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The needs and concerns of lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ+) patients with cancer remain poorly understood. This is important as LGBTQ+ patients have an elevated risk of developing certain cancers and have poorer oncologic outcomes compared to non-LGBTQ+ patients. The lack of research may be linked to the complexity of studying the needs and concerns of this patient population. This review aimed to describe the evidence that sought to identify the needs and concerns of LGBTQ+ cancer patients. Studies were extracted using keywords such as "LGBTQ" and "Oncology." Patient participants were excluded if they did not identify as LGBTQ+ and if they did not have cancer or were not cancer survivors. Healthcare professionals were excluded if they were not oncology specific. A total of 22 studies met our inclusion criteria. LGBTQ+ cancer patients expressed concerns surrounding heteronormative assumptions made by healthcare professionals, a lack of LGBTQ±specific cancer support groups, and psychosexual concerns such as erectile dysfunction following cancer treatment. Oncology healthcare professionals lacked the knowledge and education that are required to manage this patient cohort. Further research is required to investigate the needs and concerns of LGBTQ+ cancer patients specifically in the radiation oncology setting. [ABSTRACT FROM AUTHOR]

LGBTQA+ university students have unique mental health needs and high rates of mental distress compared to their cisgender heterosexual peers; however, it is likely that many LGBTQA+ individuals remain untreated or receive inappropriate or insensitive care. The aim of this study was to explore the experiences and preferences in mental health care of LGBTQA+ university students in Aotearoa New Zealand. Twenty-eight young adults participated across 12 focus groups or interviews in which they were asked about their experiences and preferences. We used thematic analysis to identify patterns of meaning in the data. Researchers developed three themes of I can do this on my own, but others should seek help; you have to be lucky to access mental health care; and 'therapists just need to be a bit more like up with the programme'. The results of this study mirror those found in more general studies of LGBTQA+ mental healthcare experiences, however, also adds to considerations for university campus healthcare services. The findings of this study should be considered by all mental health providers working with LGBTQA+ young adult university students. [ABSTRACT FROM AUTHOR]

Building on previous research demonstrating that demographic growth of racial minorities increases realistic threat and prejudice among majority group members, we examined whether demographic increases of groups associated with symbolic threat (lesbian, gay, bisexual, and transgender [LGBT] and nonreligious groups) increased realistic threat, symbolic threat, and/or prejudice. In a single-paper meta-analysis across four studies, participants who read that LGBT groups were becoming more prevalent in the United States exhibited heightened perceptions of realistic threat and (especially) symbolic threat from these groups, which in turn predicted anti-LGBT prejudice. Two similar studies examining the growth of nonreligious groups demonstrated weaker effects. Implications for America's growing diversity and future directions for studying these effects are discussed. [ABSTRACT FROM AUTHOR]

This article discusses barriers to the citizen practices of Russian lesbian, gay, bisexual and transgender activists in the memory politics of Russian sexual citizenship. Based on memories of activism, as told in interviews with Russian lesbian, gay, bisexual and transgender activists, we focus on how these memories play a role in their national and transnational struggles for sexual rights and recognition, and how intersectional inequalities may create barriers to their queer and memory space-making practices. The interviews were conducted in 2021 (before the war between Russia and Ukraine, which started in 2022) and focus on the period between 2010 and 2020. Our findings highlight how intersectional inequalities of power influence Russian sexual citizenship and queer (memory) space-making, both at home and abroad. Theoretically, the results reveal the need to situate Russian lesbian, gay, bisexual and transgender activism in time, place and space in research on narratives of progress and social change in studies of queer global politics and transnational solidarities. [ABSTRACT FROM AUTHOR]

In line with global population aging, the number of lesbian, gay, bisexual, and transgender (LGBT+) older adults is expected to continue to increase. Compared to their heterosexual peers, LGBT+ older adults have poorer physical and psychological health status, experience less social support, and face more barriers when accessing healthcare services, which may lead to higher health disparities and a lower quality of life within LGBT+ older populations. Healthcare providers have been shown to be inadequately prepared to address the unique healthcare needs and challenges of LGBT+ older adults, often leaving these individuals forced to receive care that does not meet their health needs and expectations. Based on the Declaration on Universal Health Coverage proposed by the United Nations and the World Health Organization, medical care and long-term care facilities must provide to healthcare providers training courses in culturally competent care and foster LGBT-friendly care environments to achieve health equity and universal health coverage for LGBT+ populations. [ABSTRACT FROM AUTHOR]

Lesbian, gay, bisexual, transgender, queer, and other sexually and gender diverse (LGBTQ+) communities experience higher rates of food insecurity than their heterosexual and/or cisgender peers. LGBTQ+ people also face unique barriers to accessing healthy and nutritious food. This qualitative study aimed to examine the experiences of LGBTQ+ individuals in Nova Scotia who face food insecurity, focusing on their interactions with food support services such as food banks, meal programs, and shelters. Semi-structured interviews were conducted with 11 self-identifying LGBTQ+ people and analyzed using Foucauldian discourse analysis. Two discursive constructions are reported. The first is discourses of safety and dignity, highlighting wariness toward religious institutions, apprehensions about data collection by food banks, and a perceived lack of staff and volunteer knowledge regarding LGBTQ+ individuals. The second discursive construction envisions queer futures by examining past experiences to inform innovative operational strategies for food support services. The insights gained are intended to guide the development of policies and practices that enhance accessibility, safety, and structural competence in these support services. Key recommendations are provided to transform food support services to more inclusive to LGBTQ+ people. [ABSTRACT FROM AUTHOR]

Introduction: Health disparities experienced by lesbian, gay, bisexual, and transgender (LGBT) individuals have been partially attributed to healthcare professionals' lack of cultural competence in addressing their specific needs. This study aimed to assess the differences in competencies and preparedness among health professionals from Poland and Spain when working with LGBT patients. Methodology: Data were collected between June and August 2024 through a cross-sectional survey involving 673 health professionals (Mage = 33.54, SD = 9.74; 61.5% female), including 273 participants from Spain and 400 from Poland. Participants completed a self-administered survey, which included sociodemographic questions and the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS). Multivariate linear regression was used to analyze predictors of clinical preparedness, attitudes, and knowledge regarding LGBT care. Clinical trial number: not applicable. Results: Spanish health professionals showed higher total LGBT-DOCSS scores compared to Polish participants (B = 0.503, p < 0.001). Gender was a significant predictor, with men scoring higher in clinical preparedness (B = 0.771, p = 0.002), while women scored higher in attitudes (B = -0.457, p < 0.001). In Poland, age was positively correlated with clinical preparedness (B = 0.034, p = 0.022), and physicians scored significantly higher in overall competency compared to nurses/midwives (B = 0.621, p = 0.005). Participation in LGBT-related training was associated with higher clinical preparedness in both countries, with those attending training 3 or more times scoring higher than those who never attended (B = 1.659, p < 0.001). Conclusion: The study revealed significant differences in LGBT competency between Polish and Spanish health professionals. Factors such as gender, age, profession, and participation in LGBT-related training were associated with these competencies. Results suggest that a more tailored approach in professional education and training may be necessary to ensure all health workers possess adequate skills and attitudes toward LGBT care. [ABSTRACT FROM AUTHOR]

Individuals with sexual and gender minority (SGM) identities often have complicated relationships with religion, and there is often a degree of perceived conflict between the religious and SGM identities. This systematic review identifies and synthesises evidence from studies that have explored various identity management strategies that have been adopted to mitigate this conflict. Searches were conducted on 29 March 2024 in PsycINFO, PsycARTICLES, PsycEXTRA, CINAHL Complete, LGBTQ+ Source, and Scopus for peer-reviewed articles, grey literature, and dissertations. Included studies were published in English, had a quantitative study design, and reported on the identity management strategies of religious SGMs. The search yielded 26 cross-sectional studies (n = 15,622), with five management strategies being identified; identity conflict (n = 11), rejecting religion (n = 7), rejecting sexuality (n = 3), compartmentalisation (n = 1), and identity integration (n = 17). Importantly, identity integration and rejecting religion were consistently associated with psychosocial benefits, with identity conflict, rejecting sexuality, and compartmentalisation being a risk factor for poorer health. The factors most frequently reported as facilitating protective identity management strategies was to have social support from religious groups. This review found that reconciliation of religious and SGM identities is not only possible, but relatively frequent (and has protective benefits). [ABSTRACT FROM AUTHOR]

The purpose of this study was to explore the perceptions toward gender and sexual identities in the Portuguese armed and police forces, emphasizing on mental health implications. A qualitative research methodology was followed, using an electronic inquiry answered by 64 participants who are members of the Portuguese armed or police forces. Data were examined using thematic analysis, and the recurrent themes identified were the following: general characteristics of the military/police environment and culture, sexist attitudes and behaviors, positive attitudes and behaviors related to sexuality, homophobic/heterosexist attitudes and behaviors, influence of military and police culture on the expression of sexuality and coping of sexual minorities, negative impact of military and police culture on the mental health of gender and sexual minorities, and personal opinion regarding how sexual and gender diversity should be addressed in the armed and police forces. Analysis of these themes provides insight into the perceptions and experiences of our participants and suggests that the impact of stigma and discrimination toward gender and sexual minorities in this context was relevant for the individuals within this sample. [ABSTRACT FROM AUTHOR]

Sexual and gender minority (SGM) adults face unique challenges in accessing smoking cessation care due to stigma tied to their identities and smoking. While cessation apps show promise in the general population, their efficacy for SGM adults is unclear. This study utilized data from a randomized trial to compare two cessation apps, iCanQuit (Acceptance and Commitment Therapy-based) and QuitGuide (US Clinical Practice Guidelines-based) among 403 SGM adults. The primary outcome was self-reported complete-case 30-day abstinence from cigarette smoking at 12 months. Mediation analyses explored whether interventions operated through acceptance of cues to smoke and app engagement. At 12 months, quit rates did not differ between arms (26% iCanQuit vs. 22% QuitGuide, OR = 1.22; 95% CI: 0.74 to 2.00, p =.43). iCanQuit positively impacted cessation via acceptance of cues to smoke (indirect effect = 0.23; 95% CI: 0.06 to 0.50, p <.001) and demonstrated higher engagement (no. logins, 28.4 vs. 12.1; p <.001) and satisfaction (91% vs. 75%, OR = 4.18; 95% CI: 2.12 to 8.25, p <.001) than QuitGuide. Although quit rates did not differ between arms, acceptance of cues to smoke seemed to play a crucial role in helping SGM adults quit smoking. Future interventions should consider promoting acceptance of cues to smoke in this population. [ABSTRACT FROM AUTHOR]

Sexual and gender minoritized (SGM) individuals in high-stigma areas may use cannabis to cope with unmet healthcare needs and elevated stress. Adults in Oklahoma (Mage = 43.9[SD = 16.8], 54.5% female, 71.4% non-Hispanic White) completed a cross-sectional survey (August-September 2022). Logistic regression examined the association of SGM identity (SGM or non-SGM) with past-year unmet healthcare need (yes/no). Logistic and linear regressions also examined main and interactive effects of SGM identity and unmet healthcare needs on past-month medical cannabis use and number of relaxation/tension-reduction reasons for cannabis use endorsed. Analyses were unadjusted and adjusted for sociodemographic and healthcare characteristics. In adjusted analyses, SGM (vs. non-SGM) adults were more likely to report unmet healthcare needs (aOR = 2.24, 95% CI[1.47, 3.42], p <.001) and past-month medical cannabis use (aOR = 2.15 [1.07, 4.34], p =.033). In unadjusted analyses, SGM (versus non-SGM) adults and those with unmet healthcare needs (versus without) endorsed more relaxation/tension reduction reasons for cannabis use in separate main effects (ps <.029), and adults with unmet healthcare needs (vs. without) were more likely to report past-month medical cannabis use (OR = 2.31 [1.86, 2.88]). SGM identity X unmet healthcare need interactions did not emerge (ps >.05). SGM individuals in high-stigma environments may use cannabis to compensate for insufficient healthcare. [ABSTRACT FROM AUTHOR]

This article explores how a public written response to anti-LGBT+ legislation in Ghana also functioned as a religious educational intervention to shape future visions of tolerant pluralism in Ghanaian society. Navigating the intersection of politics and religion, the Interfaith Diversity Network of West Africa (IDNOWA) lodged a religious objection to the 'Promotion of Proper Human Sexual Rights and Ghanaian Family Values Bill, 2021', which criminalises non-heteronormative sexualities. The paper discusses how IDNOWA's approach reflects an African vision of pluralism which anchors itself in Ghana's religious and cultural traditions, and in pluralist models from Africa and beyond. In the spirit of action science, it calls for RE that highlights internal diversity within religious communities and that lifts up pluralist 'heroes' in the classroom and broader society. [ABSTRACT FROM AUTHOR]

Black sexual minority men (BSMM) remain disproportionately affected by HIV, yet Pre-exposure prophylaxis (PrEP) uptake in this population remains relatively low. Informed by minority stress theory, PrEP stigma may manifest in and exacerbate societal marginalization based on sexuality and race. We used an exploratory sequential mixed-methods approach to determine if PrEP-specific stigma was associated with reduced PrEP uptake among BSMM, and qualitatively explored how PrEP use is stigmatized among BSMM. We analyzed cross-sectional data from a pilot sample of BSMM (n = 151) collected in late 2020 in the United States, testing for associations between PrEP stigma and PrEP use using modified Poisson regression. Subsequently, we selected participants (n = 23) from this sample for qualitative interviews starting in 2022. Responses to questions related to PrEP stigma were analyzed using thematic analysis. PrEP stigma was associated less than half the PrEP use (aPR = 0.43, 95% CI = 0.24, 0.75) among BSMM after adjustment. Qualitatively, we identified three major themes in how PrEP use is stigmatized among BSMM: PrEP-specific sexual stigma, intersections between PrEP and HIV stigma, and PrEP misinformation and disinformation. Aligned with minority stress theory, each theme was based in part in stigma related to sexuality or race. We found strong relationships between PrEP stigma and PrEP use independent of several sociobehavioral factors. Each of our themes were based in part in minority stressors, and underscore the importance of culturally competent PrEP promotion efforts towards BSMM. Addressing stigma is a core component of health equity efforts towards ending the HIV epidemic. [ABSTRACT FROM AUTHOR]

Sexual and gender minorities (SGMs) experience critical barriers to health care access and have unique health care needs that are often overlooked. Given the rise in individuals identifying as lesbian, gay, bisexual, transgender, and queer, colorectal surgeons are likely to care for increasing numbers of such individuals. Here, we discuss key barriers to health care access and research among SGM populations and outline approaches to address these barriers in clinical practice. We also highlight two specific topics relevant to SGM populations that colorectal surgeons should be familiar with: current approaches to anal cancer screening among men who have sex with men, and transgender individuals, as well as the management of recto-neovaginal fistula in transfeminine individuals. [ABSTRACT FROM AUTHOR]

Bisexual people have been found to have a higher risk of non-suicidal self-injury (NSSI) than other sexualities (heterosexual people, gay men). Theories suggest that rumination and discrimination may contribute to the increased risk. Therefore, the purpose of this study was to examine the association state rumination and binegativity have with NSSI urges and behaviour in young bisexual people. The present study was part of a larger research project, the Self-Injury in young Bisexual people: A micro-Longitudinal investigation (SIBL) study. The present study utilised a micro-longitudinal, single group design to assess rumination, binegativity and NSSI every week for a six-week period. Multi-level linear regression was used to examine the association between study variables and NSSI urges and behaviour at the same time point and with the predictors lagged by one week. A total of 207 bisexual young people were recruited to the SIBL research project. Rumination and binegativity were found to be associated with NSSI urges, both concurrently, and prospectively, even when adjusting for other variables. Rumination and binegativity were also associated with NSSI, but only in concurrent analyses. Binegativity did not interact with self-compassion when predicting concurrent NSSI urges or behaviour. Limitations include the reliance on self-selection and self-report data, which may have resulted in biased results and inflated relationships. In addition, the sample were 80% White with 76% of people residing in the UK or U.S.A. Both rumination and binegativity are associated with NSSI risk in young bisexual people. Psychological interventions that target rumination may be beneficial, alongside social interventions to reduce binegativity. Future research should focus on testing a rumination-focused therapy with this population or investigating additional factors with a non-bisexual comparison group. [ABSTRACT FROM AUTHOR]

Background: LGBTQ+ persons with cancer and their families consistently face discriminatory care. In addition, clinicians report inadequate population-specific knowledge and communication skills to effectively promote LGBTQ+ inclusion. To fill this gap, we designed a communication skills training based on extant literature; multidisciplinary perspectives; and patient, family, and clinician expert engagement. Methods: Training content comprised didactic information, including exemplar videos of communication strategies, and experiential learning roleplay opportunities with standardized patient and family member actors. Two training sessions were conducted virtually with invited multidisciplinary clinicians using convenience sampling. Each training was followed by a one-hour, semi-structured focus group to solicit feedback on participants' experiences and recommendations for improvement. Focus group transcripts were thematically analyzed using a constant comparative approach. Results: Two major themes were identified: key takeaways from the training and recommendations for improvement. Participants reported favorable learning experiences and believed the training would have a positive influence on future clinical interactions. We synthesized recommendations into five discrete pieces of feedback related to (1) the advanced level of training material; (2) diversity throughout the training; (3) complexity of family dynamics; and (4) recovery from communication mistakes; and (5) additional topics for future training. Based on feedback, corresponding changes for each item and a refined communication skills blueprint are provided. Conclusions: Our innovative training on inclusive cancer care for LGBTQ+ patients' families will provide both knowledge-based and experiential learning opportunities to advance clinicians' confidence in communicating empathically with members of diverse sexual orientation and gender identities. The training is poised for feasibility and efficacy testing. [ABSTRACT FROM AUTHOR]

Black sexual minority men (SMM) are disproportionately impacted by HIV in the United States. Intimate partner violence (IPV), substance use, and depression are associated with HIV risk behavior such as condomless sex. In this study, we assessed cross-sectional associations between multiple types of IPV victimization and condomless sex with serodiscordant partners. We then evaluated the mediating roles of mental health and substance use, in a sample of 213 Black SMM living with HIV. We used validated scales to assess IPV victimization, depression, post-traumatic stress symptoms, general mental health, and substance use. All independent variables (IPV type) that had at least a marginal (p <.10) association with the dependent variable (condomless sex with a serodiscordant partner) and any potential mediator were included in mediation models. Mediator role was determined based on a statistically significant outcome (p <.05) in the mediation model. Physical assault, injury-inducing IPV, and sexual coercion were each positively correlated with condomless sex. Depression, overall mental health, and substance use were associated with physical assault and injury-inducing IPV, and depression was associated with sexual coercion IPV. Both physical assault and injury-inducing IPV were associated with overall mental health, but none of the mental health and substance use measures mediated the associations between IPV and condomless sex. Findings suggest that HIV prevention efforts for Black SMM may need to incorporate IPV screening and prevention services. Further research is needed to understand the psychosocial pathways by which physical forms of IPV relate to condom use. [ABSTRACT FROM AUTHOR]

Aging members of the lesbian, gay, bisexual, and transgender (LGBT) community experience heterosexism and age-based discrimination that may contribute to lower quality of life as they age. This two-phase, sequential-explanatory study investigates perceived ageism, quality of life, and the unique experiences of 155 LGBT Filipinos between 45 and 74 years old. Phase 1 is a quantitative, cross-sectional design examining whether ageism predicts quality of life. Participants completed the everyday ageism scale (EAS) which measures perceived age-based discrimination and the Quality of Life Scale (QOLS) which measures material, physical, social, and personal well-being. Phase 2 is a phenomenological design that further examines LGBT Filipino aging experiences using in-person semi-structured interviews and thematic analysis. Quantitative results from Phase 1 showed that everyday ageism predicts quality of life among Filipino LGBT older adults. Thematic analysis in Phase 2 supported these findings and revealed six essential themes (empowerment through advocacy and visibility; health and autonomy; integrated support system; social interaction and connectivity; professional fulfillment and community engagement; quality of life and aging perspectives) that contribute to LGBT participants' quality of life. Given the lack of literature examining the aging LGBT Filipino population, our results have implications for policy, practice, and research aimed at providing more inclusive and targeted support initiatives for this community. [ABSTRACT FROM AUTHOR]

People identifying as lesbian, gay, bisexual, transgender, queer, questioning, intersex, asexual, or other gender identities or sexual orientations (LGBTQIA+) often face workplace bias or discrimination. Unique dynamics in academic neuroscience, psychology, and psychiatry departments warrant specific investigation. Trainee, staff, and faculty participants (N = 534) completed an online survey assessing identity and workplace experiences. Many respondents were not out about their identity at work (46%) despite most being out personally (81%). A positive workplace climate is critical to outness, career satisfaction, and mental health. Experiences of exclusionary behaviour (24%) and depression (37%) were common. Qualitative responses called for explicit LGBTQIA+ inclusion in diversity and classroom curricula, structural and financial support for LGBTQIA+ people, and greater support for individuals of colour and/or identifying as trans. Respondents expressed a pervasive sentiment that academic institutions should avoid putting undue, unpaid burden of diversity work on minoritized individuals and should aim to promote meaningful structural change rather than creating the appearance of inclusivity. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic created mental health challenges for LGBTQ + communities worldwide, however there is a paucity of research on Mexican populations. Existing data show that LGBTQ + people in Mexico experience acute forms of violence and discrimination that impact their mental health. This article explores the relationship between social support, discrimination, and mental health for LGBTQ + populations in Mexico (N = 1525) during the COVID-19 lockdown. Utilizing social media recruitment strategies, participants answered an online survey exploring five mental health indicators: depression, anxiety, stress, suicidal ideation, and suicide attempt during lockdown. Mediating, and multiple regression analyses revealed that neuroticism is the most important variable in predicting poor mental health, and that perceived social support plays a mediating role in the case of depression. Discomfort with one's own family holds positive correlations with mental health indicators, showing that the greater the discomfort, higher levels of depression, anxiety, stress, and suicidal ideation. Results also showed that discrimination, and drug use hold significant relationships to suicidal attempt. Practice recommendations for Mexican LGBTQ + communities are offered. [ABSTRACT FROM AUTHOR]

This paper aims to explore how and why a local conglomerate in Sri Lanka (Pride-H) decided to introduce Lesbian, Gay, Bisexual and Transexual (LGBT) inclusivity to their policies and practices, contravening legal, social and religious strictures. Under the interpretive research paradigm and qualitative research design, an embedded case study approach was employed. In-depth interviews and publicly available information were used as data for the study. Theoretically, this paper draws on institutional logics perspective and organizational filters. The findings reveal that the decision and initiative for LGBT inclusivity at Pride-H emerged through interconnected sequences and logics – specifically, the convergence of social justice and corporate logics. Additionally, certain organizational attributes, such as being a market leader, one of the largest conglomerates in the country, possessing an extensive customer and stakeholder base, and demonstrating a commitment to values of equal treatment, functioned as filters to counteract conflicting state, cultural, and religious strictures (logics). [ABSTRACT FROM AUTHOR]

Humor is underexplored in theology. Thus, this study re-examines the Christian concept of resurrection through the lens of dignity, grounded in the lived experiences of select Filipino Deaf LGBT individuals. An exploration of their beki (queer) humor can enrich our orthodoxic pastoral-theological approach with this group whose location is pegged in the margins. In probing their beki humor experiences and expressions, this article rethinks the Christian core concept of resurrection as pagbabangong-dangal (uplifting one's dignity) where its point of departure is hiyâ (generally accepted as "shame"). However, for Virgilio Enriquez, hiyâ is dignity or propriety, a nuance that was not promoted or studied further. Hence, this article will explore beki humor from the perspective of hiyâ taken as dignity and further explore its contour with resurrection. In this context, it is apt to inquire, how might Deaf beki humor enrich our theopastoral articulation of resurrection as pagbabangong-dangal ? [ABSTRACT FROM AUTHOR]

In South Korea, both conservatives and progressives restrict allegedly harmful speech, claiming to protect democracy and individual rights. Conservatives restrict "pro-communist" and pro-LGBT speech, while progressives target racist slurs and especially "far-right" speech supporting Japanese colonial (1910-1945) or anti-communist (1948-1987) regimes. These controversial restrictions contribute to a global debate among proponents of liberal-democratic values ("liberals" or "democrats") about the relationship between procedural and substantive rights and norms (PRN, SRN). Procedural refers to formal-legal rights (e.g., free speech) and non-legal norms (impartial reporting) associated with fair procedures. Substantive refers to rights and norms associated with fair substantive outcomes, such as nondiscrimination and equal dignity. Proponents of a zero-sum perspective, including victim-rights and militantdemocracy advocates, believe illiberal actors exploit PRN to harm vulnerable groups and/or democratic institutions. Therefore, liberal procedural rights (e.g., free speech) and norms (objectivity) should not be equally applied to harmful speakers. Conversely, positive-sum advocates argue that uniformly respecting procedural rights and norms for all persons (including allegedly illiberal ones) better protects everyone's overall rights (procedural and substantive). Despite South Korea's transition to civilian-led democracy, self-identified democrats, both conservative and progressive, continue to restrict PRN for certain speakers. Other democrats oppose such selective, and often arbitrary, restrictions. The ongoing contestation among zero- and positive-sum liberals shapes the meaning and direction of liberal democracy in South Korea. [ABSTRACT FROM AUTHOR]

Despite Russia being a major migrant-receiving country, it does not receive adequate attention in international literature, especially in relation to migrants belonging to marginalized groups. Based on interviews with seventeen transgender (trans) migrants from Central Asia and the South Caucasus with an experience of living in Russia, the study revealed the complex intersections between transphobia, migrantophobia, racism, and whorephobia. The migrants faced profound workplace discrimination and suffered from police and ultra-right groups. Cisgender migrants caring for the prestige of their nation and trans migrant sex workers striving to annihilate competitors were described as additional threats. Russian trans/LGBT organizations were reported to be difficult to access and their priorities differed from those of migrants. Despite these challenges, the respondents found Russia to be a more tolerant country than their home countries and benefited from migration in terms of possibilities to express their gender identity and earn higher income. The discussion section uses these data to compare transition in the sex/gender and geographical spaces. [ABSTRACT FROM AUTHOR]

This study explores the experiences and identities of nonbinary autistic people, an under-researched population. While past studies have posited a co-occurrence of autism and transgender identity, little research focuses specifically on nonbinary autistic adults. This community-based study draws on interview data from 44 nonbinary participants. Participants expressed nuanced and informed understandings of their gender identities, highlighting fluidity and a rejection traditional binary gender roles. Participants discussed the connection of their autistic and nonbinary identities and how their identity is shaped by external forces such as politics, community, and interpersonal relationships. Findings highlight the need for the inclusion of nonbinary autistic people in autism research and for autism services and programming to be affirming of various gender identities. This study explores the experiences and identities of nonbinary autistic people. The relationship between autistic and nonbinary identities has not been researched in detail. Few studies focus specifically on nonbinary autistic adults. We interviewed 44 nonbinary individuals for this study. Participants had thought-out opinions on gender identity and emphasized identifying with fluidity rather than traditional gender roles. Participants discussed the connection of their autistic and nonbinary identities and how it affected how people saw them and how they saw themselves. We have recommendations for programming, policy, and research from these findings. [ABSTRACT FROM AUTHOR]

Lesbians, gays, bisexuals, and transgender individuals (LGBT) are at high risk for suicide. This study aimed to examine an integrative psychological model of risk factors among LGBT individuals and explore the psychological pathways connecting social stigma, mental pain, and interpersonal characteristics to suicidal ideation and behavior (SIB) in this population. LGBT adults (N = 473) responded to an online questionnaire about stigma, mental pain, interpersonal characteristics, as well as suicidal ideation and behaviors. We found group differences between LGBT respondents in the study variables: Transgender people reported the highest levels of SIB and depression, closely followed by bisexuals. The association between stigma-related variables and SIB was mediated by depression, entrapment, and perceived burdensomeness. These results highlight the role of entrapment and burdensomeness in facilitating suicide risk among LGBT adults, as they may increase the damaging effect of negative societal stigma against LGBTs and thus, elevate the suicide risk in this population. [ABSTRACT FROM AUTHOR]

Purpose: To examine the differences in mental health problems by sexual orientation and gender identity in first-year university students in Chile during the pandemic. Methods: 7,213 first-year students aged 18 years and older from five universities participated as part of the World Mental Health - International College Student initiative in Chile. Students completed an online self-report survey between 2020 and 2021 that included measures of lifetime and 12-month major depressive episode, generalized anxiety disorder, panic disorder, bipolar disorder, drug abuse/dependence, alcohol dependence, non-suicidal self-injuries, and suicidal risk. Prevalence of mental health problems were estimated and the differences by sexual orientation and gender identity were examined using logistic and multinomial logistic regression models. Results: Between 84.1% and 98% of lesbian, gay, bisexual, trans, and other sexual and gender minority (LGBT+) students screened positive for at least one lifetime mental health problem and between 67.6% and 90.6% for two or more problems. For most outcomes, non-heterosexual (Odds Ratio [OR] between 1.25 and 7.00) and trans and gender nonconforming students (OR between 1.72 and 5.81) had significantly higher odds of positive screening for lifetime mental health problems than heterosexual and cisgender students, respectively. Similar results were observed for 12-month mental health problems. Conclusion: The results show differences in the prevalence of mental health problems in LGBT+ university students in Chile, which are consistent with those found in other countries. These results may be useful for planning interventions to improve the mental health of LGBT+ students. [ABSTRACT FROM AUTHOR]

The United States is witnessing a wave of laws targeting transgender people, ranging from prohibitions on participation in sport, denial of access to gender affirming health care and regulating bathroom access and what people wear. This anti-trans trend that we are seeing in the United States is sending shock waves through the trans community in Australia. Is Australia going to follow the US 'hate manual'? Are trans and gender diverse people here at risk of being persecuted, vilified and discriminated against in the same way? This article considers the gaps in Australia's protection of the human rights of trans and gender diverse people and identifies where our laws need to be strengthened to ensure we follow a path of inclusivity and respect, not hate and division. [ABSTRACT FROM AUTHOR]

Past research has shown significant inequities in mental health outcomes between rainbow and non-rainbow people, particularly for youth. Rainbow youth report mixed experiences when accessing support, signalling the need for increased rainbow competency training for mental health professionals (MHPs). While previous research has explored the experiences of rainbow young people, little research has sought direct messages from rainbow youth to training MHPs. The current study presents a thematic analysis of messages from rainbow rangatahi (14–24 years) to training MHPs. We identify six themes: (1) check your assumptions, (2) treat us with empathy and respect, (3) earn our trust, (4) you need to self-reflect, (5) balance getting to know me with educating yourself, and (6) hear our stories. Participants' responses describe their experiences within the mental health sector and in life, and their recommendations for what practitioners should both implement and avoid in their practice. We reflect on whether current recommendations for MHPs working with rainbow people align with these messages. Finally, we discuss the possibility of personal narratives enacting social change. The findings of the current study reflect the need for rainbow cultural competency training, grounded in the voices of rainbow people, to become mandatory for all MHPs. [ABSTRACT FROM AUTHOR]

Background: Sexual and gender minority (SGM) individuals experience elevated rates of depression due to exposure to unique social stressors associated with membership in a stigmatised minority group. Coping style has been shown to buffer or exacerbate responses to stress. To date, little is known about the risk or protective influence of coping styles on the relationships between stressors and depression in SGM populations. Aims: To examine the moderating effects of coping styles on the relationships between stressors and depression in Thai SGMs. Methods: This cross-sectional descriptive survey was conducted between March and August 2018 using in-person and online surveys. Convenience and snowball recruitment strategies were used. Standardised measures were selected according to the Minority Stress Model. Bivariate and multivariate analyses were conducted. Hayes's PROCESS macro was used to test for significant interactions. Results: Of the 411 participants, 40% of the participants reported symptoms of depression that were associated with multiple stressors. Problem-focused coping was reported by most participants (95.8%), followed by social support (83.1%) and avoidance (49.1%) coping. Problem-focused coping weakened the relationships between stressors and depression, whereas avoidance coping strengthened the relationships between depression and stress, loneliness and discrimination. Social support coping was negatively related to depression, with no statistically significant moderating effects. Conclusions: Problem-focused coping served to mitigate the influence of stressors on depression, whereas avoidance coping strategies exacerbated the impact. Nursing interventions aimed at improving problem-focused coping may reduce the negative consequences of stressors on the mental health of SGMs. [ABSTRACT FROM AUTHOR]

The journey of Thailand's cinematic queer existence can be traced back to the 1960s with a portrayal of a same-sex couple's tragic story. However, the re-emergence of Thailand's cinematic queer in the form of the Boys Live series in 2020 has succeeded in enticing audiences' attention and soon created the narrative of the exact sex couple series portrayal to be the icon of Thailand's entertainment industry. The increased demand for Boys Love series production later shifted into giving a proper platform for the LGBT community to represent themselves in the media. The expansion in exposure led to reshaping the discourse in society and creating a way for familiarising the community with the public, all while providing the chance to address the topic matters, including long-standing discrimination. [ABSTRACT FROM AUTHOR]

LGBTIQ people are at greater risk of mental health challenges, compared to the general population, and are overrepresented in mental health services. Past research has sought to understand how mental health workforce rate their knowledge to meet the needs of LGBTIQ consumers. However, this past research has largely aggregated the LGBTIQ identities, despite evidence that rates of mental health challenges vary within the LGBTIQ community. Using semi-structured interviews, this study sought to explore how seven mental health staff members from an Australian public health service rated and described their knowledge to responsively meet the needs of the different LGBTIQ identities. While participants tended to rate and describe themselves as having some knowledge about most of the LGBTIQ identities, there was a divide between sexual orientation, gender identities and intersex variations, with the former typically being rated and described as being better understood. This is the first known study to place central focus on disaggregating the LGBTIQ identities in mental health research and provides initial insights into how mental health workforce rate and describe their knowledge for nuanced and responsive practice. [ABSTRACT FROM AUTHOR]

O artigo tem como objetivo analisar a representação da comunidade LGBT na primeira e na quarta minisséries do universo Crônicas de San Francisco, ambas baseadas nos escritos do autor Armistead Maupin e lançadas, respectivamente, em 1993 e 2019. O sujeito de ambos os microuniversos aqui estudados é Mary Ann Singleton, uma jovem branca e hétero, de Cleveland, que lida com uma São Francisco repleta de pessoas LGBTs e feministas, todas num espectro progressista de liberdade dos corpos. Também é comum nas narrativas a presença de cenas de choque cultural entre protagonista e coadjuvantes. Para realizar esta análise foi utilizado o método de leitura crítica dos textos midiáticos proposto por Kellner tendo como escopo teórico os Estudos Culturais, os Estudos Queer e os Estudos de Gênero. A análise do universo narrativo Crônicas de San Francisco nos possibilitou compreender a mudança representacional que aconteceu num intervalo de quase 25 anos. A partir desta análise, constatou-se que, se na primeira minissérie retratar homens gays brancos e uma personagem central trans parecia ser suficientemente disruptivo, nos anos 2010, para evocar diversidade foi necessário não apenas multiplicar as identidades desviantes como também pensar em um quase infinito número de interseccionalidades para que se pudesse dizer que o programa é diverso – com pessoas com deficiência, casais interraciais, pessoas vivendo com HIV e pessoas de diferentes localidades, cores e corpos.

Individu transgender sebagai kelompok non normatif mengalami Mikroagresi atau penghinaan sehari-hari secara singkat dan eksistensi identitasnya tidak diakui oleh teman-temannya. Interaksi ini menimbulkan interaksi tidak menyenangkan bagi individu transgender yang akhirnya berdampak pada pemilihan pertemanan yang diasumsikan sejalan dengan konsep self-verification striving (upaya verifikasi diri). Asumsi dalam penelitian ini adalah upaya individu transgender menampilkan diri yang menyiratkan identitas non normatifnya (displaying identity cues) kemungkinan dapat menjadi upaya memberikan individu dengan identitas non normatif lain kepastian perilaku untuk memastikan kecocokan sebagai pasangan interaksi yang dapat saling memverifikasi pandangan diri masing-masing (selective interaction). Hasil dari penelusuran literatur sejalan dengan asumsi bahwa individu transgender selektif dalam pemilihan teman, namun tidak terbatas sama-sama memiliki pengalaman identitas non normatif, selama temannya bisa memahaminya, melihatnya, dan membuatnya tampil sebagaimana ia melihat dirinya sendiri. Perbedaan preferensi pertemanan antara dengan kelompok normatif dan non normatif tergantung pada keinginan individu transgender untuk mengungkap atau tidak ingin mengungkap identitas gender dan orientasi seksualnya. Individu transgender dapat membuka identitasnya yang sejati, meskipun memperoleh respon yang beragam dari temannya. Memperoleh dukungan dari teman ditemukan memberikan manfaat bagi kesehatan mental individu Transgender.

BackgroundSexual orientation discrimination increases the risks of negative health outcomes for sexual minorities. Previous studies have found increased rates of eating disorder symptoms in sexual minority individuals, which is attributable to minority stress and discrimination that they experience. Emerging research suggests relationships between sexual orientation discrimination and eating disorder symptoms. However, there is a lack of studies focusing on early adolescents. The objective of this study was to determine prospective associations between discrimination based on sexual orientation and eating disorder symptoms in a national sample of 10-13-year-old early adolescents in the U.S.MethodsWe examined prospective data from Year 2 (2018-2020) and Year 3 (2019-2021) of the Adolescent Brain Cognitive Development (ABCD) Study (N = 8976). Multiple logistic regression analyses were used to estimate associations between self-reported experiences of sexual orientation discrimination in Year 2 and eating disorder symptoms in Year 3, adjusting for potential confounders, including eating disorder symptoms in Year 2. Sexual orientation discrimination was assessed based on the Perceived Discrimination Scale, which measures adolescents' perception of being treated unfairly based on various sociodemographic characteristics. Eating disorder symptoms were based on the parent-reported Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5).ResultsIn this demographically diverse sample of early adolescents (N = 8976, age range 10-13 years at Year 2), 5.5% of adolescents reported sexual orientation discrimination in Year 2. The prevalence of parent-reported eating disorder symptoms in Year 3 varied from 1.0 to 8.3%. In the adjusted models, sexual orientation discrimination was prospectively associated with worry about weight gain (adjusted odds ratio [aOR] 2.33, 95% confidence interval [CI] 1.15-4.69) and self-worth tied to weight (aOR 1.60, 95% CI 1.01-2.53) one year later.ConclusionsEarly adolescents who have experienced sexual orientation discrimination have higher odds of experiencing eating disorder symptoms, particularly worrying about weight gain and tying self-worth to weight. Clinicians may consider screening for sexual orientation discrimination and providing affirmative, trauma-informed care when evaluating and treating even younger sexual minority adolescents for eating disorder symptoms.

This article concerns Asian American queer masculinity and how the “coming out” process for gay Chinese men and their non-White immigrant families does not fit neatly within neat Western gender distinctions of public/private space. Using the film Ethan Mao as a primary text and case study, I argue for an intersectional approach to the coming out process for racialized sexual minorities. Ethan Mao is a film that tells the story of a Chinese American boy expunged from the home upon his family’s discovery of his homosexuality who returns to hold his family members hostage. The fictional story thematizes the indistinct spatial and symbolic boundaries of queer Asian American identity, masculinity, and domesticity. The film observes how gay men of color do not simply come out of the closet but break into it. Through an intersectional queer of color critique, I reconceptualize “the closet” as a synecdoche of the private home space, refiguring it as a contested site of belonging/exclusion to recognize the difficulties of “coming out” for certain queer racial male subjects.

The 2021 Household Pulse Survey (HPS) was examined as it relates to coronavirus disease 2019 (COVID-19) and the impact on employment for the lesbian, gay, bisexual, and transgender (LGBT) community and members with disabilities. The purpose of the study was to understand the effect of COVID-19 on both groups as it relates to employment, specifically focusing on work loss. In analyzing the HPS, the population of the LGBT community was estimated as 7.6%, while members with disabilities accounted for 13.2% of the total U.S. population; 5.5% more LGBT than non-LGBT, 9.8% more members with disabilities than without disabilities, and 18.3% more LGBT with disabilities than non-LGBT and not disabled members reported work loss during the COVID-19 pandemic. I found that the LGBT community and members with disabilities were more likely to have work loss and face employment challenges during the pandemic. I attributed these findings to LGBT and members with disabilities having been more likely to work in a service sector position. In addition to work loss, data on the LGBT and disabled population and the prevalence of disability in the LGBT community were presented. [ABSTRACT FROM AUTHOR]

Abstract Background Sexual orientation discrimination increases the risks of negative health outcomes for sexual minorities. Previous studies have found increased rates of eating disorder symptoms in sexual minority individuals, which is attributable to minority stress and discrimination that they experience. Emerging research suggests relationships between sexual orientation discrimination and eating disorder symptoms. However, there is a lack of studies focusing on early adolescents. The objective of this study was to determine prospective associations between discrimination based on sexual orientation and eating disorder symptoms in a national sample of 10–13-year-old early adolescents in the U.S. Methods We examined prospective data from Year 2 (2018–2020) and Year 3 (2019–2021) of the Adolescent Brain Cognitive Development (ABCD) Study (N = 8976). Multiple logistic regression analyses were used to estimate associations between self-reported experiences of sexual orientation discrimination in Year 2 and eating disorder symptoms in Year 3, adjusting for potential confounders, including eating disorder symptoms in Year 2. Sexual orientation discrimination was assessed based on the Perceived Discrimination Scale, which measures adolescents’ perception of being treated unfairly based on various sociodemographic characteristics. Eating disorder symptoms were based on the parent-reported Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5). Results In this demographically diverse sample of early adolescents (N = 8976, age range 10–13 years at Year 2), 5.5% of adolescents reported sexual orientation discrimination in Year 2. The prevalence of parent-reported eating disorder symptoms in Year 3 varied from 1.0 to 8.3%. In the adjusted models, sexual orientation discrimination was prospectively associated with worry about weight gain (adjusted odds ratio [aOR] 2.33, 95% confidence interval [CI] 1.15–4.69) and self-worth tied to weight (aOR 1.60, 95% CI 1.01–2.53) one year later. Conclusions Early adolescents who have experienced sexual orientation discrimination have higher odds of experiencing eating disorder symptoms, particularly worrying about weight gain and tying self-worth to weight. Clinicians may consider screening for sexual orientation discrimination and providing affirmative, trauma-informed care when evaluating and treating even younger sexual minority adolescents for eating disorder symptoms.

Past research has shown significant inequities in mental health outcomes between rainbow and non-rainbow people, particularly for youth. Rainbow youth report mixed experiences when accessing support, signalling the need for increased rainbow competency training for mental health professionals (MHPs). While previous research has explored the experiences of rainbow young people, little research has sought direct messages from rainbow youth to training MHPs. The current study presents a thematic analysis of messages from rainbow rangatahi (14–24 years) to training MHPs. We identify six themes: (1) check your assumptions, (2) treat us with empathy and respect, (3) earn our trust, (4) you need to self-reflect, (5) balance getting to know me with educating yourself, and (6) hear our stories. Participants’ responses describe their experiences within the mental health sector and in life, and their recommendations for what practitioners should both implement and avoid in their practice. We reflect on whether current recommendations for MHPs working with rainbow people align with these messages. Finally, we discuss the possibility of personal narratives enacting social change. The findings of the current study reflect the need for rainbow cultural competency training, grounded in the voices of rainbow people, to become mandatory for all MHPs.

There are scant LGBT+ studies in Southeast Asia exploring mental health differences across multiple social identities. Using data from the Malaysian KAMI Survey (n = 718), we conducted bivariate regression analyses to investigate the association between sociodemographic backgrounds and the prevalence of depression, anxiety, non-suicidal self-injury, and suicidality. Results showed that younger participants, those questioning their sexual orientation (compared to gay or lesbian), cisgender women, trans men, and non-binary individuals (compared to cisgender men) reported significantly higher levels of mental ill-health. Our intercategorical analysis builds a foundation for future intersectional-based research in response to public health challenges for vulnerable LGBT+ groups. [ABSTRACT FROM AUTHOR]

This study examined workplace inclusivity experiences of lesbian, gay, bisexual, transgender, and others (LGBT) using the Self-affirmation Theory, Workplace Belongingness, and Motivation. With Interpretative Phenomenological Analysis, LGBT from diverse industries in Batangas were questioned utilizing a semi-structured interview. This study aimed to explore the inclusivity experience of LGBT members in their workplace and proposed comprehensive activities that can help promote an inclusive workplace effectively. To do this, the researcher examined the responses of the LGBT members. It was found that Self-affirmation Attributes; Conditional Positive Self-View; Self-affirmation Strategies for Self-esteem; Workplace Inclusivity, and Belonging; Diverse Spectrum of Workplace Facilities and Treatment for LGBT Groups; Sustainable Approaches to Inclusivity and Gender Equality Efforts; Dualistic Workplace Experiences; Innate Motivation Perform; Diverse External Motivators and Demotivators; and Fulfillment and Motivation in Assigned roles existed as part of their workplace experience. This study also recommended a Comprehensive Diversity, Equity, and Inclusion Value Proposition to be adopted in the workplace. [ABSTRACT FROM AUTHOR]

Although the most recent changes to the Relationships and Sex Education (RSE) curriculum in England encourage primary schools to include LGBT content, this inclusion is primarily focused on teaching about different types of families. In view of this, and recent research suggesting the dominance of homonormative LGBT inclusion in primary schools, this article uses interview and questionnaire data from 363 primary school teachers and school workers alongside policy analysis of the RSE curriculum to illuminate the type of LGBT content present in English primary schools, and the factors underpinning its inclusion. LGBT inclusion in this data was found to largely exclude non-familial presentations, which were seen at times as relatively less accessible and less appropriate. Using the theoretical work of Michel Foucault and Eve Kosofsky Sedgwick, this article examines how the dominance of homonormative presentations in the LGBT content demonstrates the complexity of the line between the queer and heteronormative, offering a degree of LGBT inclusion in primary schools that sustains certain normative ideas of what is appropriate in the curriculum. [ABSTRACT FROM AUTHOR]

This study aimed to explore the experiences, needs, and interests of queer people who are also neurodivergent, or live with a chronic illness or disability (i.e. IMMI: individuals with multi-minority identities) in Italy and the Netherlands. Five focus groups were conducted in Italy with 22 queer IMMI to identify their most relevant topics regarding and experiences with sex education. Building on the discussion topics of the focus groups, a survey in Italian and English was distributed via snowball sampling. The survey was created to explore the experiences related to sex education in the two countries. The final sample of respondents included 138 (97 Italian, 41 Dutch) queer IMMI. Results indicated that sex education received in both formal (e.g. school) and informal (e.g. family) contexts failed to include information that was sensitive and supportive of queer community’s experiences. Participants reported the need to explore more topics addressing the specific needs of different identity intersections. Cross-cultural differences related to the experiences of Italian and Dutch participants were found. Overall, current sex education in Italy and the Netherlands is far from meeting the sexual health needs of queer people living with different intersections. Practical implications are discussed. [ABSTRACT FROM AUTHOR]

AbstractObjective: While some recommendations for neuropsychologists have been established regarding best practices when working with gender and sexual minorities, there are many assessment practices that could contribute to disparities for LGBTQ+ patients. The purpose of the current preliminary study is to collect initial information on practitioner perceptions of non-inclusivity in our instruments, allow neuropsychologists who attempt to increase inclusivity to share their approaches with others, and use the information to guide future, larger-scale studies and advocacy efforts. Method: Forty-six participants (mostly doctoral level neuropsychologists) completed a survey related to their experiences with inclusive and non-inclusive language in test materials. Results: The majority of respondents reported encountering non-inclusive language, with many having made changes in their practices as a result. Respondents highlighted concerns specific to neuropsychological instruments and questionnaires as well as normative data specific to the LGBTQ+ population. Respondents provided several examples for improvements. Conclusions: Based on these initial findings, several suggestions and future directions are highlighted. [ABSTRACT FROM AUTHOR]