Journal of Homosexuality最新文献

Individuals who identify as a sexual minority, including those who are lesbian, gay, or bisexual (LGB), face barriers to healthcare as well as increased discrimination, stigmatization, and negative experiences during healthcare use. Further, few healthcare providers have education and training focused on the specific healthcare needs of individuals who are part of a sexual minority group. Given the limited research on Canadian healthcare access for sexual minorities, our purpose was to use data (n > 2,800) from the 2015-16 Canadian Community Health Survey (CCHS) to investigate the perceptions of healthcare access for LGB and non-LGB Canadians. Although non-LGB and LGB participants reported comparable access to a regular care provider and were equally likely to have consulted with a general practitioner in the past 12 months, LGB respondents were more likely to have seen a specialist and reported more unmet health needs. Although we expected the linear effects of both race and sex to vary by LGB status, this effect only occurred in one model. Current results have implications for addressing health inequalities for sexual minorities, including poorer health outcomes and greater discrimination.

The aim of the present study was to assess the psychometric properties of a Swedish translation of the Sexual Orientation Microaggressions Scale (SOMS) in a convenience sample of 267 Swedish LGB+ people (Mean age = 36.41). Testing suggested some strengths in terms of factor structure and 2-week test-retest reliability (ICC > .79). Also, internal consistency (α = .80-.91) and convergent validity were supported for most subscales. However, the Assumption of Deviance subscale was associated with low response variability and internal consistency (α = .35), and the correlational pattern between the Environmental Microaggressions subscale and mental health variables diverged from the overall trend. Furthermore, measurement invariance between homo- and bisexual participants was not supported for most subscales, and although microaggressions would be theoretically irrelevant to a small comparison sample of heterosexual people (N = 76, Mean age = 40.43), metric invariance of the Environmental Microaggressions subscale was supported in comparison to LGB+ people. We argue that these limitations suggest a restricted applicability of the SOMS in a Swedish context, and this has consequences for the definition and operationalization of the construct of microaggressions as a whole. Therefore, more research on the latent properties of microaggressions in Swedish as well as in other contexts is required.

This qualitative research uses a case study to observe non-binary representation in TV fiction. The Dan character from the Spanish series HIT (RTVE, 2020-present), who is the first openly non-binary character in Spanish TV fiction, is analyzed through the lens of Queer Media Studies. The research applies a combination of content and discourse analysis. Qualitative content categories include a character's visibility, identity, relevance, embodiment, and social interaction. Discourse analysis categories include character's construction, lexicalization, propositional framing, and focus. Results show that Dan's non-binary depiction revolves around three significant axes: dualism, confusion, and exceptional talent. These axes frame social attitudes toward non-binary people and are composed by a set of features identified in Dan's case which also informs society's mind-sets. These traits are proposed as an analytical-theoretical tool for further analyses of non-binary representation in different cultural contexts. The outcomes of this research may inform audiovisual industries, regulations and academia, and are useful to consolidate non-binary media studies.

Grindr is a popular geospatial networking application (GSNA) among gay, bisexual, and men who have sex with men (GBMSM); it can be used for variety of goals (e.g. finding dates, making friends, or coordinating a hookup) depending on the user's wants. These needs and wants, however, do not arise in a vacuum. Informed by uses and gratification (U&G) theory, this paper examined individual factors such as race, body image and depression as drivers of the motivations behind Grindr usage In an online cross-sectional survey (N = 102), we explored the antecedents of six different motivations (i.e. friendship, sex, entertainment, romantic partnership, social inclusion, and location-based community) for Grindr use among GBMSM. The results revealed that romance and friendship motives increased Grindr usage compared to the other four motivation categories. Across motivation categories, habitual Grindr usage was a significant driver of continued Grindr use. Individual factors such as race, sociosexuality and self-disclosure also influenced users' motivations to use Grindr. Overall, the results point to individual factors eliciting differing motivations for Grindr use, resulting in either outcome-based or passive usage of the application.

Including a "something else" response option for survey questions about sexual identity significantly moderates estimated differences between sexual identity subgroups in terms of behaviors and attitudes reported in U.S. health surveys. We hypothesize that these moderation effects will be larger in states with negative policies that fail to protect sexual minorities from discrimination. We tested this hypothesis by linking public-use data from the National Survey of Family Growth (2015-2019), which randomly assigned respondents to receive either a four-category measure of sexual identity, including "something else" as a response option, or a three-category measure omitting "something else," to year-specific state-level policy data from the Movement Advancement Project, which tracks state policies related to sexual minorities. In multivariable models for measures of substance use, reproductive health, family formation, and other correlates of health, we tested three-way interactions involving sexual identity, measurement type, and state-level policy classification. As hypothesized, we find repeated evidence (10 of the 32 health-related measures analyzed) of changes in the moderating effects of question type on sexual identity differences, with more prominent effects in negative policy environments. Suboptimal measurement of sexual identity may therefore have the largest negative effects on estimated health disparities in states with fewer protective policies.

Research on the views and experiences of older LGBTQ+ adults accessing long-term care (LTC) identifies concerns of discrimination and identity loss. However, what the concept of psychological safety means to this population in LTC and later-life housing has been neglected. Understanding psychological safety could help ensure the needs of LGBTQ+ elders are understood and considered more appropriately in LTC planning and operation. Thirty-six older LGBTQ+ adults were interviewed individually or in focus groups. Data were analyzed inductively using reflexive thematic analysis. Eleven subthemes were identified and organized around six main themes: 1) historical impact on psychological safety, 2) discrimination in the current living context, 3) acceptance from others and self, 4) belonging and connection, 5) protection and security, and 6) moving away from heteronormative care. This novel study found that the past and current experiences of LGBTQ+ elders with discrimination and its impact on psychological safety need to be understood and incorporated within staff training. Acceptance, belonging and connection, and protection and security strengthened psychological safety. LTC services and its staff need to move away from heteronormative care, present positive LGBTQ+ attitudes, and show an understanding and awareness of LGBTQ+ intergenerational and intercommunity similarities and differences to engender psychological safety.

Faith-based colleges often navigate a complex terrain where religious convictions sometimes conflict with the presence of queer students on campus, leading to Title IX discrimination challenges. Within the legal and policy landscape, a critical aspect often overlooked by campus leaders is the provision of resources and support aimed at nurturing queer students' religious identities. Pulling from a sample of n = 887 queer students, multilevel regression results showed that utilizing campus safety and financial aid services, joining an LGBTQ+ student organization, participating in intergroup dialogue, and engaging in religious discussions with other students may contribute to religious identity salience.

The school, like many other social institutions, is not immune from the far reaches of heteronormativity. To further understand and challenge such an oppressive regime, our study paid closer attention to how selected gay men wield their agency in the context of higher educational institutions (HEIs) in the Philippines. Our analysis is anchored on the assumptions of the theory of the Chordal Triad of Agency (CTA). This theory sees agency as constructed temporally (past, present, and future) through social engagements or relational contexts of action. Data were drawn from in-depth interviews with 30 self-identified gay faculty. This empirical study reveals that the critical forms of social engagement in exercising gay agency are academic, interpersonal, and public in nature. Informed by the dimensions of the CTA, the specific ways of wielding gay agency are distancing strategically and displaying masculinity (iterative dimension); dissenting intellectually (practical-evaluative dimension); and segueing lessons, transforming time stereotypes, and queering tasks (projective dimension). This article not only reveals the power of dissent, as evident in the multiple and creative ways gay agencies are wielded, but also examines the conducive role of academic freedom offered by HEIs.

Due to multiple minority statuses, transgender women of color are exposed to minority stress through distal (external) stressors from society causing proximal (internal) stress, leading to potentially negative physical and mental health outcomes. Often considered allies to the transgender community, cisgender members of the LGBTQIA+ "community" have historically presented different plights resulting in divergent rights, protections, and societal views. Guided by the minority stress framework, a secondary analysis of individual interviews and focus groups (n = 20) with transgender women of color was performed. Participants shared experiences of distal and proximal minority stressors when discussing the cisgender LGBTQIA+ "community" and mitigating resilience factors. Four main themes emerged: 1) preference for cisgender presentation; 2) discrimination and exclusion; 3) mistrust; and 4) resilience. This is the first study to demonstrate direct mental and physical health risks for transgender women of color associated with discrimination and exclusion by members of the cisgender LGBTQIA+ "community." Negative experiences resulted in health care avoidance, verbal assault, social exclusion, mistrust of providers, and barriers to transgender-affirming care. Future research must consider minority stress to advance the understanding of LGBTQIA+ within-group marginalization and foster equitable opportunities for transgender women of color and other gender minorities.

There are scant LGBT+ studies in Southeast Asia exploring mental health differences across multiple social identities. Using data from the Malaysian KAMI Survey (n = 718), we conducted bivariate regression analyses to investigate the association between sociodemographic backgrounds and the prevalence of depression, anxiety, non-suicidal self-injury, and suicidality. Results showed that younger participants, those questioning their sexual orientation (compared to gay or lesbian), cisgender women, trans men, and non-binary individuals (compared to cisgender men) reported significantly higher levels of mental ill-health. Our intercategorical analysis builds a foundation for future intersectional-based research in response to public health challenges for vulnerable LGBT+ groups.