Measuring identity multiplicity and intersectionality: Hierarchical Classes Analysis (HICLAS) of sexual, racial, and gender identities

Stirratt, Michael J.; Meyer, Ilan H.; Ouellette, Suzanne C.; Gara, Michael A.

doi:10.1080/15298860701252203

Cited by 99 publications

(81 citation statements)

References 64 publications

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“…Moreover, gender minorities were not included in this study; future research needs to examine the unique experiences of transgender individuals within racially diverse samples (Institute of Medicine, 2011). Finally, the complexity of the participants' intersecting identities was simplifi ed into basic categories; more complex measures of intersectional identities should be used in future research (e.g., Narváez et al, 2009;Stirratt et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Intersecting Identities and Substance Use Problems: Sexual Orientation, Gender, Race, and Lifetime Substance Use Problems

Mereish

Bradford

2014

J. Stud. Alcohol Drugs

126

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ABSTRACT. Objective:Research has documented that sexual minorities are at greater risk for substance use than heterosexuals. However, there are limited studies and mixed fi ndings when investigating these health disparities among racial and ethnic minority samples. We used an intersectionality framework to examine disparities in lifetime substance use problems between heterosexual and sexual minority men and women and within sexual minority groups among a racially diverse sample. Method: A nonprobability sample of heterosexual (n = 1,091) and sexual minority (n = 1,465) patients from an urban community health center ranged in age from 18 to 72 years. Participants completed a brief patient survey and reported demographic information and history of lifetime substance use problems. Logistic regressions analyses were used to examine interactions between and among sexual orientation, gender, and race. Results: We found a signifi cant three-way interaction among sexual orientation, gender, and race. Sexual minorities had a greater risk of self-reported lifetime substance use problems than heterosexuals, with nuanced gender and racial differences. Of greatest note, sexual minority women of color had greater risks than heterosexual women of color and than White sexual minority women. Sexual minority men of color did not differ in their risk when compared with heterosexual men of color, and they had lower risk than White sexual minority men. Conclusions: The results of this study demonstrate that an intersectionality framework is crucial to clearly identify lifetime substance use disparities between racially diverse sexual minority and heterosexual men and women. Future research, treatment, and policy should use intersectionality approaches when addressing substance use disparities. (J. Stud. Alcohol Drugs, 75, 179-188, 2014)

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Section: Discussionmentioning

confidence: 99%

Intersecting Identities and Substance Use Problems: Sexual Orientation, Gender, Race, and Lifetime Substance Use Problems

Mereish

Bradford

2014

J. Stud. Alcohol Drugs

126

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“…In addition to HIV-serostatus, people with HIVare likely to have several stigmatized characteristics that elicit discrimination, including African–American or Latino race/ethnicity and gay sexual orientation; they also may experience prejudice from others’ assumptions that they have engaged in stigmatized sexual and substance use behaviors associated with contracting HIV (e.g., sex work, injection drug use) [24-27]. HIV-positive Black men who have sex with men in particular are at the nexus of three stigmatized co-occurring categories related to HIV-serostatus, race/ethnicity, and sexual orientation.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Relationships Between Antiretroviral Treatment Adherence and Discrimination Due to HIV-Serostatus, Race, and Sexual Orientation Among African–American Men with HIV

et al. 2010

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African–Americans show worse HIV disease outcomes compared to Whites. Health disparities may be aggravated by discrimination, which is associated with worse health and maladaptive health behaviors. We examined longitudinal effects of discrimination on antiretroviral treatment adherence among 152 HIV-positive Black men who have sex with men. We measured adherence and discrimination due to HIV-serostatus, race/ethnicity, and sexual orientation at baseline and monthly for 6 months. Hierarchical repeated-measures models tested longitudinal effects of each discrimination type on adherence. Over 6 months, participants took 60% of prescribed medications on average; substantial percentages experienced discrimination (HIV-serostatus, 38%; race/ethnicity, 40%; and sexual orientation, 33%). Greater discrimination due to all three characteristics was significantly bivariately associated with lower adherence (all p’s<0.05). In the multivariate model, only racial discrimination was significant (p<0.05). Efforts to improve HIV treatment adherence should consider the context of multiple stigmas, especially racism.

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“…There is quite strong evidence that the access to social support has a beneficial influence on the mental health of lesbians and gay men (Hershberger & D'Augelli, 1995;Rostosky, Riggle, Gray& Hatton, 2007;Lam, Naar-King, & Wright, 2007;Feinstein, Wadsworth, Davila, Goldfried, 2014). The hypothesis on the meaning of minority identity has also been empirically verified it was found that poorer mental health outcomes were associated with greater negative self-complexity and greater negative valence of sexual identity (Stirratt et al, 2008). The identity characteristics and dynamics seems to be very promising direction as to research on minority stress.…”

Section: Minority Stress Of Lesbians Gays and Bisexualsmentioning

confidence: 95%

“…The concept of minority stress as regards sexual minorities has been developed by Ilan Meyer and his contributors in numerous articles and researches conducted in the USA (Meyer 1995(Meyer , 2007(Meyer , 2013Schwartz & Meyer, 2010;Stirratt, Meyer, Ouellette & Gara, 2008). Its generalizability has also been examined in other countries (Lewis, 2009;Dunn, Gonzalez, Costa, Nardi & Iantaffi, 2014;Lea, de Wit & Reynolds, 2014) including Poland (Iniewicz, 2015).…”

Section: Minority Stress Of Lesbians Gays and Bisexualsmentioning

confidence: 97%

The Minority Stress of Lesbian, Gay and Bisexual Parents. Specificity of Polish Context

Wycisk¹

2015

Polish Psychological Bulletin

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Previous research on LGB parenting is dominated by comparing the LGB families to traditional families with heterosexual parents. Little is known about personal experiences of LGB parents and psychological consequences of nonheterosexual parenting in a heteronormative environment. This article presents the conceptualization of lesbian, gay and bisexual parents' minority stress and focuses especially on it's sources.LGB parents are considered as a multiple excluded minority group. Using a theoretical framework of minority stress (Meyer 1995), the main stressors are described with reference to parental situation: discrimination and violence, perceived stigma, self-concealment and internalized homophobia. These factors' possible impact on psychological wellbeing is discussed on the basis of research available. The Polish sociocultural context and its potential influence of LGB parents' stress is also described. The specificity of LGB parents' minority stress is that it challenges the aspect of identity associated with a parental social role. The most common stressors undermine the status and quality of parent-child bond and involves the child himself/ herself. In conclusion, minority stress of LGB parents is recognized as a risk factor for decrease in mental health, but also as an opportunity for personal development based on the stress -related growth.

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Measuring identity multiplicity and intersectionality: Hierarchical Classes Analysis (HICLAS) of sexual, racial, and gender identities

Cited by 99 publications

References 64 publications

Intersecting Identities and Substance Use Problems: Sexual Orientation, Gender, Race, and Lifetime Substance Use Problems

Intersecting Identities and Substance Use Problems: Sexual Orientation, Gender, Race, and Lifetime Substance Use Problems

Longitudinal Relationships Between Antiretroviral Treatment Adherence and Discrimination Due to HIV-Serostatus, Race, and Sexual Orientation Among African–American Men with HIV

The Minority Stress of Lesbian, Gay and Bisexual Parents. Specificity of Polish Context

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