Sexual Orientation,Gender, and Gender Identity Microaggressions: Toward an Intersectional Framework for Social Work Research

ABSTRACT

Professional ethics compel social workers to address all forms of discrimination and oppression. Microaggressions can contribute to health disparities for marginalized groups; yet, little is known about the frequency, mechanisms, and impact of microaggressions on sexual minorities, cisgender women, and gender minorities—particularly for those with intersecting marginalized identities. This article extends microaggression literature by exploring interrelated constructs of sexual orientation, gender, and gender identity microaggressions, and offering recommendations for future research using an intersectional lens to foster an integrated and complex understanding of microaggressions. Implications of an intersectional microaggression framework for social work education and practice are discussed.     

“You Don’t Get Respect if You Give No Respect”: How Black and Latino Youth Make Sense of Encounters with Police

ABSTRACT

The study documents opinions about the police among black and Latino youth and explores how these assessments reflect differences in lived experiences and frames of interpretation of police encounters across gender and race/ethnicity. This specification is important to better understand how youth navigate interactions with law enforcement and how discrete experiences are interpreted in the context of other contacts of racial and gender inequality. We draw on interviews with 43 black and Latino youth, ages 13–21, compiled as part of a project on police stops in New York City. Although our findings indicate that youth tend to see the police negatively, we note considerable heterogeneity, with Latinos/as conveying more mixed views of law enforcement and females signaling more negative perceptions. We tie these differences to variation in the type, volume, and quality of encounters with the police, as well as the saliency of direct and indirect experiences.     

Queering Climate Change: Exploring the Influence of LGBTQ+ Identity on Climate Change Belief and Risk Perceptions*

Although researchers have broadly addressed how race, party identification, political ideology, and binary gender categories influence climate change opinions, little attention has been paid to the relationship between sexuality and gender variance (LGBTQ+ identity broadly) and climate change perceptions. Using a quota-based survey from 2022 that approximates the US population on key demographic characteristics and oversamples LGBTQ+ individuals, we assess the degree to which LGBTQ+ individuals' climate change beliefs and risk perceptions are comparable to cisgender, heterosexual (cishet) individuals, specifically examining climate change beliefs, the perceived threat climate change poses, and worry about climate change. We argue that LGBTQ+ individuals' views are likely to be distinct from their cisgender heterosexual (cishet) counterparts for three reasons: climate change is likely to exacerbate existing structural inequalities, create disaster responses that reinforce heteronormative and discriminatory patterns, and activate LGBTQ+ political culture. We find evidence that LGBTQ+ individuals express higher agreement with climate change beliefs, identify climate change as a greater threat, and worry more about climate change when compared to their cishet counterparts.     

Gender Minority Social Stress in Adolescence: Disparities in Adolescent Bullying and Substance Use by Gender Identity

Bullying and substance use represent serious public health issues facing adolescents in the United States. Few large-sample national studies have examined differences in these indicators by gender identity. The Teen Health and Technology Study (N = 5,542) sampled adolescents ages 13 to 18 years old online. Weighted multivariable logistic regression models investigated disparities in substance use and tested a gender minority social stress hypothesis, comparing gender minority youth (i.e., who are transgender/gender nonconforming and have a gender different from their sex assigned at birth) and cisgender (i.e., whose gender identity or expression matches theirs assigned at birth). Overall, 11.5% of youth self-identified as gender minority. Gender minority youth had increased odds of past-12-month alcohol use, marijuana use, and nonmarijuana illicit drug use. Gender minority youth disproportionately experienced bullying and harassment in the past 12 months, and this victimization was associated with increased odds of all substance use indicators. Bullying mediated the elevated odds of substance use for gender minority youth compared to cisgender adolescents. Findings support the use of gender minority stress perspectives in designing early interventions aimed at addressing the negative health sequelae of bullying and harassment.     

Missing from the Conversation: Sexual Risk Factors Across Young People by Gender Identity and Sexual Orientation

Abstract

Objectives: Lesbian, gay, bisexual, and queer/questioning (LGBQ), and transgender/nonbinary (trans/NB) youth experience health disparities. Much research combines gender identity with sexual orientation or siloes them, ignoring intersections. Methods: Logistic regressions with representative data from 2015 Healthy Kids Colorado Survey (n?=?15,970) explores sexual risk. Results: Findings indicate LGBQ and trans/NB youth have differential levels of sexual risk (drugs during sexual interactions, not using condoms) compared to cisgender heterosexual peers. Other identities, mental health, and bullying are also related. Conclusions: There is a need for culturally responsive bullying prevention, mental health support, education, and sexual health services for marginalized populations.     

A Two-Question Method for Assessing Gender Categories in the Social and Medical Sciences

Three studies (N = 990) assessed the statistical reliability of two methods of determining gender identity that can capture transgender spectrum identities (i.e., current gender identities different from birth-assigned gender categories). Study 1 evaluated a single question with four response options (female, male, transgender, other) on university students. The missing data rate was higher than the valid response rates for transgender and other options using this method. Study 2 evaluated a method of asking two separate questions (i.e., one for current identity and another for birth-assigned category), with response options specific to each. Results showed no missing data and two times the transgender spectrum response rate compared to Study 1. Study 3 showed that the two-question method also worked in community samples, producing near-zero missing data. The two-question method also identified cisgender identities (same birth-assigned and current gender identity), making it a dynamic and desirable measurement tool for the social and medical sciences.     

Gender Category and Gender Status: A Critical Distinction

Gender has been of explicit analytical interest in sociology for decades. Despite its centrality to the field, “gender” eludes conceptual specificity in significant ways, such as lacking distinction between gender category (identification as a man, woman, nonbinary, etc.) and gender status (the state of being cisgender or not). I contend that the cisgender status is a rich site of interpersonal and institutional power that has been understudied. This work forwards the concepts of gender category and status as analytical tools to help explore key elements of gender interaction and structure, such as cisness. I argue cisness must be teased out via the express distinction between gender category and status, and I provide empirical evidence from 75 interviews with various gendered actors (i.e., cisgender men, cisgender women, transgender men, transgender women, nonbinary individuals) to demonstrate the applied purchase of my findings.     

Foreclosing Fluidity at the Intersection of Gender and Sexual Normativities

Binary gender and sexuality are socially constructed, but they structure thought at such a deep level that even those critical of sexism and homophobia can unwittingly reproduce them, with consequences felt most profoundly by those whose gender/sexual identity defy binary logic. This article outlines a generic pattern in the reproduction of inequality we call foreclosing fluidity, the symbolic or material removal of fluid possibilities from sexual and gender experience and categorization. Based on 115 responses from people who are both sexually and gender fluid and a reading of existing sociologies of gender and sexualities from a fluid standpoint, we demonstrate how lesbian/gay/straight, cisgender, and transgender women and men—regardless of intentions—may foreclose fluidity by mobilizing cisnormative, transnormative, heteronormative, and/or homonormative beliefs and practices. Examining patterns of foreclosing fluidity may provide insight into (1) the further incorporation of fluid people and standpoints into symbolic interactionism, and (2) the reproduction and persistence of sexual and gender inequalities.     

Bathrooms,Boundaries, and Emotional Burdens: Cisgendering Interactions Through the Interpretation of Transgender Experience

Building on findings demonstrating that social institutions may cisgender realities by creating and enforcing binary notions of gender rooted in cisgender experience, this study examines the ways cisgender people reinforce cisnormative gender binaries in their ongoing interactions. Utilizing interviews with 99 cisgender people, I show how respondents react to a vignette about a gender nonconforming person seeking to use a public bathroom by “cisgendering interactions,” which I define as the process whereby people reassert binary understandings of gender to make sense of transgender experience while placing an unequal emotional burden on transgender and gender nonconforming people to mend the interactional disruption of the gender panic. Additionally, my analysis extends transgender scholarship by demonstrating some ways cisgender people make sense of transgender people in public spaces. In conclusion, I draw out insights for understanding (1) the ways people cisgender their realities in the face of conflicting stimuli, (2) the ways in which emotions are a mechanism of inequality reproduction, and (3) the consequences these actions have for the perpetuation of gender inequality.     

Disclosure Stress,Social Support,and Depressive Symptoms Among Cisgender Bisexual Youth

Bisexual youth are at elevated risk for depression when compared with lesbians and gay men. Research on bisexual stigma suggests that these youth are uniquely vulnerable to stress related to sexual identity disclosure. Depression associated with this stress may be buffered by social support from parents and friends. We examined the differential influence of social support from parents and friends (Child and Adolescent Social Support Scale) on the relation between disclosure stress (LGBTQ Coming Out Stress Scale) and depressive symptoms (Beck Depression Inventory) and differences by gender in a sample of cisgender bisexual youth (N = 383) using structural equation modeling. Parental support buffered the association between stressful disclosure to family and depressive symptoms, especially for bisexual men; bisexual women seemed not to benefit from such support when disclosure stress was high. This nuanced examination elucidates the ways family members and clinicians can best support bisexual youth sexual identity disclosure.     

The Gender Identity of Pedophiles: What Does the Outcome Data Tell Us?

ABSTRACT

The aim of this study was to determine whether pedophiles have a different gender identity profile compared with non-sexual offenders. Participants were 87 male adult subjects, divided into three groups: (a) 27 pedophiles who abused male victims, (b) 30 pedophiles who abused female victims, and (c) 30 non-sexual offenders. The gender identity factor was measured with the Mf scale of the MMPI and the Bem Sex Role Inventory (BSRI). Results indicated no significant inter-group differences in terms of gender identity. However, the order of the three groups regarding scores on the Bem-Masculinity and the Mf scale was as predicted. Conceptual and empirical elements related to gender identity are addressed in order to shed light on potential disturbances in the gender identity of pedophiles.     

Self-Reported Gender Identity and Sexuality in an Online Sample of Cisgender,Transgender, and Gender-Diverse Individuals: An Exploratory Study

The relations between self-reported aspects of gender identity and sexuality were studied in an online sample of cisgender (n = 4,954), transgender (n = 406), and gender-diverse (n = 744) groups. Aspects of gender identity and sexual fantasies, attraction, behavior, and romantic relations were assessed using the Multi-gender Identity Questionnaire (Multi-GIQ) and a sexuality questionnaire. Results show a wide spectrum of gender experiences and sexual attractions within each group, an overlap among the groups, and very weak relations between atypical gender identity and atypical sexuality. At the group level, aspects of gender identity and sexuality were mainly predicted by gender and sex-gender configuration, with little contribution of sex assigned at birth. A principal component analysis (PCA) revealed that measures of gender identity and of sexuality were independent, the structure of sexuality was mostly related to gender, whereas the structure of gender identity was mostly related to sex-gender configuration. The results of both approaches suggest that measures of gender identity could roughly be divided into three classes: one including feeling as a man and feeling as a woman; a second including measures of nonbinary and “trans” feelings; and a third including feeling as a “real” woman and feeling as a “real” man. Our study adds to current scientific data that challenge dichotomous conventions within gender identity and sexuality research. Possible social and clinical implications are discussed.     

Response to Fugard and Hines

ABSTRACT

This article replies to the responses to my article on “Sex and the Census: Why surveys should not conflate sex and gender identity“. Fugard conflates sex itself with the characteristics associated with sex, such as finger length ratios, leading to the erroneous implication that binary sex is not a useful explanatory variable. Hines fundamentally misrepresents my article, claiming that I have argued against asking respondents to the 2021 Census about their gender identity. In fact I make clear that information on gender identity is useful, but cannot replace data on sex. Muddling gender identity and sex will lead to the collection of inaccurate data on both. Hines resorts to a series of ad hominem attacks rather than engaging with the substance of the argument. Neither Fugard nor Hines is able to give a reason why we should not seek to collect accurate data on sex in the census or elsewhere.     

Male-to-Female Transgender Youth

Abstract

Thirty-one male-to-female transgender youth reported on their gender identity, gender expression, gender atypicality, and their parents' responses. Youth felt, acted, and were told they were different between eight and nine years of age. Many were called sissies and told to change their behavior by parents; more gender-atypical youth reported childhood parental abuse.     

Gender roles and social control

Drawing upon social control theory in criminology, this paper examines the relationship between gender roles and the inhibitors of deviance. We develop and test hypotheses that “traditional” females, defined in terms of either position in the social structure or gender‐role attitudes, perceive higher levels of three types of sanctions assocíated with crime than do males; while “nontraditional” females are similar to males in their perceptions of sanctions. Results indicate that while changing gender roles and gender‐role attitudes affect perceived threats of guilt‐feelings and social stigma, they do not appear to influence women's perceptions of legal sanctions.     

Associations of Bisexual-Specific Minority Stress and Health Among Cisgender and Transgender Adults with Bisexual Orientation

Among sexual minorities, bisexuals are at the greatest risk for poor health due in part to prejudice and stigma. This research examined associations of bisexual-specific minority stress and health among cisgender (non-transgender) and transgender adults with bisexual orientation. Participants were 488 adults (378 cisgender women, 49 cisgender men, 61 transgender individuals), age 18 to 66 years, with bisexual orientation based on identity and/or attractions to multiple genders. Participants completed an online survey. Hierarchical linear regression analyses were conducted with sexual minority stress and bisexual-specific minority stress as the predictors and physical health, measured by the 36-Item Short Form Survey (SF-36), as the outcome. Models controlled for demographic variables. Moderation analyses were conducted to test for gender differences. Greater bisexual-specific minority stress significantly predicted poorer overall physical health (β = ?0.16), greater pain (β = ?0.16), and poorer general health (β = ?0.25) above and beyond the effects of sexual minority stress. Gender moderated the association between bisexual-specific minority stress and health, such that bisexual-specific minority stress predicted overall physical health and role limitations for transgender individuals but not for cisgender women. Addressing bisexual-specific minority stress is necessary to improve the health and well-being of bisexual individuals.     

Gender Labor,Assimilationism, and Transformative Practices: The Relational Negotiations of Cisgender Women and their Transgender Men Partners

Despite the rise in research on the experiences of transgender men (female‐to‐male, FTM) in recent years, little academic attention has been paid to the partners of these individuals. The experiences of a large portion of this population, cisgender women whose partners transition from female to male, provide a unique perspective on how individuals negotiate performances of normative gender ideals and heteronormative practices in transitioning non‐normative relationships. Research has shown that when these cisgender women find themselves in relationships that are socially defined as heterosexual, they often begin questioning their sexual orientation in relation to their partner's gender identity as well as the role and applicability of their beliefs regarding gender equality and anti‐heteronormative practices. This article provides an overview of the current literature that addresses the enactment of gender labor, the practice of reaffirming another person's gender through physical, emotional, and sexual care, by cisgender women whose partners transition from female to male. Specific focus is given to how, in some situations, the performance of gender labor manifests in assimilationist ways that adhere to typically heteronormative frameworks as well as how, in others, the performance of gender labor manifests in potentially transformative and destabilizing ways that serve to challenge normative structures. Gaps in the existing literature as well as directions for future research are also explored.     

Sex and the census: why surveys should not conflate sex and gender identity

ABSTRACT

The UK census authorities have proposed guidance for the 2021 census indicating that the sex question may be answered according to subjective gender identity. This raises issues about the measurement of sex and gender identity which other data collection exercises are also contending with. This paper addresses the questions that have arisen regarding the census, before going on to explain how these questions have emerged more widely. Finally, I address the difficulties of discussing the collection of data on sex in a climate of policy capture and silencing.