Sexual Orientation Research Articles

Women's Experiences of Adult Sexual Assault, by Perpetrator Gender and Participant Sexual Orientation.

The vast majority of theoretical and empirical research assessing sexual assault (SA) focuses on man-against-woman SA (MWSA), leaving other forms such as woman-against-woman SA (WWSA) understudied. Relatively simple questions, such as the relative frequency of WWSA for women of different sexual orientations, the tactics (e.g., coercion, force), or forms (e.g., groping, vaginal penetration) employed in WWSA remain unanswered. To address these issues, 268 women (approximately one-third of each bisexual, lesbian, and heterosexual) completed an online survey reporting on whether or not they had experienced a variety of nonconsensual sexual experiences in their adult lifetime, asking specifically about perpetration by men and women. Results indicated that although SA perpetrated by men was far more common, a substantial minority of participants reported having experienced WWSA. In general, tactics and forms employed were similar, regardless of the gender of the perpetrator or the woman's sexual orientation, with two exceptions: bisexual women had experienced higher rates of MWSA, and lesbian women had experienced more SA in the form of oral sex compared to other groups. Implications for theory, empirical research, and especially community and clinical practice are discussed.

Postoj studentů sociální pedagogiky k homoparentálním rodinám

The paper is focused on the research of the attitude of the students of the Bachelor's and Master's degree programmes in social pedagogy from the J. E. Purkyně University in Ústí nad Labem, University of Ostrava and Masaryk University in Brno (N = 107) towards the issue of homoparental families and in a broader context towards homosexuality as such. Furthermore, we also focus on the students' perspective on how the issue of homoparental families is reflected in the educational content of the subjects in their curriculum. An accessible type of research sampling was used. The author's questionnaire constructed on the principle of Likert scales was used as a research instrument. The questionnaire includes items aimed at identifying attitudes towards gay marriage, the causes of homosexuality, the upbringing of children by homoparental parents, and the space devoted to this topic in the university training of future social educators. The data obtained were processed using descriptive methods of statistical analysis and further analyzed. The findings show that a significant majority of the respondents are in favour of homosexual couples receiving the same rights as heterosexual couples, including the possibility of marriage. Furthermore, the majority of respondents appear to be in favour of the naturalness of homosexual couples raising children. From the answers we can conclude that the students interviewed consider homosexuality as natural as heterosexuality and their attitudes are mostly positive.

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.

The Concept of Innate Sexual Priors in the Brain: A Theory on Why We Are Attracted to What We Are Attracted to

AbstractSexuality is an integral part of human nature, yet we know little about its origins and underlying mechanisms. Understanding how the brain processes sexual stimuli is crucial for advancing our knowledge of the origins of sexuality and its variations. Only if a stimulus was internally evaluated as ‘attractive’ the information can progress to evoke sexual desire or arousal. Importantly, such evaluation processes require an internal reference against which external information is compared. These processes, however, remain largely unexplored, and hence we still do not understand why we are attracted to what we are attracted to. By synthesizing the existing literature and integrating existing models, this narrative review proposes a novel neuroscientific framework on sexuality, addressing key theoretical gaps. As a result, the concept of sexual priors in the brain is introduced. Within this framework, sexual priors refer to mental ‘images’ representing a collection of internally stored information of what we regard as sexually attractive. Such mental representations act as reference in early internal evaluation processes of sexual stimuli. It is suggested that sexual priors are (partly) innate and sex-specific, contributing to heterosexuality. Evolutionary aspects that could explain the development of these priors are discussed. Furthermore, the framework provides possible explanations for variations in sexual orientation through potential cross-sex shifts in sexual prior content. The refinement of sexual prior content over time may explain the diversity of sexual interests and attraction patterns among humans. Moreover, the concept can be applied to a variety of psychiatric conditions related to atypical and maladaptive sexual behaviors. A proposition is put forward regarding brain areas and networks that may be involved in the formation of sexual priors, serving as potential targets for future research. In summary, by integrating sexual priors into models of sexual stimuli processing, this article fills theoretical gaps while inspiring further research. This work aims to enhance understanding of sexuality, which ultimately could increase social awareness, foster tolerance, and promote psychological well-being.

The psychology of life's most important decisions.

Research on judgment and decision making typically studies "small worlds"-highly simplified and stylized tasks such as monetary gambles-among homogenous populations rather than big real-life decisions made by people around the globe. These transformative life decisions (e.g., whether or not to emigrate or flee a country, disclose one's sexual orientation, get divorced, or report a sexual assault) can shape lives. This article argues that rather than reducing such consequential decisions to fit small-world models, researchers need to analyze their real-world properties. Drawing on principles of bounded and ecological rationality, it proposes a framework that identifies five dimensions of transformative life decisions: conflicting cues, change of self, uncertain experiential value, irreversibility, and risk. The framework also specifies simple, versatile choice strategies that address these dimensions by, for instance, breaking down a decision into steps, avoiding trade-offs between present and future selves, or sampling others' experiences. Finally, it suggests benchmarks for assessing the rationality of transformative life decisions. Methodologically, this framework adapts a long tradition of mainly lab-based judgment and decision-making research to a text-based approach, thereby setting the stage for empirical work that analyzes real-world decisions using natural-language processing. Only by understanding decisions with the potential to transform life trajectories-and people in the process-will it be possible to develop encompassing and inclusive theories of human decision making. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The association between minority stressors, intraminority stressors, and borderline personality disorder symptomatology among sexual minority men.

Sexual minority men are more likely to be diagnosed with borderline personality disorder compared to their heterosexual counterparts. Minority stressors have been associated with criteria for borderline personality disorder (e.g., substance use, suicidality, impulsive behaviors, and interpersonal difficulties with rejection). However, to date, there are no known studies examining the association between traditional minority and intraminority stressors and borderline personality disorder symptomatology. The purpose of the study is to examine the association between traditional and intraminority stressors and borderline personality disorder symptomatology among sexual minority men. Data were collected from 312 sexual minority men (Mage = 24.00, SD = 4.04) via Qualtrics panels across the United States. A hierarchical linear regression was conducted with borderline personality disorder symptomatology as the outcome variable. Minority stressors (i.e., internalized homophobia, sexual orientation concealment, major discrimination, and day-to-day discrimination) were entered in Step 1, and intraminority stress was entered in Step 2. In Step 1, both major and day-to-day discrimination were significantly positively associated with borderline personality disorder symptomatology. In Step 2, intraminority stress was significantly positively associated with borderline personality disorder symptomatology, and day-to-day discrimination remained significant. These findings warrant clinicians to evaluate both minority and intraminority stressors, which may be an additional risk factor in the development and/or maintenance of borderline personality disorder symptomatology. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Heterogeneous Associations Between Pandemic-Induced Socioeconomic Hardships and COVID-19 Vaccine Uptake by Sexual Orientation and Gender Identity: A Nationally Representative Analysis in the United States

Background/Objectives: Socioeconomic hardship during the COVID-19 pandemic was associated with lower vaccine uptake. Since the pandemic has exacerbated socioeconomic challenges faced by sexual and gender minority populations, including employment income loss, housing instability, food insufficiency, and household expense difficulty, this study investigated the disparities in COVID-19 vaccine uptake among these populations. Methods: Using the U.S. Census Bureau Household Pulse Survey, a nationally representative sample of 1,767,966 individuals (6% gay or lesbian, 4.2% bisexual, 1.6% something else, and 90.6% heterosexual respondents), we quantified the COVID-19 vaccine uptakes among sexual and gender minorities, as well as the effect measure modifications by socioeconomic hardships. Results: Despite higher vaccine uptake rates among sexual and gender minorities compared to their heterosexual counterparts, socioeconomic hardships triggered by the pandemic among these populations were associated with decreased vaccine uptake. Importantly, the effect measure modifications by socioeconomic hardships were more pronounced among sexual and gender minority status compared to heterosexual individuals. Conclusions: These results highlight the critical need to address socioeconomic hardships among sexual and gender minorities to enhance vaccine uptake, along with the pre-existing and exacerbated social and economic disadvantages during the COVID-19 pandemic.

Religiosity, perceived family support, and gender disclosure of LGBTQ + medical students in Thailand.

The well-being of LGBTQ + medical students can be influenced by religiosity, family support, and the disclosure of their gender identity or sexual orientation. These factors have frequently been overlooked and warrant further consideration in creating a supportive environment for all students. This multicenter study investigated two main outcomes including the differences in religiosity and perceived family support between LGBTQ + and non-LGBTQ + medical students in Thailand, and the gender disclosure to family among LGBTQ + medical students. It was conducted among students from five medical schools across Thailand, using online questionnaires during the academic year 2021-2022. Data were collected on demographic characteristics, religiosity, gender identity/sexual orientation disclosure to family, and perceived family support. Comparisons between groups were conducted using chi-square test and Wilcoxon rank-sum test. Of the 1,322 participants, 31.2% identified themselves as LGBTQ+, among whom 81.8% were Buddhists. The proportion of non-religious LGBTQ + students was significantly higher (vs. non-LGBTQ+; 15.0% vs. 8.4%, respectively; p = 0.001). However, there was no statistical difference in religiosity between LGBTQ + and non-LGBTQ + students as well as between LGBTQ + subgroups. Although, 74% of LGBTQ + students reported good family support, significantly more LGBTQ + students perceived poor family support (vs. non-LGBTQ+, 7.0% vs. 4.7%; p = 0.002). Regarding the disclosure of gender identity or sexual orientation to the family, the majority of LGBTQ + individuals indicated either a non-disclosure or uncertainty. There were significant associations between perceived family support and the likelihood of disclosing one's identity to family members, as better perceived support was associated with higher disclosure rates. No statistically significant difference in religiosity was found between LGBTQ + and non-LGBTQ + students. The majority of LGBTQ + medical students reported receiving good family support; however, among those who perceived their family's support to be lacking, there was a greater tendency to conceal their gender identity from their families. For future studies, it is crucial to investigate whether this concealment extends to other spheres of their lives and to assess the potential impact on their well-being, including mental health and quality of life.

Academic Physician and Trainee Occupational Well-Being by Sexual and Gender Minority Status.

Few studies have explored the association between sexual and gender minority (SGM) status and occupational well-being among health care workers. To assess the prevalence of burnout, professional fulfillment, intent to leave, anxiety, and depression by self-reported SGM status. This cross-sectional survey study collected data from October 2019 to July 2021, from 8 academic medical institutions participating in the Healthcare Professional Well-Being Academic Consortium. The survey, including questions on SGM status, was administered to attending physicians and trainees. Statistical analyses were performed from June 1, 2023, to February 29, 2024. SGM status was determined via self-reported sexual orientation and gender identity. Primary outcomes measured were the Professional Fulfillment Index (burnout and professional fulfillment), intent to leave, and self-reported anxiety and depression using the Patient-Reported Outcomes Measurement Information System short-form 4-item measure. Of 20 541 attendings and 6900 trainees, 8376 attendings and 2564 trainees responded and provided SGM status. Of these respondents, 386 attendings (4.6%) and 212 trainees (8.3%) identified as SGM. Compared with their non-SGM peers, SGM attendings had a lower prevalence of professional fulfillment (133 of 386 [34.5%] vs 3200 of 7922 [40.4%]) and a higher prevalence of burnout (181 of 382 [47.4%] vs 2791 of 7883 [35.4%]) and intent to leave (125 of 376 [33.2%] vs 2433 of 7873 [30.9%]) (all P < .001). Compared with their non-SGM peers, SGM trainees had a lower prevalence of professional fulfillment (63 of 211 [29.9%] vs 833 of 2333 [35.7%]) and a higher prevalence of burnout (108 of 211 [51.2%] vs 954 of 2332 [40.9%]) (both P < .001). After adjusting for age and race and ethnicity, SGM attendings had higher odds of burnout than their non-SGM peers (adjusted odds ratio, 1.57 [95% CI, 1.27-1.94]; P < .001). Results for burnout were similar among the SGM trainees compared with their non-SGM peers (adjusted odds ratio, 1.47 [1.10-1.96]; P = .01). In this cross-sectional survey study of academic physicians and trainees, SGM attendings and trainees had higher levels of burnout and lower levels of professional fulfillment. SGM attendings had greater intent to leave than their non-SGM peers, but trainees did not. These disparities represent an opportunity for further exploration to retain SGM health care workers.

Beyond Lip Service: Decolonizing Children's Literature for Promoting Racial Pride, Equity, Achievement, and Liberation (REAL)

Children in P-12 schools are growing up in racially tumultuous times, despite the promises of desegregation since Brown vs. Board of Education. Multicultural education, included under the umbrella of equity, diversity, and inclusion, is under attack and illegal in an increasing number of school districts. Advanced placement in Black history and psychology courses and the use of diverse literature written for children and young adults have been banned by many school districts nationally. Educators are being threatened, sanctioned, reprimanded, and fired. Despite this, some teachers stand steadfast in their commitment to pedagogies that use authentic, high-quality literature about and by minoritized scholars. In this publication, I discuss the importance of gifted and talented education (GATE) students being taught Black history and culture that centers diverse literature that recognizes, respects, and celebrates similarities and differences within and across cultures including ethnicity, nationality, age, gender, gender expression, sexual orientation, socioeconomic status, physical, cognitive and emotional ability, geographic location, language, and religion. Many GATE students are avid readers and like other students, they benefit from an education that includes diverse literature. Further, I use Racial Pride, Equity, Achievement, and Liberation (REAL) to underscore the monumental need for multicultural literature due to its multitude of benefits to Black and other minoritized students. In other words, children's literature can and must be decolonized, which is supported by Bishop’s metaphor of “mirrors, windows, and sliding glass doors.”

Sexual experiences, attitudes, enjoyment and regret in the parent and offspring generations of the Avon Longitudinal Study of Parents and Childhood (ALSPAC): 2022 data sweep.

The aim of this data note is to describe data collected in 2022 on sexual history, attitudes, enjoyment and regret. Data were collected from mothers (age range 47–75 years (mean 60.0), n = 4653) their partners (age range 47-83 years (mean 62.9), n= 1945) and offspring (aged ~30 years, females n= 2702, males n=1366) in the Avon Longitudinal Study of Parents &amp; Children (ALSPAC). Many of the questions asked are identical, or similar, to those collected in the British NATSAL (National Surveys of Sexual Attitudes &amp; Lifestyles) surveys. Repeating the same questions in both ALSPAC generations allows for direct inter-generational comparisons within ALSPAC as well as across studies. Areas covered include age at sexual debut; having drunk alcohol, used drugs or contraception at sexual debut; the circumstances under which participants met their first sexual partner; sexual orientation; the Brief Sexual Attitudes Scale; regret at first sexual experience, lifetime experiences of sexual regret and the degree of regret, as well as the reason(s) for that regret; number of sexual partners both in the last two years and over their lifetime; current frequency and enjoyment of sex. ALSPAC provides a rich resource of data collected on a wide variety of topics including details of the participants’ environment, lifestyle, physical and mental health over the life span, including sexual experiences collected retrospectively from the parents, and from the age of 11 in the offspring. There are thus many opportunities for research on a wide variety of topics related to risky sexual behaviours, sexual health, functioning and well-being.

Dogs on Film: Status, Representation, and the Canine Characters Test

The representation of animals in cinema and television reflects and reinforces dominant ideologies and traditional stereotypes. While popular culture often legitimizes prevailing social norms and existing power relations, it can also reflect shifting cultural attitudes about traditional axes of inequality such as race, gender, class, sexual orientation, disability, and species. Representations of canine characters incidentally embedded in family life provide a unique lens through which to consider the evolving cultural and legal status of dogs and their place in multispecies families. This article introduces a Canine Characters Test, similar to the Bechdel Test used to measure the representation of women in movies, to critically evaluate the representation of dogs in film and television. Applying the test and its four criteria—Role in Narrative, Agency, Language, and Animality—to two examples, this article argues that portrayals that pass the test support a positive shift in social norms regarding dog–human relationships, which in turn bolsters efforts to elevate dogs’ status under the law. Benevolent speciesism, authenticity, and problematic tropes such as vanishing, ornamental, and miraculous canines are also discussed.

Abstract 4125263: Influence of sexual orientation-related nondiscrimination laws on 30-year CVD risk among sexual minority and heterosexual adults

Introduction: Discriminatory policies are associated with worse mental health and substance use outcomes among sexual minority adults. Despite a higher risk of cardiovascular disease (CVD) than heterosexual adults, there is limited evidence on structural determinants of cardiovascular health among sexual minority adults. Therefore, we examined whether changes in sexual orientation-related nondiscrimination laws were associated with 30-year CVD risk among sexual minority and heterosexual adults. Hypothesis: We hypothesized that changes in sexual orientation-related nondiscrimination laws would be more strongly associated with 30-year CVD risk among sexual minority adults relative to exclusively heterosexual adults. Methods: We used longitudinal data from Waves III (2001-2002), IV (2008-2009), and V (2016-2018) of the National Longitudinal Study of Adolescent to Adult Health. We assessed changes in four state-level sexual orientation-related nondiscrimination laws (i.e., employment discrimination, same-sex marriage, hate crime statutes, and same-sex adoption) between Waves III and IV. Changes in sexual orientation-related nondiscrimination laws were categorized as unchanged (reference), improved, or worsened. We assessed 30-year CVD risk using the Framingham Risk Score at Wave V. We ran sex-stratified linear regression models adjusted for demographic factors to examine whether the association between change in nondiscrimination laws with 30-year CVD risk was moderated by sexual orientation (i.e., exclusively heterosexual, mostly heterosexual, homosexual/bisexual). Results: The sample included 3,827 participants with a mean age of 28.7 (±1.75) years, of whom 83.1% identified as exclusively heterosexual, 51% as female, and 15% as Black. Compared to heterosexual participants of the same sex, an improvement in nondiscrimination laws was associated with lower 30-year CVD risk among mostly heterosexual women (B -4.57, 95% CI = -8.06, -1.08) and homosexual/bisexual men (B -10.91, 95% CI = -19.33, -2.49). In contrast, compared to exclusively heterosexual women, a worsening of nondiscrimination laws was associated with higher 30-year CVD risk among homosexual/bisexual women (B 5.26, 95% CI = 0.30, 10.21). No differences were found between mostly heterosexual and exclusively heterosexual men. Conclusions: Findings suggest that efforts to enhance policies prohibiting sexual orientation-related discrimination may significantly reduce CVD risk among sexual minority adults.

Barriers to Cancer Care in the LGBTQ+ Community.

Individuals that identify as lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA) make up a medically underserved population, that experience disparities in cancer care. Specific cancer incidence and mortality in this population is understudied, as national cancer registries and cancer surveys have limited data about sexual orientation or gender identity. The LGBTQIA community face disparate cancer outcomes in prevention, screening, diagnosis, and treatment due to barriers that limit access to cancer care. To better understand these concerns, we will take a deep dive into the three primary barriers that prevent access to cancer care: personal, provider and systems barriers.

Virtual reality exposure therapy for sexual aversion: a proof-of-concept study on acceptability, adequacy, and clinical effects.

Sexual dysfunctions impair theintimate relationships of up to one-third of the population. Virtual reality (VR) offers innovative treatment options for both mental and sexual disorders, such as female orgasmic disorder and erectile disorder. Sexual aversion disorder (SAD)-the anxiety, disgust, and avoidance of sexual contexts-is a chronic condition commonly treated with anxiety-reducing strategies, such as exposure-based therapy. Despite exposure's efficacy in reducing SAD symptoms, VR exposure therapy's (VRET) effectiveness remains unexplored for this condition. This proof-of-concept study examines the acceptability, adequacy, and clinical effects of a VRET's simulation protocol for SAD. In the laboratory, 15 adults suffering from SAD (Mage = 35.00; SD = 11.36) viewed 15 virtual sexual scenarios of increasing intensity (eg, flirting, nudity, genital stimulation) adjusted to their sexual preferences and gender identities. Levels of anxiety, disgust, and catastrophizing beliefs were measured throughout the scenarios using standard self-report measures. Participants also completed validated questionnaires on sexual presence and simulation realism, as well as open-ended questions on scenarios' representativeness and adequacy immediately after immersion. Six months after the laboratory visit, participants completed a negative effects questionnaire and were screened for SAD symptoms again. Repeated-measures ANOVAs and descriptive analyses were performed. Levels of anxiety and disgust significantly increased with the intensity of sexual scenarios. Catastrophizing levels were high and tended to augment with increasing exposure levels. A significant reduction in symptoms of SAD was found from pre-simulation to the 6-month follow-up assessment. Sexual presence and realism scores were moderate. Qualitative assessment revealed that all participants reported the sexual scenarios were representative of real-life situations that tend to elicit SAD symptoms for them. Reported negative effects were generally mild. This proof-of-concept study suggests that VRET may have the potential to elicit self-reported emotional and cognitive manifestations of SAD (sex-related anxiety, disgust, and catastrophizing), while also hinting at its acceptability, adequacy, and benefits in alleviating SAD symptoms. While this study marks the first exploration of the clinical relevance of gender-inclusive virtual sexual scenarios for SAD, its design and sample composition may impact observed effects and the generalizability of findings. This study invites future clinical trials to assess VRET efficacy for SAD.

The effectiveness of couples' lifestyle interventions on weight change: A systematic review and meta-analysis of Randomised Controlled Trials.

Introduction: Lifestyle interventions aiming to reduce excess body weight have been focusing on individuals living with overweight or obesity. However, many health-related behaviors including eating are concordant in couples indicating they might share an obesity risk or support each other's weight loss efforts. Aim: The aim of this systematic review and meta-analysis of randomized controlled trials was to assess the weight change effects of lifestyle interventions targeting couples in a romantic relationship regardless of marital status or sexual preference compared to individuals or no intervention. Methods: Four databases (MEDLINE Ovid, Scopus, CINHAL, and mySearch: EBSCO-Discovery-Service-Tool) were systematically searched from inception until 26th April 2021 with further email alerts. The risk of bias was assessed using the Critical Appraisal Skills Programme. Meta-analysis was conducted using the random-effect model to estimate the weighted mean difference with 95% confidence interval. Results: Seventeen studies were eligible for this review and 11 of them were included in the meta-analysis for weight change. Significant intervention effects were identified for body weight in couples' intervention vs. individual intervention (-2.25 kg, 95% CI-3.63 to-0.88), and vs. no intervention (-4.5 kg, 95% CI-6.62 to-2.38). Conclusion: This systematic review and meta-analysis was the first to investigate the effectiveness of lifestyle interventions targeting couples on weight loss, compared to interventions focused on individuals or standard care. The findings suggest that interventions aimed at couples lead to greater weight loss, though the results should be interpreted with caution due to the wide heterogeneity among the studies. Further research is needed with evidence-based study designs, targeting younger participants, and incorporating longer intervention durations and follow-up periods.

The Sustainable Development Goals of the Commodity Economy Deeply Influence the Diversity of Sexual Life

Human sexuality is different from other species in nature in that it is creative, accessible, and responsible; however, it is this creativity that makes sexual life differentiated, and sexual orientations become rich and diverse. Discrimination against people is not only about occupation, income, sexuality, or gender becomes discrimination against people. To achieve the goal of sustainable development, there is no discrimination against people, so this content is approached from the methodology of human philosophy and social philosophy, at the same time combining qualitative methods to analyze, synthesize, compare, contrast, and reverse to clarify the transformation of sexual life in the commodity economy. The result of this content is to explain that human sexual life is creative; it depends on the object of satisfaction. Sex does not depend on space, time, or specific objects, but occupation, goods, and money also govern the market economy. The conclusion of the article affirms that life is human satisfaction. Sexual satisfaction is not only human instinct but also human creativity. Human satisfaction differs from satisfaction with things without humans, which is satisfaction with loneliness, isolation, and unhappiness. Humans become different types of goods serving the life of money, posing a challenge to the goal of sustainable development in the commodity economy. However, there must be practical solutions to survive and maintain the race, bringing humans back to a creative sexual life and responsible reproduction to achieve the goal of sustainable development in the commodity economy.

Predictors of Trauma Symptoms in Adults Living with HIV: The Role of Social Connectedness and Sexual Orientation

Human immunodeficiency virus (HIV) has claimed over 740,000 lives in the United States since the 1980s, and further brought a host of mental health concerns, including posttraumatic stress disorder (PTSD), primarily brought on by the discrimination and stigma felt by people living with HIV (PLWHA). Social connectedness may serve as a buffer to the trauma often felt by PLWHA. However, rejection and discrimination can limit access to this needed support, especially for sexual minorities living with HIV. The present study (N = 396) examined relationships between social connectedness, trauma symptoms, and sexual orientation for PLWHA. Results showed that social connectedness was a significant predictor of trauma symptoms within the sample, while sexual orientation did not hold a significant relationship with these symptoms. Clinical implications for professional counselors are discussed.

LGB and Religious Identities Integration: A Cluster Analysis Using Well-Being, Openness of Sexual Orientation, and Conflicting Religious Variables

LGB and Religious Identities Integration: A Cluster Analysis Using Well-Being, Openness of Sexual Orientation, and Conflicting Religious Variables

Between worlds: Cis-and trans-identifying diaspora Middle Eastern and North African (MENA) women in Ontario, Canada on the intersections of gender, sexuality and sexual health.

Youth Sexual Health and HIV/STI Prevention in Middle Eastern and North African Communities (YSMENA) is the first community-based research study in Canada to explore key determinants of sexual health among diaspora Middle Eastern and North African (MENA) women living in Canada. Our objectives were to identify the factors influencing sexual health for MENA youth and grow an evidence base to strengthen the sexual health response for MENA communities. Using mixed- method design, data were gathered through a quantitative socio-demographic survey and qualitative focus groups with 24 women-identifying MENA youth (16-29 years) living in Ontario, Canada. Six (6) focus groups were held virtually via Zoom, with heterosexual, lesbian, bisexual and queer (LBQ), and trans women. Members of each group participated in two sessions as per the sequential critical dialogical method and transcripts were coded in NVIVO. While participants identified with diverse sexual orientations and across the trans-feminine gender spectrum, key commonalities surfaced, namely the pressures to conform to familial expectations and the barriers faced when accessing healthcare. The trans group experienced compounded levels of exclusion given their unique positioning. Although the challenges faced by the group were deeply entrenched in patriarchy, heteronormativity and internalized shame, many participants demonstrated resilience and self-acceptance that enabled them to forge pathways to health. Findings have important and valuable implications for community-based health programs targeting MENA women as well as healthcare practitioners and service providers.