Lesbian, Gay, Bisexual And Transgender Population Research Articles

Variation Between LGBT Estimates and State Policy Context

State-level social policy and LGBT (lesbian, gay, bisexual, and transgender) population concentration are key measures that are often used as indicators reflecting geographic social climate. Still, research has yet to investigate how they may be interrelated, including the degree to which the LGBT population are subject to certain policies. Using population-based experimental data from the Household Pulse Survey and policy measures from the Movement Advancement Project, we compared measures of state-level policy and concentration of the LGBT population for 2022. After calculating the correlation between these two constructs, the authors identified state-level variation in these measures for each of the 50 states and Washington, DC. With a correlation of 0.58, the findings revealed variation at the state level and indicated that LGBT population concentration and state-level LGBT policy do not necessarily reflect synonymous social phenomena and constitute distinct but complementary measures for use in constructing indices of structural heterosexism and social climate.

Cost of peer mystery shopping to increase cultural competency in community clinics offering HIV/STI testing to young men who have sex with men: results from the get connected trial

IntroductionCultural competency has been identified as a barrier to lesbian, gay, bisexual and transgender (LGBT) populations seeking care. Mystery shopping has been widely employed in the formal health care sector as a quality improvement (QI) tool to address specific client needs. The approach has had limited use in community-based organizations due in part to lack of knowledge and resource requirement concerns. Several mystery shopping initiatives are now being implemented which focus on the LGBT population with the goal of reducing barriers to accessing care. One subset targets men who have sex with men (MSM) to increase uptake of human immunodeficiency virus (HIV) testing. No study investigates the costs of these initiatives. Get Connected was a randomized control trial with the objective of increasing uptake of HIV-prevention services among young men who have sex with men (YMSM) through use of a resource-locator application (App). The initial phase of the trial employed peer-led mystery shopping to identify culturally competent HIV testing sites for inclusion in the App. The second phase of the trial randomized YMSM to test the efficacy of the App. Our objective was to determine the resource inputs and costs of peer-led mystery shopping to identify clinics for inclusion in the App as costs would be critical in informing possible adoption by organizations and sustainability of this model.MethodsThrough consultation with study staff, we created a resource inventory for undertaking the community-based, peer-led mystery shopping program. We used activity-based costing to price each of the inputs. We classified inputs as start-up and those for on-going implementation. We calculated costs for each category, total costs and cost per mystery shopper visit for the four-month trial and annually to reflect standard budgeting periods for data collected from September of 2019 through September of 2020.ResultsRecruitment and training of peer mystery shoppers were the most expensive tasks. Average start-up costs were $10,001 (SD $39.8). Four-month average implementation costs per visit were $228 (SD $1.97). Average annual implementation costs per visit were 33% lower at $151 (SD $5.60).ConclusionsPeer-led, mystery shopping of HIV-testing sites is feasible, and is likely affordable for medium to large public health departments.

Harassment disparities and risk profile within lesbian, gay, bisexual and transgender Spanish adult population: Comparisons by age, gender identity, sexual orientation, and perpetration context.

Lesbian, Gay, Bisexual and Transgender (LGBT) harassment disparities have become a public health issue due to discrimination and the effects on these people's health and wellbeing. The purpose was to compare harassment disparities within the Spanish adult LGBT population according to age, gender identity, sexual orientation and the context of perpetration and to describe the harassment risk profile. A sample of 1,051 LGBT adults participated in a cross-sectional study. Frequencies, percentages and Chi-square tests of independence for stablishing significant differences (p < 0.05) were calculated. The corrected standardized residuals allowed to identify the categories in which significant differences emerged. Binomial logistic regression was used to define the probability of the main LGBT groups of suffering harassment. Results show that 54.4% of the participants had experienced harassment. Young adults presented a higher prevalence than the older group. There were significant harassment differences between transgender (67.2%) and cisgender (52.7%) groups, and also between the subgroup of trans women (75.8%) and the subgroups of cis men (60.2%) and cis women (42.9%). The main disparities according to sexual orientation emerged between lesbian trans and the other LGB groups. Most harassment occurred in educational contexts and public spaces. Trans-women and trans non-binary reported a higher rate of harassment than cis LGB persons in all contexts. Trans people with different orientations (especially lesbian and gay trans) differed in harassment from LGB cis in four of the six contexts analyzed. Harassment is likely to diminish between 2 and 3% each year as LGBTs get older in educational contexts and public spaces but increases 1.07 times in the workplace. Trans women, trans non-binary, lesbian cis and trans-men were more likely to suffer harassment than bisexual cis persons. Trans women present the highest risk of harassment in three contexts (workplace, family and public spaces) and trans non-binary in the other three contexts (education, health and sport). Harassment is a serious problem for LGBT adults in Spain, especially among trans people, which differ in characteristics from those of the sexual minorities mainstream. Programs and policies targeted for improving health should therefore consider the differences that came to light in this study.

Adding grey to the rainbow: a narrative analysis of generational identity through stories and counter-stories of older gay men

AbstractWe explored identity formation among nine gay men who were born between 1946 and 1964. This group of nine was the largest homogeneous sub-group within a larger sample (N = 18). Although participants share similar demographic characteristics, their individual social, personal and narrative identities diverge to represent distinctive embodied selves. Guided by queer and feminist theories, the qualitative analysis identified dominant and counter-narratives that demonstrate the complexity of sexual identity as it evolves over time. All nine men recall being aware of their gay identity as children; however, like many socially constructed labels, their outward identity was more complex and difficult to understand. The findings demonstrate how participants negotiated their sexual identities through decades of social change. As illustrated within each subset of identity (i.e.social, personal and narrative), some participants found themselves breaking ground for a broader gay rights social movement, while others described their experience of being relegated to silence and invisibility for most of their lives. This research contributes to an ongoing discussion concerning the individuality found among lesbian, gay, bisexual and transgender (LGBT) individuals in later life. As the LGBT population becomes more visible, there will be a growing need to understand the individualism that exists within this coalition and affirm their diversifying sexual and gender identities.

The view from the top: social acceptance and ideological conservatism among sexual minorities

ABSTRACT Politically, LGBT (lesbian, gay, bisexual, and transgender) people are recognized as distinctively liberal. However, a small yet persistent proportion of the LGBT population identifies as ideologically conservative. Theories of political conversion suggest that LGBT people demonstrate attitudinal liberalism primarily because of a shared group consciousness that results from political and social stigma. Recent research, however, suggests the liberalizing effects of conversion experiences are mitigated when one views society as accepting of one’s minority identity. Consistent with recent theorizing, I suggest ideological conservatism is a response when one does not share a politicized group identity, a sense of identity-based oppression, or when one experiences social acceptance. I test this assertion across two identity categories, sexuality and race, using a unique data set of LGBT adults in the United States. The results are consistent with my hypotheses in that ideological conservatism is negatively associated with LGBT and racial minority group consciousness. Further, experience with injustice in the form of discriminatory treatment is negatively associated with ideological conservatism. However, the belief that society accepts one’s minority identity is associated with conservatism.

Evidence of interventions for improving healthcare access for lesbian, gay, bisexual and transgender people in South Africa: A scoping review.

BackgroundThe lesbian, gay, bisexual and transgender (LGBT) populations have unique health risks including an increased risk of mental health problems, high usage of recreational drugs and alcohol, and high rates of infection with human immunodeficiency virus (HIV). Healthcare workers’ heteronormative attitudes compromise the quality of care to the LGBT population.AimThe objective of this study was to provide an overview of documented evidence on South Africa interventions aimed at improving healthcare access for LGBT individuals using a systematic scoping review.SettingThis is a secondary literature review.MethodsAn electronic search was conducted using the following databases: EBSCOhost, PubMed, Cumulative Index to Nursing and Allied Health Literature, and Google Scholar. and full article data were screened using inclusion and exclusion criteria by two researchers. Data extracted from the eligible studies were analysed using thematic analysis. The quality of the included studies was assessed using the Mixed Methods Appraisal Tool, version 2011.ResultsSeventeen articles of the initial 151 hits were selected for review and an additional five files were identified through bibliographical search. Most studies had small sample sizes and focused on sexual health, targeting gay men and men who have sex with men in urban areas. Lesbians and bisexual women were not prioritised.DiscussionIt emerged from the review that LGBT issues were not covered in the healthcare worker curriculum. Further it was noted that there is a paucity of data on the South African LGBT population, as sexual orientation does not form part of the routine data set. The findings of this review indicate gaps in the literature, practice guidelines and policies in LGBT healthcare in South Africa.

Lesbian, Gay, and Bisexual Individuals’ Perceptions of American Religious Traditions

ABSTRACT The cumulative alienation sexual minorities experience from American mainline religious groups may leave them feeling disillusioned and even hostile toward the religious organizations that have historically rejected them. However, research to date has not explored sexual minorities’ perceptions of religious traditions in the United States. The current study examines the variations between lesbian, gay, and bisexual adults’ (LGB) perceptions of whether religious traditions are friendly/neutral or unfriendly toward the LGBT (lesbian, gay, bisexual, and transgender) population. Using data from the Pew Research Center 2013 Survey of LGBT Adults, the author conducts separate binary logistic regression analyses examining whether four religious traditions—evangelical Protestantism, the Catholic Church, the Jewish religion, and mainline Protestantism—are generally perceived as friendly/neutral or unfriendly toward LGBT people. The findings from this study offer rare insight on sexual minorities’ perceptions of major religious traditions and illustrates that sexual minorities have a complex relationship with religion.

Provider and LGBT Individuals' Perspectives on LGBT Issues in Long-Term Care: A Systematic Review.

Discrimination toward the lesbian, gay, bisexual and transgender (LGBT) population has raised concerns about the type of long-term services and supports (LTSS) that will be available to them as they age. To understand the unique needs of aging LGBT populations, we sought to synthesize and critique the evidence related to LTSS providers and LGBT individuals' perspectives of LGBT issues in LTSS in the United States. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, a systematic review of the literature was conducted. The Crowe Critical Appraisal Tool was used to appraise the quality of the included studies. Nineteen studies met inclusion criteria. Seven studies that examined the perspectives of LTSS providers identified two themes, including that they lack knowledge and training on LGBT health issues and generally report negative attitudes toward same-sex relations among older adults. In addition, 12 studies that examined the perspectives of LGBT individuals found that they (i) are concerned about LTSS planning, (ii) fear discrimination from providers in LTSS, and (iii) identify several strategies for improving care of LGBT older adults receiving LTSS. This systematic review highlights the importance for LTSS providers to receive training in LGBT health and be reflective of potential biases toward the LGBT population. LGBT individuals identified concerns related to LTSS planning and fear of discrimination from LTSS providers. LGBT individuals also identified a need for increased training of providers to improve the care of LGBT older adults in LTSS.

Effects of LGBT Nursing Education Using Simulation.

As health care needs for Lesbian, Gay, Bisexual and Transgender (LGBT) are becoming increasingly important, it has become imperative for the nurses to be attentive towards their health problems and provide nursing care with an open-minded attitude. Due to limited opportunity to provide direct nursing care to LGBT patients, it is hypothesized that simulation would provide good opportunity for students to experience LGBT nursing care in a safe environment. This study was conducted to develop and apply simulation of LGBT nursing care to ultimately provide unbiased nursing care for LGBT population and prepare basic data for LGBT nursing education. This study was a single-group pre-post experimental design study for 57 senior nursing students based on the comparison of existing LGBT knowledge, general attitude towards LGBT, and nursing attitude towards LGBT before and after simulation. The scenario content included discussion of coming out issue, providing sexual health information, and supportive nursing care for LGBT population. Data were analyzed with descriptive statistics and Wilcoxon signed rank. Simulation education-led to a significant increase in LGBT knowledge and nursing attitude. However, there was no change in the general attitude towards LGBT. The results of this study suggest that LGBT education using simulation may be effective for nursing students and nurses from the point of concern for LGBT population. It is hypothesized that future LGBT educational programs might need more detailed information from both care recipients and nurses. Finally, LGBT education needs to be included in the nursing education curriculum.

Deaths in the Lesbian, Gay, Bisexual and Transgender United Kingdom Communities Associated with GHB and Precursors.

Misuse of gammahydroxybutrate (GHB) and its prodrugs gammabutyrolactone (GBL) and 1,4 butanediol (1,4-BD) has increased greatly since the early 1990s, particularly amongst lesbian, gay, bisexual and transgender (LGBT) individuals in recreational and sexual settings, e.g. 'chemsex'. This paper presents an overview of GHB pharmacotoxicology and provides analyses of cases in the LGBT population associated with the use of these substances extracted from the UK's National Programme on Substance Abuse Deaths database, to which notification is voluntary. From 1995 to September 2013, 21 GHB/GBL-associated fatalities were reported. None involved 1,4-BD. Typical victims were: Male (100%); White (67%), young (mean age 34 years); employed (90%); with a drug misuse history (81%). Most deaths were accidental (67%) or related to recreational drug use (19%), the remaining (potential) suicides. The majority of fatalities (83%) occurred in private residences, typically following recreational use; others occurred in specific 'gay'-oriented locales including clubs and saunas. Three London boroughs accounted for 62% of all notified deaths, reflecting the concentration of both resident and visiting 'gay' individuals. However, this may be an artefact of the voluntary nature of the data submission procedure in particular areas. GHB/GBL alone was implicated in 10% of fatalities. The following substances were implicated either alone or in combination in the remaining cases (percentages may add to more than 100%): cocaine (38%); alcohol (33%); amphetamines (29%); ecstasy (29%); diazepam (24%); ketamine (24%); mephedrone (24%). Post-mortem blood levels: mean 660 (range 22 - 2335; S.D. 726) mg/L. Significant caution is needed when ingesting GHB/GBL, particularly with alcohol, benzodiazepines, stimulants, and ketamine. Risk of death is increased due to their CNS-depressant properties. Of these, 'chemsex' drugs such as cocaine, mephedrone and ketamine are of note. More awareness is needed in the 'gay' community about risks associated with the consumption of such substances.

Queering the Medical Curriculum: How to Design, Develop, Deliver and Assess Learning Outcomes Relevant to LGBT Health for Health Care Professionals

This article was migrated. The article was marked as recommended. Lesbian, gay, bisexual and transgender (LGBT) persons have specific healthcare needs, and experience unique barriers in accessing health services. Research has suggested that medical practitioners are inadequately prepared to address the needs of the LGBT population. While some strategies for training such practitioners within medical schools have been proposed, few have been evaluated, and the best approach to training physicians in LGBT-focused care has yet to be determined. The purpose of this paper is to assess the effectiveness of the LGBT-focused curriculum currently delivered at the Northern Ontario School of Medicine, specifically in terms of its perceived contribution to students' understanding of LGBT health issues. Results showed that the curriculum introduced at NOSM was effective in increasing knowledge medical students had on LGBT health issues regardless of their pre-existing level of awareness of LGBT health issues. Further, the study found that the level of experience and expertise of the facilitator helping deliver the curriculum was key in achieving this educational goal. We also evaluated three assessment modalities (Multiple Choice Questions (MCQ), Objective Structured Clinical Examination (OSCE), and Clinical Decision-Making Cases (CDM)) for validity and reliability in testing the course objectives. Results indicate that outcomes can be reliably assessed by these three types of assessments.

The Future of LGBT Cancer Care: Practice and Research Implications.

To synthesize state of the knowledge collected in this volume and propose future directions for lesbian, gay, bisexual and transgender (LGBT) cancer practice, education, research, and advocacy. Current and extant literature. Health care disparities that are known but not yet fully elucidated in the LGBT population carry into the cancer arena. Substantially more effort is required in the domains of patient care, nursing practice, nursing and patient-facing services provider education, patient education, nursing and interprofessional research, governmental commitment, professional organization action, and patient advocacy. Professional nurses are committed to the uniqueness of each individual and respect and value the health and well-being of each individual. To that commitment, oncology nurses are positioned to advance the research in the field, which will help to clarify the issues and concerns related to LGBT cancer, address the health care inequities in this important population, and lead to improved outcomes for all.

Principals’ moral purpose in the context of LGBT inclusion

PurposeThe purpose of this paper is to highlight the complicated nature of safeguarding lesbian, gay, bisexual and transgender (LGBT) students. First, this paper will address the issues that LGBT students face as a minoritized group in their school system, which inhibits their opportunities to reach their full potential when it comes to emotional and academic growth. Second, this paper will be used to discuss how leadership is vital in order for school communities to help address the issues that their LGBT population face. Third, the author will make the case that a lack of leadership self-efficacy can hinder the process.Design/methodology/approachThree different research studies were used to highlight the needs of LGBT students. However, there is additional research that is used as well to illustrate the need for leadership self-efficacy to support LGBT safeguards. When it comes to LGBT research the research of GLSEN (formerly known as the Gay, Lesbian, Straight Education Network) was used. GLSEN’s research consisted of 7,898 students between the ages of 13 and 21. Second, data from the Every Teachers Project by the Manitoba Teachers’ Society were used which involved 3,400 teachers around Canada. Although there are certain nuances between international examples which include those LGBT students living in the dominant culture as well as within indigenous populations, the author builds the case that the harassment and bullying has a common theme and can be addressed through common methods. Additionally, qualitative doctoral research was used, which consisted of 20 interviews of school leaders from three different school districts in New York State. Lastly, for the purpose of this paper the author will use the acronym LGBT to identify those in the lesbian, gay, bisexual and transgender community. There are many acronyms (e.g. LGBTQ, LGBTI, etc.) representing the community, and only when the research use those other acronyms, will those be used to highlight subgroup populations.FindingsFindings indicate that, as a minoritized population, LGBT students are highly at risk for being verbally and physically harassed at school, and go unprotected by the adults who are in charge of keeping them safe. School leadership is instrumental in the safeguarding of LGBT students. Additionally, safeguarding is not nearly enough. It is important to understand that LGBT students should not just be safeguarded, but should also be surrounded by curriculum and images that will help them feel accepted into the greater school community, which takes an increased level of self-efficacy on the part of the leader.Originality/valueThe topic of engaging LGBT students in the school community is sparse at best. Additionally, this paper provides the case for safeguarding and engaging LGBT students, as well as all minoritized populations, but also discusses why it is the moral purpose of leaders to do so. However, the author believes that the addition of understanding leadership actions around safeguarding LGBT students through the lens of leadership self-efficacy and building collective efficacy is an important one, and will add to the originality of this paper.

Queering the Family: Attitudes Towards Lesbian and Gay Relationships and Families in Northern Ireland

The Northern Ireland Life andTimes (NILT) Survey has asked questions on lesbian, gay, bisexual and transgender (LGBT) issues since 1998. To date survey data have focused primarily on issues relating to prejudice, discrimination and tolerance. In 2012 a range of questions focussing more speci cally on LGBT1 issues was included. This collected information on knowledge and perceptions of the LGBT population; personal prejudice; attitudes on equality issues; the visibility of LGBT people and family-related issues.This update provides an overview of some of the information emerging from this data. It discusses attitudes towards same-sex relations and notable changes over time. Given recent political debate the primary focus of this paper is on attitudes relating to ‘queer’ marriage, family and parenting. We use the term ‘queer’ here to refer to ‘the diverse family structures formed by those with non-normative gender behaviours or sexual orientations’ (Bernstein and Reimann, 2001: 3). As previous updates have noted, there have been signi cant legislative and policy changes in this area (Jarman, 2010) and this continues with ongoing discussions regarding the development of a Sexual Orientation Strategy for Northern Ireland (Gray et al, 2013).

Moving Beyond CACREP Standards: Training Counselors to Work Competently with LGBT Clients

This article suggests specific training standards are needed to challenge the silence around lesbian, gay, bisexual and transgender (LGBT) issues in Counselor Education and to disrupt heterosexist practices in counseling training. The manner in which the CACREP Standards addresses the LGBT population is called into question, as the 2009 and the second draft of the 2016 standards continue to be vague concerning this population. The challenge of utilizing the historically exclusive and presently inclusive term “multicultural” in counseling when considering the LGBT population is examined. Recommendations for Counselor Education programs to go beyond the minimal CACREP Standards for preparing students to provide culturally competent services for the LGBT population are offered. Author's Notes Address correspondence to Omar A. Troutman, Department of Counselor Education, University of South Carolina, 266 Wardlaw College, Columbia, SC 29208, USA. E-mail: troutman@mailbox.sc.edu; omar.troutman@gmail.com

New York Encounters: Religion, Sexuality, and the City

This paper explores questions of sexual difference and religious belief in relation to recent debates in urban studies and geography on urban encounters. Although it has been widely suggested that increased contact between members of different groups is an important driver for tolerant and respectful intergroup relations, there is need for more careful consideration of the kinds of sites that actually facilitate ‘meaningful encounters’. Specifically, we draw on empirical research in Episcopalian churches in New York City and examine how straight-identified parishioners and clergy narrate and perceive their encounters with the city's LGBT (lesbian, gay, bisexual, and transgender) population. Moving beyond the traditional focus on public space in the literature on cosmopolitan urbanism, we examine how churches serve as ‘micropublics’ which organize, facilitate, and/or limit encounters with sexual difference. To capture the tension between orthodox theological understandings of human sexuality and lived experiences in a metropolitan context where homosexuality is expressed relatively openly, the discussion focuses in particular on an evangelical case-study parish, where the church leadership is opposed to full LGBT inclusion in the church.

An Examination of Parental Attachments, Parental Detachments and Self-Esteem across Hetero-, Bi-, and Homosexual Individuals

This study compares heterosexual, lesbian, gay, bisexual and transgender (LGBT) individuals’ level of detachment and attachment with parental figures in self-esteem reporting. An electronic survey was distributed via convenience and snowballing techniques to approximately 600 respondents, with the sample being grouped as heterosexuals, bisexuals and homosexuals. Results indicate that the LGBT population experiences a statistically higher level of parental detachment than heterosexuals, and that self-esteem reporting is statistically different across group variables such as sexual orientation and age. This finding bolsters the idea that support networks (other than parental relationships) may be present and active across sexual minority groups. Limitations to the study as well as recommendations for future research are discussed.