Identifying the needs of LGBTQ immigrants and refugees in Southern Arizona

This article reports on the results of a needs assessment conducted for lesbian, gay, bisexual, transgender, and queer (LGBTQ) immigrants, asylees, refugees, and their allies in Southern Arizona, and it is the first study of its kind in the United States. Utilizing interview data collected with migrants, allies, and service providers in Tucson, Arizona, this article presents findings on the quality of service provision provided to this very underserved community pertaining to health care, housing, and legal services. The assessment shows that no services are provided specifically for LGBTQ migrants, and most LGBTQ migrants turn to family and friends when they have needs. The most significant result of this study pertains to the lack of cultural competence and an overall deficiency in terms of cultural awareness when it comes to the specific needs of LGBTQ migrants.     

LGBTQ College Students’ Experiences With University Health Services: An Exploratory Study

ABSTRACT

Access to inclusive, equitable health care is central to the wellbeing of all college students yet little is known about LGBTQ students’ experiences with university health services. In this article, individual interviews with a convenience sample of 14 LGBTQ students at a large public university were analyzed to explore their perceptions of and experiences with the university’s health center and its services. Our findings demonstrate that the university is not adequately meeting their health care needs. Participants’ narratives offer insights into how to improve campus-based health services for LGBTQ students.     

Primary Care Providers’ Attitudes,Practices, and Knowledge in Treating LGBTQ Communities

ABSTRACT

Cultural competency in lesbian, gay, bisexual, transgender, and queer (LGBTQ) health care has been found to be lacking within various medical specialties, but no studies have compared competency among primary care providers. The authors compared 127 primary care providers’ cultural competency regarding LGBTQ health using a survey that assessed providers’ attitudes, practices, and knowledge. Overall, 78.0% of respondents agreed that they were comfortable treating LGBTQ patients. Yet many providers did not feel well informed on specific LGBTQ health needs (70.1%), on clinical management of LGBTQ care (74.8%), nor on referring patients with LGBTQ issues (78.7%). Overall accuracy on LGBTQ knowledge questions was 51.0%. This study revealed a lack of cultural competency and much need for improvement as primary care providers endorsed negative attitudes, biases, inconsistencies in clinical practice, and deficiencies in medical knowledge in specialty-specific ways. There is a need for greater LGBTQ-specific education to increase providers’ comfortability and competency in the needs, management, and referrals within LGBTQ health care.     

Understanding and Measuring LGBTQ Pathways to Health: A Scoping Review of Strengths-Based Health Promotion Approaches in LGBTQ Health Research

Health research traditionally has focused on the health risks and deficits of lesbian, gay, bisexual, transgender, and queer (LGBTQ) populations, obscuring the determinants that can promote health across the life course. Recognizing, appropriately measuring, and rendering visible these determinants of health is paramount to informing appropriate and engaging health policies, services, and systems for LGBTQ populations. The overarching purpose of this article is to provide an overview of the findings of a scoping review aimed at exploring strengths-based health promotion approaches to understanding and measuring LGBTQ health. Specifically, this scoping review examined peer-reviewed, published academic literature to determine (a) existing methodological frameworks for studying LGBTQ health from a strengths-based health promotion approach, and (b) suggestions for future methodological approaches for studying LGBTQ health from a strengths-based health promotion approach. The findings of this scoping review will be used to inform the development of a study aimed at assessing the health of and improving pathways to health services among LGBTQ populations in Nova Scotia, Canada.     

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.     

Measuring Geographic Migration Patterns Using <Emphasis Type="Italic">Matrículas Consulares</Emphasis>

In this article, we show how to use administrative data from the Matrícula Consular de Alta Seguridad (MCAS) identification card program to measure the joint distribution of sending and receiving locations for migrants from Mexico to the United States. Whereas other data sources cover only a small fraction of source or destination locations or include only very coarse geographic information, the MCAS data provide complete geographic coverage of both countries, detailed information on migrants’ sources and destinations, and a very large sample size. We first confirm the quality and representativeness of the MCAS data by comparing them with well-known household surveys in Mexico and the United States, finding strong agreement on the migrant location distributions available across data sets. We then document substantial differences in the mix of destinations for migrants from different places within the same source state, demonstrating the importance of detailed substate geographical information. We conclude with an example of how these detailed data can be used to study the effects of destination-specific conditions on migration patterns. We find that an Arizona law reducing employment opportunities for unauthorized migrants decreased emigration from and increased return migration to Mexican source regions with strong initial ties to Arizona.     

“Service” Municipal Administration as Part of the Development of Youth Entrepreneurship in Russia

The study offers a development of the social technologies of “service” municipal administration. The consumers’ opinions should be taken into consideration when determining the nomenclature and standards of their provision, which include the quality parameters that the consumers consider important. In addition, “service” relations imply the assessment of consumer satisfaction with the services and the correction of services based on the results of the assessment. Since this interaction implies communication between the municipal administration body and service users, it is necessary to focus on communicative technologies that are capable of providing a full cycle of service development and improvement for young entrepreneurs. Communications should help determine the expectations associated with a service, raise awareness thereof, and involve young people in the decisions related to the provision of services.     

Indentification and prioritization of needs of families by multiple groups: Residents,key informants,and agency directors

Needs assessment, an essential tool for planning human services, has not been widely used by service agencies. This paper reports an example of needs assessment, which indentified and prioritized serious problems and desired services of families residing in a large housing project. Data were based on random samples of three discrete but interrelated groups: residents, key informants, and agency directors, all of whom have a stake in the delivery of human services. The study attempted to integrate the perspectives of these diverse groups. Using both frequency of need expressed and importance given to the need by the three groups of assessors, important areas of common concern were assessed.The author appreciates the support provided by Ardon O. Schmidt and Charles R. Gibbs, chaplains of the U.S. Army.     

Race relations and racism in the LGBTQ community of Toronto: perceptions of gay and queer social service providers of color

This article explores race relations and racism within the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community of Toronto, Ontario, from the perspective of seven gay/queer social service providers of color. Social constructions of race, race relations, and racism were placed at the centre of analysis. Employing interpretive phenomenological analysis, findings indicated that intergroup and broader systemic racism infiltrates the LGBTQ community, rendering invisible the lived experiences of many LGBTQ people of color. The study contributes to a growing body of research concerning our understanding of factors underpinning social discrimination in a contemporary Canadian LGBTQ context.     

Positive Identity Experiences of Young Bisexual and Other Nonmonosexual People: A Qualitative Inquiry

The majority of LGBTQ psychological research focuses on dysfunction. The exclusion of strengths-based perspectives in LGBTQ psychology limits the understanding of LGBTQ mental health. In this article we report experiences that young bisexual and other nonmonosexual people perceive as affirming of their sexual identity. A 28-day, daily diary study was used to investigate whether bisexual-identified participants encountered positive experiences related to their sexual identity, and which type of experiences they perceived to be positive. Using a constructivist grounded theory approach, participants’ experiences were organized according to a social ecological model. Experiences were reported at the intrapersonal, interpersonal, and institutional levels, but most positive sexual identity experiences occurred at the interpersonal level. Implications for positive health outcome research and the integration of positive psychology with LGBTQ psychology are discussed, as well as study limitations.     

广东省女性非户籍人口状况——农业户口与非农业户口的对比分析

根据2010年第六次人口普查汇总数据和2005年人口抽样调查数据,本文对广东省女性非户籍人口的基本状况和流动特征进行了分析,并且对比分析了农业户口和非农业户口的女性非户籍人口的基本状况。由于户口性质的不同,女性非户籍人口内部也出现了分化,存在一些较为明显的差异。这些分析结果,为进一步了解和服务女性非户籍人口提供了一定的参考。     

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.     

Assessing Politicized Sexual Orientation Identity: Validating the Queer Consciousness Scale

Building on psychological theories of motivation for collective action, we introduce a new individual difference measure of queer consciousness, defined as a politicized collective identity around sexual orientation. The Queer Consciousness Scale (QCS) consists of 12 items measuring five aspects of a politicized queer identity: sense of common fate, power discontent, system blame, collective orientation, and cognitive centrality. In four samples of adult women and men of varied sexual orientations, the QCS showed good test-retest and Cronbach’s reliability and excellent known-groups and predictive validity. Specifically, the QCS was positively correlated with identification as a member of the LGBTQ community, political liberalism, personal political salience, and LGBTQ activism and negatively correlated with right-wing authoritarianism and social dominance orientation. QCS mediated relationships between several individual difference variables and gay rights activism and can be used with both LGBTQ people and allies.     

Understanding How Policy and Culture Create Oppressive Conditions for LGBTQ2S Youth in the Shelter System

This study examined the experiences that lesbian, gay, bisexual, transgender, queer, questioning, and two-spirit (LGBTQ2S) homeless youth have in shelters and the disjunctures that occur for this population in Toronto’s shelter system. The attitudes and behaviors of shelter workers and management toward LGBTQ2S youth were also explored. A critical action research approach, informed by critical ethnography and institutional ethnography was employed. Thirty-three people participated in this study in the Greater Toronto Area. The study triangulated data from interviews, focus groups, observations, and document analysis. The systemic enactment of homophobia, transphobia, and hegemonic masculinity are often normalized in shelters and create significant barriers to safe, accessible, and supportive services for LGBTQ2S youth. Excessive bureaucratic regulation and the lack of necessary bureaucratic regulation in highly significant areas play a key role in creating the disjunctures that occur for LGBTQ2S youth in shelters.     

A Review of the Literature on LGBTQ Adults Who Experience Homelessness

ABSTRACT

Little is known about lesbian, gay, bisexual, transgender, and queer (LGBTQ) adults who experience homelessness. The current review critically analyzes the scant literature on LGBTQ adults who experience homelessness, with a particular focus on: (1) pathways into homelessness; (2) support needs; (3) targeted programming; and (4) exits out of homelessness. A total of 143 articles were identified, and 16 articles met the criteria of appropriate age range, article quality, and relevance of topic. Results from this review demonstrate that homeless LGBTQ adults have unique physical and mental health challenges, largely concerning HIV and substance use. Transgender and gender non-conforming adults who experience homelessness encounter several challenges in the homelessness system, particularly in regard to safety and gender-affirming supports. Recommendations focus on practical implications for support and suggestions for future research.     

Queering the politics of lambda picture book finalists: challenging creeping neoliberalism through curricular innovations

In many instances, adults serve as gatekeepers for what books children are permitted to explore. Unfortunately, this means that most children have limited access to picture books with lesbian, gay, bisexual, transgender, and queer (LGBTQ) characters. In this article, we use queer pedagogy and observations about neoliberalism to provide a qualitative analysis of LGBTQ characters in picture books which were finalists for a Lambda Literary Award during 2000-2005. We examined the ways in which LGBTQ identities and relationships are negotiated and how sexual prejudice is treated. While it is improbable that the books we analyze would be embraced by proponents of neoliberalism, we also briefly consider some ways in which they may be inadvertently consistent with that perspective. The article closes with recommendations regarding discussion questions, additional readings, and educational activities aimed at guiding children, and adults, to appreciate a diversity of multidimensional identities and family structures, to develop strategies to respond constructively to emotional and physical violence, and to promote the public wellbeing. We hope that this analysis will lead to more frequent, productive, and expansive discussions of this literature among adults and children.     

The Migrant Border Crossing Study: A methodological overview of research along the Sonora–Arizona border

Increased border enforcement efforts have redistributed unauthorized Mexican migration to the United States (US) away from traditional points of crossing, such as San Diego and El Paso, and into more remote areas along the US–Mexico border, including southern Arizona. Yet relatively little quantitative scholarly work exists examining Mexican migrants’ crossing, apprehension, and repatriation experiences in southern Arizona. We contend that if scholars truly want to understand the experiences of unauthorized migrants in transit, such migrants should be interviewed either at the border after being removed from the US, or during their trajectories across the border, or both. This paper provides a methodological overview of the Migrant Border Crossing Study (MBCS), a unique data source on Mexican migrants who attempted an unauthorized crossing along the Sonora–Arizona border, were apprehended, and repatriated to Nogales, Sonora in 2007–09. We also discuss substantive and theoretical contributions of the MBCS.     

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.     

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.