Cross-sectional Sample Research Articles

Interorganizational negotiation perspective: the role of interaction, pluralistic discord and relative strength of formal and informal institutions

Purpose This study extends the relationship, behavior and condition perspective on international business negotiation to predict cross-border merger and acquisition negotiation outcomes. Taking a two-dimensional approach to classifying institutional distance (ID), the authors identify a set of cognitive and behavioral mechanisms underlying interfirm negotiation processes. The purpose of this study is to propose that the degree, interaction, pluralistic discord of institutional dimensions and the relative importance of IDs shape cross-national negotiation workflows and tactics. Design/methodology/approach Using a cross-sectional sample of over 76,000 interfirm merger and acquisition deals, the authors find that this study’s empirical results support their overarching theory of relationship-, behavior- and condition-focused cross-border negotiation outcomes. Applying the Mahalanobis approach to multidimensional IDs, the authors conduct logistic regression analyses to run the competing models to test the hypotheses. Findings This research finds that the degree of dimensional interactions, pluralistic discord and relative impact – all three ID dynamics – at the dyadic level undermine the likelihood of deal completion. As such, interfirm negotiations require managing cognitive and behavioral costs underlying the intricacies of IDs. Originality/value The relationship, behavior and condition-centric interfirm negotiation theory proposed in this study informs our existing knowledge of both institutional and behavioral negotiations. Simulating the context of de facto deals, the research model simultaneously captures formal and informal ID dimensions as a tandem to identify some exogenous and endogenous bargaining dynamics to provide new insights. The results of this study demonstrate that the codified, authoritative, and legally enforceable attributes of distance (i.e. formal directives) undermine cross-border deals more acutely than the socio-culturally embedded norms (i.e. informal conventions).

From propensity to action: exploring gender and cognitive influences on Informal Investment Intentions

This study explores the factors influencing Informal Investment Intentions among potential investors, focusing on Risk Propensity and Subjective Norms. It examines the mediating effect of Entrepreneurial Alertness and the moderating role of gender, aiming to understand how these elements shape investment decisions among management students in India. A survey-based cross-sectional research design is followed to evaluate a 340 cross-sectional sample. Global Entrepreneurship Monitor (GEM) database, SEM, and the PROCESS macro have been utilized to understand the synchronization between the variables. CFA, RMSEA, GFI, and TLI tests are employed to check the fitness and validity of the model, and CMB, together with PFA, have been applied for variance testing. The study found that Subjective Norms significantly influence Informal Investment Intentions, mediated by Entrepreneurial Alertness. Gender exuberates the relationship between Risk Propensity and Informal Investment Intentions through Self-Efficacy, with stronger effects observed among male students. Findings offer insights for policymakers and educators to design interventions fostering Informal Investment Intentions by enhancing Entrepreneurial Alertness and addressing gender-specific differences, particularly among management students. This study adds to the literature by examining gender's moderating role in the relationship between Risk Propensity and Informal Investment Intentions, providing a nuanced understanding of informal investment behavior in an Indian context.

Prevalence, correlates, and mental and physical health burden of cardiovascular disease in older U.S. military veterans

Cardiovascular disease (CVD) is one of the leading causes of death in the U.S. and is associated with a range of demographic, military, trauma, and clinical characteristics, as well as physical and mental health conditions. Older military veterans may have an increased risk of CVD due to their advanced age and military experiences. To date, however, the prevalence and health burden of CVD in population-based samples of veterans has not been well characterized. This study aimed to characterize the current prevalence of CVD and its association with sociodemographic, military, trauma, and clinical variables in a large, contemporary, and nationally representative sample of older U.S. veterans. Data were analyzed from a cross-sectional sample of 3,001 older U.S. military veterans (aged 60 and older) who participated in the National Health and Resilience in Veterans Study (NHRVS). Veterans were classified according to lifetime CVD status (CVD or no CVD, i.e., diagnoses by a healthcare professional of heart disease, heart attack, and/or stroke). To determine the association of CVD with health status, a comprehensive range of mental and physical health variables was assessed using validated self-report assessments. A total of 25.5% of veterans reported having been diagnosed with CVD. Greater age, cumulative trauma burden, nicotine use disorder, and diagnoses of hypertension, high cholesterol, and diabetes were associated with CVD. CVD was independently associated with a range of mental (odds ratios [ORs] = 1.53–2.27) and physical (ORs = 1.53–3.43) health conditions. Collectively, the results of this study suggest that one in four older U.S. veterans has report being diagnosed with CVD in their lifetimes. Given the broad range of physical and mental health conditions associated with CVD, these findings highlight the importance of integrated and multimodal prevention and intervention efforts for this population.

Socioeconomic status and sleep duration among a representative, cross-sectional sample of US adults

BackgroundSleep is a crucial determinant of physical and mental health outcomes, and insufficient sleep is highly prevalent among United States adults. Although some risk factors of poor sleep have been extensively studied, including substance use, age, health behaviors, and others, the associations between socioeconomic status (SES) and sleep remain inconclusive. There is limited evidence on SES and sleep duration among the US adult population. This study analyzed the relationships between three SES indicators (poverty, education, and food security), and sleep duration.MethodsWe used responses from the 2017-March 2020 National Health and Nutrition Examination Survey (NHANES). Respondents younger than 25 years old were excluded. Sleep duration was classified using self-reported sleep time and stratified by work vs. non-workdays. SES was operationalized using three indicators: poverty-income ratio, educational attainment, and food security status. We imputed missing data for socioeconomic status and outcome variables using multiple imputation. Weighted Poisson regression models with robust standard errors were used to calculate the crude and adjusted prevalence ratios for insufficient sleep duration (< 7 h of self-reported sleep) on workdays and non-workdays separately by each of the three SES indicators.ResultsWe included a total of 8,457 individuals. In the adjusted model, participants with lower income, educational status, and food security had significantly higher prevalence of insufficient sleep duration on both workdays and non-workdays. For example, low-income individuals (poverty-income ratio < 1) had 1.22 (95% CI 1.04–1.44) and 2.08 (95% CI 1.61–2.67) higher prevalence of insufficient sleep as compared to high income individuals on workday and non-workdays, respectively. In general, we found larger differences by level of SES indicator for the non-workday than for the workday outcome. There were no major differences in gender-stratified analysis. We also found that lower SES was associated with higher prevalence of excessive sleep (≥ 9 h).ConclusionSocioeconomic status indicators are significantly associated with sleep duration in the US adult population. Lower SES correlates with increased prevalence of insufficient sleep duration, which has implications for the overall wellbeing of US adults with lower SES. Targeted interventions and further research are needed to reduce this disparity.

Reliability of connectivity for the assessment of hearing perception in cochlear implant recipients

Objective The cochlear implant (CI) is the gold standard treatment for profound hearing loss with insufficient hearing aid benefit. Using regular words and sentences as verbal stimuli showed a ceiling effect in patients with optimal perceptual abilities. The objectives of the study were: (1) to evaluate the reliability of auditory perception through connectivity, comparing it to the regular audiometry in soundbooth and (2) to analyse the use of logatomes to better assess the perceptual abilities of high-performing patients. Design and study sample Cross sectional analytic study Study sample A total of 32 CI patients with high auditory performances underwent pure-tone and speech audiometry in two methods: (1) in an audiometric booth and (2) via direct streaming to the processor using a connectivity system. Correlation and concordance analyses were performed. Results Pure-tone audiometry showed a low correlation between the two methods. Speech audiometry revealed a high correlation at 30 dB HL but a low concordance between the two instruments. The evaluation through connectivity showed better results in pure-tone and speech audiometry than those of regular audiometry in soundbooth. The use of logatomes was useful for discriminating patients with better performances. Conclusions Connectivity might be considered a useful additional method to assess the performance of CI recipients.

Factors Influencing Stunting in Children Toddlers in the Working Area of the Puskesmas Kutambaru in 2023

Background: Stunting is one of the targets of the Sustainable Development Goals (SDGs) which is included in Goal 2, namely to end hunger and various forms of malnutrition by 2030 and achieve food security. The target set is to reduce the stunting rate by 40% by 2025. Stunting is caused by prolonged (chronic) malnutrition and repeated infections. Objective: The aim of this research is to determine and analyze the factors that influence stunting in toddlers in the Kutambaru Health Center working area in 2023. Methodology: This research uses quantitative methods with a cross sectional design and sampling using random sampling. The research population was 297 respondents and the research sample was 75 mothers who had stunted toddlers. This research uses a questionnaire. The research time is December 2023. This research analysis uses Univariate, Bivariate and Multivariate. The statistical tests used are the chi-square test and multiple logistic regression with the Enter method. Results: Research results regarding influencemother's height pvalue= 0.004,birth height pvalue= 0.003,birth weightpvalue= 0.002,Exclusive Breastfeeding pvalue= 0.001, History of infectious disease pvalue= 0.001, and immunization status pvalue= 0.002with Stunting in toddlers. Based on the results of the multiple logistic regression test, the variable that is very influential is Exclusive Breast Milk with an Exp(B) value of 14,594. Conclusion:The conclusion in this study is that there is an influence of maternal height, birth height, birth weight, exclusive breastfeeding, history of infectious disease and immunization status with Stunting.in toddlers in the Kutambaru Community Health Center working area.To be able to reduce the prevalence of stunting in toddlersIt is hoped that cooperation from the Health Service, Community Health Centers, especially health workersto be able to increase health promotion about stunting, the benefits of exclusive breastfeeding, the risk of infectious diseases and the benefits of immunization for children routinely every month.

Resilience and emotional intelligence as mediators between personal values and life satisfaction among Chinese young adults

BackgroundYoung adults are in the period of the formation and establishment of values. Even though previous research has revealed that personal values are important factors influencing young adults’ life satisfaction, it is still unknown when and under what circumstances values affect life satisfaction among young adults. Therefore, this study explored the relationship between personal values and life satisfaction among Chinese young adults, focusing on the mediating roles of resilience and emotional intelligence.MethodsA sample of N = 635 (271 male) young adults from four universities located in Guangzhou were recruited using a cross-sectional stratified sampling method. All participants completed the Revised Portrait Value Questionnaire, Emotional Intelligence Scale, Satisfaction with Life Scale, and Brief Resilience Scale.ResultsResults revealed that: (1) self-transcendence (r = 0.29, p &amp;lt; 0.001), self-enhancement (r = 0.27, p &amp;lt; 0.001), openness to change (r = 0.22, p &amp;lt; 0.001), and conservation (r = 0.26, p &amp;lt; 0.001) were differentially positively associated with life satisfaction. Chain mediation analysis found that: there was a significant indirect effect for self-transcendence, via EI (ind = 0.070, p = 0.004, 95% CI = [0.027, 0.124]), and the sequential influence via EI and resilience suggested a moderate effect (ind = 0.024, p = 0.008, 95% CI = [0.009, 0.045]). For self-enhancement values exerted significantly negative indirect effects on LS via resilience (ind = −0.029, p = 0.034, 95% CI = [−0.060, −0.005]). Openness to change had a significant indirect impact on LS via EI (ind = 0.086, p &amp;lt; 0.001, 95% CI = [0.046, 0.133]), and the sequential influence via resilience and EI was significant (ind = 0.029, p = 0.001, 95% CI = [0.015, 0.050]). For conservation, the chain mediation model did not reveal any significant indirect effects via resilience or EI.ConclusionOur findings extend the current literature on personal values and life satisfaction, highlighting the significant effects of resilience and emotional intelligence on the link between personal values and life satisfaction. Overall, this research helps young adults strengthen their resilience and emotional intelligence to increase the impact of values on life satisfaction.

Characteristics of people who report firearm suicidal ideation in the USA

ObjectivesFirearms are the most common method of suicide, yet little is known about the attributes of people who contemplate firearm suicide. The objective of this study was to describe people...

Leadership Style Exercised by Nurses in A Clinic in Barranquilla Colombia

Nursing leadership is not just about a position, but a mindset that contributes to other people. Nursing professionals should strive to influence the management of their professional and academic activities, taking initiative and assuming responsibility for changes in healthcare delivery. The objective is to determine the leadership styles practiced by nursing professionals in a clinic in Barranquilla, Colombia. According to the results of a quantitative, descriptive, and cross-sectional study, the population and sample consisted of 83 nurses working in a clinic in Barranquilla, Colombia. The coefficient of variation (CV) for this leadership style was 9%. Additionally, it was found that transactional leadership was slightly above the scale's average, with a mean of 0.661 and a variability of 16%. On the other hand, corrective-avoidant leadership was also slightly above the scale's average, with an average value of 0.607 and a variability of 35%. These results indicate that leadership exists among the studied nursing professionals, with transformational leadership being predominant. Additionally, a strong linear relationship is evident between the positive/organizational outcomes highlighted by the respondents and the variables assessing transformational leadership.

Processed and ultra-processed foods are associated with depression and anxiety symptoms in a cross-sectional urban sample of Lebanese adults

Processed and ultra-processed foods are associated with depression and anxiety symptoms in a cross-sectional urban sample of Lebanese adults

Targeted Proteomic Biomarker Profiling Using NULISA in a cohort enriched with risk for Alzheimer's Disease and Related Dementias.

Targeted proteomic assays may be useful for diagnosing and staging Alzheimer's disease and related dementias (ADRD). We evaluated the performance of a 120-marker central nervous system (CNS) NUcleic acid-Linked Immuno-Sandwich Assay (NULISA) panel in samples spanning the AD spectrum. Cross-sectional plasma samples (n=252) were analyzed using Alamar's NULISAseq CNS panel. ROC analyses demonstrated NULISAseq-pTau217 accuracy in detecting amyloid (A) and tau (T) PET positivity. Differentially expressed proteins were identified using volcano plots. NULISAseq-pTau217 accurately classified A/T PET status with ROC AUCs of 0.92/0.86. pTau217 was upregulated in A+, T+, and impaired groups with log2-fold changes of 1.21, 0.57 and 4.63, respectively, compared to A-. Interestingly, pTDP43-409 was also upregulated in the impaired group and correlated with declining hippocampal volume and cognitive trajectories. This study shows the potential of a targeted proteomics panel for characterizing brain changes pertinent to ADRD. The promising pTDP43-409 findings require further replication.

Are we too connected to social media? An explanatory research the problematic social media use in self-esteem, phubbing and procrastinating behaviour

ABSTRACT Indonesia is in the first position in the category of users with the highest screen time duration, which triggers problematic social media use (PSMU). Previous research has consistently proven PSMU to be related to dysfunctional behavior and harmful daily life activities, which affects academic. Therefore, this research aimed to measure the PSMU procrastination level of youths, phubbing behavior, and self-esteem. Generalized Structured Component Analysis (GSCA) was used to identify the structural relationships relevant to a multivariate dataset of 770 cross-sectional convenient samples aged 17 to 30 collected through an online questionnaire. The result obtained four hypotheses with a significant positive effect, and two negative impacts. This showed that PSMU will cause procrastination, including worse academic performance on mental and physical health. In addition, the higher the PSMU, the greater the possibility of phubbing in relation to friendship quality, and weakening communication within the family. An increase in PSMU tends to affect self-esteem leading to inferiority due to constant comparison of achievements with other social media users.

The relationship between academic procrastination and anxiety symptoms among medical students during the COVID-19 pandemic: exploring the moderated mediation effects of resilience and social support

BackgroundMedical students have experienced increased anxiety symptoms during the pandemic of COVID-19. However, there is a paucity of investigation on the effect of academic procrastination, and personal resources (such as social support and resilience) on anxiety symptoms among this population.ObjectiveThe main objective of this research was to evaluate the link between academic procrastination and anxiety symptoms among medical students during the pandemic of COVID-19 and clarify how resilience and social support mediate or moderate the relations between academic procrastination and anxiety symptoms.MethodsWith a cross-sectional stratified sampling, 595 participants completed a self-administered questionnaire to assess anxiety symptoms and associated factors. The study used the Generalized Anxiety Disorder 7-item Scale (GAD-7 cutoff ≥ 10), the Academic Procrastination Scale (PASS), Connor Davidson Resilience Scale (CD-RISC),and Perception Social Support Scale for measurements.ResultsThe results of the study showed that 26.4% (157/595) of medical students exhibited symptoms of anxiety. Regression analysis revealed an inverse relationship between resilience, social support, and anxiety symptoms (β = -0.058, P < 0.05). As revealed by the analysis results, the study found a total effect of 0.338, a direct effect of 0.270, and resilience exhibited a mediating effect of 0.068. The direct effect (0.270) accounted for 79.59% of the total effect (0.338), while the mediating effect (0.068) contributed to 20.12% of the total effect (0.338). This further supports the role of psychological resilience in mediating the link between academic procrastination and anxiety symptoms.ConclusionThe study implies that promoting resilience may be an effective intervention to lessen the detrimental consequences of academic procrastination on anxiety symptoms, and social support might provide a defense against the negative influence of academic procrastination on anxiety symptoms.

Exploring patient perspectives on shared decision making about bariatric surgery in two healthcare systems.

To assess patient perspectives on the level of shared decision making (SDM) experienced related to bariatric surgery. Severe obesity is common and has serious health implications. Yet, few eligible patients pursue bariatric surgery. Shared decision making could be a useful approach for considering treatment options. Patients were surveyed at Kaiser Permanente and UPMC clinics providing bariatric surgical services. Cross-sectional samples represent three time points: (a) Cohort 1 (C1): following referral; (b) Cohort 2 (C2): after initial bariatric practice appointment; (c) Cohort 3 (C3): following pre-operative visit. Patients completed the electronic survey instruments: CollaboRATE, SDM-Q-9, and National Quality Forum (NQF) SDM process measures. The sample included 167 participants, half from each site. Cohort distribution was 35% C1, 33% C2, and 32% C3. Mean age was 43.8years (SD 13.5), BMI was 48kg/m2 (SD 8.63), 81% were female and 73% were white. Overall, 62% reported CollaboRATE top scores, with a dose-response (C1: 54%, C2: 60%, C3: 72%). Mean (SD) SDM-Q-9 score (possible range: 0-100) was: 79.6 (22.5); with C1: 66.9 (26.5), C2: 83.4 (18.0), and C3: 88.4 (15.9). The average NQF score (possible range: 0-4) was 3.11 (1.14), with C1: 2.71 (1.27), C2: 3.31 (1.09), and C3: 3.28 (0.97). Patients seeking bariatric care reported moderate or high levels of SDM. In general, SDM metrics were highest just before surgery.

Age-related differences in psychopathology within sex chromosome trisomies.

Sex chromosome trisomies (SCTs) are a group of genetic disorders characterized by presence of a supernumerary sex chromosome, resulting in karyotypes other than XX or XY. These include XXX (Trisomy X), XXY (Klinefelter syndrome), and XYY (Jacobs syndrome). Sex chromosome trisomies have been linked to increased risk for psychopathology; however, this relationship warrants additional research. Specifically, little is known regarding potential age-related variation in risk for psychopathology and how this may differ across karyotypes and subdomains of psychopathology, which has relevance for psychoeducation, personalized care, and mechanistic research. Thus, we used the Child Behavior Checklist (CBCL) to estimate age-related variation in psychopathology in a large cross-sectional sample of individuals with SCTs (n = 201) and euploidic controls (n = 304) spanning the age range of 5-18 years. We found that elevations of psychopathology in SCT were significantly associated with age in a manner that varied as a combined function of the karyotype and CBCL scale being considered. Post hoc tests revealed there is a uniquely pronounced age-associated increase in severity of social problems in XYY, alongside a lack of statistical evidence for age-related variation in the severity of psychopathology for other CBCL domains and SCT karyotypes. Our findings are relevant for advancing the personalization of clinical assessment and monitoring in SCTs. They also highlight potential windows of dynamic risk emergence for closer clinical and biological study, as well as opportunities to provide intervention to mitigate future risk.

Understanding loneliness and its correlates among people with spinal cord injury

Purpose To conduct the first known comprehensive examination of loneliness and its correlates in a diverse sample of people with spinal cord injury (SCI). Methods A cross-sectional sample of 343 people with SCI provided responses to the 20-item UCLA Loneliness Scale–Version 3. We examined the relation of loneliness to measures of demographic, disability, physical health, and social characteristics. Results The majority (56%) of respondents had scores indicating high levels of loneliness. At least a quarter of respondents indicated that they often felt alone, left out, isolated, and lacking in companionship. At least a quarter rarely or never felt there were people who really understood them, with whom they could talk, and with whom they had a lot in common. In univariate analyses, loneliness was associated with several demographic, disability, and health characteristics suggesting potential risk factors. In multiple regression analyses, social characteristics (social integration, social support, satisfaction with social roles) were the most strongly associated with loneliness. Conclusions Our findings underscore the high prevalence of loneliness among people with SCI. Given the adverse health consequences of loneliness documented in the general literature, there is an urgent need for researchers, healthcare providers, and policy makers to address the loneliness crisis in this population.

Broadband S-Parameter-Based Characterization of Multilayer Ceramic Capacitors Submitted to Mechanical Stress Through Bending Tests on a PCB.

A full characterization of multilayer ceramic capacitors including variations in capacitance, series resistance, and series inductance is accomplished by measuring their RF response while being submitted to mechanical stress. This allows for the first time quantifying the degradation of the device's RF performance when cracks form within its structure. In this regard, the main challenge is designing an interface for measuring the high-frequency response of a capacitor using a vector network analyzer as a bending test on a PCB in progress, which is achieved here by using a microstrip-based test fixture. The results indicate that there is an overestimation of its response to microwave stimuli when considering only the degradation impact as a reduction in capacitance. Capacitors of representative sizes and capacitances are analyzed to show the usefulness of the proposal, whereas the validity of the results is verified by observing the correlation with measurements collected using microprobes and performing optical inspections of cross-sectioned samples.

Determinants of Domestic Violence during Pregnancy

Background: Due to the importance of the issue and the fact that up-to-date studies in this topic have not been conducted in Yazd city, the present research was conducted to investigate and determine the intensity and frequency of domestic violence among pregnant women. Methods: This was a cross-sectional and descriptive study and sampling was done by simple random method. pregnant women referred to health centers in Yazd in 2021 participated in the study. For the study, 246 pregnant women were selected from 3 health centers in Yazd city in 2021. The tool used for the study was the standard questionnaire known as the Revised Conflict Tactics Scales (CTS2). This questionnaire was utilized to assess domestic violence, measures of dispute resolution, and demographic characteristics. After inputting the data into the SPSS version 26, Mann-Whitney and Kruskal-Wallis non-parametric statistical tests were used for data analysis. Results: The results showed that the average age of women was 31.47 ± 7.68 with a minimum age of 17 and a maximum of 55. The severity and frequency of the types of violence were measured, and the types of violence in the extreme state related to physical, mental, sexual, and verbal violence and resulting in physical injury were found to be 10%, 25%, 7%, 10%, and 19% respectively. Violence against pregnant mothers showed a significant relationship with the economic status of the family, the age of the mother's marriage, the education level of the parents, and the duration of their marriage (p&lt;0.001). One of the most important variables affecting the severity and frequency of violence against pregnant women was the economic status of the family (p&lt;0.001). Conclusion: The findings of this study show a connection between education level, economic status, and the prevalence of domestic violence. It is suggested to prioritize the development of diverse communication and problem-solving skills, as well as education related to family behavior on a wider scope.

Personality Traits and Sociodemographic Variables' Effects on Parental Burnout During the Second and Fourth COVID-19 Waves in Italian Parents.

(1) Background: Since the COVID-19 pandemic was a source of stress for families, this study aimed to investigate the influence of dispositional factors, such as personality traits and sociodemographic variables, on parental burnout among Italian parents during two waves of the COVID-19 pandemic. Therefore, the study assessed personality traits and sociodemographic variables as protective or risk factors for parental burnout levels. (2) Methods: The study consisted of two cross-sectional samples collected during the second and fourth waves of the Italian pandemic. The participants included 600 Italian parents: 245 from the second wave (average age = 37.12, SD = 2.78) and 355 from the fourth wave (average age = 36.89, SD = 3.14). The measures used were the Balance between Risks and Resources, the Personality Inventory, and a sociodemographic questionnaire. (3) Results: The t-test showed that parents in the fourth wave had lower parental burnout levels. Moreover, stepwise multiple linear regression revealed that sociodemographic variables did not have an effect, while significant effects of personality traits were found. Specifically, neuroticism was identified as a risk factor for parental burnout, while agreeableness and openness were identified as protective factors. (4) Conclusions: The findings indicated that similar stress levels were reported between the two waves of parents and that personality traits play a crucial role in facilitating or limiting the management of parental competencies during a risk condition.

Inclusive School Policies and Practices and the Well-Being of LGBTQ + Students in Portugal

Abstract Introduction The school context can be particularly problematic for youth who identify as lesbian, gay, bisexual, trans, and queer or who hold other sexual and gender-minoritized identities (LGBTQ +). To address this issue, LGBTQ + inclusive policies and practices have been implemented in many schools around the world. Methods A cross-sectional sample of 989 LGBTQ + and cisheterosexual high school students residing in Portugal completed an anonymous online survey in 2020/21. Participants were asked about their perceptions of LGBTQ + inclusive policies and practices in their school, namely, an inclusive curriculum, comprehensive policies, and information and support regarding sexual orientation and gender identity in their school. We further examined associations between these perceptions and LGBTQ + student well-being (depression, resilience, and self-esteem). Results Perceptions of the existence of an inclusive school curriculum were lower among LGBTQ + students compared to their cisheterosexual peers. In addition, LGBTQ + students who perceived the curriculum as less inclusive were more likely to report higher levels of depression and lower levels of resilience and self-esteem. Conclusions The findings suggest that LGBTQ + students perceive the school curriculum to be less inclusive, and this is associated with poorer well-being. Policy Implications Concrete policies and practices that improve school climate and promote the well-being of LGBTQ + students are paramount. These may include awareness-raising activities for students and discussion of LGBTQ + issues in the classroom. Therefore, cultural competency training for school staff is essential.