Non-heterosexual Participants Research Articles

Monkeypox spread among men who have sex with men: how do people explain this relationship? A quali-quantitative study of beliefs among heterosexual and non-heterosexual Italian individuals

ABSTRACT The majority of monkeypox (Mpox) cases in the 2022 outbreak have been traced back to mass gathering events in May, primarily among men who have sex with men (MSM). While some quantitative studies exist in the literature, focusing mainly on the link between Mpox knowledge, conspiracy theories, and vaccination hesitancy, there is a dearth of qualitative or mixed-method research that examines the beliefs surrounding this phenomenon, particularly including LGBTQIA+ groups. This study’s primary objective is to delve into the beliefs associated with the media’s portrayal of a connection between Mpox and MSM during the initial outbreak period. A total of 333 participants, including 212 cisgender women, 110 cisgender men, and 11 individuals identifying with other genders, took part in an online quali-quantitative survey conducted in June 2022 in Italy. This survey aimed to explore participants’ perceptions of Mpox, their knowledge about it, and their attitudes towards LGBTQIA+ individuals and sexuality. The final thematic structure revealed a hierarchical arrangement of themes, encompassing: (1) The linkage between Mpox and MSM, elucidated through risky sexual behaviours or contextual factors; (2)The absence of any connection, explained through causal effects and a general mistrust of society. Individuals identified as male at birth and cisgender men tended to attribute the primary reason behind Mpox contagion to sexual promiscuity. Conversely, non-heterosexual participants were more inclined to consider both sexual promiscuity and the presence of stigma. The results demonstrated a diverse range of opinions concerning Mpox, spanning from objective behavioural risks to the stigmatising notion that MSM constitute a socially hazardous group. It is incumbent upon researchers and scientific organisations to disseminate lucid, non-alarmist, and destigmatizing information aimed at curbing risky behaviours.

Criminal law and sexting as a form of adolescent online violence in Croatia: normative and empirical findings

ABSTRACT This paper addresses sexting from an interdisciplinary perspective through a normative analysis of the new criminal offense of the misuse of recordings of sexually explicit content (Art. 144a, CC) introduced in 2021 in the Croatian Criminal Code. Based on the legislative framework and empirical study analysis, we provide conclusions on the adequacy of the existing criminal provisions with implications for future research, and present empirical findings from a 2020 online survey on sexting experiences and risky sexual behaviour with 724 adolescents (Ngirls = 534, 73,8%) aged 14–22. Older adolescents reported significantly higher sexting perpetration. Lower school achievers reported higher sexting victimization. Non-heterosexual participants reported more sexting perpetration. Participants with more sexual partners scored higher for both sexting perpetration and victimization. Sexting perpetration correlated to the group of older adolescents with lower school attainment and academic achievement who reported less family relationships satisfaction. Sexters reported more risky behaviour, higher media use intensity and more sexual knowledge, but less sexual media content exposure. Sexting positively correlated to the number of sexual partners and the relationship duration. Male gender, older age, risky behaviour, higher media use intensity, better general sexual knowledge and the number of sexual partners represented significant predictors of sexting perpetration.

Exploring the effects of gender and sexual orientation on disordered eating: an EFA to CFA study of the Eating Disorder Examination Questionnaire

Several problems limit our understanding of the ways that gender and sexual orientation influence disordered eating. These include the reliance on measures that have been developed and validated in samples of cisgender heterosexual women, and the lack of confirmed measurement invariance that allows us to meaningfully compare these experiences between groups. This study was an EFA to CFA exploration of the Eating Disorder Examination Questionnaire in a group of heterosexual, bisexual, gay, and lesbian men and women. In total 1638 participants were recruited via adverts in traditional and social media to complete an online survey. A 14-item, three-factor model of the EDE-Q was confirmed as best fitting the data and measurement invariance between groups was ascertained. Sexual orientation influenced disordered eating and muscularity-related thoughts and behaviours in men but not women. Heterosexual men reported more muscularity-related concerns and behaviours, whereas gay men showed more thinness-related concerns and behaviours. Bisexual participants showed a different pattern, highlighting the importance of treating this group individually and not collating all non-heterosexual participants together. Small but significant effects of sexual orientation and gender have an impact on the kinds of disordered eating thoughts and behaviours one might experience, and could influence prevention and treatment. Clinicians may be able to provide more effective and tailored interventions by taking into account gender and sexual orientation in sensitive ways.

Minority sexual orientation identification is linked to greater cortisol responses to stress

Most theories of stress and health posit that chronic stressor exposure detrimentally affects stress response systems, which in turn confers vulnerability to poor health. Supporting this, stressor exposure in general and discrimination in particular predict blunted stress responses. However, emerging work has differentially linked specific stressors to health, and to date no study has examined how sexual orientation minority identification—which, unlike some forms of discrimination, often leads to social rejection from one’s family—relates to stress responses. Participants reported sexual orientation in demographics at study onset. Saliva samples were collected both pre- and post-manipulation offset, from which cortisol was assayed. This is a secondary analysis of four studies using either the cold pressor or Trier Social Stress Test; study was covaried. Sexual orientation predicted distinct cortisol responses. Nonheterosexual participants did not differ from heterosexual participants in the control condition at baseline or post-control task, nor did they differ at baseline in the stress condition; however, nonheterosexual participants showed higher cortisol levels post-manipulation in the stress condition than heterosexual participants. Although all nonheterosexual participants showed numerically stronger cortisol responses than heterosexual participants, homosexual participants showed the strongest response. Contrary to what might have been expected, we found that sexual orientation minority identification was related to greater stress-induced cortisol responses. These results suggest that additional research on stress physiology in sexual orientation minority individuals may be important for understanding sexual orientation-related discrimination and its effects on mental and physical health.

Further Understanding the Correlations Between Sexting and Mental Health: Considerations for Sex and Sexual Identity.

We explored how sexting (no sexting, sent only, received only, reciprocal) was associated with depression, anxiety, sleep problems, and compulsive sexual behaviors across sex and sexual identity groups. We also examined how substance use predicted sexting classifications. Data came from 2,160 college students living in the United States. Results indicated that 76.6 percent of the sample had engaged in sexting (primarily reciprocal). Participants who had engaged in sexting generally evidenced higher depression, anxiety, sleep problems, and compulsive sexual behaviors. Effect sizes were largest on compulsive sexual behavior indicators. Marijuana use was the only significant substance use predictor of reciprocal and "received only" sexting compared with no sexting. Illicit substance use (e.g., cocaine) was low base rate but descriptively was associated with sexting. Compulsive sexual behavior remained a robust positive correlate of sexting compared with non-sexting participants regardless of sex and sexual identity. Most other mental health indicators became nonsignificant correlates of sexting in nonheterosexual participants and were weak positive correlates in heterosexual participants. Marijuana use remained the only significant substance use predictor of reciprocal and "received only" sexting when adjusted for sex and sexual identity. We conclude that sexting is only weakly associated with depression, anxiety, and sleep problems but robustly associated with compulsive sexuality and marijuana use. These findings do not appear to vary meaningfully on the basis of sex or sexual identity, with the exception that the effect sizes between sexting and compulsive sexual behaviors were much stronger for females compared with males (regardless of sexual identity).

Psychological and Developmental Correlates of Paraphilic and Normophilic Sexual Interests.

The classification of sexual fantasies and behaviors (here referred to as 'sexual interests') has historically been divided into 'paraphilic' and 'normophilic'. However, studies on paraphilic interests are often limited to clinical or forensic samples and normophilic interests are rarely assessed in tandem. Previous research has found mixed results for psychological and other correlates of sexual interests, potentially due to inconsistency in operationalism and measurement of fantasies and behaviors. The aim of the current study was to quantify correlates of sexual interests via the Sexual Fantasies and Behaviors Inventory, containing factors related to general fantasies/behaviors, normophilia, power dynamics, sadomasochism, and courtship paraphilias, using a large (N = 4280) non-clinical sample. Psychological, developmental, sexual, and demographic correlates were investigated via bivariate correlations, mean difference testing, and multiple regression. Sexual interest domains were largely unrelated to psychopathology and developmental factors. Sociosexuality and more accepting attitudes towards sadomasochism was generally related to more arousal to/engagement in normophilic and paraphilic domains. More autism spectrum disorder traits were related to decreased normophilic interests. Psychopathic traits, sexual sensation seeking, and sexual compulsivity were related to paraphilia dimensions, especially courtship paraphilias and domination/sadism; the former was also associated with negative attitudes about establishing consent. Men, non-monogamous, and non-heterosexual participants indicated greater sexual fantasies and behaviors compared to women (except in the case of submission and masochism), monogamous, and heterosexual participants, respectively.

Racial Bias Beliefs Related to COVID-19 Among Asian Americans, Native Hawaiians, and Pacific Islanders: Findings From the COVID-19 Effects on the Mental and Physical Health of Asian Americans and Pacific Islanders Survey Study (COMPASS).

BackgroundDuring the COVID-19 pandemic, there have been increased reports of racial biases against Asian American and Native Hawaiian and Pacific Islander individuals. However, the extent to which different Asian American and Native Hawaiian and Pacific Islander groups perceive and experience (firsthand or as a witness to such experiences) how COVID-19 has negatively affected people of their race has not received much attention.ObjectiveThis study used data from the COVID-19 Effects on the Mental and Physical Health of Asian Americans and Pacific Islanders Survey Study (COMPASS), a nationwide, multilingual survey, to empirically examine COVID-19–related racial bias beliefs among Asian American and Native Hawaiian and Pacific Islander individuals and the factors associated with these beliefs.MethodsCOMPASS participants were Asian American and Native Hawaiian and Pacific Islander adults who were able to speak English, Chinese (Cantonese or Mandarin), Korean, Samoan, or Vietnamese and who resided in the United States during the time of the survey (October 2020 to May 2021). Participants completed the survey on the web, via phone, or in person. The Coronavirus Racial Bias Scale (CRBS) was used to assess COVID-19–related racial bias beliefs toward Asian American and Native Hawaiian and Pacific Islander individuals. Participants were asked to rate the degree to which they agreed with 9 statements on a 5-point Likert scale (ie, 1=strongly disagree to 5=strongly agree). Multivariable linear regression was used to examine the associations between demographic, health, and COVID-19–related characteristics and perceived racial bias.ResultsA total of 5068 participants completed the survey (mean age 45.4, SD 16.4 years; range 18-97 years). Overall, 73.97% (3749/5068) agreed or strongly agreed with ≥1 COVID-19–related racial bias belief in the past 6 months (during the COVID-19 pandemic). Across the 9 racial bias beliefs, participants scored an average of 2.59 (SD 0.96, range 1-5). Adjusted analyses revealed that compared with Asian Indians, those who were ethnic Chinese, Filipino, Hmong, Japanese, Korean, Vietnamese, and other or multicultural had significantly higher mean CRBS scores, whereas no significant differences were found among Native Hawaiian and Pacific Islander individuals. Nonheterosexual participants had statistically significant and higher mean CRBS scores than heterosexual participants. Compared with participants aged ≥60 years, those who were younger (aged <30, 30-39, 40-49, and 50-59 years) had significantly higher mean CRBS scores. US-born participants had significantly higher mean CRBS scores than foreign-born participants, whereas those with limited English proficiency (relative to those reporting no limitation) had lower mean CRBS scores.ConclusionsMany COMPASS participants reported racial bias beliefs because of the COVID-19 pandemic. Relevant sociodemographic contexts and pre-existing and COVID-19–specific factors across individual, community, and society levels were associated with the perceived racial bias of being Asian during the pandemic. The findings underscore the importance of addressing the burden of racial bias on Asian American and Native Hawaiian and Pacific Islander communities among other COVID-19–related sequelae.

Policy attitudes toward adolescents transitioning gender.

Anti-transgender policies and state legislative initiatives that focus on school bathroom use and hormone use have emerged in recent years. These policies are generally written by and voted on by cisgender people, and as such, it is crucial to understand influences on nonaffirming attitudes toward policies that can impact trans youth. The present study aimed to extend research on transphobic attitudes in general to attitudes toward policies that impact youth undergoing transition. Latent variable covariances and structural equation modeling were used to test the relations between transphobia, genderism, homophobia, need for closure, sexual orientation, social dominance orientation, attitudes toward sexual minorities, beliefs about gender roles, aggression, religious fundamentalism, and contact with sexual and gender minority individuals, as they are related to attitudes toward hormone use and bathroom use for trans youth. Analyses of data from a sample of 248 cisgender adults indicated that genderism and transphobia was associated with attitudes toward gender-affirming hormone use and bathroom use for trans youth; need for closure was associated with gender-affirming attitudes toward bathroom use, but was not associated with hormone use. Sexual orientation was linked to attitudes toward gender-affirming policies, such that nonheterosexual participants had more affirming attitudes toward trans youths' bathroom use, but not hormone use. Implications for future research, advocacy efforts to promote rights for trans youth, and clinical work with trans youth and/or parents/guardians of trans youth are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The other side of the coin: A narrative inquiry into the positive consequences of infidelity among young adults

Abstract There is certainly no shortage of studies describing the unwanted effects of infidelity in the relevant literature. By contrast, this paper examines the previously unexplored face of infidelity – namely, the subjectively perceived positive effects. One hundred and four participants from Slovakia in emerging and/or young adulthood shared their relationship history through semi-structured interviews (transcribed verbatim). Sixty-nine of these were self-moderated in written form. The same topics were covered in the two types of interview. Using a categorical-content analysis method, four categories were created. These described the constructive functions of infidelity, including enhancing relationship quality; aiding a desired breakup; satisfying unmet needs; and facilitating the decision-making process during the transition period before settling into a long-term relationship. For future research we recommend differentiating between beneficial episodes of infidelity, focusing on personal characteristics and subjective experiences of infidelity, and including non-heterosexual participants.

Minority Identity, Othering-Based Stress, and Sexual Violence.

Background: Some (minority) groups (MGs) are more vulnerable to sexual violence (SV) exposure than others. Othering-based stress (OBS) may mediate the relationship between minority identification and SV. This study aims to assess the prevalence of SV in different MGs to explore the relationship between minority identification and SV, to investigate whether belonging to multiple MGs moderates this relationship, and to explore OBS SV moderation for different MGs. Method: Through an online survey administered to a nationally representative sample in Belgium, data was collected from 4632 persons, of whom 21.01% self-identified as belonging to a MG (SI-Minority). SV prevalence was measured using behaviorally specific questions based on the WHO definition of SV. SI-Minority participants received an additional scale on OBS. Results: SI-Minority participants reported more SV victimization compared to the non-minorities. However, this increased risk was not moderated by minority identification but linked to the socio-demographic SV risk markers common to minority individuals. Multiple-minority participants were found more at risk of SV compared to single-minority respondents. Lesbian, gay, bisexual, pan-/omnisexual, asexual, and other non-heterosexual (LGB+) participants were found more at risk than heterosexual participants. OBS was found to be significantly correlated to SV in sexual and gender minorities and in cultural minorities. Conclusions: This study contributes to our understanding of the relationship between minority identification, OBS, and SV. Studying both specific and common SV vulnerabilities and outcomes within specific societal subgroups and the general population may inform policy makers when allocating resources to those interventions with the largest societal impact.

Marriage Equality Blues: Method and Mess around the Australian Marriage Law Postal Survey

ABSTRACT This article examines the attitudes and experiences of participants in the 2017 Australian Marriage Law Postal Survey through an interdisciplinary collaboration joining insights from the humanities and social sciences. Prior analyses of the Survey results, both in academic scholarship and media commentary, have focused on particular social characteristics of those who supported or opposed the legalisation of same-sex marriage. Building on this foundation, we analyse the differential attitudes and experiences of heterosexual and non-heterosexual participants who voted – or declined to vote – in the Survey. Our analysis draws on original data from a representative survey of Australian voters conducted in 2019 in which we asked participants to reflect on their reasons for voting, their experience of the campaign and their attitudes towards the result. Our data indicate that heterosexual and non-heterosexual voters had distinct and different experiences of the Survey and were motivated to participate for different reasons. The statistical evidence also prompts further reflection on qualitative and quantitative methodologies and the role they play in describing social experience.

Nonattendance at Scheduled Appointments in Outpatient Clinics Due to COVID-19 and Related Factors in Taiwan: A Health Belief Model Approach.

During the COVID-19 pandemic, the number of hospital visits and attendance at scheduled appointments have dropped significantly. We used the health belief model (in three dimensions) to examine the determinants of non-attendance of scheduled appointments in outpatient clinics due to the COVID-19 pandemic. Participants in Taiwan (n = 1954) completed an online survey from 10 April 10 to 23 April 2020, which assessed how people perceived and responded to the outbreak of a fast-spreading infectious disease. We performed both univariate and multivariate logistic regression to examine the roles of cognitive, affective, and behavioral health belief constructs in nonattendance at scheduled appointments. The results indicated that individuals who perceived high confidence in coping with COVID-19 were less likely to miss or cancel their doctor’s appointments, whereas individuals who reported high anxiety and practiced more preventive health behaviors, including avoiding crowded places, washing hands more often, and wearing a mask more often, were more likely to miss or cancel their appointments due to the COVID-19 pandemic. Non-heterosexual participants had a lower rate of nonattendance at scheduled appointments compared with heterosexual ones. The study results increase our understanding of the patients’ cognitive health beliefs, psychological distress, and health behaviors when assessing adherence to medical appointments during a pandemic.

Poor mental health among Taiwanese people experiencing the public debates on and referendums for same-sex marriage: A Facebook online survey

Public debates on legalization of same-sex marriage occurred in Taiwan since the latter half of 2016. Taiwanese people voted on same-sex marriage referendums on November 24, 2018. The aim of this Facebook online study was to examine the changes in rates of poor mental health status among Taiwanese people during the 23-month period of public debates on and referendums for legalizing same-sex marriage. A two-wave internet survey was conducted using Facebook to gather information regarding mental health and attitudes toward same-sex marriage among 3286 participants (1456 heterosexual and 1830 nonheterosexul) in Wave 1 (one week after the first reading of the Marriage Equality Bill) and 1370 participants (540 heterosexual and 830 nonheterosexul) in Wave 2 survey (one week after the referendum of same-sex marriage). The five-item Brief Symptom Rating Scale was used for assessing mental health status. The rate of poor mental health status significantly increased from the Wave 1 to Wave 2 surveys in heterosexual, lesbian, gay and bisexual (LGB) participants. In nonherterosexual groups, the rates of poor mental health status increased in LGB and female and male nonheterosexual participants of all age. The rates of poor mental health status also increased in heterosexual participants who were female, were young, and supported same-sex marriage. The rates of poor mental health status increased in both heterosexual and nonheterosexual people during the period of public debates on and the referendums for same-sex marriage. Heterosexual people who were female, were young, and supported same-sex marriage had also increased rates of poor mental health state during the same period.

Impacts of Public Debates on Legalizing the Same-Sex Relationships on People's Daily Lives and Their Related Factors in Taiwan.

This study examined the proportion of the individuals who experienced negative impacts on daily lives resulted from public debates on the legalization of same-sex relationships and related factors in Taiwan. Data provided by 1370 participants recruited through a Facebook advertisement were analyzed. Participants completed an online questionnaire assessing negative impact of public debates on daily lives, gender, age, sexual orientation, the number of lesbian, gay and bisexual (LGB) friends, and perceived population’s acceptance of homosexuality. The results showed that 39.5% of participants reported the negative impacts on their occupational or academic performance; 34.2% reported the negative impact on friendship; 37.7% reported the negative impact on family relationship; and 57.4% reported the negative impact on mood or sleep quality. Non-heterosexual participants were more likely to report negative impacts of public debates on all domains of daily lives than heterosexual ones. The number of LGB friends was positively associated with negative impacts of public debates on all domains of daily lives. Participants who were 20–29 years old were more likely to report negative impacts of public debates on the domains of family relationship and mood/sleep quality than those who were 40 or older. Participants who were 30–39 years old were more likely to report negative impacts of public debates on the domain of mood/sleep quality than those who were 40 or older. Males were less likely to report the negative impact on their mood/sleep quality than females. Perceiving population’s acceptance for homosexuality were negatively associated with negative impacts of public debates on the domains of occupational/academic performance, family relationship and mood/sleep quality.

Concordance of Paraphilic Interests and Behaviors

ABSTRACT We examined the concordance of paraphilic interests and behaviors across 13 themes in an online sample of 1,036 men and women. Paraphilic interests were significantly and positively correlated with behaviors across all 13 themes. Associations were strongest for masochism and sadism, and weakest for pedohebephilia and frotteurism. Paraphilic interest and behavior were significantly and positively correlated after accounting for gender and sexual orientation. Moderated moderation analysis was significant for five themes. Gender was a moderator for eroticized gender, but only among heterosexual participants, where concordance was higher for heterosexual men than for heterosexual women. For both exhibitionism and frotteurism, gender was a significant moderator, but only for nonheterosexual participants, where concordance was stronger for nonheterosexual men than for nonheterosexual women. For pedohebephilia, interest was significantly associated with behavior for heterosexual men, heterosexual women, and nonheterosexual men, but not for nonheterosexual women. For zoophilia, there was a significant association between interest and behavior for heterosexual men, nonheterosexual men, and nonheterosexual women, but not heterosexual women. Additional analyses found sex drive moderated the positive associations of 7 of 13 paraphilic themes, with 5 of these 7 showing the expected effect of higher concordance of interests and behaviors at higher levels of sex drive.

Psychological distress and self-harm in a religiously diverse sample of Lebanese students

ABSTRACT Drawing on identity process theory, this study explores the protective and risk factors of psychological distress and self-harm in a religiously diverse sample of heterosexual and non-heterosexual students in Lebanon. A convenience sample of 209 undergraduate students participated in a cross-sectional survey and completed measures of religiosity, identity threat, psychological distress and self-harm. Results indicated that non-heterosexual participants exhibited higher levels of psychological distress, were more likely to report self-harm, and reported lower levels of religiosity than their heterosexual counterparts. It was shown that religiosity was protective against psychological distress, and that sexual orientation distress predicted self-harm. In order to reduce the risk of psychological distress and self-harm, it will be necessary to challenge stigma towards sexual minorities, to promote engagement with a broader range of social identity categories (other than just religion), and to ensure the availability of effective counselling support to all who need it.

Preocupación asociada al descubrimiento de la orientación sexual

El nivel de aceptación por parte de la sociedad sobre la diversidad afectivo-sexual influye directamente en la vivencia de las personas LGTBI. El hecho de tener que ocultar la propia orientación sexual o vivirla con elevada preocupación fomenta el desarrollo de homofobia interiorizada, con los consiguientes problemas de salud mental que ésta produce. Nuestro objetivo fue analizar las diferencias existentes entre adolescentes y población joven en relación a la vivencia y la preocupación por la propia orientación sexual. Para ello contamos con una muestra de 140 adolescentes y jóvenes (65% mujeres y 35% hombres) entre 12 y 25 años, de dos centros públicos de educación secundaria de la provincia de Castellón. Los participantes cumplimentaron un cuestionario on-line desarrollado ad hoc de 52 ítems. Para este estudio hemos seleccionado los 3 ítems que evalúan la vivencia y la preocupación por la orientación sexual. Ya entre los 12 y 18 años, un 1.1% de adolescentes se siente bisexual, un 3% homosexual, un 4% tiene dudas y un 14% no siente atracción sexual por ningún sexo. Las personas no heterosexuales mostraron mayor preocupación al darse cuenta de su orientación que las personas heterosexuales (un 45.5% frente a un 3.4%) siendo estas diferencias significativas estadísticamente (χ² = 40.505; p£.001). Al analizar la preocupación por su orientación en la actualidad, en el caso de heterosexuales se mantiene en un 3.5% frente a un 31.8% de no heterosexuales (χ² = 23.838; p£.001). Aunque las diferencias no resultaron estadísticamente significativas (χ² = .404; p= .525), observamos que los adolescentes (12-18 años) no heterosexuales presentan menos preocupación que los jóvenes no heterosexuales de entre 19 a 25 años (75% frente a un 61.5%). En cuanto a la edad en que se dieron cuenta de su orientación, en las personas no heterosexuales fue posterior (M=10.45; DT=6.43) que en las heterosexuales (M=5.74; DT=5.04) siendo estas diferencias estadísticamente significativas (t= 3.84; £.001). Finalmente, las personas no heterosexuales, cuanto más tarde se dieron cuenta de su orientación sexual, más preocupación mostraban en la actualidad. Estos resultados muestran que todavía jóvenes y adolescentes presentan preocupación sobre su propia orientación sexual, sobre todo cuando la identificación como no heterosexual se hace a una edad más tardía. Resaltamos la importancia de normalizar la diversidad afectivo-sexual, y la necesidad de romper con la heteronormatividad, para que identificarse como no heterosexual no implique ningún tipo de preocupación que puede ser la antesala de problemas de salud mental.

Preference about Laws for the Legal Recognition of Same-Sex Relationships in Taiwanese People Before and After Same-Sex Marriage Referenda: A Facebook Survey Study.

This study examined the factors related to the preference about laws to legalize same-sex relationships in participants of the first wave of a survey (Wave 1, 23 months before the same-sex marriage referendum) and the second wave of a survey (Wave 2, 1 week after the same-sex marriage referendum) in Taiwan. The data of 3286 participants in Wave 1 and 1370 participants in Wave 2 recruited through a Facebook advertisement were analyzed. Each participant completed an online questionnaire assessing their attitude toward the legal recognition of same-sex relationships, preference about laws to legalize same-sex relationships (establishing same-sex couple laws outside the Civil Code vs. changing the Civil Code to include same-sex marriage laws), belief in the importance of legalizing same-sex relationships, and perceived social attitudes toward the legal recognition of same-sex relationships. The results revealed that those who did not support legalizing same-sex relationships were more likely to prefer establishing same-sex couple laws outside the Civil Code than those who supported the legalization. The form of law preferred to legalize same-sex relationships significantly changed between Wave 1 and Wave 2. Multiple factors, including gender, age, sexual orientation, belief in the importance of legalizing same-sex relationships to human rights and the social status of sexual minorities, and perceived peers’ and families’ attitudes toward the legal recognition of same-sex relationships, were significantly associated with the preference of laws, although these associations varied among heterosexual and non-heterosexual participants and at various stages of the survey.

Reproductive intentions in childless female adolescent and young adult cancer survivors

To examine the association between prior cancer treatments, medical comorbidities, and voluntary childlessness in reproductive-age women who are survivors of cancers diagnosed as adolescents and young adults (AYA survivors). Cross-sectional analysis. Participants were recruited from California and Texas cancer registries, fertility preservation programs, and cancer advocacy groups. Women (n = 413) ages 18-40 who were diagnosed with cancer between ages 15 and 35, completed primary cancer treatments, had at least one ovary, and were nulliparous. Cancer treatment gonadotoxicity and medical comorbidities. Voluntary childlessness. The mean age of survivors was 31.8 years (SD, 4.9) with a mean of 6.5 years (SD, 4.4) since cancer diagnosis. Breast (26%), thyroid (19%), and Hodgkin lymphoma (18%) were the most common cancers. Twenty-two percent of the cohort was voluntarily childless. Medical comorbidities, cancer diagnosis, prior surgery, prior chemotherapy, and prior gonadotoxic treatments were not significantly associated with voluntary childlessness. In adjusted analysis, survivors of older reproductive age (adjusted odds ratio = 2.97 [1.71-5.18]) and nonheterosexual participants (adjusted odds ratio = 4.71 [2.15-10.32]) were more likely to report voluntary childlessness. A moderate proportion of AYA cancer survivors are voluntarily childless, but reproductive intentions were not related to cancer type or cancer treatments. AYA survivors of older age and nonheterosexual identification were more likely to be voluntarily childless. These data support assessing reproductive intentions and tailoring reproductive care such as fertility and contraception counseling that is appropriate for a survivor's intentions.

Sexual Violence among LGBQ Community College Students: A Comparison with their Heterosexual Peers

ABSTRACT Although community colleges enroll nearly half of the undergraduate population in the U.S., scarce research exists on the sexual violence perpetrated against their student body, especially those students who identify as lesbian, gay, bisexual, and queer (LGBQ). Findings from an ARC3 (Administrator-Researcher Campus Climate Collaborative) Climate Survey, which was administered at seven community colleges in a Northeastern state, indicate high rates of sexual violence reported by community college students, particularly among students who identify as LGBQ, compared to their heterosexual counterparts. Almost two-thirds (63.6%) of non-heterosexual participants reported some form of sexual violence since they enrolled at their community college, with more than 35% of this demographic reporting two or more forms of sexual violence during that same time period. Additionally, LGBQ students who reported sexual violence had significantly lower well-being scores and perceptions of campus climate (e.g., perceptions of safety).