Shelley L. Craig

Factors associated with a drive for muscularity among gay and bisexual men

Among gay and bisexual men, body dissatisfaction can manifest itself in the form of a desire for increased muscularity. Possibly in response to homophobia, the socio-sexual culture of gay and bisexual men privileges muscularity and may help to perpetuate a sense of body dissatisfaction. Little is known about factors associated with a drive for muscularity among gay and bisexual men. This study recruited participants (n = 400) at Torontos 2008 lesbian, gay, bisexual and transgender festival to provide data used to examine the relationship between a drive for muscularity and demographics (age, race, education, HIV status), psychological factors (depression, disordered eating, internalised homophobia, substance use), body mass, a history of childhood sexual abuse and sexual risk. Multivariate analyses revealed that a drive for muscularity was associated with age, disordered eating, depression, sexual risk and internalised homonegativity. These findings can be used to advance the health and wellbeing of gay and bisexual men, particularly interventions designed to mitigate the effects of internalised homonegativity and policies aimed at reducing homophobia.

Media: A Catalyst for Resilience in Lesbian, Gay, Bisexual, Transgender, and Queer Youth

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth have the potential for considerable resilience. Positive media representations may mediate negative experiences and foster self-esteem, yet the relationship between resilience and both traditional offline and new online media remains underaddressed for this population. This grounded-theory exploration of media-based resilience-building activities by LGBTQ youth (n = 19) indicated four themes that media use enabled: coping through escapism; feeling stronger; fighting back; and finding and fostering community. Data are embedded to evidence thematic findings and incorporate participant voices. The importance of considering the media within contemporary LGBTQ youths ecological framework to capture their resilience is considered.

Affirmative Supportive Safe and Empowering Talk (ASSET): Leveraging the Strengths and Resiliencies of Sexual Minority Youth in School-Based Groups

School settings are often fraught with risks for sexual minority youth, yet the presence of targeted and supportive services within educational contexts is surprisingly rare. This article (a) describes the development of Affirmative Supportive Safe and Empowering Talk (ASSET), a gay-affirmative, school-based group counseling intervention created specifically to promote the resiliency of multiethnic sexual minority youth; (b) suggests group themes and approaches; and (c) discusses critical considerations for implementation. ASSET may be considered a promising intervention that provides opportunities to bridge the unique gaps in service for this vulnerable population.

The Impact of Perceived Discrimination and Social Support on the School Performance of Multiethnic Sexual Minority Youth

Sexual minority youth are known to face increased risk of poor school performance; however, little research has focused on the educational experiences of multiethnic sexual minority youth (MSMY) in particular. Using venue-based sampling approaches, this study surveyed 255 MSMY at 15 urban high schools. The majority of participants identified as female (65%), Latina (58%), and bisexual (41%), with a mean age of 16. The use of structural equation modeling techniques found that 23% of the variance of school performance was explained by the multivariate model. Examination of the model path coefficients revealed that experiences of perceived discrimination had a powerfully negative influence on the school performance of MSMY. Whereas increased family support was associated with better school performance, neither peer nor school support had similar impact. In addition, levels of support did not significantly moderate the effect of perceived discrimination on MSMY.

Older Latina Women and HIV/AIDS: An Examination of Sexuality and Culture as they Relate to Risk and Protective Factors

Older Latina women are one of the least studied American demographic groups with regard to social, health, or sexual behavior. This could leave social workers and other geriatric professionals unprepared for dealing with HIV/AIDS in this population. Currently, older Latina women are one of the fastest growing groups of new AIDS cases. Twenty percent of all women ever diagnosed with the disease are Latina and 5.5% of Latinas infected with the virus are older. The number of diagnosed infections is increasing in older women, including Latinas, in spite of recent declines in infection rates with younger populations. There are also a potentially large number of cases that go misdiagnosed or undiagnosed. This article also addresses risk and protective factors related to gender roles, traditional Latino family values, religion, socioeconomic factors, health, and health care, with special attention to the triple jeopardy faced by this population by virtue of being female, seniors, and minorities. The article concludes with recommendations for the development of culturally competent practices with older Latinas and the development of a research agenda to better understand their risk-related and health-seeking behavior.

Promoting Self-Efficacy and Self-Esteem for Multiethnic Sexual Minority Youth: An Evidence-Informed Intervention

ABSTRACT Sexual minority youth face multiple challenges, yet research regarding evidence-informed practice strategies for this population is limited. This study describes the pilot efforts of Strengths First, the first strengths-based intervention created specifically to promote self-esteem and self-efficacy among multiethnic sexual minority youth. A pretest–posttest design was used to gather preliminary data from program participants (n = 162) about the potential effectiveness of the program during a 2-year period that ranged from the inception of the program in June 2008 to September 2010. Significant increases in self-esteem and self-efficacy were found. Implications for social service research and practice are discussed.

Making the invisible visible: are health social workers addressing the social determinants of health?

This study explored the ways in which health social workers (HSW) address the social determinants of health (SDH) within their social work practice. Social workers (n = 54) employed at major hospitals across Toronto had many years of practice in health care (M = 11 years; SD = 10.32) and indicated that SDH were a top priority in their daily work; with 98% intentionally intervening with at least one and 91% attending to three or more. Health care services were most often addressed (92%), followed by housing (72%), disability (79%), income (72%), and employment security (70%). Few HSW were tackling racism, Aboriginal status, gender, or social exclusion in their daily practice.

Transgender Representation in Offline and Online Media: LGBTQ Youth Perspectives

Transgender people are increasingly depicted in both offline and online media. These representations inform the general public about transgender communities and have a significant impact on transgender young peoples’ identity development and lived experiences. However, despite increasing awareness of this representation, a lack of research persists on the perspectives of lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth regarding depictions of transgender people in contemporary media. This is despite the fact that this population may be particularly well positioned to consider the impact of these representations on themselves and their peers in the LGBTQ community. In this article the trends in contemporary media representations of transgender individuals are described, the perspectives of LGBTQ youth (N = 19) regarding these messages are examined, and the particular perspectives of transgender youth participants (n = 4) are explored. Clinical implications for social work practice are considered, including the potential usefulness of an ecological framework in considering the media engagement of LGBTQ young people.

“It Gets Better” … but How? Exploring Resilience Development in the Accounts of LGBTQ Adults

As reports of bullying and suicide increase, research on lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth must expand its focus from vulnerabilities to resilience development. The purpose of this inductive qualitative study was to explore resilience development in the accounts of LGBTQ adults by analyzing videos posted for the It Gets Better social media campaign (n = 21). Four major themes emerged: (1) leaving hostile social environments; (2) experiencing “coming out” in meaningful ways; (3) remembering the social environment; and (4) turning challenges into opportunities and strengths. These findings suggest that, despite the campaigns premise, life did not automatically get better for the LGBTQ participants. Rather, the findings offer a nuanced look at the pathways to resilience development. Implications for social work practice are discussed.

Conducting Research with Lesbian, Gay, and Bisexual Populations: Navigating Research Ethics Board Reviews

The acceleration of research with lesbian, gay, and bisexual (LGB) populations amid existing sexual prejudice and advancing human rights leads to sometime conflicting stances between researchers and ethics boards over acceptable methodological practices. Ethics boards, charged with ensuring the safety of research participants, may engage in ostensibly protective stances regarding potential risks and informed consent that are unwittingly founded upon negative stereotypes of LGB populations. We examine four case studies that demonstrate divergent stances between researchers and ethics boards, researchers’ responses to ethics reviews and their resolution. Based on these cases, we describe themes and strategies for researchers working with LGB populations in responsibly navigating ethics board concerns.