Skip to main content

Advertisement

Log in

Homelessness Among Lesbian, Gay, and Bisexual Youth: Implications for Subsequent Internalizing and Externalizing Symptoms

  • Empirical Research
  • Published:
Journal of Youth and Adolescence Aims and scope Submit manuscript

Abstract

Although lesbian, gay, and bisexual (LGB) youth with a history of homelessness (running away or being evicted from their homes by parents) report more psychological symptoms than homeless heterosexual peers, it is unclear whether symptoms are due to homelessness, given the absence of a non-homeless comparison group. This study longitudinally investigates whether LGB youth with a history of homelessness report more subsequent psychological symptoms than non-homeless LGB youth and examines potential mediators of any such relationships. Of the 156 LGB youth interviewed (49% female; 78% non-White), 48% reported past homeless experiences. Homelessness was associated with subsequent symptoms of anxiety, depression, conduct problems, and substance abuse and to changes in symptoms over time even after controlling for childhood sexual abuse and early development of sexual orientation. Stressful life events, negative social relationships, and social support from friends mediated the relationships between homelessness and symptomatology. These findings suggest the need for interventions to reduce stress and enhance social support among LGB youth with a history of homelessness in order to reduce psychological symptoms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Almeida, J., Johnson, R. M., Corliss, H. L., Molnar, B. E., & Azrael, D. (2009). Emotional distress among LGBT youth: The influence of perceived discrimination based on sexual orientation. Journal of Youth and Adolescence, 38, 1001–1014.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders: DSM-III-R (3rd edn, rev. ed ed.). Washington, DC: Author.

    Google Scholar 

  • Arnold, M. E., & Rotheram-Borus, M. J. (2009). Comparisons of prevention programs for homeless youth. Prevention Science, 10, 76–86.

    Article  PubMed  Google Scholar 

  • Bailey, S. L., Camlin, C. S., & Ennett, S. T. (1998). Substance use and risky sexual behavior among homeless and runaway youth. Journal of Adolescent Health, 23, 378–388.

    Article  PubMed  Google Scholar 

  • Bauermeister, J. A., Johns, M. M., Sandfort, T. G. M., Eisenberg, A., Grossman, A. H., & D’Augelli, A. R. (2010). Relationship trajectories and psychological well-being among sexual minority youth. Journal of Youth and Adolescence, 39, 1148–1163.

    Article  PubMed  Google Scholar 

  • Bontempo, D. E., & D’Augelli, A. R. (2002). Effects of at-school victimization and sexual orientation on lesbian, gay, or bisexual youths’ health risk behavior. Journal of Adolescent Health, 30, 364–374.

    Article  PubMed  Google Scholar 

  • Chesir-Teran, D., & Hughes, D. (2009). Heterosexism in high school and victimization among lesbian, gay, bisexual, and questioning students. Journal of Youth and Adolescence, 38, 963–975.

    Article  PubMed  Google Scholar 

  • Clatts, M. C., Goldsamt, L., Yi, H., & Gwadz, M. V. (2005). Homelessness and drug abuse among young men who have sex with men in New York City: A preliminary epidemiological trajectory. Journal of Adolescence, 28, 201–214.

    Article  PubMed  Google Scholar 

  • Cochran, B. N., Stewart, A. J., Ginzier, J. A., & Cauce, A. M. (2002). Challenges faced by homeless sexual minorities: Comparison of gay, lesbian, bisexual, and transgender homeless adolescents with their heterosexual counterparts. American Journal of Public Health, 92, 773–777.

    Article  PubMed  Google Scholar 

  • Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357.

    Article  PubMed  Google Scholar 

  • Coker, T. R., Austin, S. B., & Schuster, M. A. (2010). The health and health care of lesbian, gay, and bisexual adolescents. Annual Review of Public Health, 31, 457–477.

    Article  PubMed  Google Scholar 

  • Corliss, H. L., Goodenow, C. S., Nichols, L., & Austin, S. B. High burden of homelessness among sexual orientation minority adolescents: Findings from a representative Massachusetts sample. American Journal of Public Health (in press).

  • Crowne, D. P., & Marlowe, D. (1964). The approval motive: Studies in evaluative dependence. Westport, CT: Greenwood Press.

    Google Scholar 

  • Derogatis, L. R. (1993). BSI, brief symptom inventory: Administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems.

    Google Scholar 

  • Doty, N. D., Willoughby, B. L. B., Lindahl, K. M., & Malik, N. M. (2010). Sexuality related social support among lesbian, gay, and bisexual youth. Journal of Youth and Adolescence, 39, 1134–1147.

    Article  PubMed  Google Scholar 

  • Dunne, G. A., Prendergast, S., & Telford, D. (2002). Young, gay, homeless and invisible: A growing population? Culture Health & Sexuality, 4, 103–115.

    Article  Google Scholar 

  • Elze, D. E. (2005). Research with sexual minority youths: Where do we go from here? Journal of Gay and Lesbian Social Services, 18, 73–99.

    Article  Google Scholar 

  • Fergusson, D. M., Horwood, L. J., & Beautrais, A. L. (1999). Is sexual orientation related to mental health problems and suicidality in young people? Archives of General Psychiatry, 56, 876–880.

    Article  PubMed  Google Scholar 

  • Fournier, M. E., Austin, S. B., Samples, C. L., Goodenow, C. S., Wylie, S. A., & Corliss, H. L. (2009). A comparison of weight-related behaviors among high school students who are homeless and non-homeless. Journal of School Health, 79, 466–473.

    Article  PubMed  Google Scholar 

  • Freeman, L., & Hamilton, D. (2008). A count of homeless youth in New York City. New York: Empire State Coalition of Youth and Family Services. Available at: http://www.citylimits.org/images_pdfs/pdfs/HomelessYouth.pdf.

  • Friedman, M. S., Marshal, M. P., Stall, R., Cheong, J., & Wright, E. R. (2008). Gay-related development, early abuse and adult health outcomes among gay males. AIDS and Behavior, 12, 891–902.

    Article  PubMed  Google Scholar 

  • Gangamma, R., Slesnick, N., Toviessi, P., & Serovich, J. (2008). Comparison of HIV risks among gay, lesbian, bisexual, and heterosexual homeless youth. Journal of Youth and Adolescence, 37, 456–464.

    Article  PubMed  Google Scholar 

  • Garmezy, N., & Rutter, M. (Eds.). (1983). Stress, coping, and development children. New York: McGraw-Hill.

    Google Scholar 

  • Gattis, M. N. (2009). Psychosocial problems associated with homelessness in sexual minority youths. Journal of Human Behavior in the Social Environment, 19, 1066–1094.

    Article  Google Scholar 

  • Goodenow, C., Szalacha, L., & Westheimer, K. (2006). School support groups, other school factors, and the safety of sexual minority adolescents. Psychology in the Schools, 43, 573–589.

    Article  Google Scholar 

  • Gurley, D. N. (1990). The context of well-being after significant life stress: Measuring social support and obstruction. Doctoral dissertation, University of Kentucky, Lexington, KY.

  • Huebner, D. M., Rebchook, G. M., & Kegeles, S. M. (2004). Experiences of harassment, discrimination, and physical violence among young gay and bisexual men. American Journal of Public Health, 94, 1200–1203.

    Article  PubMed  Google Scholar 

  • Hunter, E. (2008). What’s good for the gays is good for the gander: Making homeless youth housing safer for lesbian, gay, bisexual and transgender youth. Family Court Review, 46, 543–557.

    Article  Google Scholar 

  • Johnson, J. H., & McCutcheon, S. M. (1980). Assessing life stress in older children and adolescents: Preliminary findings with the Life Events Checklist. In I. G. Sarason & C. D. Spielberger (Eds.), Stress and anxiety (Vol. 6, pp. 111–125). New York: Wiley.

    Google Scholar 

  • Kipke, M. D., Montgomery, S. B., Simon, T. R., Unger, J. B., & Johnson, C. J. (1997). Homeless youth: Drug use patterns and HIV risk profiles according to peer group affiliation. AIDS and Behavior, 1, 247–259.

    Article  Google Scholar 

  • Kipke, M. D., Weiss, G., & Wong, C. F. (2007). Residential status as a risk factor for drug use and HIV risk among young men who have sex with men. AIDS and Behavior, 11, S59–S69.

    Article  Google Scholar 

  • Kraemer, H. C., Kiernan, M., Essex, M., & Kupfer, D. J. (2008). How and criteria defining moderators and mediators differ between the Baron & Kenny and MacArthur approaches. Health Psychology, 27(supple, 2), S101–S108.

    Google Scholar 

  • Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

    Google Scholar 

  • Leslie, M. B., Stein, J. A., & Rotheram-Borus, M. J. (2002). Sex-specific predictors of suicidality among runaway youth. Journal of Clinical Child and Adolescent Psychology, 31, 27–40.

    PubMed  Google Scholar 

  • Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562.

    Article  PubMed  Google Scholar 

  • Marshal, M. P., Dietz, L. J., Friedman, M. S., Stall, R., Smith, H. A., McGinley, J., Thoma, B. C., Murray, P. J., D’Augelli, A. R., & Brent, D. A. Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review. Journal of Adolescent Health (in press).

  • Marshal, M. P., Friedman, M. S., Stall, R., King, K. M., Miles, J., Gold, M. A., et al. (2008). Sexual orientation and adolescent substance use: A meta-analysis and methodological review. Addiction, 103, 546–556.

    Article  PubMed  Google Scholar 

  • McCaskill, P. A., Toro, P. A., & Wolfe, S. M. (1998). Homeless and matched housed adolescents: A comparative study of psychopathology. Journal of Clinical Child Psychology, 27, 306–319.

    Article  PubMed  Google Scholar 

  • Meyer, I. M. (2007). Prejudice and discrimination as social stressors. In I. M. Meyer & M. E. Northridge (Eds.), The health of sexual minorities (pp. 242–267). New York: Springer.

    Chapter  Google Scholar 

  • Meyer-Bahlburg, H. F. L., Ehrhardt, A. A., Exner, T. M., & Gruen, R. S. (1994). Sexual risk behavior assessment schedule—youth. New York State Psychiatric Institute: HIV Center for Clinical and Behavioral Studies.

    Google Scholar 

  • Milburn, N. G., Rice, E., Rotheram-Borus, M. J., Mallett, S., Rosenthal, D., Duan, P., et al. (2009). Adolescents exiting homelessness over two years: The risk amplification and abatement model. Journal of Research on Adolescence, 19, 762–785.

    Article  Google Scholar 

  • Moon, M. W., McFarland, W., Kellogg, T., Baxter, M., Katz, M. H., MacKellar, D., et al. (2000). HIV risk behavior of runaway youth in San Francisco: Age of onset and relation to sexual orientation. Youth & Society, 32, 184–201.

    Article  Google Scholar 

  • Narring, F., Stronski Huwiler, S. M., & Michaud, P.-A. (2003). Prevalence and dimensions of sexual orientation in Swiss adolescents: A cross-sectional survey of 16 to 20-year-old students. Acta Paediatrica, 92, 233–239.

    Article  PubMed  Google Scholar 

  • National Institute of Mental Health. (1992). Diagnostic interview schedule for children: Child informant (interview about self). Rockville, MD: Author.

    Google Scholar 

  • Needham, B. L., & Austin, E. L. (2010). Sexual orientation, parental support, and health during the transition to young adulthood. Journal of Youth and Adolescence, 39, 1189–1198.

    Article  PubMed  Google Scholar 

  • Noell, J. W., & Ochs, L. M. (2001). Relationship of sexual orientation to substance use, suicidal ideation, suicide attempts, and other factors in a population of homeless adolescents. Journal of Adolescent Health, 29, 31–36.

    Article  PubMed  Google Scholar 

  • Pearlin, L. I., Aneshensel, C. S., & LeBlanc, A. J. (1997). The forms and mechanisms of stress-proliferation: The case of AIDS caregivers. Journal of Health and Social Behavior, 38, 223–236.

    Article  PubMed  Google Scholar 

  • Pearlin, L. I., Schieman, S., Fazio, E. M., & Meersman, S. C. (2005). Stress, health, and the life course: Some conceptual perspectives. Journal of Health and Social Behavior, 46, 205–219.

    Article  PubMed  Google Scholar 

  • Procidano, M. E., & Heller, K. (1983). Measures of perceived social support from friends and from family: Three validation studies. American Journal of Community Psychology, 11, 1–24.

    Article  PubMed  Google Scholar 

  • Reck, J. (2009). Homeless gay and transgender youth of color in San Francisco: “No one likes street kids”—Even in the Castro. Journal of LGBT Youth, 6, 223–242.

    Article  Google Scholar 

  • Remafedi, G., Resnick, M., Blum, R., & Harris, L. (1992). Demography of sexual orientation in adolescents. Pediatrics, 89, 714–721.

    PubMed  Google Scholar 

  • Rew, L., Whittaker, T. A., Taylor-Seehafter, M. A., & Smith, L. R. (2005). Sexual health risks and protective resources in gay, lesbian, bisexual, and heterosexual homeless youth. Journal for Specialists in Pediatric Nursing, 10, 11–19.

    Article  PubMed  Google Scholar 

  • Rice, E., Stein, J. A., & Milburn, N. (2008). Countervailing social network influences on problem behaviors among homeless youth. Journal of Adolescence, 31, 625–639.

    Article  PubMed  Google Scholar 

  • Ringwalt, C. L., Greene, J. M., Robertson, M., & McPheeters, M. (1998). The prevalence of homelessness among adolescents in the United States. American Journal of Public Health, 88, 1325–1329.

    Article  PubMed  Google Scholar 

  • Rosario, M., Hunter, J., & Gwadz, M. (1997). Exploration of substance use among lesbian, gay, and bisexual youth: Prevalence and correlates. Journal of Adolescent Research, 12, 454–476.

    Article  Google Scholar 

  • Rosario, M., Schrimshaw, E. W., & Hunter, J. (2005). Psychological distress following suicidality among gay, lesbian, and bisexual youths: Role of social relationships. Journal of Youth and Adolescence, 34, 149–161.

    Article  PubMed  Google Scholar 

  • Rosario, M., Schrimshaw, E. W., & Hunter, J. (2011). Different patterns of sexual identity development over time: Implications for the psychological adjustment of lesbian, gay, and bisexual youths. Journal of Sex Research, 48, 3–15.

    Article  PubMed  Google Scholar 

  • Rosario, M., Schrimshaw, E. W., Hunter, J., & Gwadz, M. (2002). Gay-related stress and emotional distress among gay, lesbian, and bisexual youths: A longitudinal examination. Journal of Consulting and Clinical Psychology, 70, 967–975.

    Article  PubMed  Google Scholar 

  • Rosenthal, D., Mallett, S., Gurrin, L., Milburn, N., & Rotheram-Borus, M. J. (2007). Changes over time among homeless young people in drug dependency, mental illness, and their co-morbidity. Psychology, Health & Medicine, 12, 70–80.

    Article  Google Scholar 

  • Rosenwald, M. (2009). A glimpse within: An exploratory study of child welfare agencies’ practices with LGBTQ youth. Journal of Gay & Lesbian Social Services, 21, 343–356.

    Article  Google Scholar 

  • Rotheram-Borus, M. J., Koopman, C., & Bradley, J. (1988). Homelessness survey for adolescents. Unpublished instrument. HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute.

  • Rotheram-Borus, M. J., Rosario, M., van Rossem, R., Reid, H., & Gillis, R. (1995). Prevalence, course, and predictors of multiple problem behaviors among gay and bisexual male adolescents. Developmental Psychology, 31, 75–85.

    Article  Google Scholar 

  • Russell, S. T., Driscoll, A. K., & Truong, N. (2002). Adolescent same-sex romantic attractions and relationships: Implications for substance use and abuse. American Journal of Public Health, 92, 198–202.

    Article  PubMed  Google Scholar 

  • Ryan, C., Huebner, D., Diaz, R. M., & Sanchez, J. (2009). Family rejection as a predictor of negative health outcomes in White and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123, 346–352.

    Article  PubMed  Google Scholar 

  • Savin-Williams, R. C., & Ream, G. L. (2007). Prevalence and stability of sexual orientation components during adolescence and young adulthood. Archives of Sexual Behavior, 36, 385–394.

    Article  PubMed  Google Scholar 

  • Schrimshaw, E. W., Rosario, M., Meyer-Bahlburg, H. F. L., & Scharf-Matlick, A. A. (2006). Test-retest reliability of self-reported sexual risk behavior, sexual orientation, and sexual development among gay, lesbian, and bisexual youths. Archives of Sexual Behavior, 35, 225–234.

    Article  PubMed  Google Scholar 

  • Slesnick, N., & Prestopnik, J. L. (2005). Ecologically based family therapy outcome with substance abusing runaway adolescents. Journal of Adolescence, 28, 277–298.

    Article  PubMed  Google Scholar 

  • Thiede, H., Valleroy, L. A., MacKellar, D. A., Celentano, D. D., Ford, W. L., Hagan, H., et al. (2003). Regional patterns and correlates of substance use among young men who have sex with men in 7 US urban areas. American Journal of Public Health, 93, 1915–1921.

    Article  PubMed  Google Scholar 

  • Tyler, K. A. (2008). A comparison of risk factors for sexual victimization among gay, lesbian, bisexual, and heterosexual homeless young adults. Violence and Victims, 23, 586–602.

    Article  PubMed  Google Scholar 

  • Udry, J. R., & Chantala, K. (2002). Risk assessment of adolescents with same-sex relationships. Journal of Adolescent Health, 31, 84–92.

    Article  PubMed  Google Scholar 

  • Ueno, K. (2005). Sexual orientation and psychological distress in adolescence: Examining interpersonal stressors and social support processes. Social Psychology Quarterly, 68, 258–277.

    Article  Google Scholar 

  • Van Leeuwen, J. M., Boyle, S., Salomonsen-Sautel, S., Baker, D. N., Garcia, J. T., Hoffman, A., et al. (2006). Lesbian, gay, and bisexual homeless youth: An eight-city public health perspective. Child Welfare, 85, 151–170.

    PubMed  Google Scholar 

  • Votta, E., & Manion, I. G. (2003). Factors in the psychological adjustment of homeless adolescent males: The role of coping style. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 778–785.

    Article  PubMed  Google Scholar 

  • Walls, N. E., Hancock, P., & Wisneski, H. (2007). Differentiating the social service needs of homeless sexual minority youths from those of non-homeless sexual minority youths. Journal of Children & Poverty, 13, 177–205.

    Article  Google Scholar 

  • Walls, N. E., Kane, S. B., & Wisneski, H. (2010). Gay-straight alliances and school experiences of sexual minority youth. Youth & Society, 41, 307–332.

    Article  Google Scholar 

  • Whitbeck, L. B., Chen, X., Hoyt, D. R., Tyler, K. A., & Johnson, K. D. (2004). Mental disorder, subsistence strategies, and victimization among gay, lesbian, and bisexual homeless and runaway adolescents. Journal of Sex Research, 41, 329–342.

    Article  PubMed  Google Scholar 

  • Williams, T., Connolly, J., Pepler, D., & Craig, W. (2005). Peer victimization, social support, and psychosocial adjustment of sexual minority adolescents. Journal of Youth and Adolescence, 34, 471–482.

    Article  Google Scholar 

  • Windle, M. (1989). Substance use and abuse among adolescent runaways: A four-year follow-up study. Journal of Youth and Adolescence, 18, 331–344.

    Article  Google Scholar 

  • Zerger, S., Strehlow, A. J., & Gundlapalli, A. V. (2008). Homeless young adults and behavioral health: An overview. American Behavioral Scientist, 51, 824–841.

    Article  Google Scholar 

Download references

Acknowledgments

This work was supported by Center Grant P50-MH43520 from the National Institute of Mental Health (Margaret Rosario, Project PI; Anke Ehrhardt, Center PI).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Margaret Rosario.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rosario, M., Schrimshaw, E.W. & Hunter, J. Homelessness Among Lesbian, Gay, and Bisexual Youth: Implications for Subsequent Internalizing and Externalizing Symptoms. J Youth Adolescence 41, 544–560 (2012). https://doi.org/10.1007/s10964-011-9681-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10964-011-9681-3

Keywords

Navigation