Measuring multiple minority stress: the LGBT People of Color Microaggressions Scale.

Lesbian, gay, and bisexual individuals who are also racial/ethnic minorities (LGBT-POC) are a multiply marginalized population subject to microaggressions associated with both racism and heterosexism. To date, research on this population has been hampered by the lack of a measurement tool to assess the unique experiences associated with the intersection of these oppressions. To address this gap in the literature, we conducted a three-phase, mixed method empirical study to assess microaggressions among LGBT-POC. The LGBT People of Color Microaggressions Scale is an 18-item self-report scale assessing the unique types of microaggressions experienced by ethnic minority LGBT adults. The measure includes three subscales: (a) Racism in LGBT communities, (b) Heterosexism in Racial/Ethnic Minority Communities, and (c) Racism in Dating and Close Relationships, that are theoretically consistent with prior literature on racial/ethnic minority LGBTs and have strong psychometric properties including internal consistency and construct validity in terms of correlations with measures of psychological distress and LGBT-identity variables. Men scored higher on the LGBT-PCMS than women, lesbians and gay men scored higher than bisexual women and men, and Asian Americans scored higher than African Americans and Latina/os.

[1]  Shaun R. Harper,et al.  Masculine Socialization and Sexual Risk Behaviors among Black Men Who Have Sex with Men , 2009 .

[2]  Lisa Bowleg,et al.  When Black + Lesbian + Woman ≠ Black Lesbian Woman: The Methodological Challenges of Qualitative and Quantitative Intersectionality Research , 2008 .

[3]  Elijah G. Ward.  Homophobia, hypermasculinity and the US black church , 2005, Culture, health & sexuality.

[4]  C. DeBlaere,et al.  LGB of Color and White Individuals’ Perceptions of Heterosexist Stigma, Internalized Homophobia, and Outness: Comparisons of Levels and Links , 2010 .

[5]  D. W. Sue,et al.  Racial microaggressions in everyday life: implications for clinical practice. , 2007, The American psychologist.

[6]  T. Hughes,et al.  Sexual Orientation and Smoking: Results From a Multisite Women's Health Study , 2008, Substance use & misuse.

[7]  K. Quina,et al.  Women's Sexual Identity Patterns: Differences Among Lesbians, Bisexuals, and Unlabeled Women , 2009, Journal of homosexuality.

[8]  V. Phua,et al.  The Crossroads of Race and Sexuality , 2003 .

[9]  C. Eisdorfer,et al.  Ethnicity, Emotional Distress, Stress-Related Disruption, and Coping among HIV Seropositive Gay Males , 1990 .

[10]  D. W. Sue,et al.  Racial Microaggressions Against Black Americans: Implications for Counseling , 2008 .

[11]  B. Thompson,et al.  Factor Analytic Evidence for the Construct Validity of Scores: A Historical Overview and Some Guidelines , 1996 .

[12]  B. Greene.  Lesbian women of color. , 1996, Journal of lesbian studies.

[13]  V. Snyder,et al.  Características psicométricas de la Escala Center for Epidemiological Studies-depression (CES-D), versiones de 20 y 10 reactivos, en mujeres de una zona rural mexicana , 2009 .

[14]  T. Hughes,et al.  Race/ethnicity and sexual orientation: intersecting identities. , 2004, Cultural diversity & ethnic minority psychology.

[15]  D. Parrott,et al.  Differences in African American and White Women’s Attitudes Toward Lesbians and Gay Men , 2009, Sex roles.

[16]  Lucas Torres.  Attributions to discrimination and depression among Latino/as: the mediating role of competence. , 2009, The American journal of orthopsychiatry.

[17]  David R. Williams,et al.  Discrimination and racial disparities in health: evidence and needed research , 2009, Journal of Behavioral Medicine.

[18]  M. Rosario,et al.  Ethnic/racial differences in the coming-out process of lesbian, gay, and bisexual youths: a comparison of sexual identity development over time. , 2004, Cultural diversity & ethnic minority psychology.

[19]  G. Herek,et al.  Sexual orientation and mental health. , 2007, Annual review of clinical psychology.

[20]  S. Ibrahim,et al.  Perceived Discrimination in Health Care and Health Status in a Racially Diverse Sample , 2008, Medical care.

[21]  J. Parsons,et al.  Race, ethnicity, gender, and generational factors associated with the coming‐out process among gay, lesbian, and bisexual individuals , 2006, Journal of sex research.

[22]  U. Boehmer.  Twenty years of public health research: inclusion of lesbian, gay, bisexual, and transgender populations. , 2002, American journal of public health.

[23]  G. Herek.  Heterosexuals' attitudes toward lesbians and gay men: Correlates and gender differences , 1988 .

[24]  J. Fish.  Navigating Queer Street: Researching the Intersections of Lesbian, Gay, Bisexual and Trans (LGBT) Identities in Health Research , 2008 .

[25]  M. L. Miville,et al.  Multiple Minority Group Oppression: Divided We Stand? , 2001 .

[26]  Jane Ward.  White Normativity: The Cultural Dimensions of Whiteness in a Racially Diverse LGBT Organization , 2008 .

[27]  P. Rust.  The Politics of Sexual Identity: Sexual Attraction and Behavior among Lesbian and Bisexual Women* , 1992 .

[28]  Maryeve Heath,et al.  ‘Shiny happy same-sex attracted woman seeking same’: How communities contribute to bisexual and lesbian women’s well-being , 2008 .

[29]  S. Cochran.  Emerging issues in research on lesbians' and gay men's mental health: does sexual orientation really matter? , 2001, The American psychologist.

[30]  N. Teunis.  Sexual objectification and the construction of whiteness in the gay male community , 2007, Culture, health & sexuality.

[31]  M. Hatzenbuehler,et al.  How does sexual minority stigma "get under the skin"? A psychological mediation framework. , 2009, Psychological bulletin.

[32]  Madonna G. Constantine,et al.  Racial Microaggressions Against African American Clients in Cross-Racial Counseling Relationships , 2007 .

[33]  S. Cochran,et al.  Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. , 2001, American journal of public health.

[34]  J. Henne,et al.  The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: findings from 3 US cities. , 2001, American journal of public health.

[35]  G. Harper,et al.  Giving voice to emerging science and theory for lesbian, gay, and bisexual people of color. , 2004, Cultural diversity & ethnic minority psychology.

[36]  S. Sue,et al.  Sex, race/ethnicity, and romantic attractions: multiple minority status adolescents and mental health. , 2004, Cultural diversity & ethnic minority psychology.

[37]  S. Jacobs,et al.  Two-spirit people : Native American gender identity, sexuality, and spirituality , 1998 .

[38]  M. Irwin,et al.  Screening for depression in the older adult: criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D) , 1999, Archives of internal medicine.

[39]  C. Sherbourne,et al.  The MOS social support survey. , 1991, Social science & medicine.

[40]  Tara J. Yosso,et al.  Critical Race Theory, Racial Microaggressions, and Campus Racial Climate for Latina/o Undergraduates , 2009 .

[41]  Linda G. Kimmel,et al.  Assessing the Perceived Stress Scale for African American Adults with Asthma and Low Literacy , 2007, The Journal of asthma : official journal of the Association for the Care of Asthma.

[42]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[43]  Ann McMullen.  Two-Spirit People: Native American Gender Identity, Sexuality, and Spirituality , 1999 .

[44]  I. Meyer,et al.  Measuring identity multiplicity and intersectionality: Hierarchical Classes Analysis (HICLAS) of sexual, racial, and gender identities , 2008 .

[45]  William A. Smith,et al.  “Assume the Position . . . You Fit the Description” , 2007 .

[46]  Dawn M. Szymanski,et al.  Examining the Relationship between Multiple Internalized Oppressions and African American Lesbian, Gay, Bisexual, and Questioning Persons' Self-Esteem and Psychological Distress. , 2009 .

[47]  J. A. Epstein,et al.  Ethnic-Racial Differences in Psychological Stress Related to Gay Lifestyle among Hiv-Positive Men , 1996, Psychological reports.

[48]  Derald Wing Sue,et al.  Racial microaggressions and the Asian American experience. , 2009, Cultural diversity & ethnic minority psychology.

[49]  Chong-suk Han,et al.  They Don't Want To Cruise Your Type: Gay Men of Color and the Racial Politics of Exclusion , 2007 .

[50]  Madonna G. Constantine,et al.  Perceptions of racial microaggressions among black supervisees in cross-racial dyads. , 2007 .

[51]  A. Carballo-Diéguez,et al.  Race-Based Sexual Stereotyping and Sexual Partnering Among Men Who Use the Internet to Identify Other Men for Bareback Sex , 2009, Journal of sex research.

[52]  R. Fassinger,et al.  Measuring Dimensions of Lesbian and Gay Male Experience , 2000 .

[53]  S. Cochran,et al.  The impact of perceived discrimination on the intimate relationships of black lesbians. , 1993, Journal of homosexuality.

[54]  Christina M. Capodilupo,et al.  How White Faculty Perceive and React to Difficult Dialogues on Race , 2009 .

[55]  S. Cochran,et al.  Mental health and substance use disorders among Latino and Asian American lesbian, gay, and bisexual adults. , 2007, Journal of consulting and clinical psychology.

[56]  David R. Williams,et al.  Racism and Mental Health: The African American experience , 2000, Ethnicity & health.

[57]  D L Patrick,et al.  Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). , 1994, American journal of preventive medicine.

[58]  Nathaniel M Lewis,et al.  Mental health in sexual minorities: recent indicators, trends, and their relationships to place in North America and Europe. , 2009, Health & place.

[59]  B. R. Ragins,et al.  Heterosexism in the Workplace , 2003 .

[60]  David R. Williams,et al.  Chronic discrimination predicts higher circulating levels of E-selectin in a national sample: The MIDUS study , 2009, Brain, Behavior, and Immunity.

[61]  S. Schwartz,et al.  Lifetime prevalence of mental disorders and suicide attempts in diverse lesbian, gay, and bisexual populations. , 2008, American journal of public health.

[62]  N. Iwata,et al.  Practice‐based depression screening for psychiatry outpatients: Feasibility comparison of two‐types of Center for Epidemiologic Studies Depression Scales , 2009, Psychiatry and clinical neurosciences.

[63]  Jonathan J Mohr,et al.  Adaptation to sexual orientation stigma: A comparison of bisexual and lesbian/gay adults. , 2007 .

[64]  Jarvis T. Chen,et al.  The inverse hazard law: blood pressure, sexual harassment, racial discrimination, workplace abuse and occupational exposures in US low-income black, white and Latino workers. , 2008, Social science & medicine.

[65]  Xiao-Li Meng,et al.  Comparing correlated correlation coefficients , 1992 .

[66]  S. Noh,et al.  Overt and subtle racial discrimination and mental health: preliminary findings for Korean immigrants. , 2007, American journal of public health.

[67]  Mary M. D. Selvidge,et al.  Lesbian women of color: therapeutic issues and challenges , 2003 .

[68]  I. Meyer.  Identity, Stress, and Resilience in Lesbians, Gay Men, and Bisexuals of Color , 2010, The Counseling psychologist.

[69]  Brian D. Zamboni,et al.  Minority Stress and Sexual Problems among African-American Gay and Bisexual Men , 2007, Archives of sexual behavior.

[70]  I. Meyer.  Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. , 2003, Psychological bulletin.

[71]  Benjamin A. Kudler.  Confronting race and racism : social identity in African American gay men , 2007 .

[72]  R. Savin-Williams,et al.  Sexual identity development among ethnic sexual-minority male youths. , 1999, Developmental psychology.