying and Suicidal Behavior Among US Heterosexual Youth

Homophobic bullying is pervasive in schools, and has been linked with suicidality among sexual minority youth. In prior studies, heterosexual adolescents have typically served as the reference group to understand disparities facing sexual minority youth. Yet, heterosexual adolescents may also face homophobic bullying. We assessed the associations between homophobic bullying and risk factors for suicide (sadness/hopelessness, considering suicide, planning suicide, and attempting suicide) among youth who identify as heterosexual.

Association of No Promotion of Homosexuality Laws and Electronic Cigarette Use Disparities for Sexual Minority Youth

This study examines the disparities in e-cigarette use between heterosexual and sexual minority youth in US states with and without laws prohibiting positive portrayals of homosexuality in public school education.

Precursors to Heterophobia: An Examination of Temporal Sequence Among a Sample of Gay Men

Heterophobia, defined as gay men's fear and avoidance of heterosexual men, has been linked to behavioral health outcomes and could contribute to social disconnectedness and intergroup conflict. The Gay Male Heterophobia Scale assesses 3 meaningful aspects of gay male heterophobia: disconnectedness, expected rejection, and unease/avoidance. The current study sought to assess the development of heterophobia among gay men over 2 weeks using a longitudinal cross-lagged panel design. Using data gathered from 253 gay-identified men collected on MTurk, the results indicated that disconnectedness is an important mediator in the relationship between minority stress and unease/avoidance of heterosexual men but does not mediate the relationship between minority stress and expectations of rejection. Implications for future research and clinical applications are provided, in addition to a discussion of study limitations.

Partners and Prejudice: Bisexual Partner Gender and Experiences of Binegativity From Heterosexual, Lesbian, and Gay People

Bisexual individuals may experience pervasive binegativity originating from both heterosexual and lesbian/gay (L/G) individuals as a result of various psychosocial and relational factors. The present study aimed to explore how partner gender is particularly associated with experiences of binegativity from heterosexual and L/G persons and to examine how such experiences are related to internalized binegativity. A total of 350 self-identified cisgender bisexual men and women from across the United States were recruited online for this study. Participants completed an online survey battery assessing levels of both experienced and internalized binegativity. Regression analysis results indicated that binegativity from L/G persons, but not heterosexual persons, was significantly and positively associated with internalized binegativity. A significant interaction between binegativity from L/G persons and partner gender revealed a stronger association among those in same-gender relationships, such that those with same-gender partners who reported binegativity from L/G persons experienced more internalized binegativity than those with other-gender partners. When further examined by gender, these findings appeared to be driven by the relation among women, but not men, as women in same-gender relationships who reported binegativity from L/G persons reported the highest levels of internalized binegativity. Among men, binegativity from heterosexual, but not L/G, persons was significantly related to internalized binegativity independent of partner gender. The present study highlights key gender differences in interpersonal factors related to binegativity and have important implications for clinical practice with bisexual clients facing stigma and advocacy work addressing bisexual discrimination.

Social Media Behavior, Toxic Masculinity, and Depression

Social media/social networks (SM/SNs), while ubiquitous in their use, have not been well integrated into psychological theory or practice. Most research addressing SM/SNs has examined frequency and modality of SM/SN use, rather than the valence of online interactions or potential mental health consequences of use. Further, SM/SN use has also not been well integrated with relevant paradigms from the psychology of men and masculinities paradigms. The present study contributes to both of these research need areas by testing the associations among SM/SN use, toxic masculinity, positive or negative SM/SN interactions, and depression among a sample of 402 men. Results of a structural equation modeling analysis indicated that SM/SN use and toxic masculinity were associated with depression. Positive and negative SM/SN interactions mediated the relationship between SM/SN use and depression indicators, and negative SM/SN interactions mediated the relationship between toxic masculinity and depression. Implications for future research directions and for working with men who use SM/SNs are discussed.

The Physical Health of Men and Boys: Integrating Biomedical and Psychological Science

Rigid adherence to traditional male norms has been found to be associated with many health outcomes. This special issue aims to bring together biomedical and psychological researchers as a means to generate interest in integrating scientific approaches so as to advance the health of men and boys. In this guest editorial, the authors first provide a brief review of some key biological factors that contribute to sex differences in health. The editorial then introduces the ten articles included in this special issue, which focus on paternal influence on health-related behaviors; cancer; reproductive and sexual health; eating disorders; and health-related beliefs. Ultimately, by continuing to work across disciplines, those interested in the psychological study of men and masculinities can assist biomedical researchers in promoting better health outcomes.

The Strong, Silent Type(ology): Examining Intersections of Alexithymia and the Drive for Muscularity

This study used latent profile analysis to explore the interrelations of drive for muscularity (DM) and alexithymia among 505 men. Four unique classes of men emerged: (1) low endorsement of DM and alexithymia, (2) moderate endorsement of alexithymia and DM, (3) moderate endorsement of alexithymia and high endorsement of attitudinal and behavioral DM, and (4) high endorsement of DM attitudes and alexithymia, and low endorsement of DM behaviors. We explored relations between class membership and avoidant attachment, social pressure to be muscular, help-seeking attitudes, and body appreciation, using Class 1 as the reference group. Alexithymia and attitudinal DM, in the absence of behavioral DM, appear to be a particularly unhealthful constellation of alexithymia and DM.

Stress and substance use among sexual and gender minority individuals across the lifespan

Sexual and gender minority (SGM) individuals face marked disparities in substance use. The present narrative review explores research on substance use in SGM communities using a minority stress theory lens. We define the SGM population and minority stress, and explore stresses and substance use disparities in adolescence, adulthood, and older age. Though research on this topic is beginning to highlight the relationship between stress and substance use for SGM individuals, more work is needed on older SGM populations and in translating research findings to effective interventions.

Development of the Gay Male Heterophobia Scale

The current study presents the initial validation of a new 20-item measure of heterophobia, a construct frequently discussed but inadequately researched in the literature on gay men's lives. This process included initial focus groups, exploratory and confirmatory national samples of gay men. The sample included measures of homophobia, rejection sensitivity, discrimination history, gay identity development, and social desirability to address convergent and discriminant validity. Results of an exploratory factor analysis yielded three meaningful factors: Disconnectedness, Expected Rejection, and Unease/ Avoidance. These factors had significant positive associations with constructs such as rejection sensitivity, homonegativity, and previous experiences of gay-related discrimination, but were only weakly associated with gay identity development. Heterophobia factors had insignificant or negative correlations with social desirability. This factor structure was supported by the results of confirmatory factor analyses. Implications for future research and clinical practice, along with limitations, are provided.

The development and evaluation of a brief form of the Normative Male Alexithymia Scale (NMAS-BF)

The current study extended prior work on the Normative Male Alexithymia Scale (NMAS), a unidimensional measure of some men's limitations in expressing emotion that results from gender-based socialization informed by the masculine norm of restrictive emotionality (RE). Data (N = 505 men) were from Amazon Mechanical Turk participants. First, dimensionality was reassessed using exploratory factor analysis, which supported the unidimensional structure. Second, based on these results, three 6-item models of the NMAS-Brief Form (NMAS-BF) were developed, based on classical test theory (CTT), CTT optimized to avoid item redundancy, and item response theory (IRT). Third, the relative fits of these versions were assessed using confirmatory factor analysis on a separate part of the sample, finding that the IRT version was the best fitting model. Fourth, evidence for reliability for the NMAS-BF items (α = .80) and validity was found. Convergent evidence for validity was supported by a significant, moderate, positive correlation between the latent constructs of the NMAS-BF and Toronto Alexithymia Scale-20 (TAS-20), which measures clinical alexithymia. Concurrent evidence for validity of the latent factor of the NMAS-BF was assessed in a structural regression model which found that the NMAS-BF uniquely predicted RE scores when TAS-20 scores were included in the model. Finally, incremental evidence for validity was examined using hierarchical multiple regression, finding that NMAS-BF scores significantly predicted variance in RE scores above and beyond that predicted by TAS-20 scores. The results are discussed in relation to prior literature, future research directions, applications to counseling practice, and limitations. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Is Minority Stress in the Eye of the Beholder? A Test of Minority Stress Theory with Christians

Studies using minority stress theory have focused on the experiences of numerical and social power minorities, though majority individuals may also perceive themselves to be minorities. We explored minority stress theory among a sample of members of a numerically and socially dominant group: Christians in the USA. Perceiving oneself to be a member of a minority as a Christian was associated with stress indirectly via perceived experiences of faith-based discrimination (i.e., harassment due to being Christian). Being more open about one's religion moderated the relationship between experiences of faith-based discrimination and stress, such that those who were open about their faith reported a stronger relationship between experiences of faith-based discrimination and stress. These findings indicate that perceptions of minority status are important to understanding stress and have implications for minority/majority dialogues.

Critical consciousness moderates the relationship between transphobia and "bathroom bill" voting

In recent years, antitransgender legislation that focuses on gender and the use of public restrooms-so-called bathroom bills-has been considered in many states in the United States. The present study was designed to extend research on transphobic attitudes and elucidate links between religious fundamentalism, social dominance orientation, transphobia, and voting for bathroom bills. Further, we examined the moderating influence of critical consciousness on the relationship between transphobic attitudes and voting on a hypothetical bathroom bill. Results of a moderated mediation multinomial logistic regression path analysis using data from a sample of 282 college students (154 women and 128 men) indicated that religious fundamentalism and social dominance orientation were associated with transphobic attitudes. Transphobia was associated with lower likelihood to vote against or abstain from voting on the bill, compared to voting for it. Critical consciousness was also associated with greater likelihood of voting against the bill rather than for it. The interaction between transphobia and critical consciousness was associated with voting against rather than for the bill, such that at higher levels of transphobia, those higher in critical consciousness were more likely to vote against the bill rather than for it. Implications for incorporating critical consciousness into advocacy efforts to promote transgender rights are discussed. (PsycINFO Database Record

The Co-Occurrence of Asexuality and Self-Reported Post-Traumatic Stress Disorder Diagnosis and Sexual Trauma Within the Past 12 Months Among U.S. College Students

An increasing number of individuals identify as asexual. It is important to understand the relationship between a diagnosis of post-traumatic stress disorder or a history of sexual trauma co-occurs with asexual identity. We aimed to assess whether identification as asexual was associated with greater likelihood for self-reported PTSD diagnosis and history of sexual trauma within the past 12 months. Secondary data analysis was undertaken of a cross-sectional survey of 33,385 U.S. college students (12,148 male, 21,237 female), including 228 self-identified asexual individuals (31 male, 197 female), who completed the 2015-2016 Healthy Minds Study. Measures included assessment of self-report of prior professional diagnosis of PTSD and self-report of prior sexual trauma in the past year. Among non-asexual participants, 1.9% self-reported a diagnosis of PTSD and 2.4% reported a history of sexual trauma in the past 12 months. Among the group identified as asexual, 6.6% self-reported a diagnosis of PTSD and 3.5% reported a history of sexual assault in the past 12 months. Individuals who identified as asexual were more likely to report a diagnosis of PTSD (OR 4.44; 95% CI 2.32, 8.50) and sexual trauma within the past 12 months (OR 2.52; 95% CI 1.20, 5.27), compared to non-asexual individuals. These differences persisted after including sex of the participants in the model, and the interaction between asexual identification and sex was not significant in either case. Asexual identity was associated with greater likelihood of reported PTSD diagnosis and reported sexual trauma within the past 12 months. Implications for future research on asexuality are discussed.

Sexual orientation, bullying for being labeled gay or bisexual, and steroid use among US adolescent boys

Use of anabolic-androgenic steroids is a public health concern for adolescent boys. This study examined bullying based on being labeled gay/bisexual and steroid use among US adolescent boys, including sexual orientation disparities. Data from 2660 boys from the 2015 Youth Behavior Risk Survey were used. Among heterosexual boys, steroid use was higher among those who reported being bullied due to being labeled gay or bisexual. No such relationship existed among non-heterosexual boys. The results speak to the need to address issues of masculinity in clinical work with boys and young men.

Mental Help Seeking Attitudes Scale (MHSAS): Development, reliability, validity, and comparison with the ATSPPH-SF and IASMHS-PO

Attitudes is a key help-seeking construct that influences treatment seeking behavior via intention to seek help, per the theory of planned behavior (TPB). This article presents the development and psychometric evaluation of the Mental Help Seeking Attitudes Scale (MHSAS), designed to measure respondents' overall evaluation (unfavorable vs. favorable) of their seeking help from a mental health professional. In Study 1 (N = 857 United States adults), exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and item response theory (IRT) analysis were used to identify an optimal set of 9 items that demonstrated initial evidence of internal consistency, unidimensionality, and strong measurement equivalence/invariance (ME/I) across gender, past help-seeking experience, and psychological distress. Initial convergent evidence of validity was demonstrated via theoretically anticipated relationships between the MHSAS and key variables in the help-seeking nomological network (e.g., subjective norms, perceived behavioral control, intention, public stigma, self-stigma, anticipated risks and benefits, gender, previous help seeking). Initial incremental evidence of validity was demonstrated when the MHSAS demonstrated the ability to account for unique variance in help-seeking intention, beyond that accounted for by the Attitudes Toward Seeking Professional Psychological Help-Short Form scale (ATSPPH-SF) and the Psychological Openness subscale of the Inventory of Attitudes Toward Seeking Mental Health Services (IASMHS-PO). Study 2 (N = 207 United States adults at Times 1 and 2) provided initial evidence of test-retest reliability over a 3-week period. The MHSAS offers mental health professionals a new tool for measuring attitudes that may avoid limitations of current help seeking-attitudes measures (e.g., construct-irrelevant variance). (PsycINFO Database Record

Mental Help Seeking Attitudes Scale (MHSAS): Development, reliability, validity, and comparison with the ATSPPH-SF and IASMHS-PO

Attitudes is a key help-seeking construct that influences treatment seeking behavior via intention to seek help, per the theory of planned behavior (TPB). This article presents the development and psychometric evaluation of the Mental Help Seeking Attitudes Scale (MHSAS), designed to measure respondents' overall evaluation (unfavorable vs. favorable) of their seeking help from a mental health professional. In Study 1 (N = 857 United States adults), exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and item response theory (IRT) analysis were used to identify an optimal set of 9 items that demonstrated initial evidence of internal consistency, unidimensionality, and strong measurement equivalence/invariance (ME/I) across gender, past help-seeking experience, and psychological distress. Initial convergent evidence of validity was demonstrated via theoretically anticipated relationships between the MHSAS and key variables in the help-seeking nomological network (e.g., subjective norms, perceived behavioral control, intention, public stigma, self-stigma, anticipated risks and benefits, gender, previous help seeking). Initial incremental evidence of validity was demonstrated when the MHSAS demonstrated the ability to account for unique variance in help-seeking intention, beyond that accounted for by the Attitudes Toward Seeking Professional Psychological Help-Short Form scale (ATSPPH-SF) and the Psychological Openness subscale of the Inventory of Attitudes Toward Seeking Mental Health Services (IASMHS-PO). Study 2 (N = 207 United States adults at Times 1 and 2) provided initial evidence of test-retest reliability over a 3-week period. The MHSAS offers mental health professionals a new tool for measuring attitudes that may avoid limitations of current help seeking-attitudes measures (e.g., construct-irrelevant variance). (PsycINFO Database Record

Racial Disparities in Substance Use by Sport Participation Among High School Students

OBJECTIVE

The purpose of this study was to assess the association between team sport participation and substance use, and racial/ ethnic disparities, among U.S. adolescents.

METHOD

Data from 6,721 male and 6,761 female high school students in the 2013 Youth Behavior Risk Survey were used. Logistic regression was used to assess the relationship between team sport participation and substance use across gender and race/ethnicity.

RESULTS

Among males, participation in team sports was associated with increased risk for use of smokeless tobacco (odds ratio [OR] = 1.81, 95% CI [1.42, 2.32]), alcohol (OR = 1.30, 95% CI [1.11, 1.52]), and steroids (OR = 1.69, 95% CI [1.26, 2.27]), and decreased risk for use of smoked tobacco (OR = 0.80, 95% CI [0.65, 0.99]) and inhalants (OR = 0.67, 95% CI [0.53, 0.85]). Among females, participation in team sports was associated with increased risk for use of smokeless tobacco (OR = 1.49, 95% CI [1.03, 2.18]) and diet pills (OR = 1.31, 95% CI [1.02, 1.68]), and decreased risk for use of smoked tobacco (OR = 0.60, 95% CI [0.50, 0.72]), cocaine (OR = 0.66, 95% CI [0.46, 0.94]), and prescription drugs (OR = 0.77, 95% CI [0.67, 0.89]). When examined within specific racial/ethnic groups, these patterns were not consistent.

CONCLUSIONS

High school athletes are at increased risk for use of smokeless tobacco as well as alcohol, steroids, and diet pills. At the same time, they are at lower risk for use of smoked tobacco, inhalants, and cocaine, compared with non-athlete peers. Specific intersections of race/ethnicity and gender demonstrated deviations from these patterns.