A Model of Sexual Risk Behaviors Among Young Gay and Bisexual Men: Longitudinal Associations of Mental Health, Substance Abuse, Sexual Abuse, and the Coming-Out Process

Rosario, Margaret; Schrimshaw, Eric W.; Hunter, Joyce

doi:10.1521/aeap.2006.18.5.444

Cited by 220 publications

(225 citation statements)

References 40 publications

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“…Paul found a 20% prevalence rate among African-Americans (Brennan et al 2007); however, the African-American sample size was too small to conduct meaningful significance tests. Another study with a similarly modest sample of MSM youth found a 54% prevalence of childhood sexual abuse where 35% of participants were Latino and 34% were African-American (Rosario et al 2006). Additional research is needed to acquire good robust sexual debut and involuntary sex data among Black MSM.…”

Section: Discussionmentioning

confidence: 96%

Exploring the Mental Health of Black Men Who Have Sex with Men

Graham

Braithwaite

Spikes

et al. 2009

Community Ment Health J

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Section: Discussionmentioning

confidence: 96%

Exploring the Mental Health of Black Men Who Have Sex with Men

Graham

Braithwaite

Spikes

et al. 2009

Community Ment Health J

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“…Use of substances, depression, and other mental health disorders place youth at higher sexual risk because of lack of ability to make good decisions regarding use of condoms or contraception, and these issues should be addressed. 107 Using a strength-and asset-based approach and encouraging positive youth development is an effective way to reduce risks in all teenagers, including sexual minority youth. 27,108 Frankowski et al' s 109 "Strength-Based Interviewing" is a method that can be applied to all adolescents and young adults.…”

mentioning

confidence: 99%

Office-Based Care for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth

Levine¹

2013

Pediatrics

137

111

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The American Academy of Pediatrics issued its last statement on homosexuality and adolescents in 2004.This technical report reflects the rapidly expanding medical and psychosocial literature about sexual minority youth. Pediatricians should be aware that some youth in their care may have concerns or questions about their sexual orientation or that of siblings, friends, parents, relatives, or others and should provide factual, current, nonjudgmental information in a confidential manner. Although most lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth are quite resilient and emerge from adolescence as healthy adults, the effects of homophobia and heterosexism can contribute to increased mental health issues for sexual minority youth.LGBTQ and MSM/WSW (men having sex with men and women having sex with women) adolescents, in comparison with heterosexual adolescents, have higher rates of depression and suicidal ideation, higher rates of substance abuse, and more risky sexual behaviors. Obtaining a comprehensive, confidential, developmentally appropriate adolescent psychosocial history allows for the discovery of strengths and assets as well as risks. Pediatricians should have offices that are teen-friendly and welcoming to sexual minority youth. This includes having supportive, engaging office staff members who ensure that there are no barriers to care. For transgender youth, pediatricians should provide the opportunity to acknowledge and affirm their feelings of gender dysphoria and desires to transition to the opposite gender. Referral of transgender youth to a qualified mental health professional is critical to assist with the dysphoria, to educate them, and to assess their readiness for transition. With appropriate assistance and care, sexual minority youth should live healthy, productive lives while transitioning through adolescence and young adulthood. The comprehensive IOM publication includes a section on childhood and adolescence. This updated clinical report provides definitions and the best information available about the demographics of this group of adolescents. Being a member of this group of teens is not, in itself, a risk behavior; nor should sexual minority youth be considered abnormal. However, the presence of stigma reflected in the terms "homophobia" and "heterosexism" often leads to psychological distress, which may be accompanied by an increase in risk behaviors. "Homophobia" refers to an irrational fear and resulting hatred of homosexual individuals. "Heterosexism" is the societal expectation that heterosexuality is the expected norm and that, somehow, LGBTQ individuals are abnormal. Although limited, studies on the resilience of sexual minority youth will be discussed. Studies specifically focused on the disparities in the health of these teens in mental health, substance abuse, and sexuality will be presented, along with new research about emerging effective individual and community health strategies for reducing risks. Finally, issues in providing clinical care and mo...

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“…Third, risk-taking behaviours appear elevated amongst some sexual minority status groups and such behaviours can put the individual at risk from a range of victimisation experiences (Blake et al, 2001;Bontempo & D'Augelli, 2002;Garofalo, Wolf, Kessel, Palfrey & DuRant, 1998;Rosario, Schrimshaw & Hunter, 2006;. Fourth, and more tentatively, emerging research on the nature of sexual orientation also suggests that sexual minority status is related to greater uncertainty about ones sexuality than heterosexuality (Epstein et al, 2012).…”

Section: Discussionmentioning

confidence: 99%