Health care issues among lesbian, gay, bisexual, transgender and intersex (LGBTI) populations in the United States: Introduction

This supplemental issue of the Journal of Homosexuality presents research that explores a variety of health care issues encountered by lesbian, gay, bisexual, transgender and intersex (LGBTI) population groups in the United States over the 10-year period from 1993 to 2002. Topics include access to health care, utilization of care, training of medical and mental health providers, and the appropriate preparation of clinical offices and waiting areas. Authors used a variety of community-based public health research methods, including participant and provider surveys and retrospective chart reviews of patients, to develop this body of research, providing a recent-historical perspective on the complex health care and health-related needs of sexual and gender minorities. Particularly for transgender and intersex populations, the state of research describing their health care needs is in its infancy, and much remains to be done to design effective medical and mental health programs and interventions.     

Health Behavior Change and the College Personal Health Class: A Multifaceted Approach

Abstract

Both the literature review and the results of a behavioral change project conducted at the University of Oregon indicate that health courses can bring about positive lifestyle changes when behavior is made a focus of the class. A multi-faceted behavioral intervention strategy was developed and used with 433 students enrolled in personal health classes during the fall term, 1983. At the end of the term, 23% of the students reported they were 100% successful in obtaining their desired behavioral changes. Another 40% reported they had just missed their goal. Overall, it appears the intervention was highly successful. More research is needed to validate the approach.     

Differences between sexual orientation behavior groups and social background,quality of life,and health behaviors

Within the literature, there is some question as to whether bisexual or homosexual persons practice more unhealthy lifestyles and experience a lower quality of life than heterosexual individuals. This study examined possible differences between sexual orientation behavior groups (homosexual, bisexual, heterosexual, and no sex partners) on demographic and social background variables, quality of life variables, lifestyle and health variables, and mental health or health background variables in a series of seven national probability samples between the years 1988 and 1996. Respondents were asked to report the sex of their sexual partners since they were age 18 and in the last 12 months. Data from a total of 11,543 interviews were collected by the National Opinion Research Center. Although there were some demographic and social background differences among the sexual orientation behavior (SORB) groups, there was little evidence that the behavioral dimension of sexual orientation is either strongly or directly related to quality of life, lifestyle, or health indicators. The report closes with a consideration of future research questions for this issue.     

The peculiar convergence of Jeffrey Alexander and Erik Olin Wright

Jeffrey Alexander and Erik Olin Wright are among the leading sociologists of their generation. Each has published his magnum opus in the past several years: The Civil Sphere (Alexander) and Envisioning Real Utopias (Wright). This paper—a dual review essay—lays out the core arguments of each work; situates each within the personal and intellectual contexts of its production; and critically assesses each in terms of its contributions to sociological theory and research. It also argues that the works converge (unexpectedly, given Alexander’s intellectual origins in neo-functionalism and Wright’s in neo-Marxism) upon a common intellectual position, that of Deweyan pragmatism. It tries to make sense of Alexander’s and Wright’s peculiar dual voyage in a Deweyan direction and offers some reflections as to what that journey might tell us about social theory and political thought today.     

Land,territory and commons: voices and visions from the struggles

ABSTRACT

All over the world, financial capitalism and extractivism are appropriating land as if it was nothing more than a commodity, a mere ‘factor’ of production that can be exploited to generate financial returns. Movements and activists are organizing, resisting, protecting and promoting life-giving visions against this continuous enclosure of living beings and paces: they use their bodies, laws, educational projects, histories and visions to regain control over territory as a political space, self-determine and create solidarities. In the act resistance, they are the target of moral, physical and legal violence. They and their ideas are criminalized, disciplined, punished and in some cases exterminated. In this contribution, activists from the Basque Country, Guatemala, Kenya and the Six Nations and a group of academics get together to learn from each other, support the ongoing search for common vocabularies and identify possible milestones of a coordinated and international strategy for a life-enhancing future.     

Anxiety and Ambivalence: NGO–Activist Partnership in China’s Environmental Protests, 2007–2016

This article examines how partnership between social organizations and popular protests is affected by the state in the field of environmental activism. Drawing upon content analysis and in-depth interviews, we study non-governmental organization (NGO) engagement with 22 grassroots environmental protests in China, 2007–2016. We find that NGOs and grassroots protesters were mostly distant from each other to avoid state repression and retribution, but NGOs occasionally collaborated with protesters in an ambivalent manner because state control was contradictory, fragmented, and varying. NGOs either used institutional means to support the protesters or were informally and invisibly involved in those protests. Our research contributes to studies of the triangular relationship between the state, NGOs, and social movements. Specifically, we find that when NGOs lack the institutional access to policy making but are not fully controlled by the state, they have both incentives and spaces to make joint actions with grassroots activists.

     

The personalisation agenda: the case of the Australian National Disability Insurance Scheme

As part of the international trend towards personalisation, in 2013 Australia launched a major disability scheme aiming to give participants greater choice and control over services. The scheme aims to cover a wide diversity of disabilities, services and significant geographical area – resulting in a highly complex system of local overlapping markets. At four years into implementation a range of challenges have emerged. In this paper we firstly describe the Australian National Disability Insurance Scheme, then explore a range of implementation challenges it currently faces as a large-scale personalisation scheme. Based on these experiences we pose a range of questions for similar schemes internationally.     

An Analysis of Specific Life Satisfaction Domains and Disordered Eating among College Students

Research has revealed that overall life satisfaction (LS) is negatively related to disordered eating. This study examined whether specific LS domains (e.g., family, friends, etc.) were more strongly associated with eating behaviors/weight perceptions (e.g., exercising to lose weight, using laxatives to lose weight, etc.) in 723 randomly selected college students analyzed separately by gender. Data were analyzed using logistic and multiple regression procedures. Results supported the hypotheses in the expected directions. College students’ weight perceptions had the strongest relationships with Satisfaction with Self and Satisfaction with Physical Appearance, and these relationships were stronger among females than males. Worrying about weight, self-described weight, and binge eating were significantly correlated with all LS domains (p < .05). Results suggest potential contributions of differentiating among the domains of LS in efforts to understand disordered eating among males and female college students. Implications for practice are discussed briefly.