A Psychosocial Risk Model of Potentially Traumatic Events And Sexual Risk Behavior Among LGBTQ Individuals

Overview

Journal J Trauma Dissociation

Publisher Routledge

Specialty Emergency Medicine

Date 2019 Apr 2

PMID 30932780

Citations 13

Authors

Jillian R Scheer

Nadav Antebi-Gruszka

Affiliations

Soon will be listed here.

Abstract

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals face heightened risk of potentially traumatic events (PTEs) exposure, including hate crimes and childhood abuse. Past research demonstrates associations between PTEs exposure and sexual risk behavior; however, examining the indirect effect of PTEs on sexual risk behavior remains understudied among LGBTQ individuals. This study tested a path analysis model to inform interventions targeted to reduce sexual risk behavior, as conceptualized by condomless sex with casual partners without knowing the person's HIV or sexually transmitted infection (STI) status, among LGBTQ individuals with PTEs exposure. Participants completed an online one-time survey and included 207 LGBTQ adults who experienced at least one PTE during the past year. Indirect effect results indicated that PTEs exposure was related to sexual risk behavior through serial associations between shame, loneliness, and substance use. Direct effect estimates indicated that greater PTEs exposure was associated with greater shame, loneliness, substance use, and sexual risk behavior. Greater shame was associated with greater loneliness, which was associated with greater substance use. Also, greater substance use was associated with greater sexual risk behavior. This study adds to the burgeoning body of literature on the relationship between PTEs exposure and sexual risk behavior among LGBTQ individuals. Clinical and counseling interventions for LGBTQ individuals with PTEs exposure should work to address modifiable psychosocial risk factors associated with sexual risk behavior.

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References

Schlomer G, Bauman S, Card N . Best practices for missing data management in counseling psychology. J Couns Psychol. 2010; 57(1):1-10. DOI: 10.1037/a0018082. View

Meyer I . Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003; 129(5):674-697. PMC: 2072932. DOI: 10.1037/0033-2909.129.5.674. View

Hequembourg A, Livingston J, Parks K . Sexual victimization and associated risks among lesbian and bisexual women. Violence Against Women. 2013; 19(5):634-57. PMC: 3706505. DOI: 10.1177/1077801213490557. View

Pachankis J . The psychological implications of concealing a stigma: a cognitive-affective-behavioral model. Psychol Bull. 2007; 133(2):328-45. DOI: 10.1037/0033-2909.133.2.328. View

Hatzenbuehler M . How does sexual minority stigma "get under the skin"? A psychological mediation framework. Psychol Bull. 2009; 135(5):707-730. PMC: 2789474. DOI: 10.1037/a0016441. View

Hughes T, McCabe S, Wilsnack S, West B, Boyd C . Victimization and substance use disorders in a national sample of heterosexual and sexual minority women and men. Addiction. 2010; 105(12):2130-40. PMC: 3006226. DOI: 10.1111/j.1360-0443.2010.03088.x. View

Wilson P, Meyer I, Antebi-Gruszka N, Boone M, Cook S, Cherenack E . Profiles of Resilience and Psychosocial Outcomes among Young Black Gay and Bisexual Men. Am J Community Psychol. 2016; 57(1-2):144-57. DOI: 10.1002/ajcp.12018. View

Wang K, Pachankis J . Gay-Related Rejection Sensitivity as a Risk Factor for Condomless Sex. AIDS Behav. 2015; 20(4):763-7. PMC: 4799731. DOI: 10.1007/s10461-015-1224-6. View

Parsons J, Millar B, Moody R, Starks T, Rendina H, Grov C . Syndemic conditions and HIV transmission risk behavior among HIV-negative gay and bisexual men in a U.S. national sample. Health Psychol. 2017; 36(7):695-703. PMC: 5532533. DOI: 10.1037/hea0000509. View

10.

Parsons J, Grov C, Golub S . Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: further evidence of a syndemic. Am J Public Health. 2011; 102(1):156-62. PMC: 3490563. DOI: 10.2105/AJPH.2011.300284. View

11.

Parsons J, Antebi-Gruszka N, Millar B, Cain D, Gurung S . Syndemic Conditions, HIV Transmission Risk Behavior, and Transactional Sex Among Transgender Women. AIDS Behav. 2018; 22(7):2056-2067. PMC: 6021215. DOI: 10.1007/s10461-018-2100-y. View

12.

Mustanski B, Greene G, Ryan D, Whitton S . Feasibility, acceptability, and initial efficacy of an online sexual health promotion program for LGBT youth: the Queer Sex Ed intervention. J Sex Res. 2014; 52(2):220-30. DOI: 10.1080/00224499.2013.867924. View

13.

Scheer J, Poteat V . Trauma-Informed Care and Health Among LGBTQ Intimate Partner Violence Survivors. J Interpers Violence. 2019; 36(13-14):6670-6692. PMC: 7023297. DOI: 10.1177/0886260518820688. View

14.

Goodenow C, Szalacha L, Robin L, Westheimer K . Dimensions of sexual orientation and HIV-related risk among adolescent females: evidence from a statewide survey. Am J Public Health. 2008; 98(6):1051-8. PMC: 2377290. DOI: 10.2105/AJPH.2005.080531. View

15.

Shilo G, Antebi N, Mor Z . Individual and community resilience factors among lesbian, gay, bisexual, queer and questioning youth and adults in Israel. Am J Community Psychol. 2014; 55(1-2):215-27. DOI: 10.1007/s10464-014-9693-8. View

16.

Beck J, McNiff J, Clapp J, Olsen S, Avery M, Hagewood J . Exploring negative emotion in women experiencing intimate partner violence: shame, guilt, and PTSD. Behav Ther. 2011; 42(4):740-50. DOI: 10.1016/j.beth.2011.04.001. View

17.

Antebi-Gruszka N, Schrimshaw E . Negative Attitudes Toward Same-Sex Behavior Inventory: An Internalized Homonegativity Measure for Research with Bisexual, Gay, and other Non-Gay Identified Men who have Sex with Men. Psychol Sex Orientat Gend Divers. 2019; 5(2):156-168. PMC: 6368188. DOI: 10.1037/sgd0000292. View

18.

Aakvaag H, Thoresen S, Wentzel-Larsen T, Dyb G, Roysamb E, Olff M . Broken and guilty since it happened: A population study of trauma-related shame and guilt after violence and sexual abuse. J Affect Disord. 2016; 204:16-23. DOI: 10.1016/j.jad.2016.06.004. View

19.

Holmes W, Foa E, Sammel M . Men's pathways to risky sexual behavior: role of co-occurring childhood sexual abuse, posttraumatic stress disorder, and depression histories. J Urban Health. 2005; 82(1 Suppl 1):i89-99. PMC: 3456164. DOI: 10.1093/jurban/jti028. View

20.

Alessi E, Martin J, Gyamerah A, Meyer I . Prejudice-Related Events and Traumatic Stress Among Heterosexuals and Lesbians, Gay Men and Bisexuals. J Aggress Maltreat Trauma. 2013; 22(5):510-526. PMC: 3860584. View