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LGBTQIA+ and Co-occurring Disorders
Published in Tricia L. Chandler, Fredrick Dombrowski, Tara G. Matthews, Co-occurring Mental Illness and Substance Use Disorders, 2022
A survey conducted by SAMHSA (2016) concluded that those who identify as sexual minorities have reported increased substance use compared to sexual majorities. The survey found that sexual minorities used cocaine, heroin, hallucinogens, opiates, prescription drugs, and inhalants at higher rates than sexual majorities. Sexual minority populations were found to have greater percentages of those living with alcohol use disorder, substance use disorder, and opiate use disorder than sexual majorities. The percentage of sexual minorities who meet criteria for substance use treatment (for any substance) is higher than the percentage of sexual majorities.
Santo Domingo’s LGBT social movement: At the crossroads of HIV and LGBT activism
Published in Emily E. Vasquez, Amaya Perez-Brume, Richard G. Parker, Social Inequities and Contemporary Struggles for Collective Health in Latin America, 2020
A week after the forum and again with the sponsorship of COPRESIDA, the Alianza Nacional de Hombres Gay, Transgéneros, Transsexuales y Hombres que tienen Sexo con Hombres (Alianza GTH) was formed at an event attended by the Director of COPRESIDA and with positive media coverage. Alianza GTH was charged with coordinating the national response to HIV/AIDS among sexual minorities; promoting human rights as a way of reducing risk; and providing institutional support to the groups of the coalition, including ASA, MMMA, REVASA, and Transsa (Sosa, 2006). As pointed out by several young lesbian leaders (personal correspondence), the absence of lesbians as a sexual minority in the Alianza GTH, the framing of human rights in function of HIV risk, and the incorporation of smaller groups within this Global Fund project formalised the consolidation of the field on HIV.
Being Sexual: Existential Contributions to Psychotherapy with Gay Male Clients
Published in Elizabeth Peel, Victoria Clarke, Jack Drescher, British Lesbian, Gay, and Bisexual Psychologies, 2020
While E-P psychotherapy can be used fruitfully in work with a range of sexual minority clients, this paper will focus primarily on work with gay male clients.1 Before reflecting on the contribution of E-P therapy2 to client work, this paper will briefly review some of the core concepts underpinning the approach. Readers are referred to other summaries of the existential approach such as Cooper (2003), Spinelli (1989, 1996), du Plock (1997) and Van Deurzen (2002).
Loneliness in Sexual Minority Individuals in the Southeastern United States: The Role of Minority Stress and Resilience
Published in Journal of Homosexuality, 2023
Kasey Shepp, Christopher F. Drescher, James A. Griffin, Lara M. Stepleman
Within minority stress theory, distal minority stressors, including prejudice, discrimination, and violence, are related to poor perceived social support and loneliness in sexual minority individuals (Díaz, Ayala, Bein, Henne, & Marin, 2001; Fredriksen-Goldsen et al., 2012; Kuyper & Fokkema, 2010). One way that discrimination can occur against sexual minority individuals is barriers to care: the geographical, medical, psychological, social, and personal resource barriers to receiving health care (Heckman et al., 1998). Studies have widely shown that sexual minority individuals face unique individual and structural barriers to care (Dahlhamer, Galinsky, Joestl, & Ward, 2016; Romanelli & Hudson, 2017; Rosenkrantz, Black, Abreu, Aleshire, & Fallin-Bennett, 2017). Sexual minority individuals are uninsured at higher rates than the normal population (Macapagal, Bhatia, & Greene, 2016). Additionally, a lack of culturally competent providers and fear of disclosure of sexual identity to providers are often cited reasons of delayed care and unmet health needs (Dahlhamer et al., 2016). This delay of care due to unique minority stressors can perpetuate disparities in physical and mental health, which are also linked with increased loneliness. Although the barriers to care literature were not specifically developed from a minority stress theory framework, we believe that the barriers are best categorized as distal minority stressors as they primarily refer to objective barriers (difficulty with transportation, discrimination from providers) rather than perceptions.
Healthcare Access and Health-Related Cultural Norms in a Community Sample of Black and Latinx Sexual Minority Gender Expansive Women
Published in Journal of Homosexuality, 2023
Alison Cerezo, Sesame Ching, Amaranta Ramirez
The lack of an intersectional focus in the greater LGBTQ+ health services literature is detrimental to communities of color. Dating back to 2002, Boehmer carried out a meta-analysis of public health research and found that 85% LGBTQ+ research did not gather data on race or ethnicity. More recently, Bowleg (2020), when speaking at a National Institutes of Health event, highlighted the ongoing need to use an intersectional lens to health research as a means to center the needs of multiply minoritized individuals. Furthermore, Hughes (2011) argues that the overwhelming majority of federal funding in support of LGBTQ+ health has been awarded to researchers examining HIV and related issues in men who have sex with men. Focused efforts to understand the health needs of sexual minority women has been extremely limited, placing women at risk of not having their unique cultural experiences understood and respected by health providers and the larger health system.
Affirmative Stances in Training Programs Toward Sexual and Gender Minority Clients: Views From Clinical and Counseling Psychology Graduate Students
Published in Journal of Homosexuality, 2023
Zachary A. Soulliard, Katherine L. Zane, Honore M. Hughes
Given the release of recent guidelines and recommendations, there is a need to assess the extent to which affirmative training stances have been implemented. Moreover, it is important to distinguish between individuals who identify with a sexual minority and/or gender minority identity.2 Although similarities exist between sexual orientation and gender identity, there are clear distinctions as well (American Psychological Association Task Force on Gender Identity and Gender Variance [APA TFGIGA], 2009). For example, gender minority students, particularly those who identify as gender non-binary, experience unique minority stress, including being misgendered and having their gender identity disclosed without their permission (Matsuno, Domínguez, Waagen, Roberts, & Hashtpari, 2020). Therefore, affirmative training stances in graduate psychology programs may not be the same for these two identity groups.