“…Moreover, internalized homophobia may increase stress and psychosocial problems for bisexual and homosexual youth (Remafedi, 1990). Studies have shown that nonheterosexual adolescents are at greater risk for various negative health outcomes, including increased prevalence of substance abuse (Coleman, 1982), sexual abuse (Simari & Baskin, 1982), sexually transmitted diseases (Zenilman, 1988), running away and prostitution (Bidwell & Deisher, 1991), eating disorders (French, Story, Remafedi, Resnick, & Blum, 1996), and suicide (Bell & Weinberg, 1978; Jay & Young 1979, Remafedi, 1987b; Saghir & Robins, 1973).…”