scholarly journals Explicit and Intrinsic Intention to Receive COVID-19 Vaccination among Heterosexuals and Sexual Minorities in Taiwan

2021 ◽  
Vol 18 (14) ◽  
pp. 7260
Author(s):  
Yen-Ju Lin ◽  
Yu-Ping Chang ◽  
Wen-Jiun Chou ◽  
Cheng-Fang Yen
Keyword(s):  
Sexual Orientation ◽  
Risk Perception ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Demographic Characteristics ◽  
To Receive ◽  
The Relationship

The present study compared the levels of explicit and intrinsic intention to receive COVID-19 vaccination among sexual minority and heterosexual individuals and examined the association of explicit and intrinsic intentions with sexual orientation. We enrolled 171 sexual minority and 876 heterosexual individuals through a Facebook advertisement. The participants’ explicit and intrinsic intentions to receive COVID-19 vaccination and their risk perception of COVID-19 were measured. We discovered that sexual minority individuals had higher levels of explicit and intrinsic intention to receive vaccination relative to heterosexual individuals. Intrinsic intention was positively associated with explicit intention after the effects of demographic characteristics and risk perception of COVID-19 were controlled for. Sexual orientation did not moderate the association between explicit and intrinsic intentions. The present study determined the relationship between sexual orientation and intention to receive COVID-19 vaccination.

scholarly journals Proving it: experiences of sexual minorities in the Canadian refugee determination system

2021 ◽  
Author(s):  
Casey Anderson
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Decision Makers ◽  
Gender Identities ◽  
Theoretical Concepts ◽  
Canadian Immigration ◽  
Determination System ◽  
And Gender

This paper explores refugee claimant’s experiences negotiating the Canadian Immigration and Refugee Board (IRB). Focusing on claims based on sexual orientation and gender identity, this paper investigates how claimants are made to ‘prove’ their sexual orientation and gender identity. The IRB and its decision makers require that claimants prove their identity as a refugee as well as a member of a sexual minority. Through an analysis of the existing literature and by integrating queer and feminist theoretical concepts on gender, sex, performativity and representation, it is apparent that the Canadian IRB functions as a heteronormative system in which the understanding of sexual orientation and gender identities are essentialized.

scholarly journals Proving it: experiences of sexual minorities in the Canadian refugee determination system

2021 ◽  
Author(s):  
Casey Anderson
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Decision Makers ◽  
Gender Identities ◽  
Theoretical Concepts ◽  
Canadian Immigration ◽  
Determination System ◽  
And Gender

This paper explores refugee claimant’s experiences negotiating the Canadian Immigration and Refugee Board (IRB). Focusing on claims based on sexual orientation and gender identity, this paper investigates how claimants are made to ‘prove’ their sexual orientation and gender identity. The IRB and its decision makers require that claimants prove their identity as a refugee as well as a member of a sexual minority. Through an analysis of the existing literature and by integrating queer and feminist theoretical concepts on gender, sex, performativity and representation, it is apparent that the Canadian IRB functions as a heteronormative system in which the understanding of sexual orientation and gender identities are essentialized.

Disparities in Subjective Cognitive Impairment by Sexual Orientation and Gender in a National Population Based Study of U.S. Adults, 2013–2018

2021 ◽  
pp. 089826432110464
Author(s):  
Karen I. Fredriksen-Goldsen ◽  
Hailey Jung ◽  
Hyun-Jun Kim ◽  
Ryan Petros ◽  
Charles Emlet
Keyword(s):  
Cognitive Impairment ◽  
Sexual Orientation ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Population Based ◽  
Population Based Study ◽  
Subjective Cognitive Impairment ◽  
Targeted Interventions ◽  
National Population ◽  
And Gender

Objectives: This is the first national population-based study to examine cognitive impairment disparities among sexual minority mid-life and older adults. Methods: Using the National Health Interview Survey (2013–2018), we compared weighted prevalence of subjective cognitive impairment by sexual orientation and gender, among those aged 45 plus, applying logistic regressions adjusting for age, income, education, race/ethnicity, and survey years. Results: Sexual minorities (24.5%) were more likely to have subjective cognitive impairment than heterosexuals (19.1%). Sexual minority women had higher odds of greater severity, frequency, and extent of subjective cognitive impairment. Sexual minorities were also more likely to report activity limitations resulting from cognitive impairment and were no more likely to attribute limitations to dementia or senility. Discussion: Cognitive health disparities are of particular concern in this historically and socially marginalized population. The investigation of explanatory factors is needed, and targeted interventions and policies are warranted to address cognitive challenges faced by sexual minorities.

scholarly journals The role of country-level structural stigma on sexual orientation disclosure and discrimination in health care settings among lesbian, gay, and bisexuals across Europe

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Bränström ◽  
J E Pachankis
Keyword(s):  
Health Care ◽  
Sexual Orientation ◽  
Health Care Providers ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Care Providers ◽  
Health Care Settings ◽  
Country Level ◽  
Disclosure Of Sexual Orientation ◽  
Sexual Orientation Disclosure

Abstract Background The national climate surrounding sexual minorities (i.e., those self-identifying as lesbian, gay, or bisexual [LGB]) varies greatly worldwide. Recent Cross-European studies have shown that country-level structural stigma is a strong determinant of sexual minority individuals health risk behaviors and mental health. The consequences of the significant country-level variation in structural stigma on sexual minorities’ experiences of health care discrimination and disclosure of sexual orientation to health care providers have not been previously investigated. Methods In 2012, 86 000 sexual minority individuals (aged 18 years and older) from all 28 European Union countries responded to questions concerning discrimination in health care settings and sexual orientation disclosure to health care providers (EU LGBT survey). Structural stigma was assessed using a combination of national laws and policies affecting sexual minorities and a measure of sexual minority acceptance among citizens of each country. Results Disclosure of sexual orientation to health care providers were much more common in low stigma coutries (e.g., the Netherlands, Sweden, UK) compared to high stigma coutries (e.g., Lithuania, Latvia, Slovakia). Experiences of discrimination in health care settings were more common among LGB indiviudals who were open about their sexual orientaiton and increased by degree of country-level structural stigma. Conclusions Disclosure of sexual orientation and experiences of discrimination in health care settings varies greatly among LGB individuals in Europe largely due to structural stigma surrounding sexual minorities. Main messages These findings highlight the importance of eliminating legislation, policies, and national attitudes that promote the unequal treatment of sexual minorities in currently unsupportive European countries.

The Influence of Applicant Sexual Orientation, Applicant Gender, and Rater Gender on Ascribed Attributions and Hiring Recommendations of Personal Trainers

2010 ◽  
Vol 24 (4) ◽  
pp. 400-415 ◽  
Author(s):  
George B. Cunningham ◽  
Melanie L. Sartore ◽  
Brian P. McCullough
Keyword(s):  
Sexual Orientation ◽  
Analysis Of Variance ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Job Applicants ◽  
Future Directions ◽  
Job Applicant ◽  
Personal Trainers ◽  
Organization Analysis ◽  
Personal Trainer

The purpose of this study was to examine the influence of job applicant sexual orientation on subsequent evaluations and hiring recommendations. Data were gathered from 106 students (48 men, 57 women) who participated in a 2 (applicant sexual orientation: heterosexual, sexual minority) × 2 (rater gender: female, male) × 2 (applicant gender: female, male) experiment related to the hiring of a personal trainer for a fitness organization. Analysis of variance indicated that sexual minority job applicants received poorer evaluations than did heterosexuals. These effects were moderated by the rater gender, as men provided harsher ratings of sexual minorities than did women. Finally, applicant ratings were reliably related to hiring recommendations. Results are discussed in terms of contributions to the literature, limitations, and future directions.

scholarly journals Capacity to Consent to Sexual Risk

2014 ◽  
Vol 17 (1) ◽  
pp. 103-134 ◽  
Author(s):  
Elaine Craig
Keyword(s):  
Sexual Minority ◽  
Sexual Minorities ◽  
Legal Capacity ◽  
Capacity To Consent ◽  
Legal Rules ◽  
Human Interactions ◽  
Alternative Approach ◽  
Intellectual Capacity ◽  
Definition Of ◽  
The Relationship

In delineating the legal boundaries of capacity to consent to sexual touching, law makers and jurists must grapple with tensions between sexual liberty, morality, sexual minority equality interests, and public safety. Legal rules that stipulate that an individual cannot consent in advance to unconscious sexual activity, or that an individual under a certain age or with a particular intellectual capacity cannot consent to sexual touching have an impact on sexual liberty and should be justified. In this sense, defining legal capacity to consent to sex throws into relief the tensions between sexual liberty and the protection of sexual integrity. This is true across jurisdictions, regardless of the substantive definition of consent adopted by a particular legal system. This paper argues that establishing these limits based on normative assessments about specific sexual acts poses too great a threat to the liberty interests of women and sexual minorities. A better approach is to accept that in sex, as is probably true of all complex human interactions, an accurate application of the definitional turns on the particular. Context is everything. No sexual act, including one that objectifies, is inherently harmful. The paper offers an alternative approach by suggesting that laws defining capacity to consent should be justified on the basis of assessments of risk rather than moral assessments about sex. This stands to circumscribe law’s limits on sexual liberty in ways that are better for women and sexual minorities. What this approach does not resolve is the paradox presented by the reality that although sex is inherently contextual, criminal laws prohibiting violations of sexual integrity should not be applied contextually. The paper explores how a recent legal ruling in Canada denying the capacity to provide advance consent to unconscious sex reveals this paradox. The discussion concludes by asserting that the failure of law to exclude morally inculpable unconscious sex between ongoing sexual partners reveals the limits of law and in doing so suggests the need to reevaluate the law’s conception of the relationship between sexual liberty and sexual integrity.

scholarly journals Potential COVID-19 Vulnerabilities in Employment and Healthcare Access by Sexual Orientation

2021 ◽  
pp. LGBTQ-2020-0052
Author(s):  
Gilbert Gonzales ◽  
Emilio Loret de Mola
Keyword(s):  
Sexual Orientation ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Family Income ◽  
Adult Population ◽  
Healthcare Access ◽  
The United States ◽  
Severe Illness ◽  
Logistic Regression Models ◽  
The Individual

The 2019 coronavirus (COVID-19) pandemic has led to more than 235,000 deaths and 9 million reported positive cases in the United States. Most of the country implemented stay-at-home orders to prevent the spread of COVID-19, which has led to job losses and more than 40 million claims for unemployment insurance. The objective of this study was to estimate the potential impact of COVID-19-related closures in employment and healthcare access by sexual orientation. We used data from the 2015 to 2018 National Health Interview Survey and employment industry codes to describe the working adult population who may be vulnerable to COVID-19 job losses by sexual orientation. Multivariable logistic regression models identified the risk factors for working in a COVID-19-sensitive industry and differences in healthcare access by sexual orientation. We estimate that there may be approximately 1.7 million sexual minorities and 36.6 million heterosexual adults employed in industries that make them vulnerable to unemployment, uninsurance, and limited access to care. Nearly two-thirds of working adults—regardless of sexual orientation—are at risk of severe illness should they become infected with COVID-19. Almost half of the sexual minority and heterosexual adults in industries sensitive to COVID-19 may remain or become uninsured during the pandemic. Approximately 60% of sexual minorities and 40% of heterosexual adults in COVID-19-sensitive industries are renting their home or apartment (rather than owning their home). Because sexual minority adults vulnerable to the COVID-19 pandemic are renting or within family income ranges for premium tax credits in the individual insurance marketplaces, policymakers should consider expanding protections for renters and broadening special enrollment periods for people seeking coverage in the federal and state-based marketplaces.

Physical Health Disparities and Stigma: Race, Sexual Orientation, and Body Weight

2017 ◽  
Author(s):  
John F. Dovidio ◽  
Louis A. Penner ◽  
Sarah K. Calabrese ◽  
Rebecca L. Pearl
Keyword(s):  
Body Weight ◽  
Health Disparities ◽  
Sexual Orientation ◽  
Physical Health ◽  
Sexual Minorities ◽  
Social Groups ◽  
Theoretical Understanding ◽  
Future Directions ◽  
The Relationship ◽  
Overweight Or Obesity

This chapter reviews evidence of stigma and differences in physical health between members of dominant social groups and select disadvantaged social groups (defined by race, sexual orientation, and weight) and considers the direct and indirect ways that stigma can contribute to these differences in health. The goal of this chapter is to provide a deeper understanding of the relationship between stigma and health disparities for members of these groups. It considers how enacted, anticipated, and internalized stigmas influence, to varying degrees, health and health disparities experienced by Blacks, sexual minorities, and people with overweight or obesity. The chapter concludes by suggesting promising future directions for research. The new insights provided by this theoretical understanding can lead to interventions that reduce stigma as well as help members of these (and other) stigmatized groups better cope with the stigma they confront in their lives and thus realize better psychological and physical health.

scholarly journals Workshop: Predictors and developmental timing of mental health problems among sexual minority individuals

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Mental Health ◽  
Sexual Orientation ◽  
Social Anxiety ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Mental Health Problems ◽  
Population Based ◽  
Health Problems ◽  
Poor Mental Health ◽  
Social Stressors

Abstract As consistently shown across studies from various parts of the world, sexual minority individuals (e.g., those identifying as lesbian, gay, and bisexual [LGB]) are significantly at a higher risk for depression, anxiety, and suicidal thoughts and behavior when compared to heterosexuals. The increased risk for poor mental health among sexual minority populations is believed to be a consequence of LGB individuals’ increased exposure to specific social stressors related to navigating a stigmatized minority identity. Studies trying to explain health inequalities based on sexual orientation have mainly focused on so-called minority stress processes, such as discrimination, internalized homophobia, expectations of rejection, and stress of concealing one’s sexual orientation. This workshop will give examples of studies from various European countries on mental health predictors and trajectories by using various approaches such as population-based sampling, longitudinal data collection, and comprehensive theoretical frameworks. Dr. Gemma Lewis (University College London, UK) will present results showing that sexual orientation-based disparities in mental health are present already in early adolescence and increase throughout the school years. Arjan van der Star (Karolinska Institutet, Sweden) will present population-based data suggesting that openness about sexual orientation is not directly linked to lower risk of depression among sexual minorities, but is instead dependent on access to social support. Conor Mahon (Dublin City University, Ireland) will present results showing minority stressors as predictors of social anxiety among sexual minority men. Associate professor John Pachankis (Yale University, USA) will present results showing that, in addition to increased exposure to social stressors, barriers to societal integration can partially explain the elevated risk of suicidality among sexual minorities. Key messages Sexual minorities are a higher risk of mental health problems, such as depression, social anxiety, and suicidality, as compared to heterosexuals and these disparities can be identified early in life. Sexual orientation-based mental health disparities seem to be based both on disproportionate stigma-related stress and a higher prevalence of general risk factors for poor mental health.

scholarly journals Mental Health Disparities Mediating Increased Risky Sexual Behavior in Sexual Minorities: A Twin Approach

2020 ◽  
Vol 49 (7) ◽  
pp. 2497-2510
Author(s):  
Olakunle Ayokunmi Oginni ◽  
Patrick Jern ◽  
Frühling Vesta Rijsdijk
Keyword(s):  
Mental Health ◽  
Sex Differences ◽  
Sexual Behavior ◽  
Health Disparities ◽  
Sexual Orientation ◽  
Risky Sexual Behavior ◽  
Sexual Minorities ◽  
Mental Health Disparities ◽  
Genetic And Environmental Factors ◽  
The Relationship

Abstract Increased risky sexual behavior in sexual minorities relative to heterosexual individuals may be partly explained by mental health disparities, and both factors may be further jointly influenced by common genetic and environmental factors. However, these relationships have not been previously investigated. The objectives of the present study were to investigate mental health disparities as a mediator of the relationship between sexual orientation and risky sexual behavior, controlling for genetic and environmental effects in this relationship and testing for sex differences. Participants included 5814 twins from a Finnish twin cohort. Specified latent factors included sexual orientation, mental health indicators, and risky sexual behavior. Twin models were fitted to the factor structure of the data whereby a Cholesky decomposition on the factors was compared to a mediation submodel using OpenMx. Sex differences were tested in the final model. Phenotypically, mental health disparities partially mediated the relationship between sexual orientation and increased risky sexual behavior, with comparable effects in males and females. However, while this indirect route from sexual orientation to risky sexual behavior mainly contained transmitted genetic effects in males, there was a significant proportion of transmitted shared environmental effects in females. This is the first study to demonstrate that the mediation relationships between sexual orientation, mental health disparities, and risky sexual behavior are not confounded by genetic and environmental factors. The significant sex differences need to be recognized in future research and intervention design to improve sexual health in sexual minorities.

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