Mental Health Among LGBTQ+ Farmers in the United States.

OBJECTIVES: The objective of the current study is to describe mental health among lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people who work in agriculture in the U.S. METHODS: This study uses a survey of LGBTQ+ adults who work in agriculture in the U.S. (N = 148), including questions about LGBTQ+ identity, farming background, depression symptoms (PHQ-8) and diagnosis, anxiety symptoms (GAD-7) and diagnosis, suicide risk, and stress. Data were analyzed using SPSS, including descriptive statistics, chi-square tests, and Mann-Whitney U tests. RESULTS: Over one-third (36.1%) had probable depression (PHQ-8 ≥ 10), and 71.9% were experiencing mild to severe depression symptoms. Nearly half (46.2%) had probable anxiety disorder (GAD-7 ≥ 8), and 69.7% experienced mild to severe anxiety symptoms. Over half (51.7%) were at significant risk for suicide. Greater proportions of men had probable anxiety disorder, probable depression, and suicide risk compared to non-men. Greater proportions gay participants had probable depression, as did beef producers. Perceived stress was higher for men, lesbian and gay participants, transgender participants, and those in beef production. Resilient coping was highest among participants who were genderqueer or genderfluid, bisexual, and those in field crop production. CONCLUSION: LGBTQ+ farmers in the current sample experienced depression and anxiety at higher rates than general farming or general LGBTQ+ samples, although suicide risk was lower than for general LGBTQ+ samples. Future research should explore how working in agriculture may be protective against suicide risk for LGBTQ+ farmers, as well as how specific farm stressors are related to LGBTQ+ farmer mental health.

Factors Correlated With Sexual Assault Victimization Among College Students in the United States: A Meta-Analysis.

Sexual assault (SA) continues to be a serious problem on college campuses in the United States. This meta-analysis sought to identify correlates for SA victimization on college campuses, as well as examine if there were any differences in correlates for men and women. Database searches utilizing Boolean search terms were used to identify studies to be included in the meta-analysis. Studies were included if they provided quantitative data on correlates for SA victimization among college students. A total of 118 studies yielding 405 unique effect sizes were included in this study. The strongest correlates for SA victimization among college students were physical intimate partner violence (IPV) perpetration, physical IPV victimization, emotional IPV victimization, and prior SA victimization. Other significant correlates were related to mental health (e.g., hopelessness, suicidal ideation, trauma symptoms, anxiety symptoms, depressive symptoms), and factors related to a campus party culture (e.g., binge drinking, alcohol use, drug use, Greek membership). We were able to compare seven correlates between men and women. Results of the meta-analysis also highlight the need for future research to examine additional correlates for SA victimization, as well as examine race/ethnicity and gender as separate categories when trying to further understand correlates for SA victimization.

Adults and Family as Supportive of Adolescent Sexual Development in the Age of Smartphones? Exploring Cybersexual Violence Victimization, Pornography Use, and Risky Sexual Behaviors.

Among adolescents, engagement in risky sexual behavior is an important public health concern. Research has begun to explore the impact of adolescents' online experiences with their social and behavioral health as approximately 95% of adolescents have access to a smartphone connected to the internet. However, little research has specifically examined how online experiences impact sexual risk behaviors among adolescence. To fill gaps in the existing research, the current study sought to investigate the association between two potential risk factors and three sexual risk behavior outcomes. We examined how experiencing cybersexual violence victimization (CVV) and using pornography during early adolescence was associated with condom use, birth control use, and use of alcohol and drugs before sex among U.S. high school students (n = 974). Additionally, we explored multiple forms of adult support as potential protective factors of sexual risk behaviors. Our findings suggest that CVV and porn use may be associated with risky sexual behaviors for some adolescents. In addition, parental monitoring and support from adults at school may be two ways to support healthy adolescent sexual development.

Risk Markers for Male Perpetration of Sexual Assault on College Campuses: A Meta-Analysis.

Sexual assault (SA) on college campuses remains a prominent public health issue. This meta-analysis focuses on identifying all potential risk markers for college male SA perpetration. Using standard search procedures, a total of 25 studies yielding 89 unique effect sizes were included in the study. Significant risk markers were related to hegemonic masculinity (e.g., peer approval of SA, rape myth acceptance, sexist beliefs, hostility towards women), other forms of dating violence perpetration (e.g., physical and psychological dating violence perpetration), and the college party culture (e.g., binge drinking, alcohol and substance use, frequency of hook-ups). Psychological dating violence victimization, athletic team membership, race/ethnicity, relationship status, and religiosity were not significant risk markers for SA perpetration. Findings support potential benefits of SA prevention efforts prioritizing peer education/student leaders modeling SA disapproval, challenging hegemonic masculinity, healthy relationship and sexual education, as well as alcohol and substance use awareness.

Sex or Socialization? Replicating Heterosexual Couples' Gender Differences in the Association between Orgasm and Satisfaction in Same-Gender/Sex Couples.

Orgasm is commonly considered an important aspect of sexual activity. The current study sought to replicate and extend prior work by examining gender/sex differences in the association between orgasm and satisfaction in a sample of same-gender/sex couples. We also examined how desire for an orgasm moderated this association. Although prior research found a curvilinear association between orgasm and satisfaction for heterosexual women (but not men), we found that orgasm curvilinearly predicted relationship and sexual satisfaction across genders/sexes, indicating more frequent orgasm was associated with higher satisfaction only to an extent for all individuals in our sample. We also found that when desire for orgasm was high, orgasm was associated with higher relationship and sexual satisfaction than when desire was low, suggesting that desire for orgasm may differentially affect how orgasm is related to satisfaction. We discuss our findings in terms of sexual scripting theory, contextualizing our results by considering the socially constructed nature of sexuality and how sexual scripts may vary across individuals with different sexual and gender identities.

Latent Class Analysis of Victimization Patterns and Associated Protective Factors among LGBTQ Youth.

Youth victimization in schools remains a fervent public health issue, despite increased awareness of this issue, and this is especially true for marginalized populations like lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth. Youth violence has been studied widely, but less research has sought to understand factors protective of violence victimization, particularly protective factors shared across multiple forms of violence. In the current study, we utilized latent class analysis to test patterns of three types of victimization: peer victimization (PV), homophobic name-calling victimization (HNCV), and sexual harassment victimization (SHV). In addition, we tested protective factors associated with experiencing these types of violence. Our sample included 4778 9-11th graders in the United States, of which about 15% identified as LGBTQ. Three unique classes of victimization emerged, suggesting that concurrent forms of violence occur among some groups of adolescents. LGBTQ youth were more likely to be members of classes which demonstrated higher levels of victimization. Consistent with previous literature, medical access, counseling access, family support, peer support, and spirituality emerged as significant protective factors associated with a lower risk of victimization. We discuss the implications of our findings with specific attention to protecting the wellbeing of SGM youth.

Come Out, Get Out: Relations Among Sexual Minority Identification, Microaggressions, and Retention in Higher Education.

Heterosexism, in the form of microaggressions, contributes to hostile, anti-lesbian, gay, bisexual, transgender, and queer (LGBTQ) college campus climates, thereby limiting sexual and gender minority students' social engagement and academic persistence. Using Tinto's model of institutional departure, we examined the degree to which experiencing microaggressions affects sexual minority college students' retention as a function of their feelings of discomfort in the classroom. Mediation analyses were performed on a subsample of data from 152 self-identified LGBTQ college students at a southern university in the United States to examine relations among experiences of self-reported microaggressions, self-rated classroom discomfort, and expressed intentions to transfer from the university. Self-reported discomfort in the classroom accounts for the relation between experiences of microaggressions and LGBTQ students' intentions to transfer from the university. Specifically, LGBTQ students who experienced microaggressions more often reported greater discomfort in their classrooms and reported fewer intentions to continue studying at their university. Universities should strive to implement campus-wide programs that help minimize microaggressions, encourage cultural competency and comfort in the classroom, and combat anti-LGBTQ prejudice to better support students in their day-to-day academic endeavors. LGBTQ students who feel safe and supported in the classroom may be protected from heterosexism and social isolation and, thereby, may be more likely to persevere in their academic pursuits.

Supporting Sexual Minority Youth: Protective Factors of Adverse Health Outcomes and Implications for Public Health.

PURPOSE: Sexual and gender minority (SGM) youth (e.g., gay, lesbian, bisexual, questioning, transgender) are systemically impacted by victimization and poor mental health because of discrimination in society. To prevent adverse outcomes, we must understand factors that help communities support and protect SGM youth. This study examined to what extent protective factors longitudinally predict outcomes 2 years later in an effort to inform more sensitive prevention efforts. METHODS: Students from nine Colorado high schools (N = 2,744) completed surveys across four consecutive school semesters (T1 to T4). Structural equation modeling was conducted to determine the longitudinal associations between baseline protective factors (access to medical and counseling services, help-seeking beliefs, trusted adults, family support, peer support, spirituality) and distal adverse outcomes (substance use, depression, suicidal ideation, peer victimization, bullying perpetration, sexual violence victimization and perpetration, homophobic name-calling victimization, and perpetration), by sexual orientation. RESULTS: All protective factors examined, except for access to medical services, were associated with lower likelihood of adverse outcomes. Associations differed across sexual orientations. For students identified as questioning or something other than heterosexual, lesbian, gay, or bisexual, family support is a notable protective factor of depression, peer victimization, bullying perpetration, and sexual violence perpetration. Family support was not significantly protective for these outcomes among heterosexual, lesbian, gay, and bisexual students. CONCLUSIONS: There is no singular protective factor or universally impactful intervention for public health. Public health initiatives should recognize intersectional identities of young people and build strategies that are relevant to specific identities to create more comprehensive and effective programing.

Bullying victimization, psychosocial functioning, and protective factors: Comparing African American heterosexual and sexual minority adolescents in Chicago's Southside.

African American heterosexual and sexual minority (SM) adolescents report widespread bullying victimization (BV), which is associated with poorer psychosocial functioning. However, studies examining potential protective factors that moderate this association are limited. Using data from a cross-sectional study conducted in Chicago, we examined the association between BV and psychosocial functioning among a sample of heterosexual (n = 475) and SM (n = 105) African American adolescents and examined whether four empirically-supported protective factors moderated these associations. Among SM adolescents, having close parents was protective against psychosomatic symptoms for those who reported high BV and having caring teachers was protective against substance use for those who reported both high and low BV. Among heterosexual adolescents, having close parents was protective against substance use for those who reported high BV but having high neighborhood support exacerbated the risk of developing psychosomatic symptoms for those who reported high BV. Implications for school and parental-based interventions are discussed.

Social-Ecological Examination of Non-Consensual Sexting Perpetration among U.S. Adolescents.

Adolescent sexting is a serious public health concern and is associated with adverse psychosocial outcomes, including depression, anxiety, low self-esteem, declining academic performance, and health problems. Effective prevention of sexting requires a comprehensive and deep understanding of the multiple contexts whereby sexting is likely to occur. The present study explores individual and contextual risk and protective factors that are associated with sexting behavior among a large sample of adolescents. Participants were high school students in midwestern U.S. (N = 2501; LGB n = 309, 76.4% female; non-LGB n = 2192, 47.4% female) who completed self-report measures of sexting and risk (e.g., pornography exposure, impulsivity) and protective (e.g., social support) factors. Path analysis models were conducted with the sexting outcome for groups of LGB and non-LGB students. Among LGB students, results indicated a significant association between sexting and parental monitoring (b = -0.08, p < 0.01); pornography exposure (b = 0.13, p < 0.05); dating partners (b = 0.01, p < 0.01); bullying perpetration (b = 0.17, p < 0.001); and delinquency (b = 0.13; p < 0.001). Among non-LGB students, significant associations were found between sexting and alcohol/substance use (b = 0.05, p < 0.001); bullying (b = 0.08, p < 0.001); and delinquency (b = 0.06, p < 0.001). Moderation analyses suggest that parental monitoring may have a buffering effect between sexting and several risk factors. Recommendations for practitioners include considering the protective factors of sexting perpetration and encouraging appropriate levels of parental monitoring and the continued importance of bullying and alcohol and drug prevention programming to decrease risk factors of sexting perpetration.