Violence and Sexual Minority Youth

Abstract

Among the most maligned and harassed students in high schools are those who are perceived not to fit the norms for sexual behavior. These include gay and lesbian students, bisexual students, transgendered students, effeminate heterosexual males, and masculine-acting heterosexual females. Together these students are the targets of a wide range of negative behaviors from subtle exclusion to physical assault. In addition, many develop negative attitudes towards themselves which put them at increased risk for self-harm and suicide. The origin of these attitudes and behaviors is societal homophobia that fuels social aggression against this stigmatized group. Although challenging, educators can assist in undermining the effects of homophobia on sexual minorities through teaching tolerance, sponsoring support groups that address these issues, and providing educational opportunities about sexual minority youth.     

Interpersonal Violence Among College Students: Does Sexual Orientation Impact Risk of Victimization?

Researchers have shown that college students are at an increased risk of experiencing interpersonal violence (IV). One factor that appears to play a role in shaping their likelihood of IV is sexual orientation. However, little is known about this relationship and how IV risk varies across categories of sexual orientation. Utilizing a sample of approximately 43,000 college students from the American College Health Association’s National College Health Assessment II, this study examined the prevalence of IV across five categories of self-identified sexual orientation and examined whether sexual orientation was a predictor of IV. Results indicated that, on average, students who identified as lesbian, gay, bisexual, or questioning were significantly more likely to experience IV than their heterosexual counterparts. Implications for prevention and future research are discussed.     

Effectiveness of a Cancer Education Program for Women Attending Rural Public Health Departments in North Carolina

SUMMARY

The Western North Carolina Cancer Awareness Program (CAP) was a four-year program, funded by the National Cancer Institute, to increase education and support services for the prevention and early detection of breast, cervical, and skin cancer among women receiving care in six rural county public health departments. Three health departments were selected as intervention units, and the remaining three health departments served as comparison units. Women age 20 and older were randomly selected in each health department. Women in the intervention group received a comprehensive health education program that included easy-to-read printed materials and telephone counseling dealing with breast, cervical, and skin cancer. Theoretical guidelines for development of the intervention program included the PRECEDE Model and the Health Belief Model. Overall, the results indicated that personalized education, which includes the combination of readable printed materials and telephone contact, can be effective in increasing some early detection behaviors for breast and skin cancer among women who attend public health departments. The value of telephone counseling as a comparatively inexpensive approach to individualizing health education has significant implications for the development of similar cancer education programs for underserved populations.     

Measuring Sexual Violence on Campus: Climate Surveys and Vulnerable Groups

ABSTRACT

Since the 2014 Not Alone report on campus sexual assault, the use of climate surveys to measure sexual violence on campuses across the United States has increased considerably. The current study utilizes a quasi meta-analysis approach to examine the utility of general campus climate surveys, which include a measure of sexual violence, in comparison to sexual assault specific climate surveys, in measuring student sexual assault experiences. Past research has highlighted the need to not only understand campus sexual assault prevalence rates for the general student population, but also the specific risk posed to more vulnerable populations such as the lesbian, gay, bisexual, questioning/queer community (LGBQ) and Native American students. Results indicate that general campus climate surveys may be underestimating both the sexual victimization of the general student body as well as that of LGBQ and Native American students. Research and policy recommendations that focus on improved measurement of campus sexual assault experiences are discussed.     

Performance of Breast Self-Exam

SUMMARY

Breast cancer is a significant health threat for women and is currently the second-leading cause of cancer-related deaths in women. When breast cancer is diagnosed early in the disease process, the probability of survival is quite high, but when diagnosis is made at a later stage, mortality increases dramatically. Thus, early detection is crucial, and monthly breast self-exam (BSE) is recommended for all women over the age of 20. Despite this recommendation, adherence to BSE guidelines is quite low. The current study investigated the role of perceived susceptibility to breast cancer as it relates to the performance of BSE among a sample of community women. As hypothesized, a significant interaction between perceived susceptibility and age was found such that perceived susceptibility was significantly positively related to BSE performance for older women but was not related to BSE performance among younger women. Although there are certainly other variables associated with BSE performance, the implications of this particular finding for the design of interventions to increase BSE performance are discussed.     

Bullying in Schools Towards Sexual Minority Youth

ABSTRACT

Gay, lesbian, bisexual, transgender, questioning and inter-sex (GLBTQI) youth, and those perceived to be GLBTQI, face extensive verbal and physical bullying in schools. Although increasing attention has been made at examining the safety concerns of sexual minority (GLBTQI) youth, there remain important gaps in the literature as well as significant sampling limitations. This article seeks to identify and respond to research gaps by: (a) reviewing existing literature about the causes and risk factors associated with homophobic bullying; (b) reviewing existing literature about the consequences associated with the victims of sexual minority bullying; (c) identifying the limitations to research procedures and methodologies that have been used to investigate this topic; and (d) proposing a research agenda for future investigations of homophobic bullying in schools.     

Associations Between Caregiver Support, Bullying, and Depressive Symptomatology Among Sexual Minority and Heterosexual Girls: Results from the 2008 Boston Youth Survey

Although sexual minority (SM) youth are at an increased risk for being bullied and experiencing depression, it is unclear how caregiver support is interrelated with those variables. Therefore, we sought to assess: (a) the prevalence of nonphysical bullying, depressive symptomatology, and caregiver support among heterosexual and SM girls, (b) the association between caregiver support and bullying in both groups, and (c) whether sexual orientation moderates the interactive effect of caregiver support and bullying on depressive symptoms. Data come from a survey of students in 22 Boston public high schools; 99 of the 832 girls in the analytic sample were SM. We used chi-square statistics to examine group differences, and multiple regression to estimate the association between the caregiver support, sexual orientation, being bullied, and depressive symptomatology. SM girls reported similar levels of caregiver support as heterosexual girls, but reported higher levels of depressive symptomatology. They were also more likely to report nonphysical bullying. Tests for interactions were not statistically significant, suggesting that bullying, caregiver support, and sexual orientation are independently associated with depressive symptomatology.     

Sexual and intimacy health of Roman Catholic priests

This study explores the sexual experiences and sexual health of Roman Catholic priests. The qualitative research design looked at priests' responses to the question, "Please share one or more sexual experiences in your lifetime." The qualitative responses were analyzed and categorized into seven groupings: (a) Childhood and adolescent homosexual experiences; (b) Childhood and adolescent heterosexual experiences; (c) Both homosexual and heterosexual childhood and adolescent experiences; (d) Adult sexual experiences before ordination to the priesthood; (e) Adult sexual experiences since ordination to the priesthood; (f) Masturbation; and (g) Other sexual experiences. The data were analyzed by frequency of responses and percentages within each of the seven categories. The results indicate the need for early intervention and education during seminary, ongoing education after ordination, and psychotherapy support for priests.     

Triple jeopardy for HIV: substance using Severely Mentally Ill Adults

Severely Mentally Ill (SMI) adults have disproportionately high HIV seroprevalence rates. Abuse of alcohol and other substances (AOD) and lifetime exposure to trauma by others are particularly potent risk factors, which, in combination with psychiatric disabilities, create triple jeopardy for HIV infection. This study examined the predictive utility of demographic characteristics; history of physical, emotional, or sexual abuse; extent of drug and alcohol abuse; knowledge about HIV/AIDS; sexual self-efficacy; and condom attitudes toward explaining the variance in a composite of HIV high-risk behavior among 188 SMI women and 158 SMI men. History of sexual abuse, engaging in sexual activities while high on substances, and lower cannabis use were the most significant predictors of HIV sexual risk behaviors. Given the triple jeopardy for HIV risk in this population, a triple barreled approach that simultaneously addresses multiple health risks within an integrated treatment setting is warranted.     

A Research Revolution in Women's Health

SUMMARY

Women's health research initiatives are emerging with evidence that there are unique diagnosis and intervention factors that provide a window into the specific health needs of women. The evidence of the need for this gender-specific research is being spurred by the establishment of The Office of Research on Women's Health by the National Institutes of Health (NIH). A review of some of the more current and salient research findings that apply to women's health and the health needs of women in different lifestyles, at different stages of the life cycle is discussed. Also considered are women's roles in the health service delivery system and where they fit into the provision of services within the context of women's styles of accessing and using health care. Self-help and other support programs will be described as they apply specifically to women and a case will be made for providing comprehensive, multi-systemic women's health services in one facility at the community level through an overview of some of the more current and successful models.     

Evaluation of an Incentive System at a Summer Camp for Youth Experiencing Homelessness

SUMMARY

Children who are homeless often experience emotional and behavioral problems. They also may have difficulty interacting with peers. Programs designed to reward positive behaviors may be successful in improving behavioral functioning for children experiencing emotional distress due to homelessness and related risk factors. Families experiencing homelessness may have a difficult time accessing mental health services. School settings may be optimal environments for implementing programs to improve behavioral and social development for these children. In this paper, we describe the implementation and outcomes of an incentive system, developed to improve school behaviors and interactions for children experiencing homelessness. This system was implemented during a summer camp designed to enrich reading skills. Teachers and aides administered bracelets as secondary reinforcers for positive and prosocial behaviors. Children could purchase primary reinforcers, such as toys and art supplies, with the bracelets. Results were positive, supporting project activities. Future programs and evaluation projects should focus on delivering and evaluating prevention and therapy services for youth experiencing homelessness.     

Context Matters: Reactive and Proactive Bystander Action to Prevent Sexual and Dating Violence in High Schools

ABSTRACT

Given high rates of relationship violence among adolescents, there is a need to understand variables that influence adolescents’ helping behaviors to reduce risk for dating and sexual violence (reactive) and promote prevention before violence happens or risk factors are evident (proactive). The current paper examined individual and school variables related to greater actionism in a large sample of high school students. Baseline, cross-sectional data used in the current analyses were gathered before intervention as part of a prevention program evaluation across 25 high schools in New England from students in grades 9–12 (N= 3,404). Students who self-reported a greater number of proactive actions taken were students who identified as sexual minorities, had a history of victimization, and were in schools with supportive peer norms. The current findings suggest a model for prevention that might include training individuals and attending to school level variables.     

Preventing Dating Violence in Public Schools

Abstract

Many communities offer programs aimed at improving teen dating skills and knowledge about violence and sexual behavior. This research study evaluates one such program, operated by an interagency collaborative. Each of four participating community agencies provided one hour of curriculum during one week of health class. Lecture, group activities, and films were used in the intervention. A 0 X 0 design was used to examine changes in knowledge and attitudes among 74 students. Results indicate that most students began with fairly high knowledge levels and appropriate attitudes. Nevertheless, the program did appear to have a positive impact on those who exhibited less knowledge about and more tolerant attitudes toward exploitive dating behaviors at pre-test. Implications of results for the school context are discussed.     

Unsafe sex: do feelings matter?

The purpose of this study was to investigate the relationships among self-efficacy for condom use during distress (SE-Condom Distress), self-efficacy related to general HIV prevention skills (SE-HIV), and HIV risk behaviors, attitudes, and knowledge. Two hundred and twenty two adolescents with psychiatric disorders between 13 and 18 years-old participated. Participants completed measures related to HIV Self-Efficacy, HIV Attitudes, and Sexual Behaviors. Self-efficacy for condom use during distress (SE-Condom Distress) was significantly associated with more HIV protective behaviors. Controlling for observed covariates, SE-Condom Distress was the only variable significantly associated with consistent condom use in a multiple logistic regression (OR=2.43). Self-efficacy regarding condom use during affective arousal is closely associated with HIV-related attitudes and behaviors. Clinicians need to be alert to subtle signs of distress as adolescents contemplate safer sexual behavior.     

Implementing and Evaluating School-Based Primary Prevention Programs and the Importance of Differential Effects on Outcomes

Abstract

In 2004, Second Step (Committee for Children, 2002), a violence prevention program, was implemented in the Cleveland Heights-University Heights school district for 1,416 K through second grade students. Both process and outcome measures were used to evaluate program impact and examine issues related to the implementation and evaluation of evidence-based practices. Process measures indicated a high level of implementation fidelity, while pre/post outcome testing on a 20% random sample of students demonstrated significant reductions in reactive aggression scores, t= 2.221, df= 238, p< 0.05, and evidence of declines in proactive aggression. Authors discuss challenges and opportunities related to implementing and evaluating evidence-based programming in Safe Schools/Health Students sites, particularly regarding strategies for the assessment of differential intervention effects to evaluate program outcomes.     

Welfare Reform and Women's Health

SUMMARY

The WCHPC studied the extent of collaboration between state women's health officials and TANF officials with respect to programs that affect the health and well-being of poor women. The kinds and extent of monitoring activities designed to gather information on the health status of this population were also examined. Great unevenness across states was revealed for both collaboration and monitoring. State-level interest in improving both was assessed, barriers to improvement were identified, and recommendations for steps forward were solicited.     

An Exploratory Study of Violence and Aggression Against Teachers in Middle and High Schools: Prevalence,Predictors, and Negative Consequences

ABSTRACT

Limited empirical findings suggest that teacher victimization at school is highly prevalent, with detrimental negative impacts on victimized teachers. Given the scarce body of literature on teacher victimization, further research is necessary to investigate its extent, predictors, and negative consequences. The present research, using a representative sample of 1,628 teachers in the southwest region of the United States, indicates a high prevalence of violence and aggression directed against teachers. Also, the research found that teachers’ uncertain and helping/friendly behaviors toward students were significantly related to various types of teacher victimization. Experiences involving the five victimization types (theft/property damage, physical assault, verbal abuse, sexual harassment, and noncontact aggression) are correlated with teachers’ self-reported job performance, student trust, safety at school, and thoughts about quitting. Directions for future research and policy implications are considered in the context of these findings.     

A Latent Class Analysis of Victimization Among Middle and High School Students in California

School victimization is associated with negative social-emotional outcomes and risky behaviors. Most studies have provided definitions and measures of victimization, depicting a limited characterization of victimization in schools. More nuanced analyses of school victimization are needed to assess the heterogeneous pattern of victimization in schools. The current study explored distinct victimization configurations in a diverse sample of 418,483 middle and high school students in California, utilizing latent class analyses to account for type and frequency of victimization. The results uncover four classes of victimization, including frequent verbal, physical, and sexual victimization; occasional verbal and physical victimization; verbal and sexual victimization; and no victimization. Older age was associated with a lower likelihood of frequent verbal, sexual, and physical victimization and African American youth were more likely to be classified in this class. Females were more likely to be in the verbal and sexual victimization class than males.     

Project LINK

Abstract

This article describes the outcomes of Project LINK, a Safe Schools/Healthy Students grantee in Larimer County, Colorado. The study analyzed the influence of policies and administrative support on the implementation of programs as well as on risk and protective factors predictive of violent behaviors and drug and alcohol use. Results showed increased feelings of safety in comparison to the rest of the state and changes in risk and protective factors by school level. Results also indicate that leadership support and enforcement of policies are associated with successful adoption, implementation, and positive behavioral outcomes.