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Healthcare experiences of LGBTQ+ people: non-binary people remain unaffirmed. 女同性恋、男同性恋、双性恋和变性者(LGBTQ+)的医疗保健经历:非二元人群仍未得到肯定。
IF 2 Q2 SOCIOLOGY Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.3389/fsoc.2024.1448821
Dustin Z Nowaskie, Olwen Menez

Introduction: Lesbian, gay, bisexual, transgender, queer, and all sexually and gender diverse (LGBTQ+) people experience discrimination across many contexts, including healthcare environments. While some research has shown transgender people and non-binary people often endure higher rates of marginalization than cisgender, sexually diverse people, past data are limited.

Methods: A sample of LGBTQ+ people (N = 173) in the United States completed an anonymous, online, self-reported survey, which included the Consumer Assessment of Healthcare Providers and Systems and healthcare experience questions. Groups, including people who identified as cisgender, sexually diverse (n = 116), transgender (n = 24), and non-binary (n = 33), were compared using chi-square and multivariate analysis of covariance tests.

Results: Compared to cisgender, sexually diverse people, non-binary people were less likely to report feeling comfortable with a physical exam, having good mental health, respected by providers, that providers had adequate medical information, that providers could care for someone going through gender affirmation, and that hospital staff were comfortable interacting with them. Additionally, non-binary people were more likely to report hospital staff misgendering them.

Discussion: These unique LGBTQ+ subgroup differences may be secondary to identity-specific stigma that non-binary people face. More international studies are needed to elucidate these subgroup-specific healthcare experiences across LGBTQ+ identities.

导言:女同性恋、男同性恋、双性恋、变性人、同性恋者以及所有性取向和性别多样化(LGBTQ+)的人在包括医疗保健环境在内的许多环境中都会遭受歧视。虽然一些研究表明,变性人和非二元人遭受边缘化的比例往往高于顺性别者和性取向多样化者,但以往的数据却很有限:美国的 LGBTQ+ 人士(N = 173)完成了一项匿名的在线自我报告调查,其中包括 "医疗保健提供者和系统消费者评估 "和医疗保健经验问题。我们使用卡方检验和多变量协方差检验对各组(包括顺性别者、性取向多样化者(n = 116)、变性者(n = 24)和非二元性者(n = 33))进行了比较:与双性恋者、性取向不同者相比,非二元者不太可能表示在体检时感觉舒适、精神健康状况良好、受到医疗服务提供者的尊重、医疗服务提供者有足够的医疗信息、医疗服务提供者可以照顾正在进行性别确认的人,以及医院工作人员与他们互动时感觉舒适。此外,非二元性别者更有可能报告医院工作人员对他们的性别有误解:这些独特的 LGBTQ+ 亚群差异可能是由于非二元人所面临的特定身份污名造成的。需要更多的国际研究来阐明这些LGBTQ+身份亚群体特有的医疗保健经历。
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引用次数: 0
A needs-assessment survey of the high school LGBTQ+ environment by a health science center interprofessional team. 健康科学中心跨专业团队对高中 LGBTQ+ 环境的需求评估调查。
IF 2 Q2 SOCIOLOGY Pub Date : 2024-08-22 eCollection Date: 2024-01-01 DOI: 10.3389/fsoc.2024.1356007
Rafael Velasquez, Mary E Moore, Gabrielle Sheets, Christian Nieves-Rivera, Sonya Van Nuland, Martha Cuccia, Fern Tsien, Andrew D Hollenbach

Despite improvements in the awareness and acceptance of lesbian, gay, bisexual, transgender, queer, and other sexual and gender diverse (LGBTQ+) individuals, the LGBTQ+ community continues to experience discrimination, which can result in adverse health outcomes. In particular, LGBTQ+ youth have an increased risk of experiencing depression, substance abuse, and suicide. Societal stigma and rejection, bullying, and familial disapproval all contribute to these health disparities. In recognition of these inequities, an interprofessional team of biomedical faculty members, staff, and trainees from the Louisiana State University Health Science Center (LSUHSC) in New Orleans developed the needs-assessment evaluation, the Gender and Sexual Minority Youth Outreach Survey (GSMYO) for high school students. Health science centers have access to resources and experienced personnel who can provide support and education to high school students, teachers, and administrative staff. However, it is important to first determine the high schools' specific needs, attitudes towards LGBTQ+ acceptance, and their current resources. Faculty, staff, and trainees from the LSUHSC Science Youth Initiative (SYI) and the LSUHSC LGBTQ+ Organization, Tiger Pride, administered the short, anonymous survey to adolescents attending Southeast Louisiana high schools. English Language Learner (ELL) students received the survey in Spanish. Results from the GSMYO needs-assessment survey are presented. Other health science centers may adapt the presented survey to develop needs-based LGBTQ+ high school programs to address the educational and health inequities in their own communities, regardless of location or demographic region.

尽管人们对女同性恋、男同性恋、双性恋、变性人、同性恋者及其他不同性取向和性别的人(LGBTQ+)的认识和接受程度有所提高,但 LGBTQ+ 群体仍然遭受歧视,这可能导致不良的健康后果。特别是,LGBTQ+ 青少年患抑郁症、药物滥用和自杀的风险更高。社会的污名化和排斥、欺凌和家庭的不认可都是造成这些健康差异的原因。鉴于这些不平等现象,由新奥尔良路易斯安那州立大学健康科学中心(LSUHSC)的生物医学教职员工和受训人员组成的跨专业团队为高中生开发了需求评估评价工具--性别和性少数群体青年外展调查(GSMYO)。健康科学中心拥有资源和经验丰富的人员,可以为高中学生、教师和行政人员提供支持和教育。但重要的是,首先要确定高中的具体需求、对 LGBTQ+ 的接受态度及其现有资源。来自路易斯安那州立大学医学院科学青年行动(SYI)和路易斯安那州立大学医学院 LGBTQ+ 组织 Tiger Pride 的教职员工和受训人员对就读于路易斯安那州东南部高中的青少年进行了简短的匿名调查。英语语言学习者(ELL)学生收到了西班牙语版本的调查问卷。本报告介绍了 GSMYO 需求评估调查的结果。其他健康科学中心也可以调整所提交的调查,制定基于需求的 LGBTQ+ 高中计划,以解决其所在社区的教育和健康不平等问题,而不受地点或人口区域的限制。
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引用次数: 0
Please don't gayify!: an autoethnographic account of medicalised relationality for LGBTQI+ safe affirming medical health education and clinical practice. 请不要同性恋化!:关于 LGBTQI+ 安全平权医学健康教育和临床实践的医疗化关系的自述。
IF 2 Q2 SOCIOLOGY Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.3389/fsoc.2024.1438906
Mark Vicars, Mickey Deppeler

In this article, the authors, a cis-gender gay man and an Indigenous non-binary, two-spirit person, narrate their past encounters with health professionals and their experiences pursuing allied health care training as students. Taking an autoethnographic approach, the first author re-narrates how medical practitioners and students engage (or fail to engage) with the LGBTQIA+ community. They draw on gray documentation derived from an interaction with a consulting physician that highlighted a telling lack of knowledge about the LGBTQ+ community, including those with diverse sex characteristics and sexualities/manifesting as unconscious bias. This interaction provided the impetus to speak back to the experience of being reduced to a medical prognosis. The second author questions the hegemonic practices underpinning encounters with the medical model of response in tertiary education. Our remit in this paper is to question how adequately the specific needs of the LGBTQI+ population are being addressed by the medical model and to what extent aspiring clinicians understand how their actions can contribute to gender- and sexuality-based discrimination and stigmatization.

在这篇文章中,作者--一名顺性别同性恋者和一名土著非二元双灵者--讲述了他们过去与医疗专业人员的接触,以及他们作为学生接受联合医疗培训的经历。第一位作者采用自述方法,重新叙述了医疗从业者和学生如何与 LGBTQIA+ 群体接触(或未能接触)。他们从与一名咨询医生的互动中获得了灰色文献,该互动凸显了他们对 LGBTQ+ 群体(包括具有不同性特征和性取向的群体)缺乏了解/表现为无意识的偏见。这次交流为我们提供了动力,让我们回过头来谈谈被简化为医学预后的经历。第二位作者对在高等教育中以医学模式应对的霸权做法提出了质疑。我们在本文中的职责是质疑医学模式在多大程度上满足了 LGBTQI+ 群体的特殊需求,以及有抱负的临床医生在多大程度上了解他们的行为会助长基于性别和性取向的歧视与污名化。
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引用次数: 0
Social capital, education, and subjective well-being in Ecuador. 厄瓜多尔的社会资本、教育和主观幸福感。
IF 2 Q2 SOCIOLOGY Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.3389/fsoc.2024.1417538
Aracelly Núñez-Naranjo, Ximena Morales-Urrutia, Luis Simbaña-Taipe

The study examines the interaction between social capital, education, and subjective well-being in Ecuador, highlighting its impact on economic development. The study aims to understand the situation of social capital and subjective well-being and how the identified factors explain the impact on subjective well-being in the Ecuadorian population, using a descriptive and analytical approach with information from the World Value Survey database of waves 6 and 7. The main results show a significant relationship between social capital and subjective well-being, with positive influences such as justice and union membership, and negative effects of public administration and media. In conclusion, the importance of strengthening social capital and improving public services and communication to promote the well-being of the Ecuadorian population is emphasized.

本研究探讨了厄瓜多尔社会资本、教育和主观幸福感之间的相互作用,强调了其对经济发展的影响。研究旨在了解社会资本和主观幸福感的情况,以及所确定的因素如何解释对厄瓜多尔人口主观幸福感的影响,研究采用了描述性和分析性的方法,信息来自世界价值调查数据库第 6 波和第 7 波。主要结果表明,社会资本与主观幸福感之间存在重要关系,司法和工会会员等因素具有积极影响,而公共行政和媒体则具有消极影响。最后,强调了加强社会资本、改善公共服务和交流对促进厄瓜多尔人民福祉的重要性。
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引用次数: 0
Nasty wars and needy veterans? How cognitive polyphasia may explain conceptualizations of the U.S. Iraq and Afghanistan veterans as victims and heroes. 讨厌的战争和需要帮助的退伍军人?认知多语症如何解释美国伊拉克和阿富汗退伍军人作为受害者和英雄的概念。
IF 2 Q2 SOCIOLOGY Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.3389/fsoc.2024.1442649
Rita Helena Phillips

Representative opinion polls indicate that members of the U.S. public may hold dichotomous perceptions of their veterans. While the majority of the U.S. public appreciates and honors their veterans, they are also considered to suffer from war-induced trauma and physical disabilities. Victimizing attitudes toward the veteran population may result in stigmatization and a more difficult transition into civilian society. This may be particularly problematic for U.S. veterans who were deployed to Iraq and Afghanistan as this younger veteran population needs to reintegrate not only into civilian society but also into civilian workplace settings. The present study aims to uncover and unravel underlying rationalities that justify heroizing and victimizing sentiments in relation to Iraq and Afghanistan veterans. In order to delve beyond socially desirable reporting and cultural norms, in-depth semi-structured interviews with 29 individuals (20 non-veterans and 9 veterans) were conducted. Three themes were identified by thematic analysis: Theme 1 "Individual Understandings of the Deployments to Iraq and Afghanistan" represents an underlying framework that tainted perceptions of Theme 2 "Conceptualizations of war, deployment, and violence" and Theme 3 "Evaluations of the veteran's personality." If the deployments were considered justified, then veterans were heroized, characterized with supreme altruistic traits when compared with civilians. Negative effects on health that were arbitrarily related to deployment experience were classified as short-lived. If the deployments were scrutinized, then veterans were considered as naïve victims of a deceitful government, suffering from long-term health problems. Importantly, as discussions surrounding the legitimacy of the deployments were context-dependent, the participants were able to hold perceptions of veterans as victims and as heroes side by side. In conclusion, the heroization and victimization of veterans may be the result of considering different viewpoints, elucidating diversity and access to equivocal information in an increasingly complex social world. Although the present findings may require further validation, they suggest that changing negative, stereotyping perceptions of veterans may require a coherent rationale for deployments and uniform mission objectives.

有代表性的民意调查显示,美国公众对退伍军人的看法可能是两极分化的。虽然大多数美国公众对退伍军人表示赞赏和敬意,但他们也被认为遭受了战争造成的创伤和身体残疾。对退伍军人的受害态度可能会导致他们被污名化,更难过渡到平民社会。对于曾被派往伊拉克和阿富汗的美国退伍军人来说,这可能尤其成问题,因为这些年轻的退伍军人不仅需要重新融入平民社会,还需要重新进入平民工作场所。本研究旨在发现和揭示伊拉克和阿富汗退伍军人英雄化和受害者化情绪的内在合理性。为了超越社会期望的报道和文化规范,本研究对 29 人(20 名非退伍军人和 9 名退伍军人)进行了深入的半结构式访谈。通过主题分析确定了三个主题:主题 1 "个人对伊拉克和阿富汗部署的理解 "代表了一个基本框架,它影响了主题 2 "对战争、部署和暴力的理解 "和主题 3 "对退伍军人个性的评价"。如果部署被认为是合理的,那么退伍军人就被英雄化了,与平民相比,他们具有至高无上的利他主义特质。与部署经历任意相关的对健康的负面影响被归类为短暂的。如果部署受到审查,那么退伍军人就会被视为欺骗政府的天真受害者,长期遭受健康问题的困扰。重要的是,由于围绕部署合法性的讨论取决于具体情况,参与者能够将退伍军人视为受害者和英雄。总之,退伍军人的英雄化和受害者化可能是在日益复杂的社会世界中考虑不同观点、阐明多样性和获取模棱两可的信息的结果。尽管目前的研究结果可能还需要进一步验证,但这些结果表明,要改变对退伍军人的负面、刻板印象,可能需要有连贯的部署理由和统一的任务目标。
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引用次数: 0
Do male and female heads of households have different beliefs about gender equity among young people in Nigeria? 尼日利亚男女户主对年轻人性别平等的看法是否不同?
IF 2 Q2 SOCIOLOGY Pub Date : 2024-08-14 eCollection Date: 2024-01-01 DOI: 10.3389/fsoc.2024.1354991
Ozioma Patricia Nwankpa, Chinazom N Ekwueme, Ifeyinwa Akamike, Chinyere Ojiugo Mbachu, Obinna Onwujekwe

Introduction: Gender-transformative approaches (GTAs) have been successfully carried out to address harmful gender norms and power imbalances to promote more gender equitability. However, to improve the health and wellbeing of young people, it is necessary to involve household heads by positively transforming their beliefs on gender equity and norms.

Methods: This study was cross-sectional quantitative research undertaken in six local government areas in Ebonyi State, Nigeria. The study population consisted of household heads in households with young people aged 15-24 years. Data were collected for 15 days using paper and electronic copies of the questionnaire. Descriptive, bivariate, and logistic regression analyses were performed using Stata.

Results: The results showed that 46.32% of male and 62.81% of female heads of households disagreed with the statement "a good woman never questions her husband's opinions, even if she is not sure she agrees with them." Female heads of households aged 50 years and below with an odds ratio of 0.47 (p-value = 0.02) suggest they were 0.47 times more likely to have a positive attitude toward the rights and privileges of young girls. Male heads of households aged 50 years and below with an odds ratio of 1.05 (p-value = 0.84) suggest that they were 1.05 times more likely to have a positive attitude toward the rights and privileges of young girls.

Conclusion: This paper provides new knowledge on the gender norm attitude of male and female heads of households on the rights, privileges, and equity promotion of young boys and young girls, as well as its associated factors.

导言:性别变革方法(GTAs)已经成功地解决了有害的性别规范和权力不平衡问题,促进了性别平等。然而,要改善年轻人的健康和福祉,有必要让户主参与进来,积极转变他们对性别平等和规范的观念:本研究在尼日利亚埃邦伊州的六个地方政府辖区进行了横断面定量研究。研究对象包括有 15-24 岁年轻人的家庭的户主。使用纸质和电子版问卷收集了 15 天的数据。使用 Stata 进行了描述性分析、双变量分析和逻辑回归分析:结果显示,46.32% 的男性户主和 62.81%的女性户主不同意 "好女人从不质疑丈夫的意见,即使她不确定自己是否同意 "这一说法。年龄在 50 岁及以下的女户主对少女的权利和特权持积极态度的几率为 0.47 倍(P 值 = 0.02)。50 岁及以下男性户主对少女权利和特权持积极态度的几率为 1.05 倍(P 值 = 0.84):本文就男女户主对少男少女的权利、特权和公平促进的性别规范态度及其相关因素提供了新的知识。
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引用次数: 0
Editorial: Conversation analysis and sociological theory. 社论:对话分析与社会学理论。
IF 2 Q2 SOCIOLOGY Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI: 10.3389/fsoc.2024.1466130
Melisa Stevanovic, David Inglis, Emmi Koskinen, Anssi Peräkylä
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引用次数: 0
When artistic is altruistic: the power of beauty from P. A. Sorokin’s sociology to Building Beauty social project 当艺术是利他主义时:从 P. A. Sorokin 的社会学到 "建设美丽 "社会项目中的美的力量
IF 2 Q2 SOCIOLOGY Pub Date : 2024-08-09 DOI: 10.3389/fsoc.2024.1406156
Licia Paglione
The article contributes to the ongoing debates on the social value and sociological relevance of the arts by examining the intuitions of the Russian-American sociologist P. A. Sorokin (1889-1968) on the concept of “beauty” as a force akin to what he calls “Altruistic Creative Love”, both potentially catalysing a process of “fraternisation of humanity”. Starting from the author’s sociological reflections on the relationship between “Altruistic Love” and “beauty” and an analytical model of “altruistic artistic social action,” the article proposes the analysis of a specific social project named Building Beauty, promoted in Turin (Italy) by universities, public bodies and the third sector, which aims to foster the social inclusion of homeless people through participatory processes, discovering expressions of beauty with aesthetic and sociological relevance simultaneously, able to move social transformations.
本文通过研究美籍俄裔社会学家索罗金(P. A. Sorokin,1889-1968 年)对 "美 "概念的直觉,认为 "美 "是一种与他所称的 "利他主义创造性之爱 "类似的力量,两者都有可能催化 "人类友爱化 "进程,从而为当前关于艺术的社会价值和社会学意义的辩论做出贡献。文章从作者对 "利他之爱 "与 "美 "之间关系的社会学思考和 "利他主义艺术社会行动 "的分析模型出发,对一个名为 "建设美 "的具体社会项目进行了分析,该项目由大学、公共机构和第三部门在都灵(意大利)共同推动,旨在通过参与性进程促进无家可归者融入社会,同时发现具有美学和社会学意义的美的表现形式,从而推动社会变革。
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引用次数: 0
Editorial: Explaining and comparing ethnic and racial discrimination 社论:解释和比较民族歧视与种族歧视
IF 2 Q2 SOCIOLOGY Pub Date : 2024-08-09 DOI: 10.3389/fsoc.2024.1417315
P. Verhaeghe, Mariña Fernández-Reino, Valentina Di Stasio
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引用次数: 0
Embodying two shores of the Mediterranean Sea: the liminal masculinity of minors migrating alone to Spain 体现地中海两岸:独自移居西班牙的未成年人的边缘男性气质
IF 2 Q2 SOCIOLOGY Pub Date : 2024-08-08 DOI: 10.3389/fsoc.2024.1420112
Bakea Alonso, Valentina Longo, Álvaro Ruiz Garriga
The article aims to provide an analysis based on the practical experience of social intervention in violence prevention with migrant minors arriving alone in Spain. In order to offer keys and recommendations, and based on situated knowledge, we provide insights on how to approach the intervention framework from a methodological point of view using liminal spaces as border and transition places that need to be named and taken into consideration for a transformative work. Different metaphorical borders, characterized by tension and potential change, are analyzed from a gender and intersectional perspective. We discuss the Law-border and the tension between protection they receive as minors and exclusion/politics of suspicion they receive as migrants. The Age-border (children/men) is discussed taking into account the different gender regimes they cross. The Color-border: here issues of racism and colonialism are considered. Finally, we discuss the Masculinity-border and the tension between reception and the reproduction of violence. We use the concept of liminal masculinities as a specific state or form that subordinate or marginalized masculinity adopts in migrant minors, suspended legally, functionally, and biographically, among others borders.
本文旨在根据对独自抵达西班牙的未成年移民进行预防暴力社会干预的实践经验进行分析。为了提供关键信息和建议,我们以情景知识为基础,从方法论的角度,利用边缘空间作为边界和过渡场所,提供了如何处理干预框架的见解,这些边界和过渡场所需要命名,并考虑到变革工作。我们从性别和交叉的角度分析了以紧张和潜在变化为特征的不同隐喻边界。我们讨论了法律边界,以及他们作为未成年人受到保护与作为移民受到排斥/政治怀疑之间的紧张关系。年龄边界(儿童/男性)的讨论考虑到了他们跨越的不同性别制度。肤色边界:这里考虑了种族主义和殖民主义问题。最后,我们讨论了男性边界以及接收与暴力再现之间的紧张关系。我们使用 "边缘男性 "这一概念,将其视为未成年移民中从属或边缘化男性气质的一种特定状态或形式,在法律、功能和生物特征等边界方面都处于暂停状态。
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引用次数: 0
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