Different Categorizations of Women's Sexual Orientation Reveal Unique Health Outcomes in a Nationally Representative U.S. Sample.

BACKGROUND: Sexual minority women (i.e., women minoritized for their sexualities) are identified as high risk for mental health and substance use problems; however, there is no consensus on the criteria by which women are categorized as sexual minority. Though there is some evidence suggesting that certain subgroups of women are at higher risk than others based on sexual orientation, different categorization schemes for sexual orientation have yet to be compared within the same sample. METHOD: Using data from the National Epidemiologic Survey of Alcohol and Related Conditions-III (N = 19,528), we examined how multiple categorization schemes (i.e., identity, behavior, recency of sexual behavior) for categorizing women who have sex with women (WSW) yield different estimates of prevalence of mental health and substance use issues. We used chi-square and logistic regression to analyze the link between sexual orientation categorization schemes and health, categorizing by 1) self-identification only, 2) behavior only, and 3) the combination of self-identification and behavior (recent vs. past). RESULTS: We discovered high prevalence rates of health problems among heterosexual-identified WSW who reported no recent sexual activity with women (i.e., previously had sex with women but not within the past 12 months); this category of women comprised 35% of all WSW. DISCUSSION: Step by step, we found more detailed information about these women's experiences by moving to the complex categorization scheme (the combination of self-identification and behavior). Heterosexual-identified women who have had sex with women in their past (though not recently) presented as a large group with high prevalence rates of substance use and mental disorders. These women remain invisible to researchers who categorize sexual orientation only by sexual identity or by behavior and ignore the role of behavior change over time-imprecisely categorizing such women as heterosexual or as women who have sex with men. They thus are underserved by health research and represent a significant population for further study and intervention.

Gayzing Women's Bodies: Criticisms of Labia Depend on the Gender and Sexual Orientation of Perceivers.

The heterosexual male gaze is often credited with producing bodily anxieties among women, yet empirical and popular cultural evidence suggest gay men have especially negative views toward women's bodies, particularly women's genitalia. Across two studies (N = 6,129; Mage = 27.58; 2,047 women, 4,082 men) we conducted secondary analyses of existing datasets to test the hypotheses that gay men would evaluate labia more negatively than heterosexual men, and that lesbian women would evaluate labia more positively than heterosexual women. We conducted fixed-effects mini meta-analyses to estimate summary effect sizes for perceptions of normalcy and fit with societal ideals; we additionally assessed an outcome of disgust in Study 2. We found support for our hypotheses: For normalcy and societal ideal, we found small summary effects such that gay men evaluated labia more negatively than heterosexual men, and medium summary effects such that lesbian women evaluated labia more positively than heterosexual women. Gay men also rated labia as more disgusting than any other demographic group, and lesbian women rated the stimuli as less disgusting than heterosexual women, supporting our hypotheses. The current findings suggest a pressing need to acknowledge and incorporate gay men's perceptions of women's bodies into literatures on misogyny, objectification, and body image more generally.

Missing perspective: Marginalized groups in the social psychological study of social disparities.

Drawing on interdisciplinary, feminist insights, we encourage social psychologists to embrace the active participation of marginalized groups in social disparities research. We explain (1) how the absence of marginalized groups' perspectives in research presents a serious challenge to understanding intergroup dynamics and concomitant disparities, and (2) how their inclusion could assuage some of social psychology's "fatal flaws."

Daily Stressor Exposure and Daily Well-Being Among Sexual Minority and Heterosexual Adults in the United States: Results from the National Study of Daily Experiences (NSDE).

BACKGROUND: Daily stress plays a significant role in mental and physical health. Negative mood (e.g., hopelessness) and physical symptoms (e.g., headaches) are responses often associated with daily stressors. It is theorized that some people or populations are more vulnerable or reactive to daily stressors. We propose sexual orientation as one factor that is associated with daily stress exposure and reactivity. PURPOSE: To understand whether sexual minorities (SMs) differ from heterosexuals in their exposure and reactivity to general, non-sexual minority-specific stressors (e.g., arguments/disagreements, job concerns). METHODS: We used daily diary data (n = 3,323 heterosexuals [52% identified as female and 85% identified as White]; n = 98 SMs [50% identified as female and 93% identified as White]) from the National Study of Daily Experiences (NSDE). Participants completed eight consecutive evening daily diary interviews (n days = 24,773; mean days completed = 7.24) and reported daily stress exposure and daily well-being. We used multilevel modeling as an approach to examine whether sexual orientation interacted with daily stressors to predict daily negative affect and physical health. RESULTS: SMs tended to experience more daily stressors compared to heterosexuals; specifically, SMs reported at least one stressor on nearly half (48%) of the study days they completed, and heterosexuals reported at least one stressor on about two-fifths (41%) of the study days they completed. SMs also tended to experience more negative mood when they experienced a daily stressor compared to heterosexuals when they experienced a daily stressor. CONCLUSION: We emphasize the importance of SMs' exposure and reactivity to general daily stressors and the implications of our results for the day-to-day lives and health of SMs.

RASE: Modeling cumulative disadvantage due to marginalized group status in academia.

We propose a framework of Resources, Achievement, Status, and Events (RASE) that allows the many disparate but well-documented phenomena affecting underrepresented groups in STEM to be assembled into a story of career trajectories, illuminating the possible cumulative impact of many small inequities. Our framework contains a three-component deterministic cycle of (1) production of Achievements from Resources, (2) updated community Status due to Achievements, and (3) accrual of additional Resources based on community Status. A fourth component, stochastic Events, can influence an individual's level of Resources or Achievements at each time step of the cycle. We build a specific mathematical model within the RASE framework and use it to investigate the impact of accumulated disadvantages from multiple compounding variables. We demonstrate that the model can reproduce data of observed disparities in academia. Finally, we use a publicly available visualization and networking tool to provide a sandbox for exploring career outcomes within the model. The modeling exercise, results, and visualization tool may be useful in the context of training STEM faculty to recognize and reduce effects of bias.

Femininity Concerns and Feelings About Menstruation Cessation Among Lesbian, Bisexual, and Heterosexual Women: Implications for Menopause.

Background: Women differ in how they psychologically respond to the end of menstruation and onset of menopause; however, little empirical evidence exists for understanding how sexual orientation and gendered dynamics contribute to menstrual experiences in middle-to-late adulthood. We investigated if women's attitudes toward the cessation of menstruation vary by their sexual orientation. Methods: Using data from the Midlife in the United States Study (MIDUS, N = 3471), we examined the relationship between women's sexual orientation and attitudes toward menstruation cessation. We also assessed their femininity concerns, such as their worries about attractiveness and fertility in the context of aging. Results: Sexual minority (SM) women, compared with their heterosexual counterparts, expressed less regret of their menstrual periods ending. SM women also expressed lower concerns about femininity compared with heterosexual women, and concerns about femininity mediated the relationship between sexual orientation and regret. That is, SM women felt less regret about menstrual periods ending than heterosexual women, and this finding was partially explained through SM women's lower concerns about femininity (attractiveness and fertility). Conclusions: Our results contribute to a growing body of research on the psychological strengths of sexual minorities by highlighting SM women's potential strengths in an aging context. We propose implications for understanding aging stigma and women's health, and we discuss how menopause may be differently experienced by women based on sexual orientation.

Gender Similarities and Differences in Casual Sex Acceptance Among Lesbian Women and Gay Men.

Popular wisdom and scientific evidence suggest women desire and engage in casual sex less frequently than men; however, theories of gender differences in sexuality are often formulated in light of heterosexual relations. Less is understood about sexual behavior among lesbian and gay people, or individuals in which there is arguably less motivation to pursue sex for reproductive purposes and fewer expectations for people to behave in gender-typical ways. Drawing from scripts theory and pleasure theory, in two studies (N1 = 465; N2 = 487) we examined lesbian and gay people's acceptance of casual sex. We asked participants who had been propositioned for casual sex whether they accepted the offer and to rate their perceptions of the proposer's sexual capabilities and sexual orientation. They also reported on their awareness of stigma surrounding casual sex. We found a gender difference in acceptance: Gay men were more likely than lesbian women to have accepted a casual sex offer from other gay/lesbian people, and this difference was mediated by participants' stigma awareness. We also found the proposer's sexual orientation played a role in people's acceptance. Lesbian women and gay men were equally likely to accept offers from bisexual proposers but expressed different acceptance rates with "straight-but-curious" proposers, which was mediated by expected pleasure. We discuss dynamics within lesbian and gay communities and implications for studying theories of sexual behavior and gender differences beyond heterosexual contexts.

Life Satisfaction Across Adulthood in Bisexual Men and Women: Findings from the Midlife in the United States (MIDUS) Study.

The number of lesbian, gay, and bisexual (LGB) adults aged 50 and older is projected to reach 5 million in the U.S. by 2030 (Fredriksen-Goldsen, Kim, Shiu, Goldsen, & Emlet, 2015). Older bisexuals experience more negative mental and physical health outcomes when compared to both heterosexuals and other sexual minorities (Fredriksen-Goldsen, Shiu, Bryan, Goldsen, & Kim, 2017). As bisexuals are the numeric majority of sexual minorities in the U.S. (Herbenick et al., 2010), bisexual aging processes are critical to understand if researchers wish to reduce sexual minority health disparities and promote healthy aging. In the current study, we use a national probability sample of adults from the Midlife in the United States (MIDUS) study to assess life satisfaction across an 18-year period. We aimed to identify whether life satisfaction-an indicator of psychological health and well-being-is similar for same-age bisexual, lesbian and gay, and heterosexual midlife individuals, and whether sexual orientation predicts change in life satisfaction across adulthood. Further, we tested whether life satisfaction among bisexuals changes at the same rate and in the same pattern as for lesbian, gay, and heterosexual individuals. Overall, we found a linear pattern of increase in life satisfaction across adulthood. However, when we accounted for sexual orientation, a different pattern emerged for bisexuals. Whereas heterosexuals and lesbian and gay individuals experienced increases in life satisfaction across adulthood, bisexuals' life satisfaction did not increase over this period. Implications for bisexual health and well-being are discussed.

Carving sexuality at its joints: Defining sexual orientation in research and clinical practice.

In this article, we review basic research on sexual orientation for a clinical scientist-practitioner audience. We present contemporary and evolving approaches to defining and measuring sexual orientation, and we provide suggestions for how to translate psychological theory into best practices (i.e., how to select appropriate sexuality measures in both research and clinical settings). Our focus is on evaluating currently available measures of sexual orientation in terms of comprehensiveness and feasibility: How thoroughly are components of sexuality captured and how feasible it is to use such measures in research and clinical settings? Basic research in sexuality has progressed beyond our current clinical practices and should be used as a guide to more responsibly conceptualize participants and clients. While we determine that the current options are far from perfect, the critical clinician will find that contemporary measures of sexual orientation prove more useful than more simplistic predecessors. This review will elucidate best strategies for translating sexual orientation research and theory into clinical practice and provide clinicians and researchers alike with theoretically grounded support for tools of measurement and assessment. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Re-examining the effectiveness of monogamy as an STI-preventive strategy.

The utility of monogamy (in practice) as a strategy for preventing sexually transmitted infections (STIs) was investigated. By reviewing recent literature surrounding monogamous relationships and sexual behaviors, the authors determined that monogamy might not prevent against STIs as expected. First, the authors elucidate the ways in which public health officials and the general public define and interpret monogamy and discuss how this contributes to monogamy as an ineffectual STI prevention strategy. Second, the authors provide evidence that individuals' compliance with monogamy is likely to be low, similar to rates of compliance with other medical advice. Lastly, the authors draw upon recent research findings suggesting that people who label themselves as monogamous are less likely to engage in safer sex behaviors than people who have an explicit agreement with their partner to be non-monogamous. Future research and clinical directions to promote sexual health and destigmatize sexual behaviors are considered.

Condom use errors among sexually unfaithful and consensually nonmonogamous individuals.

This research involved comparisons of the condom use behaviours of people who are in monogamous relationships but who have engaged in extradyadic sex (i.e. committed infidelity) to those who are in consensually nonmonogamous (CNM) relationships. Consensual nonmonogamy is the practice of openly having multiple sexual or romantic partners simultaneously, with the full knowledge and consent of all participating partners. Participants in CNM relationships used condoms more correctly in their last instance of intercourse than those who were committing infidelity.

A critical examination of popular assumptions about the benefits and outcomes of monogamous relationships.

In this article, we critically examine the social institution of monogamy. First, we discuss the lack of an adequate and consistent definition of the construct of monogamy and consider how common monogamy is. Next, we address perceived benefits of monogamy and whether those ostensible benefits are supported by empirical evidence. We conclude that evidence for the benefits of monogamy relative to other relationship styles is currently lacking, suggesting that, for those who choose it, consensual non-monogamy may be a viable alternative to monogamy. Implications for theories of close relationships are discussed.