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Showing papers in "Journal of Gay and Lesbian Social Services in 2021"


Journal ArticleDOI
TL;DR: Recommendations for health care providers working with transgender and gender diverse (TGD) individuals emphasize affirming clients’ identities, such as using correct pronouns and name, however, it is unknown how often gender specialists adhere to such recommendations.
Abstract: Recommendations for health care providers working with transgender and gender diverse (TGD) individuals emphasize affirming clients' identities, such as using correct pronouns and name, however it is unknown how often gender specialists adhere to such recommendations. Websites and intake forms of gender specialists were coded for use of affirming language, asking for pronouns and chosen name, and mention of TGD specialties and resources. Most websites identified the provider's specialty to work with TGD individuals, though much fewer provided additional resources concerning TGD issues and only half of intake forms included affirming language. Given previous research that has demonstrated providers working in states with legal protections for TGD individuals use affirming language more often than providers in locales without protections, association with state legal climate is also examined.

11 citations



Journal ArticleDOI
Darren Cosgrove1
TL;DR: In this article, the authors focus on the needs of transgender communities and clients, which has resulted in the advancement of transgender-affirming practice and services; however, they do not address the issues of gender identity and gender expression.
Abstract: Social work researchers have increasingly focused on the needs of transgender communities and clients, which has resulted in the advancement of transgender-affirming practice and services; however,...

7 citations


Journal ArticleDOI
TL;DR: For years now, the Indian healthcare system has been viewed through the lens of heteronormativity, sidelining sexual and gender minorities as discussed by the authors, and despite the lack of established data, an estimated 45.4 m...
Abstract: For years now, the Indian healthcare system has been viewed through the lens of heteronormativity, sidelining sexual and gender minorities. Despite the lack of established data, an estimated 45.4 m...

7 citations


Journal ArticleDOI
TL;DR: In this article, a qualitative study documents the variations in LGBTQ individuals' experiences with homelessness, focusing on young lesbians, gay, bisexual, transgender, and queer individuals, and concludes that "little information is available regarding how young lesbians and gay individuals enter homelessness."
Abstract: Little information is available regarding how young lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals enter homelessness. This qualitative study documents the variations in LGBTQ ...

7 citations


Journal ArticleDOI
TL;DR: Life story data regarding stress, coping, and identity were gathered, triangulated, and analyzed from 24 U.S. educators who identified as lesbian, gay, and bisexual (LGB) teachers, mentors, and coaches and four themes resulted.
Abstract: The focus of the phenomenological qualitative study was on the lived experiences of U.S. educators who identified as lesbian, gay, and bisexual (LGB). Life story data regarding stress, coping, and ...

7 citations


Journal ArticleDOI
Abstract: LGBTQ+ young adults often enter LGBTQ+ spaces seeking support and community, not expecting to find that they may face exclusion. In this paper, we explore narratives of LGBTQ+ young adults of exclu...

7 citations


Journal ArticleDOI
TL;DR: In this article, a qualitative Canadian study explores advance care planning among LGBTQ older adults living in non-metropolitan regions in the province of British Columbia and examines the level of engagement in care planning.
Abstract: This qualitative Canadian study explores advance care planning among LGBTQ older adults living in non-metropolitan regions in the province of British Columbia. We examined the level of engagement i...

6 citations


Journal ArticleDOI
TL;DR: In this article, reflections from transgender youth regarding experiences with toilet access, both in isolated gender-neutral facilities and standard gender segregated facilities in North America, were presented in a study.
Abstract: The current study presents reflections from transgender youth regarding experiences with toilet access, both in isolated gender-neutral facilities and standard gender segregated facilities in North...

5 citations


Journal ArticleDOI
TL;DR: The authors explored the retrospective school experiences of three cohorts of sexual minorities (Stonewall Generation, HIV/AIDS Generation, and Marriage Equality Generation) to learn how they experienced K-12 education, including interactions with educators.
Abstract: Sexual minority youth experience a variety of challenges that are further exacerbated by intersectionality and interactions with various educators. Using a directed form of empirical, qualitative research, the authors explored the retrospective school experiences (as part of life stories) of three cohorts of sexual minorities (Stonewall Generation, HIV/AIDS Generation, and Marriage Equality Generation). The aim was to learn how they experienced K-12 education, including interactions with educators. Four major categories were identified from the interview data: (a) unsupportive educators, (b) role of school counselors, (c) supportive educators, and (d) sexual minority teachers. Interactions with educators were either supportive or unsupportive and occurred at either the individual or school (institutional) level. Interactions at either of these levels were (a) explicit-intentional behavior(s) or implicit-chance behavior(s) and (b) related to academic and personal concerns.

5 citations


Journal ArticleDOI
TL;DR: In this article, data from the National Survey of Drug Use and Health (2015-2018) were analyzed to evaluate factors associated with past-year suicide among sexual minority adults in the US.
Abstract: Suicide among sexual minority adults is a serious public health issue. Data from the National Survey of Drug Use and Health (2015–2018) were analyzed to evaluate factors associated with past-year s...

Journal ArticleDOI
TL;DR: In this paper, the authors aimed to bridge the existing gap in the parent-child communications literature with a specific focus on parent-gay son communications regarding sexual identity, after coming out.
Abstract: This study aimed to bridge the existing gap in the parent-child communications literature with a specific focus on parent-gay son communications regarding sexual identity, after coming out. Ninetee...

Journal ArticleDOI
TL;DR: In this paper, the authors show that heterosexism negatively impacts the mental health of sexual minorities, although the degree to which people are impacted and the nature of how they respond to minority stressors varies.
Abstract: Heterosexism negatively impacts the mental health of sexual minorities, although the degree to which people are impacted and the nature of how they respond to minority stressors varies. In this sys...

Journal ArticleDOI
TL;DR: In this article, the authors proposed a tailored affirmative approach, where facilitators validate participants' lived experiences, to boost CBT's performance in reducing sexual and mental health risk reduction.
Abstract: Cognitive behavioral therapy (CBT) promotes sexual and mental health risk reduction. Tailored affirmative approaches, where facilitators validate participants’ lived experiences, can bolster CBT’s ...

Journal ArticleDOI
TL;DR: Using the Virginia Transgender Health Initiative Study data containing self-identified trans individuals, a two-step logistical regression was used to examine the relationship between demographic characteristics, experiences with discrimination, interpersonal supports, and levels of discomfort discussing a trans-identity and health needs with an unknown physician.
Abstract: Concealment or hiding a transgender (trans) identity from a medical professional can negatively affect the care one receives. Reluctancy to disclose may be further exasperated when interacting with...


Journal ArticleDOI
TL;DR: In this article, the focus of a qualitative study was to explore the perspectives of older gay married individuals around caregiving and health behavior work with their partners, using data from five lo...
Abstract: The focus of this qualitative study was to explore the perspectives of older gay married individuals around caregiving and health behavior work with their partners. The study used data from five lo...

Journal ArticleDOI
TL;DR: This article explored the relationship between objectification and victim blame in cases of sexual orientation discrimination and found that bisexual women face harsher sexual stereotypes than lesbians and straight women, and that objectification was a major factor in victim blaming.
Abstract: Research informs that bisexual women face harsher sexual stereotypes than lesbian and straight women. We, therefore, explored the relationship between objectification and victim blame in cases of r...

Journal ArticleDOI
TL;DR: Sexual minority women (SMW; e.g., lesbian, bisexual) experience depression and alcohol use disorder at approximately twice the rates of heterosexual women.
Abstract: Author(s): McGeough, Briana L | Advisor(s): Aguilera, Adrian | Abstract: INTRODUCTION: Sexual minority (e.g., lesbian, bisexual) women experience depression and alcohol use disorder at approximately twice the rates of heterosexual women. Though stigma serves as a common explanation for these disparities, less is known about the mechanisms through which stigma may contribute to these disparities. Past research has found that the strategies that individuals use to regulate their emotions in response to experiences of stigma may influence their depression symptoms and alcohol use symptoms. Among general samples, alcohol use and suppression have been linked to increased risk for depression symptoms whereas seeking social support following a stigma-related stressor has been linked to reduced risk for depression symptoms. A limited body of past research has found constructs similar to suppression and social support to be associated with greater or fewer alcohol use symptoms, respectively, at the same level of alcohol use.The current dissertation proposes and validates a model to test whether greater levels of alcohol use, greater levels of suppression, and lower levels of social support explain 1) sexual minority women’s disproportionally high rates of depression symptoms/alcohol use symptoms and 2) the relationship between stigma-related stressors and depression symptoms/alcohol use symptoms for sexual minority women. (a) A greater number of stigma-related stressors are hypothesized to be associated with higher levels of suppression, higher levels of alcohol use, and lower levels of social support, (b) which are hypothesized to be associated with a greater number of depression symptoms. (c) Higher levels of alcohol use are hypothesized to be associated with a greater number of alcohol use symptoms; (d) higher levels of suppression are hypothesized to weaken this relationship, whereas higher levels of social support are hypothesized to strengthen this relationship.METHODS: A national sample of 1,773 sexual minority women participated in an online survey in 2017 through the PRIDE Study. Respondents self-reported demographic information, number of experiences of stigma, levels of alcohol use, suppression, and social support, and number of depression and alcohol use symptoms. Structural equation modeling was used to test hypotheses a to d (detailed above). Chi-square, RMSEA, CFI, and TLI were all employed to assess model fit. RESULTS: (a) As hypothesized, a greater number of stigma-related stressors was associated with lower levels of social support (standardized coefficient estimate, β = -0.185; p l 0.001), but contrary to hypothesis, the number of stigma-related stressors was not significantly associated with levels alcohol use or suppression. (b) As hypothesized, lower levels of social support (β = -0.210; p l 0.001), higher levels of alcohol use (β = 0.105; p l 0.001), higher levels of suppression (β = 0.169; p l 0.001), and greater number of stigma-related stressors (β = 0.220; p l 0.001) were all significantly associated with a greater number of depression symptoms. (c). As hypothesized, higher levels of alcohol use (β = 0.790; p l 0.001) were significantly associated with a greater number of alcohol use symptoms, but contrary to hypothesis, greater numbers of stigma-related stressors did not predict a greater number of alcohol use symptoms. (d) Contrary to hypothesis, there was no evidence that relationship between alcohol use and alcohol use symptoms was strengthened by higher levels of suppression or weakened by higher levels of social support. All fit statistics exceeded established standards. DISCUSSION: Stigma-related stressors were found to be associated with depression symptoms, but not alcohol use symptoms, among sexual minority women. Stigma-related stressors may cause sexual minority women to deplete their social support resources, potentially increasing risk for depression symptoms; this mechanism does not appear to drive alcohol use symptoms. This finding suggests that cultivating social support networks that are responsive to experiences of stigma may be an important component of depression treatments for sexual minority women. Though the cross-sectional design of this study limits the potential for causal inference, this study makes an important contribution to the literature by utilizing a largescale, national sample of sexual minority women to evaluate potential mechanisms driving both depression symptoms and alcohol use symptoms among this vulnerable population. Future research should use longitudinal methods to improve potential for causal inference. Future research should also identify mechanisms common to depression symptoms and alcohol use symptoms to facilitate the development of interventions for co-occurring depression and alcohol use disorders for this vulnerable population.

Journal ArticleDOI
TL;DR: In this article, the authors focus on the community connections of older people with diverse sexual, gender, and/or sex characteristics in New Zealand and report on how access to social space...
Abstract: This article focuses on the community connections of older people with diverse sexual, gender, and/or sex characteristics in New Zealand. Specifically, it is reporting on how access to social space...

Journal ArticleDOI
TL;DR: Research with rural LGBTQ+ youth suggests their experiences of stigma and victimization, as well as related health concerns, may be greater than that of urban LGBTQ'+'youth.
Abstract: Research with rural LGBTQ + youth suggests their experiences of stigma and victimization, as well as related health concerns, may be greater than that of urban LGBTQ + youth. Regional differences m...

Journal ArticleDOI
TL;DR: In this article, a qualitative study explores Greek lesbian, gay and bisexual social workers' visibility management in the workplace Findings revealed a pattern of participants going in and out of the clo
Abstract: This qualitative study explores Greek lesbian, gay and bisexual (LGB) social workers’ visibility management in the workplace Findings revealed a pattern of participants going in and out of the clo

Journal ArticleDOI
TL;DR: It is argued that if the needs of a patient are truly a priority, the healthcare system must be better prepared to effectively address the relationship between intersecting identities and disparities to guide care.
Abstract: Approximately one million gay and lesbian Americans are veterans. Lesbian, gay, bisexual, and transgender (LGBT) veterans experience high rates of trauma, discrimination, and minority stress and sh...

Journal ArticleDOI
TL;DR: In this article, the authors evaluated the link between sexual minority status and intent to quit by analyzing traditional occupational and psychological factors, and a large-scale online survey was conducted to evaluate the link.
Abstract: The aim of this study was to evaluate the link between sexual minority status and intent-to-quit by analyzing traditional occupational and psychological factors. A large-scale online survey consist...

Journal ArticleDOI
TL;DR: The authors examined the character strengths associated with higher well-being and lower mental distress among 404 LGBQ (lesbian, gay, bisexual, and queer) individuals and found that out of...
Abstract: This study examined the character strengths associated with higher well-being and lower mental distress among 404 LGBQ (lesbian, gay, bisexual, and queer) individuals. Results indicated that out of...


Journal ArticleDOI
TL;DR: In this article, a qualitative study explores the workplace discrimination LGB social workers experience in Greece and all participants reported an array of micro-aggressions, committed mostly by colleagues.
Abstract: This qualitative study explores the workplace discrimination LGB social workers experience in Greece. All participants reported an array of microaggressions, committed mostly by colleagues. Microag...


Journal ArticleDOI
TL;DR: Incarceration is a major systemic issue in the United States as discussed by the authors, and many couples undergo multifaceted, complex changes in their relationship due to incarceration, and the purpose of this paper is to explore...
Abstract: Incarceration is a major systemic issue in the United States. Many couples undergo multifaceted, complex changes in their relationship due to incarceration. The purpose of this paper is to explore ...

Journal ArticleDOI
TL;DR: The findings challenge us to ensure that smoking cessation interventions address the personal and social concerns of BMSM living with HIV and help them identify healthier ways to cope with stressors.
Abstract: Smoking causes more deaths among people living with HIV than HIV infection itself. Few smoking cessation interventions and studies of sexual minority communities have considered the lived experiences of Black men who have sex with men (BMSM) living with HIV. Before developing interventions for these men, we need to answer: How do experiences of discrimination and stigma influence their perceptions of smoking? This phenomenological study was led by a community-based organization. We conducted six focus groups with 53 BMSM living with HIV in Los Angeles. We used minority stress theory in the analysis and interpretation of the data. We identified two themes: (1) co-occurrence of race and sexual orientation stressors and smoking (e.g., "I feel like I'd be discriminated against sometimes because I'm gay and because I'm Black.") and (2) smoking as a reaction to HIV-positive status (e.g., "I know more people that started smoking after they found out they [had] HIV."). Participants smoked to cope with stressors around race, sexual orientation, and living with HIV. These findings challenge us to ensure that smoking cessation interventions address the personal and social concerns of BMSM living with HIV and help them identify healthier ways to cope with stressors.