Heterosexual Participants Research Articles

An experimental study using a sexual strategies explanation to reduce homophobia toward gay men among lay people and healthcare professionals in China.

Homophobic discrimination and stigmatization, especially from healthcare professionals, are important stressors for gay men. Homophobia may be partly rooted in seeing some gay men having casual sex and many sexual partners as a signal of mental problems. Sexual Strategies Theory (SST) suggests that such sexual behavior is a result of different sexual strategies men and women tend to adopt and is unrelated to sexual orientation per se. This study aimed to investigate (1) the effectiveness of providing an SST explanation for gay men's sexual behavior in reducing homophobia among both lay persons and healthcare professionals; (2) differences in homophobia between healthcare professionals and lay people and also between medical and non-medical professionals. The main analyses included 492 heterosexual participants recruited online via Chinese social media and sample services in 2021. Of these, 227 were healthcare professionals (128 medical, 99 non-medical) and 265 were lay people. The participants were randomly assigned into an experimental group given the SST explanation (n = 126), an active control group given a Minority Stress (MS) explanation (n = 184), and a control group (n = 182). After the manipulation, homophobia, knowledge about homosexuality, professional homophobic attitude, gay affirmative practice, and contact with gay men were assessed. The results of factor analysis suggested dividing homophobia into Oppressing Homophobia (Oppressing HP) describing believing that gay men should have fewer rights and Pathologizing Homophobia (Pathologizing HP) describing believing that the sexual behavior of gay men is a signal of mental problem. Importantly, the SST explanation reduced Pathologizing HP while the MS explanation reduced Oppressing HP. Healthcare professionals reported more Oppressing HP than lay people, and medical professionals conducted less gay affirmative practice than non-medical professionals. An SST explanation can potentially reduce some aspects of homophobia among both healthcare professionals and lay people. Also, worryingly, Chinese healthcare professionals, especially medical professionals, reported more homophobia than lay individuals.

Expectations for family building, assisted reproduction, and adoption among lesbians in the National Survey of Family Growth, 2017–2019

To characterize the family-building goals and experiences of lesbians compared with those of heterosexual females in the United States. Secondary analysis of nationally representative, cross-sectional survey data. National Survey of Family Growth 2017-2019. 159 reproductive-age lesbian respondents and 5,127 reproductive-age heterosexual respondents. We characterized family-building goals and the use of assisted reproduction and adoption among lesbians using nationally representative female respondent data from the 2017-2019 National Survey of Family Growth. We performed bivariate analyses examining variations in these outcomes between lesbian and heterosexual individuals. Wantedness of children, use of assisted reproductive technology, and pursuit of adoption among reproductive-age lesbian and heterosexual participants. We identified 159 reproductive-age lesbian respondents of the National Survey of Family Growth, representing 2.3% or approximately 1.75 million US individuals of reproductive age. The lesbian respondents were younger, less religious, and less likely to have children than heterosexual respondents. These groups did not differ significantly by race/ethnicity, education, or income. More than half of the individuals reported wanting a child in the future, with proportions similar between the lesbian and heterosexual individuals (48% vs. 51%, respectively; P = .52). Accordingly, 18% of both the lesbian and heterosexual individuals reported that they would be greatly bothered if they were unable to have children. Nevertheless, health care providers reportedly asked the lesbians about their desire to get pregnant less frequently than they asked the heterosexual individuals (21% vs. 32%, respectively; P = .04). Only 26% of the lesbians had ever been pregnant compared with 64% of the heterosexual individuals (P<.01). Approximately one third (31%) of lesbians with medical insurance were seeking reproductive services compared with 10% of heterosexual individuals (P = .05). Lesbians were significantly more likely to be seeking adoption than heterosexual individuals (7.0% vs. 1.3%, respectively; P = .01), although they were more likely to report being turned down (17% vs. 10%, respectively; P=.03), not knowing why they were unable to adopt (19% vs. 1%, respectively; P = .02), and quitting because of the adoption process (100% vs. 45%, respectively; P = .04). Approximately half of US females of reproductive age desire to have a child, a proportion that is not different between lesbian and heterosexual individuals. However, fewer lesbians are asked about their desires to get pregnant, and fewer ever become pregnant. Lesbians are significantly more likely to pursue assisted reproductive services when covered by insurance and more likely to seek adoption. Unfortunately, lesbians are more likely to face challenges with adoption.

Suggestions for modifications to the Female Sexual Function Index based on cognitive interviews with sexual and gender minority individuals and cisgender, heterosexual persons.

Patient-reported outcome measures for sexual health were often designed for research studies that included only heterosexual, partnered, and cisgender participants; as such, they may have limited applicability for clinical use among sexual and gender minority (SGM) individuals or those without a partner. We aimed to conduct cognitive interviews with SGM persons and heterosexual women to determine the readability, comprehension, and applicability of questionnaire items to assess sexual function among diverse sexual and gender identities. We conducted 4 rounds of cognitive interviews with 52 participants (28 SGM; 24 cisgender, heterosexual) who provided feedback on the comprehension and wording of questionnaire items and response scales. We used items from the Female Sexual Function Index (FSFI) and focused on establishing content validity of a modified measure. Participants made recommendations for changes to the questionnaire, which was iteratively revised between interview rounds. Two independent coders analyzed the transcripts using structural coding based on 5 predefined codes: satisfaction with item, specificity/language change needed, missing/suggested item, patient definitions of concepts, and confusion with item. Content validity. After 3 rounds of cognitive interviews and revisions to the questionnaire, participants found the final version acceptable and understandable, thereby reaching thematic saturation and establishing content validity of the modified FSFI. Modifications included the following: replacing all instances of "sexual stimulation" and "intercourse" with "sexual activity (alone or with a partner)," broadening the definition of "vaginal penetration" beyond penile-vaginal penetration, and adding skip logic to include the option "no sexual activity." Participants identified missing concepts important to their sexual health, such as use of an external lubricant. The FSFI and similar questionnaires need to be adapted to broader clinical practice populations such that all persons' experiences are accurately reflected and assessed, ensuring that sexual health needs can be met more inclusively. A strength of the study was using cognitive interviews engaging patient perspectives, which is considered the gold standard for establishing content validity. One limitation is that participants included predominantly White and highly educated women. Feedback from interviews supports modifying FSFI items and further psychometric testing, and future studies should evaluate the measure among racially and educationally diverse groups.

Do attitude functions and perceiver demographics predict attitudes towards asexuality?

ABSTRACT Research indicates asexual individuals experience stigma. Addressing this phenomenon, this study examined attitude functions – experiential, social-expressive, ego-defensive, and value-expressive – in the prediction of attitudes towards asexuality. As well, demographic variables – participant gender, religiosity, and sexual orientation – were examined vis-à-vis asexuality attitudes. Herek’s Function of Attitudes Inventory assessed asexual attitude functions. General attitudes were assessed using the Attitude towards Asexuality scale, feeling thermometers, and semantic differential scales. Participants were asked to imagine developing a relationship with an asexual person; attitudes towards the asexual target were assessed by belief statements specific to the person, a feeling thermometer, and target-specific semantic differential items. On average, all asexuality attitudes measures were rated favourably. Men, religious individuals, and exclusively heterosexual participants were generally less positive in their asexual attitudes. While statistically significant, these demographic differences were quite weak. Participants generally denied the attitude functions as the basis for their asexuality attitudes. The ego-defensive attitude function was strongly predictive of all asexual attitudes measures. The value-expressive function was a significant but small multiple regression predictor of some asexual attitudes. Understanding attitudes towards asexuality would be advanced by further consideration of how the attitude serves the social perceiver.

Oxytocin has sex-specific effects on trust and underlying neurophysiological processes

The neuropeptide oxytocin (OT) regulates mammalian social approach behavior across sexes. Yet most OT studies in humans exclusively investigated men. Here, we studied sex differences in OT’s effects on human trust behavior in 144 heterosexual participants (73 women, 71 men). Participants received 24 international units of intranasal OT or placebo treatment and played a trust game in the role of the investor while undergoing electroencephalography. Trustees were represented by photos of the other sex gradually varying in their pre-rated intensities of facial features signaling attractiveness and threat. On a behavioral level, we observed that OT increased trust in men and reduced it in women when trustees showed weak signals of attractiveness and threat. Correspondingly, on the neurophysiological level, we noted that OT intensified the P100 in male participants, but dampened it in female ones. Our findings demonstrate OT’s sex- and context-specific effects on social approach behavior and an underlying early visual attention-related brain process. This evidence demonstrates the need to consider psychobiological mechanisms of sexual dimorphism in human OT research.

The specific psychosocial modulator factors of emotional adjustment in infertile individuals compared to fertile people

Certain psychological and social factors modulate emotional adjustment in infertility. The aims of this study were: analyse whether there are sex and group differences (infertile vs. fertile) in emotional adjustment, and personality, dispositional optimism, coping strategies, personal and interpersonal resources; observe the modulating role of these psychosocial variables in the emotional adjustment of infertile individuals compared to fertile ones; and determine if the modulator variables associated with emotional adjustment are specific to infertile people. Method: A cross-sectional study design was used with a sample of 139 heterosexual Spanish participants (84 infertile, 55 fertile). For the data analysis we performed correlations, multiple regression analysis, MANOVAS and ANOVAS. Results: The multivariate and univariate analyses showed that the infertile group exhibited greater emotional maladjustment, more personal resources, lesser degree of confrontive coping, social support seeking, positive reappraisal, and lower marital satisfaction than the fertile group. In addition, women (infertile and fertile) sought more social support seeking and the infertile ones made more use of self-controlling strategies. Multiple regression analyses showed that for all subjects the emotional adjustment was modulated by dispositional optimism and escape/avoidance. For infertile participants, the remaining significant modulating factors were personal resources and marital satisfaction, whereas, for the fertile group, they were openness and interpersonal resources. Conclusion: Infertile women and men showed no differences in emotional maladjustment, but levels were higher than in the fertile group. We found differences between infertile and fertile subjects in terms of modulating variables of emotional adjustment. For infertile participants, the development of personal resources and increased marital satisfaction are particularly important.

Abstract P355: Examining Sexual Identity Differences in Self-Measured Blood Pressure Monitoring Among Adults in the Behavioral Risk Factor Surveillance System

Background: Hypertension is a leading risk factor for cardiovascular disease. Self-measured blood pressure (SMBP) monitoring has been identified as an effective strategy to achieve BP control among adults with hypertension. Although there is growing evidence that sexual minority (e.g., gay/lesbian, bisexual) adults are at higher risk of hypertension than heterosexual adults, there is no data on hypertension self-management among sexual minority people with hypertension. Methods: We used data from the 2019 Behavioral Risk Factor Surveillance System to examine differences in SMBP monitoring between sexual minority and heterosexual participants with hypertension. Participants were asked questions regarding SMBP monitoring at home, including whether they were advised by a healthcare professional to check their BP at home, regularly checked their BP at home, and if they shared their home BP readings with a healthcare professional. We ran sex-stratified logistic regression models, adjusted for demographic factors and healthcare utilization, to estimate differences in SMBP monitoring between sexual minority and heterosexual participants. Results: The sample included 25,461 participants with a mean age of 54.1 ( ± 16.8) of which 95.1% were heterosexual, 1.7% were gay/lesbian, and 2.2% were bisexual. Although there were no differences in the odds of being advised by a healthcare professional to check their BP at home, lesbian women were more likely than heterosexual women to report taking their BP at home (AOR 1.23, 95% CI = 1.03-4.85) and sharing their home BP readings with a healthcare professional (AOR 2.31, 95% CI = 1.04-5.17). In contrast, bisexual women were less likely than heterosexual women to report taking their BP at home (AOR 0.59, 95% CI = 0.43-0.81) and sharing their home BP readings with a healthcare professional (AOR 0.56, 95% CI = 0.40-0.78). No differences in SMBP monitoring were found between sexual minority and heterosexual men. Conclusions: As the first examination of sexual identity differences in SMBP monitoring among adults with hypertension, this study addresses important knowledge gaps within cardiovascular and sexual minority health research. Lesbian women with hypertension exhibited more favorable self-management behaviors compared to heterosexual women. However, bisexual women with hypertension were less likely than heterosexual women to engage in SMBP monitoring. Findings suggest there is a need for clinical interventions to improve hypertension self-management among bisexual women.

Highlights From the Circulation Family of Journals.

Highlights From the Circulation Family of Journals.

Personality profiles and health behaviors among sexual minority middle-aged and older adults: Identifying resilience through latent profile analysis

Resilience has been defined as a personality characteristic that promotes adaptation when facing hardships. Research has found evidence of resilience in sexual minority (SM; i.e., lesbian, gay, bisexual) adults, despite facing additional stressors such as discrimination and victimization. Yet, very limited research has been conducted on resilience in this marginalized community. Utilizing data from the Midlife in the United States study, this study conducted latent profile analysis using the Big Five personality traits (i.e., openness, conscientiousness, extraversion, agreeableness, neuroticism) to identify distinct personality profiles in a sample of SM (n = 159) and propensity-score matched heterosexual (n = 318) middle-aged and older adults. Additionally, the associations between the personality profiles and health-risk/promoting behaviors were assessed. Four profiles were identified: Average (35.2 %), Resilient (47 %), Overcontrolled (7.3 %), and Undercontrolled (10.5 %). The results found that Resilient SM participants were significantly more likely to engage in problematic drinking but were also more likely to have a routine physical exam than Resilient heterosexual participants. Participants with a Resilient profile were more likely to engage in moderate physical activity than other personality profiles for both SM and heterosexual participants. These results suggest that SM adults have the potential for resilience which is often overlooked in research.

Further Understanding the Correlations Between Sexting and Mental Health: Considerations for Sex and Sexual Identity.

We explored how sexting (no sexting, sent only, received only, reciprocal) was associated with depression, anxiety, sleep problems, and compulsive sexual behaviors across sex and sexual identity groups. We also examined how substance use predicted sexting classifications. Data came from 2,160 college students living in the United States. Results indicated that 76.6 percent of the sample had engaged in sexting (primarily reciprocal). Participants who had engaged in sexting generally evidenced higher depression, anxiety, sleep problems, and compulsive sexual behaviors. Effect sizes were largest on compulsive sexual behavior indicators. Marijuana use was the only significant substance use predictor of reciprocal and "received only" sexting compared with no sexting. Illicit substance use (e.g., cocaine) was low base rate but descriptively was associated with sexting. Compulsive sexual behavior remained a robust positive correlate of sexting compared with non-sexting participants regardless of sex and sexual identity. Most other mental health indicators became nonsignificant correlates of sexting in nonheterosexual participants and were weak positive correlates in heterosexual participants. Marijuana use remained the only significant substance use predictor of reciprocal and "received only" sexting when adjusted for sex and sexual identity. We conclude that sexting is only weakly associated with depression, anxiety, and sleep problems but robustly associated with compulsive sexuality and marijuana use. These findings do not appear to vary meaningfully on the basis of sex or sexual identity, with the exception that the effect sizes between sexting and compulsive sexual behaviors were much stronger for females compared with males (regardless of sexual identity).

Effects of psychological distress and life satisfaction on COVID-related traumatic stress: An international, cross-sectional study

BackgroundThis study examines the individual impacts of psychological distress (i.e., depression and anxiety) and life satisfaction on COVID-related traumatic stress in an international sample of heterosexual versus LGBQ+ adults. MethodBetween July and August 2020, a cross-sectional electronic survey (n = 2482) was launched in five countries (India, Italy, Saudi Arabia, Spain, and United States) assessing sociodemographic characteristics as well as psychological, behavioral, and social factors related to health outcomes during the COVID-19 pandemic. ResultsSignificant differences between LGBQ+ participants and heterosexual participants were found for depression (p < .001) and anxiety (p < .001). Depression was associated with COVID-related traumatic stress among heterosexual participants (p < .001) but not LGBQ+ participants. Both anxiety (p < .001) and life satisfaction (p = .003) were also associated with COVID-related traumatic stress in both groups. Hierarchical regression models demonstrated significant effects of COVID-related traumatic stress for adults outside the United States (p < .001); less than full-time employment (p = .012); and for greater levels of anxiety, depression, and life satisfaction, respectively (all ps < .001). LimitationsGiven the stigma of being LGBQ+ that remains in many countries, participants in may have been reluctant to identify as a sexual minority and therefore indicated a heterosexual sexual orientation. ConclusionThe impact of sexual minority stress among LGBQ+ may play a role in COVID-related post-traumatic stress. Large-scale global disasters such as pandemics, contribute to disparities in psychological distress among LGBQ+ individual, however, sociodemographic factors such as country and urbanicity may play mediating or moderating roles.

Muscle dysmorphia symptomatology among a national sample of Canadian adolescents and young adults

The aim of this study was to describe muscle dysmorphia (MD) symptomatology among a large, diverse, and national sample of adolescents and young adults in Canada. Data from the Canadian Study of Adolescent Health Behaviors (N = 2256) were analyzed. MD symptomatology was assessed using the Muscle Dysmorphic Disorder Inventory (MDDI). Men (mean [M] = 33.9, standard deviation [SD] = 8.6) reported significantly greater overall MD symptomatology compared to women (M = 30.1, SD = 7.3) and transgender/gender non-conforming (TGNC; M = 31.5, SD = 7.6) participants. Similarly, the prevalence of clinical MD risk was also highest among men (25.7 %). In regression analyses, participants who identified as South Asian (B 1.97, 95 % confidence interval [CI] 0.41, 3.52) or Middle Eastern (B 2.92, 95 % CI 0.50,5.35), compared to White participants, or identified as gay or lesbian (B 2.65, 95 % CI 1.19, 4.10), compared to heterosexual participants, had greater MD symptomatology. Findings are the first to describe the MD symptomatology among Canadian adolescents and young adults. Health care and public health professionals should be aware of the overall high occurrence of MD symptomatology in this sample, and future research is needed to continue to describe MD among Canadian young people.

Sexual Minorities within Heterosexuality: Psychosocial Characteristics of and Attitudes toward the “Fourth Love” in China

Objective Within the context of gender diversity, the concept of heterosexuality is also changing, emerging as a diversified sexual orientation and identity. This study aims to challenge the orthodoxy about heterosexuality by exploring the psychosocial characteristics and attitudes toward “fourth love” in China. Method Two studies initially explored the current status of fourth love as a sexual minority. In Study 1, The Sex-Role Inventory and the Marital Attitude Scale were used to assess fourth-love (N = 144) and traditionally heterosexual participants’ (N = 145) gender roles and marriage attitudes. In study 2, the Attitudes Toward the Fourth Love Scale was developed to assess college students’ (N = 315) attitudes toward fourth-love men and women. Result Fourth-love women often identify with masculine gender roles and significant differences were found between fourth-love and traditionally heterosexual women their gender roles. Fourth-love men identified with a neutral gender role, while there are significant differences between fourth-love men and traditionally heterosexual women in masculine gender roles. Fourth-love people’s marriage attitudes were more negative than those of traditionally heterosexual people, especially for women. Various demographic factors influenced college students’ attitudes toward the fourth love. Conclusion As a sexual minority within the umbrella of heterosexuality in China, fourth-love individuals require further research attention and increased support.

Clinician experiences on training and awareness of sexual orientation in NHS Talking Therapies Services for Anxiety and Depression

Abstract Previous research that explored sexual minority service users’ experiences of accessing NHS Talking Therapies for Anxiety and Depression Services highlighted the need for specific sexual orientation training. Inconsistent or lack of training may contribute to disparities in treatment outcomes between sexual minority service users and heterosexual service users. The aim of the study was to explore clinicians’ competencies working with sexual minority service users, their experiences of sexual orientation training, their view of current gaps in training provision, and ways to improve training. Self-reported sexual orientation competency scales and open-ended questions were used to address the aims of the study. Participants (n=83) included Psychological Wellbeing Practitioners (PWPs) and high-intensity CBT therapists (HITs). Responses on competency scales were analysed using Kruskal–Wallis tests and thematic analysis was used to analyse qualitative responses. Participants who identified as 25–29 years old had higher scores on the knowledge scale than 45+-year-olds. Bisexual participants also had higher scores on the knowledge subscale than heterosexual participants. Three over-arching themes were identified: (a) training received on sexual minority issues by Talking Therapies clinicians, (b) clinicians’ experiences of accessing and receiving sexual minority training, and (c) perceived gaps in current sexual minority training and ways to improve training. Findings were linked to previous literature and recommendations to stakeholders are made throughout the Discussion section with the view of improving sexual orientation training. Key learning aims (1) To understand current training provision of sexual orientation training across NHS Talking Therapies courses and services in England. (2) To consider clinicians’ experiences of challenges and barriers that may prevent them from accessing or implementing sexual orientation training in clinical practice. (3) To understand clinicians’ views of the current gaps in training and ways to improve training provision. (4) To make recommendations to NHS Talking Therapies for Anxiety and Depression courses and services in ways to improve training on sexual orientation to better meet the learning needs of clinicians and service users.

How intrasexual competitiveness shapes attitudes towards cosmetic surgery recipients.

Cosmetic surgery is extremely popular. Despite this, negative attitudes towards cosmetic surgery recipients prevail. Across two pre-registered studies, we examined whether intrasexual competitiveness explains these negative attitudes. Participants in Study 1 were 343 (mean age = 24.74) single heterosexual American women and participants in Study 2 were 445 (mean age = 19.03) single heterosexual Australian women. Participants in both studies were primed for either low or high intrasexual competitiveness. Contrary to our predictions, we found that priming condition did not influence participants' derogation and social exclusion of cosmetic surgery recipients. We did, however, find evidence for a 'relative attractiveness' halo effect: participants engaged in less derogation and social exclusion when they assumed cosmetic surgery recipients were more attractive than themselves. This suggests that 'pretty privilege' extends not only to women who meet conventional beauty standards, but also to those who are perceived as relatively closer to meeting these standards than the individual with whom they are engaging. Overall, we concluded that intrasexual competitiveness does not encourage the stigmatisation of cosmetic surgery recipients and examined alternative explanations for this phenomenon.

Prevalence and correlates of dry scooping: Results from the Canadian Study of Adolescent Health Behaviors

Dry scooping is a novel dietary practice characterized by consuming pre-workout powders without mixing with a liquid as directed. Despite purported benefits of this practice, such as increased energy due to the high concentration of caffeine, there are potential harms of engagement. To date, no known empirical research has investigated dry scooping in epidemiological research. Therefore, the aim of this study was to characterize the prevalence and correlates of dry scooping among a sample of Canadian adolescents and young adults. Data from the Canadian Study of Adolescent Health Behaviors (N = 2731) were analyzed. Prevalence of any dry scooping in the past 12 months among the overall sample, and by gender, was estimated. Modified Poisson regression analysis was used to determine the adjusted associations between sociodemographic and descriptive characteristics and dry scooping. Overall, 16.9 % of the sample reported dry scooping in the past 12 months, which was significantly more common among men (21.8 %) compared to women (14.2 %) and transgender/gender non-confirming participants (8.0 %). Participants who reported weight training, greater time spent on social media, and clinically significant symptoms of muscle dysmorphia were more likely to report dry scooping, while sexual minorities, relative to heterosexual participants, and those with higher education were less likely to report dry scooping. This study is the first known epidemiological study of dry scooping, underscoring the common nature of this contemporary dietary behavior. Findings emphasize the need for future research and prevention and intervention efforts to protect the health and well-being of young people.

Gay and Straight Men Prefer Masculine-Presenting Gay Men for a High-Status Role: Evidence From an Ecologically Valid Experiment

There is increased acceptance of gay men in most Western societies. Nevertheless, evidence suggests that feminine-presenting gay men are still disadvantaged compared to gay men who present in a more traditionally masculine way. Though gay men themselves may be complicit in perpetuating this bias, studies that demonstrate this possibility are scant. Whereas most studies on perceptions of feminine-presenting gay men have manipulated gender nonconformity via written descriptions, research suggests that behavioural cues such as voice and body-language can mitigate or exacerbate prejudice toward a stereotyped individual. In the current study, audio-visual stimuli were created to investigate how masculine versus feminine behaviour would impact status endowment from other gay and heterosexual men. In total, 256 men (Mage = 42.73, SD = 14.48: half gay; half heterosexual) cast, from a selection of six video-taped candidates, one gay man to play a lead role in a purported ad for a tourism campaign. In the videos, the actors delivered a script related to the tourism campaign in a manner where their voice and body-language was manipulated to come across as either masculine or feminine-presenting. Findings indicated that gay and heterosexual participants showed a significant preference for the masculine videoclips. For heterosexual men, the preference for masculine-presenting actors was predicted by greater anti-gay sentiment, whereas internalised anti-gay prejudice did not predict a preference for masculine-presentation among gay men. Implications of the findings for discourse and education on intraminority prejudice and suggestions for future research are offered.

People or Ideology? Social Conservatism and Intergroup Contact Moderate Heterosexuals’ Responses to a State-sponsored Anti-LGBT Campaign

IntroductionRecent years have witnessed the global rise of illiberal regimes, which built widespread support by initiating hate campaigns against minorities. This research examined a government-led anti-LGBT campaign in Poland and its impact upon attitudes of the wider public.MethodsOur study (N = 2061 heterosexual participants) assessed sexual prejudice (blatant dehumanization and modern homonegativity) and pro- and anti-minority action intentions in two representative surveys, conducted before (fall 2018; N = 821) and after (summer 2019; N = 1240) the beginning of the anti-LGBT campaign.ResultsPrejudice and anti-minority action tendencies increased during the analyzed period. However, there was also an increase in pro-minority action tendencies, demonstrating public resistance. These effects were moderated by respondents’ levels of social conservatism and their prior contact with LGBT people. Low (compared to high) levels of social conservatism reduced (or even reversed) the impact of the state-sponsored anti-LGBT campaign on sexual prejudice, which further translated into pro- and anti-minority collective action intentions. High (compared to low) levels of contact predicted a reduced effect of the campaign on blatant dehumanization, which translated into lower anti-minority action tendencies. Blatant dehumanization and modern homonegativity differentially predicted participants’ willingness to engage in pro- and anti-minority collective action, highlighting the importance of taking a more granular approach when predicting action intentions.Policy ImplicationsWe discuss implications for interventions aimed at protecting vulnerable groups in the face of anti-minority rhetoric.

THE ROLE OF COPING IN THE ASSOCIATION BETWEEN DISCRIMINATION AND HEALTH OVER TIME IN SEXUAL MINORITY OLDER ADULTS

Abstract While research on lesbian, gay, and bisexual (i.e., sexual minority) middle-aged and older adults has increased over the past decade, there is still a critical need for more research on the health and resilience in this marginalized group, especially longitudinal research. This study examined the differences in the associations between perceived daily discrimination and the physical and mental health of sexual minority and heterosexual adults over time and assessed the moderating effects of problem-focused and emotion-focused coping on these associations. The sample for this study consisted of sexual minority (n=162) and propensity matched heterosexual (n=324) middle-aged and older adults (mean age at baseline=43 years, SD=12.5) with data from three waves of the Midlife in the United States (MIDUS) study, spanning approximately 20 years. Results found that, for sexual minority participants, reporting higher perceived discrimination was associated with a greater number of chronic conditions at baseline, but was also associated with a significant decrease in the number of chronic conditions over time. For the heterosexual participants, both high and low perceived daily discrimination was associated with an increase in the number of chronic conditions over time. The results of this study also found significant moderating effects of coping on the number of chronic conditions and self-rated mental health over time. Problem-focused coping may protect against the negative effects of discrimination on health. These results are suggestive of a “steeling” effect or a resistance to stress achieved through exposures to adversity for the sexual minority middle-aged and older adults in this study.

IMPACT OF COVID-19 ON THE MENTAL HEALTH OF OLDER SEXUAL MINORITY CANADIANS: A LONGITUDINAL ANALYSIS

Abstract The COVID-19 pandemic and related restrictions have had negative impacts on mental health. Sexual minorities (i.e., lesbian, gay, and bisexual; LGB people) have been shown to exhibit mental health disparities stemming from minority stress experiences. The purpose of this study was to examine the mental health trajectories of older sexual minority Canadians in comparison to heterosexual Canadians before and during the pandemic. We used data from the Canadian Longitudinal Study on Aging (CLSA), where data were collected from participants at baseline (2011–2015), first follow-up (2015–2018), and two time points during the COVID-19 pandemic (April-December 2020). General Estimating Equations (GEE) were used to model changes in depression symptoms (CESD-10; n=47,728) and loneliness (UCLA 3-item loneliness scale; n=41,698), adjusting for covariates (i.e., age, sex, income, race, education). Results showed that LGB participants reported more symptoms of depression (β=.595, p &amp;lt; .001) and loneliness (β=.313, p &amp;lt; .001) in comparison to heterosexual participants. Mental health outcomes worsened over time for all participants. These findings highlight the impacts of the pandemic on mental health and the need for tailored interventions for older lesbian, gay, and bisexual individuals.