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The U.S. Supreme Court decisions in U.S. v. Windsor (570 U.S. 307) and Hollingsworth v. Perry (570 U.S. 399) created a focal point for public discussion of marriage equality for same-sex couples. This article reports the results of an exploratory study of the reactions of individuals currently or previously in same-sex couple relationships and a heterosexual sibling who is currently or previously married (N = 371) to the Supreme Court decisions. Thematic content analysis was used to explore participants’ responses to an open-ended question on a survey. Reactions of individuals from same-sex couples revealed the following themes: (1) longitudinal perspectives on the advancement of rights for same-sex couples; (2) emotional responses celebrating the decisions or expressing relief; (3) affirmation of their relationship or rights; (4) practical consequences of the extension of rights; and (5) minority stress related to anticipation of future prejudice or discrimination. Themes in the heterosexual siblings’ responses were (1) ally support; (2) flat support without emotion or elaboration; (3) indifference to or ignorance about the decisions; and (4) disapproval of the decisions. These themes are compared and discussed in light of prior research on reactions to marriage restriction debates and marriage (in)equality and family relationships.

Using cross-sectional data collected online from 495 racially and ethnically diverse LGBQ+ (lesbian, gay, bisexual, queer, and questioning) participants, the associations between nine forms of discrimination and mental distress and well-being were examined, along with the mediating role of brooding (a severe form of rumination) in these associations and demographic differences in the variables Results indicated that queer and multiracial/other identity individuals who reported lower incomes faced more forms of discrimination compared to their male, gay/bisexual, White, and of higher income counterparts. Moreover, mental/physical ability status-based discrimination was significantly associated with the highest levels of mental distress and the lowest well-being score. The association between LGBQ-based discrimination and mental distress was marginally significant. Furthermore, a greater number of forms of discrimination was associated with mental distress and less well-being. Brooding partially mediated the relationship between multiple forms of discrimination and mental distress, and fully mediated the association between multiple forms of discrimination and well-being. These findings suggest that assessing LGBQ+ individuals' multiple forms of discrimination and their effect on mental health is critical. Similarly, interventions designed to alleviate brooding and facilitate the development of other emotion regulation strategies that would further promote LGBQ+ people's mental health and well-being are warranted. [ABSTRACT FROM AUTHOR]

Recently, the legal landscape for sexual minorities in the United States has changed dramatically, prompting empirical research on lesbian, gay, and bisexual (LGB) couples and LGB service members. This study examined the relationship characteristics and mental health of LGB service members in couple relationships and compared partnered and single LGB service members. A total of 238 LGB service members completed an anonymous survey, including questions about demographics, identity, military experiences, and mental health symptoms. Results of descriptive and exploratory analyses revealed no significant differences in mental health between partnered and single participants. However, partnered individuals reported higher outness and lower internalized homophobia compared with their single counterparts. Analyses also revealed negative associations between relationship satisfaction and mental health symptoms among partnered participants. Among the first to examine LGB service members' romantic relationships, the results of this study have important clinical and policy implications and inform next steps in researching this population. [ABSTRACT FROM AUTHOR]

Childhood sexual abuse (CSA) has several deleterious effects on health and well-being, including increased risk for rape in adulthood. Such revictimization experiences are linked to negative mental health outcomes. The vast majority of literature on prevalence and impact of sexual revictimization has focused on heterosexual women. In an effort to extend this research to lesbians and gay men, who are known to face higher rates of both CSA and adult rape, we conducted a study (N = 871) comparing adult lesbians, gay men, and heterosexual women on prevalence and mental health correlates of sexual revictimization. Results indicated that CSA is associated with elevated rates of adult rape for all three groups. In addition, revictimization showed comparable associations with mental health variables for all three groups. Participants with both CSA and adult rape had higher levels of psychological distress, suicidality, alcohol use, and self-harm behaviors relative to those with only one type of victimization and those with no victimization, and those with any victimization were more likely to report recent use of drugs compared to those with no victimization. (Contains 3 tables.)

Objective: Prior research has established that lesbian, gay, and bisexual (LGB) people experience higher rates of childhood abuse than heterosexuals. However, there has been little research on the mental health impact of these experiences or how race/ethnicity might influence prevalence and mental health impact of childhood abuse in this population. The study's objective was to examine the relationships between race/ethnicity, childhood abuse, and mental health indicators in a national sample of LGB adults. Method: Participants were recruited via the Internet through snowball and targeted sampling methods. Six hundred and sixty-nine LGB adults, 21% of whom were people of color, participated in an online survey. Participants completed the Childhood Trauma Questionnaire-Short Form, the Center for Epidemiologic Studies Depression Scale, the Patient Health Questionnaire Generalized Anxiety Disorder Scale, the Posttraumatic Stress Disorder (PTSD) Checklist-Civilian Version, and the Perceived Stress Scale-Short Form. Results: Latina/o and Asian American participants reported the highest levels of physical abuse (p less than 0.01), and Latina/o and African American participants reported the highest levels of sexual abuse (p less than 0.01). Childhood emotional abuse was the strongest predictor of psychopathology symptoms for all participants (ps less than 0.01). Relative to White participants, emotional abuse showed a stronger relationship with PTSD and anxiety symptoms for African American participants (ps less than 0.01), and physical abuse showed a stronger relationship with PTSD and anxiety symptoms for Latina/o participants (ps less than 0.05). Conclusions: Race/ethnicity may be an important factor when examining childhood abuse and mental health correlates among LGB populations. (Contains 2 figures, 2 footnotes and 4 tables.)

Lesbian and bisexual women from diverse backgrounds possess unique viewpoints regarding the meanings and functions of "community." Despite this, few studies have explored sexual minority women's understanding of and relationship to their communities. The present study employed qualitative research methods to investigate the meanings and functions of community among a sample of ethnically diverse lesbian and bisexual women (N = 49). From the participants' responses in semistructured focus groups and key informant interviews, three core constructs emerged: community concepts (relevance, meaning), community-based strain (racism, homophobia, biphobia, classism), and community-based action (fluidity, exclusivity). Implications of these findings for future research and practice with this population of women will be discussed. (Contains 1 footnote.)

This study compared 55 men and 78 women who had same-sex marriages in Massachusetts, 101 men and 120 women who had domestic partnerships in California, and 35 men and 86 women who had civil unions in Vermont, all in 2004. Couples were surveyed on demographic and relationship information, conflict, contact with family of origin, social support, politics, and leisure activities. There were few interstate differences, although couples in Massachusetts were more politically liberal and more sympathetic toward feminism than were couples in other states. There were, however, a number of gender differences. As compared to women, men were older and had waited longer to legalize their relationships; they were also more exclusively gay and less likely to have children. More than 90% of all couples were registered to vote and had voted in the last national election. (Contains 2 tables.)

This study was a 3-year follow-up of 65 male and 138 female same-sex couples who had civil unions in Vermont during the 1st year of that legislation. These couples were compared with 23 male and 61 female same-sex couples in their friendship circles who did not have civil unions and with 55 heterosexual married couples (1 member of each was a sibling to a member of a civil union couple). Despite the legalized nature of their relationships, civil union couples did not differ on any measure from same-sex couples who were not in civil unions. However, same-sex couples not in civil unions were more likely to have ended their relationships than same-sex civil union or heterosexual married couples. Compared with heterosexual married participants, both types of same-sex couples reported greater relationship quality, compatibility, and intimacy and lower levels of conflict. Longitudinal predictors of relationship quality at Time 2 included less conflict, greater level of outness, and a shorter relationship length for men in same-sex relationships and included less conflict and more frequent sex for women in same-sex relationships at Time 1.

This study extends research on dimensions of sexual minority experience by examining differences between bisexual and lesbian/gay adults in adaptation to sexual orientation stigma. The authors investigated sexual orientation self-disclosure, connection to community, and 4 identity-related variables (internalized homonegativity, stigma sensitivity, identity confusion, and identity superiority) in a community sample of 613 lesbian, gay, and bisexual adults. Sexual orientation effects were found on 3 of these 6 variables: Bisexual participants reported higher levels of identity confusion and lower levels of both self-disclosure and community connection relative to their lesbian/gay peers. Taken together, the 6 variables predicted indicators of psychosocial functioning. Associations among the 6 dimensions of sexual minority experience and psychosocial functioning did not differ for bisexual and lesbian/gay participants.

Despite a large body of literature addressing relationship quality and domestic violence in women's same-sex relationships, few studies have empirically examined how stress specific to living as a lesbian or bisexual woman might correlate with these relationship variables. Degree of outness, internalized homophobia, lifetime and recent experiences of discrimination, butch/femme identity, relationship quality, and lifetime and recent experiences of domestic violence were assessed in a sample of 272 predominantly European American lesbian and bisexual women. Lesbian and bisexual women were found to be comparable on most relationship variables. In bivariate analyses, minority stress variables (internalized homophobia and discrimination) were associated with lower relationship quality and both domestic violence perpetration and victimization. Outness and butch/femme identity were largely unrelated to relationship variables. Path analysis revealed that relationship quality fully mediated the relationship between internalized homophobia and recent domestic violence.

Lifetime victimization was examined in a primarily European American sample that comprised 557 lesbian/gay, 163 bisexual, and 525 heterosexual adults. Lesbian, gay, and bisexual (LGB) participants were recruited via LGB e-mail lists, periodicals, and organizations; these participants recruited 1 or more siblings for participation in the study (81% heterosexual, 19% LGB). In hierarchical linear modeling analyses, sexual orientation was a significant predictor of most of the victimization variables. Compared with heterosexual participants, LGB participants reported more childhood psychological and physical abuse by parents or caretakers, more childhood sexual abuse, more partner psychological and physical victimization in adulthood, and more sexual assault experiences in adulthood. Sexual orientation differences in sexual victimization were greater among men than among women.

Objectives. We investigated the association of health-related quality of life (HRQOL) with sexual orientation among lesbians and bisexual women and compared the predictors of HRQOL between the 2 groups. Methods. We used multivariate logistic regression to analyze Washington State Behavioral Risk Factor Surveillance System population-based data (2003 to 2007) in a sample of 1496 lesbians and bisexual women and examined determinants of HRQOL among lesbians and bisexual women. Results. For lesbians and bisexual women, frequent mental distress and poor general health were associated with poverty and lack of exercise; poor general health was associated with obesity and mental distress. Bisexual women showed a higher likelihood of frequent mental distress and poor general health than did lesbians. The odds of mental distress were higher for bisexual women living in urban areas as compared with nonurban areas. Lesbians had an elevated risk of poor general health and mental distress during midlife. Conclusions. Despite the standard practice of collapsing sexual minority women into a single group, lesbian and bisexual women in this study emerge as distinct groups that merit specific attention. Bisexual women are at elevated risk for poor HRQOL. (Am J Public Health. 2010;100:2255-2261. doi:10.2105/ AJPH.2009.177329)

Objectives. Our primary aims were to identify differences on the basis of sexual orientation in victimization, substance use, and HIV risk behaviors and to examine associations among these variables in American Indian men. Our secondary aims included describing condom-use attitudes, beliefs about HIV/AIDS in the Indian community, HIV knowledge, HIV status, and preference for and access to HIV prevention services in this population. Methods. A survey was mailed to all members of an American Indian community organization in New York City. Results. The 20 men self-identifying as gay, two-spirit, or bisexual (hereafter, 'two-spirit') were more likely to report being victimized and engaging in HIV risk behaviors than the 51 heterosexual respondents, although they reported comparable levels of recent substance use. Overall, victimization was associated with lifetime HIV risk behaviors (even after control for sexual orientation) but not with substance use or unsafe sex in the past 12 months. The percentage of HIV infection was surprisingly high (10% of two-spirit men and 6% of heterosexual men). Conclusions. Two-spirit men are a vulnerable population whose victimization must be understood within an appropriate historical and political context.

Obesity is a risk factor for multiple disease outcomes, including cancer and cardiovascular disease. A healthy diet and physically active lifestyle can prevent obesity. Sexual orientation is an important demographic factor that has been suggested to affect engagement in health-related behaviors, and interventions developed for the general population of women are likely to be less effective in assisting sexual minority women to make healthy choices. We conducted seven focus groups with sexual minority women (i.e., lesbians and bisexual women) to explore issues, including barriers and motivations, regarding healthy eating, physical activity, and weight in this population. The participants reported a wide range of levels of engagement in health-related behaviors. While nearly all of the participants reported some awareness of the importance of good dietary choices, the majority reported some confusion about what constitutes a healthy diet. In contrast, the majority of participants seemed clearly aware that regular exercise was important for good health. These data can guide the design of effective intervention strategies to improve health behaviors in sexual minority women. KEYWORDS. Sexual minority women, obesity, intervention design, focus groups

Self-identified lesbian, gay male, and bisexual (LGB) individuals were recruited via convenience sampling, and they in turn recruited their siblings (79% heterosexual, 19% LGB). The resulting sample of 533 heterosexual, 558 lesbian or gay male, and 163 bisexual participants was compared on mental health variables and their use of mental health services. Multilevel modeling analyses revealed that sexual orientation predicted suicidal ideation, suicide attempts, self-injurious behavior, use of psychotherapy, and use of psychiatric medications over and above the effects of family adjustment. Sexual orientation was unrelated to current psychological distress, psychiatric hospitalizations, and self-esteem. This is the 1st study to model family effects on the mental health of LGB participants and their siblings. Keywords: lesbian, gay, bisexual, mental health, sexual orientation

This article discusses the social and demographic aspects of lesbian and bisexual women who have come out of the closet. Topics include race, sexual experience, motherhood, and family relations.

This article examines the relationship between lesbian battering, homophobia (both external and internalized), and the stress of living as a member of an oppressed minority. While domestic violence in lesbian relationships parallels domestic violence in heterosexual relationships in many ways, the context of homophobia in society, in addition to sexism, creates some unique dynamics, issues, and barriers to change. Drawing upon a review of the theoretical and empirical literature, as well as the author's clinical experience as a lesbian psychotherapist, the impact of the homophobic context on lesbian battering is examined from the perspective of victims, perpetrators, and helping systems. KEYWORDS. Lesbian battering, lesbians, domestic violence, homophobia, internalized homophobia, minority stress