Homosexual Research Articles

Factors associated with dating app use for sexual "hookups" in the United States: insights from the National Survey of Family Growth.

The use of dating applications for matchmaking and sexual exploits ("hookups") has increased, and this modern phenomenon has supplanted traditional socialization and relationship formation. To date, sociodemographic data on the use of dating apps has been limited. In this study, we sought to identify predictors associated with the use of dating apps in the United States. Using cross-sectional data from the 2017-2019 National Survey of Family Growth, we examined sociodemographic determinants influencing the use of dating apps to find partners for sexual intercourse. We constructed survey-weighted regression models to study these associations, with additional sensitivity analyses performed within specific subgroups. Furthermore, this study investigated the correlation of app use with sexual frequency. Study outcomes were participant data regarding reported use of dating apps for sexual intercourse in the 2017-2019 National Survey of Family Growth. A total of 11,225 respondents were examined, representing a survey-weighted total of approximately 143,201, 286 Americans. Among them, 757 respondents (6.7%), equating to approximately 8, 818, 743 individuals, reported dating app use for sexual hookups. Regression analysis revealed that factors such as male sex, White race, previous sexual experience, substance/alcohol use, history of sexually transmitted infections, same-sex attraction, and bisexuality increased the likelihood of dating app usage. Conversely, reduced odds of dating app use were observed among Catholics, Protestants, married/widowed individuals, and older respondents. Stratified analyses across various demographics, including male and female individuals aged 20 to 40years, heterosexual, and lesbian, gay, and bisexual respondents, generally supported these trends. Notably, dating app use did not correlate with increased sexual frequency (adjusted incidence rate ratio: 1.10; 95% CI: 0.96-1.26; P = .16). Dating app use is prevalent among male patients and White individuals and correlates with increased sexually transmitted infection risk, alcohol/illicit substance use, past sexual experience, and popularity within the lesbian, gay, and bisexual community, all important considerations for public health interventions. Dating app use, however, was not associated with increased sexual encounters. Strengths of our study were the utilization of a national survey of individuals of reproductive age in the United States and focus on a clearly defined outcome of dating app utilization for the purposes of sexual intercourse. Limitations include self-reported survey responses and insufficient detail on the types and duration of dating app platforms and their use. Many sociodemographic factors, including male sex, White race, history of STIs, substance and alcohol use, and same-sex and bisexual attraction, were linked with dating app use. However, there was no increase in sexual frequency associated with dating app utilization. Further research is essential for integrating these technologies into the relational and sexual dynamics of individuals.

“Not a Personal Matter”: Soviet Conservative Discourse on Homosexuality in the 1960s and 1970s

Abstract While historians of homosexuality in the post-Stalin era have mainly focused on developments such as discussions about the decriminalization of homosexuality and the establishment of sexology, our understanding of conservative perspectives on homosexuality remains limited. This article introduces and analyses a previously classified medical doctoral thesis (habilitation) on homosexuality prepared and defended in the 1970s. This is currently the only accessible in-depth scholarly investigation of male homosexuality in this period. The article seeks to contribute to the thriving field of the history of homosexuality under late socialism by shedding some light on the rationale for continuing to criminalize consensual homosexual activity, from the perspective of a contemporary forensic expert. Secondly, the thesis, which was based on the criminal files of those convicted of consensual homosexuality in Leningrad (1961–1968) – a total of 107 men were convicted – provides additional data on the previously rather obscure realm of interaction between homosexuals and law enforcement agencies.

Global prevalence and determinants associated with the acceptance of monkeypox vaccination.

Assessing the acceptance of the monkeypox vaccine is crucial for the success of vaccination programs, yet the prevalence reports remain inconclusive. The aim of this study was to determine the global prevalence of monkeypox vaccine acceptance and identify its associated factors. A meta-analysis was conducted with a comprehensive search strategy on the following databases, including Scopus, Embase, and PubMed, for articles published up to April 5, 2024. This study utilizes a single-arm meta-analysis to calculate the pooled prevalence of monkeypox vaccine acceptance. A Z-test was employed to identify factors associated with the vaccine acceptance. Our study analyzed 51 articles encompassing 98,746 participants, revealing an overall monkeypox vaccine acceptance rate of 65%. Notably, the highest acceptance rates were observed among men who have sex with men (MSMs), while healthcare workers (HCWs) showed the lowest acceptance rates. Additionally, our findings indicated an increased acceptance in individuals with educational attainment beyond a bachelor's degree, a history of COVID-19 and influenza vaccination, homosexual orientation, and HIV-positive status. Conversely, lower acceptance risk was associated with those with educational attainment below a bachelor's degree, heterosexual orientation, and bisexual orientation. In conclusion, our current study has determined the rate of monkeypox vaccine acceptance and identified its associated factors. These findings offer valuable insights as the foundation for targeted policies to manage and increase acceptance rates.

All’s Well That Ends Well’s Paroles and the Bisexual Miles Gloriosus: Early Modern Expectations, Modern Stagings

ABSTRACT Productions of All’s Well That Ends Well increasingly portray Paroles as gay, bisexual or queer. This article argues that such stagings are not unjustified in that early modern audiences would expect to associate Paroles with same-sex attraction. While it is a critical commonplace that Paroles displays the traits of the classical miles gloriosus or braggart soldier, modern discussions of early modern braggart soldiers omit one trait of the classical version: an open, shame-free bisexuality. This article argues that an awareness of the classical miles gloriosus’ bisexuality established expectations and reception frameworks in early modern audiences when they encountered early modern dramatic braggart soldiers, including Paroles. It then demonstrates textual traces of this. However, if staging Paroles as gay, bisexual or queer today might be justified in terms of this reception history, the ways in which this is done are not always as progressive as they might seem. This is particularly so when evidence of same-sex attraction no longer serves primarily as pleasurable corroboration that Paroles is a miles gloriosus, but instead is framed as a psychological-realist problem, a source of shame to be overcome, and when Paroles’ humiliation scene is staged as sexualised homophobic violence not grounded in the text.

Disgust in the mating context – choosing the best and the least bad self-presentation option in a date simulation game

In order to achieve interpersonal goals, people manipulate their self-image: they manifest their most favourable traits and avoid exhibiting the most aversive ones. Disgust is one of the most powerful turn-offs in a mating context. Here, we explored which disgust domain −pathogen, sexual, or moral − is considered the most damaging for self-image. We also revisited the importance of various positive traits in a potential partner. The participants (N = 1,017) played a date-simulation game. They chose which one of five positive characteristics, and which one of three disgust norm transgressions they want to manifest. We analysed the influence of one’s biological sex, sexual orientation, and culture on self-presentation during a date.Women more often manifested morally disgusting behaviours and artistic abilities than men, while men more often manifested pathogenically disgusting behaviours and kindness. Homosexual orientation predicted lower frequency of admitting to moral disgust transgressions, and higher frequency of exhibiting artistic abilities.

Homosexual Behavior as a Moral Issue in Tanzania: Qualitative Findings from Homosexuals in Njombe District, Tanzania

Although homosexuality is legally prohibited in Tanzania, there are numerous cases related to homosexual practices in the country. However, there is limited information on factors that influence individuals to adopt homosexual behavior. This knowledge of homosexual behavior is important because it helps to provide insights on factors that influence individuals to accept homosexuality. This knowledge of homosexual behavior is also vital when addressing moral issues including homosexuality in the country. The study was conducted in Njombe Town and Makambako Town, Njombe District, Njombe Region between July 2023 and January 2024. It adopted a cross-sectional research design with qualitative techniques. Exponential non–discriminatory snow ball sampling was used to obtain respondents, particularly homosexuals in the study area. A semi-structured interview was used to collect the intended data whereby the researcher had an opportunity to explore information related to interviewees’ views on the factors that lead to homosexual matters. The study involved sixteen homosexuals, whereas nine were gay and seven respondents were lesbians. Data were subjected to content analysis. The study attempts to uncover the factors that influenced individuals to adopt homosexual behavior in the study area. Results have shown prevalence of homosexuality practices in the study area. Such behavior was influenced by peer group relationship, poverty among youth, bad upbringing and sexual dissatisfaction among heterosexual couples. Thorough initiatives of addressing homosexuality behavior in the study area are needed.

Investigating Microbial Dynamics and Bacterial Vaginosis Susceptibility in Women who have Sex with Women

Bacterial Vaginosis (BV) remains a prevalent gynecologic health concern, with emerging research indicating a potential association between women who have sex with women (WSW) and an increased susceptibility to BV infections. Recent studies have explored the microbial dynamics within the vaginal microbiota of WSW, revealing distinct patterns that may contribute to a higher incidence of BV in this population. The etiological factors underlying this susceptibility include disruptions in the balance of Lactobacillus species, crucial for maintaining vaginal health. However, the existing literature presents a complex interplay of socio-behavioral and biological factors influencing BV risk among WSW, necessitating further investigation. Future research should strive to gain a more comprehensive understanding of the specific mechanisms influencing microbial communities in the context of same-sex sexual activity among women, exploring potential preventive strategies and tailored interventions to mitigate BV risks in this population. Our review highlights the need for a refined and multidisciplinary approach to address the intricacies of BV susceptibility in women engaging in same-sex relationships.

Sex and Sexual Orientation Differences in Dark Triad Traits, Sexual Excitation/Inhibition, and Sociosexuality.

The present study sought to investigate sex and sexual orientation differences in several traits related to sexuality and sexual behavior. Examining sexual orientation differences alongside basic sex differences to help identify correlates of sexual orientation diversity, and whether individuals with varying degrees of same-sex attraction show concurrent sex-atypical shifts in other domains. Males tend to score higher than females in the Dark Triad (DT) traits of sub-clinical narcissism, psychopathy, and Machiavellianism. Similarly, females tend to be more cautious than males in their attitudes and desires toward casual sex activity (i.e., sociosexuality). These sex differences may be related to the propensity for individuals to become easily sexually excited, which is higher in males, or to instead inhibit sexual arousal, which is higher in females. In a large undergraduate sample (N = 2047), we replicated expected sex differences in DT traits, sociosexuality, and sexual excitation/inhibition. We found that non-heterosexual females were "male-shifted" in some of these traits, but these shifts tended to be strongest among mostly heterosexual and bisexual individuals. Furthermore, we found that within-sex variation in sociosexuality, sexual excitation, and sexual inhibition was not related to sexual orientation in a linear fashion. Instead, sociosexuality and sexual excitation were related to sexual orientation in a curvilinear (inverted-U) fashion, especially among females. The fact that traits correlated with bisexuality and homosexuality were somewhat distinct is consistent with the idea that different developmental pathways may lead to these discrete sexual attraction patterns.

Gay men coming out later in life: A hermeneutic analysis of acknowledging sexual orientation to oneself

ABSTRACT Given the residual homonegativity in evidence throughout our diverse communities, and given the large numbers of gay people who remain “in the closet”, it is critical that we seek to understand in greater depth the complexities of the coming-out process with a view to dispelling some of the confusion relating to sexual identity. Internalised homophobia is more widespread than generally acknowledged, and it manifests in a variety of ways, including the sociological phenomenon of gay men remaining closeted until well into middle age. This article applies a hermeneutic phenomenological lens to examine the process of realisation, where an individual gradually becomes aware of his sexual orientation, and eventually acknowledges to himself that he is gay. This process can take decades. For this research project, twelve participants (gay men who have come out after the age of 40) from Aotearoa New Zealand willingly shared intensely personal accounts of their lived experiences. The findings indicate that individuals experience clarity about same-sex attraction in strikingly different ways. This study helps us to understand the difficulties faced by men who have lived the majority of their lives as “straight”, then in middle age find themselves having to negotiate the tortuous terrain between heterosexuality and a new gay identity.

Culturalism and Religious fundamentalism: Lexicalisation of counter-ideologies on same-sex sexualities in selected Nigerian newspapers

Against the backdrop of cultural conservatism and legal restrictions on same-sex relationships, this study examines how language use foregrounds cultural and religious ideologies surrounding same-sex sexualities as depicted in selected Nigerian newspapers. Drawing on Fairclough’s approach to critical discourse analysis (CDA), the study explores how language is used to construct, represent, and perpetuate specific ideologies regarding same-sex sexualities within the Nigerian context. A total of 50 opinion articles on same-sex sexualities were randomly sampled from five purposively selected Nigerian newspapers (Vanguard, The Punch, The Guardian, Nigerian Tribune and The Sun). The newspapers were selected based on their preponderant coverage of the discourses on same-sex sexualities between 2013 and 2015. Data were subjected to critical discourse analysis. Findings reveal that different lexical strategies, such as lexical relations, repetition, negative evaluative adjectives foreground pro- and anti-culturalist ideologies as well as religious fundamentalism and secularism. The study reveals the conflicting ideologies surrounding same-sex sexualities in the Nigerian context.

Occupational Preferences, Childhood Behavior, and Openness: The Role of Sex, Sexual Orientation, and Gender Identity in Iran.

Previous research suggests that both same-sex attraction and the personality trait "openness" are associated with sex-atypical preferences and behaviors. Here, we examined the links between adulthood occupational preferences, childhood play behavior, and openness among Iranian cisgender gynephilic males (n = 228), cisgender ambiphilic males (n = 48), cisgender androphilic males (n = 178), transgender androphilic males (n = 58), cisgender androphilic females (n = 226), cisgender ambiphilic females (n = 94), cisgender gynephilic females (n = 31), and transgender gynephilic females (n = 121) from Iran. Cisgender and transgender same-sex attracted males and females exhibited sex-atypical occupational preferences with the latter group showing even more sex-atypicality than the former. The personality trait openness did not differ between cisgender groups. Transgender androphilic males had a significantly higher mean score for openness compared to cisgender androphilic females and transgender gynephilic females, whereas transgender gynephilic females had a significantly lower mean score compared to cisgender androphilic males. In both males and females, childhood sex-atypicality, same-sex attraction, and openness were associated with sex-atypical occupational preferences. Our findings from Iran provides cross-cultural support for interconnectedness of childhood and adulthood sex-atypicality, openness, and same-sex attraction in males and females who are cisgender and transgender.

Association of Recalled Childhood Sex-Typed Behavior with Sexual Orientation and Gender Identity in Iranian Adult Males and Females

ABSTRACT Same-sex sexual attraction in both males and females has been associated with childhood sex-atypical behavior. Gynephilic females recall behaving in a manner that is less female-typical and more male-typical compared to cisgender androphilic females, whereas androphilic males recall behaving in a manner that is less male-typical and more female-typical compared to cisgender gynephilic males. In addition, male and female ambiphilic individuals exhibit intermediate levels of childhood sex-atypicality. In this study, we examined recalled childhood sex-typed behavior among Iranian cisgender gynephilic males (n = 236), cisgender ambiphilic males (n = 51), cisgender androphilic males (n = 191), transgender androphilic males (n = 60), cisgender androphilic females (n = 243), cisgender ambiphilic females (n = 96), cisgender gynephilic females (n = 32), and transgender gynephilic females (n = 122). Both cisgender androphilic males and cisgender gynephilic females recalled elevated childhood sex-atypicality, scoring intermediate between cisgender gynephilic males and cisgender androphilic females. Male and female ambiphilic participants scored intermediate between their other- and same-sex attracted cisgender counterparts. Transgender androphilic males exhibited hyper-feminized childhood behavior, scoring even more female-typical than cisgender androphilic females. Transgender gynephilic females recalled behaving as male-typical as cisgender gynephilic males. Consistent with previous research, our findings from Iran – a non-Western, Middle Eastern culture – provide cross-cultural support for the universality of childhood sex-atypicality as a normative developmental precursor of monosexual or ambisexual same-sex attraction in both males and females who are cisgender and transgender.

Seroprevalence of Treponema pallidum infection among high-risk populations from Brazil

Syphilis is a significant public health concern worldwide. According to the 2020 estimates, nearly 7.1 million new cases of syphilis have been reported globally, with over 30 % of these cases reported from American nations, particularly Brazil. Concerns have been raised regarding the susceptibility of specific groups to syphilis due to challenges and vulnerabilities that place these groups at a higher risk of infections or complications in the treatment outcomes. The present study aimed to compare the seroprevalence and the factors associated with syphilis among such high-risk groups. The study was designed as a cross-sectional one and was conducted with pregnant women, people living with HIV (PLHIV), people living with tuberculosis (PLTB), indigenous and healthy populations in Mato Grosso do Sul, Brazil. The study was conducted between June 2019 and August 2022, during which the included patients were subjected to treponemal and non-treponemal serological assays. The study also included a survey conducted through a self-reported questionnaire to collect information regarding the participants' demographics and sexual behaviors. A total of 550 samples were collected, with 110 participants in each of the five groups. The results of the study revealed that the seroprevalence of Treponema pallidum infection in pregnant women, PLHIV, PLTB, indigenous and healthy populations of the study region was 10 % (n = 11/110), 41.81 % (n = 46/110), 17.27 % (n = 19/110), 5.45 % (n = 6/110), and 8.18 % (n = 9/110), respectively. Homosexual orientation (p = 0.04) and a history of sexually transmitted infection (STI) (p = 0.01) were associated with the seroprevalence of T. pallidum infection in PLHIV. However, no such associations were noted in the remaining four groups. The seroprevalence of T. pallidum infection was observed to vary significantly among the different high-risk groups, which highlighted the persistent concern of syphilis, particularly among vulnerable populations. These findings underscore the significance of focused interventions and public health strategies customized to the specific requirements of each of the groups evaluated in the present study to decrease the number of cases of syphilis and thereby prevent future complications in patients with other serious infections.

A retrospective case series of the surgical management of thirty-one penile fibropapilloma cases presented to University College Dublin Veterinary Hospital (UCDVH) between 2017 and 2023

BackgroundPenile fibropapilloma is a condition caused by bovine papilloma virus and is frequently encountered in young bulls. Penile fibropapillomatosis is thought to be spread through homosexual mounting behaviour. Fibropapillomas of the penis are painful, often bleed and can impede normal intromission. Treatment may range from allowing time for slow, spontaneous regression to surgical resection but recurrence following surgery is reported by some authors.Case PresentationThirty one bulls that were presented to University College Dublin Veterinary Hospital from March 2017 to March 2023 for surgical resection of penile fibropapillomas were included in this retrospective case series. Twenty-seven of the 31 bulls (87%) were under two years of age. The majority (42%) of bulls presented were Hereford, but Angus, Charolais, Holstein-Friesian and Limousin breeds were also seen. Following examination and diagnosis of penile fibropapilloma, regional anaesthesia (xylazine-procaine epidural and internal pudendal nerve block) and standing surgical intervention (resection and cautery) was performed in each case. Phone call follow-up was performed by one author (EET) in all 31 cases and 2 cases out of the 28 that were contactable showed post-surgical recurrence of penile fibropapillomatosis (i.e., 7.1% recurrence rate).ConclusionThis case series summarises the history and presenting findings of 31 bovine penile fibropapilloma cases and describes a regional anaesthetic and standing surgical approach for successful case management.

The Gender- and Sexuality-Based Harms of Refugee Externalization: A Role for Human Rights Due Diligence

Abstract Refugee externalization arrangements are increasingly common in refugee-receiving global North States. Such arrangements have broad-ranging and significant human rights implications, especially (but not only) for refugee women and LGBTQI refugees who may be at increased risk of gender- or sexuality-based harm. This is particularly the case where refugees are placed in situations of risk or harm as a result of a ‘sending’ State’s extraterritorial regime, or where domestic laws in receiving States outlaw certain practices such as pregnancy termination or same-sex sexual activity. There has been limited scholarly analysis of the gendered impacts of externalization policies, and States rarely take into account the gendered implications of externalization when implementing these policies. This article examines the possibilities and limits of international human rights law to protect refugees at risk of gender- and sexuality-based harms through a focus on States’ positive due diligence obligations. While there is limited jurisprudence on the scope of such obligations in the context of refugee externalization, the article emphasizes that due diligence human rights obligations require sending States to adopt effective measures to protect people from unlawful discrimination and from cruel, inhuman or degrading treatment. Due diligence obligations also offer a vital accountability mechanism for violations in extraterritorial settings through their potential preventative, remedial, and visibility functions. Using the case study of Australia’s extraterritorial asylum regime in the Pacific, the article argues that such obligations encompass identifying and addressing foreseeable risks of gender- and sexuality-based harm, both prior to forcibly transferring refugees abroad and on an ongoing basis. Further, it argues that the gender- and sexuality-based human rights impacts of Australia’s externalization regime have immediate and urgent relevance as other States consider or implement similar policies.

Representation of LGBTQIA in Bollywood Films

India produces more Hindi films than any other country. Film portrayals of society mirror that culture, which in turn shapes social attitudes. Hindi film, also referred to as Bollywood, exhibits strong societal roots. The Delhi High Court authorized homosexual behavior in the last ten years, but the Supreme Court later declared it to be unlawful. These modifications mirror modifications in social views. In this paper, we focus on how homosexuality is portrayed in Hindi films in relation to social attitudes about both male and female homosexuality. In India, cultural and social values and attitudes towards sexuality have historically been positive. However, during the 200 years of British colonial rule, these values and attitudes towards homosexuality and homosexual men and women became extremely negative and even punishable, in line with the prevalent Victorian views on sex and sexual activity. The literature has identified and documented several sexual descriptions and identities. In this essay, we discuss a tiny number of Hindi movies that deal with homosexuality. These representations have generally been unfavorable. We discuss the reasons why this would be the case as well as the effect that these portrayals might have on viewers.

Using queer critical literacies in pre-service teacher education to foster critical allyship

ABSTRACT The queer critical literacies (QCL) approach to education aims to meaningfully engage with gender and sexuality diversity in educational settings. This article reflects on an English course for final-year Bachelor of Education students at a South African university. In the course, the QCL framework was introduced and texts with diverse gender and sexual identities were prescribed for class discussion and assessment topics. Data were collected from students’ final essay assessments for the course and relevant extracts from selected essays were analysed through thematic content analysis. The findings indicate that the purposeful inclusion of QCL in teacher education courses can enable students to reflect deeply on how they engage with gender and sexuality diversity in their teaching, and the QCL approach can promote positions of critical allyship in pre-service teachers which can make schools more inclusive spaces. However, the data revealed limitations in students’ understandings of diverse gender identities, including the conflation of transgender identities with same-sex sexualities.

The Pursuit of Deviant Happiness and Queer Spiritual Well-being Among Malaysian Gay Men: A Theological Proposal

Although their intimate lives are often adversely affected by homonegative laws and conservative religio-cultural attitudes, many Malaysian gay men formulate affirming materialist-discursive strategies to pursue personal happiness. Some Christian gay men, for instance, challenge conservative ecclesiastical notions of same-sex attraction as iniquitous and generate life-giving spiritualities for themselves that contribute to a sense of inner joy and equanimity. In this article, aided primarily by Sara Ahmed’s provocative ideas on happiness, I analyse the lived experiences of a Malaysian Christian gay man, and theorise the notion of deviant happiness, which I suggest is a pathway to queer spiritual well-being. Then, drawing on the Catechism of the Catholic Church’s exposition of the beatitudes, I theologically propose that his active pursuit of happiness and well-being as a gay man participates in God’s own beatitude.

‘Landscapes’: Andy Warhol and Victor Hugo’s collaborations in gay sex and art

ABSTRACT In 2014, the Cantor Arts Center at Stanford University received 3600 contact sheets from Andy Warhol’s Minox 35EL camera, charting the full range of his black-and-white photography from 1976 until his death in 1987. A remarkable subset of the sheets capture explicit gay sexual activity, most shot for Warhol’s late-1970s Torsos and Sex Parts series. I provide a history and visual analysis of these pornographic images, many of which star Warhol’s friend, artist Victor Hugo. Warhol had been interested in ‘sex parts’ since the 1950s, but in Hugo he found his ideal muse and sexual performer. As Warhol’s paid collaborator, Hugo procured men whom Warhol and his studio assistants photographed nude and engaged in sex with Hugo. Scrutinizing gestures visible in the contact sheets, I argue that Hugo was engaged in a competition for artistic authorship and control in these photo shoots: the ‘art’ of gay sex was where Hugo could outshine Warhol.

It’s time for change: inequities and determinants of health-related quality of life among gender and sexually diverse young people in Australia

PurposeThis study was guided by three research aims: firstly, to examine the longitudinal trends of health-related quality of life (HR-QoL) among gender and sexuality diverse (LGBTQA2S+) young people through adolescence (ages 14–19); secondly, to assess longitudinal associations between poor mental health and HR-QoL among LGBTQA2S+ young people through adolescence; and thirdly, to examine differences in HR-QoL among LGBTQA2S+ young people during early adolescence (ages 14 and 15) depending on select school-, peer-, and parent-level factors.MethodsThis study used three of nine available waves of data from a large population-level, probability sample-based, longitudinal cohort study, namely the K′ cohort: children aged 4–5 years old at time of study enrolment followed-up biennially (~ 61% retention rate). HR-QoL weighted means and standard deviations were calculated using Child Health Utility 9D (CHU-9D) scores for LGBTQA2S+ participants at ages 14 and 15 (Wave 6), ages 16 and 17 (Wave 7), and ages 18 and 19 (Wave 8). To strategically identify policy-relevant modifiable behavioural factors suitable for prevention and early intervention, non-parametric Wilcoxon signed-rank tests tested differences in mean CHU-9D ranks at ages 14 and 15 (Wave 6) between groups (gender identity: trans vs. cis; identity-level sexuality: gay, lesbian, bisexual, or other diverse sexuality vs. heterosexual; group-level sexuality: sexually diverse vs. not sexually diverse) and selected school factors (school acceptance, belonging, freedom of expression), peer factors (peer relationship quality, trust, respect), and family factors (parental acceptance, understanding, trust), with Hedge’s g correction statistics computed for effect sizes. Longitudinal associations between gender, sexuality, and poor mental health (depressive symptoms, anxiety, symptoms, self-harm thoughts/behaviour, and suicidal thoughts/behaviour) and HR-QoL were tested using mixed-effects models with random intercepts and random slopes for nested clustering (participants within postcodes).ResultsHR-QoL disparities disproportionately affecting LGBTQA2S+ groups relative to their cisgender, heterosexual peers, were well-established by age 14 to 15 relatively steeper reductions in HR-QoL were observed throughout adolescence among all LGBTQA2S+ groups, with HR-QoL widening the most for trans participants. Poor mental health was significantly associated with HR-QoL declines. LGBTQA2S+ participants with positive school- and parent factors related to feelings of acceptance, belonging, and freedom of self-expression, reported significantly higher HR-QoL during early adolescence.ConclusionEvidence-based public health policy responses are required to address the dire HR-QoL inequities among LGBTQA2S+ young people, particularly trans young people. Prioritising the promotion of school- and family-based interventions which foster LGBTQA2S+ inclusivity, acceptance, and a sense of belonging from early adolescence through young adulthood, represents a feasible, evidence-based, and cost-effective response to address these HR-QoL disparities