Transgender individuals are gradually increasing in worldwide. Hormonal therapies may impact cardiovascular mortality, kidney function and transplant stability, the inverse is also true: immunosuppressive agents, particularly high-dose glucocorticoids used to treat acute rejection episodes, may adversely affect mental health, potentially complicating gender-affirming treatment. We aim to provide a comprehensive summary of the status of kidney transplantation in transgender individuals. A comprehensive search was conducted using MeSH keywords, including: "transgender," "kidney function," "hormone therapy," "renal transplantation." One investigator screened articles for eligibility within the PubMed, MEDLINE, Google Scholar databases. A total of 36 full-text articles were systematically analyzed based on predefined inclusion criteria. The analysis revealed available data, though limited to case-level evidence, support the safety and efficacy of kidney transplantation in transgender individuals receiving gender-affirming hormone therapy (GAHT). Continued hormone therapy is not only medically feasible but essential for the well-being and identity affirmation of transgender patients. Treatment plans must be personalized, taking into account comorbid psychiatric conditions, medication side effect profiles, and the patient's goals related to physical appearance and gender identity. Preoperative evaluation should include thorough endocrinologic and psychiatric assessment, and postoperative care should be guided by ongoing collaboration between transplant teams, endocrinologists, and mental health specialists. The presence of GAHT should not preclude transplantation but rather prompt careful, individualized assessment and interdisciplinary management. Establishing standardized protocols and inclusive clinical pathways will be key to ensuring that transgender patients receive equitable and affirming access to life-saving kidney transplantation.

Her Story, a women's film written and directed by Shao Yihui, challenges traditional gender structures and patriarchal discourse by creating idealized female characters and instrumentalized male characters. This film represents the rise of women's cinema, reflecting the awakening of global gender equality consciousness and the transformation of social structures. The emergence of women's cinema is closely related to equal rights movements and gender equality policies. Meanwhile, advancements in digital technology have lowered the barrier to production, enabling female creators to express the female perspective more broadly through independent films and streaming media platforms. Women's cinema undertakes a significant deconstruction and reconstruction of gender symbols at the narrative and semiotic levels. In Her Story, the English title Herstory cleverly subverts the traditional male-dominated historical narrative by replacing "his" in "history" with "her," thereby incorporating women's voices into the historical framework. This transformation of linguistic symbols demonstrates a challenge to and reshaping of gendered discursive power. Furthermore, most male characters in the film are symbolized by functional titles, while female characters are endowed with richer symbolic meanings, breaking the monolithic nature of traditional gender identities and affording women more autonomous and diverse expressive space. The film also showcases the richness of symbolic imagery through the dislocated interpretation of everyday objects, a treatment that not only challenges the fixed meanings of traditional symbols but also enhances the complexity and depth of the female characters within the family and society. Although women's cinema has made cultural and social progress, it still faces issues of symbolization and consumerism. In the future, women's cinema needs to break through the singular gender framework to explore more diverse expressions of cultural symbols. From a semiotic perspective, women's cinema can promote the further development of gender equality and cultural diversity, becoming an important force for social change

Relationship and sexuality education research has largely centred on adult perspectives, particularly in exploring home-based sexuality education. This study shifts the lens to youth voices by examining how adolescents from LGBTQ+ families in South Africa experience and actively participate in home-based sexuality conversations. Using arts-based collage-creating methods with the adolescent participants, youth interpretations of sexuality learning in LGBTQ+ family homes were explored. The findings reveal that youth are not passive recipients but active co-creators of family sexuality knowledge, developing critical literacies about heteronormativity through ongoing and responsive home-based conversations. Youth identified home as a distinct pedagogical space characterised by safety, personalisation, ongoing responsive dialogue, inclusivity of diverse sexual and gender identities, and responsiveness to their developmental needs. However, youth also navigate tensions between LGBTQ+-affirming home environments and heteronormative public spaces, developing sophisticated strategies for managing these boundaries. This study contributes empirical evidence for valuing informal sexuality education spaces and positions youth from LGBTQ+ families as knowledge producers whose experiences can inform more inclusive, dialogue-based approaches. The findings have implications for supporting family-based sexuality education and challenging adult-centric assumptions about youth capacities in sexuality learning.

Background The skill of handwriting is one of the fundamentals that aid in the early academic success, both cognitive and motor development. Dysgraphia is a neurological condition of children that affects their handwriting, thus they usually perform poorly in school. The developmental learning issues should be identified early so that effective interventions can be undertaken. Methods In this cross-sectional study, the researchers evaluated handwriting proficiency in 878 children (6 to 7 years old) with the help of the Screener of Handwriting Proficiency (SHP) tool. The participants were assessed according to their age, gender identity, and for learning environment. The first consequence was that handwriting problems were widespread. Results In general, 31.7 percent of children had handwriting problems. The prevalence was high among males (35.9) as compared to females (27.1). It was observed that handwriting problems were a little bit higher among six-year-olds (32%), as compared to seven-year-olds (30.3%). There was a considerable difference among the schools with a range of prevalence of between 16.1% and 64.2%. Discussion The results suggest that the handwriting problems are prevalent among the early elementary school students with prominent gender and age variation. The large range of difference in schools implies that the school environment might contribute to development of handwriting. The relevant implications of these findings are the necessity of systematic screening in schools. Conclusion Handwriting problems are common during early years and may have adverse effects on the academic developments when not addressed. Frequent evaluations and intensive early interventions are important in helping affected students with the growth of the threat of educational challenges in the long term.

This article examines the relationship between gender representation in planning authorities and the inclusivity of urban policies, using Newcastle upon Tyne, a rare case of a female-dominated city planning department, as a critical case study. Drawing on feminist urban theory, this research employs a three-phase methodology, a policy review, participatory workshops and expert interviews, investigating how gender identity shapes urban experiences and whether increased female representation at decision-making levels translates into gender-responsive planning outcomes. The findings suggest that, despite shifts in gender composition at leadership levels, institutionalised planning frameworks may still reproduce gendered biases, underscoring the need for structural policy reforms.

Introduction: Flourishing is a key indicator of positive mental health and psychosocial functioning. However, evidence on the measurement performance of the Flourishing Scale (FS) in sexual and gender minority (LGBT/SGM) populations in the Spanish-speaking Caribbean remains limited. Objective: To evaluate the psychometric properties of the FS among LGBT adults in Puerto Rico. Method: Participants were recruited online (N = 300). Given item-level and multivariate non-normality, a robust one-factor CFA was estimated and examined global fit, standardized loadings, and reliability (α, ω). Evidence for validity included (a) Average Variance Extracted (AVE) as an indicator-level convergence index and (b) associations with external criteria (PHQ-8, GAD-7). Multi-group CFA tested configural, metric, and scalar invariance across gender identity and sexual orientation. Results: The robust CFA supported a unidimensional structure with strong standardized loadings and high internal consistency. AVE exceeded .50, indicating adequate indicator-level convergence within the measurement model. As hypothesized, FS scores correlated negatively with PHQ-8 and GAD-7. Multi-group CFA supported metric and scalar invariance by gender identity and scalar invariance by sexual orientation, with borderline evidence at the metric step, enabling latent-mean comparisons under supported conditions. Conclusions: The FS is a brief, reliable, and valid indicator of psychological flourishing among LGBT adults in Puerto Rico, suitable for research, screening, and program evaluation; however, convergent validity with an independent positive well-being measure should be established in future work.

While smartphones are ubiquitous, especially among young people, their usage has created new avenues for abuse. Technology-facilitated intimate partner violence (TFIPV) can lead to several negative impacts on physical and mental health. Studies have found higher victimization rates among young people and mixed results based on gender identity. This study examines various forms of TFIPV victimization among U.S. young adults, focusing on its associations with physical intimate partner violence (IPV), gender identity, and mental health. Using data from the Year-22 survey of the Future of Families and Child Wellbeing Study, our cross-sectional analysis included a sample of 1,053 young adults who were in a serious relationship, engaged, or married. Our findings highlight the link between TFIPV and physical IPV, as individuals who experienced physical IPV had almost 10 times the odds of experiencing TFIPV compared to those who had not experienced physical IPV. Young men reported TFIPV victimization rates at least two times greater than young women; however, worse mental health outcomes were found only among young women. Individuals with less education were more likely to experience TFIPV compared to individuals with college degrees, regardless of gender. Our results suggest the need to challenge the stereotype that men are less likely to be victims of TFIPV, a stereotype that discourages men from identifying as victims and seeking help. Prevention and intervention frameworks should move toward inclusive and gender-neutral approaches, while still acknowledging that the types of abuse may vary by gender. In addition, programming should highlight the different forms TFIPV can take and normalize open discussions about unhealthy digital relationship dynamics.

Sexual assault is typically understood through a heteronormative and cis-normative lens whereby victims are females and perpetrators are males. This minimizes the experiences of gender diverse individuals who are sexually assaulted. Yet, these individuals have experienced high rates of stigma, discrimination, and violent victimization (inclusive of sexual assault) based on their gender identity and gender expression. Gender minorities are more likely than heterosexual and cis-gender individuals to experience sexual violence. This research explored the experiences of gender diverse individuals who were sexually assaulted. Descriptive phenomenology was used to explore the experiences of sexual assault among individuals who identify as gender diverse. Purposive sampling was used to recruit 18 gender diverse individuals who participated in face-to-face or virtual interviews. Interviews were recorded, transcribed verbatim, and thematically analyzed in NVIVO. The findings revealed four themes and one sub-theme, including: (1) Vulnerability, Isolation, Alienation, Rejection, and Power, (2) Blurred Lines, Coercion, Compliance, and Consent, (3) Disclosure of Sexual Assault (sub-theme of Police Reporting), and (4) Support and Acceptance. The firsthand accounts of gender diverse individuals who were sexually assaulted reflect the unique experiences of sexual victimization for individuals whose gender identity differs from the gender they were assigned at birth. The participants in this research identified the vulnerability associated with the gender diverse identity, which created opportunities for perpetrators of sexual assault to take advantage of them. They also highlighted the coercive nature of sexual assault in existing relationships and the complexity of sexual assault disclosure to formal support providers. Participants highlighted the importance of safe spaces and support from within the queer community. A better understanding of the experiences and needs of gender-diverse individuals who have been sexually assaulted may influence targeted support, inclusive education, and formal support providers' ability to respond empathically to their unique needs.

Prior research has examined the relationships among self-construal, sense of belonging, perceived match, persistence intentions, and demographic factors. However, investigations often overlook the intersecting identities of race, gender, and generation status. Furthermore, little is known about how these demographic factors moderate the relationship between these psychosocial factors and persistence intentions. This study explored self-construal, perceived match, sense of belonging, and persistence intentions at the intersection of race, gender, and generation status. We also examined how these characteristics influence the relationship between these psychosocial factors and persistence intentions. Participants were introductory psychology students ( N = 1,496). Three-way analyses of variance revealed one significant three-way interaction for interdependent self-construal, favoring Hispanic continuing-generation (CG) female students over Hispanic CG males, albeit with a small effect size. Additionally, moderation analysis revealed that independent self-construal more strongly influenced persistence intentions among first-generation students than CG students. Theoretical and practical implications of the findings are discussed.

While positionality statements are often employed to help authors articulate their race, gender, sexual orientation, and other identities, in this article we contend that for Black women, positionality is far more than a checklist of social identifiers. It is a profound, complex, and nuanced site of intellectual exploration that demands deeper theoretical engagement. The authors of this article are introducing the term HEAPS (Highly Educated and Politicized Sisters) to describe ourselves as Black women, each holding advanced degrees, and actively engaged in social justice work. Our positionalities are deeply informed by academic expertise and commitment to the global struggle for Black liberation. We argue that the positionality of Black women transcends the conventional articulation of social identities. We contend that the experiences of Black women, rooted in histories of resistance and survival, deserve to be treated as rich, dynamic spaces for theoretical inquiry.

Problematic substance use among trans and non-binary people in Spain: An overlooked reality.

Purpose Through my autoethnographic account, I aim to explain how and why women's various social and cultural encounters shape singlehood. Through autoethnographic tales, I narrate the experiences of a PhD (Doctor of Philosophy) student as they navigate polarizing professional and cultural expectations and confront academic loneliness. Design/methodology/approach Autoethnography is a unique method of systematically analyzing one's perspective to understand a cultural experience. In an autoethnography, the researcher continuously switches between the researcher and the researched to provide reflexive insights into the cultural and social experiences of the field. Findings Lack of social support, loneliness at work, the stigma associated with singlehood, and current social practices and policies have led me to define singlehood in my own terms. Women constantly face the social and cultural pressure of “having it all,” and alternative life choices such as singlehood can lead women to be stigmatized and isolated. Originality/value Subjective accounts provide detailed longitudinal data of the singlehood journey. Layered accounts of my singlehood experience can create an image of how multiple intersectional identities, such as age, gender and cultural identities, shape the identity of single women in Academia. It is the multiple subliminal messages around single women that shape the experience as lonely and deeply difficult to navigate. To the best of my knowledge, this is one of the few papers dedicated to understanding women's views of singlehood identity in an academic context in the Indian subcontinent.

Abstract How does the gender and sexual identity of a prospective judge shape public support for their nomination? We build upon recent scholarship on instrumental inclusivity and argue that, after accounting for nominee ideology, Americans of all partisan stripes will penalize LGBTQ nominees. Using a conjoint experiment, we randomly vary a prospective Biden US Supreme Court nominee’s gender and sexual identity. Crucially, we also randomize the nominee’s ideology, enabling us to disentangle LGBTQ identity from the ideological signal it sends and differentiate between genuine and instrumental support for LGBTQ nominees. Contrary to recent findings suggesting that Democrats reward minority judges, we find that respondents from both parties penalize LGBTQ nominees. The magnitude of these effects—roughly 14 percentage points for transgender nominees and 8 percentage points for gay or lesbian nominees—is considerable and second only to shared partisanship. Our study underscores that ideological alignment does not necessarily foster genuine inclusivity for LGBTQ individuals and highlights the persistent challenges of representation for marginalized groups in an era of polarized judicial nominations.

Development of lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and other gender and sexual minority (LGBTQIA+) identities and a disability identity is critical for positive mental health outcomes for LGBTQIA+ autistic individuals. To understand identity development and evaluate the resonance of support among a large sample of LGBTQIA+ autistic adults. A sequential mixed-methods, participatory approach. Data collection for both phases occurred remotely. LGBTQIA+ autistic adults completed the qualitative phase and the survey (Ns = 57 and 107, respectively). Phase 1, the qualitative phase, included semistructured interviews and focus groups based on queer, crip, and intersectionality theories. Questions related to identity exploration and development. Themes regarding barriers and supports were used to develop a survey, used in Phase 2, to collect quantitative data to confirm the resonance of the findings. Participants described exposure, personal research, trial and error, and individuals external to the LGBTQIA+ and autistic communities as contributing to their evolving identities. If these contributing factors were positive, people described experiencing narrative gain, whereby they felt a sense of relief and pride over their identities, and if they were negative participants reported going through a journey toward self-acceptance. Occupational therapy practitioners can support LGBTQIA+ autistic adults in the identity development process by fostering connections with other LGBTQIA+ autistic individuals, providing accessible sexual health education supporting personal research and providing accessible resources, offering opportunities to explore identities through creative means, and creating supportive environments and safe spaces for self-exploration. Plain-Language Summary: Identity development is the process of understanding who you are. Occupational therapy practitioners can help support positive identity development for LGBTQIA+ autistic clients. In Phase 1 of the study, we talked to 57 LGBTQIA+ autistic people and asked them how they learned they were LGBTQIA+ and autistic. We used what we learned from those people to create survey questions, and we asked another 107 LGBTQIA+ autistic people whether the findings from our conversations in Phase 1 resonated with them as well. LGBTQIA+ autistic participants reported that they found it helpful to be exposed to people with diverse LGBTQIA+ and autistic identities; to be connected with articles, blogs, and people online who held diverse LGBTQIA+ and autistic identities; and to trial different identities. They also said it was helpful if people who were not LGBTQIA+ or autistic were supportive during this process. When people had more help, they had better acceptance of themselves. When people had less help, they said they had to learn to accept themselves. Positionality Statement: In this article, we use the term LGBTQIA+ (lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and other gender and sexual minority identities) to refer to a spectrum of marginalized sexual orientations (e.g., lesbian, gay, bisexual, asexual), gender identities (e.g., transgender, nonbinary, agender), and biological variations in sex characteristics (e.g., intersex). We recognize that these identities are distinct but often interrelated, and unless otherwise specified we use LGBTQIA+ inclusively to reflect participants' self-identification. The first author is a White, straight, cisgender female with a history of generalized anxiety disorder. The second author is a mixed-race, queer, cisgender woman who is multiply neurodivergent, including autism, attention deficit hyperactivity disorder, and posttraumatic stress disorder. The third author is a White, queer, nonbinary autistic person. The fourth author is a White, straight, cisgender female. The research team has varied experience and expertise in conducting research. The first author has a PhD and is a licensed occupational therapist, the second author has worked for many years in research laboratories as a research assistant and coordinator and is a licensed occupational therapist, the third author has a background in quantitative designs and statistical analyses and has worked as a research assistant, and the fourth author worked as a research assistant while in graduate school and is a licensed occupational therapist.

Gender minority adolescents are more likely to report emotional and behavioural difficulties compared to their cisgender peers. However, little is known about these experiences for adolescents with specific gender minority identities. Cross-sectional data were obtained from the 2021/22 Student Health and Well-being survey, a national survey of 11-16-year-olds in Wales, UK. Emotional and behavioural difficulties were measured using the Strengths and Difficulties Questionnaire. Gender identity and assigned sex at birth were self-reported. Multivariable linear regressions with robust standard errors were used to examine associations between gender identity and emotional and behavioural difficulties, adjusting for age, ethnicity, household-level affluence and correction for multiple testing. Of the 122,766 participants, 2.0% (2,455) identified as a person with a gender minority identity. Twenty-eight gender minority identities were self-reported, with the most prevalent being transgender boy and nonbinary assigned female at birth (both 0.6%). Young people assigned female at birth comprised 80% of gender minority adolescents. In the adjusted model, emotional and behavioural difficulties were reported most frequently by people who identified as non-binary (B = 7.66, 95% CI 7.25, 8.06) and another gender identity (B = 7.86, 95% CI 7.34, 8.38), then transgender (B = 5.05, 95% CI 4.58, 5.51), when compared to cisgender adolescents. Female sex assigned at birth was associated with more reported difficulties than male sex assigned at birth for adolescents with a transgender or cisgender identity, but not a nonbinary identity. In this population-based study, emotional and behavioural difficulties were reported most frequently by adolescents who identified as nonbinary and another gender identity, then transgender, then cisgender. Health and educational practitioners need to be aware that emotional and behavioural difficulties differ across gender minority identities.

Gender identity invalidation and suicide risk among trans and nonbinary individuals.

From the screen to the bed: Appearance-related social media consciousness and sexual well-being among emerging adult women and men.

This review provides an examination of studies investigating the patient and provider perspectives on the collection of sexual orientation and gender identity (SOGI) data in the health care setting. Searches were conducted using MEDLINE, CINAHL Complete, Web of Science, APA PsycINFO, Dissertations and Theses Global, Scopus, Sociological Abstracts, and Global Index Medicus for articles published January 1, 2000, to February 16, 2022, containing concepts of sexual orientation, gender identity, and data collection methods. The initial search yielded a total of 4356 records. Studies that reported results related to patient and staff perspectives on data collection for SOGI in a health care setting were analyzed as full text. Rayyan software was used for the abstract review. Twenty-five studies met the inclusion criteria. Two reviewers performed data extraction. All of the studies were observational, including 14 interview/focus group qualitative studies and 11 survey studies. In general, patients were favorable toward SOGI data collection; however, there were concerns about confidentiality and discrimination. Providers were less confident in collecting SOGI data, especially in situations lacking adequate training, and articulated concerns about the potential for offending patients. Patients regard SOGI data collection as an acceptable practice. However, to avoid offending or confusing patients, health care staff should receive focused training on how to ask SOGI questions, including the clinical relevance of these data.

Over the last decade at the University Hospital of Nancy in Lorraine, France, we have observed an increasing number of people under 35 years old who receive consultation for gender incongruence, from an average of 7 new patients per year in 2002-2013 to an average of 27 per year in 2014-2017. We conducted a mixed-methods study, including a retrospective quantitative analysis of medical records of youths who sought care for gender incongruence from 2004 to 2020, and a qualitative analysis of in-depth interviews with 11 patients identified through the medical records. The study included 235 participants (135 assigned female at birth, 100 assigned male at birth). Transgender men were younger than transgender women: mean age 20 (1.6, standard deviation, [SD]) years vs. 22.7 (4.3 SD) years; p = 0.01 at first referral. We observed no difference in age at the initiation of gender-affirming hormonal treatments. More than half of our participants chronologically situated their first questioning about their gender identity in the prepubertal period. Their life experiences revealed a lack of transgender representation in society, discomfort with the treatments offered, difficulties in becoming aware of and disclosing their gender identity, and the importance of peer/community support. The present study provides insights into the growing population of transgender and gender nonconforming people receiving care in the University Hospital of Nancy which has coincided with the evolution of the national legal framework. Our results identify several priorities for transgender youth who are receiving gender-affirming care. Further research outside hospital networks appears warranted.

The Body Acceptance by Others Scale-2: An examination of its psychometric properties in a French-Canadian adult sample.