Journal of Homosexuality最新文献

While extensive research has explored patient-centered communication (PCC)'s therapeutic effects, less attention has been paid to its impact on sexual minority groups and their sleep health. Guided by Street's pathway model of health communication, this study investigates the relationships between PCC, health orientation, social support, and sleep health among sexual minorities. Specifically, it examined whether health orientation mediated the association between PCC and sleep health, and whether social support moderated this indirect relationship. Results from a national survey in China (N = 273) showed that PCC indirectly influenced sleep health among sexual minorities through its positive association with health orientation. Specifically, PCC was positively associated with health orientation, which, in turn, was linked to improved sleep health. Additionally, social support moderated this indirect relationship, with the effect of PCC on sleep health via health orientation being significant only at high levels of social support. This study provides insights for healthcare providers and policymakers to address health disparities among sexual minorities. Implementing patient-centered strategies, fostering social support networks, and promoting health orientation can contribute to improved sleep health and overall well-being among sexual minority individuals.

Stealth breeding is the act in which a man removes a condom during sexual intercourse without the consent of the male partner. This paper explores the context of stealth breeding among gay men in Brazil. Through in-depth interviews with ten gay men who have experienced stealthing, this study highlights its sexual and mental health consequences. The participants, aged 21-49, reside in urban areas of Brazil. Using thematic analysis, the results indicate the dynamics and consequences of stealth breeding, including the decision to seek post-exposure prophylaxis the following day, the reporting of sexually transmitted infections and HIV, the emergence of mental health concerns, and the lack of support from professionals and institutions. This phenomenon has resulted in a significant gap in scientific, legal, and social awareness, which requires urgent attention at the national and global levels. Understanding stealth breeding would assist in the development of preventive strategies, particularly among gay men, thus meriting increased clinical and research attention.

Intimate partner violence (IPV) is a devastating global health issue that impacts more than 1 in 3 women within their lifetime. Health outcomes of IPV can disproportionately impact the LGBTQIA2S+ communities, specifically queer women, including increased rates of anxiety, depression, chronic pain, and disability. Risk factors for help-seeking among queer women experiencing IPV, further known as Queer Women-IPV, are complex, and encompass heteronormative and cis-normative assumptions, discrimination, isolation, and stigma within healthcare, including by nurses. Using Whittemore and Knafl's framework for an integrative review, this review identified unique characteristics of Queer Women-IPV. Furthermore, an examination of how stigma and other discriminations impact healthcare access, and recommendations for nursing professionals are provided to ensure empowering care for Queer Women-IPV survivors. Main themes from the findings included differences in Queer Women-IPV tactics and power dynamics; Queer Women-IPV risk factors; health and quality of life outcomes; as well as the influence of stigma on help-seeking behaviors. Nursing has a significant role in ensuring that queer women have safer places and people to turn to. Recommendations for nursing practice and policy include integrating trauma and violence-informed care as universal standards, offering inclusive holistic screening, and instilling LGBTQIA2S+ education for nurses.

By developing its first Feminist International Assistance policy, Canada has positioned itself as an international feminist and diverse SOGIESC rights leader. However, the scarcity of references to sexual orientations, gender identities and expressions, and sex characteristics (SOGIESC) has raised questions on how these concepts were included in such a policy. This case study's objective is to better understand how Canadian policies play a role in including and normalizing diverse SOGIESC at the global level. We used documentary research, observations, and interviews to respond to that question. An abductive analysis was conducted, integrating a socio-ecological approach with emerging themes from the data. All socio-ecological levels were mobilized by Canadian actions toward SOGIESC normalization. Public policies were informed by a human rights-based approach and inclusive language. Canadian norms toward SOGIESC rights were conveyed within international communities by building bridges, positioning Canada as a political broker, while organizational resources remained limited. Individuals and their interpersonal skills were central in creating allyship through firsthand experiences. The importance of transpartisanship and stronger coordination of soft power emerged as new and practical strategies responding to inclusion and normalization challenges. These strategies could represent important interactive spaces and leaders, in a context of rising conservative right-wing coalitions.

Despite increasing research on LGBTQI+ people's experiences, studies specifically focusing on those aged 60 and older remain scarce. This group has faced unique challenges that younger generations may not have encountered. The aim of this study was to synthesize qualitative research on the lived experience of lesbian, gay, bisexual, trans, queer and intersex (LGBTQI+) people aged 60 years and older. We followed the ENTREQ reporting guidelines. Articles were searched in ASSIA, CINAHL, Medline, PsycInfo, Sociological Abstracts, and Sociological Services Abstracts, with additional gray literature searches. Out of 3207 articles, 1865 were assessed using the SPIDER (sample, phenomenon of interest, design, evaluation, research type) framework. The quality of 22 articles was evaluated using SBU guidelines. Eight articles, involving 169 LGBTQI+ participants aged 60-89 years from Australia, Canada, Sweden, and the United States were included. Reflexive thematic analysis revealed three themes: (a) the ongoing work of being open or of concealing, (b) the need for recognition and belonging, and (c) resilience despite challenges. Participants shared their journeys of self-discovery, highlighting their strength in the face of discrimination, as they continued to find their authentic selves over the years. While some positive and negative experiences were common across identities, others were specific for subgroups of participants, which should inform future studies.

2SLGBTQ+ people often depend on digital platforms, including social media, to connect with members of their community and curate support networks, especially during the COVID-19 pandemic, which has had devastating mental health impacts on marginalized populations. Unfortunately, these same platforms are often engulfed with homophobia and transphobic rhetoric and high rates of online violence targeted at 2SLGBTQ+ communities. To shed light on how digital platforms can help and/or hinder 2SLGBTQ+ people's mental health, we conducted a mixed-methods survey to examine mental health outcomes among 2SLGBTQ+ people in Nova Scotia, Canada, who have used digital platforms during and since the COVID-19 pandemic. The Health Equity Promotion Model was applied to analyze survey data collected from 119 participants and uncover how intersecting individual, structural, and technological factors and affordances impact 2SLGBTQ+ people's mental health. Our findings reflect the diversity and fluidity of 2SLGBTQ+ people's mental health experiences that cannot be viewed through a positivistic lens. We discuss the ethical implications of digital platforms and their mental health effects on marginalized populations and the importance of conducting intersectional research, and we conclude with recommendations to support 2SLGBTQ+ people's mental health.

This study examines the self-formation of Protestant allies within South Korea's heteronormative Protestant regime of truth, where opposition to LGBTQ rights remains strong. While conservative Protestant groups actively resist LGBTQ advocacy, some Protestants support sexual minorities despite facing personal and institutional risks. Drawing on Foucault's theory of subjectivation and Butler's concept of ethical subjectivation, this study frames allyship as an ongoing performative process shaped by relational encounters and acts of solidaristic engagement. Based on in-depth interviews with 12 Protestant individuals, it identifies key triggers for desubjectivation, such as disillusionment with Protestant institutions, unaccountable suffering, and exposure to counter-discourses, and examines the practices through which they reconfigure their subjectivity. These include participating in the Queer Culture Festival, publicly coming out as allies, and reappropriating religious rituals as acts of resistance. By disrupting the conditions of recognition within the Protestant regime of truth and destabilizing their prior Protestant identity, Protestant allies reconfigure their subjectivity and redefine what it means to be Protestant while assuming ethical responsibility for LGBTQ individuals.

This article delves into the affective lives, desires, and acts of resistance among queer women in late nin eteenth-century Denmark through the love letters of Flora Mathilde Freigaard Larsen to her girlfriend, Agnes Nathalie Olsen. Both women were registered as "public women," signifying their involvement in sex work under Denmark's regime of "statutory prostitution," which tightly regulated women's sexual activities. By exploring Flora's letters, preserved in police archives, this article illuminates the fragmented traces of working-class (queer) women's histories. Grounded in affect and queer theories, the article challenges the traditional narrative of queer history as a linear progression from repression to liberation. It highlights the complexities of queer women's lives at a time when same-sex relations between women fell outside legal scrutiny, revealing a nuanced interplay of desire, joy, and community within contexts of institutional control. It argues that a focus on rebellious affect within the archive reveals counter-disciplines fostered through community, belonging, and love. By foregrounding the voices and experiences of women who resisted sexual and gender norms, the article advances queer historiography, advocating for an archival approach embracing ambivalence and optimism to enrich queer historical narratives.

This study investigates the marginalization of the main character, Arthur Less, due to his homosexuality in Andrew Sean Greer's novel, Less. This analysis applies Gayatri Chakravorty Spivak's foundational paper "Can the Subaltern Speak?" as a theoretical framework. A qualitative research approach-that is, textual analysis-has been applied to the selected excerpts of the novel Less. The goal is to deconstruct and explore various dimensions of Less, the protagonist and his marginalization, including professional exclusion, personal insecurity, societal prejudice, and internalized homonegativity. The analysis concludes that a significant part of Less's marginalization is related to his oppression in a society that has established negative views on homosexuality. In turn, these views, grounded in the concept of internalized homonegativity, underline the level of his subalternity. Decentering Less based on Spivak implies applying this marginality to the position of the gay author. The findings of the analysis reflect the situation in which Less's contribution as a writer is systematically devalued by the dominating literary discourse. Besides, the extracted thematic is meant to demonstrate the intersectionality of Less's marginality, as other aspects of his identity-namely, age, professional status, and personal weakness-endorse his subaltern status.

The LGBT community is a hidden population that has only recently started to integrate into mainstream society in India. Though the community has been studied extensively, the clothing of its members has not received the same attention as other fields. Present study was planned with the objective to ascertain the community's struggles with clothing in India. Both primary and secondary data were utilized for this purpose. A systematic Review of Literature was carried out to explore the previous studies in this field. This was followed by primary data collection. Eleven participants- six gay men, three transgender women, one pansexual woman and one bisexual man were recruited through snowball sampling and participated in telephonic interviews. Based on the content analyses, three themes were established; (1) Creation and expression of gender/sexual identity through clothing (2) Identification and procurement of clothing and (3) Need for acceptance and integration through Fashion and Media. Specific issues related to clothing along with certain clothing practices of the LGBT community were successfully observed in the present study.