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1.
J Sex Marital Ther ; 50(1): 105-120, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-37771315

RESUMO

Sexual aversion disorder (SAD) is a chronic condition that impacts sexual and psychological well-being. However, the relevance of SAD as a discrete disorder remains highly debated. This study aimed to clarify the status of SAD as either a distinct disorder or a trans-diagnostic symptom shared among sexual dysfunctions. This cross-sectional study used a latent class analysis approach among a Canadian community sample (n = 1,363) to identify how patterns of SAD symptoms (i.e., sexual fear, disgust, and avoidance) emerge across different spheres of sexual functioning (i.e., desire and arousal, erection or lubrication, genito-pelvic pain, and orgasm) and examine sociodemographic and psychosexual correlates of the identified classes. Examination of fit indices suggested four classes: Sexually functional, Impaired desire and responsiveness, Sexual aversion, and Comorbid sexual dysfunctions. Sexual aversion class members were more likely to be single, had experienced sexual assault in adulthood, and report lower levels of sexual satisfaction and psychological well-being, compared to Sexually functional class members. Results suggest that SAD is a distinct clinical syndrome, while its symptoms may co-occur with other sexual dysfunctions. To ensure that the needs of people with SAD are met with tailored treatment options, future nosography might consider reclassifying SAD as a specific disorder.


Assuntos
Disfunções Sexuais Fisiológicas , Disfunções Sexuais Psicogênicas , Humanos , Estudos Transversais , Análise de Classes Latentes , Canadá/epidemiologia , Disfunções Sexuais Psicogênicas/diagnóstico , Disfunções Sexuais Psicogênicas/psicologia , Comportamento Sexual/psicologia , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Fisiológicas/psicologia , Inquéritos e Questionários
2.
Arch Sex Behav ; 52(7): 2749-2765, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37341862

RESUMO

Dating violence during adolescence is a major public health issue: it is highly prevalent and extensive research has documented its physical and psychological consequences, yet very little has focused on its sexual consequences. The present study investigated the longitudinal associations between dating violence victimization (psychological, sexual or physical) and sexual well-being (sexual satisfaction and sexual distress) among 1442 sexually active adolescents aged between 14 and 17 years who completed at least one of three data waves (51.1% girls; 45.7% boys; 0.3% non-binary; 3.0% varying gender identity). The study also examined whether these associations differed by gender identity and sexual minority status. Adolescents completed online questionnaires on electronic tablets during class. The results indicated that psychological, physical (except for boys), and sexual dating violence victimization were all associated with lower sexual satisfaction and greater sexual distress over time. Moreover, the between-level associations between dating violence and poorer sexual outcomes were stronger among girls and gender varying adolescents than among boys. The within-level association between physical dating violence and sexual satisfaction was significant among adolescents with a nonvarying sexual minority status, but not among those with a nonvarying heterosexual status or that varied in sexual minority status. Findings offer cues for dating violence prevention and intervention programs by suggesting the need to examine sexual well-being over time.


Assuntos
Comportamento do Adolescente , Vítimas de Crime , Violência por Parceiro Íntimo , Adolescente , Humanos , Feminino , Masculino , Identidade de Gênero , Comportamento Sexual , Violência por Parceiro Íntimo/psicologia , Violência/psicologia , Vítimas de Crime/psicologia , Canadá , Comportamento do Adolescente/psicologia
3.
J Child Sex Abus ; 32(6): 655-673, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37335029

RESUMO

Victims of child sexual abuse (CSA) are a heterogeneous population. Several characteristics may influence the outcomes associated with this adverse childhood experience, including personal (e.g. age) and CSA characteristics (e.g. relationship to the perpetrator). This study relied on a person-centered approach to account for this heterogeneity and focused on adolescent boys, an understudied population. Data were drawn from a representative sample of high school students aged 14 to 18 years old in Quebec, Canada. A total of 3.9% (n = 138) of boys reported CSA. Various CSA characteristics (severity, relationship to the perpetrator, and number of events) were used as indicators to derive classes. A four-class solution emerged from the latent class analysis: CSA in a sports context (6%), intrafamilial CSA (8%), extrafamilial CSA (52%) and multiple CSA (34%). The multiple CSA profile included boys who were sexually abused in multiple situations by different perpetrators and who were victims of acts involving penetration. The exploration of correlates associated with class membership revealed that adolescent boys included in the multiple CSA profile were distinguished by higher rates of delinquent behaviors and alcohol and drug use. They were more likely than members of other latent classes to belong to sexual minorities. This exploratory study sheds light on sexually victimized adolescent boys and the deleterious consequences that may affect them, particularly boys who have experienced multiple CSA events. We conclude that prevention efforts should focus on the demystification of sexual trauma among boys and on using trauma-informed care approaches for adolescent externalizing behaviors.


Assuntos
Abuso Sexual na Infância , Maus-Tratos Infantis , Masculino , Humanos , Criança , Adolescente , Comportamento Sexual , Estudantes , Canadá
4.
AIDS Behav ; 25(11): 3638-3650, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34114164

RESUMO

HIV pre-exposure prophylaxis (PrEP) is an effective prevention tool being scaled up in Canada. We describe PrEP uptake and identify demographic correlates of uptake among gay, bisexual, and other men who have sex with men (gbMSM) at elevated HIV risk using data from an online survey of gbMSM residing in Canada between Oct 2017 and Jan 2018. Among the 969 participants at elevated HIV risk who had recently tested for HIV, 96.0%, 83.3%, 72.6%, and 39.7% reported awareness, knowledge, acceptability, and pursuit of PrEP, respectively; 27.1% had ever and 24.6% were currently taking PrEP. The strongest correlate of PrEP uptake was living in a city of ≥ 500,000 inhabitants; others included being out to all or almost all family, friends, and colleagues regarding sexual attraction to men, greater financial coping, and being 30-49 years of age. Improved upscaling of PrEP in Canada may be accomplished through consideration of these disparities.


Assuntos
Infecções por HIV , Profilaxia Pré-Exposição , Minorias Sexuais e de Gênero , Canadá/epidemiologia , Demografia , Infecções por HIV/epidemiologia , Infecções por HIV/prevenção & controle , Homossexualidade Masculina , Humanos , Masculino
5.
Arch Sex Behav ; 50(6): 2543-2561, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34297213

RESUMO

While orgasm is often conceptualized as a physiological reflex, research has also shown it to be symbolic and to be attributed significant meaning. However, in the absence of a comprehensive measure assessing cultural orgasm scripts and beliefs, the extent to which individuals personally endorse them is unknown. Grounded in sexual script theory, the present research aimed to develop and validate a measure assessing cultural orgasm beliefs, and to investigate gender differences in their endorsement using the new measure. In Study 1, an MTurk sample (N = 448) completed a preliminary version of the Orgasm Beliefs Inventory (OBI). Exploratory factor analyses revealed 11 orgasm beliefs that could be grouped into seven broad categories (Men's Orgasms are Easy/Women's Orgasms are Difficult, Partner Interest Fosters Orgasm, Orgasm is Essential to Men's Sexual Satisfaction, Orgasm as a Relational Quality Benchmark, Orgasm is Unessential to Women's Sexual Satisfaction, Simultaneous Orgasm is Ideal, and Orgasm Requires and Fosters Connection). In Study 2, the OBI was completed by 392 participants. Confirmatory factor analysis was conducted and supported a slightly different 7-factor model. The Sexual Dysfunctional Beliefs Questionnaire, Sexual Scripts Scale, and Types of Jealousy Scales were also completed concurrently with the OBI and yielded results in support of the OBI's convergent and discriminant validity. Compared to women, men scored lower on Men's Orgasms are Easy/Women's Orgasms are Difficult, but higher on Orgasm Absence Reflects Relationship Problems. No other gender differences were found on OBI subscale scores. The OBI is a new measure that can be used in future sexual scripts research to explore the relationships between orgasm beliefs and other sexual outcomes and behaviors (e.g., faking orgasm, sexual communication and assertiveness, sexual function and satisfaction, etc.).


Assuntos
Orgasmo , Comportamento Sexual , Assertividade , Feminino , Humanos , Masculino , Satisfação Pessoal , Parceiros Sexuais , Inquéritos e Questionários
6.
Arch Sex Behav ; 50(2): 427-460, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33108566

RESUMO

Chemsex-the use of specific drugs during planned sexual activity to sustain or enhance sexual functioning (Bourne et al., 2015)-is widely reported as a major public health issue among gay, bisexual, and other men who have sex with men (GBM) in Western countries. Considering current evidence surrounding Chemsex, we conducted a mixed-methods systematic review regarding psychological and interpersonal factors associated with Chemsex behaviors among GBM. Publications covering Chemsex and psychological or social variables were eligible. Theoretical papers and studies solely presenting physical health outcomes were excluded. 35 English papers published between January 2008 and June 2019 were identified through PubMed, Scopus, and PsycINFO. We performed a parallel-results convergent synthesis (Hong, Pluye, Bujold, & Wassef, 2017) on results extracted from qualitative and quantitative studies comprising the final corpus. Qualitative data suggest that six mechanisms promote Chemsex-related behaviors: dealing with painful emotions or stressful events; normalization and risk minimization of sexualized drug use; giving into interpersonal pressure or fulfilling desire for community belonging; increasing intimacy or connectedness; enhancing sexual performance and functioning; lessening interpersonal and sexual inhibitions. In quantitative reports, six variable categories emerged: sexual control and self-efficacy; sexual functioning; mental health; attitudes toward substance use; life stressors and internalized stressors; and identification with sexual identities or scenes. This review summarizes key psychological and interpersonal correlates of Chemsex among GBM. Further research is needed to replicate current findings and explore new hypotheses across multiple GBM sociodemographic groups and cultural contexts, following best practices in sampling for hard-to-reach populations.


Assuntos
Homossexualidade Masculina/psicologia , Relações Interpessoais , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Comportamentos de Risco à Saúde , Humanos , Masculino , Minorias Sexuais e de Gênero/psicologia , Transtornos Relacionados ao Uso de Substâncias/psicologia
7.
J Youth Adolesc ; 50(2): 246-259, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33123947

RESUMO

Teen dating violence is a complex issue associated with several deleterious consequences. Previous studies emphasize the importance of considering the heterogeneity of teen dating violence experiences to better understand this issue and its correlates. In this perspective, the present study aimed to identify gender-specific patterns of teen dating violence in heterosexual relationships based on directionality (victimization and perpetration) and forms of violence (psychological, physical and sexual). In addition, this study aimed to investigate how these patterns are differentially associated with attachment insecurities and emotion dysregulation. A total of 3100 adolescents who reported being in a heterosexual romantic relationship (mean age = 15.92 years; 60% girls) completed questionnaires on teen dating violence, romantic attachment and emotion dysregulation. Latent class analyses revealed four distinct patterns of teen dating violence. The first three patterns, namely Low dating violence (40% of girls and 54% of boys), Mutual psychological dating violence (34% of girls and 33% of boys) and Mutual psychological and physical dating violence (14% of girls and 5% of boys), were found for both genders. The last pattern differed greatly based on gender and was labeled Mutual psychological dating violence and sexual victimization in girls (12%) and Multiple dating violence victimization in boys (8%). Higher levels of emotion dysregulation and attachment insecurities were found in adolescents experiencing more complex patterns of dating violence. This study contributes to the development of teen dating violence prevention and intervention programs by identifying gender-specific patterns of teen dating violence and documenting their associations with important trauma-informed correlates.


Assuntos
Comportamento do Adolescente , Vítimas de Crime , Violência por Parceiro Íntimo , Adolescente , Emoções , Feminino , Heterossexualidade , Humanos , Masculino
8.
Chemistry ; 26(69): 16422-16433, 2020 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-32701173

RESUMO

π-Conjugated push-pull molecules based on triphenylamine and 1,1,4,4-tetracyanobuta-1,3-diene (TCBD) have been functionalized with different terminal arene units. In solution, these highly TCBD-twisted systems showed a strong internal charge transfer band in the visible spectrum and no detectable photoluminescence (PL). Photophysical and theoretical investigations revealed very short singlet excited state deactivation time of ≈10 ps resulting from significant conformational changes of the TCBD-arene moiety upon photoexcitation, opening a pathway for non-radiative decay. The PL was recovered in vacuum-processed films or when the molecules were dispersed in a PMMA matrix leading to a significant increase of the excited state deactivation time. As shown by cyclic voltammetry, these molecules can act as electron donors compared to C60 . Hence, vacuum-processed planar heterojunction organic solar cells were fabricated leading to a maximum power conversion efficiency of ca. 1.9 % which decreases with the increase of the arene size.

9.
Arch Sex Behav ; 48(7): 2125-2135, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31300978

RESUMO

Sexual self-efficacy-the belief in one's ability to engage in desired and to refuse unwanted, sexual activities and behaviors-is an important feature in promoting adolescent sexual health and well-being. One factor that may affect the development of sexual self-efficacy is child sexual abuse. However, little is known about the processes underlying the relation between child sexual abuse and sexual self-efficacy. Using longitudinal data from a sample of 739 adolescent girls and boys aged between 14 and 18 years, we examined the mediational role of two "silencing the self" attitudes and behaviors in romantic relationships-self-silencing, i.e., inhibiting fulfilling one's own needs, and divided self, i.e., presenting an outer compliant self-in the associations between child sexual abuse severity and two dimensions of sexual self-efficacy: the ability to set clear sexual limits and the ability to use sexual protection. Results of path analysis showed that child sexual abuse severity was associated with more self-silencing and more divided self. In turn, self-silencing was associated with lower protection use self-efficacy, whereas divided self was associated with lower limit-setting and protection use self-efficacy. Thus, self-silencing strategies in romantic relationships mediated the associations between child sexual abuse severity and lower sexual self-efficacy. The overall findings may inform the development of prevention/intervention programs that target the enhancement of an integrated sense of self in intimate relationships to promote assertive strategies in sexual situations.


Assuntos
Abuso Sexual na Infância/psicologia , Autoeficácia , Adolescente , Criança , Feminino , Humanos , Estudos Longitudinais , Masculino , Inquéritos e Questionários
10.
Can J Psychiatry ; 64(12): 846-854, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31299163

RESUMO

OBJECTIVE: The objective of this study was to estimate the prevalence of child sexual abuse in a representative sample of Quebec high school youths and document its associations with mental health problems and health-risk behaviors. METHOD: Data were drawn from the Quebec Youths' Romantic Relationships Survey, which involved a one-stage stratified cluster sampling of 34 Quebec high schools from Grades 10 to 12. A total of 8,194 youths (mean age = 15.35) were recruited. The survey assessed child sexual abuse, mental health problems (psychological distress, post-traumatic stress symptoms, suicidality), health services utilization, and health-risk behaviors (alcohol, drug, and cannabis use). Gender-stratified multivariate analyses were used to assess associations between child sexual abuse and mental health problems and health-risk behaviors while controlling for confounding demographic variables and other forms of child maltreatment experienced in childhood. RESULTS: A total of 14.9% of girls and 3.9% of boys reported having experienced child sexual abuse. Child sexual abuse was independently associated with an increased risk of psychological distress, greater health services utilization, and increased health-risk behaviors, after controlling for other forms of childhood maltreatment experienced. CONCLUSIONS: Child sexual abuse is prevalent among youths in Quebec and is associated with an increased risk of a host of negative consequences. Continued efforts in the development of early detection strategies as well as prevention and intervention programs are warranted.


Assuntos
Comportamento do Adolescente , Abuso Sexual na Infância/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Angústia Psicológica , Instituições Acadêmicas/estatística & dados numéricos , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Ideação Suicida , Adolescente , Feminino , Humanos , Masculino , Uso da Maconha/epidemiologia , Quebeque/epidemiologia , Consumo de Álcool por Menores/estatística & dados numéricos
11.
AIDS Behav ; 21(9): 2682-2692, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28058566

RESUMO

This study explores how family, secrecy and silence contribute to the adoption of stigma management strategies among youth with perinatally acquired HIV (PAHIV). A qualitative method was used. Eighteen youths with PAHIV aged 13-22 years old took part in a semi-structured interview. An exploratory content analysis was performed. Analyses of interviews allowed identification of two HIV stigma management trajectories, both sensitive to the family context: [1] a consolidation of family ties, which contributes to solidarity in stigma management; and [2] a weakening or dissolution of family ties, which contributes to solitary stigma management strategy. Family conditions that support the children in their efforts to develop active stigma management strategies are described. Children likely to experience weakening or dissolution family ties must build strong bonds in the clinical environment and maintain these into adulthood so as to afford them the support they need.


Assuntos
Adaptação Psicológica , Confidencialidade/psicologia , Família/psicologia , Infecções por HIV/congênito , Infecções por HIV/psicologia , Relações Pais-Filho , Qualidade de Vida/psicologia , Estigma Social , Apoio Social , Adolescente , Criança , Estudos Transversais , Revelação , Feminino , Infecções por HIV/etnologia , Humanos , Transmissão Vertical de Doenças Infecciosas , Masculino , Pesquisa Qualitativa , Estresse Psicológico
12.
Arch Sex Behav ; 46(6): 1807-1818, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28229246

RESUMO

Psychological characteristics may predispose youths to engage in casual sex relationships and experiences (CSREs). Using a prospective longitudinal design and in a subsample of 2601 high school students in the province of Québec, we explored possible shifts in engaging in one-night stands (ONSs) and friends with benefits (FWB) relationships over a 6-month period among sexually active adolescents. We also examined the relationships among well-being predictors (psychological distress, self-esteem, suicidal ideation, and alcohol and drug consumption) and these shifts while exploring possible gender differences. Multinomial regressions in Mplus were used to explore whether initial psychological well-being was related to entrance type, the transition from having no CSREs to having one, or discontinuation or continuation type. Frequent alcohol consumption (i.e., once or twice a week or more) for boys and frequent consumption of both alcohol and drugs for girls were associated with continuation of CSREs. Suicidal ideation was associated with entrance into FWB relationships as well as continuation of FWB relationships and ONSs for girls. Psychological distress was a predictor of discontinuation of ONSs for boys. These results suggested that interventions should consider the specific and common needs of both genders in regard to ONSs and FWB relationships.


Assuntos
Comportamento do Adolescente/psicologia , Saúde do Adolescente , Comportamento Sexual/psicologia , Adolescente , Feminino , Humanos , Estudos Longitudinais , Masculino , Estudos Prospectivos , Quebeque , Assunção de Riscos , Autoimagem , Fatores Sexuais , Ideação Suicida , Consumo de Álcool por Menores
13.
Depress Anxiety ; 33(7): 623-9, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-27037519

RESUMO

BACKGROUND: Child sexual abuse is associated with adverse outcomes, including heightened vulnerability that may translate into risk of revictimization. The aims of the study were: (1) to explore the direct and indirect links between child sexual abuse and cyberbullying, bullying, and mental health problems and (2) to study maternal support as a potential protective factor. METHODS: Teenagers involved in the two first waves of the Quebec Youths' Romantic Relationships Survey (N = 8,194 and 6,780 at Wave I and II, respectively) completed measures assessing child sexual abuse and maternal support at Wave I. Cyberbullying, bullying, and mental health problems (self-esteem, psychological distress, and suicidal ideations) were evaluated 6 months later. RESULTS: Rates of cyberbullying in the past 6 months were twice as high in sexually abused teens compared to nonvictims both for girls (33.47 vs. 17.75%) and boys (29.62 vs. 13.29%). A moderated mediated model revealed a partial mediation effect of cyberbullying and bullying in the link between child sexual abuse and mental health. Maternal support acted as a protective factor as the conditional indirect effects of child sexual abuse on mental health via cyberbullying and bullying were reduced in cases of high maternal support. CONCLUSIONS: Results have significant relevance for prevention and intervention in highlighting the heightened vulnerability of victims of child sexual abuse to experience both bullying and cyberbullying. Maternal support may buffer the risk of developing mental health distress, suggesting that intervention programs for victimized youth may profit by fostering parent involvement.


Assuntos
Bullying/estatística & dados numéricos , Abuso Sexual na Infância/psicologia , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Estudantes/psicologia , Adaptação Psicológica , Adolescente , Criança , Abuso Sexual na Infância/estatística & dados numéricos , Feminino , Inquéritos Epidemiológicos/métodos , Inquéritos Epidemiológicos/estatística & dados numéricos , Humanos , Internet , Masculino , Mães/psicologia , Quebeque , Autoimagem , Estudantes/estatística & dados numéricos , Ideação Suicida
14.
AIDS Behav ; 20(12): 2812-2826, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-26961381

RESUMO

Gay, bisexual, and other men who have sex with men (MSM) have adapted their sexual practices over the course of the HIV/AIDS epidemic based on available data and knowledge about HIV. This study sought to identify and compare patterns in condom use among gay, bisexual, and other MSM who were tested for HIV at a community-based testing site in Montreal, Canada. Results showed that while study participants use condoms to a certain extent with HIV-positive partners and partners of unknown HIV status, they also make use of various other strategies such as adjusting to a partner's presumed or known HIV status and viral load, avoiding certain types of partners, taking PEP, and getting tested for HIV. These findings suggest that MSM who use condoms less systematically are not necessarily taking fewer precautions but may instead be combining or replacing condom use with other approaches to risk reduction.


Assuntos
Sorodiagnóstico da AIDS/estatística & dados numéricos , Testes Anônimos , Preservativos/estatística & dados numéricos , Infecções por HIV/prevenção & controle , Infecções por HIV/transmissão , Homossexualidade Masculina/estatística & dados numéricos , Comportamento de Redução do Risco , Comportamento Sexual/estatística & dados numéricos , Minorias Sexuais e de Gênero/estatística & dados numéricos , Sexo sem Proteção/prevenção & controle , Sexo sem Proteção/estatística & dados numéricos , Adulto , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Quebeque , Parceiros Sexuais
15.
AIDS Care ; 27(6): 731-8, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25587793

RESUMO

Health-care providers play a major role in providing good quality care and in preventing psychological distress among mothers living with HIV (MLHIV). The objectives of this study are to explore the impact of health-care services and satisfaction with care providers on psychological distress in MLHIV. One hundred MLHIV were recruited from community and clinical settings in the province of Quebec (Canada). Prevalence estimation of clinical psychological distress and univariate and multivariable logistic regression models were performed to predict clinical psychological distress. Forty-five percent of the participants reported clinical psychological distress. In the multivariable regression, the following variables were significantly associated with psychological distress while controlling for sociodemographic variables: resilience, quality of communication with the care providers, resources, and HIV disclosure concerns. The multivariate results support the key role of personal, structural, and medical resources in understanding psychological distress among MLHIV. Interventions that can support the psychological health of MLHIV are discussed.


Assuntos
Ansiedade/epidemiologia , Depressão/epidemiologia , Infecções por HIV/psicologia , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Mães , Estresse Psicológico/epidemiologia , Adulto , Feminino , Infecções por HIV/epidemiologia , Humanos , Mães/psicologia , Satisfação do Paciente/estatística & dados numéricos , Prevalência , Qualidade da Assistência à Saúde , Qualidade de Vida , Quebeque/epidemiologia , Estigma Social , Apoio Social
16.
Sante Ment Que ; 40(3): 77-92, 2015.
Artigo em Francês | MEDLINE | ID: mdl-26966849

RESUMO

Introduction Trans youths are more likely to experience negative social and parental reactions suggesting reprehension, from disapproving looks to physical violence. While victimization increases the likelihood of poor mental health outcomes, little is known about potential mediating factors between mental health and victimization. Self-esteem is one of the factors that may mediate the impact of homophobic victimization on mental health. Yet, data on trans youths are scarce.Objectives The objectives of this paper are: 1) to compare trans youths to cisgender heterosexual male and female youths regarding two different forms of victimization (victimization based on gender nonconformity and parental verbal abuse), self-esteem, and psychological distress, as well as 2) to test a path model of the impact of these two forms of victimization on self-esteem and psychological distress.Methods Data for this study are drawn from the Quebec Youths' Romantic Relationships survey. Data were collected among youth aged 14 to 22 years old recruited either in schools or online. Thirty-seven participants endorsed being trans or questioning their gender identity. They were paired to 74 cisgender heterosexual youths (37 male and 37 female) using propensity scores based on socio-demographic characteristics.Results Results showed that verbal parental abuse and victimization based on gender nonconformity were more prevalent among trans participants. Parental verbal abuse and victimization based on gender nonconformity were both directly and negatively associated with self-esteem (explained variance: 36%). Sexual status explains 19.6% of the variance of parental victimization and 50.6% of the variance of victimization on the basis of gender nonconformity. A higher self-esteem was associated with decreased psychological distress (explained variance: 66.9%). Moreover, parental verbal abuse was also directly associated with higher psychological distress. Although there was no direct relationship between trans status and psychological distress and self-esteem, its total indirect effects on these two indicators of mental health and wellbeing status were significant (p-value < 0.001), suggesting that the impact of sexual status on them is mediated by the victimization.Conclusion This study showed the high vulnerability of trans youths to poor mental health and wellbeing outcomes because of the victimization they experience. The results highlight the importance of preventing victimization based on sexual-minority status and to educate people, including parents, to sexual and gender diversity.

17.
Sante Ment Que ; 40(3): 109-27, 2015.
Artigo em Francês | MEDLINE | ID: mdl-26966851

RESUMO

Introduction Sexual-minority youths (SMY) report high rates of psychological distress such as depression, anxiety and suicidal ideation (Burton, Marshal, Chisolm, Sucato et Friedman, 2013; Williams & Chapman, 2011). Several studies confirm that the poor mental health outcomes are partly related to their high likelihood of experiencing homophobic victimization (Blais, Gervais, Boucher, Hébert & Lavoie, 2013; Taylor & Peter, 2011; Hughes, McCabe, Wilsnack, West & Boyd, 2010; Chamberland, Richard & Bernier, 2013). Whereas the development of a positive sexual minority identity is crucial for the mental health of SMY (Chamberland, Richard & Chevrier, 2011; Rosario, Schrimshaw & Hunter, 2011; Luhtanen, 2002), the victimization they experience put them at risk of internalizing societal homophobia and heterosexism (Meyer, 2003; Hatzenbuehler, 2009). It is important to identify variables that may influence the impact of distal and proximal factors that impact SMY's mental health.Objectives The objectives of this paper are 1) to document different forms of homophobic victimization experienced by SMY, according to gender and age, and 2) to test the potential moderating effect of parental support in the relationship between homophobic victimization, internalized homophobia and psychological distress.Method Data come from 228 SMY aged 14 to 22 years old recruited through online means as part of the Quebec Youth's Romantic Relationships Survey. The impact of homophobic victimization, parental support, and internalized homophobia on psychological distress is explored by a linear regression model including moderated mediation effects.Results Results show the relationship between homophobic victimization and psychological distress as well as indirect significant relationship through internalized homophobia. The moderated mediation analysis also confirms the moderating role of parental support in the relationship between homophobic victimization and psychological distress. Thus, at equal level of victimization, participants with low parental support experienced more psychological distress. However, parental support did not lessen the impact of victimization on internalized homophobia. The linear regression model explains 22.5% of the variance in psychological distress and 6.6% of the variance of internalized homophobia.Conclusion The results emphasize the importance of continuing efforts to prevent homophobic behaviors and attitudes among school staff, parents as well as employers and colleagues in the workplace. Given their key role, parents must also be educated and trained to support their gay, lesbian, bisexual or questioning children.

18.
AIDS Care ; 26 Suppl 1: S21-8, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24735201

RESUMO

The HIV infection of a family member can impact family quality of life (FQoL). The objectives of this study are to (1) describe patterns of FQoL among mothers living with HIV (MLHIV) and (2) identify key factors associated with FQoL in families affected by HIV. Recruitment took place in HIV-specialized clinics and community organizations. A 100 MLHIV and 67 of their children participated in this study. Mothers were on average 40.8 years old and reported having an average of two dependent children at home (M = 2.1, SD = 1.0). Participating children were 16.2 years old, on average. Half of the children were boys (50.8%). More than half were aware of their mother's positive HIV status (68.2%) and 19.7% were diagnosed with HIV. All HIV-positive children were aware of their status. A latent profile analysis was performed on the five continuous indicators of FQoL, and three main profiles of self-reported FQoL among MLHIV were established: high FQoL (33%), moderate FQoL (58%), and low FQoL (9%). Among the mothers' characteristics, education, physical functioning, social support, and resilience increased FQoL, while anxiety and irritability decreased FQoL. Among the children's characteristics, resilience followed the FQoL profile. A trend was observed toward children's greater awareness of the mother's HIV status in high and low FQoL profiles. Additionally, irritability tended to be higher within the lower FQoL profile. FQoL profiles can be used to identify families needing special care, particularly for family interventions with both parents and children. Other relevant indicators must be studied (e.g., closeness and support between family members, availability and accessibility of care, family structure, father-child relationships, and medical condition of the mother) and longitudinal research conducted to estimate the direction of causality between FQoL profile and individual family member characteristics.


Assuntos
Saúde da Família , Infecções por HIV/psicologia , Mães/psicologia , Qualidade de Vida/psicologia , Adaptação Psicológica , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Família/psicologia , Características da Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pais/psicologia , Quebeque , Resiliência Psicológica , Apoio Social , Fatores Socioeconômicos , Inquéritos e Questionários
19.
J Homosex ; 71(4): 1030-1056, 2024 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-36625561

RESUMO

Concealing one's non-heterosexual orientation (NHO) remains a protection strategy against workplace discrimination used by many lesbian, gay, bisexual, and queer (LGBQ+) individuals. This article explores four sets of correlates (identity and individual trajectory, social support, professional position, and structural and cultural work context) relative to three levels of outness (total, partial, and null). Online cross-sectional data of 2,106 LGBQ+ participants from Quebec (Canada) showed that 27% reported total outness, while 64% reported partial outness, and 9%, null outness. Multinomial hierarchical regression analyses revealed that each set of correlates significantly contributed to levels of workplace NHO outness. The two sets of variables making the largest contributions to levels of outness were those pertaining to identity and individual trajectory (14% of the variance) and structural and cultural work context (9%). Compared to partial outness, null outness was associated with an unaccepting work climate, while total outness was more likely in contexts with organizational support (e.g., with the presence of an inclusivity policy). Without trivializing the influence of non-workplace factors on outness levels, the present findings support the need to develop an inclusive and accepting work climate for LGBQ+ individuals.


Assuntos
Homossexualidade Feminina , Minorias Sexuais e de Gênero , Humanos , Feminino , Masculino , Quebeque , Estudos Transversais , Comportamento Sexual
20.
J Homosex ; 70(10): 2158-2179, 2023 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-35285779

RESUMO

Over the past 20 years, Québec has seen significant legislative changes that have led to an increase in the number of families with LGBTQ+ parents. Moreover, Québec has been a pioneer in recognizing LGBTQ+ families since 2002 with Bill 84. In fact, no nation had gone as far in terms of recognition. However, despite this avant-garde legal context, which has made it possible for many same-sex couples to establish their families with greater ease and recognition, unequal access to this institution still affects LGBTQ+ parents. In fact, these parents do not all experience the same realities, and the possibilities for forming a family remain complex for many, especially for trans and non-binary parents. Based on 38 in-depth interviews with LGBTQ+ parents, this article explores the multiple forms of families and the different experiences of oppressions these families encounter based on their different social locations. These data are part of the important SAVIE-LGBTQ research partnership (SSHRC 2016-2023), which aims to identify the different experiences of inclusion and exclusion encountered by LGBTQ+ communities in Québec.


Assuntos
Minorias Sexuais e de Gênero , Humanos , Quebeque , Acontecimentos que Mudam a Vida , Pais
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