Abstract
Discrimination has been linked to negative health outcomes among minority populations. The increasing evidence regarding health disparities among sexual minorities has underscored the importance of addressing sexuality discrimination as a public health issue. We conducted a web-based survey between May and September of 2012 in order to obtain a diverse sample of young men who have sex with men (ages 18–29; N = 397; 83 % gay; 49 % black, 27 % white, 15 % Latino) living in the Detroit Metro Area (Michigan, USA). Using multivariate regression models, we examined the association between overall health (self-rated health, days in prior month when their physical or mental health was not good, and limited functionality) and experiences of sexuality-based work discrimination. Fifteen percent reported at least one experience of sexuality-based work discrimination in the prior year. Recent workplace discrimination was associated with poorer self-rated health, a greater number of days when health was not good, and more functional limitation. We discuss the importance of addressing sexuality-related discrimination as a public health problem and propose multilevel intervention strategies to address these discriminatory practices.
Similar content being viewed by others
References
Arnett, J. (2007). Emerging adulthood: What is it, and what is it good for? Child Development Perspectives, 1(2), 68–73.
Badgett, M. (1995). The wage effects of sexual orientation discrimination. Industrial and Labor Relations Review, 48(4), 726–39.
Badgett, M., Lau, H., Sears, B., & Ho, D. (2007). Bias in the workplace: Consistent evidence of sexual orientation and gender identity discrimination. Los Angeles: The Williams Institute, UCLA School of Law.
Badgett, M., Sears, B., Lau, H., & Ho, D. (2009). Bias in the workplace: Consistent evidence of sexual orientation and gender identity discrimination 1998–2008. Chicago: Kent Law Review.
Balsam, K. F., Molina, Y., Beadnell, B., Simon, J., & Walters, K. (2011). Measuring multiple minority stress: The LGBT People of Color Microaggressions Scale. Cultural Diversity & Ethnic Minority Psychology, 17(2), 163–74.
Bauermeister, J. A., Pingel, E., Zimmerman, M., Couper, M., Carballo-Dieguez, A., & Strecher, V. J. (2012). Data quality in HIV/AIDS web-based surveys: Handling invalid and suspicious data. Field Methods, 24(3), 272–91.
Bauermeister, J. A., Zimmerman, M. A., Barnett, T. E., & Caldwell, C. H. (2007). Working in high school and adaptation in the transition to young adulthood among African American youth. Journal of Youth and Adolescence, 36(7), 877–90.
Bernstein, M., & Swartwout, P. (2012). Gay officers in their midst: Heterosexual police employees’ anticipation of the consequences for coworkers who come out. Journal of Homosexuality, 59(8), 1145–66.
Bouzianis, B., Malcolm, J. P., & Hallab, L. (2008). Factors associated with sexual identity disclosure in the workplace by gay men and lesbians: A couples study. Gay & Lesbian Issues and Psychology Review, 4(3), 166–75.
Bowleg, L. (2012). The problem with the phrase women and minorities: Intersectionality—An important theoretical framework for public health. American Journal of Public Health, 102(7), 1267–73.
Bowleg, L., Brooks, K., & Ritz, S. F. (2008). Bringing home more than a paycheck: An exploratory analysis of Black lesbians’ experiences of stress and coping in the workplace. Journal of Lesbian Studies, 12(1), 69–84.
Bradford, J., Reisner, S.L., Honnold, J., Xavier, J. (2013). Experiences of transgender-related discrimination and implications for health: Results from the Virginia transgender health initiative study. American Journal of Public Health, 103, 1820–1829.
Brenner, A. B., Zimmerman, M. A., Bauermeister, J. A., & Caldwell, C. H. (2012). The physiological expression of living in disadvantaged neighborhoods for youth. Journal of Youth and Adolescence, 42(6), 792–806.
Chae, D. H., Krieger, N., Bennett, G. G., Lindsey, J. C., Stoddard, A. M., & Barbeau, E. M. (2010). Implications of discrimination based on sexuality, gender, and race/ethnicity for psychological distress among working-class sexual minorities: The United for Health Study, 2003–2004. International Journal of Health Services, 40(4), 589–608.
Connell, C. (2012). Dangerous disclosures. Sexuality Research and Social Policy, 9(2), 168–77.
Couper, M. P. (2008). Designing effective web surveys. New York: Cambridge University Press.
D’Anna, L. H., Ponce, N. A., & Siegel, J. M. (2010). Racial and ethnic health disparities: Evidence of discrimination’s effects across the SEP spectrum. Ethnicity & Health, 15(2), 121–43.
de Castro, A., Gee, G., & Takeuchi, D. (2008). Workplace discrimination and health among Filipinos in the United States. American Journal Of Public Health, 98(3), 520–526.
Din-Dzietham, R. R., Nembhard, W. N., Collins, R. R., & Davis, S. K. (2004). Perceived stress following race-based discrimination at work is associated with hypertension in African-Americans. The metro Atlanta heart disease study, 1999–2001. Social Science & Medicine, 58(3), 449–461.
Department of Civil Rights State of Michigan. (2013). Report on LGBT inclusion under Michigan Law with recommendations for action, 132. Lansing, Michigan. Retrieved from http://www.michigan.gov/mdcr/0,4613,7-138--293875--,00.html
Bureau of Labor Statistics (2013). Local area unemployment statistics: Unemployment rates for the 50 largest cities. Retrieved from http://www.bls.gov/lau/lacilg10.htm.
Dubé, E. M., & Savin-Williams, R. C. (1999). Sexual identity development among ethnic sexual-minority male youths. Developmental Psychology, 35(6), 1389–98.
Embrick, D. G., Walther, C. S., & Wickens, C. M. (2007). Working class masculinity: Keeping gay men and lesbians out of the workplace. Sex Roles, 56(11–12), 757–66.
Finch, M. D., Mortimer, J. T., & Ryu, S. (1997). Transition into part-time work: Health risks and opportunities. In J. Schulenberg, J. L. Maggs, & K. Hurrelmann (Eds.), Health risks and developmental transitions during adolescence (pp. 321–324). New York: Oxford University Press.
Flick, U., & Rohnsch, G. (2007). Idealiziation and neglect: Health concepts of homeless adolescents. Journal of Health Psychology, 12(5), 737–749.
Frost, D. M., & Meyer, I. H. (2012). Measuring community connectedness among diverse sexual minority populations. Journal of Sex Research, 49(1), 36–49.
Geronimus, A. T. (2000). To mitigate, resist, or undo: Addressing structural influences on the health of urban populations. American Journal of Public Health, 90(6), 867–72.
Geronimus, A. T., Bound, J., Waidmann, T. A., Colen, C. G., & Steffick, D. (2001). Inequality in life expectancy, functional status, and active life expectancy across selected black and white populations in the United States. Demography, 38(2), 227–251.
Hammond, W. P., Gillen, M., & Yen, I. H. (2010). Workplace discrimination and depressive symptoms: A study of multi-ethnic hospital employees. Race and Social Problems, 2(1), 19–30.
Hatzenbuehler, M. L., Keyes, K. M., & Hasin, D. S. (2009). State-level policies and psychiatric morbidity in lesbian, gay, and bisexual populations. American Journal of Public Health, 99(12), 2275–81.
Hatzenbuehler, M. L. (2010). The impact of institutional discrimination on psychiatric disorders in lesbian, gay, and bisexual populations: A prospective study. American Journal of Public Health, 100(3), 452–459.
Herek, G. M., & Berril, K. T. (Eds.). (1992). Hate crimes: Confronting violence against lesbians and gay men. Newbury Park: Sage.
James, S. A. (1993). Racial and ethnic differences in infant mortality and low birth weight: A psychosocial critique. Annals of Epidemiology, 3(2), 130–6.
James, S. A. (1994). John Henryism and the health of African-Americans. Culture, Medicine and Psychiatry, 18(2), 163–182.
Johns, M. M., Zimmerman, M., & Bauermeister, J. A. (2012). Sexual attraction, sexual identity, and psychosocial wellbeing in a national sample of young women during emerging adulthood. Journal of Youth and Adolescence, 42(1), 82–95.
Jylhä, M. (1982). What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science & Medicine, 69(3), 307–16.
Krieger, N., & Sidney, S. (1996). Racial discrimination and blood pressure: The CARDIA study of young black and white adults. American Journal Of Public Health, 86(10), 1370–1378.
Laurent, T., & Mihoubi, F. (2012). Sexual orientation and wage discrimination in France: The hidden side of the rainbow. Journal of Labor Research, 33(4), 487–527.
McCabe, S. E., Bostwick, W. B., Hughes, T. L., West, B. T., & Boyd, C. J. (2010). The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 100(10), 1946–52.
Meyer, I. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56.
Moriarty, D. G., Zack, M. M., & Kobau, R. (2003). The Centers for Disease Control and Prevention’s Healthy Days Measures—Population tracking of perceived physical and mental health over time. Health & Quality Of Life Outcomes, 1, 37–8.
National Gay and Lesbian Task Force Foundation (2012). State nondiscrimination laws in the United States. Retrieved from http://www.thetaskforce.org/downloads/reports/issue_maps/non_discrimination_1_12_color.pdf
Okechukwu, C.A., Souza, K., Davis, K.D, & de Castro, A.B.. (2013). Discrimination, harassment, abuse, and bullying in the workplace: Contribution of workplace injustice to occupational health disparities. American Journal Industrial Medicine. doi:10.1002/ajim.22221
Ozturk, M. (2011). Sexual orientation discrimination: Exploring the experiences of lesbian, gay and bisexual employees in Turkey. Human Relations, 64(8), 1099–118.
Pascoe, E. A., & Smart, R. L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135(4), 531–54.
Pavalko, E. K., Mossakowski, K. N., & Hamilton, V. J. (2003). Does perceived discrimination affect health? Longitudinal relationships between work discrimination and women’s physical and emotional health. Journal Of Health & Social Behavior, 44(1), 18–33.
Riggle, E. D. B., Rostosky, S. S., Prather, R. A., & Hamrin, R. (2005). The execution of legal documents by sexual minority individuals. Psychology, Public Policy, and Law, 11(1), 138–163.
Russell, G. M., & Richards, J. (2003). Stressor and resilience factors for lesbians, gay men, and bisexuals confronting antigay politics. American Journal of Community Psychology, 31(3–4), 313–28.
Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L., et al. (2007). Racial microaggressions in everyday life: Implications for clinical practice. The American Psychologist, 62(4), 271–86.
US Census Bureau (2013). State and county quick facts: Detroit, Michigan. Retrieved from http://quickfacts.census.gov/qfd/states/26/2622000.html
Vingilis, E., Wade, T., & Adlaf, E. (1998). What factors predict student self-rated physical health? Journal of Adolescence, 21(1), 83–97.
Wolff, L. S., Subramanian, S. V., Acevedo-Garcia, D., Weber, D., & Kawachi, I. (2010). Compared to whom? Subjective social status, self-rated health, and referent group sensitivity in a diverse US sample. Social Science & Medicine, 70(12), 2019–2028.
Acknowledgments
This research was supported by a grant by the Ford Foundation and the MAC AIDS Fund to the primary author. The primary author is also supported by a Career Development Award (K01-MH087242) from the National Institutes of Mental Health.
Conflict of Interest Statement
The authors have no conflict of interest to disclose.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bauermeister, J.A., Meanley, S., Hickok, A. et al. Sexuality-Related Work Discrimination and Its Association with the Health of Sexual Minority Emerging and Young Adult Men in the Detroit Metro Area. Sex Res Soc Policy 11, 1–10 (2014). https://doi.org/10.1007/s13178-013-0139-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13178-013-0139-0