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Abreu RL, Skidmore SJ, Barrita AM, Sostre JP, Lefevor GT, Watson RJ. Substance Use, Parental and Teacher Support, and Mental Health Outcomes Among Latinx Sexual and Gender Minority Youth. JOURNAL OF HOMOSEXUALITY 2025:1-22. [PMID: 40353813 DOI: 10.1080/00918369.2025.2496200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2025]
Abstract
Latinx sexual and gender minority youth (LSGMY) experience specific stressors due to intersectional systemic oppression that negatively impact their mental health. Additionally, many LSGMY report engaging in substance use to cope with daily stressors. Furthermore, research shows that parental and teacher support can serve as a buffer against substance use and negative mental health outcomes among these communities. However, there is little research specifically focused on LSGMY and the role that parental and teacher support play in substance use and mental health outcomes. In a sample of 1,338 LSGMY (ages 13-17), we assessed: (a) associations between substance use and mental health outcomes, (b) associations between parental and teacher support and mental health outcomes, and (c) whether parental and teacher support moderated the relationship between substance use and mental health outcomes. Trans and gender diverse (TGD) and plurisexual Latinx youth reported lower self-esteem, higher stress, and higher depressive symptoms compared to their cisgender and/or monosexual counterparts. Parental and teacher support were associated with higher self-esteem, lower stress, and lower depressive symptoms. Alcohol and cigarette use was associated with worse mental health outcomes. Marijuana use was associated with higher depressive symptoms. Finally, teacher support significantly moderated the association between cigarette use and self-esteem at low levels of cigarette use. We discuss clincal implications for working with LSGMY, their parental figures, and their teachers and schools.
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Affiliation(s)
- Roberto L Abreu
- Department of Psychology, University of Florida, Gainesville, Florida, USA
| | | | - Aldo M Barrita
- Department of Psychology, Michigan State University, East Lansing, Michigan, USA
| | - Jules P Sostre
- Department of Psychology, University of Florida, Gainesville, Florida, USA
| | - G Tyler Lefevor
- Department of Psychology, Utah State University, Logan, Utah, USA
| | - Ryan J Watson
- Department of Human Development and Family Sciences, University of Connecticut, Mansfield, Connecticut, USA
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Hunt QA, Parkin CS. Exploring Gender Minority Stress and the Interpersonal Theory of Suicide: A Path Analysis of Suicidality Among Transgender and Gender-Diverse People. JOURNAL OF MARITAL AND FAMILY THERAPY 2025; 51:e70011. [PMID: 40108826 DOI: 10.1111/jmft.70011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2024] [Revised: 02/10/2025] [Accepted: 02/11/2025] [Indexed: 03/22/2025]
Abstract
Extant research shows that transgender and gender-diverse (TGD) individuals are at an increased risk for suicide. However, the mechanisms of TGD suicidality are not fully understood. This study investigated the role of external gender minority stressors and the Interpersonal Theory of Suicide in understanding TGD suicidality. Participants were 264 TGD adults aged 18-76 (M = 26.5, SD = 10.6), majority being White (64%), and nonbinary (71%), who completed a one-time clinical battery. Findings revealed that gender-related victimization and nonaffirmation of gender identity were positively related to suicide ideation through the mediating variable of perceived burdensomeness (PB). Additionally, nonaffirmation significantly moderated the negative relationship between gender-related rejection and suicide ideation. These findings emphasize the need for interventions that target feelings of brokenness and burdensomeness. Clinicians, policymakers, and researchers must work collaboratively to create affirming environments that reduce PB, foster resilience, and ultimately prevent suicide among TGD populations.
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Affiliation(s)
- Quintin A Hunt
- Marriage and Family Therapy Program, Brigham Young University, Provo, Utah, USA
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McKay K, Kennedy E, Wright T, Young B. Stories of absence: Experiences of parental and familial rejection among gender-diverse children and young people. Clin Child Psychol Psychiatry 2025; 30:294-308. [PMID: 39456130 DOI: 10.1177/13591045241288749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2024]
Abstract
Previous research has demonstrated the positive associations with parental support with better mental health outcomes in gender-diverse young people. However, less is known about what happens within a family structure if an unsupportive parent or family member leaves the family unit and sees the child only on the condition that they present in a way that conforms to their birth gender. This paper will focus on the first interviews with nine families within the wider sample of 39 families in the LOGIC-Q (Longitudinal Outcomes of Gender Identity in Children - qualitative) study who reported they had experienced rejection by a parent or family member after the young person had disclosed their gender non-conformity. These families' narratives are examined through two themes: How rejection impacts visitation, and Moving past the loss of rejection. The families all spoke about how they had adapted to the loss of their family members. They described how any negative impact would have been worse had they stayed living together, or were in contact with, the rejecting family member. Here, it becomes important then to understand the context of why a gender-diverse young person may choose to no longer see a parent or family member.
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Affiliation(s)
- Kathy McKay
- Tavistock and Portman NHS Foundation Trust, UK
- University of Liverpool, UK
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Rabins M, Brennan-Cook J, Jackson G, Koch A. LGBTQ+ disclosure: challenges and possibilities. CULTURE, HEALTH & SEXUALITY 2025; 27:143-157. [PMID: 38847329 DOI: 10.1080/13691058.2024.2360989] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 05/24/2024] [Indexed: 02/01/2025]
Abstract
This paper uses Ambiguous Loss Theory to explore the anticipatory and ambiguous losses and stressors surrounding the decision to come out as Lesbian, Gay, Bisexual, Transgender or Queer. Purposive sampling was used to administer a survey to 429 individuals who identified as LGBTQ+ about their coming out decisions and experiences. Data were coded and three major themes were developed: (1) the need for psychosocial safety (fear of being disowned, shunned or abandoned); (2) experiences of anxiety, depression, emotional stress, and shame; and (3) the pursuit of authenticity, self-discovery and liberation. Findings from the study indicate that coming out for LGBTQ+ individuals in the twenty first century remains accompanied by challenges and fears, both before and after the process, which significantly affects individuals' health and safety. In the longer term, despite the challenges, stressors and losses identified by participants, most reported that disclosing their sexual orientation had greatly improved their health and mental well-being.
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Affiliation(s)
- Maya Rabins
- Duke University School of Nursing, Durham, NC, USA
| | | | | | - Amie Koch
- Duke University School of Nursing, Durham, NC, USA
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Harvey TD, Watson RJ, Clark KA. Arrest History and Health Among U.S. Sexual and Gender Minority Youth, 2022. Am J Prev Med 2024; 67:548-557. [PMID: 38878985 DOI: 10.1016/j.amepre.2024.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Revised: 06/06/2024] [Accepted: 06/07/2024] [Indexed: 07/07/2024]
Abstract
INTRODUCTION Sexual and gender minority youth, who experience high mental and behavioral health needs, are overrepresented in the criminal legal system, which may exacerbate these needs. This study examined the associations between arrest history and mental and behavioral health among sexual and gender minority youth. METHODS Using cross-sectional survey data from the 2022 LGBTQ+ National Teen Survey, this study created a case-control sample of 287 sexual and gender minority youth with an arrest history and 1,148 propensity-matched sexual and gender minority youth without an arrest history. Associations between arrest history and sexual and gender minority developmental milestones, minority stressors, and mental and behavioral health outcomes were examined. Statistical analyses were conducted between 2022 and 2024. RESULTS Arrest history was significantly associated with several sexual and gender minority developmental milestones (e.g., earlier age of identity realization and disclosure) and minority stressors (e.g., greater bullying and parental rejection). Sexual and gender minority youth with an arrest history had poorer mental and behavioral health, including greater sleep disturbance (AOR=1.46; 95% CI=1.08, 2.00) and positive screenings for depression (AOR=1.60; 95% CI=1.20, 2.14), anxiety (AOR=1.35; 95% CI=1.01, 1.82), and risk for substance use disorder development (AOR=5.81; 95% CI=4.26, 7.94). CONCLUSIONS Arrest history is associated with the mental and behavioral health of sexual and gender minority youth, highlighting systemic inequities. Tailored public health interventions are needed to reduce criminal-legal contact in this population.
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Affiliation(s)
- Tyler D Harvey
- MD-PhD Program, Yale School of Medicine, New Haven, Connecticut.
| | - Ryan J Watson
- Department of Human Development and Family Sciences, College of Liberal Arts and Sciences, University of Connecticut, Storrs, Connecticut
| | - Kirsty A Clark
- Program in Public Policy Studies, Department of Medicine, Health, and Society, College of Arts and Sciences, Vanderbilt University, Nashville, Tennessee; Vanderbilt LGBTQ+ Policy Lab, Vanderbilt University, Nashville, Tennessee
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Hanna-Walker V, Lefkowitz ES, Watson RJ. A Latent Profile Analysis of Religious Parents' Responses to Their Sexual and Gender Diverse Child. JOURNAL OF HOMOSEXUALITY 2024:1-21. [PMID: 39230418 PMCID: PMC11876460 DOI: 10.1080/00918369.2024.2398552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/05/2024]
Abstract
Prior research indicates that religious parents can have negative, positive, or ambivalent responses to their child's sexual orientation and gender identity (SOGI). Yet, to our knowledge no research has quantitatively examined patterns of sexual and gender diverse (SGD) youth's perceptions of their religious parents' responses to their SOGI. Without examining variations in these patterns, we are unable to better understand the experiences of SGD youth with religious parents. In the current paper, we examined patterns of SGD youth's perceptions of their religious parents' SOGI-specific rejection, acceptance, and SOGI change efforts. We also examined if these patterns differed by SGD youth's individual and contextual factors. The analytic sample consisted of online responses from 5,686 SGD youth (Mage = 15.95). We found four distinct profiles: Positive Parental Response, Moderate Negative Parental Response, Low Parental Response, and High Negative Parental Response. The largest profile was the Positive Parental Response, suggesting that many SGD youth perceived positive responses from their religious parents. SGD youth with diverse gender identities and intersecting identities, such as race/ethnicity, were more vulnerable to religious parents' negative responses. Findings have implications for existing resources and programs aimed at strengthening SGD youth's relationship with their religious parents.
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Affiliation(s)
| | - Eva S. Lefkowitz
- Department of Human Development and Family Sciences, University of Connecticut
| | - Ryan J. Watson
- Department of Human Development and Family Sciences, University of Connecticut
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Caba AE, Christophe NK, Renley BM, Simon KA, Feinstein BA, Eaton LA, Watson RJ. Measurement invariance of the LGBT People of Color Microaggressions Scale among LGBTQ+ youth. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2024; 34:759-775. [PMID: 38616300 DOI: 10.1111/jora.12937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 10/16/2023] [Accepted: 03/15/2024] [Indexed: 04/16/2024]
Abstract
The LGBT People of Color Microaggressions Scale (LGBT-PCMS) is a widely used measure of intersectional microaggression experiences among sexual and gender minority people of color. Although it is widely used-and increasingly used in adolescent and young adult samples-it is unknown whether the LGBT-PCMS demonstrates similar measurement properties across subgroups of sexual and gender minority youth of color (SGMYOC). Among 4142 SGMYOC (ages 13-17) we found evidence for either partial or full scalar invariance (item loadings and intercepts were generally equal) across sexual orientation, race-ethnicity, and gender identity groups for all three subscales. Specific patterns of invariance and noninvariance across groups, as well as implications for the use of the LGBT-PCMS and its subscales among SGMYOC are discussed.
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Affiliation(s)
- Antonia E Caba
- Department of Human Development and Family Sciences, University of Connecticut, Storrs Mansfield, Connecticut, USA
| | | | - Benton M Renley
- Department of Human Development and Family Sciences, University of Connecticut, Storrs Mansfield, Connecticut, USA
| | - Kay A Simon
- Department of Family Social Science, University of Minnesota, Minneapolis, Minnesota, USA
| | - Brian A Feinstein
- Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA
| | - Lisa A Eaton
- Department of Human Development and Family Sciences, University of Connecticut, Storrs Mansfield, Connecticut, USA
| | - Ryan J Watson
- Department of Human Development and Family Sciences, University of Connecticut, Storrs Mansfield, Connecticut, USA
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Abreu RL, Skidmore SJ, Badio KS, Lefevor GT, Gattamorta KA, Watson RJ. Sexual harassment, sexual assault, violence, self-esteem, and the role of LGBTQ-specific parental support in a sample of Latinx sexual and gender minority youth. J Adolesc 2024; 96:443-456. [PMID: 37381609 DOI: 10.1002/jad.12210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 06/10/2023] [Accepted: 06/13/2023] [Indexed: 06/30/2023]
Abstract
INTRODUCTION Oftentimes as result of racism, cissexism, and heterosexism, many Latinx and sexual and gender minority (SGM) youth are victims of sexual harassment, sexual assault, and violence. These experiences of victimization are in part related to increased negative mental health outcomes such as decreased self-esteem. Some research links LGBTQ-specific parental support to mental health outcomes among Latinx SGM youth, yet, no research has explored the role of LGBTQ-specific parental support with self-esteem among Latinx SGM youth. METHODS In a sample of 1,012 Latinx SGM youth (ages 13-17), we assessed: (a) associations between sexual harassment, sexual assault, and violence and self-esteem, (b) association between LGBTQ-specific parental support and self-esteem, and (c) whether LGBTQ-specific parental support moderated the relation between sexual harassment, sexual assault, and violence and self-esteem. Main effect and moderation analyses examined interactions between LGBTQ-specific parental support with sexual harassment, sexual assault, and violence on self-esteem. RESULTS Latinx SGM youth experienced low levels of LGBTQ-specific parental support and various degrees of sexual harassment, sexual assault, and violence. Also, transgender and nonbinary/genderqueer Latinx youth experienced lower self-esteem than their Latinx cisgender counterparts. Increased LGBTQ-specific parental support was related to increased self-esteem. We also identified a significant interaction between sexual harassment, sexual assault, and violence and LGBTQ-specific parental support, such that parental support was more protective at low levels rather than high levels of sexual harassment, sexual assault, and violence among Latinx SGM youth. CONCLUSIONS Findings add to a growing body of research about the importance of LGBTQ-specific parental support for Latinx SGM youth, and the need to examine culturally appropriate approaches to understand parent-child relationship among these communities.
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Affiliation(s)
- Roberto L Abreu
- Department of Psychology, University of Florida, Gainesville, Florida, USA
| | | | - Koree S Badio
- Department of Psychology, University of Florida, Gainesville, Florida, USA
| | - G Tyler Lefevor
- Department of Psychology, Utah State University, Logan, Utah, USA
| | - Karina A Gattamorta
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA
| | - Ryan J Watson
- Department of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut, USA
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Goldstein SE, Docherty M, Boxer P, Bushman BJ, Huesmann LR, O'Brien M, Anderson C, Gentile DA, Dubow EF. Developmental Changes in the Relation between Youth Disclosure and Parenting Behavior: A Cohort-sequential Analysis. J Youth Adolesc 2023; 52:2095-2112. [PMID: 37481505 PMCID: PMC10858734 DOI: 10.1007/s10964-023-01823-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 07/07/2023] [Indexed: 07/24/2023]
Abstract
To address a gap in the literature regarding the development of youth disclosure across the transition to adolescence, the current research uses a cohort-sequential approach to study youth disclosure from middle childhood through adolescence. Longitudinal data from three cohorts of parents were utilized (N = 1359; children at T1 were in grades 2 [M = 8.00 years, SD = 0.57 years, 45% female], 4 [M = 10.12 years, SD = 0.60 years, 45% female], and 9 [M = 15.19 years, SD = 0.57 years, 48% female]). Parents were assessed annually over a 3-year time period. The focal analyses explored contemporaneous associations between characteristics of the parent-youth relationship (specifically, parental rejection and parental consistent discipline) and youth disclosure after accounting for person-specific trajectories of disclosure. Associations of gender, age, and socioeconomic status with disclosure were also assessed. Regarding trajectories of youth disclosure, results indicate that youth disclose less information to their parents about their daily lives as they get older; this trend was consistent across gender and socioeconomic status. In terms of associations with youth disclosure, when parents provided more consistent discipline or engaged in less rejection of their child, youth disclosure increased, even after accounting for their own trajectory of disclosure across time. In addition, the association of consistent discipline with youth disclosure became stronger with increased youth age. Results are discussed in terms of implications for understanding youth autonomy development, and the dyadic and developmental impact of parenting behaviors over time.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Eric F Dubow
- Bowling Green State University, Bowling Green, OH, USA
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