Disclosure of Sexual Orientation and Gay, Lesbian, and Bisexual Youths’ Adjustment: Associations with Past and Current Parental Acceptance and Rejection

D’Amico, Émilie; Julien, Danielle

doi:10.1080/1550428x.2012.677232

Cited by 72 publications

(56 citation statements)

References 41 publications

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“…Despite the fact that a majority of 14 – 17 year olds reported disclosure and at least some family acceptance, approximately half reported they would be unlikely to participate if guardian permission was required. Fear of being stigmatized, punished, or in some cases, victimized by their families if guardian permission results in disclosure of their sexual orientation or gender identity has been identified as a barrier to participation among lesbian, gay and bisexual youth (D'Amico & Julien, 2012; DiClemente, Sales, & Borek, 2010; Fisher et al, 2016; Gilbert et al, 2015; Macapagal, Coventry, Arbeit, Fisher, & Mustanksi, 2016; Mustanski, 2011; Mustanski et al, in press). …”

Section: Discussionmentioning

confidence: 99%

Facilitators and Barriers to Participation in PrEP HIV Prevention Trials Involving Transgender Male and Female Adolescents and Emerging Adults

Fisher

Fried

Desmond

et al. 2017

AIDS Education and Prevention

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Despite the disproportionate burden of HIV facing transgender youth, they continue to be under-represented in studies designed to provide an empirical basis for pre-exposure prophylaxis (PrEP) programs that can meet the unique needs of this population. This study examined facilitators and barriers to participation in a PrEP adherence study. Ninety transgender male (TM) and 60 transgender female (TF) 14 – 21 year olds attracted to cisgender male sexual partners completed an online survey to examine (a) gender identity, age and family disclosure; (b) sexual experience, HIV/STI testing history and perceptions of HIV risk; (c) prior health services and (d) perceived PrEP research risks and benefits (e) and the relationship of these factors to the likelihood of study participation. Approximately 50% were likely to participate in the PrEP study. Participation facilitators included prior sexual and health service experiences (i.e. number of sexual partners, STI testing history, comfort discussing sexual orientation and HIV protection with health providers) and study access to PrEP and health services (i.e. daily HIV protection, not having to rely on a partner for protection, regular health check ups). Participation barriers included lack of concern about HIV, potential medication side effects, the logistics of quarterly meetings, remembering to take PrEP daily and reluctance to discuss gender identity with study staff. Requiring guardian consent was a participation barrier for youth under 18. Results suggest that successful recruitment and retention of transgender youth in PrEP prevention studies warrant protocols designed to address youth's underestimation of HIV risk, concerns regarding medical risk and study logistics, and their need for gender and sexual orientation affirming health services.

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Section: Discussionmentioning

confidence: 99%

Facilitators and Barriers to Participation in PrEP HIV Prevention Trials Involving Transgender Male and Female Adolescents and Emerging Adults

Fisher

Fried

Desmond

et al. 2017

AIDS Education and Prevention

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“…To place the results in context, clinical trials data from adult studies provide strong evidence of FTC/TDF efficacy, safety, and an acceptable range of side effects; and the drug combination is already widely used for HIV treatment with adolescents. These realities, combined with (1) disproportionately high HIV infections rates among YMSM, 3 (2) the fact that HIV infection itself is an incurable disease, (3) the critical need for safety data among youth who may well be prescribed FTC/TDF for PrEP use off-label even in the absence of such data, 5 (4) the familial rejection and potential violence experienced by many YMSM, 10,11 and (5) justifiable expectations of a favorable balance of risks and benefits, provided the ATN with a compelling rationale for conducting ATN113 without parental consent. Nevertheless, the study did confront researchers and IRBs with a host of ethical challenges.…”

Section: Discussionmentioning

confidence: 99%

“…7-9 In the case of YMSM, for example, youth may be unwilling to participate in a study in which the informed consent process is likely to result in their sexual status and/or sexual activity being revealed to their family, potentially resulting in rejection or violence. 10,11 In certain circumstances such as these, ethical considerations supporting adolescent inclusion in research (e.g., the critical importance of clinical trials data on PrEP safety for YMSM or the high vulnerability of YMSM to HIV) may overshadow those requiring parental consent. 5,8,12 …”

mentioning

confidence: 99%

Adolescent Self-Consent for Biomedical Human Immunodeficiency Virus Prevention Research

Gilbert¹,

Knopf²,

Fortenberry³

et al. 2015

Journal of Adolescent Health

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Purpose The Adolescent Medicine Trials Network Protocol 113 (ATN113) is an open-label, multi-site demonstration project and phase II safety study of HIV pre-exposure prophylaxis with 15-17 year old young men who have sex with men that requires adolescent consent for participation. The purpose of this study was to examine factors related to the process by which Institutional Review Boards (IRBs) and researchers made decisions regarding whether to approve and implement ATN113, so as to inform future biomedical HIV prevention research with high-risk adolescent populations. Methods Participants included seventeen researchers at thirteen sites in twelve states considering ATN113 implementation. Qualitative descriptive methods were used. Data sources included interviews and documents generated during the initiation process. Results A common process for initiating ATN113 emerged, and informants described how they identified and addressed practical, ethical and legal challenges that arose. Informants described the process as responding to the protocol, preparing for IRB submission, abstaining from or proceeding with submission, responding to IRB concerns and reacting to the outcomes. A complex array of factors impacting approval and implementation were identified; and ATN113 was ultimately implemented in 7 of 13 sites. Informants also reflected on lessons learned that may help inform future biomedical HIV prevention research with high-risk adolescent populations. Conclusions The results illustrate factors for consideration in determining whether to implement such trials, demonstrate that such protocols have the potential to be approved, and highlight a need for clearer standards regarding biomedical HIV prevention research with high-risk adolescent populations.

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“…2010;D'Amico & Julien, 2012). Una identidad integrada se relaciona con menos síntomas depresivos y ansiosos, menos problemas de conducta y mayor autoestima.…”

Section: Respuesta Positiva a La Revelaciónunclassified

Efectos en el afrontamiento y soporte social ante la revelación de la homosexualidad a la familia: estudio comparativo en gais y lesbianas

Luévanos¹

2018

Psicogente

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Cómo citar este artículo (APA):Silva Luévanos, B. E. (2018). Efectos en el afrontamiento y soporte social ante la revelación de la homosexualidad a la familia: estudio comparativo en gais y lesbianas. Psicogente 21 (40), 321-336. https://doi.org/10.17081/psico.21.40.3077 321 Efectos en el afrontamiento y soporte social ante la revelación de la homosexualidad a la familia: estudio comparativo en gais y lesbianas Effects on coping and social support before the revelation of homosexuality to the family: a comparative study in gays and lesbians Benjamín Emanuel Silva LuévanosUniversidad Autónoma de Coahuila, Saltillo, México ResumenObjetivo: El presente trabajo es resultado de una investigación que se realizó en las ciudades de Monclova y Saltillo en el estado de Coahuila, México, con el objetivo de indagar acerca de la autopercepción que tienen gais y lesbianas respecto de los efectos en su afrontamiento y del soporte social después de haber revelado su homosexualidad a la familia.Método: Para medir las variables de estudio se empleó la Batería de Evaluación Psicosocial de Sucesos Vital (Cantú y Álvarez, 2009; 2013), la cual se aplicó a 30 sujetos: 15 gais y 15 lesbianas. Los datos se analizaron de forma descriptiva y comparando ambos grupos respecto a cada variable, a través de la prueba T de Student. Resultados:Respecto al afrontamiento y al soporte social no se encuentra diferencia significativa, mostrando ambos grupos estrategias de afrontamiento para resolver problemas. En cuanto al soporte social se encontraron diferencias significativas en dos ítems: "obtuve apoyo emocional de familiares que no viven en casa", y "tuve ayuda económica o de información de mi pareja en relación a la situación", y tanto lesbianas como gais encuentran mayor soporte social en amistades. Conclusiones:Hombres y mujeres tienen una consideración negativa de la homosexualidad, incluso aquellos que se reconocen como homosexuales; además, tanto gais como lesbianas encuentran mayor soporte fuera de la familia y concretamente en amistades. Por ello, en un inicio la revelación de la propia homosexualidad no suelen hacerla a la familia. Resulta necesario un proceso de reorganización del individuo, así como de la familia y del grupo social a fin de modificar la consideración negativa a priori dominante acerca de la homosexualidad.Palabras Clave: gay, lesbiana, revelación, familia, afrontamiento, soporte social. AbstractObjective: This paper is the result of a research whose purpose is related to gays and lesbian's self-perception and their coping effects and social support after having revealed their homosexuality to their families. , 2009; 2013) was used to measure these variables. 30 individuals were sampled as follows: 15 gays and 15 lesbians. The data analysis was descriptive, where both groups for each variable were compared; Student's T test was used. Method: Variables such as Psychosocial Assessment of Vital Events Battery (Cantú y Álvarez Results:In relation with gays and lesbians' coping support, there is no significant differen...

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Disclosure of Sexual Orientation and Gay, Lesbian, and Bisexual Youths’ Adjustment: Associations with Past and Current Parental Acceptance and Rejection

Cited by 72 publications

References 41 publications

Facilitators and Barriers to Participation in PrEP HIV Prevention Trials Involving Transgender Male and Female Adolescents and Emerging Adults

Facilitators and Barriers to Participation in PrEP HIV Prevention Trials Involving Transgender Male and Female Adolescents and Emerging Adults

Adolescent Self-Consent for Biomedical Human Immunodeficiency Virus Prevention Research

Efectos en el afrontamiento y soporte social ante la revelación de la homosexualidad a la familia: estudio comparativo en gais y lesbianas

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