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Examining Campus Health Services: The Social and Communicative Barriers to LGBTQIA+ Health

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The purpose of this study is to examine the social and communicative barriers LGBTQIA+ students face when seeking healthcare at campus health and counseling services at Arizona State University. Social barriers relate to experiences and internalizations of societal stigma experienced

The purpose of this study is to examine the social and communicative barriers LGBTQIA+ students face when seeking healthcare at campus health and counseling services at Arizona State University. Social barriers relate to experiences and internalizations of societal stigma experienced by sexual and gender minority individuals as well as the anticipation of such events. Communication between patient and provider was assessed as a potential barrier with respect to perceived provider LGBTQIA+ competency. This study applies the minority stress model, considering experiences of everyday stigma and minority stress as a predictor of healthcare utilization among sexual and gender minority students. The findings suggest a small but substantial correlation between minority stress and healthcare use with 23.7% of respondents delaying or not receiving one or more types of care due to fear of stigma or discrimination. Additionally, communication findings indicate a lack of standardization of LGBTQIA+ competent care with experiences varying greatly between respondents.

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2021-05

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Evaluation of Taylor Place Fit's motivational signage and mural painting to determine the influence on stair use

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Encouraging stair use may increase physical activity among college students. The overall goals of this study were to quantitatively and qualitatively evaluate a stair use initiative, which included a mural painting contest in a residential hall. The number of

Encouraging stair use may increase physical activity among college students. The overall goals of this study were to quantitatively and qualitatively evaluate a stair use initiative, which included a mural painting contest in a residential hall. The number of individuals exiting the stairs were counted and interview data were obtained regarding the visibility of the signs and murals and whether the signs or murals influenced stair use. Focus groups and interviews were conducted with the community assistants (CAs) and staff members involved with the project to obtain qualitative data on their perceptions and opinions of the mural painting event. It was hypothesized that the average number of individuals per half hour who used the stairs would significantly increase from baseline to post-test. To examine changes over time in individuals exiting the stairs, a quasi-experimental design was used with one baseline measurement and multiple posttests (n=5). Stair use was determined by counting individuals exiting the stairwells. Time differences in exiting stair use were examined with repeated measures analysis of variance (ANOVA). Descriptive statistics and t-tests were used to analyze interview data. Qualitative data were analyzed using a thematic analysis approach. There was a significant time effect on stair use (F=7.512, p =0.000) and a significant interaction between staircase and time (F=7.518, p=0.000). There was no significant interaction of gender over time (F=.037, p=0.997). A repeated measures ANOVA was conducted on each staircase individually and showed that significant time differences were only found in the Southwest staircase. Based on exit interviews (n=28), most students saw the directional signs (61%) and murals (89.3%). However, neither the signs (71.4%) nor the murals (82.1%) were perceived as influential on stair use. Data from the focus groups and interviews revealed that the mural painting contest did not occur as intended, because the contest piece did not take place. In conclusion, solely having residents of a residential hall paint murals in stairwells was insufficient for increasing stair use. A mural painting contest may be a viable approach if properly planned and implemented.

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2011

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Differences in Offending among Bisexual and Heterosexual Youth: The Influence of Maternal Support and Running Away from Home

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Research has consistently shown that gay/lesbian/bisexual (GLB) or sexual minority youth are at an increased risk for adverse outcomes resulting from the stress caused by continual exposure to negative events (e.g., victimization, discrimination). The present study used a nationally representative

Research has consistently shown that gay/lesbian/bisexual (GLB) or sexual minority youth are at an increased risk for adverse outcomes resulting from the stress caused by continual exposure to negative events (e.g., victimization, discrimination). The present study used a nationally representative sample of adolescents to test mechanisms that may be responsible for the differences in offending behaviors among sexual minority and heterosexual adolescents. Specifically, this study tested whether bisexual adolescents received less maternal support than did heterosexual adolescents because of their sexual orientation, thus increasing the likelihood that they run away from home. This study then examined whether the greater likelihood that bisexual adolescents running away would lead to them committing a significantly higher variety of income-based offenses, but not a significantly higher variety of aggression-based offenses. This study tested the hypothesized mediation model using two separate indicators of sexual orientation measured at two different time points, modeled outcomes in two ways, as well as estimated the models separately for boys and girls. Structural equation modeling was used to test the hypothesized direct and indirect relations. Results showed support for maternal support and running away mediating the relations between sexual orientation and offending behaviors for the model predicting the likelihood of committing either an aggressive or an income offense, but only for girls who identified as bisexual in early adulthood. Results did not support these relations for the other models, suggesting that bisexual females have unique needs when it comes to prevention and intervention. Results also highlight the need for a greater understanding of sexual orientation measurement methodology.

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Date Created
2018

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Examining the Influence of Attachment on the Association between Stress and Partner: Emotions among Same-Sex Couples

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Lesbian, gay and bisexual (LGB) individuals are exposed to specific stressors due to their sexual minority status. One such stressor may result from the negative family reactions to one’s romantic partner. Encountering this stress may be especially harmful for

Lesbian, gay and bisexual (LGB) individuals are exposed to specific stressors due to their sexual minority status. One such stressor may result from the negative family reactions to one’s romantic partner. Encountering this stress may be especially harmful for LGB individuals’ emotional well-being, as it could be considered a “double rejection”: that of their partner and possibly their own sexual orientation. The stress surrounding family members’ negative attitudes about their partner may affect how one feels about their partner. Furthermore, there may be individual differences that affect how an individual may perceive and respond to this stress. Specifically, one’s attachment style could either exacerbate (anxious) or weaken (avoidant) the experiences of stress, which may influence the emotions they feel about their partner. Using 14-day daily diary data from 81 same-sex couples, the purpose of this study was to examine whether there was an association between daily perceptions of stress via negative family reactions to partner and negative partner-related emotions, and whether attachment insecurity (anxiety and avoidance) moderated this association. Individuals’ perceptions of stress via negative family reactions was found to be positively associated with their reports of negative emotions about one’s partner. Anxious and avoidant attachment did not moderate the association between perceptions of stress and negative emotions due to one’s partner. The finding suggests this specific stressor on negative emotions due to partner may be an intrapersonal process, in which case couple therapists can increase clients’ awareness of this stress and how it impacts their feelings towards their romantic partner.

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Date Created
2017

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Intersectional Discrimination, Psychological Distress, and Physical Health Symptoms Among Latinx Sexual Minority Adults

Description

Latinx sexual minority adults experience diverse types of discrimination, including heterosexism and ethnic/racial discrimination, which may contribute to worse physical health. Yet little research has examined how intersectional forms of discrimination, for example, discrimination within another marginalized community contribute to

Latinx sexual minority adults experience diverse types of discrimination, including heterosexism and ethnic/racial discrimination, which may contribute to worse physical health. Yet little research has examined how intersectional forms of discrimination, for example, discrimination within another marginalized community contribute to physical health. Greater experiences of discrimination can lead to greater psychological distress which may then exacerbate physical symptoms. It was hypothesized that the association between intersecting forms of discrimination and physical symptom severity would be mediated by psychological distress. Participants (N = 369) identified as Latinx/Hispanic/Latino and as a sexual or gender minority. Data were collected via a self-report web-based survey. Using structural equation modeling, this study tested two theory-informed structure equation models (SEM) proposing pathways between perceived general and within-group discrimination (i.e., Model 1 = racism and racism within LGBTQ+ community; Model 2 = heterosexism and heterosexism within ethnic/racial community), psychological distress (i.e., anxiety and depression), and physical symptom severity. Both structural models demonstrated good fit to the data. As hypothesized, heterosexist discrimination (β = .184, p = .007) and racist discrimination (β = .284, p = .001) significantly predicted higher physical symptom severity in their respective models. Depression symptoms significantly mediated the association between ethnic/racial discrimination and physical symptom severity (β = .189, p = .003). Similarly, greater frequency of heterosexism within one’s ethnic/racial community was indirectly related with worse physical symptoms severity via depression (β = .200, p = .002). No other indirect effects were significant. Findings from this study support that Latinx sexual minority adults may be at risk for discrimination from outside and within their own minority groups which has detrimental effects on health. Noteworthy, depressive symptoms appeared to mediate the effects of heterosexism in one’s ethnic/racial group on physical symptoms. These results highlight how overlapping forms of stigma have differential effects on health via psychological distress. These findings have important clinical and scientific implications in understanding how overlapping forms of discrimination affect health among Latinx sexual minority adults.

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Date Created
2022