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Gay, Lesbian, Bisexual, and Transgender Populations

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Research Brief

Sexual Orientation, Transgender Identity, and Health Among U.S. Active-Duty Service Members

Jun 21, 2018

The 2015 Health Related Behaviors Survey provides the first direct estimate of the percentage of service personnel who identify as lesbian, gay, bisexual, or transgender (LGBT). Results from the survey made possible a comparison of various health behaviors and outcomes among LGBT and non-LGBT service members.
Journal Article

Sexual Minority Students More Likely to Seek Mental Health Services When Needed, but Still Face Barriers to Using Campus Services

May 30, 2017

College students who belong to sexual minority groups are more likely to seek help for mental health problems than their straight peers, but they still face many barriers to using on-campus mental health services.

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Commentary

When It Comes to U.S. Health Systems—Diversity Matters

Health care systems are a powerful and relatively well-resourced stakeholder in the effort to eliminate inequities both among the health workforce and among patient populations. The deliberate practice of increasing diversity within the workplace may have the power to create significant, positive impacts on workplace culture and patient care.

Sep 25, 2020
Journal Article

Journal Article

Substance Use Disparities at the Intersection of Sexual Identity and Race/Ethnicity: Results from the 2015–2018 National Survey on Drug Use and Health

Disparities were most pronounced among racial/ethnic minority LGB women, which may reflect their unique experiences of discrimination at the intersection of multiple minority identities. However, racial/ethnic minority gay and bisexual men were not at elevated risk relative to their White counterparts.

Jul 17, 2020
Commentary

Public Health Lessons on Intimate Partner Violence Tucked into Tiger King

Substantial work has been done to figure out how best to address intimate partner violence, but with limited attention regarding how best to meet the unique needs of gay, lesbian, and bisexual victims. The popularity of Netflix's Tiger King, and its depiction of intimate partner violence between Joe Exotic and his two husbands, could help to focus attention on a very real, and often hidden, problem.

May 15, 2020
Journal Article

Journal Article

Gearing Up for PrEP in the Middle East and North Africa: An Initial Look at Willingness to Take PrEP Among Young Men Who Have Sex with Men in Beirut, Lebanon

These findings delineate a need and opportunity for public health researchers to work with Ministries of Health and policy makers to extend pre-exposure prophylaxis coverage and services to young men who have sex with men.

Apr 30, 2020
Journal Article

Journal Article

Sources of Resilience as Mediators of the Effect of Minority Stress on Stimulant Use and Sexual Risk Behavior Among Young Black Men Who Have Sex with Men

Minority Stress Theory proposes that stigma, prejudice, and discrimination facing sexual and racial minorities are stressors that lead to increased risk behaviors. This study examined whether minority stress is associated with stimulant use and sexual risk by depleting resiliencies.

Feb 6, 2020
Journal Article

Journal Article

Advancing LGBTQ Health Equity Via Human-Centered Design

Human-centered design (HCD; also known as user-centered design) is well-suited to advance the field of substance use prevention interventions for LGBTQ youths by designing interventions that simultaneously target several the complex, multilevel factors that drive health disparities.

Feb 4, 2020
Journal Article

Journal Article

Resilience Against Depression Disparities (RADD): A Protocol for a Randomised Comparative Effectiveness Trial for Depression Among Predominantly Low-Income, Racial/Ethnic, Sexual and Gender Minorities

Building on over 10 years of collaborative work in addressing mental health in Louisiana and California, our team employed a community-partnered participatory research approach to develop the Resilience Against Depression Disparities (RADD) study.

Jan 29, 2020
Journal Article

Journal Article

Sexual Minority Substance Use Disparities: Bisexual Women at Elevated Risk Relative to Other Sexual Minority Groups

The objective of this study is to test for differences in the prevalence of a range of substance use behaviors and disorders across LGBT individuals of the same gender using a nationally representative sample of adults.

Dec 20, 2019
Journal Article

Journal Article

Sexual Violence in Childhood and Post-Childhood: The Experiences of Young Men Who Have Sex With Men in Beirut

We examined the prevalence of childhood and post-childhood experiences of sexual violence, and how they are correlated with each other as well as with measures of mental health, substance use, sexual behavior, and sexuality-related discrimination.

Dec 17, 2019
Journal Article

Journal Article

Health, Homelessness Severity, and Substance Use Among Sexual Minority Youth Experiencing Homelessness: A Comparison of Bisexual Versus Gay and Lesbian Youth

We examined subgroup differences in homelessness severity, depression, physical health, and substance use, focusing on differences between bisexual and gay/lesbian youth, among homeless youth in Los Angeles.

Dec 11, 2019
Journal Article

Journal Article

Early Alcohol and Smoking Initiation: A Contributor to Sexual Minority Disparities in Adult Use

Lesbian, gay, and bisexual adults report higher rates of smoking and alcohol use than heterosexual peers. Prior studies have not examined whether disparities in early initiation among lesbian, gay, and bisexual youth contribute to adult disparities.

Dec 11, 2019
Journal Article

Journal Article

Using Ancillary Sociodemographic Data to Identify Sexual Minority Adults Among Those Responding "Something Else" or "Don't Know" to Sexual Orientation Questions

Using National Health Interview Survey data, this article compares three analytic strategies for using "something else" and "don't know" responses to estimate health disparities for sexual minorities.

Sep 19, 2019
Journal Article

Sexual Minority Disparities in Opioid Misuse, Perceived Heroin Risk and Heroin Access Among a National Sample of US Adults

LGB opioid disparities varied significantly by sexual identity &gender. All LGB subgroups had elevated lifetime pain reliever misuse. Bisexual women uniquely had elevated OUD rates and lifetime injection heroin use.

Jun 12, 2019
Journal Article

Journal Article

Differences in Substance Use Disparities Across Age Groups in a National Cross-Sectional Survey of Lesbian, Gay, and Bisexual Adults

Using national data, we test for age differences in substance use disparities among LGB adults. Contrary to hypothesized decreased minority stress in recent generations, we find that disparities were not systematically smaller in younger age groups.

Feb 12, 2019
Journal Article

Disparities in Substance Use Behaviors and Disorders Among Adult Sexual Minorities by Age, Gender, and Sexual Identity

Disparities in substance use and disorders were most pronounced in young adulthood for gay/lesbian individuals and mid-adulthood for bisexual men; bisexual women uniquely experienced disparities across all ages. Minority stress experiences may vary with respect to gender, age/cohort, and sexual identity, resulting in differential risk for substance use.

Dec 27, 2018
Content

Diversity and Inclusion at RAND

Advancing diversity and inclusion is an important priority at RAND. We believe that sharing the composition of our workforce is an important step toward fulfilling our commitment to fostering a diverse and inclusive workplace.

Oct 19, 2018
Commentary

Public Health Reasons to Tune Into TV's 'Dear White People'

The Netflix series Dear White People shows how sexual decisionmaking can be influenced by race, status, and the power dynamics within a relationship. Public health programs and policies could be better tailored to account for this complexity.

Aug 10, 2018
Journal Article

Journal Article

An Event-Level Analysis of Condomless Anal Intercourse with a HIV-Discordant or HIV Status-Unknown Partner Among Black Men Who Have Sex with Men from a Multi-site Study

Sexual event factors—characteristics of partners, positions, and partner-seeking venues—associated with condomless anal intercourse among black men who have sex with men vary by HIV status and knowledge of partner status.

Jul 6, 2018
Infographic

Infographic

Are They Living Healthy? How Well Are Soldiers Taking Care of Themselves

The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This infographic reports key findings across the Army.

Jun 21, 2018
Infographic

Infographic

Are They Living Healthy? How Well Are Coast Guardsmen Taking Care of Themselves

The 2015 Health Related Behaviors Survey sought information on the health, health-related behaviors, and well-being of active-duty service members. This infographic reports key findings across the Coast Guard.

Jun 21, 2018

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RAND Topic:
Gay, Lesbian, Bisexual, and Transgender Populations

Topic Synonyms:
GLBT;
Homosexuals