Dissertations / Theses on the topic 'Sexual and gender minority'

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1

Williams, Stacey L., Sarah A. Job, and Emerson Todd. "Doubly Stigmatized? The Convergence of Sexual and Gender Minority Identities." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/8040.

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Individuals who identify themselves as sexual or gender minorities report experienced and anticipated stigma known as minority stress. This stigma or stress has been consistently linked with worse mental health outcomes (e.g., depression, anxiety) compared with non-stigmatized (heterosexual, cisgender) individuals. However, little is understood about sexual minorities who also identify as gender minorities. This “doubly stigmatized” subgroup of the population may be transgender or gender-nonconforming or non-binary while simultaneously holding a non-heterosexual identity. This study sought to explore whether stigma and minority stress processes were different between individuals who identified as sexual minority/ gender majority (n=148) versus sexual and gender minority (n=167). Results revealed that individuals who were both sexual and gender minorities reported significantly more depressive and anxiety symptoms, greater minority stress, and fewer support resources. Moreover, increased minority stress (anticipated discrimination) and fewer support resources explained the disparity in mental health (bootstrapped indirect effects = -.4111 se=.1720 95%CI=-.8675, -.1634) between sexual and gender SATURDAY PROGRAM • JUNE 22, 2019 103 minority versus sexual minority/gender majority participants. Community connection was further examined as a potential moderating resource. Findings are discussed in relation to multiple stigmatized identities, the intersections of sexuality and gender identity, and the need for both future research and support resources for this population.
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Williams, Stacey L. "When Sexual Assault Meets Minority Stress: Working With Sexual and Gender Diverse Clients." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/8055.

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Palmieri, Steven A. "Sexual Empowerment for Sexual Minority Men: A Critical Qualitative Exploration." University of Akron / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=akron1597071282969435.

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Evarts, Katherine E. "Disclosure of Gender and Sexual Minority Identities in Military Cultures Post-DADT." Antioch University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1492080146686814.

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Kellogg, Andrew. "Closeted Channels: Trends of Sexual-Minority Characters on Primetime Television." Ohio University Honors Tutorial College / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ouhonors1399889530.

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6

Wyatt, Joel D. "Comparing Bystander Intentions in Sexual Assault Situations involving Same-Gender and Opposite-Gender Individuals: The Role of Sexual Orientation." Ohio University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1556804384425788.

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Lawlace, Margaret. "Minority Stressors as Predictors of Suicidality in Racially Diverse Sexual and Gender Minority Youth Assigned Female at Birth." University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1623166905896966.

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Williams, Stacey L., Abbey K. Mann, and Emma G. Fredrick. "Proximal Minority Stress, Psychosocial Resources, and Health in Sexual Minorities." Digital Commons @ East Tennessee State University, 2017. https://doi.org/10.1111/josi.12230.

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Sexual and gender minorities experience disparities in mental and physical health often attributed to structural discrimination through policies that do not promote equal rights and interpersonal–intrapersonal processes. Social issues research on stigma and intergroup relations can explicate the intervening processes that explain health. In this introduction to the special issue entitled Translating Stigma and Intergroup Relations Research to Explain and Reduce Sexual and Gender Minority Health Disparities, we call social issues researchers to focus their work on sexual and gender minority stigma and intergroup relations processes in order to understand and ultimately reduce health disparities.
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9

Scroggs, Barrett. "An Investigation into Risk and Resiliency in Gender and Sexual Minority Emerging Adults." Diss., Kansas State University, 2018. http://hdl.handle.net/2097/38752.

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Doctor of Philosophy
School of Family Studies and Human Services
Elaine M. Johannes
The life-span theoretical framework contends that development occurs throughout the entire life-span and that experiences at one stage of life influence later development (Baltes, 1987). With this in mind, the present studies explore the developmental experiences of gender and sexual minority (GSM) individuals as they make the transition to adulthood. The first study found that overall, there were no major differences in GSM emerging adults’ perceptions of this developmental stage when measured using the Inventory of the Dimensions of Emerging Adulthood (IDEA). The second study situated group identification as a process of identity development and found that identifying with the GSM community was a protective factor for GSM emerging adults. Higher attributions to prejudice were associated with increases in well-being when explained through group identification even though the direct effect was negative. The final study found that, similarly to their heterosexual and cisgender peers, GSM individuals’ self-esteem develops in quadratic fashion over the transition to adulthood and that perceptions of familial understanding in adolescence was significantly associated with both the initial level and the rate of change of self-esteem for this population. Implications for further research are discussed.
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Keary, Sara Anne. "Invisibility, Outness, and Aging Service Use Among Sexual and Gender Minority Older Adults." Thesis, Boston College, 2015. http://hdl.handle.net/2345/bc-ir:104370.

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Thesis advisor: Kevin J. Mahoney
Lesbian, gay, bisexual, and transgender (LGBT) older adults in the U.S. face disproportionate risk of increased health and mental health problems as compared to their non-LGBT counterparts. Experiences of harassment, discrimination, and violence due to sexual orientation and gender identity (SOGI) contribute to the chronic stresses associated with being a sexual and/or gender minority. LGBT older adults may avoid or delay needed services in later life, rendering them invisible to health care providers (HCPs) if they do not disclose SOGI and if providers do not ask. This three-paper dissertation explored LGBT older adults' invisibility and outness in aging services. Paper 1 investigated gerontological social workers' biopsychosocial assessment practices to understand how they became aware of clients' SOGI; assessment forms were analyzed and qualitative interviews with social workers were conducted, showing that social workers did not have a systematic way of learning about clients' SOGI. Paper 2 was a quantitative analysis of survey data from 129 LGBT older adults that showed an association between experiences of SOGI-based discrimination/violence after age 50 and not disclosing SOGI to HCPs and having avoided using aging services for fear of coming or being out. Paper 3 was a qualitative analysis of interviews with 22 LGBT older adults that sought to understand how they disclosed SOGI to HCPs. Those who disclosed did so without being asked, because of health conditions, after having sought out an LGBT /LGBT-friendly provider, or after being asked about their sex and/or love lives. Paper 3 findings offered practice and environmental changes that could increase LGBT older adults' SOGI disclosure to HCPs. This dissertation provides suggestions for social work policy, practice, and research aimed at supporting gerontological social workers in learning about their clients' SOGI in an effort to address health disparities among LGBT older adults
Thesis (PhD) — Boston College, 2015
Submitted to: Boston College. Graduate School of Social Work
Discipline: Social Work
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Scheer, Jillian Ryan. "Trauma-Informed Care for Sexual and Gender Minority Survivors of Intimate Partner Violence." Thesis, Boston College, 2018. http://hdl.handle.net/2345/bc-ir:107451.

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Thesis advisor: V. Paul Poteat
Intimate partner violence (IPV) occurs in LGBTQ (lesbian, gay, bisexual, transgender, queer) relationships at rates equal to or even higher than cisgender heterosexual relationships (Walters, Chen, & Breidig, 2013). The health consequences of IPV are well documented (Kwako et al., 2011). Trauma-informed care (TIC) is one service approach receiving increasing support for use with IPV survivors (Warshaw, Lyon, Phillips, & Hooper, 2014). Nevertheless, there is little research exploring the association between TIC and health among LGBTQ IPV survivors. Immobilization is prevalent for IPV survivors for whom fight or flight may increase risk of violence during traumatic situations (van der Kolk, 1989). TIC might be well-positioned to counter these immobilizing effects in effort to facilitate mobilization and better health for IPV survivors. The relationship between TIC and health through mobilizing mechanisms has not yet been tested. This study examined several mobilizing mechanisms as mediating the relationship between TIC and health including: 1) lower social withdrawal; 2) lower shame; 3) greater emotion regulation; and, 4) greater empowerment. Among 227 LGBTQ adults, structural equation modeling analyses tested the relationship between TIC and health, and the mediating effects of lower social withdrawal and shame, and greater emotion regulation and empowerment on the relationship between TIC and health. Results indicated that the direct effects of TIC on mental and physical health were not significant. Indirect effects of TIC on mental and physical health through the set of mobilizing mechanisms were not significant. However, TIC did predict greater empowerment and emotion regulation and lower social withdrawal. Lower social withdrawal and lower shame also predicted better mental health, while lower shame and emotion regulation predicted better physical health. Practitioners need to uncover additional services and resources beyond TIC that could improve health among LGBTQ IPV survivors. Research should continue to examine the potential effects of TIC in addition to how it is applied in the context of evidence-based treatment programs that are adapted for sexual and gender minorities
Thesis (PhD) — Boston College, 2018
Submitted to: Boston College. Lynch School of Education
Discipline: Counseling, Developmental and Educational Psychology
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12

Whipps, Jonathon. "Weight-Related Health Disparities and Lifestyle Behaviors Among Sexual and Gender Minority Students." Ohio University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1620125242494084.

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Whipps, Jonathon. "Weight-Related Health Disparities and Lifestyle Behaviors Among Sexual and Gender Minority Students." Ohio University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1620125242494084.

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14

Spiker, Russell L. Jr. "Shared Lives, Shared Health: Sexual Minority Status, Gender, and Health in Couple Relationships." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1522337550313109.

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15

Job, Sarah A., and Stacey L. Williams. "Translating Online Positive Psychology Interventions to Sexual and Gender Minorities: A Systematic Review." Digital Commons @ East Tennessee State University, 2020. https://doi.org/10.1037/sgd0000365.

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Sexual and gender minorities (SGM) often face worse health outcomes in comparison with their heterosexual and cisgender counterparts. Positive psychology interventions (PPIs) have the potential to improve these outcomes. In this article we review 130 articles containing online positive psychology interventions and evaluate them based on effect size, length of follow-up, and sample characteristics. Based on these findings applied to the psychological mediation framework (Hatzenbuehler, 2009), we recommend the following interventions be tested in SGM samples: self-compassion, optimism, love, forgiveness, humor, and spirituality. Future research that tailors existing positive psychology interventions to the lived experiences of SGM individuals could ameliorate health disparities.
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Bonds, Stacy. "An Exploratory Mixed Method Study of Gender and Sexual Minority Health in Dallas: A Needs Assessment." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1248392/.

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Gender and sexual minorities (GSM) experience considerably worse health outcomes than heterosexual and cisgender people, yet no comprehensive understanding of GSM health exists due to a dearth of research. GSM leaders in Dallas expressed need for a community needs assessment of GSM health. In response to this call, the Center for Psychosocial Health Research conducted a needs assessment of gender and sexual minority health in Dallas (35 interviews, 6 focus groups). Competency was one area highlighted and shared across existing research. Thus, the current study explored how competency impacts gender and sexual minorities' experience of health care in Dallas. We utilized a consensual qualitative research approach to analyze competency-related contents. The meaning and implications of emerging core ideas were explored. These findings were also used to develop a survey instrument.
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Soto, Danielle A. "Sexual orientation, gender & adolescent involvement in delinquency." Bowling Green, Ohio : Bowling Green State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1194015592.

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18

Lamontagne, Erik. "The economic analysis of the AIDS response and its determinants among sexual and gender minority." Thesis, Aix-Marseille, 2021. http://theses.univ-amu.fr.lama.univ-amu.fr/211220_LAMONTAGNE_906coigum240yxx699ovkzw401sgt_TH.pdf.

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Le virus de l'immunodéficience humaine (VIH) constitue l'une des principales causes de décès dans les pays à revenu faible ou moyen. Le 8 juin 2021, les Nations unies ont adopté la Déclaration politique visant à mettre fin aux inégalités et mettre fin au sida d'ici 2030. Seulement, les besoins en matière de prévention et de traitement antirétroviral dans les pays les moins riches dépassent de loin leur capacité de payer. De plus, le sida touche principalement des groupes de population à risque comme ceux appartenant à des minorités de sexe et de genre. Cette thèse montre que les bénéfices liés à cet investissement massif de la communauté internationale pour mettre fin à l'épidémie de sida d'ici 2030 excède 6 dollar pour chaque dollar investis. Bien que cela soit un investissement attrayant, l’atteinte de l’objectif mondial est loin d’être acquis, notamment concernant les minorités sexuelles et de genres pour qui le risque d’acquérir le VIH est jusqu’à 26 fois plus élevé. Les modèles économiques utilisés ici permettent d’identifier trois facteurs principaux qui freinent l’atteinte des cibles. Premièrement le stigma et la discrimination qui sont la principale barrière à l’accès aux services HIV. Deuxièmement, une trop faible importance est accordée au rôle de la santé mentale sur la vulnérabilité à l’infection par VIH. Finalement, les inégalités qui minent les efforts de la riposte au VIH en diminuant le recours aux tests VIH. Les résultats de cette thèse encouragent les décideurs à prendre en compte l’importance des inégalités, de la santé mentale et de la marginalisation des personnes à haut risque de VIH pour mettre fin au sida
Human immunodeficiency virus (HIV) is one of the leading causes of death in low- and middle-income countries.On June 8, 2021, the United Nations adopted the Political Declaration on Ending Inequality and Ending AIDS by 2030. Nevertheless, the need for prevention and treatment in many of the most affected countries far exceed their ability to pay. In addition, AIDS mainly affects most-at-risk population groups. This thesis shows that the benefits of this massive investment by the international community to end the AIDS epidemic by 2030 exceed 6 for every 1 invested. While this is an attractive investment, achieving the global 95-95-95 HIV target is far from certain, especially for sexual and gender minorities who are up to 26 times more likely to acquire HIV.The economic models used in this research identify three main factors that impede the achievement of the targets. First, stigma and discrimination are the main barrier to accessing HIV services. Second, too little emphasis is placed on the role of mental health in vulnerability to HIV infection. Finally, it demonstrates that inequalities undermine HIV response efforts by reducing the uptake of HIV testing.The findings of this thesis encourage policy makers to consider the importance to address inequality, mental health and homophobia in order to ending AIDS
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Pollitt, Amanda Marie, and Amanda Marie Pollitt. "Inside and Outside: Heteronormativity, Gender, and Health in the Lives of Bi/Sexual Minority Youth." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624289.

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In this two-manuscript dissertation, framed through queer and minority stress theories, I focus on heteronormative pressures and their impact on sexual identity fluidity and health of lesbian, gay, and bisexual youth and young adults. Heteronormativity, or the expectation to meet heterosexual norms in relationships, may be stressful for lesbian, gay, and bisexual (LGB) youth and be linked to poorer health. In particular, I focus on bisexual young people because bisexual people can enter into either same- or different-gender relationships; these young people could experience pressure from family members and religious communities to conform to heterosexual norms, resulting in sexual identity transitions that could explain health differences between sexual minority groups. In the first manuscript, I conducted life history narratives interviews with 14 racially and ethnically diverse youth and young adults between the ages of 18-24 on how LGB youth make sense of expectations to conform to heterosexual norms and how their experiences vary based on youths’ characteristics. In the second manuscript, I used structural equation modeling analysis of one of the largest community samples of LGB youth and young adults between the ages of 15-21 in the U.S. to examine youths' current and future relationship desires in a broader system of heteronormative expectations and how these expectations operate as mechanisms to influence the mental health of sexual minority youth. Qualitative results from the first manuscript show that for many youth and youth adults, gender and sexuality intersect to influence their experiences of heteronormativity: Gender and sexuality were conflated for gay men who stated that their gender nonconformity meant that family members already knew their sexuality before they came out as gay. Many bisexual women described their experiences being gender conforming in which they struggled to legitimize their sexuality to others because they were feminine. Though gay and lesbian identities were present in discussions of gender, an expression of gender that signaled and was named as bisexuality was fundamentally missing in the interviews. That is, participants did not describe a gender presentation that would indicate someone attracted to more than one gender. Participants consistently considered childbearing, but not marriage, to be highly desirable. Latino participants discussed heteronormativity through the racialized lens of machismo. However, religion was a greater source of pressure to conform to heterosexuality for Latino participants than were racial communities. My quantitative results from the second manuscript showed that gay men, lesbian women, and bisexual men are more likely to desire same-gender marriages later in life compared to bisexual women, who are more likely to desire different-gender marriages. Participants who desired different-gender marriage were more likely to identify as a different sexual identity over time. However, neither relationship desires nor sexual identity transitions related to depressive symptoms. The findings of this manuscript suggest that initial transition to a sexual minority identity may be the most vulnerable time for youth. After this initial transition, lesbian, gay, and bisexual youth may be inoculated to stress related to identity transitions, even in the context of heteronormativity. This research informs queer and minority stress theories: Gender, sexuality, and family norms intersect to structure how youth understand heteronormativity and predicts whether youth maintain their sexual identity, but such norms might not be stressors that influence health after youth first identify as LGB.
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Cheperka, Ryan Anne. "Strengths in Intersecting Identities: The Experience of Being Black and a Sexual and Gender Minority." OpenSIUC, 2012. https://opensiuc.lib.siu.edu/dissertations/644.

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There has been a lack of inclusion of LGBTQ people of color within the psychological literature. It is important to attend to a number of diverse demographic variables in order to begin to understand a particular group's experience. The unique intersection of demographic variables or identities shapes a person's experience. Thus, the current study was designed to understand the experiences of those who are not typically represented within the literature. Specifically targeted were individuals who had some African American background and were both sexual and gender minorities. The focus of the current study was on life experiences and strengths due to researchers historically focusing on disadvantages of minority groups. This study was a qualitative investigation conducted in order to identify the strengths and influencing factors of strengths of those with multiple minority statuses. Twelve individuals that were at least in part African American and a sexual and gender (or gender identity) minority were interviewed in person. During the interview process participants discussed some of the challenges they faced, the support systems they had, and the various strengths they demonstrated throughout their lives. A grounded theory approach was utilized to analyze the data. The core phenomenon of this study, referred to as the storyline, revolved around participants' development and utilization of strengths, which included the working through various challenges and accessing support within their contexts. Consistent with past research, the development of strengths was impacted by sociocultural/societal factors, community, religion/spirituality, interpersonal relationships, life events, and intrapersonal concerns. Unique strengths included participants' tendency toward intrapersonal growth, perseverance, connections with others, activation of inner coping strategies, and activism.
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21

Mundy-Shephard, Adrienne Marie. "Empathy, Perspective-Taking and the Mere Exposure Effect: Understanding Adolescent Attitudes About Sexual Minorities and Reducing Prejudice Against Sexual Minority Youth." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:23519640.

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Lesbian, gay, bisexual and questioning (LGBQ) youth face considerable discrimination and peer victimization, which has been associated with a number of negative health and educational outcomes. Few studies have been conducted to understand peer attitudes and how they vary based on demographic characteristics, including sex, race and religion, and no research has been conducted examining differences in attitudes between immigrant and native-born populations. This present study analyzes the attitudes about homosexuality and gender nonconformity held by high school students (N = 957) at a racially and ethnically diverse high school in the northeast, as measured by a brief survey. The author examines how tolerance of homosexuality differs based on sex, race, immigrant identity, religious affiliation and intergroup contact with LGB people. Analyses of the results indicate that there are large differences in attitudes among demographic subgroups of students. Following examination of these baseline attitudes, the author conducted an experiment assessing the impact of two interventions intended to increase tolerance of homosexuality and gender nonconformity. The first intervention consisted of an offer to participate in a one-on-one discussion about LGB people, including questions intended to increase empathy and engage students in perspective-taking as a means of prejudice reduction. The second intervention was based upon the mere exposure effect: the phenomenon that repeated exposures to a stimulus may enhance preference for that stimulus. This intervention consisted of multiple exposures over the course of an academic year to a questionnaire assessing students’ attitudes about homosexuality and gender nonconformity. Analyses of the results of both experiments indicate that neither intervention had statistically significant impacts on prejudice reduction: the views of students who were initially accepting of LGBQ people remained positive at the conclusion of the study, while those students with pre-existing anti-LGBQ bias did not become more tolerant as a result of participation in the study, and in fact, less tolerant students appeared to experience a slight increase in prejudice. Further inquiry is needed to understand the reasons why these interventions had the opposite of the desired effect for intolerant students, in order to craft more appropriate prejudice-reduction strategies for students with pre-existing anti-LGBQ bias.
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Williams, Stacey L., and Abbey K. Mann. "Sexual and Gender Minority Health Disparities as a Social Issue: How Stigma and Intergroup Relations Can Explain and Reduce Health Disparities." Digital Commons @ East Tennessee State University, 2017. https://doi.org/10.1111/josi.12225.

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Sexual and gender minorities experience disparities in mental and physical health often attributed to structural discrimination through policies that do not promote equal rights and interpersonal–intrapersonal processes. Social issues research on stigma and intergroup relations can explicate the intervening processes that explain health. In this introduction to the special issue entitled Translating Stigma and Intergroup Relations Research to Explain and Reduce Sexual and Gender Minority Health Disparities, we call social issues researchers to focus their work on sexual and gender minority stigma and intergroup relations processes in order to understand and ultimately reduce health disparities.
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23

Todd, Emerson A. "Creative Gender Expression Performativity As a Coping Mechanism for Minority Stress." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/honors/591.

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Creative Gender Expression Performativity may be a coping mechanism for dealing with minority stress in sexual and gender minority populations. The current study suggests the creation of a new scale that measures effortful presentation rather than directional presentation. Rather than examining whether someone identifies as masculine or feminine – the proposed model would instead look at how much effort an individual is putting into their gender expression. In this mixed methods study, participants (N = 187) completed a survey based on gender expression, minority stress, and mental health, while 10 participants completed a qualitative post-survey interview via email. Multiple regressions were performed to examine the relationships between gender expression and negative health outcomes. Tests performed examined relationships amongst factors such as positive gender expression outlook, gender congruence, and self-esteem; and outcomes including depression, anxiety, and anticipated discrimination. Multiple regression analyses revealed that positive perceptions of gender expression acted as a buffer to anticipated discrimination. TGNC individuals experienced lower self-esteem and higher depression levels than cisgender individuals. Qualitative themes uncovered motives behind gender expression, such as coping with minority stress.
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Ware, Jonathan D. "Coloring in the Margins: Understanding the Experiences of Racial/Ethnic and Sexual/Gender Minority Undergraduates in STEM." Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7655.

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Extensive research has documented the experiences and outcomes of women and certain underrepresented racial/ethnic minority groups in STEM educational programs. This paper contributes to current conversations by focusing on the experiences of individuals that identify as both a racial/ethnic and sexual/gender minority (SGM). This paper has two major objectives in mind: (1) provide one of the first empirical studies examining the experiences of SGM students in STEM and (2) interrogate the intersection of racial/ethnic identity and sexual/gender identity within the context of these programs. In order to provide a more robust understanding in these areas, this paper is guided by the following research questions: (1) What are the experiences of students who identify as both a racial/ethnic and sexual/gender minority in STEM educational programs, (2) in what ways do these students' sexual/gender and racial/ethnic identity influence these experiences, (3) do racial/ethnic and sexual/gender minorities feel a sense of belonging within their respective programs and why, and (4) how do racial/ethnic and sexual/gender minorities perceive they are treated by peers, faculty, and staff within these programs. This paper takes a mixed-method approach, incorporating both interviews and quantitative survey data to gain insights into these questions. Upon analysis, major findings demonstrated that students experiences an erasure of student diversity in the classroom, while also experiencing higher salience with their sexual/gender identity when compared to their racial/ethnic identity.
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Olsen, Preston Trent. "Inclusive guise of 'gay' asylum : a sociolegal analysis of sexual minority asylum recognition in the UK." Thesis, University of Edinburgh, 2017. http://hdl.handle.net/1842/22983.

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The United Kingdom’s acceptance of lesbian, gay, bisexual, and transgender (LGBT) refugees has been heralded as a progressive shift in asylum law. Indeed, the scope for the protection of sexual minorities under the Refugee Convention has expanded. The interpretation of the Convention definition of refugee in Article 1A(2) has been continuously adapted, especially the “particular social group” (PSG) category as well as the recognised scope of “well-founded fear of being persecuted.” This thesis interrogates how “gay” refugees have been accepted under the Convention. The analysis considers the ways judicial decision-making has constructed the PSG and persecution of sexual minority asylum seekers. The sample consists of 22 appeals from 1999-2011 which were identified as major legal developments, beginning with the first significant recognition of “homosexual” refugees. Several additional tribunal determinations and key international cases are also considered. A socio-legal approach is taken to study the tensions between fluid sociological images of gender and sexuality and the fixed notions of identity found in the law (whether arising from individual cases, formal practice, or state imperatives). Through an examination of the legal discourse in the texts examined, the research deconstructs the jurisprudential debates in order to assess their impact on sexual minorities seeking asylum. This contextual, rather than doctrinal, approach reveals how the jurisprudence often obscures sociologically problematic assumptions made by adjudicators. This analysis offers an original contribution, concluding that UK protection is grounded on the assumption that sexual and gender identity are “immutable.” Far from opening the UK to persecuted sexual minorities, the prevalence of this assumption significantly narrows the apparently “inclusive” construct of the refugee. Building on the findings, the thesis proposes that adjudication should focus on the persecutory intent to suppress non-conforming acts and identities (or norm deviance) in order to identify sexual minority refugees rather than the categories of LGBT. Additionally, framing determination in the terms of relational autonomy develops a better understanding of the conditions necessary to realise a non-conforming sexual and gendered life free of persecution. The concept of norm deviance decentres the assumption of a knowable truth of identity, and relational autonomy asserts that the deprivation of self-determination and rights to relate may constitute a well-founded fear of persecution.
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Hirsch, Jameson K., Tracy J. Cohn, Catherine A. Rowe, and Sarah E. Rimmer. "Minority Sexual Orientation, Gender Identity Status and Suicidal Behavior: Serial Indirect Effects of Hope, Hopelessness and Depressive Symptoms." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/848.

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Death by suicide, and suicidal behaviors, are a significant public mental health problem, and individuals who are lesbian, gay, bisexual, transgendered and questioning (LGBTQ), may be at increased risk. Potential underlying mechanisms of this association are unknown, but may involve the impact of LGBTQ status on future orientation and mood. Our purpose was to determine the influence of sexual identity, sequentially, on cognitive and emotional functioning, and consequent relation to suicidal behavior. In a sample of 349 college students, we used serial mediation models to investigate the relation between self-identification as LGBTQ and suicidal behavior, with hope and hopelessness as first-order mediators and depression as a second order mediator. Supporting hypotheses, we found that LGBTQ status was related to less hope and greater hopelessness and, in serial fashion, to depressive symptoms and consequent suicidal behavior. Our findings may have clinical implications. Resolution of hopelessness and depression, and promotion of hopefulness, perhaps via Motivational Interviewing and Cognitive Behavioral Therapy strategies, such as goal-setting, may reduce suicidal risk in LGBTQ young adults.
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Mugo, Cynthia. "'Now you see me, now you don't' - a study of the politics of visibility and the sexual minority movement in Kenya." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/26147.

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This study explores the varied ways sexual minority organisations in Kenya negotiate their choices, decisions and actions when determining how, when, and why to be publicly visible or retreat from visibility. This they have to do in the context of the threats of retribution on the part of Kenyan state leaders to their efforts to protect sexual minority rights. Sexual minority organising carries the risk of verbal abuse and the threat of arrest and other retribution. In spite of this, sexual minorities have organised themselves into publicly visible social movement organisations over the last ten years. In addition to the hostility of the Kenyan state, these organisations operate within the context of the uneven situation with regard to the constraints or otherwise of organising as sexual minorities between the Global South and North. The situation is further complicated by the role of donors, who bring their own experiences and agendas from the Global North, not always appropriately, into African contexts. Amid such varied responses to sexual minority organising, how, when, and why do Kenyan social movement organizations become publicly visible or retreat from visibility? To recognise the various forces that influence (in)visibility choices that sexual minority organisations have to negotiate, I used sociologist James M. Jasper's (2006) concept of "strategic dilemma". Sexual minority social movement organisations field strategic dilemmas when they strategise around whether and how to become visible, modify their public profile, or forgo political opportunities. To understand the micro-political dynamics of how sexual minority social movement organisations negotiated such strategic dilemmas of visibility and invisibility, I analysed 200 newspaper articles and sexual minority organisational documents and conducted 12 in-depth interviews with staff, members and leaders of sexual minority social movement organisations. Ultimately the findings of this thesis centre on the fluidity of visibility and invisibility as was experienced by Kenyan sexual minority organisations. (ln)visibility was experienced in diverse ways as a process that included a series of steps that do not have absolute values nor are they necessarily coherent in different time and space. My findings advance social movement theorizing by demonstrating the importance of studying social movements in the global South. In addition, my findings contribute to postcolonial feminist and queer theorizing by showing how marginalised sexual and gender minorities in Kenya struggled strategically to assert their democratic inclusion in the state.
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Stapel, Christopher J. "SCHOOL, FAMILY, AND FAITH: SOCIAL INFLUENCES ON EDUCATIONAL OUTCOMES OF NONMETROPOLITAN SEXUAL MINORITY STUDENTS." UKnowledge, 2012. http://uknowledge.uky.edu/sociology_etds/2.

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Social institutions in rural communities tend to be highly interrelated and social ties tend to be dense and multiplex. Human ecological theoretical models posit that all institutions in which an individual is embedded interact in complex ways. As such, this dissertation examines the influences of school, faith, family, and risk contexts on the grade point averages of students who attended school in nonmetropolitan counties in Appalachian Kentucky. Using data disaggregated by gender from nearly 5,000 adolescents, I identified risk and protective factors on grade point averages by attraction type (exclusively opposite-sex attracted, same-sex attracted, and unsure of attraction), identified differences in grade point averages between attraction types, and identified mediators and moderators of the relationship between attraction type and grade point average. School belonging positively influenced the grade point averages of unsure males and religious belief negatively influenced the grade point averages of same-sex attracted males. In general, sexual minority students reported lower grade point averages than their exclusively opposite-sex attracted peers. Among same-sex attracted males and females, this disparity in grade point average was mediated by school belonging. Among unsure males the variation in grade point average was largely explained by engagement in risk behaviors. The relationship between sexual attraction and grade point average was moderated by religiosity, marijuana use, and labor market optimism.
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Demant, Daniel. "Substance use among sexual minority young people: The influence of community attitudes and identities." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/117146/1/Daniel_Demant_Thesis.pdf.

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This thesis provides an examination of the disproportionate use of licit and illicit substances among sexual minority young people. It shows a clear picture that substance use is not equally distributed among all groups within this population, and that a range of underlying factors are responsible for existing disparities between this population and the general population. These include marginalisation and mental health as well as characteristics of the LGBT community such as peer pressure, high concentration of licensed venues, and socio-political values. Both connectedness to and participation in the LGBT community were significantly associated with substance use involvement.
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Kwok, Kan Diana, and 郭勤. "A qualitative study of Chinese male sexual minority students navigating heterosexism in Hong Kong secondary schools." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hdl.handle.net/10722/212639.

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This phenomenological qualitative study is informed by integrated theories including a social constructionist perspective on human sexuality, sexual identity development models, heterosexism with theoretical support of minority stress model and feminist theory. The aim was to uncover the lived experiences of 20 male sexual minority students navigating heterosexism in secondary schools, within the socio-cultural context of Hong Kong Chinese society. Due to the invisibility of sexual minority adolescents in Hong Kong, purposeful sampling was used to recruit informants who were having same-sex sexual attractions and/or sexual behaviors/sexual identity. Over the period 2008-2011, twenty male informants, aged 14 to 19 and currently enrolled in secondary schools, were recruited for in-depth interviews. In terms of community labels, these informants might be known as gay, bisexual, memBa, tongzhi, tongxinglian, and those who are still questioning their sexual identity. Parental consents were waived for informants under eighteen years old and alternative measures were carried out to safeguard confidentiality and their best interests. Qualitative data analyses via a software package NVivo yielded several overarching themes: 1) “exploring my sexuality in school”; 2) “feeling powerless over overt homophobia”; 3) “feeling alienated over heteronormative assumptions”; 4) “feeling oppressed over silencing”; 5) “angry over curriculum omission”; 6) “distressed with risk stories”; and 7) “empowered with stories of resilience”. The results suggest that with variations in their sexual identity developmental process, they defined and interpreted their sexualities with reference to the specific social cultural context of Hong Kong, especially linked to the Christian value, Chinese Confucianism and Western human rights concepts. In the process of exploring a stigmatized sexual identity within schools, the informants generally felt powerless, alienated, and oppressed when encountering psychological and cultural heterosexism, manifested through overt and subtle forms by individuals and the systems within the school context. In the process of navigating homophobia and heterosexism, informants shared both risk and resilience stories. The current findings will be helpful for those in the teaching and counseling professions. These professionals can also help raise public awareness of this group of students in order to eliminate the social stigma, prejudice, and discrimination that still plague sexual minorities. Recommendations are made for further research, education policy, professional training for teachers and counselors, and support services for sexual minority students.
published_or_final_version
Education
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Doctor of Education
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31

Todd, Emerson A., Sarah A. MA Job, and Stacey L. PhD Williams. "Differences in the role of Anticipated Discrimination and Social Support in the Relationship with Depression for TGNC and non-TNGC sexual minorities." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/82.

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Gender minorities and sexual minorities have been historically under researched in the field of psychology. This becomes more so the case when looking at the intersections of those who identify as both gender and sexual minorities. Prior research has indicated that minority stress models have been shown to be linked to disparities in mental health between sexual minorities and non-sexual minorities. This has also been shown to be true between gender minorities and cis gender individuals. Little research has ever been done to establish this model on those who fall within both minority groups and how these models may differ. The present study attempts to look at this intersection by comparing a mental health and minority stress model – comprised of anticipated discrimination, social support, and depression – for those identifying as a gender and sexual minority to those who identify as purely sexual minorities. In order to do this, participants (N = 315) were recruited from social media and were given a series of surveys. All participants identified as sexual minorities and 53% (n = 167) identified as Transgender or Gender Non-Conforming (TGNC). The cross-sectional, online quantitative study featured a battery of surveys that measured anticipated discrimination in both major and every day events, LGBT community connectedness, depression, and anxiety. A mediated moderated model and a series of t tests were performed to analyze the differences between sexual and gender minorities versus sexual minorities only. Results indicated that TGNC individuals had significantly higher levels of anticipated discrimination (M = 3.56, SD = .86 compared to M = 3.30, SD = .92), lower levels of social support (M = 4.66, SD = 1.26 compared to M = 5.20, SD = 1.24), and higher levels of depression (M = 31.81, SD = 12.97 compared to M = 25.32, SD = 12.80). Further, anticipated discrimination and fewer support resources explain the increase in depression for TGNC individuals (bootstrapped indirect effects = -.4111 SE = .1720 95%CI = -.8675, -.1634). Overall TGNC individuals showed to have worse experiences and outcomes than their gender conforming, cisgender peers. These results may suggest that future counselling methods for TGNC individuals could benefit by focusing on fostering social support through methods such as interpersonal psychotherapy.
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Andorka, Michael J. "Gay Men, Minority Stress, and Romantic Relationships." University of Akron / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=akron1374254325.

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Valenti, Korijna G. "The Impact of Losing a Spouse or Partner on End-of-Life Preparation, Needs, and Support: An Exploratory Study of Sexual and Gender Minority Women's Experiences." Miami University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=miami1587503346282281.

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34

Duesterhaus, Megan L. "Understanding Gender and Sexuality in a Gay/Straight Alliance." Doctoral diss., University of Central Florida, 2012. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5195.

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Gay/Straight Alliances aimed at providing sexual minority youth and their allies with support, social events, and activism and education opportunities have proliferated in high schools in the United States over the past two decades. This study employs a qualitative, grounded theory approach to examine how sexual minority youth and their allies navigate gender, sexuality, and social movement participation. A year and a half of observation and 16 semi-structured individual interviews were conducted with Gay/Straight Alliance members in a high school setting in the southeastern United States. The study reveals that, through the lens of frame analysis, the G/SA is analogous to larger and more organized social movement organizations. The findings also suggest members often struggle and engage with issues surrounding sexuality, including its origins, coming out as a process, and judgments and evaluations surrounding sex and desire. Additionally, the findings address elements of gender conformity and non-conformity.
ID: 031001382; System requirements: World Wide Web browser and PDF reader.; Mode of access: World Wide Web.; Thesis (Ph.D.)--University of Central Florida, 2012.; Includes bibliographical references (p. 162-172).
Ph.D.
Doctorate
Sociology
Sciences
Sociology
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35

Kahn, Lauren. "Can't We Just Be Who We Are? The Experiences, Identity, and Beliefs of Adolescents with Disabilities Who Identify as a Sexual or Gender Minority." Thesis, University of Oregon, 2014. http://hdl.handle.net/1794/18382.

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The purpose of this study was to gain an in-depth understanding of the lived experiences of adolescents with disabilities who identify as a sexual or gender minority within four ecological domains of self, school, family, and community and of how those experiences shape identity, sense of self, and beliefs about the future. Using in-depth semi-structured interviews, this research was conducted with an intersectionality framework that examined how the intersection of markers of difference inform individual reality and lived experiences for young adults with disabilities who identify as a sexual or gender minority. The sample included eight adolescents in high school across the state of Oregon who had a 504 plan or an Individualized Education Program and identified as lesbian, gay, bisexual, transgender, questioning, or queer. A multiple-phase data analysis led to in-depth descriptions of each individual's experiences as well as consistent cross-case themes. Key themes in the individual context included: identity development, positive beliefs about identity, navigation of identity labels, strategies for facing discrimination, and relationships. Experiences in the home context that shaped identity focused on the key areas of support, rejection, and religion. Concerning the school social context, the themes that emerged were the overlap of queerness and disability in the schools, Gay Straight Alliances and extracurricular clubs, and desired staff characteristics for an adult ally in school. No consistent themes were identified in the community domain. These findings contributed to the participants' descriptions of their beliefs about the future, focusing on independent living, postsecondary education, and employment. Analysis extends the limited research available for this subgroup, shedding a light on the importance of inclusive research. In addition, findings support implications for changes in how we work with students with disabilities who identify as lesbian, gay, bisexual, questioning, queer, transgender, or intersex as well as how we train and support our teachers to work with all students and engage in anti-discriminatory practices.
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Tabaac, Ariella R. "QUEER HEALTH EQUITY AND CERVICAL CANCER: IDENTIFYING SOCIAL DETERMINANTS OF PAPANICOLAOU TEST UPTAKE IN A SAMPLE OF SEXUAL MINORITY WOMEN AND GENDER NONBINARY INDIVIDUALS." VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5324.

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Sexual minority women (SMW) demonstrate lower rates of cervical cancer screening than heterosexual women. This is concerning as lesbian and bisexual women tend to engage in higher rates of substance-related cancer risk behaviors, unprotected sex, and tend to have higher body mass indices, all of which are risk factors for cancer development. Another major risk factor, screening avoidance, places SMW at increased risk for the development of high grade cervical lesions in the absence of early detection practices, which is likely to impact overall cervical cancer morbidity in this population. The aim of the present study was to utilize the Health Equity Promotion Model in order to investigate the interplay of medical heterosexism, social and community, behavioral, biological, and social identity/position factors on cervical cancer screening rates in a sample of SMW from a large metro area in the southeastern United States. 145 women who identify as sexual minorities were recruited from local LGBT-friendly venues, events, community organizations, email LISTSERVs, and related social media accounts and were asked to complete a fifteen-minute survey. A series of bivariate correlation, t-test, and multivariate regression analyses were run. Findings from mediation analyses demonstrated that health communication factors mediated the relationship between perceived medical heterosexism and cervical cancer screening outcomes. Further, after accounting for demographic factors, greater provider communication quality, provider trust, eHealth literacy, and ever having an HIV test significantly and differentially predicted cervical cancer screening outcomes in the multivariate models (ps < .05). Findings suggest that health communication factors play an important role in facilitating cervical cancer screenings for SMW, and provider training interventions and policy that focus on reducing medical heterosexism may aid in improving patient-provider relationships in this population.
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Fontán, Álvarez Jonathan. "Democracy and Gender and Sexual Minority Rights: Brazil, Bulgaria and Namibia compared - How can we understand the importance of democracy to furthering LGBTQ human rights?" Thesis, Malmö universitet, Fakulteten för kultur och samhälle (KS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-22668.

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Democracies are argued to be imperative for the advancement of LGBTQ human rights. In the last two decades, however, the picture regarding LGBTQ rights has been extremely contradictory with countries adopting ‘LGBTQ friendly’ policies such as same-sex marriage or adoption while other democratic nation-states have constrained or not developed the rights of sexual minorities. Flaws in the democratic political system and the international human right regime are believed to be responsible for that. The aim of this paper is to investigate the significance of democracy in relation to sexual and gender minority human rights. This is done by (a) framing the study through previous studies related to the topic, the use of Queer IR and democratic theory, and (b) conducting a small-N comparison with content analysis where Brazil, Bulgaria and Namibia are analysed to answer the research question. Democracy is demonstrated to be a necessary factor in the process of LGBTQ right advancement, but not essential. Other factors are believed to influence the process, especially social movements and their effect in norm internalisation processes.
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Vega, Gisela P. "Latina Lesbian Students: Understanding their Experiences and Perceived Sexual Identity Development at a Hispanic-Serving Institution." FIU Digital Commons, 2016. http://digitalcommons.fiu.edu/etd/2722.

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The purpose of this phenomenological study was to explore the experiences of 15 Latina lesbian students and their perceived sexual identity development at a predominately Hispanic-serving Institution (HSI). Participants for this study were purposefully selected using criteria, convenience, and snowball sampling. Using a conceptual framework comprised of the four tenets consistent across the spectrum of all sexual identity development models, participants’ experiences were described, analyzed, and interpreted to inform the study. Data were collected through individual face-to-face interviews, using an interview protocol, and were analyzed using inductive, deductive, and comparative analyses. Three themes emerged during the inductive analysis: (a) the trifecta: family, religion and gender, (b) the paradox of being Latina and lesbian, and (c) institutional care. In the deductive analysis, a rubric of a priori codes was derived from their (a) cultural perspectives, (b) identity awareness, and the four tenets sexual minorities consistently experience which included: (c) alienation, (d) social exclusion, (e) disclosure, and (f) self-acceptance of a non-heterosexual identity. The deductive analysis confirmed that participants’ experiences and perceived levels of sexual identity development were determined by the challenge or support they received from family, peers, and their Hispanic-serving institution overall. The comparative analysis revealed an overlap of the inductive and deductive themes. Among 15 participants, the inductive themes of (a) the trifecta: family, religion and gender, (b) the paradox of being Latina and lesbian, and (c) institutional care were present in all segments of the deductive analysis. The findings highlighted the complex and challenging experiences of Latina lesbians as they attempt to navigate their intersections of sexuality, gender, and culture in the context of higher education. The study makes a critical contribution to understanding the experiences and sexual identity development of Latina lesbian students at an HSI. The study concluded that while Latina lesbian students struggle to reconcile their Latina and lesbian identities, their experiences at a HSI can be a source of challenge or support in their overall well-being and identity development.
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Taliaferro, Amy Rebecca. "Understanding the knowledge Masters of Social Work student's have in regard to lesbian, gay, bisexual, and transgender foster youth issues." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3210.

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40

Rummell, Christian L. "A Unique Support for Sexual-Minority Identity Development: An Interpretative Phenomenological Analysis of a Long-Term Formal Mentoring Relationship Between an Adult and a Youth From the Gay Community." PDXScholar, 2013. http://pdxscholar.library.pdx.edu/open_access_etds/1487.

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An important need exists to build a baseline understanding of the phenomenon of formal mentoring relationships involving adults and youth from the gay community. During the formative years when gay adolescents navigate through the process of understanding, defining, accepting, and sharing their identity as a sexual minority, they are often faced with high levels of environmental risks, including victimization, stress, and negative social sanctions by others. Formal mentoring has been recommended as a potential strategy to offer unique one-to-one support to gay youth that can help to foster resilience and a range of positive outcomes, including strengthening processes involved in identity development; yet, no previous studies have captured insights about these relationships. Using Interpretative Phenomenological Analysis (IPA), this study investigated the following research questions: (a) What are the most important characteristics of long-term formal mentoring relationships between gay adults and gay youth from the perspectives of the participants? (b) How, if at all, do mentors and mentees perceive potential benefits and limitations for gay youth participating in long-term formal mentoring relationships with gay adults? (c) How, if at all, do mentors and mentees perceive their mentoring relationship uniquely contributing to sexual-minority identity development in gay youth? After a 2-year search for participants, a purposeful sample of one mentoring dyad was chosen. Semi-structured in-person interviews were conducted with the match at the 17-month and 22-month mark of their relationship. This study contained four assertions based on this study's findings: (a) This long-term mentoring relationship between an adult and a youth from the gay community shared numerous similarities with other high quality mentoring relationships; (b) This mentoring relationship offered insight into how to create individualized and long-term support for sexual-minority identity development in youth; (c) This mentoring relationship represented an important but unrealized type of support that can potentially be used to complement existing peers, internet, and community-based resources for gay youth; and (d) Complexity continues to exist in using language and self-labeling to define, inquire, and provide support to individuals from the gay community--especially youth. Recommendations for programming, policy, and future research are provided.
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Sanchez, Meyerlyn Leticia. "The Resilience Experiences in Non-Binary Survivors of Intimate Partner Violence and Sexual Assault." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1556796935295631.

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42

Pham, Tan Phu. "Differences in Access to Care and Healthcare Utilization Among Sexual Minorities: A Master's Thesis." eScholarship@UMMS, 2014. https://escholarship.umassmed.edu/gsbs_diss/719.

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BACKGROUND: The barriers in accessing healthcare for gay, lesbian and bisexuals individuals are not well explored. These challenges as well as a lack of knowledge concerning this understudied group has prompted the Institute of Medicine to create a research agenda to build a foundational understanding of gay, lesbian and bisexual health and the barriers they encounter.1 the primary aim of this study will be to compare the differences in health care access and utilization between gay/lesbian, bisexual and heterosexual individuals using a large, nationally representative dataset of the U.S. population. METHODS: Data from 2001 to 2012 from the National Health and Nutrition Examination Survey was pooled. Using logistic regression, we calculated the unadjusted and adjusted odds ratios of having health insurance, having a routine place and seeing a provider at least one in the past year. RESULTS: We found that gay men were more likely to have health insurance coverage (ORadj:2.13 95%CI: 1.15,3.92), while bisexual men were at a small disadvantage in having health insurance coverage (ORadj:0.82 95%CI: 0.46,1.46). Bisexual men were more likely to have received health care in the past 12 months (ORadj:3.11 95%CI: 1.74,5.55). Lesbian women were less likely to have health insurance coverage (ORadj-lesbian:0.58 95%CI: 0.34,0.97). CONCLUSION: This study contributed to the limited knowledge on understanding the health care access and utilization among gay, lesbian and bisexual individuals, which was classified as a high priority by the Institute of Medicine. Expanding health insurance coverage through the Affordable Care Act and Universal Partnership Coverage may reduce the disparities among gay, lesbian and bisexual individuals.
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43

Pham, Tan Phu. "Differences in Access to Care and Healthcare Utilization Among Sexual Minorities: A Master's Thesis." eScholarship@UMMS, 2006. http://escholarship.umassmed.edu/gsbs_diss/719.

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BACKGROUND: The barriers in accessing healthcare for gay, lesbian and bisexuals individuals are not well explored. These challenges as well as a lack of knowledge concerning this understudied group has prompted the Institute of Medicine to create a research agenda to build a foundational understanding of gay, lesbian and bisexual health and the barriers they encounter.1 the primary aim of this study will be to compare the differences in health care access and utilization between gay/lesbian, bisexual and heterosexual individuals using a large, nationally representative dataset of the U.S. population. METHODS: Data from 2001 to 2012 from the National Health and Nutrition Examination Survey was pooled. Using logistic regression, we calculated the unadjusted and adjusted odds ratios of having health insurance, having a routine place and seeing a provider at least one in the past year. RESULTS: We found that gay men were more likely to have health insurance coverage (ORadj:2.13 95%CI: 1.15,3.92), while bisexual men were at a small disadvantage in having health insurance coverage (ORadj:0.82 95%CI: 0.46,1.46). Bisexual men were more likely to have received health care in the past 12 months (ORadj:3.11 95%CI: 1.74,5.55). Lesbian women were less likely to have health insurance coverage (ORadj-lesbian:0.58 95%CI: 0.34,0.97). CONCLUSION: This study contributed to the limited knowledge on understanding the health care access and utilization among gay, lesbian and bisexual individuals, which was classified as a high priority by the Institute of Medicine. Expanding health insurance coverage through the Affordable Care Act and Universal Partnership Coverage may reduce the disparities among gay, lesbian and bisexual individuals.
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Petkovich, Anna L. ""Her Power is Her Own": Classed Confines, Gendered Expectations, and Questions of Social Movement in The House on Mango Street." Scholarship @ Claremont, 2014. http://scholarship.claremont.edu/scripps_theses/414.

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This dual thesis seeks to explore the implications of socioeconomic class position for the formation of gender and sexual identities. Utilizing social theories of class and gender, I suggest that because a disadvantageous class location frames social relations in terms of privilege and movement, gender and sexual identities are thus similarly conceptualized; effectively, gender performance and sexual behaviors become attached to notions of value and movement. I turn to Sandra Cisneros's The House on Mango Street to think through the nuances of such an argument, highlighting the experiences of foiled characters Sally and Esperanza to realize how classed confines and gendered expectations literally and figuratively shape their understandings of social relations and movement.
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45

Crowhurst, Michael. "Working through tension : a response to the concerns of lesbian, gay and bisexual secondary school students /." Connect to thesis, 2001. http://eprints.unimelb.edu.au/archive/00000384.

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46

Carastathis, Geoffrey S. "Rejected by the family for being lesbian and gay : exploring and testing factors that contribute to resilience." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2013. https://ro.ecu.edu.au/theses/699.

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Research indicates that experiencing rejection from family for being gay significantly increases the risk of suffering various mental health and behavioural problems. However, research was not clear on what constitutes rejection and the focus was also on initial rather than current family rejection. Furthermore, research is needed on risk and protective factors that influence a person’s ability to successfully cope with such a stressful event. Therefore, this research investigated factors that contributed to the resilience of gay men and lesbians who experience current family rejection. Interviews in the initial research phase explored factors that fostered or inhibited a gay or lesbian person’s ability to cope with this challenge. Subsequently, a questionnaire was created and was administered to numerous gay men and lesbians to test the identified risk and protective factors that emerged in the initial phase. These factors were also profiled within a sample of gay men and lesbians who did not report such rejection. The phenomenological approach adopted in the initial phase allowed exploration of: portrayals and perceptions of this rejection; its consequences; and factors that assisted or impeded the ability to cope with it. Data was gathered through individual semi-structured in-depth interviews with 11 gay men and 10 lesbians (M age = 26.19 years; M age of disclosure to family = 20.14). Four main themes emerged: Reasons for disclosure; The nature of family rejection; Negative impact of family rejection; and Resilience: Coping with rejection. Factors that appeared to contribute to a person’s ability to cope with family rejection were strategic concealment, social support, connecting with other gay people, and accepting oneself and others’ unacceptance. Some participants also coped through self-destructive means such as self-harm and substance use. The questionnaire was informed by findings from both previous research and the qualitative study within the initial phase of this research. Eleven variables were investigated for their ability to predict resilience: self-esteem, support from family, support from friends and significant others, sense of belonging to the general community, sense of belonging to the gay community, strategic concealment, internalised heterosexism, self-acceptance, behavioural disengagement, substance use, and acceptance of stressful events. Through convenience and snowball sampling, a total of 759 participants completed the questionnaire and, of those, 550 (335 gay men, 215 lesbians; M age = 32.42 years) reported experiencing some level of current family rejection. Those who reported such rejection scored significantly higher on depression, anxiety, stress, and internalised heterosexism, while lower on self-esteem and self-acceptance. Resilience scores were also lower among gay men and lesbians who reported this adverse experience. Rejection levels were significantly higher when participants first disclosed their sexuality but current family rejection had the most influence on depression scores. Higher resilience levels significantly lowered depression, anxiety, and stress. Using a standard multiple regression analysis, the combined effect of the 11 variables accounted for 52% of the variance in resilience scores. Only two variables, sense of belonging to the gay community and substance use, did not make significant contributions. Support from family and behavioural disengagement negatively predicted resilience. Greater scores on each of the remaining seven variables were associated with higher levels of resilience. The generalisability of the 11 variables for predicting resilience was then examined among a sample of gay men and lesbians who did not report current family rejection (n = 209; M age = 32.95 years). The model accounted for 44% of the variability in resilience scores. In contrast to the gay men and lesbians who experienced current family rejection, support from family was found to positively influence resilience while substance use emerged as a significant inhibitor. Support from friends and significant others, strategic concealment, and internalised heterosexism were not influencers for predicting resilience among the gay men and lesbians who did not report currently experiencing family rejection. The remaining six variables were relatively consistent in their influence across the two study groups. This research contributes to theory and clinical practice, and provides greater insight into the nature of experiencing family rejection for being gay or lesbian and how one copes with it, as well as how rejection may be perceived. These findings can provide a basis for developing individual and community level interventions which could facilitate the ability to cope with family rejection and thus reduce the significant risk it poses to the well-being of gay men and lesbians.
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Strauss, Ashley J. "Distribution of and relationship between medically classified weight and self-perceived body size across sexual orientation: An Add Health analysis." Antioch University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=antioch147993895681102.

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48

Matthias, Nakia M. "Assessing the Communicative Ecology of Male Refugees in Namibia: A Study to Guide Health Communication Interventions on Multiple and Concurrent Sexual Partnerships." Ohio University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1308278357.

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49

Williams, Stacey L. "Sexual Minority Stress." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/8077.

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50

Starfield, Amanda Louise. "Adult support for lesbian, gay, bisexual, transgender, queer and questioning (LGBTQQ) youth in high school : a project based upon an independent investigation /." View online, 2008. http://hdl.handle.net/10090/5933.

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