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Black same-gender-loving (SGL) men (BSGLM) bear a disproportionate burden of depression. Adverse childhood experiences (ACEs) have been found to predict depression among this group. However, little research has examined the mechanisms that may account for this relationship. This study aimed to examine how stress appraisal explained the association between ACEs and depression. This cross-sectional study leveraged survey data from 169 BSGLM residing in the United States. Utilizing Hayes' PROCESS Macro (Model 4), we found that five different dimensions of stress appraisal were significant partial mediators of the association between ACEs and depression. Specifically, ACEs predicted lower levels of stress appraisal dimensions consistent with an optimal worldview, which in turn were inversely associated with depressive symptoms. ACEs predicted higher levels of stress appraisal dimensions consistent with a suboptimal worldview, which in turn were positively associated with depressive symptoms. Effects sizes ranged from small to large. Implications of these findings for clinical care and research with BSGLM were discussed. [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.

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 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]

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]

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 Background Patients from the lesbian, gay, bisexual, transgender, queer plus (LGBTQ +) community face various health inequalities and report poor healthcare experiences. Little is known about how knowledgeable and confident UK doctors are around LGBTQ + health, and previous research demonstrates that UK medical schools rarely deliver teaching in this area. This research evaluated the level of knowledge, awareness and confidence of LGBTQ + health among Internal Medical Trainees (IMTs) in London. Methods London IMTs were invited to complete an online questionnaire evaluating knowledge, awareness and confidence in LGBTQ + health. Stratified analysis of results by demographics was performed. Results Three hundred and fifteen surveys were analysed from 796 eligible trainees (40%). Confidence in caring for LGBTQ + patients was variable. Confidence in discussing gender identity was lower than for sexual orientation. Knowledge of health issues affecting LGBTQ + patients varied. Most participants had never received training on LGBTQ + health at undergraduate (n = 201, 64%) or postgraduate level (n = 252, 80%), but the majority of participants felt that training would be useful (n = 233, 74%). Stratified analysis revealed that IMTs who received previous LGBTQ + teaching at undergraduate or postgraduate level were considerably more confident discussing sexual orientation with patients, compared to those who received no previous teaching. Conclusions There is a clear need for education on LGBTQ + health, given the varied levels of knowledge and confidence identified. A significant majority of IMTs in London have never received teaching on LGBTQ + health, although there exists a strong desire for this. LGBTQ + health topics should be integrated into undergraduate and postgraduate training and examinations for IMTs. This would support IMTs in delivering high quality and inclusive care for all patients, particularly those of sexual orientation and gender identity minorities. There are relatively few published studies exploring competency in LGBTQ + health among doctors, and this is the first among UK Internal Medicine Trainees.

This study investigates the challenges faced by LGBT Myanmar migrants in Thailand, including discrimination and abuse due to their gender identity or sexual orientation, and their coping strategies. Through qualitative interviews with 20 self-identified LGBT Myanmar migrants aged over 18 years who experienced discrimination or abuse in Thailand, the findings underscore the presence of a segment within the Myanmar LGBT migrant community in Thailand subject to discrimination and violence across diverse settings, including workplaces, public areas, and even within their homes. Additionally, the research identified healthy coping strategies like self-soothing thoughts, relaxation activities, and seeking support, contrasted with unhealthy coping strategies such as negative self-talk, rumination, and suppressing one’s identity, leading to harmful behaviors and even suicidality. The experiences of severe discrimination and violence among LGBT migrants help this study advocate for policy interventions, such as extending the coverage of the Gender Equality Act to encompass LGBT migrants and implementing mental health support services as a form of secondary prevention. Given the significant contribution of LGBT migrants to various sectors of Thailand’s workforce, these measures are essential. However, the existing legislation concerning gender equality in Thailand inadequately addresses the specific concerns of this demographic group. [ABSTRACT FROM AUTHOR]

Despite growing attention and guiding frameworks, we still know very little about how environmental exposures may be contributing to the health inequities experienced by sexual and gender minority (SGM) people, especially exposures beyond psycho-behavioral mechanisms that have traditionally been viewed as the pathways between minority stress and negative health outcomes. To address this gap in knowledge, we conducted a scoping review to determine the extent to which disparities in environmental exposures between SGM and non-SGM (ie, heterosexual and cisgender) populations have been measured in the United States. We searched PubMed for studies that were (1) peer-reviewed; (2) written in English; (3) quantitatively measured environmental exposures; (4) included 1 or more groups identifying as a sexual minority, gender minority, or both; (5) compared to the general population; (6) in the United States; and (7) published on or after January 1, 2011. Our scoping review identified very few studies that examined and documented environmental exposure disparities between SGM and non-SGM populations in the United States. These studies focused mostly on cigarette smoke exposures. None examined environmental exposure disparities between gender minority and cisgender populations. To address this critical gap in environmental health research for SGM populations in the short term, researchers can merge existing environmental data (eg, data from the Environmental Protection Agency) with SGM population data. Longer-term solutions require systematically including validated sexual orientation and gender identity measures across federal, state, and local datasets, as well as increased funding for original research that explores diverse environmental exposures. Taken together, these efforts can significantly advance our ability to identify and address environmental health inequities experienced by SGM people. Plain language summary: This review looks at how different environmental factors affect the health of sexual and gender minority (SGM) communities, which include people who identify as LGBTQ+. The study found that there is not much research available on this topic, and what exists focuses mostly on cigarette smoke exposure. The review suggests that more research is needed to understand these health disparities and to develop policies that can help protect the health of LGBTQ+ communities. [ABSTRACT FROM AUTHOR]

AbstractPhenomenon. The language of medicine (i.e., biomedical discourse) represents queerness as pathological, yet it is this same discourse medical education researchers use to resist that narrative. To be truly inclusive, we must examine and disrupt the biomedical discourse we use. The purpose of this study is to disrupt oppressive biomedical discourses by examining the language and structures medical educators use in their publications about queerness in relation to physicians and physician trainees. Approach. We searched PubMed, Web of Science, CINAHL, PsycINFO, and ERIC in October 2021 and again in June 2023 using a combination of controlled vocabulary (select terms designated by a database to enhance and reduce ambiguity in search) and keywords to identify articles related to sexuality, gender, identity, diversity and medical professionals. Searches were limited to articles published from 2013 to the present to align with the passage of The Respect for Marriage Act. Articles were included if they focused on the experiences and paths of physicians and physician trainees identifying with or embodying queerness, were authored by individuals based in the United States, and presented empirical studies. We excluded articles only discussing attitudes of cisgender heterosexual individuals about queerness. Two authors independently screened all articles for inclusion. We then used narrative techniques to “re-story” included articles into summaries, which we analyzed with four guiding questions, using queer theory as a sensitizing concept. Finally, we sought recurrent patterns in these summaries. Findings. We identified 2206 articles of which 23 were included. We found that biomedical discourse often: characterized individuals associated with queerness as a single homogenous group rather than as individuals with a breadth of identities and experiences; implied queer vulnerability without naming–and making responsible–the causes or agents of this vulnerability; and relied minimally on actual intervention, instead speculating on potential changes without attempting to enact them. Reflections. Authors each reflect on these findings from their positionalities, discussing: disrupting essentializing categories like “LGBT”; addressing harm through allyship around queerness; editorial responsibility to disrupt structures supporting oppressive biomedical discourse; the importance of program evaluation and interventions; and shifting the focus of medical education research toward queerness using QuantCrit theory. [ABSTRACT FROM AUTHOR]

Although awareness and understanding of LGBTIQ+ people's experiences of homelessness are rising, their broader housing experiences remain under‐researched. This paper uses qualitative interview data to explore takatāpui and LGBTIQ+ people's experiences of housing instability in Aotearoa New Zealand. In expanding the focus to housing instability, this paper explores how LGBTIQ+ people experience and navigate the housing system, which sheds light on the upstream factors that contribute to the disproportionately high rates of homelessness amongst LGBTIQ+ communities worldwide. A reflexive thematic analysis of the data generated four themes to takatāpui and LGBTIQ+ people's experiences of housing instability; personal experiences are political, survival within inequitable systems is nuanced, instability is relational, and selfhood is mediated through instability. These results highlight the impact of policy and structural failures on LGBTIQ+ communities. [ABSTRACT FROM AUTHOR]

Lesbian, gay, bisexual, and transgender (LGBT) people experience higher levels of economic insecurity and poverty compared to non‐LGBT people. Social safety net programs may reduce this disparity, but the uptake of these programs among LGBT adults has rarely been assessed. We conducted a secondary data analysis of the 2018–2020 Well‐Being and Basic Needs Survey to compare differences in material hardship and social safety net program utilization between LGBT and non‐LGBT adults in the United States. LGBT participants were more likely to report lack of an emergency fund, food insecurity, utilities hardship, medical hardship, and multiple material hardships. LGBT adults had higher odds compared to non‐LGBT adults of using SNAP, income‐ or disability‐based insurance, SSI or SSDI, and housing assistance. There were no differences in use of WIC, reduced‐price/free school lunch benefits, or charitable food. Future studies are needed to evaluate the efficacy of the social safety net programs for reducing material hardship. [ABSTRACT FROM AUTHOR]

People these days can easily involve themselves in everything, including sexual activity, relationships with other people, and a lot more. Although some of the people are unaware what are the possibilities, and even the consequences of all this in their lives. A person's life might be changed because of disease, and it will continue to carry it for a very long time. In other words, the HIV (Human Immunodeficiency Virus) continues to exist nowadays, and a lot of individuals who are living with HIV have had difficulties all throughout their lives. And it can be acquired by getting into someone who has been infected by having fluids from the body, exchanging a syringe with blood, breastfeeding, or having sexual intercourse are all possible sources. This research study aims to explore and observe the specific situations and problems that encountered of the people living with HIV including the lived experiences particularly; (1) to discuss the lived experiences of People Living with HIV (2) to discover the challenges faced by People Living with HIV (3) to identify the coping mechanisms of people living with HIV. With the use of Thematic Analysis (TA), the study findings are the following; (1) Some of the people in the Philippines easily jumps into conclusions wherein in their perspectives when a gay (Bakla) they easily addressed and tend to assumed that this person are associated and normalizing that they contracted on the HIV diseases resulting that this is a discrimination and misconception for them especially to LGBT which this can be also have a big impact on their overall well-being as a person. (2) People living with HIV are facing and experiencing anxiety and depression regarding their HIV status wherein these individuals tend to overthink and cry because of the situations that they had. Other than that they also struggle when it comes to services, and finances including; the laboratory-based diagnosis, transit for care access and limited availability in healthcare. (3) Lastly, despite the situation and experiences that they had, people living with HIV had coping strategies at which point the advocacy really helps them to understand and to cope up their HIV status to understand their situations as a HIV individual. And they also distancing themselves from negativity that could also affect their emotional and mental health well-being as a PLHIV. [ABSTRACT FROM AUTHOR]

Suicide is a leading cause of death in emerging adults who identify as lesbian, gay, bisexual, and/or transgender (LGBT). This study examines discriminatory healthcare experiences and suicidality in LGBT adults, aged 18–24 (n = 90), who completed a health needs assessment in the Southeastern US. Regression indicated that gender identity, gender identity treatment discrimination, and discriminatory behaviors by providers accounted for 29% of variance in past suicide attempt(s). Individuals reporting being blamed for their health status were more likely to report a history of suicide attempts (p = 0.017). Providers need training to provide care competently to LGBT emerging adults. [ABSTRACT FROM AUTHOR]

BACKGROUND: While issues related to lesbian, gay, bisexual, and transgender (LGBT) health are increasingly incorporated into medical training, there remains limited guidance and opportunities for continuing medical education in LGBT health. It is unclear how participation in LGBT-specific training is distributed across physician specialties and practice regions. Additionally, national data assessing cultural competency training for physicians are scarce and do not delineate LGBT-specific training or training completed prior to, during, or after graduate medical education. METHODS: Using data from the 2016 National Culturally and Linguistically Appropriate Services Physician Survey, this study evaluated patterns of post-residency cultural competency training, as well as associations between LGBT-specific training and provider perceptions of patient care outcomes. RESULTS: Provider specialty, practice region, and receiving cultural competency training as a trainee were associated with post-residency LGBT-specific training. Surgical providers (odds ratio [OR]: 0.42; confidence interval [CI] 0.25–0.73; p =.002) and those practicing in the South (OR: 0.49; CI: 0.26–0.92; p =.025) had lower odds of completing LGBT-specific cultural competency training while in independent practice. Post-residency LGBT-specific training was associated with provider agreement that cultural competency training improves the quality of care (OR: 2.76; CI: 1.44–5.28; p =.002), patient satisfaction (OR: 2.55; CI: 1.32–4.93; p =.005), and patient comprehension (OR: 2.03; CI: 1.05–3.90; p =.034). CONCLUSIONS: Our findings provide disaggregated analyses that nuance the assessment of cultural competency interventions and support a broader effort to increase attention to LGBT health in continuing medical education. [ABSTRACT FROM AUTHOR]

In 2017, the Landless Workers Movement (MST) institutionalised a lesbian, gay, bisexual, and transgender (LGBT) collective as part of its representative claims on behalf of the marginalised. This study explains the conditions preceding such representation and how this is now negotiated by the MST and its members in the context of land justice in Brazil. In addition, it discusses the construction of peasant and LGBT as bounded political identities. The argument presented is that the coupling of peasant and LGBT representations relies on a convergence of events happening locally and globally, which – in addition to granting the MST important representational value – has resulted in improved living conditions for sexual and gender minorities. [ABSTRACT FROM AUTHOR]

Through an examination of its discursive presence in the UK Parliament (Westminster), this article explores political elites' problematisations of LGBT homelessness. In particular, I consider whether the dynamics of inclusion and exclusion that have been critically identified in relation to the mainstreaming of 'gay rights' in other sites are evident in the emerging discourse on LGBT homelessness in Westminster. I find that the cross-party emphasis on data collection as a predicate for action on LGBT homelessness enables the Conservatives to signal sexual progress without risking the Party's traditional supporters. Moreover, the almost exclusive focus on LGBT homeless youth in the parliamentary discourse, which is echoed to a lesser degree in existing research, stabilises divisions of 'deserving/undeserving' poor and entrenches the relationship between housing security, normative forms of intimacy and anti-migrant nationalist sentiments. To escape the terms of its current emergence, I argue, a coalitional and grass-roots-led definition of the problem of LGBT homelessness is needed. [ABSTRACT FROM AUTHOR]

Research on female same-sex relationships has predominantly considered a single partner's perspective on couple satisfaction, and has compared same-sex couples with heterosexual couples. Drawing upon Personal Construct Theory, this study explores how identification, acceptance, commonality and sociality (mutual understanding) between two female same-sex partners are associated with the couple's satisfaction. Forty Italian women involved in same-sex relationships completed the Partnership Questionnaire and 160 repertory grids involving the exchange grid method. A mixed-method analysis was conducted. Higher couple's satisfaction was associated with higher identification with the partner but not with higher commonality and sociality, partner acceptance was associated with higher scores in tenderness. Perceived similarity was higher than commonality and sociality, and partner's acceptance was higher than identification with her. Qualitative analysis heightened the centrality of the participants' experience when compared with the dominant prejudice with regard to homosexuality and the tension between autonomy and fusion. This study revealed the importance of identification and acceptance in terms of couple's satisfaction. [ABSTRACT FROM AUTHOR]

Not enough is known about the labels that transgender and gender diverse (TGD) individuals – and especially adolescents and young adults – use to describe their sexual orientation. This is likely due to a historical conflation of sexual orientation and gender identity, where both researchers and the public have failed to examine the ways that these constructs differ. Consequentially, there are few statistics about TGD young people's sexual orientations. The present study aims to help address this gap by examining the sexual orientation labels 208 TGD young people (13–22 years old) used at time of an assessment for readiness to start gender affirming hormones. Results indicate that the vast majority of youth in the sample used non-heterosexual orientation labels, with the most commonly endorsed label being "bisexual". Fischer's exact tests reveal that participants who affirmed a male/transmasculine gender were more likely to use the label "heterosexual" compared to female/transfeminine and non-binary young people. Findings underscore the importance of mindful sexual orientation and gender identity demographic information collection for TGD young people. [ABSTRACT FROM AUTHOR]

Sibling support for transgender and nonbinary (TNB) youth has the potential to improve TNB youths' mental health. A scoping review was conducted to map the knowledge of TNB youths' sibling relationships to create a foundation for the development of sibling-based support interventions for TNB youth. Nine included articles covered two areas: TNB youths' perceptions of sibling support (n = 5) and cisgender siblings' lived experience with a TNB sibling (n = 4). Siblings were perceived to support TNB youth, and their support was associated with less depression, suicidal ideation, and externalizing problems. Siblings of TNB youth lacked knowledge of TNB identities and support for their own understanding and acceptance. Siblings may experience unique stressors around their TNB sibling's changing gender identity. Overall, having a TNB sibling was perceived as a positive experience. None of the studies included intervention with or for siblings of TNB youth. Sibling support can be helpful for TNB youths' mental health. However, cisgender siblings' unique needs are rarely addressed. Providing cisgender siblings with knowledge of TNB identity, a place to process fears and concerns, and skills to navigate situations that may arise in relation to their sibling's gender, has the potential to benefit both siblings. [ABSTRACT FROM AUTHOR]

Objective: With needed and growing attention to sexual minorities and unmarried individuals, there is a need to consider how best to capture relationships and relationship organization in family studies. Background: Traditional measures of marital status are commonly used to examine differences in relationships and socioeconomic outcomes, but they do not adequately capture the diversity of relationship experiences and leave certain types of relationship experiences invisible. Method: This article examines the inclusion of a relationship measure in the American Marriage Survey, a national probability‐based sample of 2806 adults in the United States, to provide a more diverse and expansive perspective on relationships and relationship organization. While there is a great deal of overlap between those who are married or cohabiting (marital status) and those who are in an exclusive relationship (relationship status), there is also potential for variation in what kinds of relationships, if any, people are in. Results: We find that the relationship measure is particularly useful in showing that a majority of gay, lesbian, bisexual, and pansexual individuals are in an exclusive relationship and also that gender and sexual minorities are more likely than cisgender and heterosexual individuals to be in consensual nonmonogamous relationships. This article also provides direction on re‐coding open text responses from the relationship status measure. Conclusion: We conclude that a relationship status measure allows for greater inclusivity and visibility of sexual minorities and unmarried persons, including but not limited to queer individuals, families, and communities, as well as consensual nonmonogamous relationships. [ABSTRACT FROM AUTHOR]

On a background of insufficient inclusion and calls for change, medical schools across Australia and Aotearoa New Zealand must work to build LGBTQIA+ health into their curricula. Due to the unique strengths of case-based learning (CBL)--including learning in the context of LGBTQIA+ individuals, providing a safe space to practice skills in inclusive care and reflect on biases and allowing for a focus on the structural and social determinants of health--we propose that CBL is an effective starting point for medical schools looking to maximise growth in students' knowledge, skills and attitudes. We also discuss current LGBTQIA+ inclusion, strategies to integrate LGBTQIA+ health into the curriculum and CBL and the effects of such curricular interventions. [ABSTRACT FROM AUTHOR]

Objectives: 1) Describe sexual and gender minority (SGM) older adults' current practices and concerns for communicating end-of-life (EOL) and daily care preferences in long-term care (LTC); 2) Elicit ideas about adapting a video-based intervention to facilitate communication. Methods: After consulting a community advisory board, we conducted two focus groups with SGM older adults ≥55 years of age recruited from a community-based service organization (n = 4) and a continuing care retirement community (n = 9). We audio-recorded, transcribed, and coded data using directed content analysis methods and summarized results descriptively. Results: Most participants were cisgender (n = 12), female (n = 11), lesbian (n = 10), White and non-Hispanic (n = 13); mean age was 70.62. Participants' concerns included discrimination, autonomy, chosen family, and community; they linked daily care preferences with personhood and quality of life. They advocated for building intentional community-based support networks to help peers discuss preferences and produce videos before LTC transition and ensure compliance after. Conclusions: For SGM older adults, asserting and protecting their full personhood, through daily care preferences, is essential to quality of life in LTC. Clinical Implications: Video-recorded statements of daily preferences, facilitated and supported by a peer network, could promote culturally competent, person- and community-centered care for SGM older adults in LTC settings. [ABSTRACT FROM AUTHOR]

The weak evidence base and profound consequences of gender-affirming interventions for youth call for a particularly sensitive and complex psychoanalytic exploration. However, prohibitions on knowing at the individual and social levels significantly constrain psychoanalytic work with trans-identified youth. Barriers to exploration and thinking that patients bring to treatment are reinforced and reified by the dominant socio-political trends that saturate the contexts in which young people dwell. These trends increasingly frame any attempt to deeply explore why a young person is seeking medical or surgical gender-affirming interventions as “off-limits” and a form of conversion therapy. Furthermore, politically driven clinicians who promote medical gender-affirming interventions misrepresent and attempt to discredit clinicians who explore the meaning and function of trans identification, or who express concern that transitioning may be a drastic solution to various forms of psychic pain. In doing so, they minimise the significance of the weak evidence base for these interventions and their serious, known risks. At the same time, they obscure or deny the psychic pain that is sometimes humming beneath the experience of gender dysphoria. The author asks: If there are significant uncertainties and risks of harm associated with medical interventions for young people, do we want to know? [ABSTRACT FROM AUTHOR]

AbstractObjective: There has been an ongoing mental health crisis among sexual and gender minority (SGM) populations. This continues amidst rising population-level depression and suicide rates, especially among students in higher education. This work aims to understand changes in SGM student mental health over time. Participants: N = 483,574 responses to the Healthy Minds Study (2007C2022) were examined from 18 to 35-year-old U.S. college and university students. Methods: Linear and logistic regressions were used to examine associations between SGM identity and mental health. Mediation and structural equation modeling were used to examine potential links among risk factors. Results: On average, ∼18% of students identified as SGM, which included a 6-fold increase in SGM self-identification across this 15-year period. Depression rates increased over time; ∼12% of students reported major depression. SGM students were 3.18 times (z = 111.16, p < .001) more likely to report depression than non-SGM students (26.85% vs. 8.53%). Disproportionate discrimination and lack of school belonging partially explained SGM disparities in depression. SGM students were twice as likely to utilize therapy (z = 115.42, p < .001) but half as likely seek help from family (z = 55.48, p ≤ .001). Conclusions: Academic institutions must take concrete steps to reduce barriers mental health care, combat discrimination, and bolster community belonging and interpersonal support for SGM students. [ABSTRACT FROM AUTHOR]

With a nationally representative, repeated cross‐sectional sample of over 250,000 Americans from 2016 to 2019, we investigate the role that religious and LGBT (lesbian, gay, bisexual, and transgender) identities play in influencing Americans' political attitudes, centering the narratives of religious LGBT Americans. We find that nearly half of LGBT Americans affiliate religiously. Logistic regressions show that identifying as religious is related to more conservative views on LGBT rights and abortion while identifying as LGBT is related to more liberal views on both of these issues. We failed to observe interaction effects, suggesting that religious affiliation influences LGBT individuals' political views in a manner similar to the way it influences cisgender, heterosexual individuals' views. Comparisons of the variation accounted for by religious or LGBT identities show that religious affiliation more frequently accounted for more variation in political views. [ABSTRACT FROM AUTHOR]

Research highlights how vital it is that LGBTQIA+ students receive support as they transition into further and higher education. However, there is also a need to move beyond simply providing greater 'support', to tackle cis and hetero-normativity, and to enable LGBTQIA+ agency and resistance. This inter-disciplinary participatory research project explored the use of zines as a space for navigating LGBTQIA+ life and identities. This was done through a series of zine-making workshops that took place at the Manchester Poetry Library. In total, 15 LGBTQIA+ university students took part in the zine-making workshops as co-researchers and participants. The informal conversations during the workshops were captured using audio recording devices and through use of fieldnotes. Towards the end of the workshops, the students engaged in co-interviews and a focus group. Reflexive Thematic Analysis was used to analyse the data in collaboration with the students as co-researchers. The findings support the unique nature of zines and zine-making workshops for affirmation – for the self and others, and for community-building. We hope that the findings will inform strategies to create LGBTQIA+ positive higher education experiences to enable LGBTQIA+ students to feel they matter, as well as belong. [ABSTRACT FROM AUTHOR]

This paper explores LGBT retirees as agents of change who are renegotiating the terms of healthy aging in place and expanding our understanding of lifestyle and retirement migration. For the first time in history, a generation of self-identified lesbians, gay men, bisexuals, and transgender individuals have entered retirement. However, their subjective experiences have largely been glossed over in popular discourses of successful aging and migration in heteronormative society. This article explores why and how older LGBT people are choosing housing options to age "out of place" in order to support their sexual lives and identities. Examining the everyday experiences of these seniors—members of a double minority, both aged and LGBT—allows us to disrupt the idea of what healthy "aging in place" means and when it might actually be unhealthy. Employing standpoint theory pushes the analysis of marginalized voices to the fore and allows us to ask about these seniors' subjective realities. What results is a reimagining of the aging landscape. Interview data from LGBT seniors who have migrated to LGBT naturally occurring retirement communities or LGBT-focused housing complexes in France, Sweden, and Germany are used to stretch our notions of wellbeing and aging in place for these diverse retirees. One finding is that for these LGBT seniors, disrupting social norms by aging out of place is not escapist or amenity-seeking, but is key to honoring their sexuality and aging process in a safe and supportive environment. [ABSTRACT FROM AUTHOR]

Introduction: Despite the research on a health-disparate population, less is known about the social determinants of health (SDOH) inequities among older lesbian, gay, bisexual, and transgender (LGBT) adults. This scoping review aimed to explore and summarize what is known in the literature regarding the SDOH among older LGBT adults. Methods: The Joanna Briggs Institute's (JBI) approach guided this scoping review, which examined 31 articles that included quantitative, qualitative, and mixed-method studies. Data were analyzed by three independent reviewers through a predesigned process of data charting, descriptive summary, and thematic analysis. Results: Older participants were primarily LGBT and LGB. The findings identified four intersecting dimensions of individuals, social, economic, and health care system, contributing to health inequities and poor health outcomes. Conclusion: Given the importance of SDOH for older LGBT adults, stakeholders including health care providers need to better understand the multiple intersecting influences, provide culturally congruent health care, and integrate sources of support into the care of these sexual- and gender-minority older adults. [ABSTRACT FROM AUTHOR]

LGBTQ+ people experience higher burdens of life-limiting illnesses, poorer health outcomes, and multilevel barriers to accessing palliative, end-of-life, and bereavement care. High quality evidence is needed to inform interventions to address these inequities, and inform inclusive practices and policies. Despite global initiatives to improve availability of peer-reviewed journal articles, the minority of research is open access (OA). We aimed to evaluate accessibility of literature related to LGBTQ+ inclusive palliative, end-of-life, and bereavement care. A rapid review of the evidence regarding LGBTQ+ inclusive palliative, end-of-life, and bereavement care was conducted; OA status of identified articles was assessed. Articles from three published systematic reviews were included (2012, 2016, and 2020). Review articles were updated using the original search and inclusion/exclusion strategies. 66 articles related to LGBTQ+ inclusive palliative, end-of-life and bereavement care were identified between 1990-2022. Of these, only 21% (n =14) were OA. Of the OA articles, 79% were published between 2017 and 2022, and 50% were published between 2020-2022, reflecting more recent shifts towards OA publishing. Health and social care professionals and policy makers rely on access to high quality evidence to inform their work. Failing to make articles related to the needs of LGBTQ+ people and populations OA risks further marginalisation and worsened inequities. Innovative journal policies and funding are needed to enable access, particularly for research that foregrounds the needs of marginalised communities. Where articles are currently behind paywalls, there is a need for accessible summaries or policy briefs to inform inclusive policy and practice. [ABSTRACT FROM AUTHOR]

While lesbian, gay, bisexual, and transgender (LGBT) people experience exclusion and animosity in most organizations and societies, their rights have gradually gained recognition in several countries in the world. Within the LGBT community, transgender people are the least researched group. Our empirical investigation focuses on the lived experience of transgender people in Hungary, within an increasingly precarious social context, particularly in the workplace, labor market, and certain aspects of private lives. Our findings shed light on the significant challenges they face, including a particularly harsh situation in the labor market and the subsequent impact on their workplace environment and private lives. These circumstances often force them to temporarily hide their transgender identity, although this often eventually comes out. This study, consistent with prior research of transgender individuals' lived experiences, demonstrates their critique of gender binaries, with their own lives serving as evidence for the dispensability of the gendered professions. The empirical investigation clearly shows the significant influence of the social context on the lives of vulnerable individuals. Particularly, recent legislative changes and escalating transphobic political discourse have notably worsened transgender individuals' lives in Hungary, affecting their employment and specific aspects of their private lives. [ABSTRACT FROM AUTHOR]

Internalized sexual stigma is an important contributor to LGBT mental health disparities. In Thailand, the absence of validated instruments represents a research barrier. The study's purpose was to translate and evaluate the psychometric properties of the Revised Internalized Homophobia (IHP-R) scale. Based on the cross-cultural principle, team translation was applied. The IHP-R was translated by the principal author and reviewed by bilingual Thai nurses, and clarifications were made. Multidisciplinary experts provided back translation and reconciled the finalized Thai version. The psychometric properties were established in 412 Thai LGBT individuals. Data was collected via online and paper-pencil surveys and analyzed using SPSS. Most participants were male, age ranged 18–53, with moderate levels of internalized homophobia (M = 2.3, SD = 1.04). The inter-item and item-total correlations were.38-.63 and.55-.68. The content validity index was high (I-CVI, S-CVI/UA/Ave = 1). The exploratory factor analysis confirmed one construct of internalized sexual self-stigma (factor loading =.702–.816). Scores on IHP-R were correlated with stress and experiences of discrimination (r =.14 and.12). Internal consistency reliability was also high (Cronbach's alpha coefficient =.83). The IHP-R Thai version has high psychometric properties and is appropriate for LGBT research in Thailand. [ABSTRACT FROM AUTHOR]

This paper investigates the level of LGBT+ representation among staff and students in higher education in England and Wales. We compare data from the 2021 England and Wales Census to Higher Education Statistics Agency (HESA) data. We find that LGBT+ people are more highly represented in higher education among all staff groups and students than in relevant comparator groups according to age and educational level in the general population. LGBT+ representation among students and STEM academics is modestly higher than the general population comparator group, while representation among non-STEM academics is substantially higher than one would expect from the general population comparator group. We found no statistically significant under-representation in any particular higher education institution. [ABSTRACT FROM AUTHOR]

Introduction: Until 12 January 2000, the UK Armed Forces retained a policy of discharging all gay, lesbian, bisexual, and transgender personnel under exemptive military laws. The so-called 'gay ban' was enforced with the rationale that homosexuality was incompatible with military service. Little research has explored the experiences of LGBT + veterans or the impact of the 'gay ban' policy. Methods: In 2021, 15 LGBT + veterans who had been affected by the 'gay ban' participated in semi-structured interviews lasting around 90 minutes. Interview transcripts were analysed using thematic analysis. Results: Five overarching themes were identified in exploring the experiences and impact of the 'gay ban' policy: LGBT + identity struggle; camouflage; intense investigative process; extraction, exclusion and loss; and the personal impact. Conclusions: Serving in the UK Armed Forces during this homosexuality ban policy affected the social, health and well-being of LGBT + veterans. The necessity for LGBT + veterans to hide their sexual orientation and/or gender identity, the impact of investigations, loss of careers and alienation have led to long-term experiences of social isolation, loneliness due to barriers to connecting to others and difficulties around health and well-being. Policy Implications: LGBT + veteran vulnerability and traumatic experiences need to be understood in the context of help-seeking behaviour and service provision. The implications for policy change include achieving health and social care equity in relation to access to support services. Support services need to ensure that there is an awareness of the impact of serving under the discriminatory 'gay ban' policy. [ABSTRACT FROM AUTHOR]

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This study evaluated the prevalence and associated factors of depression and generalized anxiety among LGBTQ+ in five medical schools in Thailand. The Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) were used to assess major depressive disorder (MDD) and generalized anxiety disorder (GAD), respectively, and multivariable logistic regression was employed to identify associated factors. Of 1,322 students, 412 (31.16%) identified as LGBTQ+. The prevalence for MDD and GAD among LGBTQ+ students were 32.77% and 17.23%, respectively. Significant associated factors for both MDD and GAD were a history of psychiatric illness (AOR for MDD = 2.32, p = .020; AOR for GAD = 3.67, p < .001), educational problems (AOR for MDD = 6.62, p < .001; AOR for GAD = 5.12, p < .001), and dissatisfaction with gender identity or sexual orientation (AOR for MDD = 1.92, p = .019; AOR for GAD = 2.47, p = .005). Additional factors associated with MDD were preclinical years (AOR = 2.30, p = .023), financial struggles (AOR = 2.05, p = .021), and inadequate peer support (AOR = 2.57, p = .044). In conclusion, nearly one-third and one-fifth of Thai LGBTQ+ medical students suffer from MDD and GAD, respectively. Our findings suggest that Thai medical schools should promote LGBTQ+ inclusivity to enhance students’ identity satisfaction. Peer support groups should be encouraged, especially for preclinical LGBTQ+ students who face educational and financial challenges. [ABSTRACT FROM AUTHOR]

AbstractIn Australia, Aboriginal young people who are lesbian, gay, bisexual, trans, queer or otherwise sexuality and gender diverse (LGBTQ+) are recognised within several overlapping priority populations in state and federal sexually transmissible infection and HIV strategies. However, limited research has documented their unique sexual health experiences, needs and preferences. In this qualitative study, semi-structured interviews were conducted with 10 LGBTQ+ Aboriginal young people aged 16–24 years in New South Wales. Interviews incorporated questions about service access, positive and negative experiences and self-determined healthcare priorities. We conducted a strengths-based thematic analysis to understand the issues of greatest importance in sexual healthcare for participants. Using the framework of ‘imaginaries’, we explored how participants imagined sexual healthcare that would meet their individual and cultural needs. The dominant imaginary centred on respect, representation and the as-yet-unrealised possibility of sexual healthcare designed by and for people who shared the intersection of Aboriginal and LGBTQ+ experience. We identified individual-level, service-level and societal-level factors influencing this imaginary, including relationships, accessibility and experiences of racism. Analysing the imaginaries constructed by LGBTQ+ Aboriginal young people of empowering, culturally safe sexual healthcare that is ‘for them’ provides insight into potential service design to improve sexual health outcomes for this population. [ABSTRACT FROM AUTHOR]

An increasing number of studies related to LGBT inclusion on university campuses have emerged over the past few years. While a number of these studies address complex challenges encountered in Western religious universities, very little research has investigated religious universities in Eastern, Sinophone communities. This study sheds light on a mentor system at a prominent Buddhist university in Taiwan to investigate mentors’ understandings of and interactions with LGBT students. Through the use of both qualitative and quantitative measures, the researchers found very few mentors were even aware of interactions with LGBT students. A thematic analysis of focus group data found the mentors’ understandings and attitudes could be classified into three distinct categories ranging from very supportive to unintentionally discriminatory. Overall, it seems Confucian values, rather than Buddhist doctrines, is a far more influential factor on mentors’ understandings and attitudes toward LGBT individuals. In particular, conflicts between Confucian thought and LGBT inclusive practices may arise when individuals concurrently display a strong desire to help, Confucian understandings of “family,” and very little understanding of gender or sexuality. Finally, this study offers recommendations for future research and universities. [ABSTRACT FROM AUTHOR]

Abstract\nPoints of interestLesbian, Gay, Bisexual, Transgender, Intersex, Queer and Asexual (LGBTIQA+) people with intellectual disability face unique challenges in asserting their identities. We aim to understand how Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) individuals with intellectual disability exercise self-determination within disability services. Eight LGBTQ adults with intellectual disability who used disability services participated in qualitative interviews. Fifteen key informants, representing government policy makers, disability service organisations, gender and sexuality educators, and senior leaders of LGBTQ organisations were also interviewed. We found that LGBTQ people with intellectual disability navigate barriers to self-determination: making autonomous decisions about their sexualities or gender identities; coming out and being recognised as LGBTQ; and gaining a sense of belonging in both disability and LGBTQ spaces. We suggest organisational-level actions including: (1) building organisational awareness; (2) including sexuality and gender identities in person centred support planning; and (3) increasing access to positive visual representations and experiences of pride.This research is important because it highlights the need for disability organisations to support LGBTQ people intellectual disability to live self-determined lives.LGBTQ people with intellectual disability do not have access to LGBTQ peers and education. This makes it difficult to develop LGBTQ identity.Disability service organisations generally do not encourage people with intellectual disability come out to the people around them including support workers.Disability service organisations should think about people’s sexuality and gender identities when choosing how to support them.Experiences of pride events can help people feel like they belong.LGBTQ people with intellectual disability can be reliant on disability service organisations for information and support services.This research is important because it highlights the need for disability organisations to support LGBTQ people intellectual disability to live self-determined lives.LGBTQ people with intellectual disability do not have access to LGBTQ peers and education. This makes it difficult to develop LGBTQ identity.Disability service organisations generally do not encourage people with intellectual disability come out to the people around them including support workers.Disability service organisations should think about people’s sexuality and gender identities when choosing how to support them.Experiences of pride events can help people feel like they belong.LGBTQ people with intellectual disability can be reliant on disability service organisations for information and support services. [ABSTRACT FROM AUTHOR]

Family reactions to coming out can affect the mental health of individuals who disclose their sexual orientation or gender identity. Therefore, it is important to have an appropriate tool to assess them. The Perceived Parental Reactions Scale (PPRS) assessed perceived parental reactions to the disclosure of gay, lesbian, or bisexual sexual orientation by their children. We adapted the PPRS so that it can be answered by any individual belonging to a sexual or gender minority, and can be answered regarding any member of the family, not just parents. A total of 2627 individuals from Spain participated in this study, with a mean age of 31.59 (SD = 11.26). Participants completed the adapted PPRS questionnaire, now named the Family Reaction to Coming Out (FRCO). The FRCO assessed family reactions when disclosing their sexual orientation or gender identity. The majority of participants identified as cisgender men (47.5%) or cisgender women (44.9%), and as gay/lesbian (51.9%). A one‐factor model emerged through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The FRCO displayed excellent internal consistency and demonstrated good levels of invariance for participants' gender (male vs female vs nonbinary gender), family member's gender (male vs female), and type of family member (parents vs other family member). Supporting convergent validity, the FRCO has shown a positive correlation with fear of family reaction to coming out. These findings support the validity and reliability of the FRCO tool in assessing the reactions of any family member within the Spanish context. [ABSTRACT FROM AUTHOR]

Background: Patients from the lesbian, gay, bisexual, transgender, queer plus (LGBTQ +) community face various health inequalities and report poor healthcare experiences. Little is known about how knowledgeable and confident UK doctors are around LGBTQ + health, and previous research demonstrates that UK medical schools rarely deliver teaching in this area. This research evaluated the level of knowledge, awareness and confidence of LGBTQ + health among Internal Medical Trainees (IMTs) in London. Methods: London IMTs were invited to complete an online questionnaire evaluating knowledge, awareness and confidence in LGBTQ + health. Stratified analysis of results by demographics was performed. Results: Three hundred and fifteen surveys were analysed from 796 eligible trainees (40%). Confidence in caring for LGBTQ + patients was variable. Confidence in discussing gender identity was lower than for sexual orientation. Knowledge of health issues affecting LGBTQ + patients varied. Most participants had never received training on LGBTQ + health at undergraduate (n = 201, 64%) or postgraduate level (n = 252, 80%), but the majority of participants felt that training would be useful (n = 233, 74%). Stratified analysis revealed that IMTs who received previous LGBTQ + teaching at undergraduate or postgraduate level were considerably more confident discussing sexual orientation with patients, compared to those who received no previous teaching. Conclusions: There is a clear need for education on LGBTQ + health, given the varied levels of knowledge and confidence identified. A significant majority of IMTs in London have never received teaching on LGBTQ + health, although there exists a strong desire for this. LGBTQ + health topics should be integrated into undergraduate and postgraduate training and examinations for IMTs. This would support IMTs in delivering high quality and inclusive care for all patients, particularly those of sexual orientation and gender identity minorities. There are relatively few published studies exploring competency in LGBTQ + health among doctors, and this is the first among UK Internal Medicine Trainees. [ABSTRACT FROM AUTHOR]

Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ+) students, LGBTQ+ staff and LGBTQ+ parents report schools can be unsafe and unwelcoming environments. Yet few studies have explored LGBTQ+ student, LGBTQ+ staff and LGBTQ+ parent perceptions of the school climate simultaneously or adopted person-centered perspectives. The present study sought to identify LGBTQ+ related strategies adopted by schools, and whether these were differentially related to perceptions of school safety and community. Data were collected in 2021 via online sampling of the current Australian school (1,937) students, (124) staff and (75) parents. Four distinct inclusion strategy profiles were identified via latent class analysis: Comprehensive Inclusion, Curriculum & Pedagogical Inclusion, Extracurricular Inclusion and Limited Inclusion. Just under half (48.2%) of schools lacked LGBTQ+ strategies, with participants from these schools reporting greater safety concerns. Our findings suggest that curriculum and pedagogical strategies are likely the most effective and should be a key focus for improving the school climate. Schools that employed LGBTQ+ affirming practices and included LGBTQ+ resources and activities, like Gay-Straight Alliances (GSAs), saw improved perceptions of safety and community. [ABSTRACT FROM AUTHOR]

Until recently, opportunities to analyze the sexual harassment of LGBTs in the U.S. military were constrained by their formal exclusion; the existing research was largely conducted under the conditions of closed service, which were crucial to its operation. This article considers if and how sexual harassment is being re-conceptualized in the era of open service. Using in-depth interviews, I assess how current, future, and former service members narrate the emergence of open service and its relationship to sexual harassment. Although sexual blackmail may have lost some of its purchase under these conditions, I find that discussions and enactments of sexual harassment play a central role in containing the threat of queer contamination that has been introduced by open service. These are practices of what I term "queer social control" and demonstrate one of many reasons why inclusion should not be mistaken for acceptance; rather than resisting heterocisnormativity and the military's role in its maintenance, the dynamics of LGBT incorporation actually reinforce it. This seemingly paradoxical finding is, in fact, the only logical outcome of the homonormative bargain that has been struck in the name of advancing LGBT rights. [ABSTRACT FROM AUTHOR]

Résumé: Le roller derby est une discipline sportive américaine, apparue en France en 2009 sous une forme carnavalesque. L'anti-conformisme alors affiché participait à attribuer à ce sport un caractère permissif : tout semblait y être permis. Dix ans plus tard, mon enquête sociologique menée auprès d'équipes s'est confrontée à l'euphémisation des marqueurs subversifs et à l'adoption des codes du milieu sportif fédéral. Afin de comprendre cette normalisation sportive, la mobilisation du concept de « scène » de Erving Goffman m'a permis de dissocier ce qui appartient à l'espace public, le front stage, dans lequel les équipes défendent la valeur sportive du derby, des coulisses, le back stage, où la défense de l'inclusif encourage la préservation de l'ancrage permissif disparu de la scène sportive. [ABSTRACT FROM AUTHOR]

This article will discuss my experience as an immigration attorney representing a gay man from Afghanistan fleeing the Taliban. First, it will give an overview of the Taliban’s role in Afghanistan and the Taliban takeover in August 2021. It will then discuss the treatment of lesbian, gay, bisexual, and transgender (LGBT) individuals in Afghanistan. Next, the article will discuss how I became involved in representing individuals fleeing Afghanistan and the humanitarian parole process. [ABSTRACT FROM AUTHOR]

Exposure to potentially traumatic events and posttraumatic stress are known risk factors for suicidal thoughts and behaviors (STB). Research suggests that sexual minorities are disproportionately exposed to traumatic events and experience greater STB than their heterosexual peers, although few studies have explored connections between these parallel disparities. Further, existing literature may implicate complex posttraumatic stress disorder (CPTSD) as a potential mechanism in the trauma-suicide connection among sexual minorities. This study uses a sample from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III; n = 1351) to test structural equation models for associations between trauma exposure, heterosexist discrimination, and CPTSD with suicide attempt status. We found CPTSD mediated associations between exposure to traumatic events and presence of a lifetime suicide attempt among sexual minority male and female samples. Discrimination demonstrated a synergistic effect on the association between trauma exposure and CPTSD, but, among males, CPTSD did not fully explain associations between discrimination and suicide attempts. Our findings suggest that CPTSD should be considered an important mechanism in the trauma-suicide connection for sexual minorities and may be a potentially important target for suicide prevention and that interventions should address the influence of discrimination on traumatic stress in this high-risk population. [ABSTRACT FROM AUTHOR]

This article advances scholarship on the relationship between sexuality, religion, and the law within the United States by analyzing case summaries and court opinions of the federal appellate cases decided between 1990 and 2020 that involve a religion-based claim being used to advance or defend gay and lesbian rights. Contrary to dominant public narratives that position religion uniformly in opposition to progressive sexual values, these cases show how Americans' religious beliefs and practices include diverse sexual identities. We find that the courts' reactions to such cases, however, illustrate the tension within legal discourse and hesitancy for the courts to equate religious and moral values with affirming LGBT identities, people, and rights. Our findings suggest that the courts and litigants define what religion is—and what it is not—by positioning it in relation to sexuality. [ABSTRACT FROM AUTHOR]

Compelling evidence demonstrates that Lesbian, Gay, and Bisexual (LGB) populations have a higher prevalence of mental disorders compared to their heterosexual peers (Meyer in Psychol Bull 129(5):674–697, 2003). This has been attributed to minority stressors in the minority stress model. Since this model was established in 2003, there have been significant socio-political events that discriminate against SGM LGBTQ+ individuals. There have also been rival hypotheses, including rejection sensitivity (Feinstein in Arch Sex Behav 49(7):2247–2258, 2020) and 'misperceiving of neutral events' (Bailey in Arch Sex Behav 49(7):2265–2268, 2019). Examine SGM perspectives and investigate how well they align with Meyers model (2003). 16 qualitative studies capturing SGM minority stress experiences were extracted from scientific databases and, thematically analysed deductively using Meyer's minority stress model, in addition to generating original subthemes. This systematic review thematically analysed 16 eligible studies, which generated 6 superordinate themes (Discrimination, Lack of representation, Navigation, Harassment, Depersonalization and Mental Health Outcomes) and 18 sub-themes. These themes were then situated in categories from Meyer's Minority Stress Model (2003) (Circumstances, Minority Status, Distal stressors, Proximal stressors, and Mental health outcomes). SGM-specific stress experiences integrated into the Minority Stress Model (circumstances, navigation, distal, proximal, and mental health outcomes). The collected data elaborated the model with sub-themes such as discrimination, lack of representation, vigilance, depression, body image and positive coping in sum, this study offers support for and updates Meyer's minority stress model whilst rejecting competing theories (Bailey 2019; Feinstein 2019). [ABSTRACT FROM AUTHOR]