Racial Diversity Research Articles

Pandemic-Era Trends in US Automatic Payment Adoption: A 2022 Behavioral Analysis

Introduction: This study analyses the adoption trends of automated payment methods among different racial groups in the United States during the COVID-19 pandemic in 2022. It investigates the correlations among financial literacy, risk attitudes, customer sentiment, and the adoption of automated payment mechanisms for bill settlements. Method: An analysis of responses from a diverse demographic is conducted using logistic regression on data from the 2022 Survey of Consumer Finance. This analysis investigates the trends associated with subjective and objective financial literacy, consumer sentiment as evaluated by economic perceptions, and risk attitudes among several generations, taking into account race as well. Results: Initial results suggest disparities in the degrees to which financial literacy, risk attitudes, and consumer sentiment are connected with adoption rates among various racial groups. The statistical analysis highlights disparities in the adoption of automated payments among different racial and ethnic groups. Discussion: The findings underscore the complex interplay among socio-economic status, behavioral variables, and technology adoption in the period after the pandemic. This methodology aligns with current scholarly works on behavioral finance, which emphasize the need to consider both individual psychological aspects and wider social impacts in the process of making financial decisions. By incorporating racial diversity into the research, the study provides a valuable understanding of how cultural and demographic factors interact with behavioral aspects in the particular setting of financial technology adoption during a time of substantial economic transformation.

Abstract 4136636: Analysis of Racial Disparities in the Training Path to Cardiology: Trends from 2012 to 2022

Introduction: Substantial evidence indicates that racial and ethnic diversity among the physician workforce bridges cultural gaps and improves patient care. Trends in racial diversity across the full training pipeline from undergraduate to practicing cardiologist are not yet well-characterized. Aims: We analyze racial disparities at each stage of training towards becoming a practicing cardiologist, and identify changes in these disparities between 2012 and 2022. Methods: We conducted a retrospective analysis of data specifying the racial composition of medical trainees acquired from the Association of American Medical Colleges, Accreditation Council for Graduate Medical Education, and Electronic Residency Application Service. Population data was acquired from the US Census Bureau. We computed the representation quotient (RQ) for each racial group at each stage to compare representation among the trainees or physicians to age-matched segments of the US population. Results: RQ decreases from undergraduate to active cardiologist for African Americans (0.719 to 0.314), Hispanics (0.660 to 0.359), American Indians (0.551 to 0.221), and Native Hawaiians (1.121 to 0.512). The lowest RQs of 0.133 and 0.137 were observed for American Indian active internal medicine residents and cardiology fellows, respectively. Racial disparities in medical education declined between 2012 and 2022, with RQs increasing from 0.541 to 0.735 for African American medical school matriculants and from 0.444 to 0.578 for Hispanic medical school matriculants. Similar increases were seen in the active cardiologist population for African Americans (2013 RQ: 0.227, 2022 RQ: 0.342) and Hispanics (2013 RQ: 0.283, 2022 RQ: 0.375). Conclusion: While racial diversity in the cardiology training pipeline has increased over the last decade, significant disparities persist for under-represented minorities. Addressing these barriers will help achieve a cardiology workforce reflective of the diverse population it serves.

The unspoken experiences of systemic supervisors of color: A modified Delphi study.

Despite collective conversations about the need for more racial diversity, the field of couple/marriage and family therapy (C/MFT) continues to be occupied predominantly by White individuals. Within the C/MFT literature, several scholar-practitioners have highlighted what the lack of racial representation means for our profession and, more importantly, our clients. C/MFT scholars have also shed light on the distinctive experiences of racially minoritized students and therapists traversing a racially homogeneous discipline. However, a smaller, and often overlooked, demographic in these conversations is supervisors of color. This modified Delphi study enlisted the expert perspectives of eight supervisors of color who each have at least a decade of supervisory experience. Consensus among the panelists emphasized the unique, but often inadequate training needs for supervisors of color and the sociocultural factors that often affect the supervisory relationship. This study provides implications that are critical to fostering the professional development of systemic supervisors of color.

Abstract 4139196: Long-term effectiveness and safety of mavacamten in a real-world, multi-center, global study: Preliminary results of COLLIGO-HCM from a diverse cohort in the United States

Introduction: The mavaCamten ObservationaL evIdence Global cOnsortium in hypertrophic cardiomyopathy (COLLIGO-HCM; ClinicalTrials.gov ID NCT06372457) is a multinational, multicenter observational research initiative aiming to describe the real-world outcomes of mavacamten for the treatment of obstructive HCM. Aims: Describe the real-world effectiveness and safety of mavacamten, measured by echo measurements and NYHA class. Methods: This retrospective study used data from medical records from two participating HCM centers in the US. Patient-level data was extracted to assess the effectiveness and safety of mavacamten post-treatment initiation through 60 weeks. Patient characteristics and outcomes were described, including echocardiogram measurements, New York Heart Association (NYHA) functional class, and safety. Results: A total of 93 patients were treated with mavacamten (mean age 60.6 ± 13.9 years, 23.7% black, 57.0% female, and 77.4% NYHA class III at baseline) with a mean follow-up of 37.0 ± 28.1 weeks ( Table ). From baseline to week 60, 3 (3.2%) patients experienced temporary treatment discontinuation, and 3 (3.2%) discontinued mavacamten due to left ventricular ejection fraction (LVEF) <50%. By week 12, 77.1% of patients had improved by ≥1 NYHA class. The percentage increased to 89.5% by week 24 and remained stable through week 60. Mean changes from baseline in resting and Valsalva left ventricular outflow tract gradients were 31.8 ± 32.8 and 57.3 ± 47.3 mmHg, respectively, at week 24, and remained similar through week 60. Mean change in LVEF from baseline was 4.1 ± 7.1% at week 12 and remained largely unchanged through week 60 (Figure) . Conclusions: This study demonstrated the early and sustained effectiveness of mavacamten with one of the longest follow-ups to date, in a real-world population with a higher racial diversity and disease burden than those in the clinical trials. This data further substantiates the effectiveness and safety profile of mavacamten.

Abstract Su1107: Online educational film depiction of opioid overdose causing cardiac arrest

Introduction: Opioid overdose (OD) is a growing cause of cardiac arrest in the US, spurred by the rise of illegally manufactured fentanyl and analogs. Naloxone is a reversal agent that can be administered by bystanders. Intra-nasal (IN) naloxone is now widely available in pharmacies across the US. Despite increasing access, minority populations remain disproportionately affected by drug overdose deaths. There are many free online opioid OD educational videos. Digital media can be a powerful tool for mass education, but the effectiveness is unknown. Research Question and Aims: The goal of this study was to evaluate online opioid overdose videos for content and gender/racial representation. Methods: We performed an online search with the query “how to give Narcan” (popular term for IN naloxone). Results were limited to the first 52 Google, 50 YouTube, and 60 TikTok videos. Exclusion criteria included: animal victim, duplicate, or no mention of naloxone. For each video, 2 reviewers evaluated content and identified the race and gender of featured characters. Disagreements were resolved through consensus. The race and gender of featured characters was compared using a two proportion z-test. Inter-rater reliability (IRR) for each data point was calculated using the arithmetic mean of Cohen's kappa. Results: Of 121 videos, the majority (87.6%) mentioned naloxone as a treatment for opioid OD; 62.8% provided instruction on how to administer IN naloxone, and 4.1% featured a testimonial. Only 43.0% provided a realistic visual demonstration of IN naloxone administration; 25.6% showed a realistic re-enactment of opioid overdose, and even fewer (19.0%) showed the dramatic response to naloxone. IRR was high for all categories. Videos predominantly featured white compared to non-white-appearing characters in both the victim (75.5 v. 17.8%, p< 0.00001) and rescuer roles (72.5 v 21.6%, p<0.00001). The rescuer gender was evenly distributed male v. female; however, the victim was more often male (77.8% v. 22.2%, p<0.00001). Conclusion: Most online opioid OD videos provide instructions on how to use IN naloxone, but do not feature realistic depictions of cardiac arrest caused by opioid OD, naloxone treatment, or response. There is a significant lack of racial diversity in these videos. Digital materials are needed with improved diversity and which teach learners how to RECOGNIZE and respond to opioid OD.

What’s Race Got to Do with It? Relationships Between Racial Match and School Psychologists’ Perceptions in School-Based Consultation

ABSTRACT Multicultural consultee-centered consultation has the potential to improve outcomes for historically marginalized students given its intentional consideration of their unique backgrounds and strengths. However, more research is needed to determine how consultants themselves, as school psychologists, conceptualize student problems, especially when members of the consultation triad differ in their racial identities. The current study analyzed extant data from a larger study examining racial match in consultation (N = 83), in which participants were randomly assigned to view a teacher describing a student referral problem across four conditions: (a) White teacher describing a White student, (b) White teacher describing a Black student, (c) Black teacher describing a White student, and (d) Black teacher describing a Black student. Multiple regression analyses were used to determine the relationships between school psychologists’ perceptions of various aspects of the consultation process, illustrating whether consultants’ representations of the problem differed based on the racial diversity of the consultation triad. Results indicated moderate correlations (r = 0.36 to 0.57; p < .01) among consultants’ perceptions of consultant-consultee collaboration, consultants’ perceptions of teachers’ expectations about students, and consultants’ perceptions of the student-teacher relationship. Participants’ self-reported cultural competence was not significantly correlated with participants’ representation of the problem. Finally, racial match between a White teacher and White student was negatively associated with participants’ perceptions of collaboration (B = - 0.56; p < .001) and positively associated with participants’ perceptions of the student-teacher relationship (B = 0.88; p < .001). Implications for research and practice are provided.

The Changing Face of American Homeschool: A 25-Year Comparison of Race and Ethnicity

ABSTRACT We use nationally representative data to explore the racial composition of modern homeschoolers. Analysis of the National Household Education Survey suggests that the proportion of students of color homeschooling has increased modestly, from 25% in 1998–99 to 29% in 2022–23, suggesting less diversity than public school students but similar to the private school population. However, the Household Pulse Survey suggests more racial diversity in modern homeschooling, with 40% of homeschoolers being students of color. Regardless, both surveys show hundreds of thousands of homeschoolers of color across the U.S., and homeschooling narratives should be updated to reflect these students.

Partnering with Communities to Understand Social Determinants of Health (SDoH) Impacts on Access to Shared Micromobility

This study explored the facilitators and barriers of community bike share use in a mid-sized city with high incidence of poverty and racial diversity using a community-based participatory action research (CBPAR) photovoice framework with the Stanford Our Voice (OV) Discovery Tool digital application. Community members participated in one of three community citizen science walks with follow up focus groups facilitated by osteopathic medical student researcher to address “What makes it easy or hard to ride a bike using the bike share?” Twenty-seven diverse community members partnered with four osteopathic medical students exploring vulnerable individuals’ lived experiences, beliefs/understanding of the Social Determinants of Health (SDoH) and access to the bike share program. A total of 322 photos and narrative comments from citizen science walk audits developed deductive themes and follow up focus groups informed inductive themes. Themes addressed challenges to access, maintenance, safety in bike transit, comfort, and environment that create barriers to use and increase inequities for lower income and historically underrepresented communities. The use of OV provided photograph, narrative, and geocoded photo location. This novel approach served as an effective tool for community action with city decision makers. The narrative research identified the impact of the barriers, and the photographs and geocoding provided clear descriptions for locations to prioritize change by adding street signs for access and safety, fixing road safety issues or bike maintenance concerns. It actively engaged the community with the city to drive discussions and plans for change in repair systems and infrastructure that also addressed equity and acknowledged the SDoH supporting residents in lower income or historically underrepresented communities. Citizen science engaged community voices, supporting change in city policies and transportation initiatives to support the sustainability of the bike share program.

Identification of atypical pediatric diabetes mellitus cases using electronic medical records

IntroductionThere are no established methods to identify children with atypical diabetes for further study. We aimed to develop strategies to systematically ascertain cases of atypical pediatric diabetes using electronic medical...

Learning on a Limb: An outreach module to engage high school students in orthopaedics.

Orthopaedic researchers need new strategies for engaging underrepresented minority (URM) students. Our field has demonstrated noticeable gaps in racial, ethnic, and gender diversity, which inhibit our ability to innovate and combat the severe socioeconomic burden of musculoskeletal disorders. Towards this goal, we designed, implemented, and evaluated Learning on a Limb (LoaL), an orthopaedic research outreach module to teach URM high school students about orthopaedic research. During the 4-h module, students completed hands-on activities to learn how biomechanical testing, microcomputed tomography, cell culture, and histology are used in orthopaedic research. Over 3 years, we recruited 32 high school students from the Greater Philadelphia Area to participate in LoaL. Most participants identified as racial/ethnic or gender minorities in orthopaedic research. Using pre/post-tests, we found that students experienced significant learning gains of 51 percentage points from completing LoaL. In addition to teaching students about orthopaedic research, post-survey data demonstrated that participating in LoaL strongly influenced students' interest in orthopaedic research and scientific confidence. Several students acted on this interest by completing summer research experiences in the McKay Orthopaedic Research Laboratory at the University of Pennsylvania. LoaL instructors also benefited by having the opportunity to "pay it forward" to the next generation of students and build community within their department. Empowering institutions to host modules like LoaL would synergistically inspire URM high school students and strengthen community within orthopaedic departments to ultimately enhance orthopaedic research innovations.

Predoctoral US dental school applicants and first-time, first-year enrollees, 2023 Entering Class.

This article aims to provide an overview of the characteristics of applicants and first-time, first-year enrolled predoctoral oral health students in the 2023 Entering Class, while highlighting trends over the past decade. The study employs a descriptive analysis of predoctoral US dental school application data sourced from the ADEA Associated American Dental Schools Application Service (ADEA AADSAS®) and Texas Medical and Dental Schools Application Services (TMDSAS) portals. Between 2013 and 2023, the number of first-time, first-year enrollees increased by 14%. Applicant numbers rebounded post-COVID pandemic and were 0.5% higher in 2023 compared to 2019. The proportion of female predoctoral applicants and first-time, first-year enrollees each increased by 11 percentage points over the last decade. Racial and ethnic diversity among first-time, first-year enrollees improved, particularly among Hispanic or Latino and Black or African American students, with both groups increasing by 51% between 2013 and 2023. There has been a steady increase in first-time, first-year enrollees, reflecting growth in the number of US-trained predoctoral oral health professionals. Applicant numbers have rebounded from the impact of COVID-19 pandemic. The increase in the share of female dental school applicants and first-time, first-year enrollees has brought the gender distribution in predoctoral oral health programs more closely in line with that of postsecondary education. While progress has been made in terms of increased representation of historically underrepresented racial and ethnic (HURE) groups, much work remains to achieve greater representation.

Commentary on “Racial and ethnic diversity in academic nursing leadership: A cross-sectional analysis” by Travers and colleagues (2024)

The purpose of this commentary is to highlight key points made by Travers and colleagues (2024) in their study entitled, “Racial and ethnic diversity in academic nursing leadership: A cross-sectional analysis” and provide additional recommendations for future research and policy related to diversity in academic nursing leadership. While there is a significant underrepresentation of racial and ethnic minoritized populations in academic leadership in nursing, the level of underrepresentation and contributors to underrepresentation are not the same across racial and ethnic minoritized populations. As we design strategies to promote diversity in academic nursing it is important to benchmark efforts to ensure representation from groups who experience the most significant health inequities, create tailored strategies that consider the unique historical and contemporary barriers to leadership in academic nursing across and within minoritized groups, and build upon evidence-based strategies, especially the important role that minority serving institutions have played.

Building Trust, Fostering Agency, Sharing Power: Interracial Feminist Co-Mentoring as a Strategy for Dismantling White Supremacy in Higher Education

Despite institutional claims to value increased racial diversity in higher education, Black women in faculty roles perpetually navigate oppressive cultures across all institutional types. The ability to build and foster mutually beneficial interracial mentoring relationships is vitally important to move beyond performative diversity and build truly inclusive organizations. In this project, we sought to interrogate our own interracial feminist co-mentoring relationship to identify guiding principles for others engaged in these types of relationships. As a Black woman and a white 1 1 In opposition to APA guidelines, we do not capitalize white as a racial category or identity. We do capitalize Black, as a form of “rejecting the standard grammatical norm as a means to acknowledge and reject the grammatical representation of power capitalization brings to the term ‘white’” (Huber, 2010, p. 93). woman, we employed duoethnography to analyze the realities of our interracial mentoring relationship and to develop a conceptual framework of interracial feminist co-mentoring. This study emphasized the transformative opportunities that can occur through experiences of social exchange and reciprocity within interracial feminist co-mentoring relationships. We argue for critical evaluation of existing mentorship models to include (a) a recognition of the historical and contemporary factors that inhibit Black women’s ability to build and foster relationships with white women and (b) explicit ways white women can foster trust within interracial co-mentorships that facilitate true agency and shared power. Through this intentional exploration of our relationship, we make space for true divestment in internalized white supremacy for both Black and white women and movement toward dismantling white supremacy culture in mentoring relationships throughout higher education.

Differential patterns of emotion regulation in sexual minority adolescents in residential treatment

ObjectiveSexual minority adolescents experience disproportionate mental health problems, including increased anxiety, depression, and suicidal thoughts and behaviors. Minority Stress Theory posits that sexual minority people experience significantly more stress (e.g., via discrimination or prejudice) in their everyday lives, which can underlie these mental health disparities. Though group differences in mental health symptoms are well-documented, there has been less focus on symptom trajectories, which is critical for identifying effective mental health interventions. MethodSeventy adolescents ages 13–19 years enrolled in a short-term, acute residential psychiatric treatment program provided self-report measures of depressive symptoms, anxiety, and emotion regulation difficulties at baseline, discharge (~2 weeks), and one-month post-treatment follow-up. Adolescents self-reported sexual orientation and were stratified into sexual minority (SM, n = 37) or heterosexual (n = 33) groups. ResultsDepressive and anxiety symptoms and emotion dysregulation scores were significantly reduced at follow-up, compared to baseline. While there were no significant group x time interactions for depressive and anxiety symptoms, the SM group entered the program with worse emotion dysregulation scores, which improved more over time compared to the heterosexual group. ConclusionThese findings show that although sexual minority individuals can make substantial gains during residential treatment, emotion regulation difficulties are a particularly relevant treatment target. Emotion regulation, a transdiagnostic construct that typically develops substantially during adolescence, might be of critical importance when identifying effective treatment interventions for sexual minority youth. LimitationsAdolescents in this sample demonstrated limited racial diversity and likely displayed a higher degree of psychopathology than the general population.

Lifestyle-specific association between adversity dimensions with group-based mental health trajectories.

Childhood adversity (CA) has a substantial correlation with mental health problems. Keeping a healthy lifestyle is essential for mental health interventions; it is unclear, however, how healthy lifestyle affect the relationship between CA and persistent mental health problems. This longitudinal study (n=1112, 54.5% male) collected the data on CA (measured through three dimensions: threat, deprivation and unpredictability), mental health problems, and lifestyle factors. Group-based multi-trajectory modeling (GBMTM) was utilized to estimate trajectories for three mental health problems (i.e., depression, ADHD and overanxiety). Close friendships, regular physical activity, appropriate sleep duration, shorter screen time, and healthy eating were combined to establish a healthy lifestyle score (which ranges from 0 to 5). Higher scores indicated a healthier lifestyle. Three trajectories of mental health problems were identified: persistently low risk (24.9%), persistently medium-high risk (50.0%), and persistently high risk (25.1%). Multinomial logistic regression showed that high adversity (high-threat: β=2.01, P<0.001; high-deprivation: β=1.03, P<0.001; high-unpredictability: β=0.83, P=0.001; high-overall adversity: β=1.64, P<0.001) resulted in a persistently high risk of mental health problems; these outcomes were maintained after robust control for covariates. Further lifestyle stratification, null associations were observed among children with a healthy lifestyle, irrespective of their gender; however, after controlling for covariates, the above associations remained relatively stable only among boys. The generalizability of our findings is restricted by 1) limited racial diversity and 2) missing data. This finding underscores the benefits of promoting a healthy lifestyle in children to prevent persistent mental health problems caused by CA.

Gender and race in neurotrauma: part 1-identifying inequalities in leadership, academics, and clinical trial management.

Gender and racial equality, or the lack thereof, is a constantly recurring theme in neurosurgery and under-reported in neurotrauma literature. This perspective piece addresses the underrepresentation and challenges faced by women and racial minorities in neurosurgery, and within the workforce of neurotrauma, specifically. The literature demonstrates that there is still a scarcity of females and racial minorities in neurosurgery leadership positions and that females are less likely to receive invited papers. The persistent challenges in navigating gender and racial dynamics in neurosurgery/neurotrauma underscore the need for progress in advancing intersectionality within the field, emphasizing the importance of addressing inequalities. Several strategies to improve gender and racial diversity in neurotrauma workforce, leadership and academics are presented.

Adverse childhood experiences and dissociation among Italian public psychology service users

Different studies have provided evidence that adverse childhood experiences (ACEs) are associated with mental health problems as a function of racial and ethnic diversity. The aim of the present study was thus to study the association between ACEs and dissociation in a sample of Southern Italian public psychology service (PPS) users. A sample of 183 adults who requested psychotherapeutic treatment within an Italian PPS was recruited. ACEs were assessed via the Adverse Childhood Experiences Questionnaire (ACE-Q). Dissociative symptoms were assessed via the Dissociative Experiences Scale (DES-II) and the Somatoform Dissociation Questionnaire (SDQ-20). Dissociative syndromes were assessed via two scales of the Millon Clinical Multiaxial Inventory (MCMI-III): the Somatoform Syndrome (H) and the Post-Traumatic Stress Disorder Syndrome (R) scales. The most common types of ACEs in our sample were emotional neglect and emotional abuse. The number of ACEs showed a significant association with all the different measures of dissociation administered. Logistic regression analysis for the DES-II resulted in a solution made up of sexual abuse and parental separation or divorce. The regression analysis for the SDQ-20 resulted in a solution made up of emotional abuse, physical neglect, and parental separation or divorce. Sexual abuse positively predicted PTSD scale scores, while no solution was found for somatoform disorder. ACEs and dissociation were strongly associated in this study, but the nature of this association depended on the aspect of dissociation under investigation, particularly when we considered the distinction between dissociative symptoms versus syndromes. Cultural characteristics and clinical implications for public services are discussed.

Racially Diverse Leadership and Sustainable Alliance Portfolios

In my research, the effects that the racial diversity of firms’ leadership has in deciding the sustainable composition of firms’ alliance portfolios is investigated, defined as the distribution of exploratory, exploitative, and mixed alliances. Grounded in social categorization, information elaboration, and social contact mechanisms, racially homogeneous leadership has a J-shaped relationship with sustainable alliance portfolio composition. Very racially homogeneous or heterogeneous leadership leads firms towards maintaining more exploratory alliances in their portfolio as opposed to moderately diverse leadership, which prefers the safety of exploitative alliances. Further, I explore how racially homogeneous leadership differs from racially heterogeneous leadership in that the former has a higher propensity to maintain more exploratory alliance portfolios compared to the latter. A two-stage analysis on a panel of 128 pharmaceutical and software firms, accompanied by response surface analysis, yields support for our theorizing. This study encourages scholars to further investigate the different weights that social categorization, information elaboration, and social contact exercise on leadership diversity and how they are elemental in firms’ sustainable alliance decision-making.

Testing Theories of Threat, Individual Difference, and Ideology: Little Evidence of Personality-Based Individual Differences in Ideological Responses to Threat

Recent attempts to establish the veracity of the conservative shift hypothesis have failed to find supportive evidence. Instead, this work yields inconsistent results and reveals considerable individual differences in ideological responses to ecological threats. In two studies, we build upon this work in two ways. First, we test the conservative shift hypothesis across five ecological threats: unemployment, immigration, racial diversity, COVID-19, and violent crime, more than has been examined previously. Second, we test whether, in line with political personality theories, openness to experience and conscientiousness predict who is likely to shift to the right in the face of threat and who is not. In one nationally representative panel study from the Netherlands ( N = 11,189) and one nationally representative repeated cross-sectional study in the United States ( N = 9,040), we find minimal support for the conservative shift hypothesis and theories that predict personality-based individual differences in ideological responses to threat.

Repetition with a difference

The paper examines how the return to Westeros demonstrates the audiences’ desire for “repetition with a difference,” focusing on the political underpinnings of worldbuilding and storytelling presented in House of the Dragon (2022–). A prequel to Game of Thrones , HOTD repeats the setting and many crucial figures, dynamics, and plot points of the original. Seemingly in response to fan criticism of the politics of representation in terms of race, gender, and sexuality in GOT , though, HOTD envisions a past of Westeros that strangely seems more progressive than its storyworld’s “future.” We argue that these temporal shifts can be read productively through the concept of queer temporality, challenging linear notions of time and progress. HOTD presents a seemingly progressive narrative that locates queerness and racial diversity in the past; in this vision, any potential progress thus becomes confined to the past, disappearing from the future of this fantasy storyworld. We argue that attending to the slight shifts in emphasis between GOT and HOTD provides an opportunity to identify changes in audiences’ expectations. We ask: what kind of queer pleasures are mobilized when audiences are invited to revisit a familiar world, but also to re-memory GOT , the original text, with the knowledge of its diverse past as depicted in HOTD ?