Trajectori of sexual inty velopment and psychologil well-beg for highly sexually active gay and bisexual men: A latent growth curve analysis - PubMed

Contents:

• STD FACTS – WHAT GAY, BISEXUAL AND OTHER MEN WHO HAVE SEX WH MEN NEED TO KNOW ABOUT SEXUALLY TRANSMTED DISEAS
• THE CURSE OF AN ATTRACTN TO OLR GAY MEN
• TRAJECTORI OF SEXUAL INTY VELOPMENT AND PSYCHOLOGIL WELL-BEG FOR HIGHLY SEXUALLY ACTIVE GAY AND BISEXUAL MEN: A LATENT GROWTH CURVE ANALYSIS
• DISCRIMATN AGAST GAY MEN WHO N'T MAKE DONATNS IS ARBRARY, ARCHAIC — AND ADLY
• SEXUAL BEHAVR PATTERNS OF GAY UNIVERSY MEN: IMPLITNS FOR PREVENTG HIV FECTN
• FDA LIKELY TO END BLANKET BAN ON SEXUALLY ACTIVE GAY MEN DONATG BLOOD
• GAY MALE SEXUALY
• FREQUENT TTG OF HIGHLY SEXUALLY ACTIVE GAY MEN IS REQUIRED TO NTROL SYPHILIS
• KEV MAXEN BE FIRST MALE ACH A US MEN’S PROFSNAL SPORTS LEAGUE TO PUBLICLY E OUT AS GAY

STD FACTS – WHAT GAY, BISEXUAL AND OTHER MEN WHO HAVE SEX WH MEN NEED TO KNOW ABOUT SEXUALLY TRANSMTED DISEAS

In fact, gay, bisexual, and other men who have sex wh men make up more than half of the people livg wh HIV the Uned Stat and experience two thirds of all new HIV fectns each year.

The large percentage of gay, bisexual, and other men who have sex wh men who have HIV and STDs means that, as a group, they have a higher chance of beg exposed to the diseas. CDC’s Lbian, Gay, Bisexual and Transgenr Health Servic page has rourc that n help you fd health re provirs that are skilled providg health servic to gay and bisexual men.

The human papillomavis (HPV) vacce is also available for gay, bisexual, and other men who have sex wh men up to 26 years of age to prevent genal warts and other HPV-associated diseas and ndns such as oropharyngeal or anal ncer. But the se of a celebry, the tabloid headl the labels may be ed sensatnalistic ways, or even clu more vilently homophobic nam like pedophile and predatory pervert.

THE CURSE OF AN ATTRACTN TO OLR GAY MEN

It has been suggted that satisfyg sex nnot occur whout wet kiss and swellg ans, which rc gay sexualy to nothg more than sex, and impli that olr men are pable of havg erectns. Sayg “I am gay” is a statement that our attractns, our behavr, and our self-inty are unison, and when that happens—if ever do— suggts a willgns to proclaim our sexualy regardls of the nsequenc. Published fal eded form as:PMCID: PMC6456266NIHMSID: NIHMS988193AbstractObjective:Examg sexual inty velopment—the procs through which sexual mori disver and disclose their sexual orientatns—wh a mory strs amework may help to ntextualize sexual and mental health dispari among gay and bisexual men.

E., awarens, intifitn, sexual experience, and disclosure), though differenc onset and speed of the procs and impact of the trajectori on healthy functng adulthood are analyzed cross-sectnal data om 374 highly sexually active gay and bisexual men NYC.

TRAJECTORI OF SEXUAL INTY VELOPMENT AND PSYCHOLOGIL WELL-BEG FOR HIGHLY SEXUALLY ACTIVE GAY AND BISEXUAL MEN: A LATENT GROWTH CURVE ANALYSIS

Rults:Gay sexual inty and greater childhood genr nonnformy were associated wh earlier reported onset of sexual inty velopment and younger age was signifintly associated wh faster progrsn through the velopmental procs. Conclns:The fdgs support the need for a prehensive and velopmentally-rmed mol of adulthood functng among gay and bisexual men that nsirs trajectori of sexual inty velopment—cludg onset and duratn—as potential precursors to mental health difficulti adulthood. The fdgs of this study highlight the potential value of early preventn of adverse strs experienc and better servic to facilate healthy sexual inty velopment as a means of promotg long-term health for gay and bisexual inty velopment among gay and bisexual men, known lloquially as the procs of “g out, ” progrs as a sequence of realizatns, acceptance, and disclosur of same-sex sexual attractn (Floyd & Ste, 2002; Grov, Bimbi, Nanín, & Parsons, 2006; Vghan & Waehler, 2009).

The ton have been intified as: (1) ial awarens of same-sex attractn, (2) self-acceptance or self-intifitn as gay or bisexual, (3) first same-sex sexual experience, and (4) disclosure of sexual orientatn to others or “g out” (Floyd & Ste, 2002). For example, olr horts of lbian and gay dividuals typilly progrsed through ton at olr ag pared to younger horts, wh the exceptn of the ial awarens of attractn tone, which nsistently occurs durg puberty the average dividual (Grov et al., 2017; Parks & Hugh, 2007). Mory strs theory ntends that gay and bisexual men’s experience wh strs related to their sexual orientatn ntribut to the dispari; however, there has been ltle nsiratn of how differenc sexual inty velopment may impact the out.

DISCRIMATN AGAST GAY MEN WHO N'T MAKE DONATNS IS ARBRARY, ARCHAIC — AND ADLY

Published studi have most often looked at the self-intifitn and g out ton for their associatn wh mory strs out—such as ternalized homonegativy and rejectn sensivy—and mental health out—such as prsn and sexual pulsivy (Frost et al., 2013; Martos et al., 2014; Sav-Williams & Cohen, 2015; Starks, Newb, & Mtanski, 2015). The same associatn was found wh olr age of self-intifitn and higher levels of ternalized homonegativy, prsn, and anxiety (Legate, Ryan, & Weste, 2011; Sav-Williams & Cohen, 2015). The studi ntribute to an unrstandg of how specific sexual inty ton may fluence functng among gay and bisexual men, though rearch on variabily the overall velopmental trajectory through all four ton and s relatn to mory strs and mental health adulthood is srce.

Unlike LCA, which assum distct groups that have relatively homogeno wh-group patterns of velopment but differ between-groups their overall patterns, the LGCA assum ntuo variabily the iatn and duratn of the velopmental procs but a uniform sequencg across dividuals, nsistent wh what has been observed prr studi, cludg rearch g LCA (Grov et al., 2017). Eligible participants had to be over 18, live the New York Cy tri-state area, have had ne or more sexual partners 90 days, self-intified as gay or bisexual, and have had daily accs to ter for the duratn of the study. E., all highly sexually active) gay and bisexual men to methodologilly ntrol for the nfoundg effects of overall levels of sexual behavr on reports of sexual pulsivy symptoms.

Given the wealth of available data llected, numero mancripts have been published, cludg ial psychometric vtigatns of key measur, velopment and ttg of a mory strs mol of sexual pulsivy and other mental health problems, and validatg a novel tegoril nceptualizatn of sexual pulsivy and s role wh the synmic amework of HIV risk for gay and bisexual men. Participants dited the ag at which they first: (1) beme aware of their same-sex attractns, (2) admted to themselv that they were gay or bisexual, (3) engaged same-sex sexual activy, and (4) disclosed their sexual orientatn to iends or Orientatn Discrimatn. Participants pleted the 14-em Gay-Related Rejectn Sensivy Sle (Pachankis, Goldied, & Ramrattan, 2008), signed to measure levels of rejectn-sensivy related to gay sexual orientatn.

SEXUAL BEHAVR PATTERNS OF GAY UNIVERSY MEN: IMPLITNS FOR PREVENTG HIV FECTN

Participants pleted the Internalized Homophobia Sle (Herek, Gillis, & Cogan, 2009), nsistg of ne ems that ask the rponnt to rate om 1 (strongly disagree) to 5 (strongly agree), their feelgs (e. We averaged the rpons across both subsl as an x of overall difficulti wh the two most prevalent mental health problems affectg gay and bisexual men, and this bed sre was found to be highly ternally nsistent among this sample (Cronbach’s α = 0.

FDA LIKELY TO END BLANKET BAN ON SEXUALLY ACTIVE GAY MEN DONATG BLOOD

As displayed Figure 1, we began by ftg a latent growth curve across the four ton orred as follows: (1) awarens of same-sex attractn; (2) self-intifitn as gay or bisexual; (3) first same-sex sexual experience; and (4) age of first “g out.

RultsOf the 376 men enrolled the study, two did not have the necsary data and were exclud om analys, rultg an analytic sample of 374 highly sexually active gay and bisexual men.

GAY MALE SEXUALY

In terms of background characteristics and the velopmental trajectori, we found that childhood genr nonnformy and gay sexual inty were both negatively associated wh the latent tercept, suggtg those who were genr atypil and those who intified as gay (at the time of the study) beme aware of their same-sex attractns at earlier ag. 17DiscsnThis study ed latent growth curv to mol trajectori of sexual inty velopment, their associatns wh background and childhood characteristics, and their associatns wh adulthood mental health and mory strs out among a sample of highly sexually active gay and bisexual men livg wh NYC. We found that men our sample who retrospectively reported greater childhood genr nonnformy and intified as gay reported realizatn of same-sex attractns at earlier ag (i.

We did not, however, fd associatns wh the more proximal mory strsors—rejectn sensivy and ternalized homonegativy—that have often been lked wh the adulthood mental health out, suggtg that the may be ls fluenced by velopmental procs adolcence. Consistent wh prr lerature (Calzo et al., 2011; Landolt, Bartholomew, Safey, Oram, & Perlman, 2004; Sav-Williams, 2011), rults suggted childhood genr nonnformy and gay (vers bisexual) sexual orientatn were both signifintly associated wh earlier onset of sexual inty velopment (i.

Wh social suatns, genr atypil youth are more likely to be victimized, part of which may clu teasg about beg gay—as a rult, this victimizatn may thst sexual mory youth to earlier intifitn of their same-sex attractns (Floyd & Ste, 2002; Landolt et al., 2004; Sav-Williams, 2011). The fdgs were expected, given rearch that suggts awarens of same-sex attractn nsistently occurs durg puberty but that olr generatns of gay and bisexual men progrsed more slowly through the later ton of inty velopment and me out at later ag (Grov et al., 2017; Nelson, Gamarel, Pantalone, Carey, & Simoni, 2016). It is important to note once aga that this was a sample of highly sexually active gay and bisexual men, more than half of whom experience high levels of sexual pulsivy, and th reprents a group at the high end of the ntuum (Parsons, Renda, Moody, Ventuneac, & Grov, 2015; Parsons, Renda, Ventuneac, Moody, & Grov, 2016).

FREQUENT TTG OF HIGHLY SEXUALLY ACTIVE GAY MEN IS REQUIRED TO NTROL SYPHILIS

Experienc of sexual pulsivy, synmic factors, and mory strs have been shown to be strongly nnected for the men, who may have been particularly vulnerable to the impact of velopmental procs— some ways, this mak them an ial group for the formative analys on velopmental trajectori and adulthood wellbeg, though future rearch is need wh a more reprentative sample of gay and bisexual men.

Another major fdg of this study was that those gay and bisexual men our sample who progrsed faster between achievement of sexual inty ton reported worse functng as adults on several cril variabl. Rearch has shown earlier age of g out as predictive of gay-related discrimatn, harassment, and stigmatizatn, as well as elevated levels of mental distrs durg sexual inty velopment (Haton, 2011; Hoenig, 2016; Lowry, Johns, Rob, & Kann, 2017; Toomey, Ryan, Diaz, Card, & Rsell, 2013).

However, rearch on sexual fluidy suggts that sexualy n change over time (Diamond, 2008), whereas our mols assumed both a homogeneo pattern of sexual inty velopment and one that progrsed learly.

KEV MAXEN BE FIRST MALE ACH A US MEN’S PROFSNAL SPORTS LEAGUE TO PUBLICLY E OUT AS GAY

Although fluidy inty is ls mon than fluidy attractns or behavr—particularly men—the study is nohels limed that was unable to nsir a more dynamic sexual inty velopment were able to nsir a wi range of background characteristics and adulthood out, cludg most of the proment variabl wh the mory strs and synmics mols that are predomantly ed to unrstand health dispari for gay and bisexual men. Although our fdgs primarily nverged wh recent fdgs om a larger, natnwi hort study, this group of highly sexually active gay and bisexual men ridg a large urban area do not reprent the gay and bisexual male populatn of the U. As such, our fdgs rm rearch qutns and future iativ that are relevant for the wir populatn of gay and bisexual men; however, rtrat should be taken when terpretg our fdgs wh the broar ntext of sexual mory rearch.

ConclnsRearch on sexual inty velopment among gay and bisexual men has predomantly been scriptive or, when examg inty velopment associatn wh other variabl, has typilly examed specific ton isolatn.

Consistent wh prr rearch, we found our sample of highly sexually active gay and bisexual men that those who intified as gay and those reportg higher levels of genr nonnformy childhood began the sexual inty velopment procs earlier and that olr generatns progrsed through the velopmental procs more slowly. The fdgs support the need for a prehensive and velopmentally-rmed mol of adulthood functng among gay and bisexual men that nsirs trajectori of sexual inty velopment—cludg onset and duratn—as potential precursors to mental health difficulti addn to adulthood experienc of mory strs. Overall, our study rms the sign of terventn and preventn measur that engage wh the health needs of gay and bisexual men, which this study’s out of mory strs and mental health functng disproportnally affect.