Sexual Orientation Groups Research Articles

Prejudices and discrimination as goal activated and threat driven: The affordance management approach applied to sexual prejudice.

Stereotypes, prejudices, and discriminatory behaviors directed toward people based on their sexual orientation vary broadly. Existing perspectives on sexual prejudice argue for different underlying causes, sometimes provide disparate or conflicting evidence for its roots, and typically fail to account for variances observed across studies. We propose an affordance management approach to understanding sexual prejudice, which weds the fundamental motives theory with the sociofunctional threat-based approach to prejudice to provide a broader explanation for the causes and outcomes of sexual prejudice and to explain inter- and intragroup prejudices more broadly. Prejudices arise as specific emotions designed to engage functional behavioral responses to perceived threats and opportunities (i.e., affordances) posed by different sexual orientation groups, and interact with the perceiver's chronic or temporarily activated fundamental motives (e.g., parenting, mating), which determine the relevance of certain target affordances. Our perspective predicts what stereotype content is likely to direct specific affective and behavioral reactions (i.e., the stereotypes that relay threat- and opportunity-relevant information) and when the affordance-emotion-behavior link is likely to engage (i.e., when those threats and opportunities are directly relevant to the perceiver's current fundamental goal). This article synthesizes the extant sexual prejudice literature from an affordance management approach to demonstrate how fundamental goals interact with preexisting perceptions to drive perceptual, affective, and behavioral responses toward sexual orientation groups, and provides a degree of explanatory power heretofore missing from the prejudice literature. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Three-month Transcendental Meditation reductions in perceived stress are associated with DMN increased connectivity at rest

Sexual minorities in the United States are at elevated risk of prejudice, discrimination, and violence victimization due to stigma associated with their sexual orientation. These stressors may contribute to physiological stress responses and changes in the regulation of the sympathetic nervous system (SNS). To date, no studies have examined the associations among minority sexual orientation, recent stressful events, and diurnal salivary alpha-amylase (sAA) patterns. The present study included 1663 young adults ages 18–32 years (31% men, 69% women) from the Growing Up Today Study, a prospective cohort of U.S. youth. Participants provided five saliva samples over the course of one day to estimate diurnal sAA patterns. Sexual orientation groups included completely heterosexual with no same-sex partners (CH; referent), mostly heterosexual/completely heterosexual with same-sex partners, and gay/lesbian/bisexual (LB or GB). Sex-stratified multilevel models were fit to evaluate the association of sexual orientation with diurnal patterns of log sAA. The association of recent stressful events was also evaluated. Among women, sexual minorities scored significantly higher than CH on perceived stress and number of stressful events in the past month (p < 0.05). Among men, sexual minorities scored higher than CH on perceived stress but not recent stressful events. In multivariable models, recent stressful events were not associated with sAA patterns, but significant sexual orientation group differences in sAA diurnal rhythm were observed among women though not among men. Compared to CH women, LB showed a blunted awakening response and elevated sAA levels across the day, both indicators consistent with SNS dysregulation. Findings suggest dysregulation of stress physiology in LB women, but not other sexual minority women or men, relative to same-sex heterosexuals. Observed dysregulation may relate to exposure among LB women to chronic stressors associated with sexual orientation stigma, although these relations and differences by sex warrant further study.

Maintaining "mianzi" and "lizi": Understanding the reasons for formality marriages between gay men and lesbians in China.

As a result of societal expectations and to avoid societal homophobia, many lesbians and gay men in China marry heterosexual partners and do not disclose their own sexual orientation. This study used qualitative methods to explore why gay men enter into such marriages of convenience. A total of 17 in-depth interviews were conducted with lesbians and gay men who had entered "formality marriages." All interviews were digitally recorded for transcription; transcripts were analyzed using grounded theory to determine themes. The reasons for engaging in formality marriage can be grouped into broad categories, including: maintaining mianzi (reputation) and lizi (inner reality), avoiding moral distress, social discrimination, working in tizhi (social systems), accounting for their social relationships, and fulfilling filial piety. From our model we can see growing up as a member of a minority sexual orientation group means being discriminated against and marginalized in the family, work place, community, and society at large. Formality marriages not only offer a way to maintain one's personal and family reputation ( mianzi) in different contexts, but also avoid moral distress and maintain a personal private sexual orientation ( lizi) with their own homosexual partner. Formality marriage serves as a compromise to ensure cultural continuity, and it harmonizes individuals' interpersonal relationships and traditional Chinese family values. Understanding the reasons for formality marriage practices can help health professionals to create public health campaigns to dispel stereotypes and stigma about homosexuality, and to develop culturally sensitive services for homosexual populations.

Partner Characteristics and Perceptions of Responsibility for Housework and Child Care

Objective: This study examines how partner characteristics (i.e., relative income, gender, gender expression) causally affect perceptions of responsibility for housework and child care in heterosexual and same‐sex couples.Background: Although past research has frequently investigated how couples divide chores and child‐care tasks, few studies have examined Americans' normative beliefs about the division of household labor. This is an important oversight because partner characteristics are often correlated within individuals (e.g., heterosexual women are disproportionately lower earning), thus blurring how each characteristic causes a partner to be seen as responsible for tasks.Method: The authors conducted a nationally representative survey experiment (N = 1,025). Respondents were randomly assigned to a vignette condition describing either a heterosexual or same‐sex couple. After viewing the vignette, respondents were asked to assign chores and child‐care tasks based on partners' relative income, gender, and gender expression.Results: In same‐sex couples, partners' gender expression had moderate effects on respondents' chore and child‐care assignments. In heterosexual couples, however, the respondents relied overwhelmingly on gender differences to determine who should be doing household tasks. Relative income had little effect across sexual orientation groups, aside from dictating which partner should exit the workforce to become a stay‐at‐home parent.Conclusion: Gender is the primary factor that drives Americans' normative beliefs about housework and child care.

Sexual orientation and salivary alpha-amylase diurnal rhythms in a cohort of U.S. young adults

Sexual minorities in the United States are at elevated risk of prejudice, discrimination, and violence victimization due to stigma associated with their sexual orientation. These stressors may contribute to physiological stress responses and changes in the regulation of the sympathetic nervous system (SNS). To date, no studies have examined the associations among minority sexual orientation, recent stressful events, and diurnal salivary alpha-amylase (sAA) patterns. The present study included 1663 young adults ages 18–32 years (31% men, 69% women) from the Growing Up Today Study, a prospective cohort of U.S. youth. Participants provided five saliva samples over the course of one day to estimate diurnal sAA patterns. Sexual orientation groups included completely heterosexual with no same-sex partners (CH; referent), mostly heterosexual/completely heterosexual with same-sex partners, and gay/lesbian/bisexual (LB or GB). Sex-stratified multilevel models were fit to evaluate the association of sexual orientation with diurnal patterns of log sAA. The association of recent stressful events was also evaluated. Among women, sexual minorities scored significantly higher than CH on perceived stress and number of stressful events in the past month (p < 0.05). Among men, sexual minorities scored higher than CH on perceived stress but not recent stressful events. In multivariable models, recent stressful events were not associated with sAA patterns, but significant sexual orientation group differences in sAA diurnal rhythm were observed among women though not among men. Compared to CH women, LB showed a blunted awakening response and elevated sAA levels across the day, both indicators consistent with SNS dysregulation. Findings suggest dysregulation of stress physiology in LB women, but not other sexual minority women or men, relative to same-sex heterosexuals. Observed dysregulation may relate to exposure among LB women to chronic stressors associated with sexual orientation stigma, although these relations and differences by sex warrant further study.

Sexual orientation-related disparities in employment, health insurance, healthcare access and health-related quality of life: a cohort study of US male and female adolescents and young adults

ObjectiveTo investigate sexual orientation-related disparities in employment and healthcare, including potential contributions to health-related quality of life (HRQL).SettingGrowing Up Today Study, a USA-based longitudinal cohort that began in 1996; predominantly...

Prevalence of Obesity, Prediabetes, and Diabetes in Sexual Minority Women of Diverse Races/Ethnicities: Findings From the 2014-2015 BRFSS Surveys

Purpose The purpose of this study is to assess the weighted prevalence and odds ratios of obesity, prediabetes, and diabetes by (1) female sexual orientation (lesbian, bisexual, and straight) with racial/ethnic (Hispanic, non-Hispanic black, and non-Hispanic white) groups combined and (2) across and within racial/ethnic groups by sexual orientation. Methods A secondary analysis of pooled 2014-2015 Behavioral Risk Factor Surveillance System data from 28 states (N = 136 878) was conducted. Rao-Scott chi-square test statistics were computed and logistic regression models were developed to assess weighted prevalence and odds ratios of obesity, prediabetes, and diabetes with adjustments for demographics (age, income, and education), depression, and health care access factors. Results With racial/ethnic groups combined, lesbian and bisexual women, relative to straight women, had a significantly increased likelihood for obesity when controlling for demographics. Bisexual women were found to have significantly reduced odds for diabetes, compared with straight women, with adjustments for demographics, depression, and health care access factors. Compared with their non-Hispanic white counterparts, Hispanic lesbian women had significantly increased odds for obesity and diabetes, while non-Hispanic black bisexual women had a significantly greater likelihood for obesity, holding demographics, depression, and health care access factors constant. Non-Hispanic white lesbian women had an increased likelihood for obesity relative to their straight, ethnic/racial counterparts. Prediabetes subsample analysis revealed the prevalence was low across all female sexual orientation groups. Conclusion Sexual minority women, particularly those of color, may be at increased risk for obesity and diabetes. Research is needed to confirm the findings.

Sexual Orientation Group Differences in Perceived Stress and Depressive Symptoms Among Young Adults in the United States.

Overall, sexual minorities have poorer mental health than heterosexual individuals, and stress is thought to underlie such disparities. However, sexual minorities include both those identifying as lesbian, gay, or bisexual (LGB) and many who do not (e.g., individuals identifying as mostly heterosexual, or as heterosexual but with discordant same-sex attractions or behaviors), and little is known about the mental health or stress experiences of non-LGB identified sexual minorities. This study assessed perceived stress and depressive symptom differences between concordant heterosexual individuals and three groups of sexual minority young adults (LGB, mostly heterosexual, and discordant heterosexual individuals). Data were from the National Longitudinal Study of Adolescent to Adult Health, Wave IV (2008-2009). Descriptive and bivariate statistics were estimated. Path analyses assessed whether perceived stress mediated differences in depressive symptomatology. Analyses were weighted and gender-stratified. Mostly heterosexual individuals comprised the largest sexual minority group, for both men (3.58%) and women (15.88%). All sexual minority groups reported significantly more depressive symptoms than concordant heterosexual individuals, for both men and women (all P < 0.05). Among women, all sexual minority groups reported significantly higher perceived stress than concordant heterosexual individuals (all P < 0.05), which partially mediated elevations in depressive symptomatology (all P < 0.05). Mostly-heterosexual-identified men reported significantly higher perceived stress than concordant heterosexual men (P < 0.01), which partially mediated elevations in depressive symptomatology (P < 0.01). Our results underscore the importance of assessing sexual orientation comprehensively to fully understand sexual minority health disparities. Additional research should examine the stressors specific to different sexual minority groups.

Teen Pregnancy Risk Factors Among Young Women of Diverse Sexual Orientations.

Young women who are sexual minorities (eg, bisexual and lesbian) are approximately twice as likely as those who are heterosexual to have a teen pregnancy. Therefore, we hypothesized that risk factors for teen pregnancy would vary across sexual orientation groups and that other potential risk factors exist that are unique to sexual minorities. We used multivariable log-binomial models gathered from 7120 young women in the longitudinal cohort known as the Growing Up Today Study to examine the following potential teen pregnancy risk factors: childhood maltreatment, bullying victimization and perpetration, and gender nonconformity. Among sexual minorities, we also examined the following: sexual minority developmental milestones, sexual orientation-related stress, sexual minority outness, and lesbian, gay, and bisexual social activity involvement. Childhood maltreatment and bullying were significant teen pregnancy risk factors among all participants. After adjusting for childhood maltreatment and bullying, the sexual orientation-related teen pregnancy disparities were attenuated; these risk factors explained 45% of the disparity. Among sexual minorities, reaching sexual minority developmental milestones earlier was also associated with an increased teen pregnancy risk. The higher teen pregnancy prevalence among sexual minorities compared with heterosexuals in this cohort was partially explained by childhood maltreatment and bullying, which may, in part, stem from sexual orientation-related discrimination. Teen pregnancy prevention efforts that are focused on risk factors more common among young women who are sexual minorities (eg, childhood maltreatment, bullying) can help to reduce the existing sexual orientation-related teen pregnancy disparity.

The Stereotype Content of Sexual Orientation

The stereotype content model provides a powerful tool to examine influential societal stereotypes associated with social groups. We theorize how stereotypes of gender, sexuality, and a group’s status in society combine to influence societal views of sexual orientation groups—placing particular emphasis on stereotypes of warmth and competence. In two survey experiments, we collect quantitative measures of stereotype content and open-response items on the stereotypes of bisexual individuals. We predict—and find—that gay men and lesbian women face disadvantaging stereotypes; bisexual men and women, however, face the most severely negative stereotypes of any sexual orientation group—with aggregate judgments of low warmth and competence. In the second study, using a diverse sample, we show that stereotypes about sexual orientation groups are largely culturally consensual. We conclude by emphasizing the importance of comparative approaches that consider both advantaged and disadvantaged groups to fully contextualize stereotypes of minority groups.

Prevalence of Obesity, Prediabetes, and Diabetes in Sexual Minority Men: Results From the 2014 Behavioral Risk Factor Surveillance System.

Purpose The purpose of this study is to assess the prevalence and related odds ratios for obesity, prediabetes, and diabetes in sexual minority men (SMM) in relation to straight men. Methods A secondary analysis of 2014 Behavioral Risk Factor Surveillance System data from 19 states (n = 53 542) was conducted. Weighted means and standard errors were computed to estimate prevalence rates of obesity, prediabetes, and diabetes across male sexual orientation groups, respectively. Unadjusted and adjusted (demographics, depression, and health care access factors) weighted logistic regression models were developed. Results Obesity prevalence was lower in gay men relative to straight men with logistic regression modeling indicating gay men were significantly less likely to be obese, relative to their straight counterparts, in the unadjusted and adjusted models. In terms of prediabetes, rates were low across all sexual orientation groups with no significant differences observed. Yet bisexual men, relative to straight men, had higher rates of diabetes with significantly increased odds for the disease in both the unadjusted and adjusted models. Conclusion Findings indicate gay men have reduced risk for obesity while bisexual men may have increased diabetes burden. Across all male sexual orientation groups, prediabetes prevalence was low, suggesting the need for more aggressive prediabetes screening. Additional research is necessary to confirm the findings.

MyGrief.ca.

Bereavement represents a significant public health concern as grievers often suffer from co-morbid health problems, increased use of health care resources, periodic hospitalizations, and even mortality in the first 2 years after the death. Furthermore, grievers frequently encounter major obstacles when seeking formal support, including lack of access to specialized grief support due to temporal, financial or geographic constraints. To address these gaps in service, the Canadian Virtual Hospice, in collaboration with pan-Canadian partners developed MyGrief.ca, the world's first evidence-based, online psycho-educational tool to support those who do not or cannot access existing in-person loss and grief supports and as a supplementary resource for those who do. The tool also serves as a rich educative tool for health providers. The content was developed with families and international leaders in the field of bereavement, with attentiveness to issues of cultural diversity. Funding was providing by the Canadian Partnership against Cancer. MyGrief.ca includes nine self-directed modules that cover a diversity of topics across the bereavement trajectory. Embedded within each module is a great variety of video testimonials detailing grief narratives that represent diverse age, cultural, gender, and sexual orientation groups. Attendees will be given an in-depth tour of MyGrief.ca, followed by an interactive conversation on the tool with a bereft family member, health provider and educator on their unique perspectives and the overall impact of using MyGrief.ca. Bereavement represents a significant public health issue with grievers often presenting with concurrent health difficulties in the first 2 years after the death. This workshop will present a novel tool developed by the Canadian Virtual Hospice, specifically an online self-directed bereavement resource to support patients, families and health providers.

Sexual orientation identity and tobacco and hazardous alcohol use: findings from a cross-sectional English population survey

ObjectivesTo assess the association between tobacco and hazardous alcohol use and sexual orientation and whether such an association could be explained by other sociodemographic characteristics.DesignCross-sectional household survey conducted in 2014–2016.SettingEngland,...

Sexual Assault, Sexual Orientation, and Reporting Among College Students.

Research has demonstrated significantly higher rates of sexual assault victimization among lesbian, gay, bisexual and queer (LGBQ) students than heterosexual students, and the overwhelming majority of assaults are not reported to any official system. Given the potential for support services to provide valuable assistance and promote well-being after an assault, the present study explores whether LGBQ students report assaults at similar rates to heterosexual students. As part of the 2015 College Student Health Survey, 10,646 male and female college students at 2- and 4-year colleges in Minnesota provided data regarding sexual assault victimization; reporting to a health care provider, campus authority, police, or social contact; and sexual orientation (two items, including write-in). Chi-square tests were used to detect associations between sexual assault victimization and five sexual orientation groups; and between sexual orientation and assault reporting (for 523 assault incidents). Almost 6% of students reported that they had experienced sexual assault in the previous 12 months. Significant differences in assault experience were seen by sexual orientation groups, for both males and females. For example, rates of sexual assault were 2.5 to over 5 times higher among bisexual and queer/pansexual/other females than among heterosexual females. Reporting of sexual assault to health care providers, campus authorities or police was rare for both heterosexual and sexual minority students, and there were no significant differences in reporting across sexual orientation. LGBQ students and heterosexual students appear to be similarly comfortable accessing health care providers, police, and campus resources, suggesting that these services are not overtly biased or unwelcoming to sexual minorities. However, rates of sexual assault were considerably higher among sexual minority groups, suggesting a need for primary prevention that is appropriate and sensitive to the experiences of LGBQ students.

Sexual orientation health inequality: Evidence from Understanding Society, the UK Longitudinal Household Study.

Few studies from the United Kingdom have fully investigated inequalities between members of different sexual minority groups and heterosexuals over range of health outcomes. Using data from over 40,000 individuals, this study explores the health inequalities of sexual minority UK adults. We include respondents who identify as other and those who prefer not to say (PNS). Data come from wave three (2011-2012) of the nationally-representative Understanding Society, the UK Household Longitudinal Study. Sexual orientation was asked in the self-completion portion of the study. Markers of health include physical and mental functioning, minor psychological distress, self-rated health, substance use and disability. Multiple linear and logistic regression analyses tested for differences in markers of health between sexual orientation groups. Overall, heterosexual respondents had the best health while bisexual respondents had the worst. Gay and lesbian respondents reported poorer health than heterosexuals, specifically with regards to mental functioning, distress and illness status. The other and PNS respondents were most similar to each other and generally experienced fewer health inequalities than gay and lesbian respondents; they were less likely to use tobacco or alcohol. In sum, sexual minorities experience health inequality. The inclusion of other and PNS respondents has not been done in other studies and shows that while they may be healthier than gay/lesbian and bisexual respondents they still experiences poorer health than heterosexuals. Health promotion interventions are needed for these other and PNS individuals, who might not participate in interventions targeted toward known sexual minority groups.

Substance use and Sexual Orientation: A Test of Hirschi’s Social Bonds Theory

A substantial amount of research assesses the ability of Hirschi’s social bonds theory to explain numerous deviance oriented outcomes. In addition to amassing support for the theory, studies have also examined social bonds from sex and racial perspectives finding variations in bond strengths. Despite the impressive body of literature, one area that has yet to be explored is how social bonds and their relationships with deviance may vary between sexual orientation groups. Thus, the current study sought to compare the strength of social bonds and assess how social bonds can predict substance use between heterosexuals and non-heterosexuals. Self-reported data collected from 626 college students was examined using linear and logistic regression models. Results revealed that social bonds tend to be stronger and better predictors of substance use for heterosexuals. This study is the first of its kind to explore social bonds as a predictor between sexual orientation groups. Results indicate there is a need to further explore the strength of social bonds as predictors between sexual orientation groups. Heterosexuals and non-heterosexuals have different experiences as a result of their sexual orientation leading to varying relationships between social bonds and deviance.

Sexual Orientation Disparities in Human Papillomavirus Vaccination in a Longitudinal Cohort of U.S. Males and Females.

This study sought to examine how human papillomavirus (HPV) vaccination may differ across sexual orientation groups (e.g., bisexuals compared to heterosexuals)-particularly in boys and men, about whom little is known. Data were from a prospective cohort of 10,663 U.S. females and males enrolled in the Growing Up Today Study followed from 1996 to 2014. Participants were aged 11-24 years when the vaccine was approved for females in 2006 and 14-27 years when approved for males in 2009. In addition to reporting sexual orientation identity/attractions, participants reported sex of lifetime sexual partners. Log-binominal models were used to examine HPV vaccination across sexual orientation groups. Among females, 56% received ≥1 dose. In contrast, 8% of males obtained ≥1 dose; HPV vaccination initiation was especially low among completely heterosexual males. After adjusting for potential confounders, completely heterosexual (risk ratio [RR]; 95% confidence interval [CI]: 0.45 [0.30-0.68]) and mostly heterosexual (RR; 95% CI: 0.44 [0.25-0.78]) males were half as likely to have received even a single dose compared to gay males. Compared to lesbians, no differences were observed for completely heterosexual or bisexual females, but mostly heterosexual females were 20% more likely to have received at least one dose. HPV vaccination rates in the U.S. are strikingly low and special attention is needed for boys and men, especially those who do not identify as gay. Vaccinating everyone, regardless of sex/gender and/or sexual orientation, will not only lower that individual's susceptibility but also decrease transmission to partners, females and/or males, to help eradicate HPV through herd immunity.

The Center for Epidemiologic Studies Depression Scale: Invariance across heterosexual men, heterosexual women, gay men, and lesbians.

The present study examined measurement invariance of the Center for Epidemiologic Studies Depression Scale (CES-D) in community groups of Australian heterosexual men (N = 1106), heterosexual women (N = 2111), gay men (N = 527), and lesbians (N = 712). Confirmatory factor analysis of CES-D item scores supported the theorized oblique 4-factor model. There was support for full measurement invariance across the 4 groups, based on differences in approximate fit indices. In contrast there was support for only partial invariance when the chi-square difference test was applied. Lack of invariance was mostly for depressed affect and somatic symptom items, with noninvariant somatic symptom items showing consistently high factor loadings and thresholds among lesbians compared with the other groups. The findings are discussed in relation to the use of the CES-D, the relevance of different depression symptoms to how depressions is experienced by the different gender and sexual orientation groups, and gender role socialization and minority sexual orientation theories. (PsycINFO Database Record

Discrimination and mental health among lesbian, gay and bisexual adults

IntroductionMental health care is indispensable, has an essential role in development, but mental health issues are a major public health concern worldwide. Sexual minorities, lesbian, gay and bisexual, suffer from prejudice and it determines health inequities, especially for their mental health.ObjectiveTo show the relation between discrimination and mental health issues in lesbian, gay and bisexual (LGB) people and to increase understanding of this serious neglected public health problem.MethodsThe search was conducted using Science Direct and Scopus, using the following keywords: “discrimination” and “mental health” and “lesbian” and “gay” and “bisexual”. Using the review of literature, documents in English (articles, official documents, editorial, reviews, clinical trials).DiscussionNumerous studies have identified highest risk behavior, as illicit drug use, sexual risk-taking behaviors and mental health issues among LGB people. Some previous studies propose that health and risk disparities between heterosexual and LGB identifying or behaving people are due to minority stress–that is, that the stigma, discrimination, and violence experienced, leading to stress, thus predisposing illness, disease (worse mental and physical health outcomes) and potentially substance use, which may be used to relieve or escape stress.ConclusionHealth professionals and healthcare organizations must cover these unmet mental health needs if they move to more integrated, coordinated models of care. Health educators should attend to the unique needs of each sexual orientation group when presenting sexual health information and health care providers should undergo diversity and sensitivity training to work more effectively with those groups.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Trends in suicidality among sexual minority and heterosexual students in a Canadian population-based cohort study.

Despite evidence from numerous studies that document disparities in suicidality for sexual minorities, few have investigated whether or not these trends have improved over time, which is the objective of the current study. Using school-based population data over a 15-year period (1998 to 2013), multivariate logistic regressions were used to calculate age-adjusted odds ratios separately by gender. Interactions were included to test widening or narrowing disparities within orientation groups, which makes this one of the first studies to test whether gaps in disparities between heterosexual and sexual minorities have widened or narrowed over time. Results show that sexual minority youth are persistently at a greater risk for suicidal behaviour, a trend that has continued particularly for bisexual youth of both sexes. Results also suggest that the gap in suicidal behaviour is widening among some female sexual orientation groups, yet narrowing for other male sexual orientation groups. These findings have important public health implications, especially since we see decreases in suicidal behaviour for heterosexual adolescents, but not in the same way for many sexual minority youth, despite advances in social acceptance of gay, lesbian, and bisexual issues in North America.