Search

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]

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]

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]

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]

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]

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]

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]

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]

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]

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]

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]

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]

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]

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]

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]

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]

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]

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. Plain language summary: Sexual orientation discrimination increases the likelihood of adverse health effects for sexual minorities. Prior research has identified increased rates of eating disorder symptoms among sexual minority individuals, linked to minority stress and discrimination they endure. Although recent studies suggest associations between sexual orientation discrimination and eating disorder symptoms, there is a gap in research concerning early adolescents. In this large, demographically diverse, national study of 8,976 adolescents aged 10–13 years, we found that early adolescents who have experienced sexual orientation discrimination are more likely to worry about weight gain and tie their self-worth to weight one year later. These findings support the Minority Stress Theory, which describes how discrimination, stigmatization, and internalized negative beliefs may contribute to worse mental health outcomes and maladaptive health behaviors, including eating disorder symptoms. Clinicians can screen for sexual orientation discrimination and provide affirmative, equity-focused care when evaluating even younger sexual minority patients for eating disorder symptoms. [ABSTRACT FROM AUTHOR]

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]

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]

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]

The deinstitutionalization of marriage suggests more support for divorce and the forgoing of marriage. In this study, we examine attitudes toward both marriage and divorce in the context of having children and how they coincide with each other, creating a new typology of attitudes. Based on a national probability sample of 2,789 adults from the American Marriage Survey conducted in 2021, we find that just over half (55%) of people express transformative deinstitutionalization attitudes, in which they support divorce as well as forgoing marriage, while the next largest group (22%) hold divorce deinstitutionalization attitudes, in which they support divorce but also encourage marriage when children are involved. Findings show that women, gay, lesbian, bisexual, and pansexual individuals, and those who are cohabiting or divorced are more likely to hold transformative deinstitutionalization attitudes compared to pro-institutionalization attitudes, which support marriage and oppose divorce when children are involved. Meanwhile, older individuals, those who attend religious services more frequently, and those who identify as more politically conservative are less likely to hold any form of deinstitutionalization attitudes. Interestingly, education and parenthood have no impact on this set of attitudes. Given trends that show decreases in marriage and increases in LGBT identification, there may be further movement toward the disconnection of marriage and children. [ABSTRACT FROM AUTHOR]

AbstractDespite growing international criticism of actions and efforts to change sexual orientation and gender identity, such efforts remain prevalent in Malaysia. Using data from a nationwide community-based survey, this study examined the prevalence of these efforts amongst LGBT+ adults and the association between exposure to them and mental health outcomes. Participants (n = 521) completed an online survey assessing exposure to efforts to change their sexual orientation and/or gender identity, internalised LGBT-phobia, negative future expectations, and several mental health variables. Just under sixty-four percent (n = 333) of participants reported having experienced change efforts, with the most common perpetrators being family members, friends and religious organisations or people. Recent (past year) and past exposure to change efforts (over one year ago) were each associated with significantly higher odds of suicidal ideation, non-suicidal self-injury, and suicide attempts. Participants with recent exposure to change efforts also reported elevated internalised LGBT-phobia and negative future expectations compared to those who lacked such experience. A content analysis of participants’ open-ended responses documented the perceived impact of change efforts on proximal stressors and mental health and wellbeing. Recommendations are made for national authorities and healthcare bodies to ban efforts to change sexual orientation and gender identity in Malaysia. [ABSTRACT FROM AUTHOR]

Tourism plays a key role for gay people, as it is not only a way to escape from work, but also a source of liberation and self-embracement. This role can be particularly valued in societies and political environments that are perceived as hostile toward this group. The present study examines the travel motivations and habits of gay and lesbian people, based on a questionnaire sample of 1473 respondents. The results show that for this group, but especially for women, acceptance and an open culture are of paramount importance when choosing a destination. In contrast, services and events specifically targeted at this sector, which are popular in the Western world, do not typically influence decision-making (they tend to be more attractive to women). Sex per se is not a travel motivator for this group, but is an important feature of travel for men. In addition to gender, the services and activities that an individual engages in while traveling are influenced by the degree of their sexual embracement, the place of residence and the company with which the individual travels. [ABSTRACT FROM AUTHOR]

Sexual minority adolescents (SMA) have a disproportionately high prevalence of victimisation, self-harm, and depressed mood, relative to the general population. Yet, the contributing and mechanistic factors are unclear. We aim to explore the directional relationship between victimisation and self-harm and depressed mood, with poor sleep quality as a possible mediator. A secondary data analysis was conducted using a nationally representative birth cohort in the United Kingdom, where participants self-identified as sexual minority (N = 1922, aged 11–13, 67.1% female) and their parents completed questionnaires and interviews when the participants were aged 11, 14 and 17. Logistic and linear regression were used to test whether victimisation prospectively predicted self-harm and depressed mood with mediation analyses conducted to assess if sleep onset latency and nocturnal awakening mediated their relationships. After adjusting for demographic factors and baseline self-harm and depressed mood, victimisation at age 11 significantly predicted self-harm (OR = 1.40, p <.01) and depressed mood (B = 0.024, SE = 0.01, p <.05) at age 17. In the mediation analyses, frequent nocturnal awakening at age 14, but not sleep onset latency, significantly mediated the effect of victimisation at age 11 on self-harm (indirect effect B = 0.008, SE = 0.004, 95%CI = 0.001-0.017) and depressed mood (indirect effect B = 0.005, SE = 0.002 95%CI = 0.001-0.010) at age 17. Our findings supported that victimisation contributed to negative mental health among SMA. Poor sleep quality could be an indicator of maladjustment with victimisation, which further increased vulnerability to negative mental health. Victimisation and sleep quality could be important assessment targets in mental health campaign among sexual minority adolescents. [ABSTRACT FROM AUTHOR]

During COVID-19, sexual minority groups may have experienced heightened mental health challenges, amplified by unique stressors and the effects of pandemic-related restrictions. This study investigates the differential impact of the pandemic on mental health across sexual orientations, leveraging population-representative data to explore these disparities. Prospective cohort design. Data from the United Kingdom Household Longitudinal Study (waves 8–12) was used. Monthly COVID-19 incidence rates at the regional level were used to indicate pandemic severity. Mental health outcomes were evaluated using the Mental Component Score of the Short Form-12 (MCS-12) survey. To examine whether COVID-19 led to differential impacts across sexual orientation, fixed-effect longitudinal models were employed, controlling for individual and time-variant covariates. Lesbian women experienced a significant mental health decline during the COVID-19 pandemic, with a 3.10 MCS-12 score decrease (95 % confidence interval (CI): -5.77 to -0.43) and an 11.0 % higher likelihood of depression (95%CI: -0.3 % to 22.3 %, p = 0.057) compared to heterosexual women. Conversely, the impact on the mental health of heterosexual women was negative but not significant (-0.22; 95%CI: -0.47 to -0.04). Bisexual individuals and other women showed non-significant mental health declines. For men, COVID-19's effect on heterosexuals was similarly non-significant (-0.21; 95%CI: -0.48 to 0.1), with no significant differences observed in gay, bisexual, and other men. Sexual minority individuals, especially lesbian women, faced heightened mental health challenges during COVID-19, emphasizing the urgency for targeted interventions. [ABSTRACT FROM AUTHOR]

According to several recent studies, physicians in various medical branches have some differences in attitudes towards transgender and gender‐diverse (TGD) persons based on religious or political beliefs. Our study aims to uncover the attitudes of the general physician community in Turkey, which has a youthful profile, regarding TGD individuals. The attitudes towards transgender individuals scale (ATTI) and the general conservatism scale, along with a form that asks about socio‐demographic factors, political beliefs, and level of religion, were administered online to physicians. The ATTI score of physicians (mean = 77.8) is favourable and did not vary among branches. Being female, being close to TGD, having left‐wing views, low conservatism and low religious belief scores were associated with positive attitudes towards TGD individuals. The physician profile's moderate religious belief and left‐wing views can be interpreted as a country‐specific dynamic and did not prevent the approach from being positive. Despite physicians' positive attitude towards TGD individuals on a professional level, there is resistance to contacting them in their daily lives. The possibility of the partial contribution of socially desirable response behaviour to positive scores should not be ignored. [ABSTRACT FROM AUTHOR]

Traditional concepts of sexuality and intimacy contain normative assumptions that limit the fluidity and creativity with which individuals' relational, gender, and affectional identities can be expressed. This theoretical article applies the seven axioms of Hammack et al.'s paradigm of queer intimacy to a case study of a client who identifies as queer, kinky, poly, transmasculine, and neurodivergent. The resulting conceptualization illustrates ways in which kink and bondage/domination and sadomasochism can contribute to identity development, congruence, and self-actualization. Implications for counseling are provided along with humanistic themes found within the case study. Humanistic counselors can connect more authentically with queer, kinky, polyamorous clients by acknowledging the diversities of clients' identities and behaviors and increasing counselor competencies related to queer, kink, and poly cultures and practices. [ABSTRACT FROM AUTHOR]

To address the reality that LGBTQ+ (lesbian, gay, bisexual, transgender, queer, intersex, asexual, and others) students remain more likely to experience harm, harassment, and violence at school as well as miss school due to feeling unsafe and the fact that students identifying as transgender, nonbinary, and gender-nonconforming (TNBGNC) are at even greater risk of bullying, harassment, and significant mental health concerns, Chicago Public Schools' (CPS) Office of Student Health and Wellness (OSHW) created a novel professional development (PD) requirement in 2019, entitled "Supporting Transgender, Nonbinary, and Gender Nonconforming Students." The PD, a recorded webinar encouraging independent time for reflection and planning, takes an intersectional approach and is required of all CPS staff members across the entire district. A pre- and postevaluation of the PD, guided by the Kirkpatrick model, was completed by 19,503 staff members. The findings from this evaluation show that staff members significantly increased their knowledge, showed statistically significant gain in self-reported skills, and articulated key actions they could take toward sustaining an environment that fosters skill implementation and culture change more broadly. Findings reveal that a culture that supports staff members in learning from their mistakes can help to encourage staff members to employ gender-inclusive behaviors such as asking individuals for their pronouns and using gender-neutral pronouns. This districtwide mandatory PD approach shows value in influencing staff members' thinking and behaviors known to be supportive of TNBGNC students and may serve as a model for other school districts looking to build capacity to support TNBGNC students. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this integrative review was to explore the beliefs and practices used to promote physical and mental health among youth ages 18–25 years, identifying as LGBTIQ+ experiencing housing insecurity. Method: The approach used strategies described by Whittemore and Knafl. Peer‐reviewed, published research articles in English were identified using eight electronic databases. Eighteen research reports using qualitative, quantitative, and mixed methods were identified. Articles were evaluated for quality using the American Association of Critical Care Nurses Evidenced‐Level Hierarchy evaluation tool. Data were analyzed and synthesized using Braun and Clarke's method. Findings: Four themes related to the purpose were extracted: pervasive experiences of stigma and discrimination, constantly attuned to navigating risks, inconsistent engagement in health information and care, and inner strength developed through personal and community experiences. Discussion: There are strong implications for future research, public health nursing practice, and health policy. Public health nurses should incorporate social determinants of health (addressing harmful social processes such as homophobia and racism) as well as a strength‐based upstream approach in research, education, and health care practices. More research must also be done to assess engagement in physical and mental health information and care. [ABSTRACT FROM AUTHOR]

Gender-affirming care and legal gender recognition (LGR) have been relatively well developed in Russia since Soviet times. During the past decade, in line with the general authoritarian and conservative turn, transgender (trans) rights have increasingly come under attack. In 2023, anti-trans forces succeeded in bringing about the adoption of a law that prohibited gender-affirming care and LGR, preventing marriage and adoption of children for trans people. This article uses the Authoritarian Gender Equality Policy Making framework to understand the structural opportunities, actors, framings, and the autocrat's signaling that led to this result. The policy reversal resulted from increased visibility of trans issues in Russia and worldwide coupled with their reframing from a medical problem to a geopolitical threat in the context of a military and cultural confrontation with the West following Russia's "special military operation" against Ukraine in February 2022. [ABSTRACT FROM AUTHOR]

The purpose of this qualitative study was to unlock the different points of view from LGBT students in their involvement in the field of leadership. Furthermore, a phenomenological method was employed to highlight the informants' and participants' perspectives. From the study's point of view, this study attempted to collect information using inductive and qualitative approaches such as interviews, discussions, and participant observations. Also, this served as a future reference for more relevant information about the LGBT students' perspectives in the field of leadership. With these, the study wanted to unveil the various perspectives of the LGBT students in the field of leadership that might contribute and give insights to the LGBT students. Results revealed the experiences of the participants: questioning one's capability as a leader, dealing with gender discrimination, and acknowledging of skills in organizational success. In response to the challenges they have encountered, they deemed the following coping strategies as essential. These were ignoring one's detractors, view discrimination as an avenue for improvement, having a support system that understands one's struggles, and embracing your true selves. Upon reflecting on their entire experience, they arrived at the following insights - the need to fight for our rights, the need to be optimistic, embracing uniqueness as a person, and the need to ignore negative feedbacks. The results of this study were deemed significant to the participants, teachers, students, and the researchers. [ABSTRACT FROM AUTHOR]

Copyright of Latin American Journal of Economic Developement (LAJED) is the property of Universidad Catolica Boliviana San Pablo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)