College Health Service and the Fast-Food Value System

Abstract

Objective: To estimate and compare the prevalence of overweight and obesity among self-identified lesbian, bisexual, and heterosexual college age women. Methods: A secondary analysis of the Spring 2006 National College Health Assessment was conducted with 31,500 female college students (aged 18 to 25 years) to compare body mass index (calculated from self-reported height and weight) among lesbian, bisexual and heterosexual college women. Results: Compared to heterosexuals female college students, lesbians and bisexual women were both significantly more likely to be overweight or obese. Lesbians were also less likely to be underweight compared to heterosexual college women. Conclusions: Self-identified lesbian and bisexual college women were more likely to be overweight or obese than their heterosexual counterparts. Health care professionals and educators should target these high-risk populations for obesity prevention programs. This study highlights the need for additional research examining the potential risk factors for overweight and obesity among young sexual minority women.     

Sexual Behaviors and Sexually Transmitted Diseases of Lesbians

ABSTRACT

The Boston Lesbian Health Project surveyed 1633 lesbians about their health status, health related behaviors and health problems. This paper reports on those parts of the questionnaire that dealt with sexual behaviors and sexually transmitted diseases. The sample was predominantly monogamous, but few had been in their present relationship for more than five years. Sexual practices were similar to those reported in previous studies of lesbians and to those reported in a study of heterosexual women. Sexually transmitted diseases were rare in women who had never had sex with a male partner. The majority of the sample did report a history of male sexual partners and therefore are at risk for abnormal pap smears and other sexually transmitted diseases.     

Sexual Orientation Moderates the Effect of Gender on Body Satisfaction: Results From a National Probability Sample

Body image concerns typically affect women more so than men, but there is reason to believe that this pattern may depend on sexual orientation. The present study examined differences in levels of body satisfaction among men and women who identified as heterosexual, plurisexual (bisexual and pansexual), gay, and lesbian, using data from a large-scale national probability sample from New Zealand (N = 17,005). As expected, heterosexual men reported higher body satisfaction than heterosexual women. Gay and plurisexual men reported lower body satisfaction than heterosexual men. Gay men also reported lower body satisfaction than lesbian women, and did not differ significantly from heterosexual and plurisexual women. Ratings of heterosexual, plurisexual, and lesbian women’s body satisfaction did not differ significantly. Results held when adjusting for a range of demographic covariates (including age and BMI), and highlight the importance of examining the psychological and health outcomes associated with poor body image among gay men. These findings emphasize the relevance of sexual orientation in understanding men’s body image-related issues.     

Heterosexuals' attitudes toward bisexual men and women in the United States

This paper examines heterosexual adults’ attitudes toward bisexual men and women using data from a 1999 national RDD survey (N = 1,335). Ratings on 101‐point feeling thermometers were lower (less favorable) for bisexual men and bisexual women than for all other groups assessed—including religious, racial, ethnic, and political groups—except injecting drug users. More negative attitudes toward bisexuals were associated with higher age, less education, lower annual income, residence in the South and rural areas, higher religiosity, political conservatism, traditional values concerning gender and sexual behavior, authoritarianism, and lack of contact with gay men or lesbians. White heterosexual women expressed significantly more favorable attitudes than other women and all men. A gender difference was observed in attitudes toward bisexuals and homosexuals: Heterosexual women rated bisexuals significantly less favorably than they rated homosexuals, regardless of gender, whereas heterosexual men rated male targets less favorably than female targets, regardless of whether the target was bisexual or homosexual.     

Neutralizing the political threat of the marginal woman: Lesbians’ beliefs about bisexual women

One might expect lesbian and bisexual women to form a strong alliance because of their common marginalization in a heterosexist and sexist society. But previous research has shown that tension exists between lesbian and bisexual women and that some segments of the lesbian community consider bisexuality a threat to lesbian politics. In this article I report data on beliefs about bisexual women gathered from 346 self‐identified lesbians via self‐administered questionnaires and discuss the relationship between lesbian and bisexual women as a special case of intergroup relations. Most lesbian respondents believed that bisexual identity is more likely than lesbian identity to be a phase or a way of denying one's true sexuality and that bisexual women are less personally and politically loyal and more willing and able to pass as heterosexual than are lesbians. Lesbians’ beliefs about bisexual women were uncorrelated with demographics, but lesbians who reported having some heterosexual feelings were less inclined to hold derogatory beliefs about bisexual women than were lesbians whose feelings were exclusively homosexual. On the basis of intergroup relations theory, I argue that lesbian‐bisexual relations are in the “amicable consensus” stage of political development (Jackman & Senter, 1983) and that lesbians’ attitudes are likely to change as the nascent bisexual political movement grows in strength. Methodological issues pertaining to the measurement of lesbians’ attitudes toward sexuality, including the reactivity of these attitudes to various measurement strategies, are discussed.     

Heterosexuals attitudes toward bisexual men and women in the United States

This paper examines heterosexual adults attitudes toward bisexual men and women using data from a 1999 national RDD survey (N = 1,335). Ratings on 101-point feeling thermometers were lower (less favorable) for bisexual men and bisexual women than for all other groups assessed--including religious, racial, ethnic, and political groups--except injecting drug users. More negative attitudes toward bisexuals were associated with higher age, less education, lower annual income, residence in the South and rural areas, higher religiosity, political conservatism, traditional values concerning gender and sexual behavior, authoritarianism, and lack of contact with gay men or lesbians. White heterosexual women expressed significantly more favorable attitudes than other women and all men. A gender difference was observed in attitudes toward bisexuals and homosexuals: Heterosexual women rated bisexuals significantly less favorably than they rated homosexuals, regardless of gender, whereas heterosexual men rated male targets less favorably than female targets, regardless of whether the target was bisexual or homosexual.     

Women's body image self‐consciousness during physical intimacy with a partner

In Western cultures, women's bodies are objectified more so than men's, and other writers have noted the multiple ways that such objectification may negatively impact women's lives. As women's sexual desirability is often equated with physical attractiveness and thinness, it is surprising that previous investigations have not included women's body image self‐consciousness during physical intimacy with a partner. In the current set of studies, a 15‐item measure of the construct was developed and shown to have excellent psychometric properties. Approximately one third of college student women indicated experiencing body image self‐consciousness during physical intimacy with a heterosexual partner at least some of the time. Even after statistically controlling for actual body size, measures of general body image, general sexual anxiety, and general well‐being, scores on the new measure were predictive of heterosexual experience, sexual esteem, sexual assertive‐ness, and avoidance of sexual activity. Results are discussed with regard to implications and directions for future research.     

Gender Gaps in Public Opinion about Lesbians and Gay Men

Using data from a 1999 national RDD survey (N = 1,335), thisarticle examines gender gaps in heterosexuals' attitudes towardlesbians, gay men, and a variety of topics related to homosexuality.Attitudes toward lesbians differed from attitudes toward gaymen in several areas, and significant differences were observedbetween male and female heterosexual respondents. Survey participantsgenerally were more likely to regard gay men as mentally ill,supported adoption rights for lesbians more than for gay men,and had more negative personal reactions to gay men than tolesbians. Overall, heterosexual women were more supportive thanmen of employment protection and adoption rights for gay people,more willing to extend employee benefits to same-sex couples,and less likely to hold stereotypical beliefs about gay people.Heterosexual men's negative reactions to gay men were at theroot of these gender differences. Of all respondent-by-targetcombinations, heterosexual men were the least supportive ofrecognition of same-sex relationships and adoption rights forgay men, most likely to believe that gay men are mentally illand molest children, and most negative in their affective reactionsto gay men. Heterosexual men's response patterns were affectedby item order, suggesting possible gender differences in thecognitive organization of attitudes toward gay men and lesbians.The findings demonstrate the importance of differentiating lesbiansfrom gay men as attitude targets in survey research.     

If I Am Not Straight or Gay,Who Am I?

Women that are violating heterosexual norms for sexual desire will run into issues about identity. This study explores ways of dealing with sexual identities that seems to provide a workable solution for women when they navigate and negotiate their lives as lesbians in a society dominated by heterosexual norms. The data sources are therapeutic conversations and followed-up interviews with ten women. The stories told by these women fail to fit the phases and the categorizations of the traditional coming out model. In handling dilemmas, ambiguity seems to be a resource to them. Their efforts and solutions are more in accordance with queer theory, when they navigate between dichotomies of homosexual/heterosexual, feminine/masculine, normality/deviance and personal responsibility/coincidence.     

Loving Oneself: The Associations Among Sexually Explicit Media,Body Image,and Perceived Realism

Online sexually explicit material (SEM) is a popular media source, but little is known about its association with body image. This study explored whether perceived realism of SEM mediated the direct association of SEM use on body image while accounting for gender differences. Young adults (N = 393; ages 19 to 30; 53.4% women) recruited through a crowdsourcing Web site completed an anonymous online survey that assessed SEM use, perceptions of the realism of SEM, and body image. Body satisfaction, genital self-image, comfort being nude, penis-/breast-size satisfaction, and self-esteem were used to create the variable of body image. SEM use had a positive indirect association with body image through perceived realism for both men and women. Follow-up analyses revealed this association was due to body satisfaction and self-esteem in men and comfort being nude and self-esteem in women. Findings are discussed in terms of implications for clinical applications and understanding young adults’ body image.     

Attitudes toward lesbians, gay men, bisexual women, and bisexual men in Germany

Attitudes toward lesbians, gay men, bisexual women, and bisexual men were assessed in a national representative sample of 2,006 self-identified heterosexual women and men living in Germany. Replicating previous findings, younger people held more favorable attitudes than older people; women held more favorable attitudes than men; and men held more favorable attitudes toward female than male homosexuality, whereas women did not differentiate. However, women held more favorable attitudes toward homosexuals than toward bisexuals, whereas men did not differentiate. Knowing a homosexual person was an important predictor of attitudes, as was political party preference. Both same-sex and opposite-sex sexual attraction were substantially related with attitudes. Our findings support the notion that attitudes toward lesbians, gay men, bisexual women, and bisexual men are related but distinct constructs.     

Body Satisfaction and Sexual Health in Dutch Female University Students

Studies in the field of body image have primarily addressed its negative aspects, such as body dissatisfaction. The present study focused instead on women who are satisfied with their bodies and on how body satisfaction relates to sexual health. A sample of 319 Dutch female university students completed an online survey that included items about body image evaluation, body image investment, overweight preoccupation, body image affect during sexual activity, sexual frequency, sexual functioning, and sexual self-esteem. We found that the level of body dissatisfaction was minimal in our sample. The majority reported neutral or mildly positive body evaluations, and in 30% of the sample these evaluations were clearly positive. Comparisons between women who reported positive versus neutral body evaluations showed that the body-satisfied women had lower body mass indexes (BMIs) and reported less body image investment, less overweight preoccupation, and less body self-consciousness during sexual activity. With regard to sexual health, they reported higher sexual self-esteem and better sexual functioning. Furthermore, we found that body image self-consciousness was negatively associated with sexual functioning, sexual self-esteem, and frequency of sexual activity with a partner. Body satisfaction did not account for a portion of the relationship of body self-consciousness during sexual activity with sexual health.     

The effect of a college sexual assault prevention program on first-year students' victimization rates

OBJECTIVE: Although a variety of sexual assault prevention programs are currently available to college health professionals, there is a dearth of information about the effect of these programs on sexual assault victimization rates. PARTICIPANTS: The authors evaluated the efficacy of a sexual assault prevention program for first-year students at a college in the Northeast (N = 1,982). METHODS: They used a retrospective cohort design and assessed the prevalence of sexual assault victimization among students exposed to the sexual assault prevention program and students 1 year their senior who were not exposed. RESULTS: Students who had no exposure were more likely to report that they were sexually assaulted during their first year of college (odds ratio = 1.74, 95% confidence interval [1.32-2.29]). Results suggest that the program was effective for males and females, but not for students with a prior history of sexual assault victimization. Gay, lesbian, and bisexual students were at increased risk for victimization as compared with heterosexual students, and students who drank alcohol or engaged in binge drinking were at increased risk as compared with alcohol abstinent students. CONCLUSIONS: Findings suggest that this program had a positive effect on victimization rates for certain sub-groups of students.     

Attitudes toward lesbians,gay men,bisexual women,and bisexual men in Germany

Attitudes toward lesbians, gay men, bisexual women, and bisexual men were assessed in a national representative sample of 2,006 self‐identified heterosexual women and men living in Germany. Replicating previous findings, younger people held more favorable attitudes than older people; women held more favorable attitudes than men; and men held more favorable attitudes toward female than male homosexuality, whereas women did not differentiate. However, women held more favorable attitudes toward homosexuals than toward bisexuals, whereas men did not differentiate. Knowing a homosexual person was an important predictor of attitudes, as was political party preference. Both same‐sex and opposite‐sex sexual attraction were substantially related with attitudes. Our findings support the notion that attitudes toward lesbians, gay men, bisexual women, and bisexual men are related but distinct constructs.     

Attitudes Toward Lesbians and Gays Among American and Dutch Adolescents

Attitudes toward lesbians and gays vary across national populations, and previous research has found relatively more accepting attitudes in the Netherlands as compared to the United States. In this study, we compared beliefs about and attitudes toward lesbians and gays in samples of Dutch and American heterosexual adolescents, utilizing survey data from 1,080 American adolescents (mean age = 15.86 years) attending two schools and from 1,391 Dutch adolescents (mean age = 16.27 years) attending eight schools. Findings indicated the Dutch participants were more tolerant of lesbians and gays, after adjusting for the gender, age, and racial/ethnic minority status of the participants. However, between-country differences were attenuated by accounting for the beliefs about lesbians and gays that participants used to justify their attitudes. American participants were more likely to justify their attitudes using beliefs related to social norms and religious opposition, while the Dutch participants were more likely to justify their attitudes using beliefs related to individual rights and the biological/genetic basis of homosexuality. The results suggest that the relative importance of particular beliefs about lesbians and gays to attitudes at the group level may be context dependent but also that certain beliefs are salient to attitudes across national contexts.     

Beyond High School

Abstract

This study examined interpersonal heterosexist discrimination by examining self-reported anti-gay behaviors of heterosexual college students. Respondents were 226 college students; 94.9% had perpetrated some form of discriminatory behavior and 32.7% had committed a behavior that was rated as moderately harmful or higher. A higher amount of self-reported discriminatory behavior was associated with being male, having more homophobic attitudes, and having lower GPAs. Discriminatory behaviors were not related to political ideology, religious influence, or interaction with gay men and lesbians. Neither discriminatory behaviors nor homophobic attitudes were related to academic year, age, membership in a social fraternity/sorority, or membership on an intercollegiate athletic team.     

Social and Demographic Characteristics of Gay,Lesbian, and Heterosexual Adults with and Without Children

SUMMARY

This is the first study to compare lesbian mothers (n = 150), lesbians without children (n = 236), heterosexual mothers (n = 175), heterosexual women without children (n = 38), gay fathers (n = 40), gay men without children (n = 163), heterosexual fathers (n = 157), and heterosexual men without children (n = 32) on social and demographic characteristics. Demographic differences included age, education, length of relationship, religion, and geographic location. Only 28% of gay fathers and 37% of lesbian mothers had at least one child from their current relationship. For women the most important factor in predicting contact with family of origin was sexual orientation, while for men it was parenting status. More gay and lesbian parents had disclosed their sexual orientation than those without children. Gay fathers reached most milestones in the coming-out process between 2.5 and 4 years later than gay men without children, while lesbian mothers reached all milestones in the coming-out process 3 to 5 years later than lesbians without children. Lesbian mothers who had children before coming out reached developmental milestones 4 to 8 years later than lesbian mothers who had children after coming out.     

Self-Perceptions of Sexual Attractiveness: Satisfaction With Physical Appearance is Not of Primary Importance Across Gender and Sexual Orientation

Research on self-perceived sexual attractiveness has predominantly focused on the importance of physical appearance, overlooking nonphysical traits that may contribute to these self-perceptions. The present study examined and compared the importance of a variety of traits for self-perceived sexual attractiveness. Self-identified heterosexual, gay, and bisexual men (N = 1,801) and heterosexual, lesbian, and bisexual women (N = 1,092) completed an online questionnaire examining self-perceived sexual attractiveness, body esteem, sexual esteem, adherence to gender norms, and sexual experience. Body esteem and sexual esteem were significant predictors of self-perceived sexual attractiveness, regardless of gender and sexual orientation. Adhering to a masculine gender norm was a significant predictor among all groups (to varying extents) but heterosexual women. Adhering to a feminine gender norm was a significant predictor among heterosexual men and bisexual women. Finally, sexual experience was a significant predictor for all men and bisexual women. Furthermore, while body esteem was a predictor across all groups, for most individuals it did not appear to be of primary importance, with either sexual esteem or masculinity proving to be of greater importance. These findings suggest the need to consider traits related to both physical and nonphysical factors for improving an individual's self-perceived sexual attractiveness.