Bisexual Orientation Research Articles

Building a Timeline for LGBTQ+ Global Cinemas (1910–2019): Movie Production Trends from a Collaborative Internet Cinema Database

Building a Timeline for LGBTQ+ Global Cinemas (1910–2019): Movie Production Trends from a Collaborative Internet Cinema Database

Associations between sex differences, eating disorder behaviors, physical and mental health, and self-harm among Chinese adolescents

Background and aimEating Disorders (ED) result in impaired well-being, but there exist an insufficient number of studies that have focused on the influence of sex and sexual orientation disparities within ED behaviors. Thus, we aimed to investigate ED behaviors among male and female adolescents with different sexual orientations in a school sample to understand prevalence and correlates of different ED behaviors.MethodData was analysed from 11,440 Chinese school adolescents with a mean age of 14.74 years (SD = 1.46). Reported data was gathered on sociodemographic information including sexual orientation, ED behaviors, health factors (reported health, cognitive function), mental health factors (depression, anxiety, suicidal ideation, non-suicidal self-injurious behavior), and social functioning (school bully victimization, and school bully perpetration). Logistic regression models were used to estimate the associations with ED behaviors, using the heterosexual orientation as the reference group as they are the majority.ResultsCompared to female adolescents, male adolescents reported lower anxiety symptoms (t = − 12.39, p < 0.001, Cohen’s d = − 0.233), were more likely to be the perpetrator of school bullying (χ2 = 190.61, p < 0.001, φ = 0.129), and reported a lower likelihood of taking dietary restriction (χ2 = 290.08, p < 0.001, φ = 0.160). Overall, the prevalence of dietary restriction presented sex disparities. Adolescents who reported no sexual attraction were less likely to engage in ED behaviors. Using heterosexual orientation as the reference group, the group who reported no sexual attraction was associated with lower risk in dietary restriction and purging in both male and female adolescents. Using the heterosexual orientation as the reference group, female sexual minority groups were at high risk of ED behaviors, with bisexual orientation and gay/lesbian orientation having a higher likelihood of engaging in objective binge eating.ConclusionsThe results revealed significant sex and sexual orientation differences of ED behaviors. The study suggests that adolescents is a period of sexuality development and could be critical for understanding adolescents’ eating behaviors. It is important to guide adolescents to healthy eating during their development and considerations should be made by clinicians when creating interventions for ED behaviors among the different sex and sexual orientation groups.

Adverse childhood experiences and association with poorer health and health-harming behaviours in adulthood among the Americans.

Adverse childhood experiences (ACEs) such as abuse and neglect have an immediate impact on children and are associated with poorer health and behavioural outcomes in adulthood. This study examined the prevalence of ACEs and their association with socio-demographic factors, physical and mental health, morbidity and health-harming behaviours in adulthood among Americans. Data for the study come from the 2019 Behavioral Risk Factor Surveillance System (BRFSS), covering a sample of 116 032 adult respondents from 22 states of the United States. Descriptive and inferential statistical techniques, including multiple logistic regression models, were employed to analyse the data. At least one kind of ACE was found to be quite common among American adults, as 60% of adults had at least one kind of ACE, 22.5% had one ACE and 17% had four or more ACEs during 0-17 years of life. Of the total ACEs, 42.2% were due to abuse (physical, emotional or sexual), and 46% were due to any kind of household dysfunction. There is an increasing trend in ACEs in the United States. Adults with low socio-economic status, female, living in urban areas, gay or bisexual orientation, minority other than White and unemployed had a significantly higher prevalence of ACEs than their counterparts. ACEs were found to be significantly associated with poor physical and mental health; health-harming behaviours such as binge drinking, heavy drinking and smoking; and chronic morbidities. Programmes aimed at reducing ACEs and mitigating the harms of ACEs among those who have already experienced them should be strengthened to improve public health and quality of life and reduce health-harming behaviours.

Preference for Male Risk Takers Varies with Relationship Context and Health Status but not COVID Risk

Risk taking is more commonly shown by males than females and has a signalling function, serving to advertise one’s intrinsic quality to prospective mates. Previous research has established that male risk takers are judged as more attractive for short-term flings than long-term relationships, but the environmental and socioeconomic context surrounding female preferences for male risk takers has been overlooked. Using a survey instrument, we examined female preferences for male risk takers across 1304 females from 47 countries. We found preferences for physical risk takers to be more pronounced in females with a bisexual orientation and females who scored high on risk proneness. Self-reported health was positively associated with preferences for high risk takers as short-term mates, but the effect was moderated by country-level health, i.e. the association was stronger in countries with poorer health. The security provided by better health and access to health care may allow females to capitalise on the genetic quality afforded by selecting a risk-prone male whilst concurrently buffering the potential costs associated with the risk taker’s lower paternal investment. The risk of contracting COVID-19 did not predict avoidance of risk takers, perhaps because this environmental cue is too novel to have moulded our behavioural preferences.

Social Support, Identity Affirmation, and Psychological Well-Being: A Developmental and Intersectional Comparison between Italian Cisgender and Non-Binary People with Bisexual Orientation.

Incorporating the perspectives of positive psychology, intersectionality, and life course into minority stress theory, this study aimed to examine the relationships between social support, identity affirmation, and psychological well-being among 483 Italian individuals with bisexual orientation, accounting for differences in gender identity (cisgender vs. non-binary) and age groups (young, early, and middle adult). A mediation model was tested in which identity affirmation served as a presumed mediator between social support and psychological well-being. We also examined whether gender identity and age group moderated the hypothesized associations. Multivariate ANOVA and multigroup mediation analyses were conducted. Results showed that (a) cisgender individuals had higher social support and psychological well-being than non-binary individuals, but not identity affirmation, which was higher in the latter group, (b) psychological well-being, but not social support and identity affirmation, differed between groups, with the youngest cohort reporting worse health than their elders, (c) identity affirmation mediated the relationship between social support and psychological well-being, (d) mediation was significant only in binary individuals (compared to cisgender), whereas no age differences were found. Overall, this study highlights the need to consider bisexual individuals as a nonhomogeneous population living multiple life experiences, especially when minority identities intersect.

Dating Violence among Undergraduate Medical Students at a Public University in Mexico City: An Exploratory Study.

Gender-based violence (GBV) and cyber-aggression are growing problems in Mexico, but there is a dearth of information on their associated risks. We aimed to determine the prevalence of dating violence (DV) and cyber-aggression in a public campus and compared students' acceptability of abusive DV based on their sex and sexual orientation. We employed a cross-sectional design to survey 964 first-year medical students attending a public university. We analyzed who found "acceptable" abusive behaviors from a dating partner and carried out descriptive analyses of sample characteristics by sex. We included 633 women and 331 men. Homosexual and bisexual orientation was lower among women (1.5%, 4.8%) vs. men (16.9%, 7.2%). Of women and men, respectively, 64.2% and 35.8% reported having been in a dating relationship. Experiencing abusive behaviors in the year prior to the study was associated with students' level of "acceptability". A total of 43.5% of the students who experienced cyber-aggression did not report any mental health consequences, 32.6% did not seek professional help, and 17.4% reported feeling depressed. Students that accepted emotionally abusive DV behaviors displayed a fourfold risk of experiencing physical abuse. Women and sexual minorities are more at risk of experiencing GBV and DV. More male students reported being victims of cyber-aggression.

“I’m gonna study everything!”: Bisexual Orientations in Dana Terrace’s The Owl House

Near the end of the episode “The First Day” of Dana Terrace’s The Owl House, the series’s protagonist, Luz, receives permission to study every subject. Having overthrown her magic school’s traditional one-track system, Luz confesses, “Maybe it’s crazy but I wish I could study a little bit of everything.” At this wish, Luz finds herself suspended in space; magic adorns her in motley-colored garments, indicative of her intended multitrack pursuits, against an abstract backdrop of blue, purple, and pink: unmistakably, at least for this bisexual viewer, the color of the bisexual flag. Even before Terrace confirmed the character’s bisexuality, I suspect many bisexual viewers already knew.&#x0D; My knowledge was excitement; I felt an intense energy that responded simultaneously to what I witnessed on screen and within myself. Later I thought of coenesthesia, “the potential and perception of one’s whole sensorial being” (Carnal Thoughts 67), and how this scene’s coenesthesia collides with Luz’s realizing herself in terms of her multifaceted potential. Given that “we extend space differently based on how we are orientated in the world” (“Questions” 207), I seek to explore how this scene posits bisexuality as multi-directional and interdisciplinary. Furthermore, I seek to examine how, from my perspective as a twenty-some-year-old bisexual viewer who wishes she had this show years ago, this scene also speaks to bisexual temporal orientations. How can we read this scene, and ourselves, in relation to the history of bisexuality, traditionally located “in the past or future, but never in the present tense” (Angelides 194)?

Erectile Dysfunction and Premature Ejaculation in a Cohort of Homosexual and Bisexual Men from Five Ibero-American Countries

There is limited information about the behaviour of erectile dysfunction and premature ejaculation in homosexual and bisexual men. Our objective is to evaluate the clinical and sexual characteristics of the homosexual and bisexual population that consults for sexual dysfunctions in five Ibero-American countries. We reviewed the clinical records of homosexual and bisexual patients over 18 years of age who consulted a specialized institution during 2018. Of 26,650 consultations, 41 patients reported a bisexual sexual orientation (0.15%), and 256 were homosexual (0.96%). The mean age was 42.7 years (+/-13.5). The mean evolution time for premature ejaculation was 7.6 years, and for erectile dysfunction, it was 5.7 years (+/- 6 months). 46.9% patients reported that these pathologies deteriorated their relationship, and 81.8% reported that they affected self-esteem and confidence. A differential attention should be considered in the sexual health consultation for this population group

Mental health in the Chilean LGBT population in times of COVID-19

Introduction. There are few reports on mental health among the lesbian, gay, bisexual, and transgender (LGBT) population in the context of COVID-19, especially in South America. Objective. To describe the prevalence of symptoms associated with mental health disorders, as well as to analyze the risk of their occurrence, in different groups of the Chilean LGBT population in the context of COVID-19. Method. A total of 1,181 LGBT people, ranged from 18 to 64 years participated in an online survey, using the Depression Anxiety Stress Scales-DASS-21. The central tendency measures were analyzed, then cut-off points were used to establish prevalence according to sex and sexual orientation. Finally, the probability of symptoms was analyzed using odds ratio. Results. Lower levels of mental health were identified among the bisexual and other sexual orientations (pansexual, demisexual, asexual, etc.) population as compared with gays and lesbians, finding a greater presence of depressive symptoms (p = .000), anxious (p = .000) and related to stress (p#abr#.001). Similarly, bisexual women are more likely to present symptoms associated with mental health disorders than men, as lesbians do, as compared with gays in the case of anxiety. Gays are at a higher risk of stress than lesbians. Discussion and conclusion. Even though the pandemic affected the entire population, results give evidence of disparities among the various LGBT communities, showing the need to focus on preventive interventions and the implications of increased risk in bisexual population, particularly women, who are affected by various cross discriminations.

Social Determinants of Alcohol Use Disorder, Depression, and Anxiety Among Sexual Minority Males During the COVID-19 Pandemic

he COVID-19 pandemic magnified the mental health disparities between sexual minorities and the Filipino population. This study explored the mental health disparities experienced by sexual minorities, which remains unexplored. The study utilized self-administered survey forms to explore the extent and social determinants of an alcohol use disorder, depression, and anxiety among Filipino sexual minority males during the pandemic. A total of 220 participants were recruited in October 2020. They were composed of adult Filipino cisgender males with non-heterosexual orientation from Metro Manila. The results showed significant rates of risk for alcohol use disorder, depression, and anxiety at 36.4%, 9.5%, and 26.4%, respectively. Age (OR=0.886, p=.025), homosexual orientation (OR=0.035, p=.033), bisexual orientation (OR= 0.009, p=.011), and living with relatives (OR=0.162, p=.006) were also significantly associated with depression. Age (OR=0.866, p=&lt;.001) was significantly associated with anxiety. Moreover, compared with the general population during the pandemic, Filipino sexual minorities’ risk for alcohol use disorder was higher than depression and anxiety. These disparities were significantly associated with age, sexual orientation, and living arrangements. The findings suggest comorbidities of an alcohol use disorder, depression, and anxiety among Filipino sexual minorities that can be addressed through cost-effective online treatment modalities, information-education campaigns, integration of mental health into educational curriculums, the institution of policies that bar discrimination against sexual minorities, and initiatives to strengthen family support groups.

Compulsive Sexual Behavior Online and Non-online in Adult Male Patients and Healthy Controls: Comparison in Sociodemographic, Clinical, and Personality Variables.

Background and AimsCompulsive sexual behavior (CSB) is characterized by a persistent pattern of failure to control sexual impulses, resulting in repetitive sexual behavior over a prolonged period that causes marked discomfort in personal, family, social, school, work or in other functional areas. The evolution of the worldwide incidence of this disorder warrants further studies focused on examining the characteristics of the affected people. The purpose of this study was to compare online compulsive sexual behavior (when the problematic sexual practices were online) and non-online compulsive sexual behavior (when the problematic sexual practices were in-person) patients (OCSB and non-OCSB, respectively), and healthy controls in terms of sexual behavior, sociodemographic variables and psychopathology and personality characteristics.MethodA sample of 80 CSB male patients consecutively admitted to our Behavioral Addictions Unit and 25 healthy male controls, participated in the study. The CSB group was comprised by 36 online CSB patients (mean age 42.25, SD: 10.0) and 44 non-online CSB patients (mean age 43.5, SD: 11.9). Scores on the Sexual Compulsivity Scale, Temperament and Character Inventory-Revised, Symptom CheckList-90 Items-Revised, State-Trait Anxiety Index, and additional demographic, clinical, and social/family variables related to sexual behaviors between the three groups were compared.ResultsWhen compared with healthy controls, both clinical groups showed higher psychopathology in all measures as well as higher harm avoidance and self-transcendence and lower self-directness and cooperativeness. When comparing OCSB and non-OCSB patients, results showed that non-OCSB patients exhibited higher prevalence of sexually transmitted diseases, higher percentage of homosexual and bisexual orientation and higher scores in anxiety and in sexual impulse control failure.ConclusionBoth online and non-online CSB patients may experience a variety of comorbid psychological and medical problems. Patients with non-OCSB may suffer more consequences that are negative. Therefore, these results should be considered when designing the most convenient therapeutic approach. Whether sexual orientation plays a role in treatment needs and treatment response in CSB, should be further explored in future studies.

Strategy of Livelihood among Persons Having Social Stigma in Sexual Orientation

This article aimed to expose the strategy of livelihood among the persons having social stigma in sexual orientation among heteronormative hegemonic system as Indonesia. This article focused on the pandemic time and showed the challenges and strategies of Christian bisexual groups to maintain their livelihoods before and after the pandemic. This study used a qualitative analysis with a case study of two Christian bisexuals. Data were collected by in-depth interviews through offline and online interviews. Data were analyzed with the perspective of Mary Virginia Lee Badgett's feminist economic theory, which included non-heteronormative people in her proposed feminist economic model. This study showed two main findings: first, gender and bisexual orientation have an impact on rejection, oppression, and job transfer in the period before and after the pandemic due to unequal power relations in heteronormative structures. These power relations also lead to the neglect of non-heteronormative contributions to the informal sector in a heteronormative economic structure. Secondly, bisexual individuals developed a particular resilience strategy during a pandemic, one of which is by utilizing informal networks with non-heteronormative groups. Another finding is the influence of religion which simultaneously provides support and oppression to the livelihoods of non-heteronormative groups.

Health Disparities of Sexual Minority Patients Following Prostate Cancer Treatment: Results From the Restore-2 Study.

PurposeThe NIH has identified sexual and gender minority persons as a health disparity population but little is known about cancer outcomes in these populations. The purpose of this study was to identify disparities in sexual minority prostate cancer patient-reported outcomes, to examine within group differences, and to test for alternative explanations for identified differences.Materials and MethodsIn 2019, we recruited 401 gay and bisexual prostate cancer patients into the Restore-2 study, a randomized controlled trial of rehabilitation program tailored for sexual minority men.ResultsCompared to the normative (heterosexual) EPIC sample, participants had significantly worse urinary, bowel and hormonal function, better sexual function, and no difference on bother scores. They also had worse depression and overall mental health, and worse physical, social/family, functional, prostate specific and overall well-being quality of life outcomes. Across measures, no differences by age, gay versus bisexual orientation, race/ethnicity, and relationship status were observed. Those who had hormonal treatment had worse sexual and hormonal function than those who had radiation or surgery only. Those with a longer time since treatment had better urinary function. Differences remained when participants were matched to normative samples on cancer stage and time since treatment.ConclusionsThis, the largest study of sexual minority prostate cancer patients to date, confirms health disparities in prostate cancer quality of life outcomes. Findings appear reliable and robust. To improve the clinical care of prostate cancer, it will be important to address the health disparities experienced by sexual minority prostate cancer patients.

Sociodemographic Correlates of Self-reported Discrimination in HIV Health Care Settings Among Persons With Diagnosed HIV in the United States, Medical Monitoring Project, 2018-2019.

HIV-related discrimination in health care settings is associated with negative health outcomes among persons with HIV (PWH). This article describes and compares differences in the prevalence of self-reported experiences with discrimination in health care settings by sociodemographic and clinical care factors among persons with diagnosed HIV in the United States. We analyzed interview and medical record data collected during June 2018-May 2019 from 3850 PWH who had received HIV care in the past 12 months. We calculated weighted percentages and associated 95% confidence intervals and assessed the association between any experience of discrimination and selected sociodemographic and clinical characteristics using prevalence ratios with predicted marginal means. Approximately 25% of PWH who had an HIV care visit in the past 12 months reported experiencing any discrimination. Experiences with discrimination were significantly more prevalent among persons aged 18-29 years (34%); transgender persons (41%); persons of gay (25%), bisexual (31%), or other (40%) sexual orientations; and persons who did not have a regular provider (39%), lived at/below poverty level (28%), were homeless (39%) or incarcerated (37%) in the past 12 months. PWH who experienced discrimination were more likely to have missed at least one HIV care visit, not be taking antiretroviral therapy, and have missed antiretroviral therapy doses. Recent and sustained viral suppression were not significantly associated with experiencing any discrimination. Interventions that address the sociocultural and structural factors associated with discrimination in all health care settings are needed to improve health outcomes among PWH and end the HIV epidemic in the United States.

Social Support as a Mediator of Anti-Bisexual Prejudice and Posttraumatic Stress Disorder Symptoms

ABSTRACT Among sexual minorities, bisexual individuals experience higher rates of victimization and symptoms of PTSD than their lesbian and gay peers as well as heterosexual individuals. Despite these disparities, little work has examined factors contributing to PTSD symptoms among bisexual adults. The current study examined the associations between bisexual-specific minority stress and PTSD symptoms in a sample of adults with bisexual orientation and tested social support as a potential mediator of this association. Participants were 488 adults (378 cisgender women, 49 cisgender men, 61 transgender individuals), ages 18 to 66 years, with bisexual orientation based on identity and/or attraction to multiple genders. Greater anti-bisexual prejudice was associated with greater PTSD symptoms (β = 0.16) and lower social support (β = −.16), while accounting for sociodemographics and sexual identity-based victimization. Social support was associated with lower PTSD symptoms (β = −.25), while accounting for sociodemographics, sexual identity-based victimization, and anti-bisexual prejudice. Mediation analyses indicated that anti-bisexual prejudice was indirectly associated with greater PTSD symptoms through lower social support. Addressing bisexual-specific minority stress and its role in diminishing social support for bisexual individuals represents a critical component of trauma-informed research and intervention development in the bisexual community.

Associations between anti-bisexual minority stress and body esteem and emotional eating among bi+ individuals: The protective role of individual- and community-level factors

Bisexual individuals experience prejudice specifically related to their bisexual identity, and these experiences may compound extant risk for disordered eating behaviors and body esteem concerns. However, little is known about how sexual minority stress related to bisexual orientation is associated with emotional eating and body esteem. The current study examined the associations between bisexual-specific minority stress and emotional eating and body esteem in a sample of bisexual plus (bi+) adults (including bisexual, pansexual, queer, and those with attractions to more than one gender regardless of identity), and tested the moderating effects of identity centrality, affirmation, and community connectedness as potential protective factors. This study leveraged data from an online survey of 498 adults (77.46% cisgender women; 79.7% White), ages 18 to 64 years (M = 28.5; SD = 9.59). Bisexual-specific minority stress was associated with more emotional eating (β = 0.15, p = .013) and lower body esteem (β = −0.16, p = .005), while controlling for sociodemographic characteristics, body mass index, and heterosexist minority stress. This finding remained the same when sensitivity analyses were conducted with participants who identified specifically as bisexual. Identity centrality and affirmation and community connectedness did not demonstrate moderating effects but they had main effects, such that they were positively associated with body esteem (β = 0.16, p = .001; β = 0.21, p < .001; β = 0.13, p = .004, respectively). Results suggest that anti-bisexual minority stress has a unique association with bi+ individuals' emotional eating and body esteem, and identified potential individual- and community-level protective factors for body esteem. These findings inform future research and interventions for this understudied population.

Minority stress and alcohol use in sexual minority women's daily lives.

Sexual minority women (i.e., women who identify as lesbian, bisexual, or other non-heterosexual orientations) report more hazardous drinking compared to heterosexual women. Sexual minority stress (SMS), or experiences related to sexual orientation-based discrimination and marginalization, have been implicated as contributing to these disparities. The association between sexual minority stress and alcohol use has been supported in cross-sectional, and to a limited extent, longitudinal studies. Few studies, however, have examined associations between SMS and alcohol use in sexual minority women's daily lives. Young sexual minority women (age 18-35; N = 321) were recruited to participate in a 14-day daily diary study in which they reported each morning on their SMS and alcohol use (drinking or not; drinking quantity; alcohol consequences) from the previous day. SMS was operationalized in four ways (global negative SMS experiences, specific SMS events, concealment of identity, discrimination). Results from concurrent multilevel models revealed that on days when sexual minority women experienced more global negative SMS, any specific SMS event, or discrimination, they were more likely to drink. Further, prospective models indicated that participants drank more and were more likely to report binge drinking on the day after they experienced at least one SMS event. These findings extend prior research by demonstrating that the association between SMS and alcohol use extends to the daily level of analysis among sexual minority women. Understanding the connection between SMS and alcohol use among sexual minority women is imperative to developing culturally tailored interventions to improve the health and well-being of this at-risk group. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

‘No-Barriers’ tobacco product? Selling smokeless tobacco to women, people of colour and the LGBTQ+ community in the USA

BackgroundIn both Sweden and the USA, smokeless tobacco (ST) is legal and used predominantly by men. Starting in the 1970s, US tobacco companies attempted to expand the ST market to...

2.1 FACTORS LEADING TO “DETRANSITION” AMONG TRANSGENDER AND GENDER-DIVERSE PEOPLE IN THE UNITED STATES: A THEORETICAL FRAMEWORK AND MIXED-METHODS ANALYSIS

This presentation aims to present a systematic framework for understanding the driving factors underlying gender “detransition” and to identify the estimated prevalence of and reasons underlying a history of detransition among currently identified transgender and gender diverse (TGD) people in the United States. This presentation will first present a systematic framework for understanding internal and external factors that may drive gender detransition. It will then present a secondary analysis of the 2015 US Transgender Survey, a cross-sectional nonprobability survey of 27,715 TGD people living in the United States. Participants were asked if they had ever detransitioned and to report driving factors, through multiple-choice options and free-text responses. A mixed-methods approach was used to analyze the data, creating qualitative codes for free-text responses and applying summative content analysis. A total of 17,151 (61.9%) participants reported that they had ever pursued gender affirmation, broadly defined (ie, “transitioned”). Of these, 2242 (13.1%) reported a history of detransition. Of those who had detransitioned, 82.5% reported at least one external driving factor. Frequently endorsed external factors included pressure from family and societal stigma. History of detransition was associated with male sex assigned at birth, nonbinary gender identity, bisexual sexual orientation, and having a family unsupportive of one’s gender identity. Among the respondents, 15.9% reported at least one internal factor as a reason, including fluctuations in or uncertainty regarding gender identity. A substantial proportion of TGD people have detransitioned at some point in their lives. The majority have done so due to external factors including societal stigma, harassment, or rejection from family. A smaller proportion have detransitioned due to external factors, including uncertainty about their gender identity or a change in their gender identity. Clinicians should utilize a systematic framework of internal and external factors when evaluating and supporting patients endorsing a desire to detransition.

Barriers to family history knowledge and family communication among LGBTQ+ individuals in the context of hereditary cancer risk assessment.

Openness about identity as lesbian, gay, bisexual, transgender, queer, and other sexual orientations and gender identities (LGBTQ+) may cause strain on relationships between family members, which could lead to limited knowledge of cancer family history and reduced communication with family members. As a result, members of the LGBTQ+ community may have more difficulty accessing genetic counseling services for inherited cancer risk. We applied a mixed-methods approach to explore potential barriers to knowledge of cancer family history and family communication among participants of the Cancer Health Assessments Reaching Many (CHARM) study who self-identified as LGBTQ+. We assessed perceptions of family functioning and communication of genetic test results to family members using survey tools and supplemented these data with 20 in-depth interviews to further assess participant perspectives and experiences. LGBTQ+ participants were more likely to report unhealthy family functioning on the survey tool, and some interviewees endorsed that openness about their LGBTQ+ identity led to strained family relationships and reduced communication about their family history of cancer. Overall, this study identified barriers that may be faced by members of the LGBTQ+ community which could limit their ability to access genetic counseling services for inherited cancer risk.