This survey of sexual practices in the United States has been combed by the media for items of interest to the public: monogamous sex is much more widespread in this country than has been thought; infidelity is less frequent than presumed; vaginal intercourse is the defining experience of heterosexual behavior; watching one's partner undress is stimulating to many people; married couples have more sex than single people (unmarried, cohabiting couples have the most sex of all); the majority of couples experience sex twice a week to several times a month; 2.8% of men identify themselves as homosexual and 1.4% of women do so, but a higher percentage of people consider a same-gender experience to have some appeal; 75% of men always experience orgasm compared with 28.6% of women, but more nearly equal numbers of men and women declare themselves satisfied with their sexual experiences. The book is, in fact, a

The Social Organization of Sexuality: Sexual Practices in the United States

Sexual minorities are at increased risk for multiple mental health burdens compared with heterosexuals. The field has identified 2 distinct determinants of this risk, including group-specific minority stressors and general psychological processes that are common across sexual orientations. The goal of the present article is to develop a theoretical framework that integrates the important insights from these literatures. The framework postulates that (a) sexual minorities confront increased stress exposure resulting from stigma; (b) this stigma-related stress creates elevations in general emotion dysregulation, social/interpersonal problems, and cognitive processes conferring risk for psychopathology; and (c) these processes in turn mediate the relationship between stigma-related stress and psychopathology. It is argued that this framework can, theoretically, illuminate how stigma adversely affects mental health and, practically, inform clinical interventions. Evidence for the predictive validity of this framework is reviewed, with particular attention paid to illustrative examples from research on depression, anxiety, and alcohol-use disorders.

How does sexual minority stigma “get under the skin”? A psychological mediation framework.

Objectives. We provide estimates of several leading US adult health indicators by sexual orientation identity and gender to fill gaps in the current literature.Methods. We aggregated data from the 2001–2008 Massachusetts Behavioral Risk Factor Surveillance surveys (N = 67 359) to examine patterns in self-reported health by sexual orientation identity and gender, using multivariable logistic regression.Results. Compared with heterosexuals, sexual minorities (i.e., gays/lesbians, 2% of sample; bisexuals, 1%) were more likely to report activity limitation, tension or worry, smoking, drug use, asthma, lifetime sexual victimization, and HIV testing, but did not differ on 3-year Papanicolaou tests, lifetime mammography, diabetes, or heart disease. Compared with heterosexuals, bisexuals reported more barriers to health care, current sadness, past-year suicidal ideation, and cardiovascular disease risk. Gay men were less likely to be overweight or obese and to obtain prostate-specific antigen tests, and lesbians ...

A population-based study of sexual orientation identity and gender differences in adult health.

This article explores theoretical and applied questions that are relevant to social scientists' efforts to understand and confront sexual stigma. A framework is presented for conceptualizing such stigma as a cultural phenomenon with structural and individual manifestations. The latter include enacted stigma and felt stigma, as well as internalized stigma, which encompasses self-stigma among sexual minorities and sexual prejudice among heterosexuals. Insights suggested by the model for reducing sexual prejudice are discussed. At the structural level, the framework highlights processes whereby heterosexism legitimates and perpetuates sexual stigma and the power differentials that it creates. Social and behavioral scientists, roles in working to eliminate heterosexism are discussed, and psychologists' contributions to court cases challenging state sodomy laws are described. It is argued that confronting sexual stigma will not only address an important social problem but will also enrich scientific understanding of human behavior.

Confronting Sexual Stigma and Prejudice: Theory and Practice

Lesbian, gay, and bisexual (LGB) individuals suffer serious mental health disparities relative to their heterosexual peers, and researchers have linked these disparities to difficult social experiences (e.g., antigay victimization) and internalized biases (e.g., internalized homophobia) that arouse stress. A recent and growing body of evidence suggests that LGB individuals also suffer physical health disparities relative to heterosexuals, ranging from poor general health status to increased risk for cancer and heightened diagnoses of cardiovascular disease, asthma, diabetes, and other chronic conditions. Despite recent advances in this literature, the causes of LGB physical health problems remain relatively opaque. In this article, we review empirical findings related to LGB physical health disparities and argue that such disparities are related to the experience of minority stress-that is, stress caused by experiences with antigay stigma. In light of this minority stress model, we highlight gaps in the current literature and outline five research steps necessary for developing a comprehensive knowledge of the social determinants of LGB physical health.

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Minority Stress and Physical Health Among Sexual Minorities

This report reviews more than 50 studies over the last decade and demonstrates a disturbing and consistent pattern: sexual orientation-based and gender identity discrimination is a common occurrence in many workplaces across the country. Surveys of GLBT individuals, studies of the sexual orientation earnings gap, and controlled experiments all provide evidence of discriminatory treatment.

Bias in the Workplace: Consistent Evidence of Sexual Orientation and Gender Identity Discrimination

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Bias in the Workplace: Consistent Evidence of Sexual Orientation and Gender Identity Discrimination 1998–2008

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Bias in the Workplace: Consistent Evidence of Sexual Orientation and Gender Identity Discrimination - eScholarship

This study analyzes data from states that have extended legal recognition to same-sex couples. Analyses show that same-sex couples want and use these new legal statuses. Furthermore, they react more enthusiastically when marriage is possible. More than 40% of same-sex couples have formed legal unions in states where such recognition is available. Same-sex couples prefer marriage over civil unions or domestic partnerships. In the first year that marriage was offered in Massachusetts, 37% of same-sex couples there married. In states that offered civil unions, only 12% of same-sex couples took advantage of this status in the first year and only 10% did so in states with domestic partnership registries.

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Marriage, Registration and Dissolution by Same-Sex Couples in the US

This study analyzes data from states that have extended legal recognition to same-sex couples Analyses show that same-sex couples want and use these new legal statuses Furthermore, they react more enthusiastically when marriage is possible More than 40% of same-sex couples have formed legal unions in states where such recognition is available Same-sex couples prefer marriage over civil unions or domestic partnerships In the first year that marriage was offered in Massachusetts, 37% of same-sex couples there married In states that offered civil unions, only 12% of same-sex couples took advantage of this status in the first year and only 10% did so in states with domestic partnership registries

Deborah Ho

Papers

Bias in the Workplace: Consistent Evidence of Sexual Orientation and Gender Identity Discrimination

Bias in the Workplace: Consistent Evidence of Sexual Orientation and Gender Identity Discrimination 1998–2008

Bias in the Workplace: Consistent Evidence of Sexual Orientation and Gender Identity Discrimination - eScholarship

Marriage, Registration and Dissolution by Same-Sex Couples in the US

Marriage, Registration and Dissolution by Same-Sex Couples in the U.S.