Pathways Into Homelessness Among LGBTQ2S Adults

ABSTRACT

This article examines entries into homelessness among adults who identify as LGBTQ2S (lesbian, gay, bisexual, transgender, queer, two-spirit). Twenty LGBTQ2S adults who were currently or formerly homeless participated in one qualitative interview. The interview protocol included questions on the participants’ history of homelessness, causes of homelessness, and relationship of their gender and/or sexual identity to their homelessness. Data were analyzed using an iterative coding process. Results demonstrated that the participants listed both structural (i.e., discrimination) and intrapersonal (i.e., substance use) variables related to their homelessness. In particular, substance abuse was a common antecedent of their homelessness, and some participants linked their homeless experiences to discrimination and victimization based on their sexual and/or gender identity. The results are discussed in terms of interventions to prevent homelessness among LGBTQ2S adults and support their exits out of homelessness.     

A Decade of Microaggression Research and LGBTQ Communities: An Introduction to the Special Issue

ABSTRACT

Though the Supreme Court of the U.S. legalized same-sex marriage in 2015, heterosexism and transphobia has continued to manifest through many systems in the US — from lack of federal protection in employment non-discrimination laws to polices that prohibit transgender people from using bathroom and public facilities that match their gender identities. Heterosexist and transphobic discrimination have also persisted through interpersonal interactions — ranging from more overt forms (e.g., hate crimes, bullying) to more subtle forms of discrimination, otherwise known as microaggressions. Since 2008, there have been hundreds of articles written on microaggressions, with dozens focusing specifically on experiences of lesbian, gay, bisexual, transgender, and queer (LGBTQ) people. Qualitative and quantitative studies have revealed that LGBTQ people who experience microaggressions have reported negative outcomes like depression, low self-esteem, and trauma. This special issue aims to further Microaggression Theory by providing theoretical and empirical papers that focus on the manifestation and impact of microaggressions on LGBTQ people. Using an interdisciplinary approach, articles range in topic from intersectional identities, to health and psychological outcomes, to advancing research methods. Future studies regarding microaggressions and LGBTQ people are discussed- highlighting the influence of the changing landscape of heterosexism and transphobia within general society, as well as new dynamics that have formed and developed within LGBTQ communities.     

Overlooked and Invisible: Everyday Experiences of Microaggressions for LGBTQ Adolescents

ABSTRACT

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) adolescents face a number of challenges in their lives related to heterosexism and cissexism. Drawing on the microaggressions framework, we conducted two focus groups with LGBTQ adolescents (n = 11; ages 14–18, six trans/genderfluid, one person of color) to (1) explore the type and nature of microaggressions experienced by LGBTQ adolescents; (2) assess the relevance of existing LGBTQ microaggression taxonomies for this group; and (3) understand the impact of microaggressions on LGBTQ adolescents. Participants’ experiences of microaggressions reflected complex forms of discrimination emerging from the intersections of sexual and gender identity.     

Several Common Bonds: Addressing the Needs of Gay and Bisexual Men in LGBT-Specific Recovery Housing

ABSTRACT

Recovery housing is a promising way to augment the substance use continuum of care, but we know little about the experiences of members of the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community who live in them or about residences specifically for them. Within the LGBTQ community, gay, bisexual, and other men who have sex with men (MSM) often experience co-occurring syndemic conditions (e.g., trauma, depression, HIV) that present unique recovery challenges. Using qualitative data gathered from residents living in a recovery residence specifically for gay and bisexual men and from community key informants, we examine the experiences of men living in the home and factors that facilitate operating it. Findings highlight the need for residences that can address syndemic burden among gay and bisexual men in recovery and identify programmatic and community-level factors critical to operating residences for this population.     

An Intersectional Analysis of LGBTQ Online Media Coverage of the Pulse Nightclub Shooting Victims

ABSTRACT

This study illustrates the radical potential of intersectionality to offer a more deeply critical analysis of hierarchies in lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities. The author examines how 377 reports from the five most-trafficked LGBTQ Web sites represented victims of the Pulse nightclub shooting in Orlando, FL. Findings support previous scholarship that has emphasized Latinx exclusion, as the articles generally failed to present the victims in an intersectional way, focusing on their LGBTQ status and excluding their Latinx identities. At the same time, a significant minority of the reports emphasized Latinx queer people, most frequently in a way that continued to prioritize LGBTQ identification, sometimes even advancing stereotypical representations of Latinx communities as extraordinarily focused on faith, family, or “machismo.” Moreover, none of the articles considered xenophobia as a potential motivating factor in the shooting, and the reports typically presented policing agencies in a neutral, and sometimes even positive, way.     

Emergence and Development of LGBTQ Studies in Post-Socialist Bulgaria

ABSTRACT

This article explores the development of LGBTQ studies and scholarship in Bulgaria. In part, it brings to the forefront the personal experiences of some of the first Bulgarian scholars working on LGBTQ studies. The personal is interpreted in part through explorations of Bourdieu’s concept of “symbolic violence.” Elaborating on the challenges regarding the emergence and the development of LGBTQ studies on an institutional and personal level, I discuss three main topics: (1) the emergence and the development of LGBTQ scholarship and university courses in Bulgaria; (2) the main institutional obstacles and the “symbolic violence” within the academia against scholars dealing with LGBTQ subjects, including issues of funding, evaluation, and discrimination; and (3) the future development of the subject in Bulgaria, with a particular attention to the need for “LGBTQ studies solidarity” to overcome the disadvantaged position of LGBTQ scholars in post-socialist countries.     

“It Makes My Skin Crawl”: Women’s experience of breastfeeding aversion response (BAR)

ProblemSome women who intend to breastfeed experience a breastfeeding aversion response (BAR) while breastfeeding.BackgroundLittle is known about the experience of those who have feelings of aversion while breastfeeding.AimThis study aimed to investigate the experiences of women who have an aversion response to breastfeeding while their infant is latched at the breast. This is the first study that aims to understand this breastfeeding aversion response (BAR) as described by women who experience this phenomenon.MethodsInterpretative phenomenological analysis (IPA) was used to conduct and analyse ten semi-structured in-depth interviews with women who self-identified as experiencing BAR.FindingsFour overarching themes were identified: (1) Involuntary, strong sensations of aversion in response to the act of breastfeeding, (2) Internal conflict and effects on maternal identity, (3) The connection between BAR and relationships with others, and (4) Reflections on coping with BAR and building resilience.DiscussionSome women who intend to breastfeed can experience BAR, and this negative sensation conflicts with their desire to breastfeed. BAR can impact on maternal wellbeing. Those who experience BAR may benefit from person-centred support that directly addresses the challenges associated with BAR to achieve their personal breastfeeding goals.ConclusionThe experience of BAR is unexpected and difficult for mothers. If support is not available, BAR can have detrimental effects on maternal identity, mother–child bonds, and intimate family relationships.     

Heterosexism,Depression, and Campus Engagement Among LGBTQ College Students: Intersectional Differences and Opportunities for Healing

LGBTQ people experience health disparities related to multilevel processes of sexual and gender marginalization, and intersections with racism can compound these challenges for LGBTQ people of color. Although community engagement may be protective for mental health broadly and for LGBTQ communities in buffering against heterosexism, little research has been conducted on the racialized dynamics of these processes among LGBTQ communities. This study analyzes cross-sectional survey data collected among a diverse sample of LGBTQ college students (n = 460), which was split by racial status. Linear regression models were used to test main effects of interpersonal heterosexism and engagement with campus organizations on depression, as well as moderating effects of campus engagement. For White LGBTQ students, engaging in student leadership appears to weaken the heterosexism–depression link—specifically, the experience of interpersonal microaggressions. For LGBTQ students of color, engaging in LGBTQ-specific spaces can strengthen the association between sexual orientation victimization and depression.     

Perceptions of the LGBTQ College Campus Climate Scale: Development and Psychometric Evaluation

ABSTRACT

This article reports the development and psychometric properties of scores on a new scale designed to assess views of the university/college campus climate concerning LGBTQ students and issues: Perceptions of the LGBTQ College Campus Climate Scale. This 6-item scale includes two subscales: College Response to LGBTQ Students and LGBTQ Stigma. We provide evidence for structural validity (via exploratory and confirmatory factor analyses) and reliability for scores on this new measure. Supporting construct validity, Perceptions of the LGBTQ College Campus Climate full scale and subscales were each positively correlated with experiences of LGBTQ victimization on campus, anxiety, and depression and negatively correlated with satisfaction with college and intention to persist in college. Relationships with mental health and academic outcomes held true, even after controlling for LGBTQ victimization experiences, providing support for incremental validity. Implications for future research and practice are discussed.     

Barriers and enablers for midwives using endorsement for scheduled medicines: A literature review

ProblemThere are currently 429 midwives in Australia who hold the Nursing and Midwifery Board of Australia’s Endorsement for scheduled medicines for midwives. Little is known about how midwives are using the endorsement and what factors impact on its use.ObjectiveTo critically examine the literature to discover what the barriers and enablers are for midwives to use the endorsement.MethodA search was undertaken examining literature published since 2004. Due to a lack of articles specific to midwifery, the search was widened to include literature related to similar non-medical health professions. The search was divided into two streams: accessing the Medicare Benefits Schedule and accessing the Pharmaceutical Benefits Scheme and prescribing. Twenty-six primary articles from 2009 onward met the review criteria.FindingsAlthough singular barriers and enablers to both streams were identified, many of the themes act as both enabler and barrier. Themes common to both the Medicare Benefits Schedule focus and the Pharmaceutical Benefits Scheme and prescribing focus are that of medical support, scope of practice, ongoing support from health care consumers and management, and endorsement processes. Barriers occur approximately three times more frequently than enablers.ConclusionBarriers and enablers occur for various reasons including legislative, regulatory, organisational, and the individual’s support for and attitude towards these roles. To overcome barriers and facilitate the success of emerging non-medical extended practice roles, significant buy-in and investment is needed across all levels of the health system. The review highlights a significant gap in knowledge about the endorsement’s use in midwifery.     

Sexual and Gender Diversities: Implications for LGBTQ Studies

ABSTRACT

This think piece provides a critical analysis of the terms lesbian, gay, bisexual, transgender, and queer (LGBTQ) from an international perspective that draws on citizenship studies, providing some indications of the implications for LGBTQ studies. It outlines difficulties with the LGBTQ acronym in the Global North and South. Internationally, scholarship to support the human rights of non-heterosexuals and gender-diverse people is badly needed, but the think piece concludes that it is crucial to consider the social context of different cases, and to address the materialist, cultural, neo-colonial, and other forces that affect the formation of non-heterosexual and gender-diverse identities.     

The Normalization Project: The Progress and Limitations of Promoting LGBTQ Research and Teaching in Mainland China

ABSTRACT

This article reflects on the author’s own experience of promoting LGBTQ research and teaching in mainland China, where the fight for institutional legitimacy and recognition has been a core element in this journey. After a historical survey of how Chinese LGBTQ research has grown out of the particular sociopolitical milieu, it focuses on a discussion of the “normalization project”—a key approach to both create and expand the institutional space for LGBTQ studies. Apart from the positive effects this project entails, this article also critically examines its limitations by bringing into the picture certain critical perspectives.     

Advancing Research on LGBTQ Microaggressions: A Psychometric Scoping Review of Measures

ABSTRACT

Understanding the nature and consequences of LGBTQ microaggressions is critical to fostering equity and wellbeing among sexual and gender minorities. Yet little guidance is available for researchers seeking psychometrically robust measures of subtle LGBTQ slights, invalidations, and insults. To address this gap, we conducted a scoping review of multi-item quantitative measures that included at least one question addressing LGBTQ microaggressions. This article reports the study characteristics and psychometric properties of 27 original measures we identified and their subsequent adaptations. The article concludes with an assessment of strengths and limitations of LGBTQ microaggression measurement, highlighting aspects of measurement innovation on which future researchers can build. As microaggressions remain a powerful and underexplored mechanism of sexual and gender minority oppression, this review will help to both advance methodological quality in this critical research area and enhance our understanding of how microaggressions manifest in the lives of LGBTQ individuals.     

Hungarian Medical Students’ Knowledge About and Attitude Toward Homosexual,Bisexual, and Transsexual Individuals

ABSTRACT

Discrimination that LGBTQ individuals experience in health care settings might affect their health and intention of using health care services. However, health needs of LGBTQ patients are still inappropriately addressed in the medical curriculum. First-, third-, and fourth-year medical students (N = 569) from the four Hungarian medical universities participated in a study in 2017 to assess knowledge about homosexuality, homonegativity, and their attitude as health care professionals toward sexual minorities. We found that higher levels of knowledge about homosexuality were associated with lower levels of homonegativity, upper-grade level in university, not being religious, and having close LGBTQ acquaintances. Our results suggest that it may be necessary to introduce LGBTQ themes in the medical curricula (not only in Hungary, but also in other countries) in order to improve the knowledge and attitude of medical students and thereby improve the health care of LGBTQ individuals.     

The Last Closet: LGBTQ+ Studies and Social Class

ABSTRACT

This essay examines the intersection of queerness and social class as it impinges on the field of LGBTQ+ studies. Specifically, it considers some of the disciplinary aims of queer critique in relation to the challenges facing first-generation queer scholars; in so doing, it suggests how forms of difference operate in relation to the personal over time. As a discipline committed to intersectional frameworks, LGBTQ+ studies (and its ongoing evolution) might thus usefully foreground overlapping understandings of outsiderness: namely, how queerness might be experienced as a form of class, and how class might be experienced as a form of queerness.     

“A Whole Bunch of Love the Sinner Hate the Sin”: LGBTQ Microaggressions Experienced in Religious and Spiritual Context

ABSTRACT

Research on microaggressions experienced by LGBTQ people has focused largely on a general understanding of this concept; however, no research exists that focuses exclusively on microaggressions that LGBTQ people face across religious and spiritual communities. The present study addressed this gap in the literature by using a qualitative method to allow LGBTQ people (N= 90) to directly report microaggressions that they have experienced within their religious and spiritual communities. Thematic analysis revealed three predominant themes: (1) LGBTQ identities as inauthentic; (2) religious/spiritual tolerance of LGBTQ Identities, and (3) LGBTQ and religious/spiritual identities as incompatible. Implications and future directions discussed.     

Same-Sex Marriage and the Assimilationist Dilemma: A Research Agenda on Marriage Equality and the Future of LGBTQ Activism,Politics, Communities,and Identities

ABSTRACT

This special issue of the Journal of Homosexuality, examines the impact of the marriage equality movement and the resulting landmark U.S. Supreme Court decision, Obergefell v. Hodges (2015) that legalized same-sex marriage in the U.S., on lesbian, gay, bisexual, transgender, and queer (LGBTQ) activism, politics, communities, and identities. The articles in this issue examine the complicated ways in which the discourse used in same-sex marriage court cases is related to heteronormative discursive frames; the lived reality of married same-sex couples and the complex ways in which they think about marriage and heteronormativity; the ways that heteronormativity is racialized, which affects how African Americans perceive the impact of same-sex marriage on their lives; how same-sex marriage has influenced public opinion and the likelihood of anti-gay backlash; and the impact of same-sex marriage on family law. In this article, I draw on the empirical research from these articles to develop a theoretical framework that expands a multi-institutional (MIP) approach to understanding social movements and legal change. I build on and develop three conceptual tools: the assimilationist dilemma, discursive integration and cooptation, and truth regime. I conclude by laying out an agenda for future research on the impact of same-sex marriage on LGBTQ movements, politics, identities, and communities.     

Factors influencing Aboriginal and Torres Strait Islander women’s breastfeeding practice: A scoping narrative review

BackgroundThe nutritional and health benefits of breastfeeding for infants and young children are well-established however rates of breastfeeding initiation and duration for Aboriginal and Torres Strait Islander children are lower than non-Indigenous children.AimTo describe factors influencing breastfeeding practice amongst Aboriginal and Torres Strait Islander women.MethodsA scoping narrative review was conducted using the Joanna Briggs Institute framework. A search was conducted in four online databases (PubMed, Scopus, ANU SuperSearch, and Science Direct). Findings were analysed using [30] narrative synthesis.FindingsThis review included 9 journal articles, a conference summary and a book. This review identified four factors influencing women’s breastfeeding practice; sources of support, culturally appropriate care, intention to breastfeed and social determinants.ConclusionMultiple social determinants resulting from colonization have interrupted traditional infant feeding practices and women’s sources of support. Although Aboriginal and Torres Strait Islander women have strong intention to breastfeed, their breastfeeding outcomes are impacted by lack of pro-breastfeeding support when encountering breastfeeding challenges as well as norms surrounding the use of infant formula milk. Culturally appropriate care is essential for identifying women’s needs and avoiding stereotyping. Further research is needed to investigate the effectiveness of breastfeeding interventions for this group of women.