Le lien entre la santé mentale et la consommation de cannabis est encore incompris. De plus, les lesbiennes, gays et bisexuel.les (LGB) présentent des taux élevés de consommation de cannabis et de problèmes de santé mentale comparativement aux hétérosexuel.les. Objectifs. Examiner les associations entre le cannabis, la dépression et l’anxiété au cours de l’adolescence, ainsi que l’effet modérateur de l’orientation sexuelle. Méthode. Les liens entre le cannabis, la dépression et l’anxiété à 13, 15 et 17 ans sont examinés longitudinalement à l’aide d’un modèle à effets croisés chez 1548 participant.es. Des analyses multi-groupes sont effectuées pour examiner les modèles selon l’orientation sexuelle. Résultats. Des associations de petite taille qui demeurent significatives lors de l’ajout des variables de contrôle sont trouvées dans l’échantillon complet : la consommation de cannabis prédit positivement les symptômes d’anxiété subséquents et les symptômes de dépression à 15 ans prédisent positivement la consommation de cannabis à 17 ans. Les LGBs présentent un lien positif plus prononcé entre les symptômes de dépression à 15 ans et la consommation de cannabis à 17 ans, ainsi qu’un lien négatif entre les symptômes d’anxiété à 15 ans et la consommation de cannabis à 17 ans. Conclusion. Ces résultats soutiennent que les associations entre le cannabis, la dépression et l’anxiété sont bidirectionnelles, quoique de petite taille, au cours de l’adolescence. Les LGB présentent des liens particulièrement forts qui pourraient suggérer une pratique d’automédication pour les symptômes de dépression entre 15 et 17 ans. / The association between cannabis use and mental health is not yet well understood. Additionally, sexual minorities present higher rates of cannabis use and mental health issues than heterosexuals. Objective. To examine the developmental relationships between cannabis, and depression and anxiety across adolescence in heterosexual and LGB youth. Method. The relationships between cannabis, and depressive and anxiety symptoms at 13, 15, and 17 years were examined using cross-lagged models in 1548 participants. Multigroup analyses were conducted to examine the models according to sexual orientation. Results. Small bidirectional associations were found in the full sample, which remained significant once control variables were included in the model: cannabis use positively predicted later anxiety symptoms, and depressive symptoms at 15 years predicted cannabis at 17 years. LGB participants presented a considerably larger association between depressive symptoms at 15 years and cannabis at 17 years, as well as a negative association between anxiety symptoms at 15 years and cannabis at 17 years. Conclusion. These results suggest that the relationships between cannabis, and depressive and anxiety symptoms are bidirectional across adolescence, albeit small. Sexual minorities present particularly strong associations that may represent self-medication efforts for depressive symptoms between 15 and 17 years.

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<p>The purpose of this research study was to look at the effects of perceived discrimination and sexual positivity on relationship and sexual satisfaction of sexual minority couples. The present study hypothesizes that there will be a moderating relationship between sexual positivity and perceived discrimination; higher levels of sexual positivity will predict higher relationship and sexual satisfaction, and perceived discrimination will negatively effect relationship and sexual satisfaction of couples with lower sexual positivity. Individuals who identify as a sexual minority were asked to participate in this study and answer survey questions pertaining to the level of satisfaction they experience in their romantic relationship and their sexual relationship, how sex positive the individuals are, and the amount of perceived discrimination that they experience; all through a minority stress lens. The results suggest that neither perceived discrimination nor the interaction between perceived discrimination and sexual positivity has a significant impact on the relationship and sexual satisfaction of sexual minority populations. However, the results of this study do suggest a statistically significant relationship between sexual positivity and relationship and sexual satisfaction of sexual minority couples.</p>

Diversos autores han determinado conceptos referidos a la inclusión de problemáticas sociales en la publicidad, siendo uno de ellos el brand-cause fit, referido a la condición en la que una marca y un problema social –con el cual el público objetivo se sienta identificado–, se unen conceptualmente en una sola propuesta de comunicación. El propósito de este estudio fue analizar cómo perciben los universitarios el brand-cause fit como estrategia de comunicación en la campaña ‘No estás solo’ de Sprite. Se adoptó una metodología cualitativa y se realizaron entrevistas semiestructuradas a 24 universitarios de los cuales 12 pertenecían a la comunidad LGTB y 12 eran heterosexuales. Los participantes perciben positivamente el brand-cause fit utilizado como estrategia publicitaria en la campaña de Sprite. No solo valoran que las marcas incluyan temáticas y problemáticas sociales en su forma de comunicación, sino que alegan que es responsabilidad de las marcas el hacerlo. / Several authors have determined concepts related to the inclusion of social problems in advertising. One of them is brand-cause fit, which refers to the condition in which a brand and a social problem —with which the target audience feels identified— are conceptually united in a single communication proposal. The purpose of this study was to analyze how university students perceive the brand-cause fit as a communication strategy in Sprite's ‘You Are Not Alone’ campaign. A qualitative methodology was adopted and semi-structured interviews were conducted with 24 university students of which 12 belonged to the LGBT community and 12 were heterosexual. The participants positively perceived the brand-cause fit used as an advertising strategy in Sprite's campaign. Not only do they value the fact that brands include social issues and problems in their communication, but they also claim that it is the brands' responsibility to do so. / Tesis

The purpose of this research was to explore social hardships of non-gay identifying, [behaviorally] bisexual, and “other” marginal LGBTQ+ men who are sexually intimate with men in a heteronormative and [toxic] masculine world. Relatedly, hegemonic masculinity dominates the patriarch through regulating behavioral norms that often stigmatize and discriminate opposing traits, ideologies, or groups, such as LGBTQ+. This has been known to affect and mediate health outcomes and “outness.” Therefore, this study explored how minority stressors impact self-concept, mental health, well-being, and motivations to disclose and/or conceal. Data collection involved survey and interview formats (mixed-methods cross-sectional design) that assessed internalized homophobia, conformity to masculine norms, subjective masculinity stress, disclosure, and concealment in relation to lifestyle and social context. While all variables had expected linear associations, not all were causal. Those who conformed to masculine norms significantly experienced internalized stigma/homophobia. Hence, it can be hypothesized that participants who conformed sought to conceal stigma under pressure of heteronormative culture and the patriarch. However, subjective masculinity stress was nonsignificant, exemplifying hegemonic influence as more defining to their self-concept than their own. Further, minority stress constructs (masculine norms, internalized stigma/homophobia, and subjective masculinity stress), when age, regional location, and faith were controlled, significantly predicted less disclosure and more concealment in social contexts. This reinforces the power of modern patriarchy/masculine norms/minority stress and its adverse effects on mental health, well-being, and outness in marginalized populations of LGBTQ+. Relatedly, qualitative data validated these quantitative findings but generally over the lifecycle of “coming out” as opposed to respondents’ current growth and development in outness, mental health, and well-being. However, to further affirm such quantitative findings, both survey and interview data did report distress regarding modern day masculinity and its ill standards that place unrealistic expectations on men, which continue to create disparities among and between many communities and humanity.

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<p>Although liberal attitudes toward homosexuality have been increasing in recent years, sexual minority youth continue to face bullying and isolation at school. Gay-straight alliances (GSAs) have recently emerged as a solution to this problem. While research demonstrates positive effects of GSAs, little is known about the specific processes through which GSAs work to improve the school climate. We must also consider that GSAs operate in high schools which function as their own bounded social worlds with unique sets of rules and social hierarchies. These hierarchies influence both gay and straight youth’s experiences, including who gets bullied, and who carries out the bullying. Using qualitative research methods, including semi-structured interviews with 50 students from 6 Windsor high schools, including 21 lesbian, gay, bisexual, bi-curious, pansexual and queer (LGBPQ) youth, this study explores these issues. I begin by examining how status hierarchies in high schools vary based on the size of the school and average parental income. In doing so, I argue that status hierarchies should be re-conceptualized from being thought of as simply vertical to accommodate multiple sources of status and varying competition. I then delve into an examination of how status and bullying are interconnected. Here, I find that for both gay and straight students, social networks work to prevent isolation as well as bullying. Bullying in high schools also takes on a situational nature, as bullying episodes often predominate in certain areas and in front of certain status group audiences. Finally, I explore how social networks intersect with gay-straight alliances in various social hierarchies, and how GSAs work as social networks that have a protective ability against bullying. I find that GSAs can work to improve school climate and challenge existing hierarchies, but this is tempered by the hierarchies in place. Implications for anti-bullying strategies are also discussed.</p> / Doctor of Philosophy (PhD)

Although in recent years there has been increased attention on bullying prevention and bullying legislation in the United States, there is limited research on the implementation of anti-bullying policies. Moreover, few studies have addressed the use of anti-bullying policies to protect LGBT youth from bullying. The present study seeks to examine the role of anti-bullying policies as a means to protect against bullying based on perceived sexual orientation and gender identity. Qualitative interviews with high school teachers, administrators, and staff members within an urban school district in the United States were conducted to gain insight into how those charged with the task of protecting LGBT youth engage with their school and district policy in efforts to create a supportive environment for their students. In this study, I argue the following: 1) the policy structure, both in the language of the state law and district policy on bullying, created barriers for schools to implement the anti-bullying policy; 2) the barriers created by the policy structure limited teachers' ability to protect LGBT youth from bullying; and 3) despite the evident barriers, teachers found ways to create supportive classroom environments for their students. Results indicate that teachers are not knowledgeable of the contents of their school's anti-bullying policy, and have had limited exposure to the policy through training specific to their school's anti-bullying policy. Similar results occurred when teachers and administrators were questioned about their awareness of trainings specific to the prevention of bullying against LGBT youth, posing significant barriers to effective policy implementation. In addition, interview data suggests that although teachers lack the sufficient support in terms of training on the anti-bullying policy, there were multiple examples of teachers serving as advocates for LGBT youth in both their classrooms and in their schools more broadly. The displays of advocacy by teachers, in addition to the presence of district and school administrator support for LGBT students, serve as an example of how school districts can find ways to implement school policies, address bullying in their schools, and raise awareness for the unique experiences of LGBT youth in terms of bullying.

Thesis (MEdPsych)--Stellenbosch University, 2013. / Bibliography / ENGLISH ABSTRACT: A literature search done by the researcher has noted that there is little information available regarding transadolescents’ experience within the South African context. In a society that only acknowledges two genders, transgenderism remains invisible. The transgender minority group tends to be more neglected, misunderstood and stigmatized than their homosexual peers. Transadolescents, who are already in a challenging phase of development, are at risk for negative outcomes such as bullying, scholastic problems, social isolation and depression. The aim of this research is therefore to explore and describe the transadolescents’ subjective experience in their own words. To facilitate this process the research was positioned in the interpretative/constructionist paradigm, in terms of which it is based on the premise that subjective experiences are created during social interaction. Bronfenbrenner’s bio-ecological model was used as theoretical framework to illustrate the reciprocal interactions between the various micro- and macrosystems. The qualitative research approach was used to explicate the essence of the participants’ lived experience. Phenomenology was selected as the most appropriate research design. Semi-structured interviews were conducted with three transadolescents and thematic analysis was used to code and organise the data and to present it in the form of a narrative report. Five themes and associated categories were identified. It was found that the transadolescent experiences identity formation as particularly challenging and that there are individual differences between self-identities and gender expressions. The process of disclosure towards parents is accompanied by considerable anxiety and there are major differences in the disclosure practices that are followed. Parents’ reactions differ and can range from acceptance to eviction. Preference is given to friends who are also seen as being ‘different’ and it can be quite a relief to share their identity with friends regardless of their reactions. Even though South Africa has a policy of inclusive education, the reality is one of discrimination, bullying and isolation. Furthermore, medical services in South Africa are inadequate and transadolescents are exposed to discrimination and unsympathetic professionals. Consequently much must still be done to promote understanding of transadolescents, so that the different contexts in which they move can be better prepared to deliver effective and supportive services. / AFRIKAANSE OPSOMMING: Tans is daar beperkte inligting beskikbaar omtrent die transadolessent se beleweniswêreld binne die Suid-Afrikaanse konteks. Binne ‘n samelewing wat slegs twee genders erken, speel transgenderisme agter geslote deure af. Die transgender-minderheidsgroep word meer afgeskeep, misverstaan en gestigmatiseer as hul homoseksuele eweknieë. Binne ‘n alreeds uitdagende ontwikkelingsfase, is die transadolessent besonder weerloos vir negatiewe uitkomste soos afknouery, skolastiese probleme, sosiale isolasie en depressie. Die doel van die studie is gevolglik om die transadolessent se subjektiewe belewenis in hul eie woorde te verken en te beskryf. Om hierdie proses te fasiliteer is die studie geposisioneer in die interpretatiewe/ konstruksionistiese paradigma wat voorstel dat subjektiewe ervarings tydens sosiale interaksie geskep word. Bronfenbrenner se bio-ekologiese model is as teoretiese raamwerk gebruik om hierdie wederkerige interaksie tussen die verskillende mikrostelsels en die makrostelsel te illustreer. Die kwalitatiewe navorsingsbenadering is gevolg om ‘n waarheidsgetroue beeld weer te gee van die deelnemers se subjektiewe belewenis en fenomenologie is as mees geskikte navorsingsontwerp gekies. Semi-gestruktureerde onderhoude is met drie transadolessente gevoer en die data is met behulp van die tematiese analise gekodeer, georganiseer en in ‘n narratiewe verslagvorm weergegee. Die data-analise het gelei tot die identifisering van vyf temas en gepaardgaande kategorieë. Daar is bevind dat identiteitsvorming ‘n uitdagende proses vir die transadolessent is en dat individue se self-identiteit en uitlewing van hul identiteit verskil. Die openbaarmakingsproses aan ouers gaan met geweldige angstigheid gepaard en daar is groot individuele verskille in die wyse waarop dit geskied. Ouers reageer verskillend en dit wissel van algehele aanvaarding tot uitsetting. Voorkeur word gegee aan vriende wat ook as ‘anders’ bestempel word en ongeag vriende se reaksie, is dit ‘n verligting om hul identiteit te deel. Ten spyte daarvan dat Suid-Afrika inklusiewe onderwyspraktyke voorstaan, is die realiteit een van diskriminasie, afknouery en isolasie. Voorts is die mediese dienste in Suid-Afrika ontoereikend en transadolessente word blootgestel aan diskriminasie en onsimpatieke professionele persone. Te oordeel hieraan, moet daar baie gedoen word om die transadolessente beter te verstaan sodat die verskillende kontekste waarbinne hulle beweeg, beter voorbereid is om effektiewe en ondersteunende dienste te lewer.

Marginalization and stigmatization heighten the vulnerability of sexual minorities to inequitable health outcomes. Although men who have sex with men (MSM) are at elevated risk for HIV infection in India in comparison with the general population, there is a lack of MSM-focused research—particularly regarding stigma and mental health outcomes. This dissertation aimed to explore the influence of sexual stigma, gender non-conformity stigma and HIV-related stigma on depression and life satisfaction among MSM in South India. This study used a cross-sectional survey design and was conducted with MSM (n=200) in two locations in Tamil Nadu, South India: Chennai (urban) and Kumbakonam (semi-urban). Due to multicollinearity between sexual stigma and gender non-conformity stigma, the stronger predictor of each outcome (gender non-conformity stigma) was included in regression models. Results were analyzed to identify the associations between independent (gender non-conformity stigma, HIV-related stigma), moderator (social support, resilient coping) and dependent (depression, life satisfaction) variables. Due to significant differences between locations across a substantial number of variables, block regression analyses were conducted separately for each location. Higher levels of depression were predicted by gender non-conformity stigma in both locations, and also by HIV-related stigma in Kumbakonam. Lower levels of depression in both locations were predicted by higher levels of social support and resilient coping. Higher life satisfaction was predicted by social support and resilient coping in both Chennai and Kumbakonam. Lower life satisfaction was predicted by gender non-conformity stigma and HIV-related stigma in Kumbakonam, but not in Chennai. Social support and resilient coping did not moderate the impact of stigma(s) on depression or life satisfaction in either location. The results indicate that the majority of participants experienced stigmatization based on same-sex sexual behaviour and/or gender non-conformity. Another striking finding of the study was the alarmingly high rates of depression, whereby over half of participants in each region reported moderate to severe depression scores. Practice and policy implications include the development, implementation and evaluation of: multi-level stigma reduction interventions that account for socio-environmental and contextual factors; mental health interventions that promote resiliency and build social support; and policy initiatives to advance human rights protection.