Sexual Hookups and Alcohol Consumption Among African American and Caucasian College Students: A Pilot Study

This study investigated college students’ sexual hooking up and its associations with alcohol consumption for men and women; furthermore, potential differences related to ethnicity were investigated. Students at a midsized southeastern university who identified as Caucasian or African American (N = 227) completed a survey assessing sexual behavior, demographics, and alcohol consumption. Heavy drinking was associated with ever hooking up, number of hookup partners, hookup frequency, and level of sexual contact during hooking up for Caucasian students, but not for their African American peers. Among Caucasians, moderate drinking men reported more intense sexual contact during hookups than their female peers who were moderate drinkers; sexual contact levels were more similar for men and women who were either nondrinkers or heavy drinkers. Limitations and strengths are discussed, as are ideas for future studies on hooking up and for educational efforts to protect against potentially negative outcomes of hooking up.     

Straight Allies: Supportive Attitudes Toward Lesbians, Gay Men, and Bisexuals in a College Sample

Little research has focused on the development of positive attitudes toward the LGB community amongst heterosexuals in the USA, despite evidence demonstrating increasing levels of acceptance for sexual orientation minorities. A convenience sample of 50 female and 18 male heterosexual Midwestern university students with positive attitudes toward LGB people participated in semi-structured interviews that addressed research questions about the formation of their attitudes. Results found three key features in attitude formation: (1) early normalizing experiences in childhood, (2) meeting LGB peers in high school or college as important to the development of their attitudes, and (3) experiences of empathy based on an LGB peer’s struggles and successes, or resistance to hatred expressed by those with negative attitudes.     

Rape Myths and Hookup Culture: An Exploratory Study of U.S. College Students' Perceptions

The present study provides the first known systematic examination of the association of hookup culture endorsement and rape myth acceptance. Multivariate regression analysis was conducted to test the primary hypothesis that hookup culture endorsement would be the primary predictor of rape myth acceptance levels among a sample of 422 U.S. college students. Findings indicated the existence of a complex relationship in which rape myth acceptance increases or decreases based upon the form of hookup culture endorsement examined. Beliefs that hookups are harmless and elevate social status increased rape myth acceptance, whereas beliefs that hookups express sexual freedom decreased rape myth acceptance. Furthermore, results supported the hypothesis that hookup culture endorsement was the largest predictor of rape myth acceptance. Consistent with previous studies, the predictive power of gender and religiosity in determining levels of rape myth acceptance were shown to be significant. When controlling for levels of hookup culture endorsement, the explanatory power of these variables decreased, and hookup culture endorsement had the largest effect upon rape myth acceptance levels.     

Adaptation of an HIV Medication Adherence Intervention for Adolescents and Young Adults

Rising rates of human immunodeficiency virus (HIV) infection among adolescents and young adults underscore the importance of interventions for this population. While the morbidity and mortality of HIV has greatly decreased over the years, maintaining high rates of adherence is necessary to receive optimal medication effects. Few studies have developed interventions for adolescents and young adults and none have specifically been developed for sexual minority (lesbian, gay, and bisexual; LGB) youth. Guided by an evidence-based adult intervention and adolescent qualitative interviews, we developed a multicomponent, technology-enhanced, customizable adherence intervention for adolescents and young adults for use in a clinical setting. The two cases presented in this paper illustrate the use of the five-session positive strategies to enhance problem solving (Positive STEPS) intervention, based on cognitive-behavioral techniques and motivational interviewing. We present a perinatally infected heterosexual woman and a behaviorally infected gay man to demonstrate the unique challenges faced by these youth and showcase how the intervention can be customized. Future directions include varying the number of intervention sessions based on mode of HIV infection and incorporating booster sessions.     

Trajectories and determinants of alcohol use among LGB young adults and their heterosexual peers: results from a prospective study

Lesbians, gays, and bisexuals (LGBs) are at increased risk for alcohol use during young adulthood, but the mechanisms remain inadequately understood. The aim of the present study was to examine the trajectories and determinants of alcohol use among LGB young adults who were sampled prospectively. The sample included 111 LGB individuals (47 women and 64 men) and 2,109 heterosexuals (1,279 women and 830 men), who were assessed at three time points: during the summer after their senior year of high school and during the fall and spring of their freshman year of college. Hierarchical linear modeling analyses indicated that lesbians consumed more alcohol than their heterosexual peers during high school, whereas gay men increased their alcohol use at greater rates than heterosexual men during the initial transition to college. Positive alcohol expectancies and social norms mediated this relation for both men and women. The results extend the generalizability of these processes and highlight the importance of considering normative social-cognitive influences in the development of alcohol use among LGB young adults.     

Safe and supportive schools for LGBT youth: Addressing educational inequities through inclusive policies and practices

Inclusive policies that attend to sexual orientation and gender identity (SOGI) are associated with more supportive school environments for lesbian, gay, bisexual, and transgender (LGBT) youth. We use the 2013–2015 California Healthy Kids Survey (n = 113,148) matched with principal reports of school policies from the 2014 California School Health Profiles to examine differential effects of SOGI-focused policies for LGB and transgender youth. SOGI-focused policies had a direct association with less truancy, and moderated the association between sexual orientation/gender identity and other school outcomes. SOGI-focused policies were associated with more positive experiences and perceptions of school climate for LGB youth and, to a lesser extent, transgender youth. Findings underscore the importance of inclusive policies, especially those that address the unique needs of transgender students.     

Hookups and sexual regret among college women

Research has suggested that women are prone to sexual regrets of action. In the present study, the authors examined "hooking up" as a predictor of sexual regret in 152 sexually active college women. Results indicate that two sexual behaviors were particularly predictive of participants' regret: (a) engaging in sexual intercourse with someone once and only once and (b) engaging in intercourse with someone known for less than 24 hr. Noncoital hookups (performing and receiving oral sex) were not significantly related to regret, indicating that college women may be underestimating the health risks associated with oral sex. Although hookups are a common feature of contemporary college life, the results counter the popular assumption that hookups are inconsequential for college women. The authors discuss the preventative health implications of their findings.     

Adult Attachment and Heterosexual College Women’s Hookup Behaviors: Mediating Effects of Sexual Motives

We investigated sexual motives as mediators of the relationships between adult attachment orientations and women’s casual sexual behavior. Female heterosexual undergraduates (N = 221) provided self-report data on multiple attachment orientations underlying attachment styles, sexual motives, and hookup behavior. Proximity-seeking (i.e., turning toward others to share experiences and in times of need) and self-reliance (i.e., preferring not to ask for help or to depend on others) were both associated with number of hookup partners. Sexual motives mediated some of these relationships. Intimacy motives explained how proximity-seeking positively related to hookup behavior, whereas enhancement motives explained how self-reliance negatively related to hookup behavior. These results suggest that attachment orientations associated with both secure and insecure attachment styles predict women’s casual sexual behavior through different sexual motives. These results also suggest that women’s casual sexual encounters do not necessarily reflect insecurity, dysfunction, psychopathology, or maladaptation. To promote healthy hookup behaviors among women, both emotional as well as sexual needs associated with different attachment orientations should be considered.     

Sexual Debut Ages in Heterosexual,Lesbian, Gay,and Bisexual Young Adults in Norway

This study estimates sexual debut ages in young heterosexual, lesbian, gay, and bisexual men and women in Norway. A questionnaire survey was completed online by 27.2 % of a representative national web sample of 2090 persons aged 18–29 years. Three self-selected samples of 924 respondents completed an extended version of the survey online. Lesbian and bisexual women reported earlier experience of orgasm through masturbation than heterosexual women (median 13.1 vs. 15.2 years), and heterosexual men (median 13.5) reported earlier debut than heterosexual women. There was a statistically significant difference between heterosexual and lesbian and bisexual women’s age at the first experience of receptive vaginal sex (median 16.8 vs. 15.4 years). As regards experience of insertive vaginal sex, a significantly higher percentage of heterosexual men than women, and of heterosexual and lesbian and bisexual women, reported experience. It was more common among lesbian and bisexual women than heterosexual women to have had oral sex with another woman, but in neither group did the cumulative percent reach 50 % by the age of 29 years and the median could not be estimated. Gay and bisexual men reported earlier receptive anal sex debut than heterosexual men. With regard to insertive anal sex, gay and bisexual men accumulated experience earlier than heterosexual men, and lesbian and bisexual women acquired this experience earlier than heterosexual women. Compared to heterosexuals, LGB persons of both genders engage in more varied sexual activities. Lesbian and gay persons have same-sex experiences at an earlier age than bisexuals.     

Hooking Up and Emerging Adults’ Relationship Attitudes and Expectations

The dating landscape has changed markedly in recent years, with many emerging adults taking a less committed approach to relationships and sex (e.g., “hooking up”). Delayed marital transitions and declining rates of marriage have led to concerns that the rise of the “hookup culture” is associated with a devaluing of marriage. Previous research on associations between sexual attitudes or overall sexual experience and marital attitudes has produced inconsistent findings and is not representative of modern union formation and sexual norms. Using a sample of 248 emerging adults, we examined associations between engagement in casual sexual behavior (i.e., hooking up) and expectations for future committed relationships and marriage as well as attitudes toward current relationship involvement. Contrary to concerns about the devaluation of marriage, results indicated that level of engagement in hooking up was not associated with expectations for involvement in future committed relationships, including marriage. However, hooking up was associated with less favorable attitudes toward current relationship involvement. These findings suggest that engagement in hooking up is a time-specific behavior that aligns with the self-focused nature of emerging adulthood, rather than indicating a lack of interest in future committed relationships or marriage.     

Sexual Minority Identity,Viewing Motivations,and Viewing Frequency of LGB-Inclusive Television Among LGB Viewers

The purpose of this study was to examine the relationships between dimensions of sexual minority identity, viewing motivations, and viewing frequency of lesbian, gay, and bisexual (LGB)-inclusive television (TV) among LGB viewers. Two hundred two LGB adults completed measures regarding sexual minority identity, TV viewing motivations, and frequency of viewing LGB-inclusive TV programs. Analyses revealed that dimensions of sexual minority identity (i.e., internalized homonegativity, acceptance concerns, and identity affirmation) were positively associated with a learning motivation for viewing LGB-inclusive TV. Moreover, a learning motivation mediated the relationship between dimensions of sexual minority identity and frequency of viewing LGB-inclusive TV. These findings have important implications for clinicians, and suggest that engaging with LGB-inclusive TV may represent an important coping strategy for LGB individuals dealing with identity concerns.     

Predicting the suicide attempts of lesbian, gay, and bisexual youth

In this study predictors of serious suicide attempts among lesbian, gay, and bisexual (LGB) youth were examined. Three groups were compared: youth who reported no attempts, youth who reported attempts unrelated to their sexual orientation, and youth whose attempts were considered related to their sexual orientation. About one third of respondents reported at least one suicide attempt; however, only half of the attempts were judged serious based on potential lethality. About half of all attempts were related to youths' sexual orientation. Factors that differentiated youth reporting suicide attempts and those not reporting attempts were greater childhood parental psychological abuse and more childhood gender-atypical behavior. Gay-related suicide attempts were associated with identifiability as LGB, especially by parents. Early openness about sexual orientation, being considered gender atypical in childhood by parents, and parental efforts to discourage gender atypical behavior were associated with gay-related suicide attempts, especially for males. Assessment of past parental psychological abuse, parental reactions to childhood gender atypical behavior, youths' openness about sexual orientation with family members, and lifetime gay-related verbal abuse can assist in the prediction of suicide attempts in this population.     

The Influence of Intersecting Identities on Self‐Harm,Suicidal Behaviors,and Depression among Lesbian,Gay, and Bisexual Individuals

Individuals with lesbian, gay, and bisexual (LGB) identities have higher prevalence of self‐directed violence, but very little is known about racial/ethnic differences between LGB populations. This study aimed to examine racial/ethnic differences in self‐harm, suicidal ideation, suicide attempt, and depression among LGB and heterosexual emerging adults. Data are compiled from the Fall 2008 and Spring 2009 National College Health Assessment and limited to respondents within emerging adulthood (ages 18–24) who indicated their sexual orientation and racial/ethnic identities (n = 89,199). Within each racial/ethnic group, LGB individuals were significantly more likely to report self‐harm, suicidal ideation, suicide attempt, and depression than non‐LGB individuals.     

Intimate Partner Violence Victimization among Heterosexual,Gay, Lesbian and Bisexual College Students: The Role of Pro-Abuse Peer Support

Most studies of peer support for intimate partner violence (IPV) at U.S. institutions of higher learning focused solely on male assaults on heterosexual women. As well, the bulk of this work only examined how all-male social networks perpetuate and legitimate this behavior. Using recent data from a survey administered at a large U.S. residential university, the main objective of this paper is to help fill a research gap by presenting findings on (1) how having peers who have perpetrated dating abuse and (2) peers’ encouragement to be abusive to dates contributes to IPV victimization in a campus lesbian, gay, and bisexual (LGB) community. The results show that LGB students report a higher rate of such victimization than heterosexual students and the two aforementioned types of pro-abuse peer support significantly predict victimization among both sexual orientation groups.     

Coming to terms with coming out: review and recommendations for family systems-focused research.

For lesbian, gay, and bisexual (LGB) adolescents and young adults, coming out to family members, especially parents, is a major psychological decision and hurdle due to both perceived fears and actual negative consequences. But beyond the literature on factors associated with the decision to come out and parents' initial reactions to the disclosure, empirical studies of what unfolds afterward, and how the family adjusts to the LGB adolescent's identity over time, are sparse and scattered. This article reviews and integrates findings from studies of the individual-, dyadic-, and family-level variables associated with positive outcomes, focusing particularly on relationship variables. Methodological concerns within this body of research are discussed, and research recommendations are offered. A preliminary working model of how families successfully come to terms with coming out is proposed to guide future research that will advance theory and clinical work with LGB youth and their families.     

Mental health of lesbian, gay, bisexual, and heterosexual siblings: effects of gender, sexual orientation, and family

Self-identified lesbian, gay male, and bisexual (LGB) individuals were recruited via convenience sampling, and they in turn recruited their siblings (79% heterosexual, 19% LGB). The resulting sample of 533 heterosexual, 558 lesbian or gay male, and 163 bisexual participants was compared on mental health variables and their use of mental health services. Multilevel modeling analyses revealed that sexual orientation predicted suicidal ideation, suicide attempts, self-injurious behavior, use of psychotherapy, and use of psychiatric medications over and above the effects of family adjustment. Sexual orientation was unrelated to current psychological distress, psychiatric hospitalizations, and self-esteem. This is the 1st study to model family effects on the mental health of LGB participants and their siblings.     

Gender-Specific Conflicts among Urban African-American Youth: The Roles of Situational Context and Issues of Contention

The literatures on violence among young men and young women have highlighted the importance of situational context. However, few studies have compared disputes that do not result in violence with those that do, and even fewer have been positioned to investigate the role situational context may play across gender in accounting for these outcomes. Drawing on recent scholarship on gender and violence, this research explores the situational contexts of youth conflicts among African-American adolescent boys and girls. Using a large sample of narrative accounts of 153 violent and nonviolent conflicts, we examine how youth describe the issues of contention in their conflicts, how these relate to the situational contexts in which conflicts emerge, and similarities and differences in the antecedents, contexts, and extent of male and female violence.     

Substance use in lesbian, gay, and bisexual populations: an update on empirical research and implications for treatment

Historically, substance use problems were thought to be more prevalent in lesbian, gay, and bisexual (LGB) populations, and correcting skewed perceptions about substance abuse among LGB individuals is critically important. This review provides an update on empirical evidence on LGB substance use patterns and treatment outcome, with specific focus on clinical implications of findings. Compared to earlier studies, the recent research included in this review has used more sophisticated methodologies and more representative samples, and also has investigated multiple dimensions of sexual orientation in relation to substance use patterns. Findings from recent research suggest that lesbians and bisexual women are at greater risk for alcohol and drug use disorders and related problems, and that gay and bisexual men are at greater risk for illicit drug use and related problems. Several sociocultural factors have emerged as correlates of substance use patterns in LGB populations (e.g., affiliation with gay culture, HIV status), and several demographic characteristics (e.g., female, older age) do not appear to be as robust of protective factors against substance abuse for LGB individuals compared to heterosexual populations. Bisexual identity and/or behavior in particular seem to be related to increased risk for substance abuse. In terms of treatment outcome, limitations of extant research prevent conclusions about the relative impact of LGB-specific interventions, and further research that includes women and uses more equivalent comparison interventions is needed. Clinical implications of research findings are discussed for case identification, selection of treatment goals (e.g., moderation vs. abstinence), targets for intervention, and specific treatment modalities.     

To Hook Up or Date: Which Gender Benefits?

Hooking up on college campuses has become more frequent than dating in heterosexual sexual interaction. Analysis of the relative benefits and costs associated with dating and hooking up suggest that women benefit more from dating while men benefit more from hooking up. U.S students (150 women, 71 men) at a midsized southeastern university indicated preferences for dating and hooking up across a number of situations and indicated the perceived benefits and risks associated with each. As hypothesized, in most situations women more than men preferred dating and men more than women preferred hooking up. Both genders perceived similar benefits and risks to dating and hooking up; differences provided insight into the sexual motives of college women and men.     

Expected,ideal, and actual relational outcomes of emerging adults' “hook ups”

Despite the prevalence of “hooking up” among emerging adults, little is known about the outcomes of these encounters. A sample of 348 college students completed a survey on expected, ideal, and actual relational outcomes of hook ups (assessed at a 10‐week follow‐up). Results showed that most men and women expected outcomes involving minimal commitment (i.e., nothing more, continued sexual involvement). Ideal outcomes of hook ups differed by gender, with women more often hoping for romantic involvement, and men more likely to view continued sexual involvement as ideal. Actual outcomes varied, with continued sexual involvement the most common outcome (32.2%), followed by friendship (27.7%), romantic involvement (23.2%), and nothing more (17%); 43.8% of participants experienced fulfillment of ideal outcomes.