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ObjectivesSiblings have been recognized as playing a major role in the coming out process, because they share the same family as the lesbian and gay individual and are often of the same generation. Despite this recognized role, however, research on coming out has mainly focused on parents, and only few studies have examined the coming out process with respect to siblings.MethodsThis study used a sample of 241 lesbians and 171 gay men to examine the frequency with which Italian sexual minorities come out to significant persons in their life.ResultsMost participants reported that they had revealed their sexual orientation to their mother (71%), father (55%), brother (63%), sister (75%), and best friend (94%). Younger participants (15–25 years; M = 17.91, SD = 2.57) reported an earlier coming out experience than did older participants (26–45 years; M = 22.49, SD = 5.23). Chi-square tests revealed that lesbians were more likely to conceal their sexual identity to their father and brother. Again, lesbians reported higher frequencies of coming out to an older brother than a younger brother. First-born gay men were more likely to reveal their sexual orientation to their father than were those with an older sibling. Logistic regression showed that self-disclosure to both parents was associated with male gender, adulthood, average or good socio-economic status, low internalized sexual stigma, and high positive identity.ConclusionsThe discussion focuses on coming out and the importance of this process in promoting positive identity and well-being in sexual minorities.

We explored the differences among 327 lesbian, gay, and/or bisexual (LGB) individuals on the dimensions of the Lesbian, Gay, and Bisexual Positive Identity Measure (LGB-PIM), a recently developed instrument to assess positive facets of LGB identity. We evaluated the relationship between the dimensions of LGB-PIM and self-relating processes (self-criticism, self-hate, and self-reassurance), internalized sexual stigma (ISS), social safeness and well-being, and the distinctive impact of the LGB-PIM dimensions on well-being. Lesbian/gay participants showed significantly higher levels of all five dimensions of positive identity than bisexual people. All LGB-PIM dimensions, except for commitment to social justice, showed correlations with well-being, self-relating processes, ISS, and social safeness. When controlling for other variables, only authenticity showed a significant unique relevance to positive psychological functioning in this population.

PurposeThis study explores perceptions and experiences related to healthcare utilization in a group of Italian sexual minority older adults, to understand the unique challenges faced by this population when accessing healthcare services. Older adults represent one of the subgroups exposed to the highest risk within sexual minorities with regard to physical and mental health. MethodData collection occurred between October 2018 and April 2019. Semi-structured interviews were carried out with 23 participants over 60 years, including questions about participants’: experiences when dealing with physical/mental healthcare services; tendency to disclose sexual orientation in clinical contexts; preferences and desires when seeking care. Data were analyzed using Interpretative Phenomenological Analysis (IPA), in order to provide qualitative information on participants’ experiences.ResultsThree interconnected themes were identified: the relevance of clinician and patient’s identities in determining confidence and satisfaction; expectations and experiences of discrimination; the need for specific competencies on sexual minority concerns.ConclusionAccess and utilization of healthcare services can be considered as a multi-faceted phenomenon which involves people’s past and current experiences, perceptions, expectations and desires. Participants’ perception of having to deal with heterosexist healthcare settings influences health behaviors and outcomes.Policy ImplicationsInterventions directed to healthcare providers are needed, to increase specific competencies and ensure safe and affirming environments.

Background Increased risky sexual behaviors (RSB) in sexual minority people relative to heterosexual individuals are well documented. However, the role of trans-diagnostic factors that are not sexual orientation-specific, such as self-criticism, in predicting RSB was understudied. The present study aimed to test participants’ gender and sexual orientation as moderators between self-criticism and RSB.MethodsData were collected during 2019. The total sample included 986 sexual minority people (Nwomen = 51%) and 853 heterosexual people (Nwomen = 46%), ranging from 18 to 35 years of age. Self-criticism dimensions (self-hate, self-inadequacy, self-reassurance), types of positive affect (relaxed, safe/content, and activated affect), and RSB were assessed. Bivariate, multivariate analyses, and moderated regression analyses were conducted.ResultsSexual minority participants showed higher levels of RSB, self-hate, and self-inadequacy than heterosexual people. Only in sexual minority men, RSB correlated positively with self-hate and negatively with safe/content positive affect. Moderated regressions showed that only for sexual minority participants, higher RSB were predicted by higher levels of self-hate. At the same time, this association was not significant for heterosexual people controlling the effects of age, presence of a stable relationship, other self-criticism dimensions, and activation safe/content affect scale. The two-way interaction between sexual orientation and gender was significant, showing that regardless of self-hate, the strength of the association between sexual orientation and RSB is stronger for sexual minority men than sexual minority women and heterosexual participants.ConclusionsFindings highlight the distinctive role of self-hate in the occurrence of RSB in sexual minority people and support the usefulness of developing a compassion-focused intervention to target self-hate in sexual minority people.

Aims: Research has underscored that an excessively intrusive parental style, defined as helicopter parenting, could be a risk factor for maladaptive behaviours in youth, including alcohol use and drug consumption. However, such at-risk behaviours have also been associated with low levels of parental involvement and warmth. Thus, the relationship between parental involvement and at-risk behaviours in adolescents is not clear. The purpose of the current study was to identify the relation between helicopter parenting and alcohol use in a sample of Italian youth. Design: The participants were 402 adolescents (233 female) between the ages of 14 and 19 years (M age= 17.20, SD = 1.66). Hierarchical multiple regression analyses were conducted to examine linear, quadratic, and exponential models and to verify which model best described the correlation. Results: The results showed a quadratic correlation between mothers’ helicopter parenting and alcohol use, whereby higher and lower levels of mothers’ helicopter parenting were associated with adolescents’ alcohol use. Conclusions: The empirical data are essential for improving our understanding of the implications and potential outcomes of helicopter parenting during adolescence.

Teachers and educators represent meaningful relationships for children, and their attitudes can have a major influence on a child’s development. This research examined the role of background characteristics, contact experiences, and sexual prejudice in determining beliefs about children’s adjustment in same-sex parent families. The sample consisted of 323 Italian teachers and educators working in nursery schools, kindergartens, and primary schools. The Scale on Beliefs about Children’s Adjustment in Same-Sex Families was used to assess adults’ beliefs about negative impacts on children raised in same-sex parent families. Hierarchical multiple regression was used to test the association between individual and normative opposition to same-sex parenting and background information, political and religious orientation, contact experiences, sexual prejudice, and beliefs about same-sex couples’ parenting abilities. Sexual prejudice, religious involvement, and negative beliefs about two-father couples emerged as strong predictors of individual and normative opposition to same-sex parenting, whereas political orientation and negative beliefs about two-mother couples predicted only the individual form of opposition. Empirical data are essential in understanding the level of prejudice and discrimination in schools in order to provide policies and programs designed to improve knowledge and competencies to deal with same-sex parent families and their children.

ObjectivesThis research aims to investigate the relationship between coming out to family and coming out in sports for lesbian and gay athletes and to examine the internalization of sexual prejudice as a potential mediator of this relationship.MethodsFor this purpose, disclosure of sexual orientation to family, coming out in sports and internalized sexual prejudice in sports-related contexts, age, gender, socioeconomic status, education level, political orientation, type of sport (individual vs. team sport), years of sports participation were assessed on an Italian sample of 113 lesbian athletes and 63 gay athletes between 18 and 35 years of age.ResultsFindings indicated that coming out to family was significantly associated with coming out in sports. In addition, the internalization of negative attitudes toward the visibility of lesbian and gay athletes in sport settings partially mediated the relationship between coming out to family and coming out in sports.ConclusionsThese findings suggest that prior experiences of coming out in family contexts may provide additional resources to prevent the internalization of sexual prejudice, and this may promote the coming out in other life contexts. Moreover, we recommend that more efforts should be made to support sexual minority athletes who are not able to disclose their identity in sports environments. Research implications and directions for future research are discussed.

IntroductionResearch suggests that specific training on LGBT+ issues may improve the competencies and skills of health and social care (HSC) professionals, which reduces the negative attitudes toward LGBT+ people. Despite this, there seems to be a lack of coverage of LGBT+ needs in HSC education. The present study aims to explore the specific LGBT+ training needs of HSC professionals and to examine the relationship between these training needs and the four dimensions of the Papadopoulos model, i.e. cultural awareness, cultural knowledge, cultural sensitivity, and cultural competence.MethodsThe research used data from a cross-cultural project, “Intercultural Education for Nurses in Europe (IENE9),” which was administered to 412 HSC academics and workers (62% females; Mage = 46.06, SDage = 10.48) between February 2020 and July 2020, in seven European countries: UK (coordinator), Denmark, Spain, Germany, Cyprus, Italy, and Romania.ResultsHierarchical multiple regression showed that higher training needs were associated with cultural awareness, cultural knowledge, and cultural competence. The need for training on LGBT+ issues was higher for Cyprus, Romania, Spain, Italy, and the UK, compared with Denmark (no differences between Germany and Denmark were found).ConclusionsWe believe that there has been a lack of focus on the LGBT+ training needs of HSC professionals: Greater efforts are required to develop a culturally competent and compassionate LGBT+ curriculum.Social Policy ImplicationsFindings from the present study will inform the development of a free, Massive Open Online Course (MOOC), for culturally competent and compassionate HSC professionals in Europe to improve the quality of their care.

Guided by the early findings of social scientists, practitioners have long advocated for greater contact between groups to reduce prejudice and increase social cohesion. Recent work, however, suggests that intergroup contact can undermine support for social change towards greater equality, especially among disadvantaged group members. Using a large and heterogeneous dataset (12,997 individuals from 69 countries), we demonstrate that intergroup contact and support for social change towards greater equality are positively associated among members of advantaged groups (ethnic majorities and cis-heterosexuals) but negatively associated among disadvantaged groups (ethnic minorities and sexual and gender minorities). Specification-curve analysis revealed important variation in the size—and at times, direction—of correlations, depending on how contact and support for social change were measured. This allowed us to identify one type of support for change—willingness to work in solidarity— that is positively associated with intergroup contact among both advantaged and disadvantaged group members. Using data from 69 countries, Hässler et al. show that intergroup contact and support for social change towards greater equality are positively associated among members of advantaged groups, but negatively associated among disadvantaged groups.

With the global population of older adults projected to double to 2.1 billion by 2050, it becomes crucial to promote healthy aging to alleviate the associated disease burden. In this context, technology, particularly virtual reality (VR) and augmented reality (AR), has garnered attention for its potential to augment physical activity in older adults. These immersive technologies offer interactive and enjoyable exercise experiences, making physical activity more appealing. However, the effectiveness of these interventions is not solely attributed to technology itself but is deeply intertwined with psychological processes. This rapid review examines the effectiveness of VR and AR interventions in enhancing physical exercise among healthy older adults while exploring the role of psychological variables, including mood, self-efficacy, and motivation. The results of the study show that technology-enhanced physical activity interventions hold great promise but call attention to the need for a comprehensive understanding of psychological dynamics that will pave the way for more tailored and effective interventions. Future research endeavors should aim to bridge these gaps in knowledge to optimize the impact of technology on healthy aging.