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Showing papers on "Transgender published in 2009"


Journal ArticleDOI
TL;DR: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe the strength of recommendations and the quality of evidence, which was low or very low.
Abstract: Objective: The aim was to formulate practice guidelines for endocrine treatment oftranssexual persons. Evidence: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe the strength of recommendations and the quality of evidence, which was low or very low. Consensus Process: Committees and members of The Endocrine Society, European Society of Endocrinology, European Society for Paediatric Endocrinology, Lawson Wilkins Pediatric Endocrine Society, and World Professional Association for Transgender Health commented on preliminary drafts of these guidelines. Conclusions: Transsexual persons seeking to develop the physical characteristics of the desired gender require a safe, effective hormone regimen that will 1) suppress endogenous hormone secretion determined by the person’s genetic/biologic sex and 2) maintain sex hormone levels within the normal range for the person’s desired gender. A mental health professional ...

895 citations


Journal ArticleDOI
TL;DR: Results from Phase I of the Trans PULSE Project, a community‐based research project in Ontario, Canada, are presented and the concept of cisnormativity is introduced to aid in explaining the pervasiveness of trans erasure.

684 citations


Journal ArticleDOI
TL;DR: In this article, the authors examine how nontransgender people, "gender normals", interact with transgender people to highlight the connections between doing gender and heteronormativity, and show how gender and sexuality are inextricably tied together.
Abstract: This article brings together two case studies that examine how nontransgender people, “gender normals,” interact with transgender people to highlight the connections between doing gender and heteronormativity. By contrasting public and private interactions that range from nonsexual to sexualized to sexual, the authors show how gender and sexuality are inextricably tied together. The authors demonstrate that the criteria for membership in a gender category are significantly different in social versus (hetero)sexual circumstances. While gender is presumed to reflect biological sex in all social interactions, the importance of doing gender in a way that represents the shape of one's genitals is heightened in sexual and sexualized situations. Responses to perceived failures to fulfill gender criteria in sexual and sexualized relationships are themselves gendered; men and women select different targets for and utilize gendered tactics to accomplish the policing of supposedly natural gender boundaries and to re...

581 citations


Journal ArticleDOI
TL;DR: In this article, a review examines key dimensions of contemporary sex work, particularly prostitution, focusing exclusively on street prostitution and female workers, with much less attention devoted to indoor prostitution, male and transgender workers, customers, and managers.
Abstract: This review examines key dimensions of contemporary sex work, particularly prostitution. Most research focuses exclusively on street prostitution and female workers, with much less attention devoted to indoor prostitution, male and transgender workers, customers, and managers. Furthermore, most of the literature examines prostitution where it is illegal, neglecting contexts where it is legal and regulated by the government. The review demonstrates how research on these topics can enrich our understanding of contemporary sex work.

416 citations


Journal ArticleDOI
TL;DR: Analysis of data from a national survey of LGBT secondary school students demonstrated that LGBT youth in rural communities and communities with lower adult educational attainment may face particularly hostile school climates.
Abstract: This study examines how locational (region and locale), community-level (school district poverty and adult educational attainment), and school district-level (district size and ratios of students to key school personnel) variables are related to indicators of hostile school climate for lesbian, gay, bisexual, and transgender (LGBT) youth. Indicators of hostile climate included frequency of homophobic remarks and victimization regarding sexual orientation and gender expression. We used data from a national survey of LGBT secondary school students (N = 5,420; 57.6% female; 65.5% White; mean age = 15.9). Results from regression analyses demonstrated that LGBT youth in rural communities and communities with lower adult educational attainment may face particularly hostile school climates. School district characteristics contributed little to the variation in LGBT youth’s experiences. Findings highlight the importance of considering the multiple contexts that LGBT youth inhabit, particularly as they pertain to educational experiences.

390 citations


Journal ArticleDOI
TL;DR: Utilization of health care providers by male-to-female transgender persons is associated with their reduction of some high-risk behaviors, but it does not result in adherence to standard of care recommendations for transgender individuals.
Abstract: Objectives. We investigated health care utilization, barriers to care, and hormone use among male-to-female transgender persons residing in New York City to determine whether current care is in accord with the World Professional Association for Transgender Health and the goals of Healthy People 2010.Methods. We conducted interviews with 101 male-to-female transgender persons from 3 community health centers in 2007.Results. Most participants reported having health insurance (77%; n = 78) and seeing a general practitioner in the past year (81%; n = 82). Over 25% of participants perceived the cost of medical care, access to specialists, and a paucity of transgender-friendly and transgender-knowledgeable providers as barriers to care. Being under a physician's care was associated with high-risk behavior reduction, including smoking cessation (P = .004) and obtaining needles from a licensed physician (P = .002). Male-to-female transgender persons under a physician's care were more likely to obtain hormone ther...

364 citations


Journal ArticleDOI
TL;DR: This paper explored the impact of minority stress on psychological distress among LGBTQ youth in Ireland and found that each minority stressor had a significant independent association with distress, including sexual identity distress, stigma consciousness, and heterosexist experiences.
Abstract: Historically, the pathologization of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) orientations shaped research and professional practice, while the impact of stigma was not considered. Within a minority stress conceptualization however, stigma-related prejudice and discrimination experienced by LGBTQ people constitute chronically stressful events that can lead to negative health outcomes. Minority stress has been linked to psychological distress among gay men and lesbians and may contribute to elevated rates of distress frequently observed among LGBTQ youth. This study explored the impact of minority stress on psychological distress among LGBTQ youth in Ireland. Measures assessing three components of minority stress (sexual identity distress, stigma consciousness, and heterosexist experiences) were administered online to LGBTQ youth aged 16–24 years (N = 301). Each minority stressor had a significant independent association with distress. Stepwise regression analyses identified the linear ...

271 citations


Journal ArticleDOI
TL;DR: In this paper, the degree to which perceived social support was associated with depression, life satisfaction, and internalized binegativity in a sample of 210 bisexual young adult college students was investigated.
Abstract: In this study, the authors investigated the degree to which perceived social support was associated with depression, life satisfaction, and internalized binegativity in a sample of 210 bisexual young adult college students. Two types of social support (general and sexuality specific) and 2 sources of social support (family and friends) were examined. Participants were recruited from the electronic mailing lists of organizations serving lesbian, gay, bisexual, and transgender students on 32 university campuses, and data were gathered via an Internet survey. Results indicated that general social support was most predictive of depression and life satisfaction, whereas sexuality-specific support was most predictive of internalized binegativity. Both family support and friend support contributed to the prediction of each of the outcome variables. Although it was expected that the link between friend support and positive adjustment would be strongest at low levels of family support, none of the interactions between friend and family support was statistically significant.

244 citations



Journal ArticleDOI
TL;DR: The literature indicates that the health, social care and housing needs of LGBT older people is influenced by a number of forms of discrimination which may impact upon the provision of, access to and take up of health,Social Care and housing services.
Abstract: This paper reports the findings of a literature review of the health, social care and housing needs of older lesbian, gay, bisexual and transgender (LGBT) adults undertaken in 2006 for the Welsh Assembly Government. Peer-reviewed literature was identified through database searches of BNI, PubMed, CINAHL, DARE, ASSIA and PsychInfo. Follow-up searches were conducted using references to key papers and journals as well as specific authors who had published key papers. A total of 187 papers or chapters were retrieved, of which 66 were included in the study; major themes were identified and the findings synthesised using a meta-narrative approach. The main themes that emerged from the review were isolation, health behaviours, mental health and sexual health behaviours. The literature indicates that the health, social care and housing needs of LGBT older people is influenced by a number of forms of discrimination which may impact upon the provision of, access to and take up of health, social care and housing services. Understanding of the health, social care and housing needs of older LGBT people is limited and research in this area is scarce. The research which exists has been criticised for using small samples and for tending to exclude participants from less affluent backgrounds. The focus of research tends to be on gay men and lesbians; consequently, the needs of bisexual and transgender people remain largely unknown. Additionally, research which does exist tends to focus on a narrow range of health issues, often related to the health needs of younger LGBT people. Discrimination in various forms has a major impact on needs and experiences, leading to marginalisation of LGBT people both in the provision of health and social care services and neglect of these groups in public health research.

215 citations


Journal ArticleDOI
TL;DR: HIV prevention efforts for this population need to include broad-based approaches that take into account individual, social, and community-level factors relevant to the lives of transgender female youth.
Abstract: This study examined the HIV risk behaviors and life experiences of 151 transgender female youth, ages 15–24, in Los Angeles and Chicago. Descriptive analyses and logistic regression modeling were used to identify life factors associated with ever having engaged in sex work. Sixty-seven percent of participants had ever engaged in sex work and 19% self-reported being HIV positive. Many factors were significantly associated with sex work for this sample population. A final multivariate logistic regression model found that lower education status, homelessness, use of street drugs, and perceived social support remained significantly associated with sex work when controlling for other factors. Findings highlight the complex HIV risk environment and suggest a need for sex work initiation research for transgender female youth. HIV prevention efforts for this population need to include broad-based approaches that take into account individual, social, and community-level factors relevant to the lives of transgender female youth.

Journal ArticleDOI
TL;DR: While many participants reported that at least one parent or close family member responded with warmth and acceptance, the majority confronted hostility and aggression; reports of neglect and undifferentiated rejection were also common.
Abstract: Because of the stigma associated with transgenderism, many transwomen (biological males who identify as female or transgender) experience rejection or abuse at the hands of their parents and primary caregivers as children and adolescents. The Parental Acceptance-Rejection (PAR) theory indicates that a child's experience of rejection may have a significant impact on their adult lives. The purpose of this study was to conduct a qualitative analysis of adult transwomen of color's experiences with caregivers, guided by PAR theory. Twenty transwomen of color completed semi-structured interviews exploring the reaction of their parents and primary caregivers to their gender. While many participants reported that at least one parent or close family member responded with warmth and acceptance, the majority confronted hostility and aggression; reports of neglect and undifferentiated rejection were also common. Many transwomen were forced out of their homes as adolescents or chose to leave, increasing their risk of homelessness, poverty, and associated negative sequelae. Future research is needed to explore how families come to terms with having a transgender child and how best to promote acceptance of such children.

Journal ArticleDOI
TL;DR: The authors provided a brief overview of key political developments in global lesbian, gay, bisexual and transgender (LGBT) organizing and advocacy over the past three decades as well as a summary of recent academic research and debates on these issues in politics, sociology and other disciplines.
Abstract: This introduction provides a brief overview of key political developments in global lesbian, gay, bisexual and transgender (LGBT) organizing and advocacy over the past three decades as well as a summary of recent academic research and debates on these issues in politics, sociology and other disciplines. It introduces the three questions addressed by the volume's subsequent contributions: (1) How can recent global developments related to LGBT human rights advocacy and organizing be explained by political and sociological theories? (2) What is at stake in focusing on ‘human rights’ rather than concepts such as ‘equality’, ‘justice’, ‘liberation’, ‘self-determination’ and/or ‘queer politics’? (3) How do transnational human rights networks and global norms of LGBT rights affect domestic politics in both the global North and global South? The article pays particular attention to the ‘human rights turn’ of the LGBT movements in the early 1990s and the political successes and failures that have ensued. Finally, ...

Journal ArticleDOI
TL;DR: It remains unclear whether this represents a true increase in prevalence or simply greater comfort in the seeking out of clinical care as professionals become more attuned to the psychosocial and biomedical needs of transgendered people.
Abstract: Formal epidemiological studies on the incidence and prevalence of gender identity disorder (GID) or transsexualism have not been conducted. Accordingly, crude estimates of prevalence have had to rely on indirect methods, such as parental endorsement of behavioral items pertaining to GID on omnibus questionnaires for children and youth or the number of adult patients seeking contra-sex hormonal treatment or sex-transformative surgery at hospital- or university-based gender clinics. Data from child and adolescent parent-report questionnaires show that the frequent wish to be of the other sex is quite low but that periodic cross-gender behavior is more common. In the general population, cross-gender behavior is more common in girls than it is in boys but boys are referred to gender identity clinics more frequently than are girls. Prevalence estimates of GID in adults indicate that it is higher in natal males than in natal females although this may be accounted for by between-sex variation in sexual ...

Journal ArticleDOI
Krista McQueeney1
TL;DR: This paper examined how lesbian, gay, and straight-but-affirming members of lesbian-and gayaffirming churches in the South challenged a deep-rooted Christian belief in homosexual sin.
Abstract: This article examines how lesbian, gay, and straight-but-affirming members of lesbian- and gay-affirming churches in the South challenged a deep-rooted Christian belief in homosexual sin. Data are taken from 200 hours of participant observation and 25 in-depth interviews in two Protestant churches: one predominantly black, working class, lesbian, and evangelical, and the other mostly white, middle class, heterosexual, and liberal. I identify three strategies lesbian, gay, and straight-but-affirming church members used to accommodate—but not assimilate—to heteronormative conceptions of the "good Christian." First, some black lesbians minimized their sexuality as secondary to the Christian identity. Second, most lesbian and gay members—both black and white— normalized their sexuality by enacting Christian morals of monogamy, manhood, and motherhood. Third, a small group of black lesbian/gay and white, straight-but-affirming members moralized their sexuality as grounds for challenging homophobia in the church. Using these strategies, church members both resisted notions of homosexual sin and reproduced a "politics of respectability" (Warner 1999) among lesbian, gay, bisexual, and transgender (LGBT) people. Findings shed empirical light on two issues in the social problems literature: (1) the inseparability of race and gender from sexual identity; and (2) the importance of an intersectional analysis in assessing the possibilities of faith-based strategies for sexual equality.

Journal ArticleDOI
TL;DR: Factors like age of transition, being out to others, and participant's race and class were associated with experiences of transphobic life events.
Abstract: The conceptualization of gender variant populations within studies have consisted of imposed labels and a diversity of individual identities that preclude any attempt at examining the variations found among gender variant populations, while at the same time creating artificial distinctions between groups that may not actually exist. Data were collected from 90 transgender/transsexual people using confidential, self-administered questionnaires. Factors like age of transition, being out to others, and participant's race and class were associated with experiences of transphobic life events. Discrimination can have profound impact on transgender/transsexual people's lives, but different factors can influence one's experience of transphobia. Further studies are needed to examine how transphobia manifests, and how gender characteristics impact people's lives.

Journal ArticleDOI
TL;DR: The sexual identity of gay and bisexual FtMs appears to mirror the developmental process for nontransgender homosexual men and women in several ways; however, participants also had experiences unique to being both transgender and gay/bisexual.
Abstract: We studied a North American sample of female-to-male (FtM) transsexuals sexually attracted to men, aiming to understand their identity and sexuality in the context of a culture of transgender empowerment. Sex-reassigned FtM transsexuals, 18 years or older and attracted to men, were recruited via an FtM community conference and listserv. Participants (N = 25) responded to open-ended questions about identity development, sexual behavior, and social support. Data were analyzed by content analysis. Scores for sexual identity, self esteem, sexual functioning, and psychological adjustment were compared to those of a comparison group (N = 76 nontransgender gay and bisexual men). Of the 25 FtMs, 15 (60%) identified as gay, 8 (32%) as bisexual, and 2 (8%) as queer. All were comfortable with their gender identity and sexual orientation. The FtM group was more bisexual than the nontransgender gay and bisexual controls. No significant group differences were found in self esteem, sexual satisfaction, or psychological adjustment. For some FtMs, sexual attractions and experiences with men affirmed their gender identity; for others, self-acceptance of a transgender identity facilitated actualization of their attractions toward men. Most were “out” as transgender among friends and family, but not on the job or within the gay community. Disclosure and acceptance of their homosexuality was limited. The sexual identity of gay and bisexual FtMs appears to mirror the developmental process for nontransgender homosexual men and women in several ways; however, participants also had experiences unique to being both transgender and gay/bisexual. This signals the emergence of a transgender sexuality.

Journal Article
TL;DR: In this article, fourteen science and engineering faculty members who identified as lesbian or gay at two research universities described the workplace climate for lesbian, gay, bisexual, and transgender (LGBT) faculty, the role pressures and choices they face, and the effects of the climate on their work performance and careers.
Abstract: ��� In the present study, fourteen science and engineering faculty members who identified as lesbian or gay at two research universities described the workplace climate for lesbian, gay, bisexual, and transgender (LGBT) faculty, the role pressures and choices they face, and the effects of the climate on their work performance and careers. While some faculty describe overt hostility toward them, invisibility, interpersonal discomfort, and pressure to “cover” their sexuality are much more pervasive, as is a felt obligation to be supportive to LGBT students and junior colleagues. Based on our analyses of the interview data, we propose a model of the career consequences of the academic work environment for sexual minority faculty in science and engineering. We conclude by recommending specific future research and suggesting institutional actions that can be taken to make campus climates more affirming for LGBT faculty in science and engineering, and other disciplines.

Journal ArticleDOI
TL;DR: These results provide a foundation for further research about healthcare services and delivery systems for youth, training initiatives for healthcare providers, and the role of utilizing the Internet for health research purposes to access and recruit hard-to-reach youth.

Journal ArticleDOI
TL;DR: It was revealed that the fear of how a transsexual identity would affect one's life was the best predictor of the severity of psychological distress, consistent with findings from other historically marginalized groups whereby the stress of being stigmatized by society adversely affects mental health.
Abstract: The fear of experiencing discrimination often provokes symptoms of psychological distress. One coping resource is positive identification with one’s social group—known as collective self-esteem. This preliminary study investigated whether collective self-esteem was related to fears regarding a transsexual identity and psychological distress among 53 self-identified male-to-female transsexuals (mean age = 50.79). Participants were recruited from transgender events held in Arizona and California. The majority (81%) reported living full-time as women (mean length of time living as a woman = 6.33 years). Negative feelings about the transsexual community and fears regarding the impact of a transsexual identity were positively related to psychological distress. A regression model revealed that the fear of how a transsexual identity would affect one’s life was the best predictor of the severity of psychological distress. These results are consistent with findings from other historically marginalized groups whereby the stress of being stigmatized by society adversely affects mental health.

Journal ArticleDOI
TL;DR: MRI data of 24 male-to-female (MTF) transsexuals not yet treated with cross-sex hormones are analyzed to provide new evidence that transsexualism is associated with distinct cerebral pattern, which supports the assumption that brain anatomy plays a role in gender identity.

Journal ArticleDOI
TL;DR: This article used five focus groups of lesbian, gay, bisexual, and transgender (LGBT) youth attending public high schools to examine their experiences with school violence, focusing on lack of community and empowerment leading to youth being without a sense of human agency in school.
Abstract: This qualitative study used five focus groups of lesbian, gay, bisexual, and transgender (LGBT) youth attending public high schools to examine their experiences with school violence. Core themes focused on lack of community and empowerment leading to youth being without a sense of human agency in school. Negative attention themes were indicative of the vulnerability that the youth felt at school. As principal means of coping, the LGBT youth escaped and avoided stressors by distancing themselves from school. From emergent themes of LGBT youth's experiences of school violence, recommendations to make schools safe and supportive learning environments for them are provided. These included the need for policies and rules, peer education, planned educational activities, and in-service training for school personnel about LGBT youth to create inclusive school communities.

Journal ArticleDOI
TL;DR: The findings support the contact hypothesis, that contact has a positive effect on attitudes towards TG/TS persons, and the implications of these findings for public education interventions and public policy, as well as for research.
Abstract: This paper examines the relationship between Hong Kong Chinese people's contact with transgender/transsexual (TG/TS) people and attitudes toward transgenderism and transgender civil rights, based on Allport's Contact Hypothesis. The term transprejudice is introduced to refer to the negative valuing, stereotyping and discriminatory treatment of TG/TS people. Data are presented from a population-based survey with a random sample of 856 Hong Kong Chinese persons aged between 15 and 64, using the Chinese Attitudes towards Transgenderism and Transgender Civil Rights Scale (CATTCRS). Attitudes, assessed on both personal and institutional dimensions, are examined in relation to participants' gender, age, educational level, religiosity, and previous contact with transpeople. Results suggest that previous contact with transpeople was significantly associated with attitudes reflected in the scale; decreased social distance, decreased social discrimination, and decreased transprejudice, increased awareness of discrimination against transpeople, increased support for equal opportunities, increased support for post-operative transsexual civil rights, and increased support for anti-discrimination legislation. Our findings support the contact hypothesis, that contact has a positive effect on attitudes towards TG/TS persons. We discuss the implications of these findings for public education interventions and public policy, as well as for research.

Journal ArticleDOI
TL;DR: Before safer sex interventions can be effective in a broader scale, hijra need to be recognized as having a space on society's gender continuum, focusing on the pathway between exclusion and sexual health.
Abstract: The transgender people (hijra), who claim to be neither male nor female, are socially excluded in Bangladesh. This paper describes social exclusion of hijra [The term is used in this abstract both in singular and plural sense] focusing on the pathway between exclusion and sexual health. In an ethnographic study, 50 in-depth interviews with hijra, 20 key-informant interviews, and 10 focus-group discussions (FGDs), along with extensive field observations, were conducted. The findings revealed that hijra are located at the extreme margin of exclusion having no sociopolitical space where a hijra can lead life of a human being with dignity. Their deprivations are grounded in non-recognition as a separate gendered human being beyond the male-female dichotomy. Being outside this norm has prevented them from positioning themselves in greater society with human potential and security. They are physically, verbally, and sexually abused. Extreme social exclusion diminishes self-esteem and sense of social responsibility. Before safer sex interventions can be effective in a broader scale, hijra need to be recognized as having a space on society's gender continuum. Hijra , as the citizens of Bangladesh and part of society's diversity, have gender, sexual and citizenship rights, that need to be protected. Key words: Hijra ; HIV; Social exclusion; Bangladesh doi: 10.3329/jhpn.v27i4.3388 J Health Popul Nutr 2009 Aug;27(4):441-451

Journal ArticleDOI
TL;DR: For instance, the authors found that a substantial number of LGBT individuals remain committed to religious and spiritual life, which may be related to a motivation to make sense of one's place in the world especially in light of societal misunderstandings and intolerance to LGBT individuals.
Abstract: The present study employed a mixed method approach in the effort to explore religious and spiritual practices among lesbian, gay, bisexual, and transgender (LGBT) individuals, as well as the meanings ascribed to the terms religiosity and spirituality by LGBT adults. Data were collected via a cross-sectional survey consisting of open- and close-ended items among 498 LGBT (lesbian, gay, bisexual, transgender) identified individuals attending an annual Pride event in a large northeastern city. Both quantitative and qualitative findings suggested that consistent with other studies, spirituality was defined largely in relational terms (e.g., in terms of one’s relationship with God and with self). Religion, in contrast, was defined largely in terms of communal worship and in terms of its negative influences in the lives of individuals and communities. For this sample of LGBT persons, spiritual identities were more pronounced than religious ones, and this pattern may be explained by their understanding of the spiritual self in relation to prosocial engagement and interconnectedness with others, the world around them, and the universe. Further, religious affiliation and practices were explained, in part, by the religion in which the individual was raised, level of educational attainment, as well as the developmental stage in which the person is currently situated. The findings highlight the reality that a substantial number of LGBT individuals may remain committed to religious and spiritual life, which may be related to a motivation to make sense of one’s place in the world especially in light of societal misunderstandings and intolerance to LGBT individuals.

Journal ArticleDOI
TL;DR: It is likely that heteronormativity will continue to project its undemocratic spirit in all communication, treatment and care if something is not done with immediate effect in nursing and medical students' access to knowledge concerning LGBT.
Abstract: Little consideration is given to personal relationships and sexuality issues in medical care education and little if any time is allocated to non-heterosexual aspects. The present study uses a descriptive, comparative design, and a modified version of the Knowledge about Homosexuality Questionnaire to investigate nursing and medical students' knowledge on lesbian, gay, bisexual and transgender (LGBT) persons. The participants were students at a Swedish university in semester 6 of their education programs, and the response rate was 92% (n=124). The aim of the study was to look at the students' access to knowledge concerning LGBT. Shortcomings in LGBT knowledge were seen in the student groups surveyed irrespective of education program, gender or religious belief. Accordingly, it is likely that heteronormativity will continue to project its undemocratic spirit in all communication, treatment and care if something is not done with immediate effect.

Journal ArticleDOI
TL;DR: In this article, it is shown that previous accounts of this genre, which have focused on gays and lesbians, do not extend to the entire LGBT (lesbian, gay, bisexual, and transgender) community, even where there is significant overlap in the linguistic practices of these groups.
Abstract: This article demonstrates the importance of considering transgender speakers apart from gays, lesbians, and bisexuals, even where there is significant overlap in the linguistic practices of these groups. Through an analysis of transgender coming out narratives, it is shown that previous accounts of this genre, which have focused on gays and lesbians, do not extend to the entire LGBT (lesbian, gay, bisexual, and transgender) community. Coming out as transgender differs from coming out as gay or lesbian primarily in that there are two distinct ways a person can come out as transgender: before and after a change in gender role. The dissimilarity of coming out before such a transition and afterwards presents a challenge to previous characterizations both of coming out and the narratives that result from this practice. Ultimately, the coming out narrative genre reveals itself as a venue for making sense of stigmatized identities in community-specific ways.

Journal ArticleDOI
TL;DR: Initial evidence that current risk behaviors could lead to rising HIV prevalence rates among trans MSM is provided and prevention programs must tailor services to include issues unique to trans MSM and their nontrans male partners.

Journal ArticleDOI
TL;DR: In this paper, a critique of the concepts "sexual orientation" and "gender identity" which are being employed to contest global human rights discourses by prevailing international lesbian, gay, bisexual and transgender (LGBT) and human rights activist networks is presented.
Abstract: This article presents a critique of the concepts ‘sexual orientation’ and ‘gender identity’, which are being employed to contest global human rights discourses by prevailing international lesbian, gay, bisexual and transgender (LGBT) and human rights activist networks – notably in the Declaration of Montreal (2006) and, especially, the Yogyakarta Principles (2007). Theoretical analysis, informed by social theory and queer theory, is presented of these key concepts shaping human rights debates, particularly in relation to the United Nations. Relationships between the discourses used by international governmental and non-governmental organizations (NGOs), academics and activists are analysed to discern the conceptions of subjectivity and identity operating. With reference to Judith Butler's ‘heterosexual matrix’, it is proposed that the entry of ‘sexual orientation’ and ‘gender identity’ into human rights discourse can be interpreted as installing a distinctive gender and sexuality matrix, but also that def...

Journal ArticleDOI
TL;DR: A paradigm is proposed that moves beyond studying LGBT youth as either at-risk OR resilient, but rather that focuses on understanding the ways in which LGBT youth negotiate their development within various social contexts, to consider the role of context in the lives of LGBT youth.
Abstract: In the past three decades there has been growing attention to lesbian, gay, bisexual, and transgender (LGBT) youth among adolescence researchers. Beginning with a few seminal studies on the risk-factors, particularly suicide, faced by lesbian and gay youth (Martin and Hetrick 1988), research on these populations has emerged over the past 30 years as an important and critical area within the study of adolescence. Despite the proliferation of research, investigations of LGBT youth still remain largely oriented toward studying deficits such as the role of victimization on mental and physical health, academic achievement, and identity development (Espelage and Swearer 2008). In recent years, researchers have begun to criticize research paradigms that focus on sexual minority youth as ‘‘at-risk’’ and suggest that these paradigms contribute to a social context that views these youth as deficient (Savin-Williams 2005; Russell 2005). While it is necessary to continue examining of risks and challenges faced by these youth, as with any population of youth, it is important to acknowledge these criticisms and to incorporate additional perspectives of LGBT youths lives and to view these youth as resilient and thriving rather than simply ‘‘at-risk’’. Yet much of the work from this ‘‘new’’ paradigm continues to treat sexual minority youth as a monothilic or homogeneous group and fails to examine the ways in which the social contexts that shape the lives of LGBT youth influence the persistent inequalities in health risk behavior, mental health, and long-term psychosocial adjustment of LGBT youth and adults. With this special issue we propose a paradigm that moves beyond studying LGBT youth as either at-risk OR resilient, but rather that focuses on understanding the ways in which LGBT youth negotiate their development within various social contexts. By expanding the paradigm to consider the role of context in the lives of LGBT youth, we can begin to understand not only the complex and nuanced ways that individuals’ lives are shaped by their social contexts, but also the ways that individual characteristics (such as temperament or gender) impact the ways that LGBT youth engage with and experience their social world. For example, while it is likely the case that homophobic and heterosexist schools have a negative impact on all LGBT youth, this type of negative or hostile climate may be particularly salient for young people questioning their sexual orientation or for those young people who do not have support systems in other arenas of their lives (such as families or peer groups). As a whole, the papers in this volume attempt to move the field beyond the ‘‘at-risk’’ or ‘‘resilient’’ paradigms by exploring the complex ways young people construct an understanding of their identities, their experiences, and the social contexts in which they are engaged, as well as the varied ways that context matters in the health and development of LGBT youth. In this collection of articles, authors cover a range of topics that contribute to our understanding of the lives of LGBT youth in context. Not surprisingly, several studies focus on the experience of harassment and victimization (e.g., Almeida et al. 2009). The last decades have seen notable attention to concerns for LGBT students; several of the articles included here focus on understanding and S. S. Horn (&) University of Illinois at Chicago, Chicago, IL, USA e-mail: staceyhorn@gmail.com