scholarly journals Disclosure of sexual orientation and subsequent substance use and abuse among lesbian, gay, and bisexual youths: Critical role of disclosure reactions.

2009 ◽  
Vol 23 (1) ◽  
pp. 175-184 ◽  
Author(s):  
Margaret Rosario ◽  
Eric W. Schrimshaw ◽  
Joyce Hunter
Keyword(s):  
Substance Use ◽  
Sexual Orientation ◽  
Critical Role ◽  
Substance Use And Abuse ◽  
Disclosure Of Sexual Orientation ◽  
And Bisexual

Conceptualizing the Challenge and Moving to Solutions

2018 ◽  
pp. 237-266
Author(s):  
Alan E. Kazdin
Keyword(s):  
Public Health ◽  
Mental Illness ◽  
Substance Use ◽  
Mental Disorders ◽  
Physical Health ◽  
Large Scale ◽  
Critical Role ◽  
Grand Challenges ◽  
Substance Use And Abuse

This chapter places the challenge of reducing the burdens of mental illness in broader contexts and progresses from these to concrete recommendations on how to proceed toward next steps. The notions of wicked problems and grand challenges provide two contexts for understanding the challenge. From broad concepts, the chapter moves to means of addressing challenges and making progress in concrete ways to reduce the burdents of mental illness. Illustrations are provided of promising efforts in relation to physical health, mental disorders, and substance use and abuse. The critical role of assessment, especially large-scale surveillance measures from public health, is also discussed.

scholarly journals Untethered lives: Barriers to societal integration as predictors of the sexual orientation disparity in suicidality

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Bränström ◽  
A van der Star ◽  
J E Pachankis
Keyword(s):  
Risk Factors ◽  
Sexual Orientation ◽  
Sexual Minorities ◽  
Social Institutions ◽  
Cross Sectional ◽  
National Public Health ◽  
Public Health Survey ◽  
And Bisexual ◽  
Orientation Disparity

Abstract Background Despite increasing legal protections and supportive attitudes toward sexual minorities (e.g., those who identify as lesbian, gay, and bisexual [LGB]) in recent decades, suicidality remains more common among this population than among heterosexuals. While barriers to societal integration have been widely theorized as determinants of suicidality for the general population, they have not been comprehensively explored to explain the sexual orientation disparity in suicidality and/or compared to more established contributors. Methods Data come from the cross-sectional Swedish National Public Health Survey, which randomly collected data from individuals (16-84 years of age) annually from 2010 to 2015 (1,281 (2.2%) self-identified as LGB). Analyses examined sexual orientation differences in suicidality (i.e., past-12-month ideation and attempts), and explored the role of barriers to societal integration (i.e., not living with a partner or children, unemployment, and lack of societal trust) in explaining this disparity over-and-above more commonly explored psychological (e.g., depression, substance use) and interpersonal (e.g., discrimination, victimization, lack of social support) suicidality risk factors. Results Compared to heterosexuals, suicidal ideation and attempts were more common among both gay men/lesbians (AORideation: 2.51; AORattempts: 4.66), and bisexuals (AORideation: 3.76; AORattempts: 6.06). Barriers to societal integration mediated the association between sexual orientation and suicidality even in models adjusting for established risk factors for suicidality. Conclusions The disproportionate barriers to societal integration that LGB individuals experience seem important contributors to the elevated risk of suicidality among sexual minorities. Preventive interventions should consider innovative ways to foster societal integration within sexual minority populations and to adjust hetero-centric social institutions to better include sexual minorities.

scholarly journals The Critical Role of Intimacy in the Sexual Risk Behaviors of Gay and Bisexual Men

2011 ◽  
Vol 16 (3) ◽  
pp. 626-632 ◽  
Author(s):  
Sarit A. Golub ◽  
Tyrel J. Starks ◽  
Gregory Payton ◽  
Jeffrey T. Parsons
Keyword(s):  
Sexual Risk ◽  
Risk Behaviors ◽  
Sexual Risk Behaviors ◽  
Critical Role ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual

scholarly journals Coming Out to Parents in Lesbian and Bisexual Women: The Role of Internalized Sexual Stigma and Positive LB Identity

2020 ◽  
Vol 11 ◽  
Author(s):  
Roberto Baiocco ◽  
Jessica Pistella ◽  
Mara Morelli
Keyword(s):  
Sexual Orientation ◽  
Coming Out ◽  
Future Research ◽  
Lesbian Women ◽  
Bisexual Women ◽  
Sexual Stigma ◽  
Positive Identity ◽  
And Bisexual ◽  
Internalized Sexual Stigma

The experience of “coming out” (CO) to parents is often a crucial event in the lives of lesbian and bisexual (LB) women, associated with lower internalized sexual stigma (ISS) and higher positive LB identity. Few studies have compared the experiences of LB women in the CO process. Rather, most prior research has either: (1) not addressed bisexuality or eliminated bisexual individuals from the analysis; (2) combined bisexual women and bisexual men in the same sexual orientation group; or (3) examined bisexual participants alongside lesbian women and gay men, using a single monolithic measure. Thus, the present research aimed at investigating the role of ISS and positive LB identity in inhibiting or encouraging CO to parents in a sample of 241 lesbian women (Mage = 27.61, SD = 7.19) and 186 bisexual women (Mage = 25.23, SD = 5.81), aged 18–40 years. Most participants reported that they had already revealed their sexual orientation to their mother (69%) and their father (52%). More lesbian women had CO to both their mother and their father than had bisexual women. These lesbian women reported lower levels of ISS and higher levels of LB positive identity relative to bisexual women. On average, CO to mothers occurred at age 20 (SD = 5.54), while CO to fathers occurred at age 22 (SD = 5.63). LB women did not differ in the average age of CO to mothers or fathers, or in parental reactions to CO. Finally, ISS was found to affect the process of CO to both parents via positive identity (bootstrapping estimate = −0.26, SE = 0.08, 95% CI = −0.43, 0.11), whereas sexual orientation was not found to moderate the path from ISS to CO to both parents. The present study contributes to our understanding of the differences between LB women when developing their sexual orientation, highlighting the relevance of a positive LB identity for CO to parents. Research and clinical implications and directions for future research are discussed.

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