Minority Stress and Drinking: Connecting Race, Gender Identity and Sexual Orientation

2019 ◽  
Vol 48 (2) ◽  
pp. 277-303 ◽  
Author(s):  
Alison Cerezo ◽  
Chelsey Williams ◽  
Mariah Cummings ◽  
Derek Ching ◽  
Meredith Holmes
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Race And Ethnicity ◽  
Minority Stress ◽  
Community Sample ◽  
Research Literature ◽  
Constructivist Grounded Theory ◽  
Structured Interviews ◽  
Major Life ◽  
Queer Spaces

We carried out a constructivist grounded theory-based qualitative exploration on the relations between intersectional minority stress and drinking among a community sample of 20 Latinx and African American sexual minority, gender expansive women. Our overarching goal was to illuminate the nuanced ways in which participants’ lived experiences; in relation to race and ethnicity, gender identity, and sexual orientation, intersected to create complex forms of minority stress rarely captured in the research literature. Semi-structured interviews and lifeline methodology were employed to assess participants’ major life stressors and drinking history; particularly, when and how drinking became a regular part of participants’ lives. Our findings indicated that drinking was primarily connected to same-sex romantic partnerships, cultural and familial ties to alcohol, social norms within queer spaces, familial rejection and loss of racial and ethnic community, and chronic stress. Recommendations for research, practice, advocacy, education, and training are discussed.

scholarly journals Identity as Resistance: Identity Formation at the Intersection of Race, Gender Identity, and Sexual Orientation

2019 ◽  
Vol 44 (1) ◽  
pp. 67-83 ◽  
Author(s):  
Alison Cerezo ◽  
Mariah Cummings ◽  
Meredith Holmes ◽  
Chelsey Williams
Keyword(s):  
African American ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Identity Formation ◽  
Psychological Research ◽  
Research Literature ◽  
Constructivist Grounded Theory ◽  
Future Research ◽  
And Gender ◽  
The Impact

Although the concept of intersectionality has gained widespread attention in psychological research, there remains a significant gap related to the impact of intersectionality on identity formation for persons negotiating multiple minority statuses. This gap is especially pronounced among sexual and gender expansive women of Latinx and African American descent—two groups that face disparate personal and public health risks but are largely ignored in the research literature. In response to this gap, we carried out a qualitative study using constructivist grounded theory with 20 Latinx and African American sexual minority, gender expansive women to understand participants’ experiences of forming an intersectional social identity. Following an exploration of identity formation related to the specific domains of race, gender identity, and sexual orientation, we prompted participants to consider how each of the specified identity domains impacted the formation and experience of an overall intersectional identity (e.g., how racial position impacted gender identity and/or sexual identity formation). Findings revealed four major themes that were critical in identity formation: (a) family and cultural expectations, (b) freedom to explore identity, (c) the constant negotiation of insider/outsider status, and (d) identity integration as an act of resistance. Implications for future research and psychological services are discussed.

scholarly journals What Do Australian Library and Information Professionals Experience as Evidence?

2017 ◽  
Vol 12 (1) ◽  
pp. 97 ◽  
Author(s):  
Ann Gillespie ◽  
Faye Miller ◽  
Helen Partridge ◽  
Christine Bruce ◽  
Alisa Howlett
Keyword(s):  
Public Library ◽  
Local Environment ◽  
Research Literature ◽  
Constructivist Grounded Theory ◽  
Structured Interviews ◽  
Face To Face ◽  
The Public ◽  
Information Professionals ◽  
Many Sources ◽  
Library Professionals

Abstract Objective – This article presents the findings of a project which established an empirical basis for evidence based library and information practice (EBLIP). More specifically, the paper explores what library and information professionals experienced as evidence in the context of their professional practice. Methods – The project consisted of two sub-studies. The public library sub-study was conducted using ethnography. Over a 5-month period, a member of the research team travelled to a regional public library on 15 occasions, staying between 3 and 4 days on each visit. The researcher observed, interacted, and became involved in the day-to-day activities of this library. These activities were recorded in a journal and added to the researcher’s insights and thoughts. Additionally, 13 face-to-face interviews with staff in positions ranging from the operational to the executive were conducted. The academic sub-study was conducted using Constructivist Grounded Theory. Semi-structured interviews were conducted either in person or via Skype, with 13 librarians from Australian universities. Interviewees were in a diverse array of roles, from liaison librarian to manager and library director. Results – The project found that the Australian academic librarians and the public librarians who participated in the project experienced six elements as evidence: observation, feedback, professional colleagues, research literature, statistics, and intuition. Each of these will be described and highlighted with examples from each of the two studies. Conclusions – The findings of this study revealed many similarities in the way that library professionals from both studies experienced evidence. Evidence was not hierarchical, with evidence from many sources being valued equally. In contextualizing evidence and applying to the local environment, library professionals were able to draw upon more than one source of evidence and apply their professional knowledge and experiences. In this way evidence was more nuanced.

scholarly journals Sexual orientation, gender identity and gender expression-based violence in Catalan universities: qualitative findings from university students and staff

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Elena María Gallardo-Nieto ◽  
Aitor Gómez ◽  
Regina Gairal-Casadó ◽  
María del Mar Ramis-Salas
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
University Students ◽  
Life Quality ◽  
Well Being ◽  
Two Dimensions ◽  
Structured Interviews ◽  
Gender Expression ◽  
Wide Range ◽  
And Gender

Abstract Background Hate crimes have raised in Spain and the gender and sexuality-based conflicts persist worldwide which leads to this problem having an effect on health and wellbeing. Following a focus of transforming Higher Education Institutions, this research analysed the problem that affects undergraduate students in six Spanish universities. The research goal is to improve the life quality of lesbian, gay, bisexual, transgender, queer and intersex university students, breaking the silence that exists around the violence that this group suffer in Catalonia, Spain. Methods Following the Communicative Methodology, this study has identified violence based on sexual orientation, gender identity or gender expression in the target universities and provided guidelines to improve anti-discrimination protocols. A qualitative method has reached experiences of university students, heads of equality commissions, professors and administrative staff regarding this conflict. Focussing on the qualitative research tools, 30 semi-structured interviews were conducted with university students and staff around issues related to the violence against lesbian, gay, bisexual transgender, queer and intersex students: 1) perception of violence and discrimination, 2) institutional measures, 3) actions against violence. An analysis of exclusionary and transformative dimensions was used to identify emergent themes. Results We have identified two dimensions for the analysis given their impact in contributing or overcoming violence: exclusionary and transformative. A wide range of forms of violence on the grounds of sexual orientation, gender identity and gender expression perpetrated at universities have been identified as exclusionary facts and described by participants in the study. Equality commissions have not received reports of violence based on sexual orientation, gender identity or gender expression, and university staff shows certain unfamiliarity regarding the measures and politics to prevent and intervene in cases of violence against the lesbian, gay, bisexual, transgender, queer and intersex community. Among the results identified as transformative are the ways through which actions of lesbian, gay, bisexual, transgender, queer and intersex groups against violence and the professors’ commitment to intervene have a relevant impact on student’s wellbeing. An improvement and implementation of anti-discrimination protocols with mandatory applicability has also been documented. Conclusions Findings highlight the need of collecting more evidence that contributes to the improvement of protocols, measures and politics to protect all the members of the university community. A better understanding of violence based on sexual orientation, gender identity and gender expression in HEI’s may guide national and international governments to improve the health and well-being of lesbian, gay, bisexual, transgender, queer and intersex persons.

scholarly journals In Our Own Words: A Qualitative Exploration of Complex Patient-Provider Interactions in an LGBTQ Population

2019 ◽  
Vol 2 (2) ◽  
pp. 83-93
Author(s):  
Saba Malik ◽  
Zubin Master ◽  
Wendy Parker ◽  
Barry DeCoster ◽  
Lisa Campo-Engelstein
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Ethnic Discrimination ◽  
Theory Approach ◽  
Structured Interviews ◽  
Physician Patient Relationship ◽  
Complex Needs ◽  
Gender Minorities ◽  
Increased Risk ◽  
And Gender

While sexual and gender minorities are at increased risk for poor health outcomes, there is limited data regarding patient-provider interactions. In this study, we explored the perspectives of LGBTQ patients and their encounters with physicians in order to improve our understanding of patient-physician experiences. Using purposive selection of self-identified LGBTQ patients, we performed fourteen in-depth semi-structured interviews on topics of sexual orientation and gender identity, as well as their perceived role in the patient-provider relationship. Coding using a modified grounded theory approach was performed to generate themes. We identified three major themes that demonstrate the complexity of LGBTQ patient experiences. The first, Lacking trust, identifies mistrust and loss of the physician-patient relationship resulting from physicians’ poor or judgmental communication, or from physicians making assumptions about gender, using incorrect pronouns, and not recognizing heterogeneity within the transgender community. A second theme, Being vulnerable, describes the challenges and fears related to comfort of patients with disclosing their sexual orientation and/or gender identity. A final theme, Navigating discrimination, outlines racial or ethnic discrimination which creates an additional burden on top of illness and stigmatized identity. Our results reveal the complex needs of individuals with multiple stigmatized identities when developing relationships with providers. By using an intersectional perspective that appreciates the plurality of patients’ identities, providers can help to improve their relationships with LGBTQ patients. Incorporating intersectional training for medical students and residents could greatly benefit both LGBTQ patients and their physicians.

scholarly journals Collecting sexual orientation and gender identity information in the emergency department : the divide between patient and provider perspectives

2019 ◽  
Vol 36 (3) ◽  
pp. 136-141 ◽  
Author(s):  
Lisa M Kodadek ◽  
Susan Peterson ◽  
Ryan Y Shields ◽  
Danielle German ◽  
Anju Ranjit ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Comparative Method ◽  
Institute Of Medicine ◽  
Structured Interviews ◽  
Community Members ◽  
Provider Perspectives ◽  
Constant Comparative Method ◽  
The Usa ◽  
And Gender

BackgroundIn the USA, The Joint Commission and Institute of Medicine have called for collection of patient sexual orientation (SO) and gender identity (GI) information in healthcare. In a recent study, we reported that ED clinicians believe patients will refuse to provide this information; however, very few patients say they would refuse to provide SO/GI. As part of this study, we interviewed patients and providers regarding the importance of collecting this information. While these interviews were briefly summarised in our prior report, the qualitative data warranted a more thorough analysis and exposition to explore provider and patient views as well as risks and benefits of collecting SO/GI.MethodsA purposive sample of 79 participants was recruited for semi-structured interviews between August 2014 and January 2015. Participants included community members who had a previous ED encounter and ED providers from 3 community and 2 academic centres in a major US metropolitan area. Interviews were conducted one-on-one in person, audio-recorded and transcribed verbatim. Data were analysed using the constant comparative method.ResultsFifty-three patients and 26 ED providers participated. Patients perceived collection of SO/GI to be important in most clinical circumstances because SO/GI is relevant to their identity and allows providers to treat the whole person. However, many providers felt SO/GI was not relevant in most clinical circumstances because similar care is provided to all patients regardless of SO/GI. Patients and providers agreed there are risks associated with collecting SO/GI in the ED.ConclusionsED clinicians do not perceive routine collection of SO/GI to be medically relevant in most circumstances. However, patients feel routine SO/GI collection allows for recognition of individual identity and improved therapeutic relationships in the ED. These discordant perspectives may be hindering patient-centred care, especially for sexual and gender minority patients.

Organizing Baristas in Halifax Cafes: Precarious Work and Gender and Class Identities in the Millennial Generation

2017 ◽  
Vol 45 (4-5) ◽  
pp. 485-500 ◽  
Author(s):  
Rachel K. Brickner ◽  
Meaghan Dalton
Keyword(s):  
Sexual Orientation ◽  
Nova Scotia ◽  
Gender Identity ◽  
Economic Analysis ◽  
Community Support ◽  
Gender And Sexuality ◽  
Young Workers ◽  
Structured Interviews ◽  
Gender Based ◽  
And Gender

In 2012–2015, baristas engaged in union drives at five cafes in Halifax, Nova Scotia. In a series of semi-structured interviews with participants in and supporters of these drives, it became clear that issues of gender, sexual orientation, and gender identity were critical in understanding why and how these union drives evolved: women and queer baristas experienced gender-based discrimination and marginalization at work; they were noted leaders in some of the drives and drew on activist networks to rally community support for the unionization effort. Finally, issues of gender and sexuality informed some of the baristas’ broader economic analysis. We argue that the barista union drive in Halifax illustrates a framework for understanding how gender, gender identity, and sexual orientation inform unjust experiences in precarious workplaces and strategies for confronting them. A gendered analysis of the barista union drives underscores the importance of organized labor’s outreach to young workers and, further, that engaging with workers with attention to intersectionality is an important organizational strategy.

Peregrinação Acadêmica: A mulher Romeira do Bom Jesus da Lapa

2020 ◽  
Author(s):  
Sandra Célia Coelho Gomes da Silva
Keyword(s):  
Gender Identity ◽  
Social Reproduction ◽  
Participant Observation ◽  
Female Gender ◽  
Age Group ◽  
Structured Interviews ◽  
The West ◽  
Patriarchal Family ◽  
The Family ◽  
West Part

This work is the result of the doctoral thesis entitled Pilgrimage of Bom Jesus da Lapa: Social Reproduction of the Family and Female Gender Identity, specifically the second chapter that talks about women in the Pilgrimage of Bom Jesus da Lapa, emphasizing gender relations, analyzing the location of the pilgrimage as a social reproduction of the patriarchal family and female gender identity. The research scenario is the Bom Jesus da Lapa Pilgrimage, which has been held for 329 years, in that city, located in the West part of Bahia. The research participants are pilgrim women who are in the age group between 50 and 70 years old and have participated, for more than five consecutive years in the Bom Jesus da Lapa Pilgrimage, belonging to five Brazilian states (Bahia, Minas Gerais, São Paulo, Espírito Santo and Goiás) that register a higher frequency of attendance at this religious event. We used bibliographic, qualitative, field and documentary research and data collection as our methodology; we applied participant observation and semi-structured interviews as a technique. We concluded that the Bom Jesus da Lapa Pilgrimage is a location for family social reproduction and the female gender identity, observing a contrast in the resignification of the role and in the profile of the pilgrim women from Bom Jesus da Lapa, alternating between permanence and the transformation of gender identity coming from patriarchy.

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