Tonda L Hughes
Dados Biográficos
| ID | 334991 |
|---|---|
| NOME | Tonda L Hughes |
| PRENOMES | Tonda L |
| SOBRENOME | Hughes |
| ASSINATURA | HUGHES T L |
| AFILIAÇÕES | Columbia University |
| ORCID | 0000-0003-1326-7655 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 88 |
| TOTAL DE CITAÇÕES | 571 |
| TOTAL COMO AUTOR | 88 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1990 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 12 |
Pre-Exposure prophylaxis knowledge, use and adherence among a US national sample of women
Pre-exposure prophylaxis (PrEP) is a proven strategy for HIV prevention, yet uptake among women vulnerable to HIV remains low. This study draws on survey data and urine-based adherence testing from the American Women Assessing Risk Epidemiologically (AWARE) study to assess PrEP knowledge, use, and adherence in a behaviorally vulnerable sample. Despite high awareness of PrEP, actual use and willingness to consider PrEP were minimal. Objective adhe…
Sexual minority women's perceptions of sober curiosity
‘Moderation Is the Holy Grail’
Associations Between Gender and Sexuality Characteristics of Cisgender Bisexual Women and Risk of Sexual Assault
Objective: Research consistently documents disproportionately high rates of sexual assault among bisexual women, one of the fastest growing sexual minority demographic groups in the United States. This study seeks to better understand how bisexual women's position as both women and sexual minority people may heighten their risk for sexual assault. Method: Using data from 165 bisexual women in the Chicago Health and Life Experience of Women (CHLEW…
Resilience Through Social Support
Sexual minority women (SMW) are at higher risk for a range of health conditions (e.g. depression, anxiety, and alcohol use disorder) than heterosexual women. However, poor health outcomes do not occur for all SMW. Resilience provides a lens for understanding why some SMW maintain good mental and behavioral health despite the presence of multiple risk factors. Few studies have examined the resilience-promoting factor of social support in relation …
Health Outcomes of Sexual Minority Women Who Have Experienced Adverse Childhood Experiences
Sexual minority women (SMW; e.g., lesbian, bisexual) report higher rates of almost every negative physical health (e.g., asthma, arthritis, cardiovascular disease), mental health (e.g., depression, anxiety), and substance use outcome compared to heterosexual women. Adverse Childhood Experiences (ACEs) have been identified as risk factors for negative health outcomes. Despite this, no study to date has synthesized existing literature examining ACE…
Protocol
Innovative and culturally sensitive strategies to improve access to HIV prevention and treatment services for cisgender women are vital to curb the burden of the HIV epidemic for this key population. Findings from this study will inform future research, intervention strategies, and public policies
Covid-19 Concerns, Coping and Perceived Peer Norms
This study explored the impact of COVID-related concerns and other characteristics on alcohol and marijuana use among sexual minority women (SMW). Survey data from a racially/ethnically diverse sample of 338 SMW participants in the Chicago Health and Life Experiences of Women (CHLEW) study were used to examine correlates of three substance use outcomes: frequent intoxication (once a month or more), perceived increase in alcohol use, and perceived…
Intimate Partner Violence Among Sexual Minority Women
Intimate partner violence (IPV) is prevalent among sexual minority women (SMW). However, compared to IPV research with heterosexual women and other LGBTQ+ population groups, SMW are understudied. We conducted a scoping review to examine the current state of knowledge about IPV among SMW, and to identify gaps and directions for future research. A search of Medline, Embase, CINAHL, and PsycINFO databases returned 1,807 papers published between Janu…
The Modifying Effect of Minority Stressors on the Associations Between Neighborhood Deprivation and Mental Health Among US Sexual Minority Women
Interpersonal- and Community-Level Risk Factors for Adolescent Obesity
Examining Differences in Alcohol and Smoking Behaviors between Parenting and Nonparenting Lesbian Women
BACKGROUND: The transition to parenthood is a significant life event that has implications for health behaviors and health. Few studies have examined alcohol use and smoking by parenthood status (nonparent vs. parent) among women who identify as lesbian. METHODS: This study used data from two longitudinal studies, the Chicago Health and Life Experiences of Women Study (n = 135) and the U.S. National Longitudinal Lesbian Family Study (n = 116), to…
A population-based study of the intersection of sexual identity and race/ethnicity on physiological risk factors for CVD among U.S. adults (ages 18–59)
Objectives: Sexual minorities face significant psychosocial stressors (such as discrimination and violence) that impact their health. Several studies indicate that sexual minority women (SMW) and bisexual men may be at highest risk for cardiovascular disease (CVD), but limited research has examined physiological CVD risk or racial/ethnic differences. This study sought to examine racial/ethnic differences in physiological risk factors for CVD amon…
Sexual and gender minority health in Chile
OBJECTIVE: To expose visibility of the health concerns of sexual and gender minority groups in Chile, as well as to provide a platform to advocate for policies that support the health and well-being of SGM people in the country. METHODS: The health conditions and risk factors of participants identified as sexual and gender minority were compared to those identified as cisgender heterosexual using data from the 2016-2017 National Health Survey. RE…
Sexual Orientation Disparities in Experiences of Male-Perpetrated Intimate Partner Violence
How deep is the cut? The influence of daily microaggressions on bisexual women’s health
Bisexual women experience disproportionately poorer health outcomes in comparison to lesbian and gay groups, and the general population, including inequities related to mental and physical health. Although bisexual-specific health inequities are increasingly well-documented, research examining putative causes of such inequities, as well as research that accounts for differences within bisexual populations - particularly among racial minorities- r…
Testing whether the combination of victimization and minority stressors exacerbate PTSD risks in a diverse community sample of sexual minority women
Informed by minority stress and intersectionality frameworks, we examined: 1) associations of sexual identity and race/ethnicity with probable diagnosis of post-traumatic stress disorder (PTSD-PD) among sexual minority women (SMW; e.g., lesbian, bisexual); and 2) potential additive and interactive associations of minority stressors (discrimination, stigma consciousness, and internalized homonegativity) and potentially traumatic childhood and adul…
Sexual Fluidity and Psychological Distress
The sexual identities of young women today are less binary and more fluid than ever before. Several theoretical perspectives imply that this fluidity could be accompanied by distress. To examine this, we analyzed four waves of data from Australian women born 1989 to 1995 (n = 11,527). We found no evidence of a universal association between sexual identity change and psychological distress. Instead, psychological distress was elevated when women c…
Measuring the Impact of Legal Recognition of Same-Sex Marriage among Sexual Minority Women
Reductions in structural stigma, such as gaining access to legalized same-sex marriage, is associated with positive psychological and physical health outcomes among sexual minority adults. However, these positive outcomes may be less robust among sexual minority women (SMW; e.g., lesbian, bisexual, queer) than sexual minority men and new measures are needed to develop a more nuanced understanding of the impact of affirming policies on the health …
Revictimization Is Associated With Higher Cardiometabolic Risk in Sexual Minority Women
Trauma, mental health, and health care experiences of lesbian and bisexual women in Rwanda
Experiences of the Covid-19 pandemic among African American, Latinx, and White sexual minority women
From a systems perspective, the COVID-19 pandemic has caused global changes impacting the lives of individuals at all levels of interactions. Qualitative in-depth interviews were conducted with a sample of 18 African-American/Black, Hispanic/Latina/Latinx, and White sexual minority women (SMW) to explore experiences and adaptations during the COVID-19 pandemic. Interviews were analyzed using a descriptive phenomenological approach to understand h…
Examining Perceived Effects of Same-Sex Marriage Legalization Among Sexual Minority Women
Microaggressions and Health Outcomes among Racially and Ethnically Diverse Bisexual Women
This study assessed the relationship between microaggressions and health outcomes among bisexual women. Participants came from the Women’s Daily Experiences Study, a mixed method study of bisexual women recruited in Chicago (N = 112). Using cross-sectional data, we tested bivariate and multivariate associations of lifetime and past year sexual orientation microaggressions with depression, anxiety, self-assessed mental and physical health, and sub…
Prevalence and Sociodemographic Correlates of Identifying as Mainly Heterosexual
Dimensions of Sexual Orientation and the Prevalence of Mood and Anxiety Disorders in the United States
Objectives. We used data from a nationally representative sample to examine the associations among 3 dimensions of sexual orientation (identity, attraction, and behavior), lifetime and past-year mood and anxiety disorders, and sex. Methods. We analyzed data from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Results. Mental health outcomes differed by sex, dimension of sexual orientation, and sexual minority group.…
The Relationship Between Discrimination and Substance Use Disorders Among Lesbian, Gay, and Bisexual Adults in the United States
Objectives. We examined the associations between 3 types of discrimination (sexual orientation, race, and gender) and substance use disorders in a large national sample in the United States that included 577 lesbian, gay, and bisexual (LGB) adults. Methods. Data were collected from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, which used structured diagnostic face-to-face interviews. Results. More than two thirds …
Race/ethnicity and sexual orientation
Racial/ethnic minority women who come to identify as lesbian must confront the norms and expectations of both the majority and minority cultures in which they live. This article reports findings from a diverse sample of nearly 450 women and examines the effects of race/ethnicity on sexual identity development in African American, Latina, and White lesbians. African American and Latina respondents differed little in the timing and disclosure of le…
Substance abuse and mental health disparities
The impact of civil union legislation on minority stress, depression, and hazardous drinking in a diverse sample of sexual-minority women
Mental Health and Suicidality Among Racially/Ethnically Diverse Sexual Minority Youths
Objectives. We examined the relationships among sexual minority status, sex, and mental health and suicidality, in a racially/ethnically diverse sample of adolescents. Methods. Using pooled data from 2005 and 2007 Youth Risk Behavior Surveys within 14 jurisdictions, we used hierarchical linear modeling to examine 6 mental health outcomes across 6 racial/ethnic groups, intersecting with sexual minority status and sex. Based on an omnibus measure o…
We Won’t Go Back into the Closet Now Without One Hell of a Fight”
Trajectories of Depressive Symptoms and Suicidality Among Heterosexual and Sexual Minority Youth
Coming out in color
Disclosing one's sexual minority identity, or "coming out," has varying effects on the mental health of lesbians. Previous research indicates a negative association between disclosure and depression. However, these findings are based on research with White lesbians. To date, there is a paucity of studies that examined how the relationship between disclosure and depression may differ by race/ethnicity among lesbians. To address this gap, we examin…
Comparing Lesbians' and Heterosexual Women's Mental Health
Despite increased awareness of, and interest in, the health status of lesbians over the past two decades, many gaps remain in our knowledge of lesbians' mental health. Much of the existing research on lesbian health has been conducted with small, homogenous samples and few studies have included comparison groups of heterosexual women. This paper presents descriptive data from a study of lesbian health conducted in Chicago, Minneapolis/St. Paul, a…
Exploring Alcohol-Use Behaviors Among Heterosexual and Sexual Minority Adolescents
Objectives. We examined sexual orientation status differences in alcohol use among youths aged 13 to 18 years or older, and whether differences were moderated by sex, age, or race/ethnicity. Methods. We pooled data from the 2005 and 2007 Youth Risk Behavior Surveys and conducted weighted analyses, adjusting for complex design effects. We operationalized sexual orientation status with items assessing sexual orientation identity, sexual behavior, s…
Prediction of Depressive Distress in a Community Sample of Women
Objectives. This study compared factors known or hypothesized to influence depressive symptomatology in a community sample of lesbians and heterosexual women. Methods. Data were collected in a multisite survey of lesbians' physical and mental health. Results. Findings confirmed earlier reports suggesting that traumatic life events such as physical and sexual abuse, and individual traits and coping styles are risk factors for depressive distress. …
Measurement of Sexual Identity in Surveys
The Impact of Marriage Equality on Sexual Minority Women's Relationships With Their Families of Origin
Support from family of origin is important to the health and wellbeing of sexual minority women (SMW) and structural stigma may impact that support. The recent extension of marriage rights to same-sex couples in all U.S. states provided an opportunity to examine whether this change in law would impact the relationship of SMW with their families of origin regarding their same-sex relationships, including marriage. Interviews with 20 SMW were condu…
Sexual Assault Risks Among Gay and Bisexual Men
The goal of this study was to examine lifetime patterns of sexual assault and associated risks among a purposive sample of gay and bisexual men (N = 183; 18 to 35 years old, M = 24.3). Cross-sectional data were collected via written, self-administered questionnaires and face-to-face, event-based qualitative interviews. Alcohol severity scores indicated high rates of hazardous drinking (53.0%) and possible dependence (14.2%) among participants. On…
Sexual Identity Mobility and Depressive Symptoms
Sexual Orientation Disparities in Mistimed and Unwanted Pregnancy Among Adult Women
Compared with heterosexuals who have sex with men only, adult sexual minority women are at equal or greater risk of reporting an unintended pregnancy. More research addressing the reproductive health care needs of sexual minority women is needed to develop strategies to improve family planning for this population
A Comparative Study of Lesbian and Heterosexual Women in Committed Relationships
Data from a diverse sample of lesbians and a demographi-cally matched group of heterosexual women were used to examine and compare lesbians' and heterosexual women's relationships. Findings suggest similarities in the broad relationship experiences of women in the sample including the importance of being in a committed relationship, shared values with partners on relationship issues, and division of labor. Contrary to previous research findings, …
Mental health service use by African American women
Studies focusing on mental health service use have consistently viewed African American women as a homogeneous population, and very few studies have examined subgroup differences. However, important differences exist both within and between groups in lifestyle, stressors, type and availability of support resources, societal interactions, and risk-taking behaviors. This study examined rates and patterns of mental health service use by African Amer…
Experiences of the Covid-19 pandemic among African American, Latinx, and White sexual minority women
From a systems perspective, the COVID-19 pandemic has caused global changes impacting the lives of individuals at all levels of interactions. Qualitative in-depth interviews were conducted with a sample of 18 African-American/Black, Hispanic/Latina/Latinx, and White sexual minority women (SMW) to explore experiences and adaptations during the COVID-19 pandemic. Interviews were analyzed using a descriptive phenomenological approach to understand h…
Microaggressions and Health Outcomes among Racially and Ethnically Diverse Bisexual Women
This study assessed the relationship between microaggressions and health outcomes among bisexual women. Participants came from the Women’s Daily Experiences Study, a mixed method study of bisexual women recruited in Chicago (N = 112). Using cross-sectional data, we tested bivariate and multivariate associations of lifetime and past year sexual orientation microaggressions with depression, anxiety, self-assessed mental and physical health, and sub…
Coping as a mediator of internalized homophobia and psychological distress among young adult sexual minority women
Sexual minorities have higher rates of depression and anxiety than their heterosexual counterparts. This elevated risk of psychological distress has generally been hypothesized to be a result of the effects of discrimination including internalized negative beliefs about sexual minorities. However, little research has examined the role of various types of coping in mediating between internalized homophobia and mental health. We tested the direct r…
The Effects of Sexual Orientation on Body Image and Attitudes About Eating and Weight
We assessed the effect of sexual orientation on body image and attitudes toward eating and weight using data collected from lesbians and heterosexual women in three US cities. Data were analyzed using ordinary least squares regression controlling for a number of demographic characteristics. Findings indicate that while lesbian sexual orientation is predictive of positive body image and fewer negative attitudes toward eating and weight, the effect…
It’s complicated
This mixed-methods study explored perceptions of the impact of marriage legalization in all U.S. states among sexual minority women and gender diverse individuals. Survey data were collected from a nonprobability sample of individuals 18 years or older who identified as lesbian, bisexual, queer, same-sex attracted or something other than exclusively heterosexual-as well as individuals who identified as transgender or gender nonbinary (for example…
Longitudinal Associations among Discordant Sexual Orientation Dimensions and Hazardous Drinking in a Cohort of Sexual Minority Women
We examined differences between sexual minority women's (SMW's) sexual identity and sexual behavior or sexual attraction as potential contributors to hazardous drinking across a 10-year period. Data are from a longitudinal study examining drinking and drinking-related problems in a diverse, community-based sample of self-identified SMW (Wave 1: n = 447; Wave 2: n = 384; Wave 3: n = 354). Longitudinal cross-lagged models showed that SMW who report…
Evaluating research on chemical dependency among women
Research Associate, Department of Psychiatric Nursing, University of Illinois at Chicago, Chicago, Illinois
Interview
Use of alcohol among lesbians
A review of the literature on the prevalence of alcohol use and problems among lesbians reveals that the few studies yielding information on this population are beset by design and methodological problems. Those factors possibly associated with higher risk status of lesbians are identified, as are gaps in the literature, and implications for clinical practice and research are discussed
Comparing Lesbians' and Heterosexual Women's Mental Health
Despite increased awareness of, and interest in, the health status of lesbians over the past two decades, many gaps remain in our knowledge of lesbians' mental health. Much of the existing research on lesbian health has been conducted with small, homogenous samples and few studies have included comparison groups of heterosexual women. This paper presents descriptive data from a study of lesbian health conducted in Chicago, Minneapolis/St. Paul, a…
Mental health service use by African American women
Studies focusing on mental health service use have consistently viewed African American women as a homogeneous population, and very few studies have examined subgroup differences. However, important differences exist both within and between groups in lifestyle, stressors, type and availability of support resources, societal interactions, and risk-taking behaviors. This study examined rates and patterns of mental health service use by African Amer…
Substance Use and Abuse in Lesbian, Gay, Bisexual and Transgender Populations
The Effects of Sexual Orientation on Body Image and Attitudes About Eating and Weight
We assessed the effect of sexual orientation on body image and attitudes toward eating and weight using data collected from lesbians and heterosexual women in three US cities. Data were analyzed using ordinary least squares regression controlling for a number of demographic characteristics. Findings indicate that while lesbian sexual orientation is predictive of positive body image and fewer negative attitudes toward eating and weight, the effect…
Psychological Distress in African American Lesbian and Heterosexual Women
Similarities and differences in indicators of psychological distress, risk factors for distress, and methods of coping were assessed in African American lesbians and heterosexual women. Despite similar rates of risk factors, lesbians reported more indicators of psychological distress and more frequent use of alcohol or other drugs in response to stress. In addition, findings reflect an overall trend toward higher rates of drinking, alcohol-relate…
A Comparative Study of Lesbian and Heterosexual Women in Committed Relationships
Data from a diverse sample of lesbians and a demographi-cally matched group of heterosexual women were used to examine and compare lesbians' and heterosexual women's relationships. Findings suggest similarities in the broad relationship experiences of women in the sample including the importance of being in a committed relationship, shared values with partners on relationship issues, and division of labor. Contrary to previous research findings, …
Utilization of Mental Health Services
Numerous studies examining mental health services have identified a series of indicators with demonstrated effects on services access, barriers, and utilization. These include demographic features such as gender, race/ethnicity, and socioeconomic status, as well as other factors such as type of insurance, clinical indicators such as diagnosis, and client attitudes toward mental health. The focus of the present study was to identify and compare me…
Prediction of Depressive Distress in a Community Sample of Women
Objectives. This study compared factors known or hypothesized to influence depressive symptomatology in a community sample of lesbians and heterosexual women. Methods. Data were collected in a multisite survey of lesbians' physical and mental health. Results. Findings confirmed earlier reports suggesting that traumatic life events such as physical and sexual abuse, and individual traits and coping styles are risk factors for depressive distress. …
Substance Use and Misuse
The objective of this study was to compare the prevalence of substance use and alcohol-related consequences among bisexual and heterosexual women. A cross-sectional survey was self-administered to a random sample of undergraduate women. The final sample consisted of 49 self-identified bisexual women and 2,042 self-identified heterosexual women. Bivariate and multivariate results indicated that bisexual women were more likely than heterosexual wom…
Race/ethnicity and sexual orientation
Racial/ethnic minority women who come to identify as lesbian must confront the norms and expectations of both the majority and minority cultures in which they live. This article reports findings from a diverse sample of nearly 450 women and examines the effects of race/ethnicity on sexual identity development in African American, Latina, and White lesbians. African American and Latina respondents differed little in the timing and disclosure of le…
Complementary Medicine Practices in a Community-Based Sample of Lesbian and Heterosexual Women
While researchers have examined the established the foundation for understanding the correlates of complementary and alternative medicine (CAM) use among some medical populations, less is known about the correlates of CAM use in nonclinical samples of women, and particularly according to sexual orientation. Information on CAM modalities was collected as part of a survey of lesbian and heterosexual women's health. Eighty-two percent of the sample …
Alcohol Use and Alcohol-Related Problems in Self-Identified Lesbians
Age cohort and racial/ethnic differences in alcohol-use patterns and alcohol-related problems were examined in a diverse sample of self-identified lesbians using data from the Chicago Health and Life Experiences of Women Study (CHLEW). Significant differences in lifetime drinking patterns and lifetime alcohol-related problems were found across three generational cohorts; few differences were found across racial/ethnic groups. Findings are discuss…
The Co-Occurrence of Depression and Alcohol Dependence Symptoms in a Community Sample of Lesbians
Numerous studies have found an association between depression and alcohol use disorders in women. Little is known, however, about the relationship between depression and alcohol use among lesbians. We examined the prevalence of depression and alcohol dependence symptoms as well as the co-occurrence of these two health problems in a large community-based sample of women who self-identified as lesbian. Past year alcohol dependence symptoms were sig…
Sexual orientation, substance use behaviors and substance dependence in the United States
Aims To assess past‐year prevalence rates of substance use behaviors and substance dependence across three major dimensions of sexual orientation (identity, attraction and behavior) in a large national sample of adult women and men in the United States. Design Data were collected from structured diagnostic face‐to‐face interviews using the Alcohol Use Disorder and Associated Disabilities Interview Schedule DSM‐IV version IV (AUDADIS‐IV). Setting …
Victimization and substance use disorders in a national sample of heterosexual and sexual minority women and men
Context There is consensus in the research literature that substance use disparities exist among sexual minority women and men; however, few studies have examined risk factors that may contribute to these disparities. Aims To compare reports of life‐time victimization experiences in a US national sample of adult heterosexual and sexual minority women and men and to examine the relationships between victimization experiences and past‐year substanc…
Sexual victimization and hazardous drinking among heterosexual and sexual minority women
Health Status, Health Service Use, and Satisfaction According to Sexual Identity of Young Australian Women
Suicide and Suicide Risk in Lesbian, Gay, Bisexual, and Transgender Populations
Despite strong indications of elevated risk of suicidal behavior in lesbian, gay, bisexual, and transgender people, limited attention has been given to research, interventions or suicide prevention programs targeting these populations. This article is a culmination of a three-year effort by an expert panel to address the need for better understanding of suicidal behavior and suicide risk in sexual minority populations, and stimulate the developme…
Dimensions of Sexual Orientation and the Prevalence of Mood and Anxiety Disorders in the United States
Objectives. We used data from a nationally representative sample to examine the associations among 3 dimensions of sexual orientation (identity, attraction, and behavior), lifetime and past-year mood and anxiety disorders, and sex. Methods. We analyzed data from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Results. Mental health outcomes differed by sex, dimension of sexual orientation, and sexual minority group.…
The Relationship Between Discrimination and Substance Use Disorders Among Lesbian, Gay, and Bisexual Adults in the United States
Objectives. We examined the associations between 3 types of discrimination (sexual orientation, race, and gender) and substance use disorders in a large national sample in the United States that included 577 lesbian, gay, and bisexual (LGB) adults. Methods. Data were collected from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, which used structured diagnostic face-to-face interviews. Results. More than two thirds …
Substance abuse and mental health disparities
Lesbian Health 101
One of the central barriers to effective healthcare for lesbians is the assumption by their providers that lesbians have no unique health issues. This textbook is valuable because it strongly refut
Psychology (84 obras) · LGBTQ Health, Identity, and Policy (74 obras) · Social Psychology (66 obras) · Medicine (61 obras) · Sexual minority (59 obras) · Sexual orientation (55 obras) · Clinical Psychology (53 obras) · Lesbian (52 obras) · Psychiatry (48 obras) · Social Psychology (43 obras)