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Journal articles on the topic 'Sexual minorities – Counseling of'

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Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

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1

Everett, Bethany G., Jenny A. Higgins, Sadia Haider, and Emma Carpenter. "Do Sexual Minorities Receive Appropriate Sexual and Reproductive Health Care and Counseling?" Journal of Women's Health 28, no. 1 (January 2019): 53–62. http://dx.doi.org/10.1089/jwh.2017.6866.

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Dispenza, Franco, Cory Viehl, Miriam H. Sewell, Meredith A. Burke, and Megan M. Gaudet. "A Model of Affirmative Intersectional Rehabilitation Counseling With Sexual Minorities." Rehabilitation Counseling Bulletin 59, no. 3 (April 6, 2015): 143–57. http://dx.doi.org/10.1177/0034355215579916.

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Johnson, Veronica R. F., and Mark A. Yarhouse. "Shame in Sexual Minorities: Stigma, Internal Cognitions, and Counseling Considerations." Counseling and Values 58, no. 1 (April 2013): 85–103. http://dx.doi.org/10.1002/j.2161-007x.2013.00027.x.

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Ojanen, Timo T. "Sexual/gender minorities in Thailand: Identities, challenges, and voluntary-sector counseling." Sexuality Research and Social Policy 6, no. 2 (June 2009): 4–34. http://dx.doi.org/10.1525/srsp.2009.6.2.4.

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McAleavey, Andrew A., Louis G. Castonguay, and Benjamin D. Locke. "Sexual Orientation Minorities in College Counseling: Prevalence, Distress, and Symptom Profiles." Journal of College Counseling 14, no. 2 (September 2011): 127–42. http://dx.doi.org/10.1002/j.2161-1882.2011.tb00268.x.

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Hargons, Candice, Della V. Mosley, and Danelle Stevens-Watkins. "Studying Sex: A Content Analysis of Sexuality Research in Counseling Psychology." Counseling Psychologist 45, no. 4 (May 2017): 528–46. http://dx.doi.org/10.1177/0011000017713756.

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Using a sex-positive framework, we conducted a 61-year (1954–2015) content analysis of sexuality research featured in The Counseling Psychologist and the Journal of Counseling Psychology. We aimed to uncover (a) which human sexuality topics were published most, (b) whether the publications aligned with sex-positive, neutral, or negative discourse, (c) what methodologies were used, and (d) differences in how populations were investigated across racial groups. We used an integrative approach to the content analysis and human coding. Results highlighted in 188 articles meeting criteria, the largest focus (38%) was on sexual orientation, sexual identity, and sexual minorities; only 5% utilized a sex-positive perspective. Quantitative and conceptual articles were the most published methods, and publications disproportionately focused on non-Latino White populations. When people of color were included, the discourse was sex negative. Implications for research and practice are discussed.

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Smith, Lance C., Richard Q. Shin, and Lindsay M. Officer. "Moving Counseling Forward on LGB and Transgender Issues." Counseling Psychologist 40, no. 3 (June 27, 2011): 385–408. http://dx.doi.org/10.1177/0011000011403165.

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Using a case example, the authors explore how the counseling field’s participation in the discourse of heterosexist dominance fosters microaggressions toward sexual and gender-transgressive minorities. Specifically, the authors deconstruct four linguistic assumptions of the discourse of heterosexist dominance: (a) the sex/gender binary, (b) decontextualized disposition language of homophobia, (c) hierarchical disposition language of affirmation, and (d) gendered pronouns. The authors will also examine how these assumptions influence egalitarian, well-intended counselors and counseling psychologists to engage in microinvalidations of LGB and transgender clients. Implications regarding more effective practice, training, and research will be discussed.

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Lefevor, G. Tyler, Jacqueline Y. Paiz, William-Michael Stone, Kiet D. Huynh, Hibah E. Virk, Sydney A. Sorrell, and Sierra E. Gage. "Homonegativity and the Black Church: Is Congregational Variation the Missing Link?" Counseling Psychologist 48, no. 6 (May 27, 2020): 826–51. http://dx.doi.org/10.1177/0011000020918558.

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The Black church in the United States has historically functioned as a bastion for civil rights; however, it may also be a source of pain and suffering for sexual minorities. To examine the influence of individual and congregational variables on attitudes toward same-sex sexuality in the Black church, we collected a sample of 219 participants from 15 randomly selected congregations. Results of three hierarchical linear models indicated that congregation- and individual-level variables emerged as equally important predictors of individuals’ attitudes toward same-sex sexuality. Individual-level religiousness and congregation-level education emerged as significant predictors of homonegativity. Our results suggest that congregations may play a role in enacting homonegative attitudes. We encourage counseling psychologists working with religious Black sexual minority clients to help clients consider characteristics of congregations (e.g., education) and individual religious practices (e.g., overzealous service attendance) that may signal homonegativity. We encourage further work examining the influence of congregational factors on congregants’ attitudes.

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Dispenza, Franco, and Tameeka Hunter. "Reported Use of and Satisfaction With Vocational Rehabilitation Services Among Lesbian, Gay, Bisexual, and Transgender Persons." Rehabilitation Research, Policy, and Education 29, no. 4 (2015): 421–24. http://dx.doi.org/10.1891/2168-6653.29.4.421.

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Purpose:Reported use of and satisfaction rates of vocational rehabilitation (VR) services among a small sample of lesbian, gay, bisexual, and transgender (LGBT) persons living with various chronic illness and disability (CID) conditions in the United States were explored.Method:Data were pulled from a larger data set that was collected via the Internet. A quantitative research design using descriptive statistics and Pearson chi-square tests were used to analyze the data.Results:Sexual minorities living with various CID conditions are presenting to VR for vocational services. Sexual minority women- and bisexual-identified persons were more likely to report dissatisfaction with VR services than gay men.Conclusions:LGBT persons are experiencing an array of CID conditions and using VR services. More consideration of LGBT issues in rehabilitation counseling is necessary.

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Mohraz, Minoo, SeyedAhmad SeyedAlinaghi, Ali Asadollahi-Amin, Rahele Golrokhi, Effat Merghati Khoei, Habib Yousefi, Fatemeh Jafari, and Omid Dadras. "Sociodemographic Characteristics, HIV-Related Risk Behaviors and HIV Prevalence of Vulnerable Men in Tehran, Iran." Current HIV Research 19, no. 4 (August 30, 2021): 352–57. http://dx.doi.org/10.2174/1570162x19666210412114627.

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Background: Sexual minorities, such as men who have sex with men (MSM), are disproportionately impacted by HIV/AIDS compared to heterosexual men. The increased prevalence of HIV/AIDs among this group of individuals is associated with increased participation in HIV-related risk behavior, such as multiple sexual partnerships and injection drug use. However, very little is known about the prevalence of HIV and the risk behaviors related to HIV infection among MSM in Iran. This absence of data is due to the increased discrimination and stigmatization MSM, and other vulnerable populations face in Iran. This study was conducted to identify HIV-related risks, HIV prevalence and sociodemographic characteristics of the MSM population in Iran. Methods: A cross-sectional study was conducted among MSM attending the Sexual Health Clinic at Imam Khomeini Hospital in 2018. A sexual health screening questionnaire was used to aid in identifying HIV-related risk behaviors. HIV status was determined using an HIV rapid test and confirmed by an ELISA. Results: One hundred MSM enrolled in this study, out of which 41% were 18-25 years old. The majorities were single; almost one-third had a diploma degree. Only a fifth were employed, and about a quarter (25%) reported substance abuse. Among eighty-three people (83%) reported having sex during the past three months, and only 27 (27.3%) of participants always used condoms for sex. Among 80 participants tested for HIV, two positive results were detected (2.5%). Conclusion: Data collected through a sexual health questionnaire indicated that the prevalence of HIV is increased among MSM in Iran. This finding sheds light on the urgent need for the implementation of social programs providing counseling and healthcare to vulnerable populations in Iran.

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Clavijo, Stephanie, Matthew Herrmann, and Katya Corado. "997. The Purview Paradox: PrEP Utilization at a Major Southern California County Teaching Hospital and Affiliated Clinics." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S527—S528. http://dx.doi.org/10.1093/ofid/ofaa439.1183.

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Abstract Background According to the Centers for Disease Control (CDC), PrEP coverage in the United States was approximately 18% in 2018 and 21.9% in California. We predict that PrEP prescription is lower at Harbor-UCLA Medical Center (HUMC) and affiliated clinics within Los Angeles County Department of Health Services. Methods A retrospective chart review of HIV-negative patients with ICD-10 coded diagnoses of sexually transmitted infections (STIs) or high-risk sexual behavior was performed across various medical specialties at HUMC and affiliated clinics in 2018. Documentation of sexual behavior risk reduction counseling, PrEP discussion and prescription was reviewed from electronic medical records for each encounter. Descriptive statistics and analysis were completed in STATA Version 16.1, StataCorp LLC. Results The sample included 250 individual patients, all with indications for PrEP. Of those, 47.2% identified as Latinx and 27.2% Black. Table 1 shows 74% of patients identified as heterosexual whereas 9.2% identified as gay, and 4.4% bisexual. Of the 250 individual patients, 87 (34.8%) returned for a 2nd visit, 35 (14.0%) for a third, and 9 (3.6%) for a 4th visit, for a total of 381 encounters. Of the total encounters, 49.3% had sexual behavior risk reduction counseling, 7.3% had discussions about PrEP with their provider, and only 2.1% were newly prescribed PrEP (Table 2). Of the 2.1% new PrEP prescriptions, 1.8% were prescribed by family medicine providers with no new prescriptions by OB/GYN or acute care providers. Only 25% of new PrEP prescriptions were female patients. A positive test for an STI occurred in 45.1% of total encounters while high risk sexual behavior was identified in 54.9% of encounters (Table 3). Table 1: First Encounter Demographics (N=250 Individual Patients) Table 2: Primary Outcomes by Specialty (N=381 Total Encounters) Table 3: Sexually Transmitted Infections Frequency (N=381 Total Encounters) Conclusion Our findings demonstrate that the percent of individuals newly prescribed PrEP (2.1%) at HUMC and affiliated clinics is less than that reported nationally and in California. This suggests that municipal health systems fall short in PrEP usage, notably for structurally vulnerable populations such as racial minorities as well as heterosexual females. Ending racial/ethnic disparities in HIV and in PrEP coverage not only requires educating specialty providers on PrEP, but also addressing structural racism and identifying structural barriers to care in vulnerable communities. Disclosures All Authors: No reported disclosures

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Fasciana, Teresa, Giuseppina Capra, Paola Di Carlo, Cinzia Calà, Marco Vella, Giuseppe Pistone, Claudia Colomba, and Anna Giammanco. "Socio-Demographic Characteristics and Sexual Behavioral Factors of Patients with Sexually Transmitted Infections Attending a Hospital in Southern Italy." International Journal of Environmental Research and Public Health 18, no. 9 (April 28, 2021): 4722. http://dx.doi.org/10.3390/ijerph18094722.

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Sexually transmitted infections (STIs) are a serious global health problem. In Italy, data describing the vulnerability to STIs of specific sexual minorities and the influence of sociodemographic and behavioral determinants are limited, as most infections are not subject to mandatory notification. This retrospective study describes the sociodemographic profile and main sexual behaviors of patients attending a hospital in Palermo (Sicily, Italy) from January 2018 to March 2019 as predictors of STI risk. Patients were divided in subgroups: men-who-have-sex-with-men (MSM), men-who-have-sex-with-women (MSW), bisexual men and females. Data were obtained through an anonymous questionnaire. Patients were tested for chlamydia, syphilis, Mycoplasma genitalium infection, genital herpes and HPV infection. A total of 294 subjects with STIs (male/female ratio about 2:1) were screened. Of the total sample, 79.6% of patients were Italian. MSM accounted for 34.3%, MSW for 29.6%, bisexual men for 5.8% and females for 30.3%. A total of 44.5% of patients had a high education level, 42.5% reported irregular use of condoms, 20.7% reported having had 5–10 partners in the six months prior to the visit and 32.9% were HIV-positive. HPV infection and syphilis were the most prevalent STIs. Conclusions: The most common profile of patients attending our clinic was that of an adult, Italian man with a high level of education, poor use of condoms and a high number of partners. MSM had the highest sex-behavior-related risk for STIs. In addition, our results suggest that all STD teams need to implement counselling topics and recommendations to share with patients, as well as tips on how to approach sexual health education/counselling, thereby promoting patient-centered approaches and educational programs.

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Surianti, Surianti. "AGAMA DAN KELOMPOK MINORITAS: KASUS LGBT." Jurnal Mimbar: Media Intelektual Muslim dan Bimbingan Rohani 7, no. 2 (October 30, 2021): 145–63. http://dx.doi.org/10.47435/mimbar.v7i1.772.

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In the context of belief, each religion equally teaches the Oneness of God and in social matters it also teaches goodness such as doing good to fellow religions and inter-religious people. But this does not rule out the possibility that their perspective on cases in social reality has differences, one of which is in terms of sexuality in the LGBT minority group who often gets discriminated against from the public, because they are influenced by many biased thoughts and views that lead to misunderstandings. There are many factors behind a person becoming LGBT including environmental factors, sexual freedom, genetics, hormones, rationale justification and also the principles of life so that it can be understood that LGBT is not necessarily formed without the involvement of other people in it. The counseling process is one of the key points that can be used as a treatment for this problem, with a behavioral approach expected to be able to change LGBT behavior to adapt well to their living conditions.

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Payton, Fay Cobb, Lynette Kvasny Yarger, and Anthony Thomas Pinter. "Text Mining Mental Health Reports for Issues Impacting Today’s College Students: Qualitative Study." JMIR Mental Health 5, no. 4 (October 23, 2018): e10032. http://dx.doi.org/10.2196/10032.

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Background A growing number of college students are experiencing personal circumstances or encountering situations that feel overwhelming and negatively affect their academic studies and other aspects of life on campus. To meet this growing demand for counseling services, US colleges and universities are offering a growing variety of mental health services that provide support and services to students in distress. Objective In this study, we explore mental health issues impacting college students using a corpus of news articles, foundation reports, and media stories. Mental health concerns within this population have been on the rise. Uncovering the most salient themes articulated in current news and literature reports can better enable higher education institutions to provide health services to its students. Methods We used SAS Text Miner to analyze 165 references that were published from 2010 to 2015 and focused on mental health among college students. Key clusters were identified to reveal the themes that were most significant to the topic. Results The final cluster analysis yielded six themes in students’ mental health experiences in higher education (ie, age, race, crime, student services, aftermath, victim). Two themes, increasing demand for student services provided by campus counseling centers (113/165, 68.5%) and the increased mental health risks faced by racial and ethnic minorities (30/165, 18.2%), dominated the discourse. Conclusions Higher education institutions are actively engaged in extending mental health services and offering targeted outreach to students of color. Cluster analysis identified that institutions are devoting more and innovative resources in response to the growing number students who experience mental health concerns. However, there is a need to focus on proactive approaches to mitigate the causes of mental health and the aftermath of a negative experience, particularly violence and sexual assault. Such strategies can potentially influence how students navigate their health information seeking and how information and communication technologies, including mobile apps, can partially address the needs of college students.

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Khoir, Anan Bahrul. "LGBT, Muslim, and Heterosexism: The Experiences of Muslim Gay in Indonesia." Wawasan: Jurnal Ilmiah Agama dan Sosial Budaya 5, no. 1 (June 30, 2020): 1–19. http://dx.doi.org/10.15575/jw.v5i1.8067.

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Muslim gay and bisexual men have been facing various challenges when living in a homophobic and heterosexist society in Indonesia. However, the study of strategies they utilised to manage those homophobic attitudes, such as discrimination, prejudice, and stigma, of their sexual minority status is limited. Therefore, drawing on minority stress theory, this study explores the life experiences of Muslim gay or bisexual men in Indonesia, by focusing on the problems they faced and the strategies they used to address those issues. All participants aged between 20 and 27 years old, have self-identified as gay or bisexual men, Muslims or ex-Muslims, and have been living in Indonesia. The primary data collection was a semi-structured qualitative interview. The data were recorded and transcribed verbatim according to the research questions from a snowball sample of seven participants. The data were then analysed using thematic analysis. The study revealed that all the participants experienced sexual and religious related problems because of living in a homophobic society. These obstacles came in many forms, such as rejection, feelings of isolation and loneliness, and concerns. However, they employed strategies to solve problems, such as self-acceptance, self-control, positive reinterpretation, seeking social support, concealing, conversion, and migration. This study recommends those who support sexual minorities to help and support them in various ways, such as providing psychological services and counsellings.

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Mammen, Ashika Ann. "Queer Ecologies – Research Paper [May 2021]: The Portrayal of Queerness in Malayalam Films." SMART MOVES JOURNAL IJELLH 9, no. 5 (May 28, 2021): 277–96. http://dx.doi.org/10.24113/ijellh.v9i5.11066.

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The term “Queer” mainly refers to anything which pertains to sexual behavior, identity or personality which does not conform to the conventional social or heterosexual norms, and assumptions. Being queer was and still is seen as an abnormality by multitudes in the society. Although it has been more than two years since the decriminalization of homosexuality in India, there are still plenty of societies which ill-treat, ostracize and look down upon the LGBTQ communities. The state of Kerala, having the highest literacy rate amongst all the other states in India, also happens to be one of the states which still look at queerness as an illness and an abnormality, which has to be dealt with and ‘cured’ through counseling and medication. However, in the midst of all these preconceived notions and social injustices against the LGBTQ communities, ‘Films’ stand as a strong medium of communication and a voice for the LGBTQ communities who are seen as ‘nobodies’ in our society. Films that have a theme of queerness tend to stand out from the cliché themes such as [heterosexual] love, patriarchy, hegemony, crime, and so on. The focus of this research paper is narrowed down to Malayalam films which stand as a solid foundation in order to show the portrayal of queerness and this is incorporated through a research question. Malayalam films aren’t just a source of entertainment, but it is also an emotion and an important part of life to the people of Kerala. The portrayal of queerness in Malayalam films have taken a bold stand, with exemplary performances in films like Randu Penkuttikal (1978), Deshadanakkili Karayarilla (1986), Chanthupottu (2005), Njaan Marykutty (2018), Moothon (2019) and more. This research paper throws light upon the various ways in which Malayalam films depict the theme of queerness, which is further carried out by a strong message with regard to the ill-treatment of the LGBTQ communities, the harsh realities and injustices faced by these sexual minorities who live a life filled with difficulties and hardships as they struggle to get a well paid job in a our stereotypical society, that labels them off as a bunch of “misfits.”

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Sheth, Anandi N., Sophia A. Hussen, Cam Escoffery, Lisa B. Haddad, Leah Powell, Nakita Brown, Teresa R. Filipowicz, et al. "Pre-Exposure Prophylaxis Integration Into Family Planning Services at Title X Clinics in the Southeastern United States: Protocol for a Mixed Methods Hybrid Type I Effectiveness Implementation Study (Phase 2 ATN 155)." JMIR Research Protocols 9, no. 9 (September 25, 2020): e18784. http://dx.doi.org/10.2196/18784.

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Background Adolescent and young adult women (AYAW), particularly racial and ethnic minorities, in the Southern United States are disproportionately affected by HIV. Pre-exposure prophylaxis (PrEP) is an effective, scalable, individual-controlled HIV prevention strategy that is grossly underutilized among women of all ages and requires innovative delivery approaches to optimize its benefit. Anchoring PrEP delivery to family planning (FP) services that AYAW already trust, access routinely, and deem useful for their sexual health may offer an ideal opportunity to reach women at risk for HIV and to enhance their PrEP uptake and adherence. However, PrEP has not been widely integrated into FP services, including Title X–funded FP clinics that provide safety net sources of care for AYAW. To overcome potential implementation challenges for AYAW, Title X clinics in the Southern United States are uniquely positioned to be focal sites for conceptually informed and thoroughly evaluated PrEP implementation science studies. Objective The objective of this study is two-fold: to evaluate multilevel factors associated with the level of PrEP adoption and implementation (eg, PrEP screening, counseling, and prescription) within and across 3 FP clinics and to evaluate PrEP uptake, persistence, and adherence among female patients in these clinics over a 6-month follow-up period. Methods Phase 2 of Planning4PrEP (Adolescent Medicine Trials Network for HIV/AIDS Interventions 155) is a mixed methods hybrid type 1 effectiveness implementation study to be conducted in three clinics in Metro Atlanta, Georgia, United States. Guided by the Exploration, Preparation, Implementation, and Sustainment framework, this study will prepare clinics for PrEP integration via clinic-wide trainings and technical assistance and will develop clinic-specific PrEP implementation plans. We will monitor and evaluate PrEP implementation as well as female patient PrEP uptake, persistence, and adherence over a 6-month follow-up period. Results Phase 2 of Planning4PrEP research activities began in February 2018 and are ongoing. Qualitative data analysis is scheduled to begin in Fall 2020. Conclusions This study seeks to evaluate factors associated with the level of PrEP adoption and implementation (eg, PrEP screening, counseling, and prescription) within and across 3 FP clinics following training and implementation planning and to evaluate PrEP uptake, persistence, and adherence among female patients over a 6-month follow-up period. This will guide future strategies to support PrEP integration in Title X–funded clinics across the Southern United States. Trial Registration ClinicalTrials.gov NCT04097834; https://clinicaltrials.gov/ct2/show/NCT04097834 International Registered Report Identifier (IRRID) DERR1-10.2196/18784

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Tenenbaum, Silvia. "Tenoch's Gender Journey: Case Study of a 13-year-old Mexican Refugee with Aboriginal Ancestry - Naming the Gaps Between Theory and Practice." First Peoples Child & Family Review 7, no. 2 (April 30, 2020): 27–33. http://dx.doi.org/10.7202/1068838ar.

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This paper explores the issues and technique that were used with a group of non-conforming youth to prepare them for successful entrance into university. It will produce and affirmation of the inner wisdom of non-traditional students as a mirror of learning for traditional teachers, to provide an example of dialogic learning through a de-colonizing lens. Then it will present the results of six years of group support and counselling to prove that denouncing the gaps in institutionalized systemic barriers to sexual minorities, coupled with persistent clincal, advocacy, and community activism, is effective in breaking the cycles of magrinalization of fervent, creative, and resilient youth once termed "at risk". Immigrant latino youth in general and the case study of Tenoch in particular shows that a direct application of present clinical practices are not enough to provide long-term healing and decolonizing attitudes to survive the academic needs of a border-gender communities. Regularm on-going therapy focused on anti-oppressive pracitces coupled with Aboriginal healing techniques has proved to be a valid, reliable, and consistent method to increase this vulnerable population's well-being without further marginalization. A practitioner might conclude that mixed model is more affirmative of individual process of personhood while still connected to one's roots and communities of origin. The implication of practice is that a clinical needs to also engage in advocacy, support, and profound transformations in order to unmask both inner and outer colonized mind traps.

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Mcfadden, John. "Stylistic dimensions of counseling minorities." International Journal for the Advancement of Counselling 9, no. 3 (1986): 209–19. http://dx.doi.org/10.1007/bf00120241.

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Steinke, Elaine E. "Sexual Counseling." American Journal of Nursing 100, no. 12 (December 2000): 38–44. http://dx.doi.org/10.1097/00000446-200012000-00038.

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Tabrisky, Alyssa Paige, Lara S. Coffin, David P. Olem, Torsten B. Neilands, and Mallory O'Neill Johnson. "Couples-focused intervention to improve engagement in HIV care: protocol for a randomised controlled trial." BMJ Open 11, no. 3 (March 2021): e037468. http://dx.doi.org/10.1136/bmjopen-2020-037468.

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Introduction Advances in HIV treatment have proven to be effective in increasing virological suppression, thereby decreasing morbidity, and increasing survival. Medication adherence is an important factor in reducing viral load among people living with HIV (PLWH) and in the elimination of transmission of HIV to uninfected partners. Achieving optimal medication adherence involves individuals taking their medications every day or as prescribed by their provider. However, not all PLWH in the USA are engaged in care, and only a minority have achieved suppressed viral load (viral load that is lower than the detectable limit of the assay). Sexual and gender minorities (SGM; those who do not identify as heterosexual or those who do not identify as the sex they were assigned at birth) represent a high-risk population for poor clinical outcomes and increased risk of HIV transmission, as they face barriers that can prevent optimal engagement in HIV care. Research in dyadic support, specifically within primary romantic partnerships, offers a promising avenue to improving engagement in care and treatment outcomes among SGM couples. Dyadic interventions, especially focused on primary romantic partnerships, have the potential to have a sustained impact after the structured intervention ends. Methods and analysis This paper describes the protocol for a randomised control trial of a theory-grounded, piloted intervention (DuoPACT) that cultivates and leverages the inherent sources of support within primary romantic relationships to improve engagement in HIV care and thus clinical outcomes among persons who are living with HIV and who identify as SGM (or their partners). Eligible participants must report being in a primary romantic relationship for at least 3 months, speak English, at least one partner must identify as a sexual or gender minority and at least one partner must be HIV+ with suboptimal engagement in HIV care, defined as less than excellent medication adherence, having not seen a provider in at least the past 8 months, having a detectable or unknown viral load or not currently on antiretroviral therapy. Eligible consenting couples are allocated equally to the two study arms: a structured six-session couples counselling intervention (DuoPACT) or a three-session individually-delivered HIV adherence counselling intervention (LifeSteps). The primary aim is to evaluate the efficacy of DuoPACT on virological suppression among HIV+ members of SGM couples with suboptimal engagement in care. The DuoPACT study began its target enrolment of 150 couples (300 individuals) in August 2017, and will continue to enrol until June 2021. Ethics and dissemination All procedures are approved by the Institutional Review Board at the University of California, San Francisco. Written informed consent is obtained from all participants at enrolment, and study progress is reviewed twice yearly by an external Safety Monitoring Committee. Dissemination activities will include formal publications and report back sessions with the community. Trial registration number NCT02925949; Pre-results.

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Tobias, Sarah. "Adoption by Sexual Minorities." Adoption & Culture 4, no. 1 (2014): 203–17. http://dx.doi.org/10.1353/ado.2014.0011.

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Kato, Hisanori. "Sexual Minorities in Indonesia." Dialogue and Universalism 27, no. 1 (2017): 103–15. http://dx.doi.org/10.5840/du201727110.

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Rogers, Tracey L., Kristen Emanuel, and Judith Bradford. "Sexual Minorities Seeking Services." Journal of Lesbian Studies 7, no. 1 (December 12, 2002): 127–46. http://dx.doi.org/10.1300/j155v07n01_09.

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McCray, Kristy. "Sexual Minorities in Sports." Journal of Sport Management 29, no. 1 (January 2015): 124–25. http://dx.doi.org/10.1123/jsm.2015-0017.

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Cochat Costa Rodrigues, M. C., F. Leite, and M. Queirós. "Sexual minorities: The terminology." European Psychiatry 41, S1 (April 2017): s848. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1680.

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IntroductionThe term “sexual minority” includes a variety of gender and sexual identities and expressions that differ from cultural norms. Usually, sexual minorities are comprised of lesbian, gay, bisexual and transgender individuals.Objectives/aimsDefinition of the correct terminology for sexual orientation, sexual behaviors, gender identity, gender expression and gender dysphoria.MethodsLiterature review concerning researched articles published in Pubmed/Medline as well as related bibliography.ResultsHuman sexuality is a broad concept that embodies interaction among anatomy, hormones, physiology, psychology, interpersonal relationships and sociocultural influences.Healthcare providers can support sexual minorities by normalizing sexuality throughout childhood, early identification of gender or sexual orientation nonconformity and associated psychosocial and health concerns, helping parents support their child, assisting with decisions about disclosure and providing educational resources to the community.ConclusionsThis work focuses on providing more awareness about this topic and reducing stigma associated with sexual minorities.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Spratlen, Lois Price. "Sexual Harassment Counseling." Journal of Psychosocial Nursing and Mental Health Services 26, no. 2 (February 1988): 28–33. http://dx.doi.org/10.3928/0279-3695-19880201-11.

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akcan, kübra, and İpek Turhan. "Sexual Counseling Models." Gevher Nesibe Journal IESDR 7, no. 17 (March 21, 2022): 50–56. http://dx.doi.org/10.46648/gnj.382.

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Sexuality is a concept that starts in the prenatal period and continues for life and is affected by many factors. Evaluation of sexuality, sexual education and counseling is an important part of women's health. Sexual counseling provides interaction with the patient to obtain information about sexual concerns and a safe return to normal sexual activity. Many models can be taken as a basis when providing sexual counseling services. Sexuality is an area that is difficult to talk about, so the use of models are effective ALARM, PLISSIT, BETTER, ALLOW, IMB, sexual health education and counseling. Nurses need to think multidimensionally about sexuality and many factors affecting sexuality so that they can provide an effective counseling service on sexual issues and make sexual evaluations. While nurses provide counseling services on sexual issues that are difficult to express, their use of sexual counseling models facilitates this process. In this article are included sexual counseling and its models. It is thought that the article will help to look at sexual counseling and the models that can be used while providing this service from a wider range.

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Zhao, Yunpeng, Yi Guo, Xing He, Yonghui Wu, Xi Yang, Mattia Prosperi, Yanghua Jin, and Jiang Bian. "Assessing mental health signals among sexual and gender minorities using Twitter data." Health Informatics Journal 26, no. 2 (April 10, 2019): 765–86. http://dx.doi.org/10.1177/1460458219839621.

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Sexual and gender minorities face extreme challenges that breed stigma with alarming consequences damaging their mental health. Nevertheless, sexual and gender minority people and their mental health needs remain little understood. Because of stigma, sexual and gender minorities are often unwilling to self-identify themselves as sexual and gender minorities when asked. However, social media have become popular platforms for health-related researches. We first explored methods to find sexual and gender minorities through their self-identifying tweets, and further classified them into 11 sexual and gender minority subgroups. We then analyzed mental health signals extracted from these sexual and gender minorities’ Twitter timelines using a lexicon-based analysis method. We found that (1) sexual and gender minorities expressed more negative feelings, (2) the difference between sexual and gender minority and non-sexual and gender minority people is shrinking after 2015, (3) there are differences among sexual and gender minorities lived in different geographic regions, (4) sexual and gender minorities lived in states with sexual and gender minority-related protection laws and policies expressed more positive emotions, and (5) sexual and gender minorities expressed different levels of mental health signals across different sexual and gender minority subgroups.

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Szymanski, Edna Mora, Beatriz Treviño, and Diane Fernandez. "Rehabilitation Career Planning with Minorities." Journal of Applied Rehabilitation Counseling 27, no. 4 (December 1, 1996): 45–49. http://dx.doi.org/10.1891/0047-2220.27.4.45.

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The purpose of this manuscript is to explain often overlooked contextual and mediating factors that influence the career development of minorities with disabilities. Literature from rehabilitation, counseling, and vocational psychology is used to provide insights into the influences of the following factors: culture and counselor orientation, castification and history, meaning of disability, independence or interdependence, racial identity and acculturation, language, role models, types of interventions, structural factors and opportunity structures, and gender and ethnicity interactions. Tips are provided for culturally sensitive rehabilitation counseling.

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Spiker, R., and Rin Reczek. "Socioeconomic Patterns Among Sexual Minorities." Contexts 20, no. 4 (November 2021): 64–66. http://dx.doi.org/10.1177/15365042211058128.

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Previous research has often overlooked socioeconomic diversity among LGB people even though socioeconomic status is deeply intertwined with sexual minority status. Research methods that identify sexual minorities by their relationships do not represent the socioeconomically diverse conditions experienced by LGB people. Better identification methods in survey studies can help create more accurate research and policies that more adequately serve the needs of sexual minority populations and promote equality.

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Rankin, Susan R. "Campus climates for sexual minorities." New Directions for Student Services 2005, no. 111 (2005): 17–23. http://dx.doi.org/10.1002/ss.170.

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Rainey, Jacob C., Celina R. Furman, and Ashley N. Gearhardt. "Food addiction among sexual minorities." Appetite 120 (January 2018): 16–22. http://dx.doi.org/10.1016/j.appet.2017.08.019.

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Bryant, Lawrence O., and Lorenzo Bowman. "Tobacco Use Among Sexual Minorities." New Directions for Adult and Continuing Education 2014, no. 142 (June 2014): 63–72. http://dx.doi.org/10.1002/ace.20095.

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No authorship indicated. "Review of Counseling Non-Ethnic American Minorities." Contemporary Psychology: A Journal of Reviews 34, no. 4 (April 1989): 411. http://dx.doi.org/10.1037/027980.

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Surace, Anthony, Benjamin C. Riordan, and Taylor Winter. "Do New Zealand sexual minorities engage in more hazardous drinking than non‐sexual minorities?" Drug and Alcohol Review 38, no. 5 (May 26, 2019): 519–22. http://dx.doi.org/10.1111/dar.12940.

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Yogi, Belpatra Nath. "Risky Sexual Behaviours of Gender and Sexual Minorities." Journal of Health Promotion 7 (September 6, 2019): 19–28. http://dx.doi.org/10.3126/jhp.v7i0.25491.

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The article aims to explore the experiences on the risky sexual behaviours of the gender and sexual minorities in Surkhet district. It is a narrative study based on interview data. Thirty seven sexual minorities selected through snowball sampling were interviewed and the data were analyzed using thematic framework approach. The gender and sexual minority’s involve in sexual activity before their maturation at the age below 20. They have multiple sexual partners and have active sex life preferring anal and oral sexes the most. Many of them do not use condom in every sexual contact, do not visit health institutions for regular check-up, and do not test for HIV and other STDs which make them more vulnerable to diseases and poor health. They have made their sexual behaviors at more risk by their sexual involvement with drug users and their monetary involvement in sex. There is diversity in sexual orientations and behaviours among them. So an extensive and in-depth study in this issue is urgently required for the fuller understanding of socio-demographic influence on risky sexual behaviours of sexual minorities.

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Heidt, Jennifer M., Brian P. Marx, and Sari D. Gold. "Sexual revictimization among sexual minorities: A preliminary study." Journal of Traumatic Stress 18, no. 5 (2005): 533–40. http://dx.doi.org/10.1002/jts.20061.

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Miller, Hilary M., Bianca L. Kahl, Sophia Garlick Bock, and Katherine Guinta. "Minorities within Minorities: Mental Health Outcomes within Sexual Minority Youth." Journal of Bisexuality 21, no. 4 (October 2, 2021): 516–40. http://dx.doi.org/10.1080/15299716.2021.2004966.

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MacElveen-Hoehn, Patricia. "Sexual assessment and counseling." Seminars in Oncology Nursing 1, no. 1 (February 1985): 69–75. http://dx.doi.org/10.1016/s0749-2081(85)80036-x.

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Williams, Laura Daly. "Strategies for Sexual Counseling." Rehabilitation Nursing 11, no. 5 (September 10, 1986): 21–22. http://dx.doi.org/10.1002/j.2048-7940.1986.tb00517.x.

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McGinley, Ann. "Erasing Boundaries: Masculinities, Sexual Minorities, and Employment Discrimination." University of Michigan Journal of Law Reform, no. 43.3 (2010): 713. http://dx.doi.org/10.36646/mjlr.43.3.erasing.

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This Article analyzes the application of employment discrimination law to sexual minorities-lesbians, gays, bisexuals, transgender and intersex individuals. It evaluates Title VII and state anti-discrimination laws' treatment of these individuals, and is the first article to use masculinities research, theoretical and empirical, to explain employment discrimination against sexual minorities. While the Article concludes that new legislation would further the interests of sexual minorities, it posits that it is neither necessary nor sufficient to solving the employment discrimination problems of sexual minorities. A major problem lies in the courts' binary view of sex and gender, a view that identifies men and women as polar opposites, and that sees gender as naturally flowing from biological sex. Without courts' understanding that our current binary concept of gender may be socially constructed and artificially rigid rather than a natural result of biology, even new legislation may fail to protect the workers it seeks to protect. The Article demonstrates that research on masculinities can help courts better understand sexual minorities and the motivations of those who discriminate against them in the workplace. It concludes that even in the absence of new legislation, a proper interpretation of Title VII's sex discrimination provision would protect sexual minorities from discrimination and would provide reasonable accommodation to allow sexual minorities to live and work with dignity and security. With an understanding of sexual minorities and the reasons why discrimination occurs, Title VII's prohibition of discrimination "because of sex" should be sufficient to grant sexual minorities workplace rights.

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Maharani, Puji. "Portraying the Multitudes: Representation of Identities of Sexual Minorities on Indonesia-Based Feminist Web Magazine Magdalene.co." Journal of Southeast Asian Human Rights 2, no. 2 (December 1, 2018): 358. http://dx.doi.org/10.19184/jseahr.v2i2.5645.

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Abstract This paper aims to interrogate the representation of identities of sexual minorities, also known as LGBTQ (Lesbian, Gay, Bisexual, Trans, Queer), on Magdalene.co, an Indonesia-based feminist web magazine which provides a slanted guide to women and issues and offers and engages with fresh perspectives beyond traditional gender and cultural confines. The representation of sexual minorities is observed through a selection of six published articles written by editorial members and from contributors’ submissions, varying in age, gender, self-identification as sexual minorities, and degree of anonymity. The articles are analysed via discourse analysis, primarily based on discourse theory by Ernesto Laclau and Chantal Mouffe. Also, incorporated into the analysis are Adrienne Rich’s theory of politics of location to look at bodies of sexual minorities, and Gilbert Herdt’s(2009) concept of sexual panic to look at the increasing religious-conservatism in Indonesia in contrast to the sexuality of sexual minorities. Through this research, I aim to examine the ways in which the representation of sexual minorities in the media opens a space of resistance against heteronormative public discourse.

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Platt, Lisa F., and Alexandra L. Lenzen. "Sexual Orientation Microaggressions and the Experience of Sexual Minorities." Journal of Homosexuality 60, no. 7 (July 2013): 1011–34. http://dx.doi.org/10.1080/00918369.2013.774878.

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Barnett, Michael D., Idalia V. Maciel, and Kylie B. Sligar. "Moral Foundations, Sexual Prejudice, and Outness Among Sexual Minorities." Sexuality & Culture 24, no. 5 (January 7, 2020): 1387–96. http://dx.doi.org/10.1007/s12119-019-09689-1.

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Poverny, Linda M. "Employee Assistance Practice with Sexual Minorities." Administration in Social Work 23, no. 3-4 (September 1999): 69–91. http://dx.doi.org/10.1300/j147v23n03_05.

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Gu, Steven. "Shanghai, China: Hotline for Sexual Minorities." Journal of Gay & Lesbian Issues in Education 2, no. 3 (April 19, 2005): 95–98. http://dx.doi.org/10.1300/j367v02n03_09.

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Denney, Justin T., and Bridget K. Gorman. "Introduction: Population Perspectives on Sexual Minorities." Population Research and Policy Review 33, no. 4 (May 9, 2014): 479–84. http://dx.doi.org/10.1007/s11113-014-9331-z.

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Gaillard, J. C., Andrew Gorman-Murray, and Maureen Fordham. "Sexual and gender minorities in disaster." Gender, Place & Culture 24, no. 1 (January 2, 2017): 18–26. http://dx.doi.org/10.1080/0966369x.2016.1263438.

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Samander, Laura J., and Jeffrey Harman. "Disparities in Offered Anxiety Treatments Among Minorities." Journal of Primary Care & Community Health 13 (January 2022): 215013192110658. http://dx.doi.org/10.1177/21501319211065807.

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Purpose The primary purpose of this article was to determine if race and ethnicity played a role in if primary care physicians offered anxiety treatment in office visits by adult patients who were diagnosed with an anxiety disorder(s). Methods This study pooled data from the 2011 to 2018 National Ambulatory Medical Care Survey (NAMCS) that included adult patients with an anxiety disorder and the type of treatment offered to them. Logistic regressions were performed to examine the odds of offered anxiety treatment in office visits by non-Hispanic Black, Hispanic, and other race/ethnicity patients compared to office visits by non-Hispanic White patients. Results Physicians offered anxiety treatment in more than half of office visits where the patient was diagnosed with an anxiety disorder. Providers offered counseling or talk therapy in less than 13% of all office visits. Office visits by non-Hispanic Black patients had half the odds of being offered counseling/talk therapy ( P = .068) compared to those by non-Hispanic White patients. Conclusions These findings suggest that statistically significant differences in the offering of any anxiety treatments in office visits to minorities compared to non-Hispanic White patients do not exist; however, there are still differences in the rates of counseling/talk therapy offered in office visits by minorities versus non-minorities. Future studies may want to examine reasons for lower rates of counseling/talk therapy offered to minority and majority patients and the specific pharmacological or therapeutic treatments offered to different races.

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