Background: Most studies on chemsex focus on the health risks associated with the practice, whereas less attention has been paid to the perception of sexual gratification in men who have sex with men (MSM) who use these substances. Aim: The purpose of this study was to explore the effects of chemsex substances on sexual response, motivations to engage in chemsex and the relationship with sober sex. Methods: Thirty-one Italian cisgender MSM involved in sexualized drug use were interviewed and transcripts were thematically analyzed. Outcomes: An ad hoc grid exploring sociodemographic data, chemsex sexual experience, motives, and relationships with sober sex was used during telephone-based interviews. Results: Participants showed significant individual differences in how chems may affect their sexual experience. The most reported effects were an increase in sexual desire and subjective arousal, access to higher disinhibition, possible erection and ejaculation difficulties, significant extension of the sexual experience duration, and an intensified perception of intimacy and pleasure. All the positive outcomes of substances on sex creates a great curiosity around chemsex, which is among the primary motives to engage in chemsex for the first time. Over time, other motives may emerge, also connected to substance abuse and craving. Some men reported to be motivated by their partners and friends and to use chemsex to cope with depressive mood/anxiety symptoms, stress and sexual problems. Many differences were reported between chemsex and sober sex. Chemsex seems to embody the idea of transgressive and exciting sex, while sober sex is outlined as a more intimate encounter, that can be significantly affected by performance anxiety. Clinical Translation: These results offer some new perspectives that may add interesting information to the literature and be fundamental for future prevention and harm-reduction projects. Strengths & Limitations: Although this study is based on a small group of Italian MSM and the interviews were not audio-recorded, transcripts were consistent with scientific literature that considers it important to pay attention to the positive links between sex and substance use. Conclusion: The promotion of safer sexual behavior should contemplate an in-depth discussion and recognition of both pleasurable and distressing aspects of chemsex sexual experience, its motivations over time and perceived differences with sober sex. Copyright (C) 2021, International Society of Sexual Medicine. Published by Elsevier Inc. All rights reserved.

The present study, using a moderated mediational model, explored levels of distal/proximal stressors, rumination, resilience, and health in a group of Italian and Taiwanese LGB+ people. The study also examined the role of internalized sexual stigma (ISS) and rumination as mediators between discrimination and health, and resilience as a moderator of the relationship between discrimination and ISS, rumination, and health, respectively. An online survey was administered to 508 LGB+ participants (270 Italian and 238 Taiwanese) whose age ranged from 18 to 70 years ( M = 37.93, SD = 13.53). The moderated mediation model was tested through a series of path analyses stratified by group nationality. Italian participants reported higher discrimination and resilience, but lower ISS, rumination, and health problems compared to their Taiwanese counterparts. The only common path between groups was the direct effect of discrimination on health problems. The mediating role of ISS and rumination in the relationship between discrimination and health, as well as the moderating role of resilience, were partly significant only for the Italian group. Conclusions: The findings suggest that mediators and moderators used to evaluate the effects of minority stress on health may differ between groups; further culturally sensitive research in the field of LGB+ health is needed.

Background: A paradoxical profile of greater elevated sympathetic vasoconstriction (increased total peripheral resistance, TPR) and increased vagally-mediated heart rate variability (HRV) -the so-called Cardiovascular Conundrum- has been reported in African Americans (AAs) both at rest and in response to orthostasis. Whereas some authors have attributed this pattern to genetic factors, others have pointed to the potential role of coping with repeated racial discrimination.Objective: To disentangle between these alternative explanations, we have examined the hemodynamic profile of another population that is likely to be exposed to episodes of discrimination, i.e., sexual minorities.Methods: The first study was conducted on a sample of AAs and European Americans (EAs) with the aim of replicating previous results on the Cardiovascular Conundrum. In the second study, lesbian, gay, and bisexual (LGB) people, matched by age and sex with heterosexual participants, underwent a hemodynamic and autonomic assessment at rest and during an emotional (in the experimental group, both LGB-related and non LGB related), and a cognitive stressor.Results: The first study confirmed a pattern of higher resting HRV, paired with higher TPR, in AAs compared to EAs. In the second study, compared to heterosexuals, the LGB group showed the Cardiovascular Conundrum pattern, characterized by greater HRV and higher TPR at baseline and a more vascular hemodynamic profile and prominent compensation deficit in response to both tasks, and particularly during the LGB-related emotional task. However, in LGB only, the vascular response was negatively correlated with perceived discrimination.Conclusion: Present preliminary results are discussed in terms of maladaptive physiological consequences of exposure to chronic stress and the chronic use of dysfunctional emotion regulation strategies such as suppression.

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.

This 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. Data 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. Three 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. Access 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. Interventions directed to healthcare providers are needed, to increase specific competencies and ensure safe and affirming environments.

The coming out (CO) process is fundamental for identity integration among LGBQ+ people, and its impact can vary greatly depending on personal and contextual factors. The historical, cultural, and social contexts in which LGBQ+ people develop their sexual identity can mediate the relationship between CO and health outcomes. The present study aimed at clarifying the CO process in three generations of Italian LGBQ+ people (young adults: aged 20-40 years; middle adults: aged 41-60 years; older adults: aged 61-80 years) by providing data on: (a) sexual orientation milestones, such as age of first awareness, age of first self-label, and age of first CO, as well as the rate of disclosure during different life stages; (b) the rate and average age of CO to significant others; and (c) CO within the religious context and its effect on participants' minority stress experiences. A total of 266 Italian LGBQ+ people participated in the study, with ages ranging from 20 to 80 years (M = 41.15, SD = 16.13). Findings indicated that, on average, the older adult group became self-aware, self-labeled, and disclosed their sexual identity at a significantly older age than the other groups. Older adults were also more Catholic and had CO more frequently to their Catholic community, relative to young and middle adults. CO within the Catholic context was associated with distal and proximal minority stressors, such as discrimination, vigilance, and internalized sexual stigma. Catholic community reactions to participants' CO were distinguished through thematic analysis in three main types: unconditional acceptance, invitation to change, and open rejection. The present research extended current knowledge on CO and minority stress experiences in different generations of LGBQ+ people. Several differences emerged between generational groups on sexual orientation milestones, highlighting the potential impact of historical and cultural contexts in determining sexual minorities' experiences related to sexual identity. It is recommended that mental health professionals working with LGBQ+ clients implement targeted interventions based on their clients' multiple salient aspects, including age and religious background. Clinicians should also be aware of the potentially detrimental effects of CO within an unsupportive context, rather than encouraging CO tout court.

Objectives This 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. Methods For 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. Results Findings 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. Conclusions These 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.

BACKGROUND:Most studies suggest that immigrant youth are more likely to be victimized than their non-immigrant counterparts. In Italy, a country in which the number of foreign migrants has grown exponentially over recent decades, this line of research is particularly interesting. Thus, the main objective of the present study was to examine the relationship between peer victimization, gender, and immigrant status in a large sample of students.METHOD:The research used data from a cross-sectional Italian survey on the "Integration of Second Generations", which was administered to 68,127 students in grades 6 through 13 (49% female; 47% immigrant). Multinomial logistic regression analyses were used to examine the association between immigrant status and gender with verbal, physical, and relational victimization, after adjusting for socio-demographic variables.RESULTS:Immigrant and male participants were more likely to be classified as frequently victimized. The significant interaction effect between immigrant status and gender revealed that male immigrant students were more likely to belong to the frequently relationally victimized category compared to their counterparts.CONCLUSIONS:The study highlights the importance of including immigrant status disparities in peer victimization research. Prevention efforts and intervention strategies should be implemented to create safe environments in Italy.

Literature suggests that several demographic variables are linked with religiosity in adolescence, such as gender, age and parental religiosity. The sample consisted of 910 young people (53% female) between 14 and 19years of age, attending secular secondary schools in Rome, Italy. They self-identified as heterosexual adolescents (91.6%), and lesbian/gay (LG) adolescents (8.4%). High scores of positive attitudes toward God, Jesus, the Bible, prayer and church were associated with female gender, higher father's religiosity, and higher mother's religiosity, but not with age of the participants. As expected, heterosexual orientation was associated with a more positive attitude toward Christianity, controlling for sex, age, and parental religiosity.