The Minority Stress Perspective

The minority stress perspective adds significant insight into the critical application and evaluation of theory regarding the impact of homophobia and correlates of HIV risk among gay and bisexual men and other sexual minorities. Continued understanding of the role that stigma, prejudice, heteronormativity, rejection, and internalized homophobia play in fueling HIV and substance use among gay and bisexual men is also necessary

At Ground Zero : September 11, 2001

The author relates his personal experience, and the response of the Body Positive staff members, during the attack on the World Trade Center, a handful of blocks away from the office on September 11, 2001

Minority Stress Predictors of Substance Use and Sexual Risk Behavior Among a Cohort Sample of Men Who Have Sex with Men

This study examined the impact of factors associated with minority stress theory, including experiences of external prejudice, expectations of rejection and internalized homophobia, upon a cohort sample of men who have sex with men (MSM). Resultant associations with substance use, defined as one time use of a club drug prior to baseline; and sexual risk behavior, defined as unprotected insertive and receptive anal intercourse with primary and non-primary partners, was examined. In addition, this study compared whether each individual aspect of minority stress (external prejudice, expectations of rejection and internalized homophobia) independently or collectively predicted substance use and sexual risk behavior among MSM with their primary and non-primary partners. Factors and outcomes associated with substance use and sexual risk behaviors were investigated via binary logistic regression and use of multivariable modeling for subsequent analysis. Odds ratios for all models were examined utilizing dichotomized variables for minority stress and sociodemographic factors found in the descriptive statistics of the study population, and compared to specific types of sexual risk behavior among the cohort sample. Expectations of rejection demonstrated significance as a protective factor for decreased likelihood of MSM engaging in unprotected insertive anal intercourse with primary and non-primary partners while on drugs and while not on drugs. Additionally, there was validated significance related to decreased likelihood of engaging in unprotected insertive and receptive anal intercourse with both primary and non-primary partners among older study participants (25-40+). Implications are discussed for continued research associated with minority stress factors, substance use and sexual risk behavior among MSM, along with future directions. Such conclusions assist in informing social work clinical practice and behavioral interventions associated with HIV prevention, substance use education, prevention and treatment among the MSM community

Minority Stress Theory: An Examination of Factors Surrounding Sexual Risk Behavior Among Gay and Bisexual Men Who Use Club Drugs

Background: Few studies have examined the impact of minority stress theory (MST) upon sexual risk behavior among gay and bisexual men using club drugs. Similar studies have focused on ethnic minorities and women; however, gay and bisexual men demonstrate greater likelihood for risk behaviors leading to HIV/AIDS. Objective: This study examines sexual risk behavior from the perspective of minority stress theory upon substance-using gay and bisexual men and their partners. Methods: Multivariable logistic regression analysis examined minority stress associations with participant sexual risk behaviors, drug use, and partner type, controlling for demographics. Results: 396 gay and 54 bisexual respondents, ages 18–67, reported at least one-time drug use while engaging in sexual risk behavior. In the adjusted model, expectations of rejection associated with lower odds of sexual risk behavior, while older age approached significance. Conclusions: Theoretical origins for examining risk behavior among gay and bisexual men may underscore risk and protective factors, while ultimately holding implications for prevention and treatment interventions

Conducting Research in Non-Traditional Settings: Research Assistant Experiences in a Gay Bathhouse

Research conducted in traditional and non-traditional settings remains essential to understanding behaviors and attitudes among diverse populations. The effective preparation of research assistants is essential in order to conduct ethical research and ensure safety for the participants and those conducting the research. One such example pertains to examining the behavior of men who have sex with men (e.g., gay, bisexual, other MSM) within bathhouse settings. Semi-structured interviews were conducted among six graduate students and alumni examining their overall interest in conducting research as well as their thoughts and feelings prior to, during, and after collecting data at a gay male bathhouse, and the overall impact upon their professional growth and development. Thematic findings centered around conducting research within a bathhouse setting, navigating personal feelings and reactions, and strengthening connections between personal and professional selves, among others. Implications for effectively training and preparing student research assistants to conduct data collection with unique and non-traditional settings will be examined

Preparing Social Workers for Practice with LGBT Populations Affected by Substance Use: Perceptions from Students, Alumni and Service Providers

Trends in the field of service among those with alcohol and other drug addictions highlight the urgent need for schools of social work to effectively train students to serve clients with substance use disorders, and have cultural humility to effectively serve disproportionately affected LGBT consumers. Online surveys and interviews examined perceptions of graduate social work students and alumni in a certified alcohol and drug counselor program, along with several service providers within an urban setting in the US. Results indicated that students and alumni did not feel adequately prepared through coursework to practice with LGBT populations affected by substance use, while feeling more clinically competent to practice with LGB individuals, than with transgender consumers. Similar findings related to unique differences associated with perceptions of faculty support, along with field preparedness to practice with LGB individuals when compared to transgender individuals. Service providers noted an overall commitment and to serve LGBT consumers as well as positive perceptions of students and alumni to do the same. Implications examine the role of faculty in addressing challenges related to preparation of social work students to practice with LGBT consumers affected by substance use disorders, along with suggestions for curricular changes, and ongoing field trainings

Conducting Research in Non-Traditional Settings: Research Assistant Experiences in a Gay Bathhouse

Research conducted in traditional and non-traditional settings remains essential to understanding behaviors and attitudes among diverse populations. The effective preparation of research assistants is essential in order to conduct ethical research and ensure safety for the participants and those conducting the research. One such example pertains to examining the behavior of men who have sex with men (e.g., gay, bisexual, other MSM) within bathhouse settings. Semi-structured interviews were conducted among six graduate students and alumni examining their overall interest in conducting research as well as their thoughts and feelings prior to, during, and after collecting data at a gay male bathhouse, and the overall impact upon their professional growth and development. Thematic findings centered around conducting research within a bathhouse setting, navigating personal feelings and reactions, and strengthening connections between personal and professional selves, among others. Implications for effectively training and preparing student research assistants to conduct data collection with unique and non-traditional settings will be examined

Strengths-based Behavioral Telehealth with Sexual and Gender Diverse Clients at Center on Halsted

The COVID-19 pandemic necessitated an immediate response and rapid transition from traditional face-to-face behavioral health services to behavioral telehealth at an organization serving sexual and gender diverse (SGD) individuals in Chicago. In this practice innovations article, we explore the unfolding public health crisis and the impact on service delivery for SGD individuals. Using a large multi-service organization as a case study, this paper describes how key members of the staff and leadership team shifted services online as a means of responding to isolation, loneliness, and disparities in access to healthcare for Chicago SGD communities. Lessons learned and practice recommendations are presented

The Experiences of Lesbian, Gay, Bisexual, Transgender and Queer Students in Social Work Programs. A Study Report from the CSWE Council on Sexual Orientation and Gender Identity and Expression

This online North American study of lesbian, gay, bisexual, transgender, and queer (LGBTQ) social work students (n=1,018) in bachelor of social work (BSW; 24%) or master’s of social work (MSW; 76%) programs explored educational experiences in 126 programs in 44 U. S. states and 7 Canadian provinces. Forty-four percent of students reported limited inclusion of LGBTQ content in classes, yet 64% indicated some degree of support for their LGBTQ identities in their programs. One-third reported homophobic experiences in programs, yet many (63%) were aware of “out” LGBTQ faculty. Overall, students reported fairly low levels of self-assessed practice readiness with specific subpopulations (i.e., gay, lesbian, bisexual, transgender), with participants reporting the highest (somewhat prepared) self-assessed readiness with gay populations and the lowest (not well-prepared) self-assessed readiness with transgender populations. Participants suggested lower readiness for their non-LGBTQ colleagues. Implications for social work education are discussed

Experiences of COVID-19 pandemic-related stress among sexual and gender minority emerging adult migrants in the United States

There is a dearth of research that examines COVID-19-related stress among multiply marginalised individuals who are in the developmental phase of emerging adulthood. This qualitative study investigated how the intersection of emerging adulthood, sexual and gender minority (SGM) identity, and migrant status were reflected in the experiences of SGM individuals (n = 37; ages 20–25 years old) who migrated to various parts of the United States in the last 5 years. Data were collected online using semi-structured interviews. Thematic analysis revealed that participants\u27 developmental processes (e.g., identity exploration, building financial independence) were shaped by pandemic-related stressors, especially unemployment and financial instability. Participants who were able to maintain employment did so but at the risk of their health and safety. Findings also showed that participants experienced feelings of anxiety and depression due to social isolation, but online communication played an important role in combatting loneliness. Findings highlight the potential for trauma-informed and intersectional approaches to practice with SGM emerging adult migrants and expanded health services and temporary entitlement programs to mitigate the pandemic\u27s effects on this population\u27s psychosocial and financial well-being