Sexual Identity Research Articles

Perspectives and experiences regarding pre-exposure prophylaxis (PrEP) in a community sample of Veterans with unhealthy alcohol use: overall and across sexual orientation and gender identity

BackgroundUnhealthy alcohol use is an independent, modifiable risk factor for HIV, but limited research addresses alcohol use and HIV prevention synergistically. Groups that experience chronic stigma, discrimination, and/or other marginalization, such as sexual and gender minoritized groups, may have enhanced HIV risk related to unhealthy alcohol use. We described awareness of and experiences with pre-exposure prophylaxis (PrEP) among a community sample of Veterans reporting unhealthy alcohol use (relative to those without), overall and across self-reported sexual orientation and gender identity.MethodsUsing data collected from a national online survey of Veterans recruited via Facebook ads, community organizations, and listservs, we assessed variation in four PrEP outcomes (knowledge, experience, willingness, and conversations with doctors) across patterns of unhealthy alcohol use among all respondents reporting any lifetime drinking (n = 1,041) and then within sexual orientation and gender identity groups using Chi-square or Fisher’s exact tests.ResultsAmong 1,041 eligible Veterans, 440 (42%) screened positive for unhealthy alcohol use. Veterans with unhealthy alcohol use were not more likely to have heard of PrEP (58.2% vs. 55.4%, p = 0.37), but trended toward more likely to have taken PrEP (7.5% vs. 5.0%, p = 0.09), to be willing to take PrEP (30.5% vs. 27.6%, p = 0.06), and to have spoken with a doctor about PrEP (11.4% vs. 7.7%, p = 0.04). Those with heavy episodic drinking also trended toward higher prevalence of PrEP awareness (60.0% vs. 54.6%, p = 0.09), and were more likely to have taken PrEP (8.3% vs. 4.7%, p = 0.02), to be willing to use PrEP (34.6% vs. 25.5%, p < 0.01), and to have had conversations with doctors about PrEP (12.7% vs. 7.2%, p < 0.01). Similar patterns were observed for severe unhealthy alcohol use and past-year frequent heavy episodic drinking. Generally, sexual/gender minoritized Veterans with unhealthy alcohol use reported more PrEP-affirming responses than those without but associations with unhealthy alcohol use were similar.ConclusionsUnhealthy alcohol use was prevalent, particularly among Veterans with minoritized sexual orientation/gender identity, but not clearly linked to increased PrEP-literacy and use despite its known status as an HIV risk factor. Across groups, > 25% of individuals were willing to take PrEP. Interventions targeting both alcohol use and HIV prevention should capitalize on this.

Establishing measurement equivalence of a youth-reported parental monitoring measure across sex, race/ethnicity, and intersectional identity.

Parental monitoring is a robust family-level predictor of youth well-being. Identification of variations by gender and/or race/ethnicity in parental monitoring has important implications for tailoring parenting practices. However, valid comparisons can only be conducted if cross-subpopulation measurement equivalence is established. Although measurement equivalence testing is widely used, it rarely (a) assesses intersectional identity (i.e., identity reflecting multiple factors such as race/ethnicity and gender) or (b) involves generating scores adjusted for nonequivalence. This is the first known study to do both with a parental monitoring measure. Measurement equivalence by sex (proxy for gender), race/ethnicity, and intersectional identity (sex by race/ethnicity) was assessed in the five-item Parental Monitoring Questionnaire administered to middle-school-aged Black, Latinx, and White girls and boys. Data were drawn from the second follow-up of the Adolescent Brain Cognitive Development Study (n = 9,082; 47.5% female, 52.5% male; 15.5% Black, 22.9% Latinx, 61.6% White). Moderated nonlinear factor analysis was used to identify group differences in item-level (intercepts and loadings) and factor-level (mean and variance) parameter estimates for a latent parental monitoring variable and subsequently to generate factor scores accounting for measurement nonequivalence. Intercepts or loadings for four items differed by sex, race/ethnicity, and/or intersectional identity. Factor mean and variance differed by race/ethnicity. Comparisons across the six groups using adjusted (factor) scores differed substantially from comparisons using unadjusted scores, underscoring the impact of systematic measurement bias on the valid assessment of parental monitoring in girls and boys who identify with these racial/ethnic groups. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Patterns of Social Support and LGBTQ + Community Involvement Among Gay, Bisexual, and Other Men Who Have Sex with Men in Australia and Their Effect on HIV-Related Outcomes: A Latent Class Analysis.

Peer support from social networks of gay, bisexual, and other men who have sex with men (GBMSM) has been recognised as a critical driver of engagement with HIV prevention. Using data from an online cross-sectional survey of 1,032 GBMSM aged 18 or over in Australia, a latent class analysis was conducted to categorise participants based on social support, LGBTQ + community involvement, and social engagement with gay men and LGBTQ + people. Comparisons between classes were assessed using multivariable multinomial logistic regression. Participants were allocated into four classes: 'Gay men focused' (n = 293, 28.4%) with high levels of support from gay men, 'High and diverse' (n = 75, 7.3%) with high support from people with a range of gender and sexual identities, 'Moderate overall' (n = 177, 17.2%) who reported some support from all sources, and 'Low overall' (n = 487, 47.2%) who had low support. Lifetime HIV testing was lower in the 'Low overall' (78.0%) and 'Moderate overall' (81.9%) classes compared to the 'Gay men focused' (96.9%) and 'High and diverse' (93.3%) groups. Among non-HIV-positive participants (n = 971), lifetime PrEP use was lower in the 'Low overall' (28.9%) than the 'Gay men focused' group (56.2%) but similar in the 'High and diverse' (59.7%) and 'Moderate overall' (37.5%) groups. Greater levels of social engagement with gay men and LGBTQ + people were associated with higher levels of HIV testing and PrEP use. Interventions are needed to reach GBM who are less engaged with GBMSM networks or LGBTQ + communities.

Which best “identifies” you? Deconstructing researchers’ decisions on sexual identity categories and labels in bi+ college student scholarship.

Which best “identifies” you? Deconstructing researchers’ decisions on sexual identity categories and labels in bi+ college student scholarship.

Sexual identity, sexual behavior, and drug use behaviors among people who use drugs in the rural U.S.

People who use drugs (PWUD) are at risk of HIV infection, but the frequency and distribution of transmission-associated behaviors within rural communities is not well understood. Further, while interventions designed to more explicitly affirm individuals' sexual orientation and behaviors may be more effective, descriptions of behavior variability by orientation are lacking. We sought to describe how disease transmission behaviors and overdose risk vary by sexual orientation and activity among rural PWUD. From 01/2018-03/2020, rural PWUD participating in the Rural Opioid Initiative were surveyed across 8 sites. Collected data included: demographics; experiences with drug use, overdose, and healthcare; stigma; gender identity; and sexual orientation and partners. Participants were categorized as: monosexual by orientation and behavior (Mono-only), monosexual by orientation but behaviorally bisexual (Mono/Bi), and bisexual by orientation (Bi+). Analyses included descriptive summaries, bivariate examination (chi-square), and logistic regression (relative risk [RR] and 95 % confidence interval [CI]). The 1455 participants were 84.8 % Mono-only, 3.2 % Mono/Bi, and 12.0 % Bi+. Compared to Mono-only men, Mono/Bi and Bi+ men had greater risk of transactional sex (RR = 9.71, CI = 6.66-14.2 and RR = 5.09, CI = 2.79-9.27, respectively) and sharing syringes for injection (RR = 1.58, CI = 1.06-2.35 and RR = 1.85, CI = 1.38-2.47). Compared to Mono-only women, Mono-Bi and Bi+ women had greater risk of transactional sex (RR = 4.47, CI = 2.68-7.47 and RR = 2.63, CI = 1.81-3.81); and Bi+ women had greater risk of sharing syringes for injection (RR = 1.49, CI = 1.23-1.81), sharing syringes to mix drugs (RR = 1.44, CI = 1.23-1.69), and experiencing an overdose (RR = 1.32, CI = 1.12-1.56). Bi+ men and women both more frequently reported selling sex as a source of income (versus Mono-only, both p < 0.050) and measures of perceived stigma (all p < 0.050). Rural PWUD who are bisexual by orientation or behavior are significantly more likely to engage in behaviors associated with infectious disease transmission and to experience stigma and drug overdose. Given the growing recognition of bisexuality as a distinct orientation that warrants individualized consideration, interventions that are specifically acknowledging and affirming to the circumstances of this group are needed.

‘She Is Like Your Favourite Aunt’

Abstract This article draws on accounts of how Ethiopian Orthodox Christian queer women relate to Saint Mary to foreground an aspect of intimacy that goes beyond the object of sexual desire. By studying relationships with nonhuman agents such as saints, the article demonstrates how queer subjects cultivate intimacies that go beyond and outside the dominant way of relating to the deities. In queer women’s praxis, intimacy’s formations and manifestations expose the lurking shades and shadows of intimacy and complicate what seems to be an accepted norm that dictates how to be close to Saint Mary. Further, by highlighting the spiritual life of queer women, this article joins the scholarship that problematises the assumption that religious and sexual identities are (or should be) mutually exclusive.

Boy’s love fans versus non-fans in the sexual identity and neural response in the digital age’s young females

With the omnipresence of online social media, Boys’ Love (BL) culture has found a burgeoning audience among young females. However, we know very little about the audience of this online cultural phenomena, also the potential implications of BL culture to female remain under-explored. Study 1 conducted a survey to investigate the BL audience’s demography data and attitudes to homosexual ect. The results of the questionnaire analysis showed that the sexual orientation and psychological gender of the female BL audiences are more diverse. In addition, we also find the audience spend a lot of time on BL. Study 2 focused on the BL senior fans to explore the neural and behavioral response of female while looking at Boys’ Love(BL) stimuli and Heterosexual love stimuli by fNIRS. Behavioral results showed that there was no main effect of reaction time and accuracy between the BL-fans and non-BL-fans. Neural results confirmed that the Oxy-Hb responses for BL-love stimuli in BL-fans was significantly lower than the non-BL-fans. In addition, the interaction effect showed that the Oxy-Hb responses was significantly higher for BL-love stimuli than for heterosexual love stimuli in non-BL-fans, and no difference was found in BL-fans. This finding, maybe along with the discovery that the more pornography a person was exposed to, the higher the brain dopamine threshold, and the subsequent weakening of the neural response to sexual stimulation. The research leads to the conclusion that long term exposed to Boys’ Love may decrease the reward sensitivity to BL stimuli and weakens the brain’s response of the right ventrolateral prefrontal cortex (rVLPFC) to BL stimuli.

Supplemental Material for Establishing Measurement Equivalence of a Youth-Reported Parental Monitoring Measure Across Sex, Race/Ethnicity, and Intersectional Identity

Supplemental Material for Establishing Measurement Equivalence of a Youth-Reported Parental Monitoring Measure Across Sex, Race/Ethnicity, and Intersectional Identity

How it affects me: the effects of arguments in public debates on marriage equality for young people in Taiwan

How do arguments in public debates regarding same-sex marriage affect young people? The literature has suggested three possible effects. These debates may affect young people, regardless of their sexual identities, due to the fact that young people widely share a set of values pertaining to human rights and equality (H1). These debates may affect sexual minority individuals more strongly than heterosexual individuals because the arguments used in such debates are targeted at sexual minority individuals (H2). Alternatively, these debates may affect positive and negative outcomes in different ways depending on the nature of the arguments (H3). Two experimental studies (N = 92 and N = 411) were conducted in Taiwan with the goal of testing these three hypotheses. The evidence revealed by these studies largely supported the first hypothesis. The effects observed were similar across young people with different sexual identities and various types of outcomes: reading arguments in support of same-sex marriage increased positive emotions (in both studies) and reduced negative emotions (in Study 2) in comparison with a control condition. Further implications regarding young people's responses to social changes are discussed.

Students as key allies in combating school bullying: Leveraging peer perspectives to recognize victimization in high-risk groups.

Bullying in schools remains a critical issue, and teachers often struggle to identify students at risk of victimization. This study explores the prevalence of various forms of bullying among high-risk groups in Taiwanese schools, using peer perspectives to gain insight. A total of 1,732 students (734 males and 998 females) participated in a survey that measured 10 common types of bullying, assessing both students' perceptions and the actual frequency of occurrences over the past 6 months. The multidimensional Rasch model (Kelderman, 1996) was employed to analyze the alignment between students' perceptions of bullying and their actual experiences in school. The study produced three key findings: (a) Students with "personality or behavioral problems" were most likely to be bullied, followed by those with "abnormal appearance" and "hygiene problems." (b) Peer reports on bullying behavior were generally accurate in identifying victims. (c) In assessing bullying related to "sexual orientation or gender identity," there was a discrepancy between perceived peer views and the actual frequency of such bullying. These findings suggest that students can be crucial in combating school bullying. Stakeholders involved in prevention efforts should focus on students with personality or behavioral problems, as they are particularly vulnerable to victimization, which can perpetuate the cycle of bullying. In addition, schools should incorporate peer feedback to enhance their strategies for identifying and preventing bullying.

Exploring Social-Ecological Pathways From Sexual Identity to Sleep Among Chinese Women: Structural Equation Modeling Analysis.

Women and sexual minority individuals have been found to be at higher risk for experiencing poor sleep health compared to their counterparts. However, research on the sleep health of sexual minority women (SMW) is lacking in China. This study aimed to examine sleep quality and social support for Chinese women with varied sexual identities, and then investigate the in-depth relationships between sexual identity and sleep. This was a cross-sectional web-based survey. All participants completed a structured questionnaire containing a set of sociodemographic items referring to the social-ecological model of sleep health, the Pittsburgh Sleep Quality Index, the Social Support Rating Scale, and social relationships and environment domains of the World Health Organization Quality of Life-abbreviated short version. Pearson correlation coefficients were used to examine the relationship between sleep quality and social support as well as the two domains of quality of life. Structural equation modeling analysis was used to explore the social-ecological relationships. A total of 250 cisgender heterosexual women (CHW) and 259 SMW were recruited from July to September 2021. A total of 241 (47.3%) women experienced poor sleep quality and the rate was significantly higher in SMW than in CHW (55.2% vs 39.2%, P<.001). Around one-fifth of SMW reported low levels of social support, which was significantly higher than that of CHW (21.6% vs 5.6%, P<.001). Pearson correlations showed that overall sleep quality was significantly negatively associated with social support with weak correlations (r=-0.26, P<.001). The final structural equation modeling analysis with satisfactory fit indices identified 6 social-ecological pathways, showing that alcohol use, objective support, utilization of support, and perceived social relationship and environment quality of life played important roles in the sleep quality of individuals from their sexual identity. SMW experienced poorer sleep quality compared to CHW. Further research is recommended to address the modifiable factors affecting sleep and then implement tailored sleep improvement programs.

Sexual Minority Stress: Preliminary Evidence of Accelerated Pubertal Development in Early Adolescence.

Societal stressors place a tremendous burden on individuals who identify with a sexual minority identity. While minority stress experienced by racial/ethnic minority groups has been linked to accelerated aging, this link has yet to be examined among sexual minority youth. This study explores whether sexual minority youth who indicate experiencing stress at home or school (Minority Stress) due to their identity show evidence of accelerated aging (pubertal status or tempo) compared to those who do not report such experiences (No Minority Stress). Data are from the Adolescent Brain Cognitive Development (ABCD) Study. Participants were approximately 9-10 years old at baseline, 10-11 years old at Time 1, and 11-12 years old at Time 2. Measures included child-reports of sexual minority identity and stressors, and parent-reports of adolescent pubertal development. Among 432 included participants who identified with a sexual minority identity, 83.6% were assigned female at birth and 24.8% were in the Minority Stress group. There were consistent results showing that sexual minority youth in the Minority Stress group showed accelerated pubertal status over time compared to those in the No Minority Stress group. Pubertal tempo (i.e., slope) was only accelerated for those who first identified as sexual minority at Time 2. Our findings underscore that minority stress experienced by sexual minority youth may be linked to differences in pubertal development among these youth. The developmental and clinical implications of these patterns present critical lines for future research concerned with the wellbeing of sexual minority youth.

The demography of sexual identity development and disclosure among LGB people in Europe

The demography of sexual identity development and disclosure among LGB people in Europe

Which comes first, puberty or identity? The longitudinal interrelations between pubertal timing and sexual minority self-identification among early adolescents.

Sexual minority adolescents experience puberty earlier than their heterosexual peers. Early puberty is an indicator of premature aging and can be partly driven by chronic stress linked to discrimination. Nonetheless, the neural, cognitive, and social development linked to puberty enables adolescents to explore and understand their sexual identities. For sexual minority youth, does the stress from identity-based discrimination make them more likely to experience advanced pubertal timing, or is early pubertal timing the impetus for their self-identification with a sexual minority identity? To answer this research question, the present study leveraged longitudinal and national data to test the temporal ordering between sexual minority self-identification and pubertal timing among one sample of 7,818 unrelated adolescents and another sample of 4,050 adolescent siblings nested across 1,989 households in the United States. Across both samples, results illustrated significant bidirectional relations between pubertal timing and sexual minority self-identification. Adolescents who self-identified as sexual minorities experienced more advanced pubertal timing 1 year later, and adolescents who experienced more advanced pubertal timing were more likely to identify as sexual minorities 1 year later. While the longitudinal link between pubertal timing and later sexual minority self-identification may be a normal developmental process, the longitudinal link between sexual minority self-identification and subsequent advanced pubertal timing may be attributable to heterosexist stigma. The present findings underscore the need to mitigate prejudice so that all adolescents have the freedom to explore their identities without risks to their development. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Linking sexual violence experiences to gender identities, gender expression, and sexual identities: Differences across groups and implications for trauma symptoms.

Linking sexual violence experiences to gender identities, gender expression, and sexual identities: Differences across groups and implications for trauma symptoms.

Applying an Equity Lens to Evidence-Based Preventive Interventions: a Systematic Review of Subgroup Findings from Experimental Evaluations.

Evidence reveals that minoritized groups face disparities, underscoring the need for interventions to address behavioral health inequities. This review examined which minoritized populations are represented in evidence-based preventive interventions (EBPIs) and whether they equitably benefit from these programs. Using the Blueprints for Healthy Youth Development online clearinghouse, we synthesized findings from 240 high-quality experimental evaluations of EBPIs conducted in the U.S. between 2010 and 2023 and performed a descriptive analysis based on consensus coding to assess (1) the prevalence of culturally tailored EBPIs; (2) how frequently tests for subgroup effects were conducted; and (3) whether subgroup tests indicated differential benefits for minoritized groups. We found few culturally tailored interventions (31%), with 4% evaluating EBPIs developed for African American or Black populations and 1% for Hispanic or Latino youth. Additionally, only 25% and 15% tested for subgroup effects by race and ethnicity, respectively. For other subgroups, few (28%) evaluations included effects by economic disadvantage while 47% examined outcomes by binary gender categories. Essentially no reports tested for subgroup effects by sexual identity, location, or nativity status. Encouraging findings were that EBPIs more often benefited racial and ethnic minoritized groups, and there was an upward trend in reporting subgroup tests across time. EBPIs should test for subgroup effects to answer the questions of "what works for whom?" and "in which settings?" and to better understand the generalizability of findings. Investments are needed in culturally grounded programs developed for historically marginalized populations and trials of EBPIs that investigate mitigating health disparities.

Social inequalities in youth mental health in Canada, 2007-2022: a population-based repeated cross-sectional study.

Rising concern surrounds youth mental health in Canada, with growing disparities between females and males. However, less is known about recent trends by other sociodemographic factors, including sexual orientation, ethnocultural background, and socioeconomic status. This study analyzed data from 96 683 youths aged 15-24 who participated in the nationally representative Canadian Community Health Survey (CCHS) between 2007 and 2022. Trends in absolute and relative inequalities in poor/fair self-rated mental health (SRMH) by sex, sexual orientation, racialized and Indigenous identity, and socioeconomic conditions were assessed. The percent of youths reporting poor/fair SRMH quadrupled from 4.3% in 2007-08 to 20.1% in 2021-22. During the same period, absolute inequalities in SRMH increased by 9.9% points (95% CI: 6.6, 12.9) for females compared to males, 11.4% points (95% CI: 4.6, 18.2) for Indigenous versus non-racialized youth, and 15.4% points (95% CI: 5.7, 25.1) for youth (aged 18-24) identifying as lesbian, gay, or bisexual (LGB) compared to heterosexual. The sustained deterioration in youth SRMH over the past decade and a half has been accompanied by widening inequalities across several dimensions important for health equity in Canada. Action is needed to identify and implement effective programs and policies to support youth mental health and address disparities.

Health Care Stereotype Threat During the COVID-19 Pandemic Among Sexual and Gender Minority Individuals.

Objectives. To determine the levels and differentials in health care stereotype threat experienced during the COVID-19 pandemic by individuals with sexual or gender minority identities. Methods. The National Couples' Health and Time Use Study is a national cross-sectional US population‒ based sample of partnered individuals interviewed during the pandemic between September 2020 and April 2021 with oversamples of sexual and gender minority individuals. The analytic sample consisted of 3614 individuals (n = 2043 heterosexual and n = 1571 sexual minority individuals along with 3489 cisgender and 125 noncisgender people). Results. Individuals with sexual minority identities experienced significantly more health care stereotype threat than heterosexual people. Cisgender women and those with another gender identity experienced significantly more health care stereotype threat than cisgender men. These results persisted after the inclusion of indicators of health conditions, insurance, COVID-19 experience, and sociodemographic factors. Conclusions. Gender and sexual minority‒identifying people reported high levels of worries about health discrimination. Our work suggests that providing positive health care experiences may reduce these worries and offer a potential antidote to sexual and gender minority health disparities that are driven by structural and interpersonal discrimination. These findings support calls for the further education and transformation of health care provision and systems. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e9. https://doi.org/10.2105/AJPH.2024.307926).

Queering Contemporary Comedy: FX's What We Do in the Shadows and the Mediation of Nonnormative Gender and Sexual Identities

Utilizing queer theory, a textual analysis of 50 episodes of the FX horror-comedy series What We Do in the Shadows (2019–) resulted in three overarching themes: (1) representation of different forms of queerness and open expression of character identities, (2) normalization of queer identity and resistance to homophobia, and (3) inclusivity of relational configuration beyond queer-based narratives. Findings demonstrate the series promotes a queer perspective in addition to outright support for nonheteronormative characters. This reading of its dialogic and visual text adds to the literature on the positive media treatment of LGBTQ+ communities and how popular media texts serve as conduits of resistance to normative heterosexuality. Research in this vein is especially cogent and relevant given increasing antitransgender and intersex legislation that marks the U.S. political environment in recent years.

Automated tools for systematic review screening methods: an application of machine learning for sexual orientation and gender identity measurement in health research

Objective: Sexual and gender minority (SGM) populations experience health disparities compared to heterosexual and cisgender populations. The development of accurate, comprehensive sexual orientation and gender identity (SOGI) measures is fundamental to quantify and address SGM disparities, which first requires identifying SOGI-related research. As part of a larger project reviewing and synthesizing how SOGI has been assessed within the health literature, we provide an example of the application of automated tools for systematic reviews to the area of SOGI measurement. Methods: In collaboration with research librarians, a three-phase approach was used to prioritize screening for a set of 11,441 SOGI measurement studies published since 2012. In Phase 1, search results were stratified into two groups (title with vs. without measurement-related terms); titles with measurement-related terms were manually screened. In Phase 2, supervised clustering using DoCTER software was used to sort the remaining studies based on relevance. In Phase 3, supervised machine learning using DoCTER was used to further identify which studies deemed low relevance in Phase 2 should be prioritized for manual screening. Results: 1,607 studies were identified in Phase 1. Across Phases 2 and 3, the research team excluded 5,056 of the remaining 9,834 studies using DoCTER. In manual review, the percentage of relevant studies in results screened manually was low, ranging from 0.1 to 7.8 percent. Conclusions: Automated tools used in collaboration with research librarians have the potential to save hundreds of hours of human labor in large-scale systematic reviews of SGM health research.