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A limited number of studies have examined mechanisms undergirding interventions that mitigate mental health problems or health-risk behaviors that disproportionately burden sexual minorities. A recent trial of expressive writing and self-affirmation writing found that these brief interventions had salubrious effects on mental health and health-risk behaviors; the present research examines the putative mechanisms underlying these effects. Sexual minority emerging adults (N = 108) completed a brief online expressive writing, self-affirmation writing, or neutral control writing intervention and, at baseline and 3-month follow-up, completed measures of mental health, health-risk behaviors, stress, and self-regulation. Expressive writing yielded improvements in mental health and these effects were mediated by reductions in perceived stress. Self-affirmation caused improvements in health-risk behaviors, thoughneither stress nor self-regulation mediated these effects. This finding provides preliminary novel evidence regarding a mechanism underlying a widely used psychological intervention with documented mental health benefits for sexual minorities and other populations disproportionately affected by stress

The purpose of this study was to understand the levels of competence that master's level social work students have in regard to the issues of lesbian, gay, bisexual and transgender foster youth.

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The research in this dissertation develops a multiperspective theoretical framework, which I describe as queer criticality, to guide the examination of discursive practices, educational policies, and public discourses that undergird heteronormativity and disproportionately impact the personal safety and professional wellbeing of sexual minority and gender variant (SMGV) teachers and students in Canadian K-12 schools. Queer criticality, as a theoretical construct, seeks to bring together and investigate aspects of critical theory, critical pedagogy, poststructuralism, and queer theory. My aim is not to attempt to reconcile these competing theories to produce a grand narrative or proscriptive way of theorizing; rather, I investigate the productive tensions that a notion of queer criticality can prompt for self-reflexive researchers when these theoretical perspectives are placed in dynamic relationship with one another. Accordingly, this collection of interwoven essays examine critically how research has positioned SMGV youth as both victims and, more recently, resilient survivors who experience a daily onslaught of homophobic, transphobic, and heterosexist violence in their schools, classrooms, and communities; it also explores interpretative frameworks and mobilization strategies used to politicize or privatize SMGV identities and concerns through educational policy and practice; and it utilizes empirical research to interrogate the lived effects of these heteronormative discourses and discursive practices on sexual minority teachers working for inclusive educational and social change; and transsexual teachers searching for a valued space and place for recognition of their personal and professional identities in their public schools. Ultimately, through these connected essays, this poststructural assemblage seeks to open up spaces for difference to be exposed and interrogated within K-12 public schools. It also works to help provide discursive materiality to sexual minority and gender variant identities by demonstrating how heteronormalizing discourses impact and shape the lived experiences of all teachers and students in Canadian schools. Ultimately, this research asks whose lives are deemed intelligible and, thus, liveable in our public schools. / Theoretical, Cultural, and International Studies in Education

Many women experience sexual violence, but bisexual women are at particularly high risk for such victimization. Theories attempting to explain women’s risk for sexual violence have focused on numerous risk factors (e.g., childhood abuse, substance use, sexual risk behavior, among others); however, many of these factors have not been explored with sexual minority survivors. The current study used multiple groups path analysis within a structural equation modeling framework in order to test a theory-driven model of victimization risk, first among a general sample of women, and then among subsamples of heterosexual, lesbian, and bisexual women. The prospective model included childhood sexual, physical, and emotional abuse as three separate exogenous variables; sexual risk behavior, alcohol use, and drug use as separate mediators; and a count-based adult sexual victimization score as the outcome. The prospective model was trimmed until it best represented the observed data for the full sample, which saw the inclusion of childhood sexual and physical abuse as the only exogenous variables, sexual risk behavior as the only mediating variable, and adult sexual victimization as the outcome. Sexual risk behavior mediated the relationship between both childhood abuse variables and adult sexual victimization for the general sample of women. However, within the multiple groups model, sexual risk behavior mediated the relationship between childhood physical abuse and adult sexual victimization among bisexual women only. A mediational relationship between childhood sexual abuse and adult sexual victimization via sexual risk behavior approached significance among bisexual women only. A second-stage moderating effect approached significance whereby the relationship between sexual risk behavior and adult victimization was stronger for heterosexual women than for bisexual women. Additionally, the direct effect of childhood sexual abuse on adult sexual victimization was stronger for lesbian women than for bisexual women. Relationships among variables and the novel and unique findings pertaining to bisexual women’s victimization risk are framed as the compounding effect of childhood trauma and social stigmatization of bisexuality. Implications and future directions are described.

Sexual minority youth (i.e., youth who identify as lesbian, gay, bisexual, queer, or who report same-sex attractions) disproportionally experience negative mental health and academic outcomes. Yet, few studies have examined positive youth development for this population. The goal of these three manuscripts is to add new information about positive developmental contexts for sexual minority youth in order to generate ideas for intervention and prevention. More specifically, the focus of these three manuscripts is on school-based extracurricular activity involvement of sexual minority youth.Manuscript one presents results from the National Longitudinal Study of Adolescent Health that compare sexual minority and heterosexual youth involvement in school-based extracurricular activities. Results documented that sexual minority youth are involved in school-based extracurricular activities at the same frequency as their heterosexual peers. For all youth, there was a small, but positive association between extracurricular activity involvement and school connectedness. School connectedness was associated with better mental health (i.e., higher self-esteem and lower depression), and these associations were stronger for sexual minority youth.Manuscript two presents results from the Preventing School Harassment Study that examine lesbian, gay, bisexual, and queer (LGBQ) youth involvement in Gay-Straight Alliances (GSAs). GSAs are extracurricular clubs that are tailored to the needs of LGBQ youth. This study examined the concurrent associations among GSA presence, GSA membership, and participation in GSA-related social justice activities, with victimization based on sexual orientation and school-based and civic outcomes. GSA presence and participation in GSA-related social justice activities were positively associated with school belongingness and grade-point average (GPA), and GSA membership was associated with greater school belongingness. Results suggested, however, that the positive benefits of GSA presence and social justice involvement dissipate at high levels of school victimization.Manuscript three extends findings from manuscript two by examining the associations among GSA presence, GSA membership, perceived GSA effectiveness, and young adult well-being. The study utilized the Family Acceptance Project and found that the presence of a GSA, membership in a GSA, and GSA effectiveness differentially predicted LGBT young adult well-being. In some cases, these three facets of GSAs buffered the negative effect of LGBT-specific school victimization.

UA Open Access Publishing Fund / This study examined associations between alcohol misuse and childhood maltreatment and out-of-home placement among urban lesbian, gay, and bisexual (referred to as two-spirit) American Indian and Alaska Native adults. In a multi-site study, data were obtained from 294 individuals who consumed alcohol during the past year. The results indicated that 72.3% of men and 62.4% of women engaged in hazardous and harmful alcohol use and 50.8% of men and 48.7% of women met criteria for past-year alcohol dependence. The most common types of childhood maltreatment were physical abuse among male drinkers (62.7%) and emotional abuse (71.8%) among female drinkers. Men and women reported high percentages of out-of-home placement (39% and 47%, respectively). Logistic multiple regressions found that for male drinkers boarding school attendance and foster care placement were significant predictors of past-year alcohol dependence. For female drinkers, being adopted was significantly associated with a decreased risk of past-year drinking binge or spree. Dose-response relationships, using number of childhood exposures as a predictor, were not significant. The results highlight the need for alcohol and violence prevention and intervention strategies among urban two-spirit individuals.

Thesis advisor: Paul Poteat / Sexual minorities (e.g., lesbian, gay, and bisexual individuals) are at higher risk for mental and physical health disparities than heterosexuals, and research has related some of these disparities to minority stressors such as institutional heterosexism, sexual prejudice, and discrimination. Yet, there is a dearth of research elucidating factors that predict the development of these health risks, and factors that protect and promote resiliency against them. Building on the minority stress model, the present study utilized relational cultural theory to situate sexual minority health disparities within a relational framework. Specifically, the study examined the mediating and moderating factors between the deleterious effects of distal stressors (i.e., heterosexist relational disconnections such as discrimination and victimization) and proximal stressors (i.e., self-disparaging relational images such as internalized homophobia, sexual orientation concealment) on mental and physical health for sexual minorities. Among 719 sexual minority adults, structural equation modeling analyses were used to test three models of: the relations between minority stressors and health; mediating effects of diminished agency, loneliness, and shame on the relations between minority stressors and health; and the moderated-mediation effects of growth-fostering relationships with peers, mentors, and community on the mediating pathways between minority stressors and health. Results indicated that heterosexist distal and proximal minority stressors predicted poor mental health (i.e., depression, anxiety, and suicidality) and physical health (i.e., cardiovascular disease risk, distressing physical symptoms). The relations between proximal minority stressors and health were mediated by diminished sense of agency, loneliness, and shame, and there were mixed results for the relations between distal stressors and health. Although the direct effects of growth-fostering relationships were significant in predicting lower levels of diminished agency, loneliness, and shame, these factors had mixed moderating effects. Findings have research, practice, and policy implications that underscore the possible mechanisms by which sexual minority stressors lead to poor health. Researchers and practitioners need to addresses and advocate against societal forces contributing to heterosexist relational disconnections and for sexual minority health policies and research. / Thesis (PhD) — Boston College, 2014. / Submitted to: Boston College. Lynch School of Education. / Discipline: Counseling, Developmental, and Educational Psychology.

Disparities between the substance use rates of sexual or gender minority (SGM) youth and the rates of youth identifying as heterosexual (i.e., attracted to the opposite sex) and cisgender (i.e., gender identity corresponds to birth sex) have given rise to calls for 1) research to understand the specific risk and protective factors relating to substance use in SGM youth and 2) the development of corresponding intervention programming In three papers, this dissertation explores predictors for substance use among SGM youth and describes methods of targeted recruitment for a prevention intervention program tailored to SGM youth. In the first paper, comparing the contributing factors of substance use between sexual minority and heterosexual youth revealed that although many predictors were associated with use in both groups, sadness, suicidal ideation, difficulty concentrating, and forced sexual encounters were the most consistent and substantial contributors to the explanation of the difference in use rates between groups. In the second paper, risk and protective factors identified from social learning theory and minority stress theory, including perceived stress, problem-solving skills, self-esteem, self-efficacy, substance refusal skills, and peer use of substance, were generally associated with past-month substance use. Peer use of substance and substance refusal skills, in particular, were consistently and robustly associated with substance use in the sample of SGM youth, and their intersection provides insight into themes to address in future intervention development. Issues of disclosure and parental permission have made recruiting representative samples of SGM youth challenging, and the third paper offers insight into an inexpensive and time-efficient means of recruiting SGM youth for participation in such research. The specificity with which Facebook ads can be targeted to hard-to-reach populations makes it a preferred tool for researchers who seek to recruit SGM youth. Taken together, the three papers of this dissertation can serve as a guide for the development and execution of substance use prevention research that is tailored to the specific needs of SGM youth.