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When compared with age- and gender-matched adolescents of the National Survey of Family Growth, the study offspring were significantly older at the time of their first heterosexual contact, and the daughters of lesbian mothers were significantly more likely to have had same-sex contact. Compared with heterosexuals, sexual minorities had a higher prevalence of suicidal ideation and suicide attempts, even after controlling for sibling variance. Women with same-sex partners had a significantly earlier onset of alcohol use disorders than women with different-sex partners. Some research, discussed below, examines gay men and lesbians in terms of families, and a very small amount of research looks at transgender family life. However, there were no group differences in maternal warmth towards the children. For example, Brown and McDuffe surveyed prison systems in the United States regarding the care provided to transgender inmates. Texas in and, inMassachusetts become the first state to legalize marriage between same-sex couples.

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Findings indicate that satisfaction among sexual-minority patients is associated with a number of factors, including the provider's LGB -specific knowledge, the competency of care, and sensitivity to areas of concern for sexual minorities Burckell and Goldfried, ; Saulnier, ; Seaver et al.

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However, the authors note the limited number of participants who reported a homosexual or bisexual orientation. Indeed, resilience per se is not directly observable and can only be inferred by observing a person's adaptation Masten, Comparing the impact of homosexual and heterosexual parents on children: The results have implications for advancing supportive policies, practices, and laws related to adoption and parenting by sexual minority adults. In one study examining data from the Urban Latino Men's Health Survey, such men appear to be more likely to practice unprotected intercourse with their male partners Munoz-Laboy and Dodge, Compared with the heterosexual nurses, the lesbian and bisexual nurses had a higher prevalence of current and past smoking. A small amount of research has documented higher rates of childhood abuse among sexual-minority men and women.

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A meta-analysis of developmental outcomes for children of same-sex and heterosexual parents. However, rates of HIV diagnosis among all age groups are higher in black men who have sex with men than in other racial or ethnic groups of men who have sex with men in the United States Hall et al. Mathy and colleagues compared suicidal intent, mental health difficulties, and mental health treatment among bisexual and transgender individuals. Very limited research on transgender adults and depression has been undertaken, but studies conducted with convenience samples suggest elevated rates of risk in this population. Earlier research had yielded similar findings Cochran et al. The psychological burden of infertility among heterosexual individuals is acknowledged to be great, but it has not been studied among lesbian, gay, or bisexual populations.

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