scholarly journals A Mixed-Methods Examination of the Unique Associations of Gender-Sexuality Alliance Involvement and Family Support on Bravery in Sexual and Gender Minority Youth

2020 ◽  
pp. 074355842093322
Author(s):  
Christopher J. Ceccolini ◽  
V. Paul Poteat ◽  
Jerel P. Calzo ◽  
Hirokazu Yoshikawa ◽  
Kasey Meyer
Keyword(s):  
Sexual Orientation ◽  
Mixed Methods ◽  
Gender Identity ◽  
Family Support ◽  
Well Being ◽  
Minority Youth ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
Heterosexual Youth

Research among sexual and gender minority (SGM) youth has suggested associations between Gender-Sexuality Alliance (GSA) involvement and better health. Emergent research has similarly demonstrated associations between family support and general well-being among SGM youth. However, the trait of bravery has received little attention in this literature, despite its relevance for youth in marginalized positions. We examined the association between level of GSA involvement, family support, and bravery among GSA members ( n = 295; Mage = 16.07), and whether those associations differed based on sexual orientation or gender identity. We then conducted one-on-one interviews with SGM youth ( n = 10), to understand how they understood bravery and experienced support in both GSA and family contexts. Greater GSA involvement significantly predicted greater bravery for all youth, whereas greater family support predicted greater bravery only for heterosexual youth. No significant moderation was found for gender minority youth. Our qualitative findings clarified how SGM youth conceptualized bravery and how they experienced it within their GSA and family settings. GSAs were associated with more frequent displays of explicit support for SGM identity, while families were perceived as providing less explicit support.

scholarly journals Life under COVID-19 for LGBT+ people in the UK: systematic review of UK research on the impact of COVID-19 on sexual and gender minority populations

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e050092
Author(s):  
Victoria J McGowan ◽  
Hayley J Lowther ◽  
Catherine Meads
Keyword(s):  
Mental Health ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Well Being ◽  
Cochrane Library ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
The Impact ◽  
Health And Well Being

ObjectiveTo systematically review all published and unpublished evidence on the impact of the COVID-19 pandemic on the health and well-being of UK sexual and gender minority (LGBT+; lesbian, gay, bisexual, transgender, non-binary, intersex and queer) people.MethodsAny relevant studies with or without comparator were included, with outcomes of: COVID-19 incidence, hospitalisation rates, illness severity, death rates, other health and well-being. Six databases (platforms) were searched—CINAHL Plus (Ovid), Cochrane Central (Cochrane Library), Medline (Ovid), Embase (Ovid), Science Citation Index (Web of Science) and Scopus between 2019 and 2020 in December 2020, using synonyms for sexual and gender minorities and COVID-19 search terms. Data extraction and quality assessment (using the relevant Joanna Briggs checklist) were in duplicate with differences resolved through discussion. Results were tabulated and synthesis was through narrative description.ResultsNo published research was found on any outcomes. Eleven grey literature reports found to be of low quality were included, mostly conducted by small LGBT+ charities. Only four had heterosexual/cisgender comparators. Mental health and well-being, health behaviours, safety, social connectedness and access to routine healthcare all showed poorer or worse outcomes than comparators.ConclusionsLack of research gives significant concern, given pre-existing health inequities. Social and structural factors may have contributed to poorer outcomes (mental health, well-being and access to healthcare). Paucity of evidence is driven by lack of routinely collected sexual orientation and gender identity data, possibly resulting from institutional homophobia/transphobia which needs to be addressed. Men are more at risk of serious illness from COVID-19 than women, so using data from trans women and men might have started to answer questions around whether higher rates were due to sex hormone or chromosomal effects. Routine data collection on sexual orientation and gender identity is required to examine the extent to which COVID-19 is widening pre-existing health inequalities.PROSPERO registration numberCRD42020224304.

Navigating negativity: a grounded theory and integrative mixed methods investigation of how sexual and gender minority youth cope with negative comments online

2019 ◽  
Vol 11 (3) ◽  
pp. 161-179 ◽  
Author(s):  
Shelley L. Craig ◽  
Andrew D. Eaton ◽  
Lauren B. McInroy ◽  
Sandra A. D’Souza ◽  
Sreedevi Krishnan ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Mixed Methods ◽  
Minority Youth ◽  
Gender Minority ◽  
Negative Comments ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals A Qualitative Analysis of Adolescent Responses to YouTube Videos Portraying Sexual and Gender Minority Experiences: Belonging, Community, and Information Seeking

2020 ◽  
Vol 2 ◽  
Author(s):  
Jordan A. Levinson ◽  
Patricia M. Greenfield ◽  
Jenna C. Signorelli
Keyword(s):  
Social Support ◽  
Identity Development ◽  
Information Seeking ◽  
Past Research ◽  
Well Being ◽  
Minority Youth ◽  
Gender Minority ◽  
Youtube Videos ◽  
Sexual And Gender Minority ◽  
And Gender

Sexual and gender minority youth are at risk for negative mental health outcomes, such as depression and suicide, due to stigma. Fortunately, sense of community, connection, and social support can ameliorate these deleterious effects. Youth express that most of their social support comes from peers and in-school organizations, but these sources require in-person interaction. Past research has identified social media sites as virtual and anonymous sources of support for these youth, but the role of YouTube specifically in this process has not been thoroughly explored. This study explores YouTube as a possible virtual source of support for sexual and gender minority youth by examining the ecological comments left on YouTube videos. A qualitative thematic analysis of YouTube comments resulted in six common themes in self-identified adolescents' YouTube comments: sharing, relating, information-seeking, gratitude, realization, and validation. Most commonly, adolescents shared feelings and experiences related to their identity, especially when they could relate to the experiences discussed in the videos. These young people also used their comments to ask for identity-related advice or information, treating the platform as a source of education. Results suggest that sexual minority youth's use of YouTube can be advantageous for social support and community, identity-related information, identity development, and overall well-being.

scholarly journals Experiences with sexual orientation and gender identity conversion therapy practices among sexual minority men in Canada, 2019–2020

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252539
Author(s):  
Travis Salway ◽  
Stephen Juwono ◽  
Ben Klassen ◽  
Olivier Ferlatte ◽  
Aidan Ablona ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Ethnic Minorities ◽  
Demographic Data ◽  
Conversion Therapy ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
Minority Men ◽  
And Gender ◽  
Racial Ethnic

Background “Conversion therapy” practices (CTP) are organized and sustained efforts to avoid the adoption of non-heterosexual sexual orientations and/or of gender identities not assigned at birth. Few data are available to inform the contemporary prevalence of CTP. The aim of this study is to quantify the prevalence of CTP among Canadian sexual and gender minority men, including details regarding the setting, age of initiation, and duration of CTP exposure. Methods Sexual and gender minority men, including transmen and non-binary individuals, aged ≥ 15, living in Canada were recruited via social media and networking applications and websites, November 2019—February 2020. Participants provided demographic data and detailed information about their experiences with CTP. Results 21% of respondents (N = 9,214) indicated that they or any person with authority (e.g., parent, caregiver) ever tried to change their sexual orientation or gender identity, and 10% had experienced CTP. CTP experience was highest among non-binary (20%) and transgender respondents (19%), those aged 15–19 years (13%), immigrants (15%), and racial/ethnic minorities (11–22%, with variability by identity). Among the n = 910 participants who experienced CTP, most experienced CTP in religious/faith-based settings (67%) or licensed healthcare provider offices (20%). 72% of those who experienced CTP first attended before the age of 20 years, 24% attended for one year or longer, and 31% attended more than five sessions. Interpretation CTP remains prevalent in Canada and is most prevalent among younger cohorts, transgender people, immigrants, and racial/ethnic minorities. Legislation, policy, and education are needed that target both religious and healthcare settings.

scholarly journals Sexual Orientation and Gender Identity Change Efforts and Suicide Morbidity Among Sexual and Gender Minority Adults in Colombia

LGBT Health ◽  
2021 ◽  
Author(s):  
Ana María del Río-González ◽  
Maria Cecilia Zea ◽  
Jennifer Flórez-Donado ◽  
Prince Torres-Salazar ◽  
Daniela Abello-Luque ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Identity Change ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
Change Efforts

The US Supreme Court and the Future of Sexual and Gender Minority Health

2021 ◽  
pp. e1-e3
Author(s):  
Michael Liu ◽  
Jack L. Turban ◽  
Kenneth H. Mayer
Keyword(s):  
United States ◽  
Sexual Orientation ◽  
Civil Rights ◽  
Gender Identity ◽  
Supreme Court ◽  
The United States ◽  
Physical And Mental Health ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender

Over the past decade, the United States has made substantial progress in advancing the rights of sexual and gender minority (SGM) people. In 2015, the Supreme Court of the United States (SCOTUS) decision in Obergefell v. Hodges provided same-sex couples the fundamental right to marry across the United States.1 In 2020, the landmark Bostock v. Clayton County decision extended the interpretation of “on the basis of sex” under title VII of the 1964 Civil Rights Act to prohibit workplace discrimination on the basis of sexual orientation and gender identity.2 This sweeping decision sets the precedent that other sex-based antidiscrimination laws should be interpreted to include SGM people. However, explicit and broad protections based on sexual orientation and gender identity are not common features of federal laws, and existing SGM protections remain tenuous, as they rely on judicial interpretation. With recent shifts in the composition of SCOTUS, there is the increasing possibility that the hard-earned protections for SGM people in the United States will be reversed through recently argued and upcoming cases. Based on the available empirical evidence, we are concerned about the possible physical and mental health sequelae. (Am J Public Health. Published online ahead of print May 20, 2021: e1–e3. https://doi.org/10.2105/AJPH.2021.306302 )

City-Level Structural Stigma and Patient Sexual Orientation and Gender Identity Data Collection at US Health Centers, 2018

2021 ◽  
pp. e1-e5
Author(s):  
Anthony N. Almazan ◽  
Dana King ◽  
Chris Grasso ◽  
Sean Cahill ◽  
Micah Lattanner ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Data Collection ◽  
Gender Identity ◽  
Health Centers ◽  
Orientation Data ◽  
Gender Minority ◽  
Patient Demographics ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
The Relationship

Objectives. To examine the relationship between city-level structural stigma pertaining to sexual orientation and gender identity (SOGI) and completeness of patient SOGI data collection at US federally qualified health centers (FQHCs). Methods. We used the Human Rights Campaign’s Municipal Equality Index to quantify city-level structural stigma against sexual and gender minority people in 506 US cities across 49 states. We ascertained the completeness of SOGI data collection at FQHCs from the 2018 Uniform Data System, which describes FQHC patient demographics and service utilization. We included FQHCs in cities captured by the structural stigma index in multinomial generalized linear mixed models to examine the relationship between city-level structural stigma and SOGI data completeness. Results. FQHCs in cities with more protective sexual orientation nondiscrimination policies reported more complete patient sexual orientation data (adjusted odds ratio [AOR] = 1.6; 95% confidence interval [CI] = 1.2, 2.1). This association was also found for gender identity nondiscrimination policies and gender identity data collection (AOR = 1.7; 95% CI = 1.3, 2.2). Conclusions. Municipal sexual and gender minority nondiscrimination laws are associated with social and municipal environments that facilitate patient SOGI data collection. (Am J Public Health. Published online ahead of print September 9, 2021:e1–e5. https://doi.org/10.2105/AJPH.2021.306414 )

scholarly journals What Oncologists Should Know About Treating Sexual and Gender Minority Patients With Cancer

2020 ◽  
Vol 16 (6) ◽  
pp. 309-316
Author(s):  
Gwendolyn P. Quinn ◽  
Ash B. Alpert ◽  
Megan Sutter ◽  
Matthew B. Schabath
Keyword(s):  
Health Disparities ◽  
Sexual Orientation ◽  
Gender Identity ◽  
Clinical Encounter ◽  
Gender Minority ◽  
Patients With Cancer ◽  
Sexual Orientations ◽  
Sexual And Gender Minority ◽  
And Gender

Sexual and gender minority (SGM) individuals encompass a broad spectrum of sexual orientations and gender identities. Although SGM is a research term, this population is often known as lesbian, gay, bisexual, transgender, queer (LGBTQ). Typically, LGB refers to sexual orientation, T refers to gender identity, and Q may refer to either. Although each group is distinct, they share the common bond of experiencing health disparities that may be caused, in part, by stigma and discrimination, as well as by the oncology provider’s lack of knowledge and, therefore, lack of comfort in treating this population. One challenge in improving the quality of care for SGM patients with cancer is the lack of collection of sexual orientation and gender identity (SOGI) data in the medical record. Furthermore, national studies suggest that many oncologists are unsure of what to do with this information, even when it is collected, and some are uncertain as to why they would need to know the SOGI of their patients. This clinical review offers insight into the health disparities experienced by SGM individuals and strategies for improving the clinical encounter and creating a welcoming environment.

scholarly journals QueerVIEW: Protocol for a Technology-Mediated Qualitative Photo Elicitation Study With Sexual and Gender Minority Youth in Ontario, Canada

10.2196/20547 ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. e20547
Author(s):  
Shelley L Craig ◽  
Andrew D Eaton ◽  
Rachael Pascoe ◽  
Egag Egag ◽  
Lauren B McInroy ◽  
...  
Keyword(s):  
Data Collection ◽  
Well Being ◽  
Minority Youth ◽  
Photo Elicitation ◽  
Innovative Technology ◽  
Theory Approach ◽  
File Transfer ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender

Background The experiences of resilience and intersectionality in the lives of contemporary sexual and gender minority youth (SGMY) are important to explore. SGMY face unique experiences of discrimination in both online and offline environments, yet simultaneously build community and seek support in innovative ways. SGMY who identify as transgender, trans, or gender nonconforming and have experiences with child welfare, homelessness, or immigration have been particularly understudied. A qualitative exploration that leverages technology may derive new understanding of the negotiations of risk, resilience, and identity intersections that impact the well-being of vulnerable SGMY. Objective The objectives of the QueerVIEW study were to (1) enhance understanding of SGMY identities, both online and offline, (2) identify experiences of intersectionality among culturally, regionally, and racially diverse SGMY in Ontario, Canada, (3) explore online and offline sources of resilience for SGMY, and (4) develop and apply a virtual photo elicitation methodological approach. Methods This is the first study to pilot a completely virtual approach to a photo elicitation investigation with youth, including data collection, recruitment, interviewing, and analysis. Recruited through social media, SGMY completed a brief screening survey, submitted 10 to 15 digital photos, and then participated in an individual semistructured interview that focused on their photos and related life experiences. Online data collection methods were employed through encrypted online file transfer and secure online interviews. Data is being analyzed using a constructivist grounded theory approach, with six coders participating in structured online meetings that triangulated photo, video, and textual data. Results Data collection with 30 participants has been completed and analyses are underway. SGMY expressed appreciation for the photo elicitation and online design of the study and many reported experiencing an emotional catharsis from participating in this process. It is anticipated that results will form a model of how participants work toward integrating their online and offline experiences and identities into developing a sense of themselves as resilient. Conclusions This protocol presents an innovative, technology-enabled qualitative study that completely digitized a popular arts-based methodology—photo elicitation—that has potential utility for contemporary research with marginalized populations. The research design and triangulated analyses can generate more nuanced conceptualizations of SGMY identities and resilience than more traditional approaches. Considerations for conducting online research may be useful for other qualitative research. International Registered Report Identifier (IRRID) DERR1-10.2196/20547

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