Research documents that discrimination and harassment directed toward lesbian, gay, bisexual, and transgender (LGBT) individuals are ongoing and prevalent in the workplaces in the United States. However, no studies have identified the specific occupations wherein LGBT-discrimination and harassment are most severe. Furthermore, no study has examined how prepared and comfortable employees feel in addressing discriminatory situations. Utilizing a dataset comprised of 1,691 participants, in this exploratory study we sought to identify whether differences in workplace environment toward LGBT individuals existed across four human service occupations (mental health, medicine, education, and public and private government-related non-profit community organizations). We found that education professionals reported the highest incidences of verbal and physical harassment directed toward LGBT individuals. Education professionals also reported feeling least prepared to handle sexual orientation and genderrelated issues despite being most likely to speak-up against sexual orientation and gender-identity bullying. Medical professionals reported receiving the least amount of training on LGBT-related contact. Differences across race/ethnicity and gender regarding discriminatory LGBT attitudes and environment were also found. Our results offer important implications for researchers and workplace equality advocates that seek to foster affirming workplace environments for sexual and gender minorities. Florida Public Health Review, 2017; 14, 1-12. BACKGROUND A fundamental responsibility and purpose of human service occupations is to meet the needs of all people and improve individuals’ quality of life. Inherent in these purposes is the attention and sensitivity to affirming people’s cultural diversity, including sexual orientation and gender identity. Within the United States workforce, however, institutional and interpersonal discrimination toward lesbian, gay, bisexual, and transgender (LGBT) individuals is a pervasive problem. Researchers have identified workplace policies and practices that discriminate against members of the LGBT community (e.g., hiring practices, organizational discrimination policies, etc.) as well as incidents of verbal and physical aggression directed toward LGBTs (Badgett, Lau, Sears, & Ho, 2007). In a nationwide report of workplace discrimination against LGBTs, Pizer, Sears, Mallory, and Hunter (2012) noted that 37% of lesbian and gay individuals experienced workplace harassment or discrimination within the past five years. Further, 12% of lesbians and gays reported losing their job due to their sexual orientation, and 90% of transgender respondents reported harassment or mistreatment at work because of their gender identity. Estimates place eight million self-identified LGBT individuals in the country’s workforce (Sears, Mallory, & Hunter, 2009), with nearly 328,000 of these employees located in Florida (Mallory & Sears, 2015). The need to curtail heterosexism and discrimination in the workplace is paramount. We seek to advance the field’s knowledge of LGBT workplace discrimination by identifying specific human service occupations wherein LGBT individuals may be at greater risk due to prevalent exposure to discriminatory environments. We seek to identify in which human service occupations employees feel the most equipped and comfortable handling discrimination against LGBTs. Identifying occupations that are most discriminatory and where employees feel the least prepared to deal with these matters is critical so that intervention specialists may target these occupations with programs to foster an LGBT-affirming workplace climate. Attention to LGBT-specific discrimination and harassment in the workplace has become a growing area of interest. Researchers note that LGBT 1 Sheridan et al.: Workplace Harassment and Attitudes towards LGBT People: Differenc Published by UNF Digital Commons, 2017 Florida Public Health Review, 2017; 14, 1-12. Page 2 http://www.ut.edu/floridapublichealthreview/ discrimination is a pervasive issue that spans institutional policies and practices (e.g., hiring practices, same-sex partner benefits, and inclusion of sexual orientation within nondiscrimination policies) as well as interpersonal interactions with coworkers and supervisors. For example, 46.4% of participants reported the absence of a LGBT resource at their workplace (Ragins & Cornwell, 2001). Additionally, in a 2009 non-probability sample collected by Herek, gay men and lesbian women reported either being fired from their job or denied a promotion. In addition to self-report data, experimental studies examining LGBT workplace discrimination also found evidence for discrimination in hiring practices (Horvath & Ryan, 2003). One report among heterosexual employees also noted that 12% to 30% of those surveyed witnessed LGBT discrimination in their workplace (Pizer et al, 2012) further underscoring the prevalence of discriminatory environments at work. The ubiquity of discrimination and harassment in the workforce is a troubling issue facing the LGBT community for two reasons. First, the Bureau of Labor Statistics (2013) indicates that most Americans spend an average of 8.8 hours of their day devoted to work-related activities. For LGBT individuals working in a discriminatory environment, the majority of their day is steeped within an environment of potential discrimination, stigma, and prejudice. According to the minority stress theory, ongoing stress associated with sexual minority stigma, prejudice, and discrimination is directly linked to a host of negative health outcomes (Meyer, 2003), thereby explaining the health disparities between LGBT people and their heterosexual counterparts. Indeed, researchers have confirmed that LGBT workplace discrimination is linked to detrimental outcomes, including those that are work-related as well as those that affect the overall health and wellbeing of LGBTs (Brenner, Bradley, Lyons, & Fassinger, 2010; Brewster, Velez, DeBlaere, & Moradi, 2012; Herek & Garnets, 2007; Ragins & Cornwell, 2001). For example, Liddle et al. (2004) found that employee creativity and collaboration is hindered in a hostile environment resulting in decreased productivity. Intentions of quitting one’s job due to LGBT discrimination also has been documented (Ragins & Cornwell, 2001). Among transgender individuals, Brewster et al. (2012) found that discrimination and harassment in the workplace was significantly associated with decreased workplace satisfaction. With respect to mental health, Smith and Ingram (2004) noted increased reports of depressive symptoms and psychological distress among lesbian, gay, and bisexual individuals due to workplace heterosexism. Furthermore, LGBT employees’ physical and mental health is negatively affected due to feelings of anxiety and isolation, and fear of LGBT identity disclosure (Liddle et al., 2004). The research is compelling that discriminatory workplace environments lead to adverse consequences for LGBT individuals. However, what is less clear is which occupations place LGBT employees at most risk of exposure to discriminatory environments. In order to design and implement interventions to reduce LGBT discriminatory environments, it is first necessary to identify which occupations are in immediate need, so that these professions may be targeted. However, to date, no studies have compared the LGBT attitudes and related comfort and skill levels of employees across different occupations. In advancing the field’s knowledge of LGBT workplace discrimination, the purpose of this current study was to assess for differences in discriminatory LGBT environments across selected human service occupations. Attending to discriminatory environments in the human service sector makes an important contribution to the literature given the human service sector’s emphasis on quality of life, diversity, and well-being. Identifying particular human service occupations containing discriminatory LGBT environments allows researchers and workplace equality advocates to focus on human service occupations most in need of intervention, training, and psychoeducation on sexual orientation and gender-identity topics. Such training will benefit LGBT employees of these occupations and will also allow human service professionals to better serve communities and ensure the health and well-being of their LGBT clients. Purpose In addressing the purpose of our study, we examined the LGBT attitudes and environments across four human service occupations in Florida, including: (1) mental health, (2) medicine, (3) education, and (4) public and private non-profit organizations. For each of these occupational sectors, at least one study documented the presence of LGBT discrimination (e.g., Burke & White, 2001; Harbin, Leach, & Eells, 2008; Pizer et al., 2012). We also assessed demographic differences by race/ethnicity and gender as researchers have noted differences in personal attitudes toward LGBT individuals based upon these demographic variables. Among racial groups, Durell, Chiong, and Battle (2007) found in a New York City sample that black individuals 2 Florida Public Health Review, Vol. 14 [2017], Art. 1 https://digitalcommons.unf.edu/fphr/vol14/iss1/1 Florida Public Health Review, 2017; 14, 1-12. Page 3 http://www.ut.edu/floridapublichealthreview/ reported higher levels of homophobia than their white, Latino, and Asian counterparts. Negy and Eisenman (2005) also found that African-American college students had modestly higher homophobia than Whites. Regarding gender differences in personal attitudes toward LGBT individuals, researchers have found that men report more negative attitudes than women (Herek, 1988; Nagoshi et al., 2008). We believe such differences in negative LGBT attitudes among race/ethnicity and gender also may occur in the workplace, and therefore, we consider these variables in our study. Fin
[1]
B. Mustanski,et al.
Does it get better? A longitudinal analysis of psychological distress and victimization in lesbian, gay, bisexual, transgender, and questioning youth.
,
2015,
The Journal of adolescent health : official publication of the Society for Adolescent Medicine.
[2]
R. Daniels.
The Evolution of Attitudes on Same-Sex Marriage in California and the U.S.
,
2015
.
[3]
A. Flores.
National Trends in Public Opinion on LGBT Rights in the United States
,
2014
.
[4]
Christy Mallory,et al.
Employment Discrimination Based on Sexual Orientation and Gender Identity in Florida
,
2014
.
[5]
Gianluca Gini,et al.
Peer victimization, cyberbullying, and suicide risk in children and adolescents.
,
2014,
JAMA.
[6]
V. Poteat,et al.
Short-Term Prospective Effects of Homophobic Victimization on the Mental Health of Heterosexual Adolescents
,
2014,
Journal of youth and adolescence.
[7]
Christy Mallory,et al.
Evidence of Persistent and Pervasive Workplace Discrimination Against LGBT People: The Need for Federal Legislation Prohibiting Discrimination and Providing for Equal Employment Benefits
,
2012
.
[8]
Wayne F. Velicer,et al.
Handbook of Psychology: Volume 2 : Vol. 2: Research Methods in Psychology.
,
2012
.
[9]
C. DeBlaere,et al.
Transgender individuals' workplace experiences: the applicability of sexual minority measures and models.
,
2012,
Journal of counseling psychology.
[10]
Bliss Cartwright,et al.
Job and Industry Gender Segregation: NAICS Categories and EEO-1 Job Groups
,
2011
.
[11]
Maggie Wells,et al.
Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education.
,
2011,
JAMA.
[12]
L. Giddings,et al.
Heteronormativity at Work: Stories From Two Lesbian Academics
,
2011
.
[13]
E. Erosheva,et al.
The Aging and Health Report: Disparities and Resilience Among Lesbian, Gay, Bisexual, and Transgender Older Adults
,
2011
.
[14]
Robert Graham,et al.
The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding
,
2011
.
[15]
Neal A. Palmer,et al.
The 2011 National School Climate Survey: The Experiences of Lesbian, Gay, Bisexual and Transgender Youth in Our Nation's Schools.
,
2010
.
[16]
Bradley R. Brenner,et al.
Can Heterosexism Harm Organizations? Predicting the Perceived Organizational Citizenship Behaviors of Gay and Lesbian Employees.
,
2010
.
[17]
Bonnie Moradi,et al.
Sexual Orientation Disclosure, Concealment, Harassment, and Military Cohesion: Perceptions of LGBT Military Veterans
,
2009
.
[18]
Nan D. Hunter,et al.
Estimates of LGBT Public Employees
,
2009
.
[19]
A. Adamczyk,et al.
Shaping attitudes about homosexuality: the role of religion and cultural context.
,
2009,
Social science research.
[20]
R. Colvin.
Shared Perceptions Among Lesbian and Gay Police Officers
,
2009
.
[21]
G. Herek.
Hate Crimes and Stigma-Related Experiences Among Sexual Minority Adults in the United States
,
2009,
Journal of interpersonal violence.
[22]
Peter E. Gamache,et al.
Asset-based approaches for lesbian, gay, bisexual, transgender, questioning, intersex, and two-spirit (LGBTQI2-S) youth and families in systems of care
,
2009
.
[23]
R. Andersen,et al.
Cohort Differences in Tolerance of Homosexuality: Attitudinal Change in Canada and the United States, 1981-2000
,
2008
.
[24]
J. Conoley.
Sticks and Stones Can Break My Bones and Words Can Really Hurt Me
,
2008
.
[25]
Katherine A. Adams,et al.
Gender Differences in Correlates of Homophobia and Transphobia
,
2008
.
[26]
G. Eells,et al.
Homonegativism and sexual orientation matching in counseling supervision
,
2008
.
[27]
Tania Ferfolja.
Discourses that silence: teachers and anti-lesbian harassment
,
2008
.
[28]
M. Badgett,et al.
Bias in the Workplace: Consistent Evidence of Sexual Orientation and Gender Identity Discrimination 1998–2008
,
2007
.
[29]
G. Herek,et al.
Sexual orientation and mental health.
,
2007,
Annual review of clinical psychology.
[30]
Tien-Tsung Lee,et al.
Public Attitudes Toward Gays and Lesbians
,
2006,
Journal of homosexuality.
[31]
C. Negy,et al.
A comparison of African American and white college students’ affective and attitudinal reactions to lesbian, gay, and bisexual individuals: An exploratory study
,
2005,
Journal of sex research.
[32]
D. Bowen,et al.
Comparing Women of Differing Sexual Orientations Using Population-Based Sampling
,
2005,
Women & health.
[33]
Darrell Anthony Luzzo,et al.
Construction and Validation of the Lesbian, Gay, Bisexual, and Transgendered Climate Inventory
,
2004
.
[34]
H. Sykes,et al.
Pedagogies of censorship, injury, and masochism: teacher responses to homophobic speech in physical education
,
2004
.
[35]
N. G. Smith,et al.
Workplace heterosexism and adjustment among lesbian, gay, and bisexual individuals: The role of unsupportive social interactions
,
2004
.
[36]
I. Meyer.
Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence.
,
2003,
Psychological bulletin.
[37]
A. Ryan,et al.
Antecedents and Potential Moderators of the Relationship Between Attitudes and Hiring Discrimination on the Basis of Sexual Orientation
,
2003
.
[38]
Mary Bernstein,et al.
Lavender and Blue
,
2002
.
[39]
S. Brotman,et al.
The Impact of Coming Out on Health and Health Care Access
,
2002,
Journal of health & social policy.
[40]
D. Bowen,et al.
The Influence of Sexual Orientation on Health Behaviors in Women
,
2001
.
[41]
B. R. Ragins,et al.
Pink triangles: antecedents and consequences of perceived workplace discrimination against gay and lesbian employees.
,
2001,
The Journal of applied psychology.
[42]
J. White,et al.
Wellbeing of gay, lesbian, and bisexual doctors.
,
2001,
BMJ : British Medical Journal.
[43]
S. B. Button,et al.
Organizational efforts to affirm sexual diversity: a cross-level examination.
,
2001,
The Journal of applied psychology.
[44]
Bruce Thompson,et al.
Statistical Techniques Employed in AERJ and JCP Articles from 1988 to 1997: A Methodological Review
,
2001
.
[45]
G. Clarebout,et al.
Consolidation and Validation in Instructional Design.
,
2001
.
[46]
I. Tessaro,et al.
Cervical cancer risk and Papanicolaou screening in a sample of lesbian and bisexual women.
,
1998,
The Journal of family practice.
[47]
Norma M. Riccucci,et al.
Employment Discrimination in State and Local Government: The Lesbian and Gay Male Experience
,
1996
.
[48]
E. F. Dejowski.
Public endorsement of restrictions on three aspects of free expression by homosexuals: socio-demographic and trends analysis 1973-1988.
,
1992,
Journal of homosexuality.
[49]
G. Herek.
Heterosexuals' attitudes toward lesbians and gay men: Correlates and gender differences
,
1988
.
[50]
W. Hays.
Using Multivariate Statistics
,
1983
.