Sexual Minority

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Ilan H. Meyer - One of the best experts on this subject based on the ideXlab platform.

  • differences in Sexual identity dimensions between biSexual and other Sexual Minority individuals implications for Minority stress and mental health
    American Journal of Orthopsychiatry, 2019
    Co-Authors: Ilan H. Meyer, David M Frost
    Abstract:

    BiSexual individuals experience poorer mental health than other Sexual Minority individuals. One explanation for this is that biphobia predisposes biSexual individuals to have a more ambiguous Sexual identity and fewer opportunities for stress-ameliorating forms of coping and support. This study explores Sexual identity and Sexual identity dimensions-prominence, valence, integration, and complexity-in biSexual and other Sexual Minority individuals. We describe differences in Sexual identity dimensions between biSexual and other Sexual Minority individuals and test two explanations for mental health disparities between them: whether Sexual identity dimensions directly impact mental health and whether they moderate the impact of stress on mental health. Data came from a longitudinal study of a diverse sample of Sexual Minority individuals (N = 396, 71 biSexual respondents) sampled from community venues in New York City. Sexual identity was prominent for both biSexual and other Sexual Minority individuals, but biSexual individuals reported lower valence and integration of Sexual identity in their identity structures. The hypothesis that Sexual identity dimensions moderate the impact of Minority stress on mental health was not supported. After several longitudinal assessments, however, we concluded that identity valence (but not integration or complexity) and depressive symptoms were bidirectionally associated so that differences in valence between biSexual and other Sexual Minority individuals explained, in part, disparities in depressive symptoms. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

  • Disproportionality and Disparities among Sexual Minority Youth in Custody
    Journal of Youth and Adolescence, 2017
    Co-Authors: Bianca D. M. Wilson, Sid P. Jordan, Ilan H. Meyer, Andrew R. Flores, Lara Stemple, Jody L. Herman
    Abstract:

    Research indicates that Sexual Minority youth are disproportionately criminalized in the U.S. and subjected to abusive treatment while in correctional facilities. However, the scope and extent of disparities based on Sexual orientation remains largely overlooked in the juvenile justice literature. This study, based on a nationally representative federal agency survey conducted in 2012 ( N  = 8785; 9.9% girls), reveals that 39.4% of girls and 3.2% of boys in juvenile correctional facilities identified as lesbian, gay, or biSexual. These youth, particularly gay and biSexual boys, report higher rates of Sexual victimization compared to their heteroSexual peers. Sexual Minority youth, defined as both lesbian, gay, and biSexual identified youth as well as youth who identified as straight and reported some same-sex attraction, were also 2–3 times more likely than heteroSexual youth to report prior episodes of detention lasting a year or more. Implications for future research and public policy are discussed.

  • exploring discrimination and mental health disparities faced by black Sexual Minority women using a Minority stress framework
    Psychology of Women Quarterly, 2015
    Co-Authors: Sarah K Calabrese, Ilan H. Meyer, Nicole M Overstreet, Rahwa Haile, Nathan B Hansen
    Abstract:

    Black Sexual Minority women are triply marginalized due to their race, gender, and Sexual orientation. We compared three dimensions of discrimination-frequency (regularity of occurrences), scope (number of types of discriminatory acts experienced), and number of bases (number of social statuses to which discrimination was attributed)-and self-reported mental health (depressive symptoms, psychological well-being, and social well-being) between 64 Black Sexual Minority women and each of two groups sharing two of three marginalized statuses: (a) 67 White Sexual Minority women and (b) 67 Black Sexual Minority men. Black Sexual Minority women reported greater discrimination frequency, scope, and number of bases and poorer psychological and social well-being than White Sexual Minority women and more discrimination bases, a higher level of depressive symptoms, and poorer social well-being than Black Sexual Minority men. We then tested and contrasted dimensions of discrimination as mediators between social status (race or gender) and mental health outcomes. Discrimination frequency and scope mediated the association between race and mental health, with a stronger effect via frequency among Sexual Minority women. Number of discrimination bases mediated the association between gender and mental health among Black Sexual minorities. Future research and clinical practice would benefit from considering Black Sexual Minority women's mental health in a multidimensional Minority stress context.

  • exploring discrimination and mental health disparities faced by black Sexual Minority women using a Minority stress framework
    Psychology of Women Quarterly, 2015
    Co-Authors: Sarah K Calabrese, Ilan H. Meyer, Nicole M Overstreet, Rahwa Haile, Nathan B Hansen
    Abstract:

    Black Sexual Minority women are triply marginalized due to their race, gender, and Sexual orientation. We compared three dimensions of discrimination—frequency (regularity of occurrences), scope (number of types of discriminatory acts experienced), and number of bases (number of social statuses to which discrimination was attributed)—and self-reported mental health (depressive symptoms, psychological well-being, and social well-being) between 64 Black Sexual Minority women and each of two groups sharing two of three marginalized statuses: (a) 67 White Sexual Minority women and (b) 67 Black Sexual Minority men. Black Sexual Minority women reported greater discrimination frequency, scope, and number of bases and poorer psychological and social well-being than White Sexual Minority women and more discrimination bases, a higher level of depressive symptoms, and poorer social well-being than Black Sexual Minority men. We then tested and contrasted dimensions of discrimination as mediators between social status...

  • measuring community connectedness among diverse Sexual Minority populations
    Journal of Sex Research, 2012
    Co-Authors: David M Frost, Ilan H. Meyer
    Abstract:

    Theory and research agree that connectedness to the lesbian, gay, biSexual, and transgender (LGBT) community is an important construct to account for in understanding issues related to health and well-being among gay and biSexual men. However, the measurement of this construct among lesbian and biSexual women or racial and ethnic Minority individuals has not yet been adequately investigated. This study examined the reliability and validity of an existing measure of connectedness to the LGBT Community among a diverse group of Sexual Minority individuals in New York City, and whether differences in connectedness existed across gender and race or ethnicity. Scores on the measure demonstrated both internal consistency and construct stability across subgroups defined by gender and race or ethnicity. The subgroups did not differ in their mean levels of connectedness, and scores on the measure demonstrated factorial, convergent, and discriminant validity, both generally and within each of the subgroups. Inconsistencies were observed with regard to which scores on the measure demonstrated predictive validity in their associations with indicators of mental health and well-being. The scale is a useful tool for researchers and practitioners interested in understanding the role of community connectedness in the lives of diverse populations of Sexual Minority individuals.

Nathan B Hansen - One of the best experts on this subject based on the ideXlab platform.

  • exploring discrimination and mental health disparities faced by black Sexual Minority women using a Minority stress framework
    Psychology of Women Quarterly, 2015
    Co-Authors: Sarah K Calabrese, Ilan H. Meyer, Nicole M Overstreet, Rahwa Haile, Nathan B Hansen
    Abstract:

    Black Sexual Minority women are triply marginalized due to their race, gender, and Sexual orientation. We compared three dimensions of discrimination-frequency (regularity of occurrences), scope (number of types of discriminatory acts experienced), and number of bases (number of social statuses to which discrimination was attributed)-and self-reported mental health (depressive symptoms, psychological well-being, and social well-being) between 64 Black Sexual Minority women and each of two groups sharing two of three marginalized statuses: (a) 67 White Sexual Minority women and (b) 67 Black Sexual Minority men. Black Sexual Minority women reported greater discrimination frequency, scope, and number of bases and poorer psychological and social well-being than White Sexual Minority women and more discrimination bases, a higher level of depressive symptoms, and poorer social well-being than Black Sexual Minority men. We then tested and contrasted dimensions of discrimination as mediators between social status (race or gender) and mental health outcomes. Discrimination frequency and scope mediated the association between race and mental health, with a stronger effect via frequency among Sexual Minority women. Number of discrimination bases mediated the association between gender and mental health among Black Sexual minorities. Future research and clinical practice would benefit from considering Black Sexual Minority women's mental health in a multidimensional Minority stress context.

  • exploring discrimination and mental health disparities faced by black Sexual Minority women using a Minority stress framework
    Psychology of Women Quarterly, 2015
    Co-Authors: Sarah K Calabrese, Ilan H. Meyer, Nicole M Overstreet, Rahwa Haile, Nathan B Hansen
    Abstract:

    Black Sexual Minority women are triply marginalized due to their race, gender, and Sexual orientation. We compared three dimensions of discrimination—frequency (regularity of occurrences), scope (number of types of discriminatory acts experienced), and number of bases (number of social statuses to which discrimination was attributed)—and self-reported mental health (depressive symptoms, psychological well-being, and social well-being) between 64 Black Sexual Minority women and each of two groups sharing two of three marginalized statuses: (a) 67 White Sexual Minority women and (b) 67 Black Sexual Minority men. Black Sexual Minority women reported greater discrimination frequency, scope, and number of bases and poorer psychological and social well-being than White Sexual Minority women and more discrimination bases, a higher level of depressive symptoms, and poorer social well-being than Black Sexual Minority men. We then tested and contrasted dimensions of discrimination as mediators between social status...

Bryn S Austin - One of the best experts on this subject based on the ideXlab platform.

  • human papillomavirus risk perceptions among young adult Sexual Minority cisgender women and nonbinary individuals assigned female at birth
    Perspectives on Sexual and Reproductive Health, 2019
    Co-Authors: Madina Agenor, Jaquelyn L Jahn, Eriko Kay, Rachel A Bishop, Sarah M Peitzmeier, Jennifer Potter, Bryn S Austin
    Abstract:

    Context Some Sexual Minority women may be less likely than other women to engage in human papillomavirus (HPV) prevention behaviors. Although risk perceptions have been found to be associated with health behaviors, HPV risk perceptions among U.S. Sexual Minority women have not been examined. Methods In 2016-2017, in-depth interviews were conducted in Boston with 29 Sexual Minority individuals aged 18-36 who were assigned female at birth (AFAB) and identified as women or nonbinary. Purposive sampling was used to recruit participants online, through community-based and student organizations, and by word of mouth. Thematic analysis was employed to examine participants' HPV risk perceptions. Results Participants incorrectly linked HPV risk to the exchange of genital fluids, and a hierarchy of perceived risk emerged in relation to Sexual orientation: Individuals who engage in penile-vaginal sex with partners who were assigned male at birth (AMAB) were perceived to be at highest risk, and lesbians and individuals with only AFAB partners were perceived to be at low risk. Lesbians and participants with only AFAB partners identified sex with biSexual women or AFAB individuals with AMAB partners as a risk factor for HPV infection. Risk perceptions were shaped by health care providers' linking HPV risk to sex with AMAB individuals, a lack of discussion of HPV with parents and peers, and the exclusion of information on HPV and Sexual Minority women from school-based sex education. Conclusion Interventions providing Sexual Minority AFAB individuals with comprehensive, accurate and tailored information about HPV risk are needed.

  • associations of timing of Sexual orientation developmental milestones and other Sexual Minority stressors with internalizing mental health symptoms among Sexual Minority young adults
    Archives of Sexual Behavior, 2017
    Co-Authors: Sabra L Katzwise, Margaret Rosario, Jerel P Calzo, Emily A Scherer, Vishnudas Sarda, Bryn S Austin
    Abstract:

    Sexual minorities (mostly heteroSexual, biSexual, lesbian/gay) are more likely than heteroSexuals to have adverse mental health, which may be related to Minority stress. We used longitudinal data from 1461 Sexual Minority women and men, aged 22–30 years, from Wave 2010 of the Growing Up Today Study, to examine associations between Sexual Minority stressors and mental health. We hypothesized that Sexual Minority stressors (earlier timing of Sexual orientation developmental milestones categorized into early adolescence, middle adolescence, late adolescence/young adulthood; greater Sexual orientation mobility; more bullying victimization) would be positively associated with mental health outcomes (depressive and anxious symptoms). Linear regression models stratified by gender and Sexual orientation were fit via generalized estimating equations and controlled for age and race/ethnicity. Models were fit for each stressor predicting each mental health outcome. Reaching Sexual Minority milestones in early versus middle adolescence was associated with greater depressive and anxious symptoms among lesbians and gay men. Reaching Sexual Minority milestones in late adolescence/young adulthood versus middle adolescence was associated with greater depressive symptoms among lesbians, but fewer depressive and anxious symptoms among gay men. Greater Sexual orientation mobility was associated with greater depressive symptoms among mostly heteroSexual women. More bullying victimization was associated with greater depressive symptoms among biSexual women and with greater anxious symptoms among mostly heteroSexual women. Sexual Minority stressors are associated with adverse mental health among some Sexual Minority young adults. More research is needed to understand what may be protecting some subgroups from the mental health effects of Sexual Minority stressors.

  • development of muscularity and weight concerns in heteroSexual and Sexual Minority males
    Health Psychology, 2013
    Co-Authors: Jerel P Calzo, Heather L Corliss, Emily A Blood, Alison E Field, Bryn S Austin
    Abstract:

    OBJECTIVE To examine the development of muscularity and weight concerns among heteroSexual and Sexual Minority males in adolescence. METHOD Participants were 5,868 males from the Growing Up Today Study, a U.S. prospective cohort spanning ages 9-25 years. Generalized estimating equations were used to test Sexual orientation differences in the development of muscularity concerns, weight gain attempts, and weight and shape concern. RESULTS Desire for bigger muscles increased slightly each year across adolescence (β = .10, 95% C.I. = .09, .11) regardless of Sexual orientation, but gay and biSexual participants reported greater desire for toned muscles than completely and mostly heteroSexual males (β = .39, 95% C.I. = .21, .57). Desire for toned muscles did not change with age. Attempts to gain weight increased threefold across adolescence, with up to 30% reporting weight gain attempts by age 16. Although underweight males (the smallest weight status class) were most likely to attempt to gain weight, most of the observed weight gain attempts were by healthy (69%) and overweight/obese (27%) males, suggesting that most attempts were medically unnecessary and could lead to overweight. Sexual Minority participants were 20% less likely to report weight gain attempts than completely heteroSexual participants. Weight and shape concern increased with age, with gay and biSexual participants experiencing a significantly greater increase than heteroSexual males. CONCLUSIONS Sexual orientation modifies the development and expression of male weight and muscularity concerns. The findings have implications for early interventions for the prevention of obesity and eating disorder risk in heteroSexual and Sexual Minority males.

Jerel P Calzo - One of the best experts on this subject based on the ideXlab platform.

  • associations of timing of Sexual orientation developmental milestones and other Sexual Minority stressors with internalizing mental health symptoms among Sexual Minority young adults
    Archives of Sexual Behavior, 2017
    Co-Authors: Sabra L Katzwise, Margaret Rosario, Jerel P Calzo, Emily A Scherer, Vishnudas Sarda, Bryn S Austin
    Abstract:

    Sexual minorities (mostly heteroSexual, biSexual, lesbian/gay) are more likely than heteroSexuals to have adverse mental health, which may be related to Minority stress. We used longitudinal data from 1461 Sexual Minority women and men, aged 22–30 years, from Wave 2010 of the Growing Up Today Study, to examine associations between Sexual Minority stressors and mental health. We hypothesized that Sexual Minority stressors (earlier timing of Sexual orientation developmental milestones categorized into early adolescence, middle adolescence, late adolescence/young adulthood; greater Sexual orientation mobility; more bullying victimization) would be positively associated with mental health outcomes (depressive and anxious symptoms). Linear regression models stratified by gender and Sexual orientation were fit via generalized estimating equations and controlled for age and race/ethnicity. Models were fit for each stressor predicting each mental health outcome. Reaching Sexual Minority milestones in early versus middle adolescence was associated with greater depressive and anxious symptoms among lesbians and gay men. Reaching Sexual Minority milestones in late adolescence/young adulthood versus middle adolescence was associated with greater depressive symptoms among lesbians, but fewer depressive and anxious symptoms among gay men. Greater Sexual orientation mobility was associated with greater depressive symptoms among mostly heteroSexual women. More bullying victimization was associated with greater depressive symptoms among biSexual women and with greater anxious symptoms among mostly heteroSexual women. Sexual Minority stressors are associated with adverse mental health among some Sexual Minority young adults. More research is needed to understand what may be protecting some subgroups from the mental health effects of Sexual Minority stressors.

  • development of muscularity and weight concerns in heteroSexual and Sexual Minority males
    Health Psychology, 2013
    Co-Authors: Jerel P Calzo, Heather L Corliss, Emily A Blood, Alison E Field, Bryn S Austin
    Abstract:

    OBJECTIVE To examine the development of muscularity and weight concerns among heteroSexual and Sexual Minority males in adolescence. METHOD Participants were 5,868 males from the Growing Up Today Study, a U.S. prospective cohort spanning ages 9-25 years. Generalized estimating equations were used to test Sexual orientation differences in the development of muscularity concerns, weight gain attempts, and weight and shape concern. RESULTS Desire for bigger muscles increased slightly each year across adolescence (β = .10, 95% C.I. = .09, .11) regardless of Sexual orientation, but gay and biSexual participants reported greater desire for toned muscles than completely and mostly heteroSexual males (β = .39, 95% C.I. = .21, .57). Desire for toned muscles did not change with age. Attempts to gain weight increased threefold across adolescence, with up to 30% reporting weight gain attempts by age 16. Although underweight males (the smallest weight status class) were most likely to attempt to gain weight, most of the observed weight gain attempts were by healthy (69%) and overweight/obese (27%) males, suggesting that most attempts were medically unnecessary and could lead to overweight. Sexual Minority participants were 20% less likely to report weight gain attempts than completely heteroSexual participants. Weight and shape concern increased with age, with gay and biSexual participants experiencing a significantly greater increase than heteroSexual males. CONCLUSIONS Sexual orientation modifies the development and expression of male weight and muscularity concerns. The findings have implications for early interventions for the prevention of obesity and eating disorder risk in heteroSexual and Sexual Minority males.

Steven A. Safren - One of the best experts on this subject based on the ideXlab platform.

  • it truly does get better young Sexual Minority men s resilient responses to Sexual Minority stress
    Journal of Gay & Lesbian Mental Health, 2020
    Co-Authors: Audrey Harkness, Brooke G. Rogers, Christopher Albright, Noelle A. Mendez, Steven A. Safren, John E. Pachankis
    Abstract:

    Due to Minority stress, Sexual Minority men experience mental health disparities. Sexual Minority men who engaged in cognitive-behavioral therapy to address the Minority stress underlying their dis...

  • longitudinal effects of syndemics on hiv positive Sexual Minority men s Sexual health behaviors
    Archives of Sexual Behavior, 2019
    Co-Authors: Audrey Harkness, Christopher Albright, Steven A. Safren, Conall Ocleirigh, Sierra A Bainter, Kenneth H Mayer
    Abstract:

    This study examined the longitudinal effects of co-occurring psychosocial concerns, or syndemics, on HIV-positive Sexual Minority men’s likelihood of engaging in serodiscordant condomless anal sex (CAS), a health behavior with implications for personal and public health. Participants included 390 HIV-positive Sexual Minority men from two prior secondary prevention trials. Over the course of the 1-year data collection period (up to 5 observations per participant), participants completed self-report measures of CAS, as well as six syndemic factors: post-traumatic stress disorder, childhood Sexual abuse, depression, anxiety, alcohol abuse, and polysubstance/stimulant use. We employed multilevel modeling to examine the longitudinal additive effect of syndemics on serodiscordant CAS (binary) over the 1-year period. The number of syndemic conditions was a significant predictor of CAS, with each additional syndemic associated with 1.41 greater odds of CAS (p = .0004; 95% CI [1.16, 1.70]). Both the between-person (p = .0121, 95% CI [1.07, 1.69]) and within-person (p = .01, 95% CI [1.11, 2.10]) effects of syndemics were significant predictors, showing that an increase in the number of syndemic conditions across person and time both increased odds of CAS. Interventions addressing HIV-positive Sexual Minority men’s Sexual health behaviors should address the potential impact of co-occurring psychosocial concerns that affect these behaviors. This will benefit this population’s personal Sexual health and reduce transmission of HIV and STIs among Sexual Minority men.

  • posttraumatic stress symptoms and emerging adult Sexual Minority men implications for assessment and treatment of childhood Sexual abuse
    Journal of Traumatic Stress, 2018
    Co-Authors: Steven A. Safren, Peter P Ehlinger, Michael S Boroughs, Abigail W Batchelder, Conall Ocleirigh
    Abstract:

    : Emerging adulthood (EA) is a developmental period marked by unique challenges that affect health including burgeoning occupational, relational, and financial stability; and increased risk taking in terms of Sexual behavior(s) and substance use. Data were collected from 296 HIV-uninfected Sexual Minority men with childhood Sexual abuse (CSA) histories. We analyzed baseline assessment data from a multisite randomized controlled trial that tested the efficaciousness of an experimental psychosocial treatment and examined vulnerabilities known to be linked with CSA. Our analyses compared EA Sexual Minority men, aged 18-29, with older Sexual Minority men (OSMM) on posttraumatic stress disorder (PTSD) and other mental health and substance use outcomes. We found higher odds of PTSD, odds ratio (OR) = 0.57, 95% CI [0.33, 0.96]; panic disorder or panic disorder with agoraphobia, OR = 0.36, 95% CI [0.16, 0.85]; and cocaine use, OR = 0.50, 95% CI [0.25, 0.97], among OSMM and higher odds of alcohol intoxication, OR = 5.60, 95% CI [3.20, 9.82]; cannabis use, OR = 3.09, 95% CI [1.83, 5.21]; and non-HIV Sexually transmitted infections, OR = 3.03, 95% CI [1.29, 7.13], among the EA men. These results present a complex picture of health risks among Sexual Minority men in general and EA Sexual Minority men in particular. HIV seroconversion linked health risk behaviors, among Sexual Minority men, may be better addressed via increased attention to treating trauma and comorbid mental health and substance use problems using evidence-based psychosocial assessments and integrated treatment platforms that are tailored to this population.