Heterosexual Cisgender Research Articles

The unbearable struggle for beauty: Physical appearance perfectionism, mental health, and discrimination among heterosexual cisgender and sexually diverse youth in the Philippines

Physical appearance perfectionism (PAP) is prevalent in the Philippines. Studies have shown that body features such as the color of one’s skin, height, weight, hair length, and clothing one wears are often a cause for discrimination in schools and workplaces. This study aimed to analyze the relationship between PAP, mental health, discrimination, and other sociodemographic variables. A questionnaire, which included the Physical Appearance Perfectionism Scale, was distributed via convenience sampling to Filipinx youth aged 18 to 30 residing in the Philippines. Data collected from 959 Filipinx youth demonstrated that physical appearance perfectionism is high: specifically, the sub-domain of Worry about imperfection. Significant stress and depression were risk factors for PAP in all respondents for both perfectionism domains and, particularly, the sexually diverse youth. Notably, social media as an instigator of these triggers was refuted because Instagram was found to be a protective factor. We concluded that there is a significant relationship between mental health conditions and physical appearance perfectionism. The higher the level of stress and depression, the greater likelihood of PAP. Experience of everyday discrimination may also be a factor in worrying about imperfection and hoping for perfection.

Identifying demographics of high risk male and LGBTQ+ survivors of domestic abuse from acute London hospital referrals - case review.

Heterosexual men, and lesbians, gay men, bisexual, transgender and queer (LGBTQ+) people are under-described in research and resources relating to domestic abuse (DA), compared to heterosexual cisgender female survivors. Many of the identified DA cases within our hospital organisation that warrant onward multidisciplinary referral, due to ongoing high harm risk, are for male and LGBTQ+ survivors. We aimed to describe demographics and risk patterns of these cases, to inform and equip our specialist Independent Domestic Violence Advocacy (IDVA) service. We performed a retrospective case-note review of all Multi-Agency Risk Assessment Conferences (MARAC) referrals for DA, featuring male & LGBTQ+ subjects, across Chelsea and Westminster Hospital NHS Foundation Trust (CWFT), London, UK between April 2019 - December 2020. We recorded demographic data of referral subjects and perpetrators; the origin of referral; the nature of the initial presenting complaint and whether the DA was identified by the subject or by the healthcare provider on enquiry; and recorded rates of co-marginalising and harm risk factors (dependent children, disability, mental health comorbidity, HIV status, drug use, homelessness). We identified 33 cases: 10.2% of CWFT's total MARAC referrals were for men, and 6.7% for LGBTQ+ people (cf. national figures from the same period: 0.1% and 1.3% respectively). Nearly half (48.5%, 16) of the referrals came from sexual health services, just under half (45.5%, 15) from Emergency Departments. 42% (14) disclosures were elicited incidentally during routine enquiry. Six (18%) subjects were also known survivors of sexual violence in addition to DA. The majority (79%, 26) of perpetrators were current or ex-intimate partners. Eight (24%) of the subjects had children under 18. High rates of co-marginalisation factors were present, including use of recreational drugs (45.5%, 15), belonging to an ethnic minority (39.4%, 13), living with HIV (24.2%, 8), living with a disability (18%, 6), mental health comorbidity (27.3%, 9), and experience or risk of homelessness (9%, 3). Our trust reports a high rate of male and LGBTQ+ high-risk DA referrals, and amongst these there is a high rate of intersecting disadvantages and risk factors. This underlines a need for inclusivity for marginalised groups, inbuilt into domestic abuse health responses. The high rate of disclosure during routine enquiry for domestic abuse supports the use of DA routine enquiry in sexual health settings, and points towards the utility of selective enquiry in other settings (for example, heterosexual males presenting with injuries to emergency departments). We hope that by working with a specialised LGBTQ+ IDVA, we will improve both prompt identification and better outcomes for more GSM patients.

1.54 Intersecting Stressors Among Sexual and Gender Minority Youth and Military-Connected Youth

Military-connected youth often experience stress related to parental deployment and frequent relocations. LGBTQ youth experience increased risk of negative mental health outcomes compared to heterosexual cisgender youth, thought to be due to exposure to sexual and gender minority stress. Little is known about health disparities among LGBTQ military-connected youth. To better characterize these effects, we describe the intersecting stressors among LGBTQ and military-connected youth.

Queer, Toxic Soybeans and Estrogen Panic: Gendered Food Fearmongering

This article critically analyzes cultural anxieties around the plant-based phytoestrogens in soy. Drawing from biomedical data on the physiological effects of soy ingestion, I show the ways in which gendered food fear is co-constituted by science and its diffusion within popular media, including through privileging of the perspectives of heterosexual cisgender white men, from conspiracy radio host Alex Jones to Men’s Health or Good Housekeeping magazines. Gendered tropes of determinism, sexual mutation, and panic, such as hyperfocus on semen, sperm counts, or genitalia as determinant of masculinity in rat models, draw from critical biomedical research of the legume, but also center heteronormative, transphobic, and white supremacist understandings of food as a hormonal reproductive toxin. Drawing from a feminist and queer ecologies approach, this article connects the social and life sciences by showcasing the ways popular media propels gendered ecological fear in a historical moment of increased concern over the politics and power of food, health, and toxic exposures.

“I’ve been cheated, been mistreated, when will I be loved”: Two decades of infidelity research through an intersectional lens

Infidelity is a common experience within romantic relationships and is closely linked with relationship dissolution and well-being. Using an intersectionality theoretical framework, we undertook a systematic review of the infidelity literature in flagship journals associated with the disciplines of the International Association for Relationship Research. Our review includes findings from 162 published empirical articles. We identified several themes within the infidelity literature, including: individual, interpersonal, and contextual predictors; outcomes and reactions; beliefs and attitudes; prevalence; and conceptualization. We also found that the infidelity literature primarily utilizes participants who are White, heterosexual, cisgender individuals who reside in the United States or Canada. Moreover, researchers were limited in information they provided about participants’ identities so in most articles it was difficult to assess many dimensions of identity. Ultimately, these findings limit our ability to apply an intersectional framework. We argue that researchers should extend the research they cite, collect richer demographic data, expand their samples (especially beyond White heterosexual cisgender American college students), and consider the sociohistorical context of their participants (e.g., the particular social circumstances and historical forces which shape individuals’ lived experiences). For example, scholars using an intersectional framework would explain their participants’ relationship experiences through a lens which includes systems of sexism, racism, heterosexism, cissexism, classism, etc., in conjunction with individual and interpersonal factors.

Proportion of ALGBT adult Brazilians, sociodemographic characteristics, and self-reported violence

Asexual, lesbian, gay, bisexual, and trans (ALGBT) individuals face worse life conditions and violence rates than their heterosexual cisgender counterparts. Brazil is often highlighted for having one of the highest rates of hate-related homicides against ALGBTs in the world. However, to date, Brazil’s ALGBT population has not been investigated with a representative sample, and basic information such as population size or sociodemographic characteristics are mostly based in non-systematic data. We aimed to assess the proportion of asexual, lesbian, gay, bisexual, trans and non-binary adults in Brazil, their sociodemographic characteristics, and self-reported violence rates. In 2018, a sample (n = 6000) of the Brazilian adult population answered a face-to-face survey assessing sociodemographic characteristics, gender identity, sexual orientation, and self-reported psychological, physical, verbal, and sexual violence. Among Brazilian adults, 12.04% are ALGBT: 5.76% asexual, 0.93% lesbian, 1.37% gay, 2.12% bisexual, 0.68 trans, and 1.18% non-binary. Compared to heterosexual cisgender men, most ALGBT individuals have worse socioeconomic indicators and higher rates of self-reported psychological and verbal violence. All ALGBT groups and heterosexual cisgender women reported sexual violence more often than heterosexual cisgender men. It was reported between 4 up to 25 times more often by heterosexual cisgender women and trans individuals, respectively. The rates of the other ALGBT groups sit among the two. Our findings provide evidence of the important size of the ALGBT Brazilian population, as well as their socioeconomic vulnerability, and concerning violence levels experienced by the group. Policy makers may refer to the present article in order to mitigate this population’s vulnerability and to better understand its sociodemographic characteristics.

Fear of childbirth and mental health among lesbian, bisexual, transgender and queer people: a cross-sectional study

Background: Most studies of fear of childbirth (FOC) are conducted on heterosexual cisgender pregnant populations of birth-giving parents. Among lesbian and bisexual women, as well as transgender and queer people (LBTQ), minority stress can add an extra layer to FOC. Gender binary and cisnormative assumptions leave it to the patient to educate and navigate healthcare providers, which can increase mental health problems. Objective: The aim of this study is to compare FOC and mental illness among expecting birth-giving parents and their partners in an LBTQ population. Materials and methods: This cross-sectional study recruited 80 self-identified pregnant LBTQ persons and their 54 non-pregnant partners at a LBTQ specialized antenatal clinic in a large Swedish city of over one million inhabitants. The survey included socio-demographic characteristics, sexual and gender orientation, obstetric history, previous mental health, previous trauma exposure and measures of FOC and mental health. Results: Levels of FOC were significantly higher for the pregnant participants (median W-DEQ 67.5) than for partners (median W-DEQ 60.0). The proportion of severe FOC was higher for pregnant participants (20.3%) than for partners (9.4%), although this difference was not statistically significant. Mental illness was significantly associated with FOC. Conclusion: The results add valuable information to our understanding of the specific needs of pregnant LBTQ people and their partners and may help us to develop healthcare in the future.

Gender in mental health: Comparison of the rate and social factors of depression, anxiety, and stress among young adult Filipino heterosexual cisgender men and women and LGBT+ individuals.

Previous studies showed that Filipino young women have higher rates of certain mental disorders than men, while LGBT+ individuals have higher mental disorders rates than heterosexual cisgender individuals. These differences may be due to their unique social experiences. Despite these, studies that directly compare the rates and social factors of mental health conditions among men, women, and LGBT+ individuals including depression, anxiety, and stress, remain sparse. This study aimed to compare the rates and social factors of depression, anxiety, and stress among young adult Filipino heterosexual cisgender men and women and LGBT+ individuals. This study utilized a sociodemographic questionnaire, the Daily Discrimination Scale, and the Depression, Anxiety and Stress Scale-21 (DASS-21) to determine the difference between the rates and social factors of depression, anxiety, and stress among the respondents. A total of 959 young Filipino adults completed the questionnaire. Afterward, logistic regression, chi-square, and descriptive statistics were done. LGBT+ respondents experienced the highest rates of significant depression (92.0%), anxiety (93.8%), and stress (81.3%). Discrimination had the largest effect size among men and LGBT+ individuals. While age may be a risk factor for anxiety among heterosexual cisgender males, it was protective for stress among LGBT+ individuals. Working, studying, and living with peers had protective effects against anxiety and stress among heterosexual cisgender men and women. Rates and factors of depression, anxiety, and stress varied according to gender. This variation may be accounted for by unique social experiences and contexts including violence, discrimination, cultural expectations, and social roles. Thus, gender-sensitive mental healthcare may need to extend beyond binary views limited to men and women.

The Tragedy of Heterosexuality

The Tragedy of Heterosexuality

Religious trauma and moral injury from LGBTQA+ conversion practices

Religion-based LGBTQA + conversion practices frame all people as potential heterosexuals whose gender aligns with their birth sex (in a cisgender binary model of male and female sexes). Deviation from this heterosexual cisgender social identity model is cast as curable ‘sexual brokenness’. However, research shows conversion practices are harmful, and particularly associated with increased experiences of abuse, mental health diagnoses, and suicidality. This paper explores their contribution to the particular harms of moral injury and religious trauma, drawing firstly on the foundational moral injury literature to offer a unique conceptual framework of spiritual harm and moral injury, and secondly on a rare qualitative 2016–2021 study of the spiritual harms reported in semi-structured interviews of 42 survivors of LGBTQA + change and suppression practices in Australia. The paper examines the survivors' support needs around the nature and extent of religious trauma and moral injury, to inform services working towards supporting their recovery from such experiences and their resolution of conflicts deeply bound in their sense of self and belonging. It argues that impairment of conversion survivors' relationships with religious communities, and religious self-concepts, point to the need for additional improvements in pastoral practice.

Effects of Including Gender Pronoun Questions in Surveys.

This research examines whether the mere presence of asking about gender pronouns (e.g., she/her, he/him, they/them, and ze/zir) in a survey enhances participants’ attitudes and satisfaction of answering the questions. A large sample (N = 1,511) of heterosexual, cisgender, and LGBTQIA+ participants across the United States (US) were surveyed an online “personality test” (as a deception), with the real purpose of examining whether asking a pronoun question enhanced their perceptions of the survey. Three demographic groups were included: (i) heterosexual–cisgender (n = 503), (ii) gay–cisgender (n = 509), and (iii) genderqueer (trans, non-conforming, other, n = 499). Half of each group were randomly given either a survey that included a gender pronoun question (test) or not (control), and then all rated their perceptions of the survey questions. For participants who identified as heterosexual or gay, no major differences were found between survey conditions. However, participants who identified as genderqueer experienced significant increases of satisfaction, comfort level, and perceived relevance of the questions when given a survey that asked their gender pronouns versus the survey that did not. These findings have implications for any surveys that ask about personal demographics, and suggest that any form of written communication should include clarity about gender pronouns.

Expert Stakeholders’ Perspectives on How Cisgender Heterosexual Boys and Young Men Navigate Sex and Intimacy in Australia: A Case for “Heterosexual Intimacies” in Policy and Practice

IntroductionCisgender heterosexual boys and young men in Australia may experience or perpetuate a range of harms in their romantic and sexual encounters with women due to expectations that they adhere to problematic ideals and norms concerning masculinity and heterosexuality. This paper explores expert stakeholders’ perceptions on these key issues, and their broader implications for policy and practice.MethodsUsing inductive thematic analysis techniques, this paper draws on semi-structured interviews from 23 expert stakeholders working across sectors of gendered violence prevention, sexual health, relationships and sexuality education, sport, and emotional and physical wellbeing.ResultsFindings note several key concerns, including (1) hesitation and lack of adequate information regarding relationships with women; (2) the potential negative influence of pornography; (3) the lack of opportunities to be engaged in sexual health promotion initiatives; and (4) limited opportunities to have meaningful conversations about dating, sex, and intimacy.ConclusionsExpert stakeholders note several important gaps in policy and practice that need to be addressed to better support cisgender heterosexual boys and young men, and to confront gendered violence and sexual violence.Social and Policy ImplicationsUnderstanding these gaps is vital for policymakers, content and program creators, and service providers working with cisgender heterosexual boys and men. We advocate for thinking about a strategy that is centred around “heterosexual intimacies”, in which addressing boys and young men’s sexual health and wellbeing is brought together with gendered violence prevention and sexual violence prevention initiatives.

Heterosexual, Cisgender and Gender and Sexually Diverse Adolescents' Sexting Behaviors: The Role of Body Appreciation.

Sexting has become part of the repertoire of adolescents' sexual behaviors, especially among those who identify as gender and sexually diverse. Whereas body dissatisfaction increases during adolescence and is associated with negative sexuality outcomes, little research has examined how body appreciation may contribute to adolescents' sexting. The present study examined associations between body appreciation and sexting behaviors, and whether these differed by gender and sexual orientation, using path analysis in a sample of 2904 adolescents (Mage = 14.53; SD = 0.61) comprised of five groups: heterosexual cisgender and gender and sexually diverse boys (heterosexual cisgender = 1193; gender and sexually diverse = 157), heterosexual cisgender and gender and sexually diverse girls (heterosexual cisgender = 1152; gender and sexually diverse = 320), and non-binary adolescents (n = 18). Lower levels of body appreciation were associated with higher sexting frequency in heterosexual cisgender girls and gender and sexually diverse boys. Adolescents preoccupied with their appearance may use sexting for body image-related validation.

Ego-Centred and Partner/Activity-Focused Sexual Satisfaction: The Role of Self-Esteem and Sexual Assertiveness in Cisgender Heterosexual Women

Ego-Centred and Partner/Activity-Focused Sexual Satisfaction: The Role of Self-Esteem and Sexual Assertiveness in Cisgender Heterosexual Women

Cumulative interpersonal childhood adversity and post-traumatic stress symptoms across heterosexual, cisgender and gender and sexually diverse adolescents: The mediating role of emotion regulation

BackgroundEmotion regulation has been identified as an explanatory factor in the association between interpersonal childhood adversity and post-traumatic stress symptoms (PTSS). However, most studies focused on adults or older adolescents, neglecting youth from the community, especially gender and sexually diverse (GSD) adolescents, who have a higher risk for exposure to adverse events and psychological difficulties, compared to their heterosexual, cisgender (HC) peers. ObjectiveThe present cross-sectional study aimed to examine the mediating role of emotion regulation difficulties in the association between cumulative interpersonal childhood adversity and PTSS across HC and GSD adolescents. MethodsA sample of 2904 ninth grade students (Mage = 14.53, SD = 0.61) completed a self-report survey. Multigroup path analyses were conducted to examine the proposed mediation model in all groups, and comparisons were made using chi-square difference tests. ResultsGreater difficulties in emotion regulation mediated the association between greater cumulative interpersonal childhood adversity (β = 0.36, p < .001) and greater PTSS (β = 0.35, p < .001) – regardless of HC or GSD status – although the direct association between cumulative interpersonal childhood adversity and PTSS was significantly stronger among GSD boys (β = 0.36, p < .001) and GSD girls (β = 0.35, p < .001) than among HC boys (β = 0.21, p < .001) and HC girls (β = 0.25, p < .001). ConclusionsFindings offer a modifiable target for prevention and/or intervention among middle adolescents, as emotion regulation difficulties may partially explain the presence of PTSS following cumulative interpersonal childhood adversity.

Is LGBT progress seen as an attack on Christians?: Examining Christian/sexual orientation zero-sum beliefs.

As social policies have changed to grant more rights to lesbian, gay, bisexual, and transgender (LGBT) individuals, some Christians in the United States have suggested that LGBT rights impede Christians' religious freedom. Across five studies, we examined the causes and consequences of zero-sum beliefs (ZSBs) about Christians and LGBT individuals. We demonstrate that Christians' beliefs about conflict with sexual minorities are shaped by their understandings of Christian values, social change, interpretation of the Bible, and in response to religious institutions. In Study 1, heterosexual cisgender Christians endorsed ZSBs more than other groups. Christians reported perceiving that anti-LGBT bias has decreased over time while anti-Christian bias has correspondingly increased. In Study 2, Christians' zero-sum beliefs increased after they reflected on religious values, suggesting that intergroup conflict is seen as being a function of Christian beliefs. Study 3 confirmed the role of symbolic threat in driving ZSBs; perceived conflict was accentuated when Christians read about a changing cultural climate in which Christians' influence is waning. An intervention using Biblical scripture to encourage acceptance successfully lowered zero-sum beliefs for mainline but not fundamentalist Christians (Study 4). A final field study examined how ZSBs predict sexual prejudice in response to changing group norms. After a special conference in which the United Methodist Church voted to restrict LGBT people from marriage and serving as clergy, zero-sum beliefs became a stronger predictor of sexual prejudice (Study 5). We discuss the implications of Christian/LGBT ZSBs for religious freedom legislation, attitudes toward sexual minorities, and intergroup conflict more generally. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

“Mom and dad = cis woman + cis man” and the stigmatization of trans parents: an empirical test of norm-centered stigma theory

Background: Empirical research on transgender individuals and their families is growing but investigations of attitudes toward trans parents are sparse. This gap is especially important to address because transgender parents face unique strains due to their violations of hetero-cis-normativity and the “Mom and Dad = Cis Woman + Cis Man” stereotype. Methods: Using a sample of adults aged 18-64 stratified by U.S. census categories of age, gender, race/ethnicity and census region collected from online panelists (N = 2,948), this study provides an intersectional investigation of Norm-Centered Stigma Theory (NCST) with hetero-cis-normativity (a system of norms, privilege, and oppression that situates heterosexual cisgender people above all others) as the centralized overarching concept that helps us to understand negativity directed toward transgender parents. Specifically, social power axes including gender identity (cisgender woman, cisgender man, nonbinary; trans people were excluded from the current study), sexual identity (heterosexual, lesbian, gay, bisexual), and interactions among these axes of social power are investigated. Results: Findings indicate that hetero-cis-normativity is strongly related to negativity toward trans mothers and fathers and that there is overall greater stigma toward trans dads when compared to trans moms. In addition, gender, sexual identity, and interactions among these experiences of social power have complex relationships with the stigmatization of trans parents. Conclusion: Results provide support for the use of Norm-Centered Stigma Theory to help us best understand the constellation of hostilities directed toward trans people and their families.

Comparing Factors Shaping Sexual Violence Perpetration for Sexual and Gender Minority Youth and Cisgender Heterosexual Youth.

Sexual and gender minority (SGM) youth experience higher rates of sexual violence victimization than their cisgender heterosexual counterparts. Very little is known about how the minority status of SGM youth contextualizes their victimization and perpetration experiences. In one-on-one interviews with 39 SGM youth and 11 cisgender heterosexuals (non-SGM) youth, we compared the contextual factors shaping sexual violence victimization and perpetration between the two groups using a qualitative descriptive approach. Interviews highlighted how SGM youth continue to experience extensive discrimination that negatively impacts all aspects of their lives, while non-SGM youth do not discuss having to navigate stigma and discrimination in their lives. SGM youth pointed to a lack of understanding of sexual violence within the SGM community. Both groups believed that SGM perpetration was unlikely: while most SGM and non-SGM youth agreed that sexual violence between youth was a problem, same-gender perpetration was seldom discussed. Unlike their non-SGM counterparts, SGM youth felt that they were targeted because of their sexual and gender identity. SGM youth also felt that they were more vulnerable to sexual violence because of how they physically looked, particularly if their gender expression did not match cis-normative expectations. SGM youth reported facing unique pressures when seeking support as a victim, particularly a fear of being outed or stigmatized as part of the process. They also conveyed that SGM people worried about being treated unfairly if they reported sexual violence to authorities. Findings suggest that stigma and concerns of discrimination are unique aspects of sexual violence for SGM compared to non-SGM youth. All youth need to have access to sexual violence prevention education that includes SGM and non-SGM youth as both victims and perpetrators to begin addressing these noted disparities in experiences.

Affirmative Stances in Training Programs Toward Sexual and Gender Minority Clients: Views From Clinical and Counseling Psychology Graduate Students

ABSTRACT Despite training recommendations to address mental health disparities among sexual and gender minority (SGM) individuals, the current state of SGM affirmative training in clinical and counseling doctoral psychology programs remains unclear. The present study surveyed 147 clinical and counseling psychology graduate students in the United States. Participants completed surveys on affirmative training stances in their graduate program for sexual minority clients, gender minority clients, and self-reported perceptions of their attitudes, knowledge, and skills related to SGM clients. Results revealed that current graduate students reported more affirmative stances for sexual minority clients compared to gender minority clients. SGM graduate students reported fewer affirmative stances in their programs for both sexual and gender minority clients compared to their heterosexual cisgender peers. Lastly, SGM identity was a significant predictor of perceived SGM clinical competency beyond years of training, program model, or type of graduate program. Implications for training and future research are discussed.

Mental health conditions in Lesbian, Gay, Bisexual, Transgender, Queer and Asexual youth in Brazil: A call for action

BackgroundLesbian, Gay, Bisexual, Transgender, Queer, and Asexual (LGBTQA+) youth have a greater chance of experiencing stressful life events when compared to cisgender heterosexual peers, which can lead to mental health problems. We aimed to estimate the prevalence of mental disorders among LGBTQA+ youths from two large cities in Brazil. MethodsParticipants were 13–22 years old youths from the 3rd wave of the Brazilian High-Risk Cohort for Psychiatric Disorders (n = 1475). Mental disorders were assessed using the Development and Well-Being Behavior Assessment. Sexual orientation and gender identity were assessed using a self-report confidential questionnaire. Data were analyzed through logistic regressions (adjusting for sociodemographic) using sampling weights to account for attrition and our oversampling high-risk design. Results15.18% of the sample described themselves as LGBTQA+. The LGBTQA+ group presented higher rates of anxiety disorders (30.14% vs. 13.37%; OR = 3.37; 95%CI:2.51–4.50), depressive disorders (27.75% vs. 15.34%; OR = 2.17; 95%CI:1.60–2.93) and post-traumatic stress disorder (4.98% vs. 2.25%; OR = 4.20; 95%CI:2.24–7.82), if compared with the cisgender heterosexual group. No difference was found for conduct disorders (2.97% vs. 5.21%; OR = 0.82; 95%CI:0.35–1.65) or attention deficit hyperactivity disorder (5.92% vs. 3.28%; OR = 1.56; 95%CI:0.83–2.79). LimitationsAlthough recruitment was performed at 57 schools in the two cities, sampling was non-probabilistic and included only urban areas, which might bias prevalence estimates and group comparisons. ConclusionsOur results elucidate the mental health disparities between LGBTQA+ people and cisgender heterosexuals in Brazil. It highlights the need to promote the inclusion of this population in policy formulation and support actions to mitigate the suffering related to sexual orientation and gender identity.