Pub Date : 2021-12-01DOI: 10.1080/10538720.2021.2008573
Marieke Kroneman, W. Admiraal, Yvonne Kleistra
Abstract Process evaluations of peer education on the topic of sexuality and relationships pay little attention to the activities implemented by peer educators. Process evaluation with other target groups indicate clusters of activities that refer to educator skills, offering a safe place to learn, and efforts to change attitudes. An overarching factor named life experiences influences how peer educators implement activities. In this study, a peer education for social acceptance of LGBT was created and implemented in pre-vocational secondary schools. Students trained as peer educators implemented peer education, and after the implementation, they were interviewed about their activities. Sharing the coming-out story appeared to play a central role in the peer education intervention and its perceived outcomes.
{"title":"Peer education on sexual diversity in Dutch secondary education: Peer educators’ perceptions of activities and perceived outcomes","authors":"Marieke Kroneman, W. Admiraal, Yvonne Kleistra","doi":"10.1080/10538720.2021.2008573","DOIUrl":"https://doi.org/10.1080/10538720.2021.2008573","url":null,"abstract":"Abstract Process evaluations of peer education on the topic of sexuality and relationships pay little attention to the activities implemented by peer educators. Process evaluation with other target groups indicate clusters of activities that refer to educator skills, offering a safe place to learn, and efforts to change attitudes. An overarching factor named life experiences influences how peer educators implement activities. In this study, a peer education for social acceptance of LGBT was created and implemented in pre-vocational secondary schools. Students trained as peer educators implemented peer education, and after the implementation, they were interviewed about their activities. Sharing the coming-out story appeared to play a central role in the peer education intervention and its perceived outcomes.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48968683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-29DOI: 10.1080/10538720.2021.2006848
Onouma Thummapol, Werayuth Srithumsuk, T. Park
Abstract Despite the impressive number of global achievements in the improvement of population health and longevity, older LGBTI adults in Asia continue to suffer. There is a knowledge gap in empirical and comprehensive data on the experiences, unique challenges and needs of this growing yet underserved population. This knowledge is needed for developing strategies to address their needs, with the ultimate goal to improve older LGBTI adults’ health outcomes, promote positive healthcare experiences, reduce inequities in healthcare and subsequently unnecessary healthcare costs. This scoping study aims to review the published specific literature on the needs and experiences of LGBTI older people in Asia, to identify factors that contribute to LGBTI older people’s health and use of services and highlight gaps and areas for future studies. Our review indicates that future policy initiatives and research are needed, particularly intersectionality approach to examine how multiple influences affect older LGBTI lives.
{"title":"A scoping review of experiences and needs of older LGBTI adults in Asia","authors":"Onouma Thummapol, Werayuth Srithumsuk, T. Park","doi":"10.1080/10538720.2021.2006848","DOIUrl":"https://doi.org/10.1080/10538720.2021.2006848","url":null,"abstract":"Abstract Despite the impressive number of global achievements in the improvement of population health and longevity, older LGBTI adults in Asia continue to suffer. There is a knowledge gap in empirical and comprehensive data on the experiences, unique challenges and needs of this growing yet underserved population. This knowledge is needed for developing strategies to address their needs, with the ultimate goal to improve older LGBTI adults’ health outcomes, promote positive healthcare experiences, reduce inequities in healthcare and subsequently unnecessary healthcare costs. This scoping study aims to review the published specific literature on the needs and experiences of LGBTI older people in Asia, to identify factors that contribute to LGBTI older people’s health and use of services and highlight gaps and areas for future studies. Our review indicates that future policy initiatives and research are needed, particularly intersectionality approach to examine how multiple influences affect older LGBTI lives.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46283040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-22DOI: 10.1080/10538720.2021.2004285
Sunrit Majumder, A. Kar
Abstract For years now, the Indian healthcare system has been viewed through the lens of heteronormativity, sidelining sexual and gender minorities. Despite the lack of established data, an estimated 45.4 million people in India belong to the LGBTQ community and these individuals face increased risk of various physical and mental health disorders. Given the rapidly changing sexual demographic of the country, along with the changes of legislation and other factors that mold it, this paper systemically reviews LGBTQ individuals vulnerabilities toward various communicable and non-communicable diseases along with the lacunae in the primary healthcare system and the need for their inclusion in it.
{"title":"Primary healthcare for the Indian LGBTQ community – A call for inclusion","authors":"Sunrit Majumder, A. Kar","doi":"10.1080/10538720.2021.2004285","DOIUrl":"https://doi.org/10.1080/10538720.2021.2004285","url":null,"abstract":"Abstract For years now, the Indian healthcare system has been viewed through the lens of heteronormativity, sidelining sexual and gender minorities. Despite the lack of established data, an estimated 45.4 million people in India belong to the LGBTQ community and these individuals face increased risk of various physical and mental health disorders. Given the rapidly changing sexual demographic of the country, along with the changes of legislation and other factors that mold it, this paper systemically reviews LGBTQ individuals vulnerabilities toward various communicable and non-communicable diseases along with the lacunae in the primary healthcare system and the need for their inclusion in it.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45531301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-17DOI: 10.1080/10538720.2021.2004481
G. Tester, Jill C. Hoxmeier
Abstract Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy, but uptake remains low and more research examining its social dimensions is needed. Studies suggest a life course perspective is useful for understanding gay men’s PrEP perceptions. We extend this work by using interviews, focus groups, and key principles of the life course perspective, including those not used in the current research, to explore PrEP perceptions among 25 gay men of distinct generational cohorts who live in Seattle, Washington. Consistent with the life course perspective, participants gained PrEP knowledge, made sense of stigma, and developed perceptions through interactions with others in their social networks, including current and past friends, sexual and romantic partners, and community members of various ages and serostatuses. Additionally, participants comprehended PrEP by considering their own age-based HIV experiences and the experiences of gay men in different generations, highlighting how PrEP is shaped by HIV history and the experiences of multiple generations. The findings also indicate that, to communicate PrEP efficacy and increase uptake, it is important to create nuanced, and effective, messages, which consider positive and negative feelings about HIV and prevention, and emotionally laden behavior, knowledge, and beliefs.
{"title":"A life course perspective and the qualitative examination of gay men’s PrEP perceptions","authors":"G. Tester, Jill C. Hoxmeier","doi":"10.1080/10538720.2021.2004481","DOIUrl":"https://doi.org/10.1080/10538720.2021.2004481","url":null,"abstract":"Abstract Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy, but uptake remains low and more research examining its social dimensions is needed. Studies suggest a life course perspective is useful for understanding gay men’s PrEP perceptions. We extend this work by using interviews, focus groups, and key principles of the life course perspective, including those not used in the current research, to explore PrEP perceptions among 25 gay men of distinct generational cohorts who live in Seattle, Washington. Consistent with the life course perspective, participants gained PrEP knowledge, made sense of stigma, and developed perceptions through interactions with others in their social networks, including current and past friends, sexual and romantic partners, and community members of various ages and serostatuses. Additionally, participants comprehended PrEP by considering their own age-based HIV experiences and the experiences of gay men in different generations, highlighting how PrEP is shaped by HIV history and the experiences of multiple generations. The findings also indicate that, to communicate PrEP efficacy and increase uptake, it is important to create nuanced, and effective, messages, which consider positive and negative feelings about HIV and prevention, and emotionally laden behavior, knowledge, and beliefs.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44665456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-02DOI: 10.1080/10538720.2021.1984358
K. Clary, Jacob Goffnett, K. Bennett, D. Smith
Abstract Emerging adults (EAs; 18–29 years) have the highest rates of substance use across the lifespan, with some research displaying sexual minority EAs are at higher risk of substance use than their heterosexual counterparts. We explored differences in rates of substance use and developmental reasons for alcohol, binge drinking, and cannabis between sexual minority and heterosexual EAs. Participants (n = 145) in a randomized control trial completed Emerging Adult Reasons for Substance Use (EARS) and substance use frequency measures, pertaining to the past 90 days. Although unsolicited, 17% (n = 25) of the sample identified as a sexual minority (i.e., not exclusively heterosexual). EARS concepts include developmental strain, subjective invulnerability, and normative expectancy. Sexual minority EAs experienced greater developmental strain, putting them at risk for problematic substance use. Compared to their heterosexual peers, sexual minority EAs reported higher alcohol and cannabis use, significantly higher binge-drinking, and were identified as hazardous drinkers by the Alcohol Use Disorders Identification Tool (AUDIT-C). Future research should continue to examine dimensions of emerging adulthood and substance use with larger samples of sexual minority EAs and with qualitative methods. Practitioners should address unique developmental stressors sexual minority EAs experience when assisting those with substance use problems.
{"title":"A comparison of developmental reasons for substance use between sexual minority and heterosexual emerging adults","authors":"K. Clary, Jacob Goffnett, K. Bennett, D. Smith","doi":"10.1080/10538720.2021.1984358","DOIUrl":"https://doi.org/10.1080/10538720.2021.1984358","url":null,"abstract":"Abstract Emerging adults (EAs; 18–29 years) have the highest rates of substance use across the lifespan, with some research displaying sexual minority EAs are at higher risk of substance use than their heterosexual counterparts. We explored differences in rates of substance use and developmental reasons for alcohol, binge drinking, and cannabis between sexual minority and heterosexual EAs. Participants (n = 145) in a randomized control trial completed Emerging Adult Reasons for Substance Use (EARS) and substance use frequency measures, pertaining to the past 90 days. Although unsolicited, 17% (n = 25) of the sample identified as a sexual minority (i.e., not exclusively heterosexual). EARS concepts include developmental strain, subjective invulnerability, and normative expectancy. Sexual minority EAs experienced greater developmental strain, putting them at risk for problematic substance use. Compared to their heterosexual peers, sexual minority EAs reported higher alcohol and cannabis use, significantly higher binge-drinking, and were identified as hazardous drinkers by the Alcohol Use Disorders Identification Tool (AUDIT-C). Future research should continue to examine dimensions of emerging adulthood and substance use with larger samples of sexual minority EAs and with qualitative methods. Practitioners should address unique developmental stressors sexual minority EAs experience when assisting those with substance use problems.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48910827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-09DOI: 10.1080/10538720.2021.1954126
Sharon Jalene, J. Pharr, M. Sharma, B. Poston
Abstract Attending college and belonging to a sexual or gender minority (SGM) are associated with increased depression. The severity of symptoms may be more pronounced due to gender identity and sexual orientation. The purpose of this study was to evaluate SGM college student depression levels and depression-related functional difficulty using a validated instrument. University students (n = 780) completed a web-based survey. Reported depression (Patient Health Questionnaire, PHQ-9) was compared between gender (female, male, and nonbinary) and sexual orientation (heterosexual, bisexual, lesbian, gay, and self-identified individuals). Nonparametric analyses were employed. Thirty percent of the students’ PHQ-9 summed score indicated moderate to severe depression. Heterosexual males were the least depressed (lowest score). Bisexual and lesbian females had the highest depression scores. Bisexual (p = 0.01) and lesbian females (p = 0.006) reported increased levels of depression-related functional difficulty when compared to straight females. Significant differences between gender identity and depression in-treatment status (X 2 = 11.76, p = 0.003, Cramer’s V = .123) were also found. These results provide salient information regarding mental health disparities in SGM college students that is useful for designing and implementing mental health promotion programs in this subgroup.
{"title":"A disaggregated, categorical analyses of depression among sexual gender minority university students","authors":"Sharon Jalene, J. Pharr, M. Sharma, B. Poston","doi":"10.1080/10538720.2021.1954126","DOIUrl":"https://doi.org/10.1080/10538720.2021.1954126","url":null,"abstract":"Abstract Attending college and belonging to a sexual or gender minority (SGM) are associated with increased depression. The severity of symptoms may be more pronounced due to gender identity and sexual orientation. The purpose of this study was to evaluate SGM college student depression levels and depression-related functional difficulty using a validated instrument. University students (n = 780) completed a web-based survey. Reported depression (Patient Health Questionnaire, PHQ-9) was compared between gender (female, male, and nonbinary) and sexual orientation (heterosexual, bisexual, lesbian, gay, and self-identified individuals). Nonparametric analyses were employed. Thirty percent of the students’ PHQ-9 summed score indicated moderate to severe depression. Heterosexual males were the least depressed (lowest score). Bisexual and lesbian females had the highest depression scores. Bisexual (p = 0.01) and lesbian females (p = 0.006) reported increased levels of depression-related functional difficulty when compared to straight females. Significant differences between gender identity and depression in-treatment status (X 2 = 11.76, p = 0.003, Cramer’s V = .123) were also found. These results provide salient information regarding mental health disparities in SGM college students that is useful for designing and implementing mental health promotion programs in this subgroup.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48544316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-17DOI: 10.1080/10538720.2021.1976342
Evan Senreich
Abstract Few studies have compared clients’ perceptions of substance use disorder (SUD) treatment by sexual orientation in programs with mostly nonwhite populations. In eight such SUD programs, treatment satisfaction, therapeutic alliance with counselors, social affiliation with other clients, and treatment connection between 58 self-identified LGB clients, 72 self-identified heterosexual clients with histories of same-gender sexual experiences (Hetero-SGSE), and 503 self-identified heterosexual clients without histories of same-gender sexual experiences (Heterosexual) were compared. Gay/bisexual men reported less social affiliation than Heterosexual men, with low rates of sexual orientation disclosure in treatment. Hetero-SGSE respondents reported less treatment connection than LGB and Heterosexual participants.
{"title":"Perceptions of treatment according to sexual orientation in urban substance use disorder (SUD) programs with mostly nonwhite client populations","authors":"Evan Senreich","doi":"10.1080/10538720.2021.1976342","DOIUrl":"https://doi.org/10.1080/10538720.2021.1976342","url":null,"abstract":"Abstract Few studies have compared clients’ perceptions of substance use disorder (SUD) treatment by sexual orientation in programs with mostly nonwhite populations. In eight such SUD programs, treatment satisfaction, therapeutic alliance with counselors, social affiliation with other clients, and treatment connection between 58 self-identified LGB clients, 72 self-identified heterosexual clients with histories of same-gender sexual experiences (Hetero-SGSE), and 503 self-identified heterosexual clients without histories of same-gender sexual experiences (Heterosexual) were compared. Gay/bisexual men reported less social affiliation than Heterosexual men, with low rates of sexual orientation disclosure in treatment. Hetero-SGSE respondents reported less treatment connection than LGB and Heterosexual participants.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45434423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-23DOI: 10.1080/10538720.2021.1954125
F. Qeadan, Nana Akofua Mensah, Lily Y. Gu, William A. Barbeau, E. Madden, C. Porucznik, Kevin English
Abstract This paper examines the factors that are associated with the availability of tailored programs for LGBT clients in substance use disorder (SUD) treatment facilities in the U.S. from 2008 to 2018. Associations were determined by using pooled odds ratios overtime from multivariable logistic regression modeling utilizing the 2008–2018 data from the U.S. National Survey of Substance Abuse Treatment Services (N-SSATS). In 2018, roughly one in five facilities had LGBT-specific programs; an increase of three-fold from 2008 to 2018. SUD treatment facilities that had other programs tailored for specific subpopulations, in the West, private for-profit, or owned by the federal government were more likely to have LGBT-specific programs. While the percentage of facilities offering LGBT programs increased three-fold from 2008 to 2018, differences in the characteristics of SUD treatment facilities that offer such programs remain. Eliminating these variabilities could expand tailored programs for LGBT clients in SUD treatment facilities in the U.S. and subsequently improve care quality for LGBTQ clients.
{"title":"Factors associated with the availability of tailored programs for LGBT clients in substance use disorder treatment facilities in the U.S. from 2008 to 2018","authors":"F. Qeadan, Nana Akofua Mensah, Lily Y. Gu, William A. Barbeau, E. Madden, C. Porucznik, Kevin English","doi":"10.1080/10538720.2021.1954125","DOIUrl":"https://doi.org/10.1080/10538720.2021.1954125","url":null,"abstract":"Abstract This paper examines the factors that are associated with the availability of tailored programs for LGBT clients in substance use disorder (SUD) treatment facilities in the U.S. from 2008 to 2018. Associations were determined by using pooled odds ratios overtime from multivariable logistic regression modeling utilizing the 2008–2018 data from the U.S. National Survey of Substance Abuse Treatment Services (N-SSATS). In 2018, roughly one in five facilities had LGBT-specific programs; an increase of three-fold from 2008 to 2018. SUD treatment facilities that had other programs tailored for specific subpopulations, in the West, private for-profit, or owned by the federal government were more likely to have LGBT-specific programs. While the percentage of facilities offering LGBT programs increased three-fold from 2008 to 2018, differences in the characteristics of SUD treatment facilities that offer such programs remain. Eliminating these variabilities could expand tailored programs for LGBT clients in SUD treatment facilities in the U.S. and subsequently improve care quality for LGBTQ clients.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47365719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-10DOI: 10.1080/10538720.2021.1958401
Joseph M. Currin, D. Knutson, Dillon J. Federici, Julie M. Koch, Paul B. Ingram
Abstract People with multiple minoritized identities, such as those that identify as a minoritized sexual orientation and/or gender identity and as a Person of Color (POC), report higher levels of distress that may result from complex systems and various sources of discrimination. Resilience is an adaptive response to oppression that enables marginalized communities to resist the impact of discrimination and rejection. The current study surveyed levels of resilience, distress, and elements of resiliency and how they differed among emerging adults who identify as non-LGBTQ+ POC; LGBTQ+ POC; LGBTQ+ White people; and non-LGBTQ+ White people. Data were collected from 1,194 participants at three large universities in the United States. A multivariate analysis of variance was conducted that yielded significant differences by groups. Post-hoc analysis revealed significant differences among the measured variables of interest. Of note, individuals who identified as LGBTQ+ POC reported lower distress and higher resilience, hope, and significantly higher spiritual support when compared to LGBTQ+ White participants. These results highlight how individuals who possess multiple minoritized identities may experience buffers to rather than additive minority stress, and spirituality may play a key role in this resilience. Implications for psychologists and helping professionals are discussed.
{"title":"Resiliency patterns suggest spirituality supports lower distress in undergraduate students who identify as an LGBTQ+ person of color","authors":"Joseph M. Currin, D. Knutson, Dillon J. Federici, Julie M. Koch, Paul B. Ingram","doi":"10.1080/10538720.2021.1958401","DOIUrl":"https://doi.org/10.1080/10538720.2021.1958401","url":null,"abstract":"Abstract People with multiple minoritized identities, such as those that identify as a minoritized sexual orientation and/or gender identity and as a Person of Color (POC), report higher levels of distress that may result from complex systems and various sources of discrimination. Resilience is an adaptive response to oppression that enables marginalized communities to resist the impact of discrimination and rejection. The current study surveyed levels of resilience, distress, and elements of resiliency and how they differed among emerging adults who identify as non-LGBTQ+ POC; LGBTQ+ POC; LGBTQ+ White people; and non-LGBTQ+ White people. Data were collected from 1,194 participants at three large universities in the United States. A multivariate analysis of variance was conducted that yielded significant differences by groups. Post-hoc analysis revealed significant differences among the measured variables of interest. Of note, individuals who identified as LGBTQ+ POC reported lower distress and higher resilience, hope, and significantly higher spiritual support when compared to LGBTQ+ White participants. These results highlight how individuals who possess multiple minoritized identities may experience buffers to rather than additive minority stress, and spirituality may play a key role in this resilience. Implications for psychologists and helping professionals are discussed.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46537039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-23DOI: 10.1080/10538720.2021.1954575
Jarrod Call, D. Gerke, Anamika Barman-Adhikari
Abstract Young adults experiencing homelessness (YAEH) are up to 12 times more likely to contract HIV than their housed peers. One important HIV prevention tool is pre-exposure prophylaxis (PrEP), though few studies examine YAEH PrEP use, particularly among those who identify as lesbian, gay, or bisexual (LGB). This study surveyed 160 YAEH about sexual risk behaviors, knowledge about and interest in using PrEP, and facilitators and barriers to PrEP use. Chi-Squared tests assessed if participants varied on these factors by sexual orientation. LGB YAEH were more likely to have heard of and be interested in using PrEP, as well as report access to free sexual healthcare, counseling about sex life, and concerns about possible medication interactions if they became HIV + as important motivating factors for PrEP use. Straight YAEH were more likely to report concerns about PrEP protectiveness as important. These findings, though preliminary, have important implications for YAEH HIV prevention programs.
{"title":"Facilitators and barriers to PrEP use among straight and LGB young adults experiencing homelessness","authors":"Jarrod Call, D. Gerke, Anamika Barman-Adhikari","doi":"10.1080/10538720.2021.1954575","DOIUrl":"https://doi.org/10.1080/10538720.2021.1954575","url":null,"abstract":"Abstract Young adults experiencing homelessness (YAEH) are up to 12 times more likely to contract HIV than their housed peers. One important HIV prevention tool is pre-exposure prophylaxis (PrEP), though few studies examine YAEH PrEP use, particularly among those who identify as lesbian, gay, or bisexual (LGB). This study surveyed 160 YAEH about sexual risk behaviors, knowledge about and interest in using PrEP, and facilitators and barriers to PrEP use. Chi-Squared tests assessed if participants varied on these factors by sexual orientation. LGB YAEH were more likely to have heard of and be interested in using PrEP, as well as report access to free sexual healthcare, counseling about sex life, and concerns about possible medication interactions if they became HIV + as important motivating factors for PrEP use. Straight YAEH were more likely to report concerns about PrEP protectiveness as important. These findings, though preliminary, have important implications for YAEH HIV prevention programs.","PeriodicalId":46685,"journal":{"name":"JOURNAL OF GAY & LESBIAN SOCIAL SERVICES","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10538720.2021.1954575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48937840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：