Men Who Have Sex with Transgender Women: Challenges to Category-based HIV Prevention
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Health psychology
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Male heterosexual identity development has received little empirical attention. The current study examines sexual orientation questioning processes of heterosexual-identified men and offers a comparison of these processes with those employed by their sexual-minority counterparts. Participants included 184 male college students (ages 18 to 23, M = 19.6), 149 primarily identified as “exclusively straight or heterosexual” and 35 as sexual minorities. Of exclusively straight respondents, 53 percent ( n = 79) and all of the sexual-minority respondents indicated having questioned their sexual orientation. Heterosexual men’s questioning processes included five categories: unelaborated questioning, other-sex exploration, the social context as informants or sites of knowledge, hypothetical thinking and perspective taking, and attraction comparisons between men and women. Several unifying and differentiating themes emerged between sexual orientation groups. Results suggest that conventional notions of a “standardized” heterosexual identity appear simplistic and reveal ways in which men’s identification with a majority heterosexual sexual identity can be purposeful.
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Research has found that sexual orientation beliefs predict heterosexuals' attitudes toward sexual minorities, and important sexual identity outcomes in sexual minority populations. To this point, no studies have systematically examined how sexual orientation beliefs may be associated with sexual identity self-labeling among sexual minority individuals. The present study examined this question in a sample of 1840 same-gender attracted individuals recruited for a cross-sectional online survey. Beliefs in the naturalness and discreteness of sexual orientation categories were highest in gay/lesbian individuals, intermediate in bisexual people, and lower in queer and pansexual individuals. Beliefs in the importance of sexual orientation were highest in gay/lesbian and queer identified individuals and lower in bisexual people. Within-group analysis demonstrated that gay/lesbian individuals who reported more exclusive same-gender attraction reported higher naturalness, discreteness, and importance beliefs than those with less-exclusive same-gender attraction. However, naturalness, discreteness, and importance beliefs were not associated with sexual attraction patterns in bisexual individuals. Finally, among predominately same-gender attracted populations, the adoption of a queer identity (over a gay/lesbian identity) was predicted by lower naturalness and discreteness beliefs, and increased perceived importance in females. Among non-monosexual populations, adoption of a pansexual identity over a bisexual identity was predicted by lower naturalness beliefs in females, but not predicted by sexual orientation beliefs in males. Collectively, these findings suggest that sexual orientation beliefs differ between sexual identity groups and may partly explain the adoption of particular sexual identity labels among contemporary sexual minority populations.
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Because very little is known about heterosexual identity development, this study assesses and describes sexual orientation questioning processes of heterosexual-identified women and offers a comparison of these processes with those employed by their sexual-minority counterparts. Participants included 333 female college students (ages 18-23; M = 19.2): 228 participants primarily identified as "exclusively straight/heterosexual," and 105 participants indicated a sexual-minority identity. Sixty-seven percent of exclusively heterosexual respondents (n = 154) indicated having thought about or questioned their sexual orientation. The processes by which heterosexual participants described questioning their sexual orientation were coded for the presence of five emergent categories using an inductive thematic coding methodology. These five categories included unelaborated questioning (19%), other-sex experiences (16%), exposure to sexual minorities (26%), assessment of same-sex attraction (48%), and evaluations of same-sex behavior (26%). Several unifying and differentiating themes emerged between sexual orientation groups. Results from this study suggest that contemporary young women's heterosexuality is not necessarily an unexamined identity; indeed, the large majority of young women in this sample were deliberately identifying as heterosexual after contemplating alternative possibilities.
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Abstract This study investigated three dimensions of sexual orientation—identity, attraction, and behavior—in a national survey of late adolescents. Prevalence rates and the diversity of dimensions of sexual orientation when combined were studied. A representative sample of 3,432 Swedish high school seniors completed an anonymous school-based self-report survey about sexuality, Internet use, and health. Four measures of sexual orientation were included—one for sexual identity, two for attraction (emotional or sexual attraction, romantic attraction), and one for sexual behavior. Prevalence rates of sexual minority orientation varied between 4.3% for sexual behavior (males 2.9%, females 5.6%) and 29.4% for emotional or sexual attraction (males 17.7%, females 39.5%). Different measures of sexual orientation were significantly associated with one another. Bisexual or homosexual orientation was reported by 1.5% of the participants in all four measures and by 17.6% in at least one measure. Researchers need to carefully choose, depending on the research questions under investigation, which dimensions of sexual orientation and which measures they wish to include in their survey. Recommendations based on findings from the study are given. Acknowledgments The authors would like to acknowledge the Swedish National Board for Youth Affairs for financial support toward the collection of data and the Crime Compensation and Support Authority of Sweden for their financial support to the project. The authors would also like to acknowledge the members of the UNH Family Violence Seminar for their comments on a draft of the manuscript.
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Doctors encounter lesbian, gay and bisexual (LGB) patients. Most LGBs are physically and mentally healthy, but LGBs also have unique healthcare needs, that is mental health issues, sexually-transmitted diseases including HIV infection, substance use, and avoidance of healthcare. Sexual minority stress due to stigmatisation, rejection, internalised homophobia, bullying and violence is a causal issue. Optimising care for LGBs involves knowing patients' sexual orientation by asking them. As sexual orientation comprises the domains of sexual identity, sexual attraction and sexual behaviour, all should be addressed appropriately as these domains together or separately determine the impact on health. Sexual identity correlates closely, but not completely, with sexual behaviour. Individuals may engage in same-sex sexual behaviour, but not identify themselves as lesbian, gay or bisexual. Patients are willing to answer questions about their sexual orientation. Doctors should take the initiative to discuss sexual orientation and avoid making heteronormative assumptions. The uptake of LGB-related issues in guidelines and educational programmes may improve doctors' awareness.
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As one of our most deeply entrenched social taboos, zoophilia is widely considered to be wrong, and having sex with animals is illegal in many countries. In this article, I would like to go against this de facto consensus and argue that zoophilia is morally permissible. This would have major implications for how we legally and socially deal with zoophilia.
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When we talk about sexual orientation the first think that come into our mind is on the individual’s sexual identity in relation to the gender. But, we should know that sexual orientation and sexual identity are different. Sexual orientation is also generally defined in terms of several groups, such as heterosexuals, where there is psychological, romantic or sexual attraction towards the opposite sex, homosexuals like gay or lesbian with a psychological, social or sexual preference towards the same sex. This paper is one of the assignments in the Multicultural Counseling's subject, which discusses several cases that discuss about client's sexual orientation, then the causes and impacts of the social environment on their sexual orientation. As we know, this problem is a thing that not consider in majority of environment. Also, we convey how future counselors should respond and behave when dealing with sexual orientation clients.Keywords: sexual orientation; sexual identity; future counselor
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Abstract The present study attempts to determine how men who have sex with men (MSM) identify in terms of their sexual orientation. The sexual identity of MSM has important implications for the spread of HIV. The literature suggests that gay or bisexual identifying MSM are more likely to practice safer sex than heterosexually-identified MSM. A significant number of the MSM in public settings, such as parks, are believed to be heterosexual identifying. MSM in bathhouses are presumed to be gay or bisexual identifying. Parks have been the focus of safer sex outreach efforts targeted towards heterosexually-identified MSM. Sexual orientation self-identification was ascertained from park and bathhouse users via one-on-one interactions with outreach workers from 1996 to 1998. Chi-square analysis revealed no significant difference in the expressed sexual orientation of bath and park users, with both populations consisting mostly of gay-identified men. Heterosexually-identified MSM are not found in significant numbers in public settings. The current micro educational approach used to target these men may not be cost-effective. Alternative strategies are discussed.
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