Article
Behavioral Sciences
Lisa M. Diamond, Jenna Alley
Summary: For over two decades, the minority stress model has guided research on the health of sexually-diverse and gender-diverse individuals. However, studies linking minority stress to health outcomes have yielded mixed results, suggesting a missing piece in our understanding. This missing piece is social safety, which is just as crucial as minority stress in impacting the health of stigmatized individuals.
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS
(2022)
Article
Endocrinology & Metabolism
Lisa M. Diamond, Adrian J. Dehlin, Jenna Alley
Summary: Sexually-diverse and gender-diverse individuals often experience social threats, which may lead to systemic inflammation and subsequently affect physical health. Therefore, framing minority stress in terms of social safety versus threat and focusing on the inflammatory consequences of these experiences can enhance understanding of the biobehavioral consequences of sexual and gender stigma.
PSYCHONEUROENDOCRINOLOGY
(2021)
Article
Public, Environmental & Occupational Health
Hailey Wojcik, Aaron S. Breslow, Marla R. Fisher, Caryn R. R. Rodgers, Patryk Kubiszewski, Vilma Gabbay
Summary: This study examined mental health disparities among frontline health care workers in the Bronx, New York during the first wave of the COVID-19 pandemic. The results showed that sexual and gender minority (SGM) workers had higher levels of depression, anxiety, impact of COVID-19, and psychological distress compared to non-SGM workers. Lower income, younger age, and COVID-19 stressors were found to further exacerbate these differences. The study suggests that health care systems should provide support for SGM frontline health care workers through trauma-informed programming.
Article
Oncology
Charles S. Kamen, Umang Gada, Reece Lyerly, N. F. N. Scout
Summary: Few studies have examined the experiences and outcomes of cancer care for sexual and gender minority (SGM) patients. This study explored factors related to SGM cancer patients' satisfaction with cancer care and their self-reported physical and mental health. The results showed that SGM patients treated in SGM-welcoming environments were more likely to be satisfied with the care they received.
Article
Public, Environmental & Occupational Health
Dougie Zubizarreta, Ariel L. L. Beccia, Mai-Han A. Trinh, Colleen A. L. Reynolds, Sari L. M. Reisner, Brittany M. Charlton
Summary: This study investigated the social epidemiology of HPV vaccination initiation among U.S. college students, examining the intersections of gender identity, sexual orientation, and race/ethnicity. The findings show inequities in HPV vaccination initiation between different social strata, highlighting the need for more universal guidelines and clinician recommendations. The study also suggests that additive effects have a greater impact on between-stratum variance than intersectional interaction effects, and the discriminatory accuracy of intersectional stratification in predicting HPV vaccination initiation is low.
SOCIAL SCIENCE & MEDICINE
(2022)
Article
Psychology, Multidisciplinary
Sarah E. Victor, Terry H. Trieu, Nicole E. Seymour
Summary: The COVID-19 pandemic has had unequal effects on the mental and physical health of LGBTQ+ individuals in the United States. This study examined various risk factors, including social disconnection and health care disruptions, and found that avoiding disclosure of sexual orientation or gender identity had the largest impact on mental health. These findings highlight the importance of considering minority stressors in LGBTQ+ mental health.
PSYCHOLOGY & SEXUALITY
(2023)
Article
Ethnic Studies
Elissa L. Sarno, Gregory Swann, Michael E. Newcomb, Sarah W. Whitton
Summary: Sexual and gender minority people of color might experience internalized stigma and identity conflict as a result of heterosexism within racial/ethnic minority communities. The internalized stigma may partially mediate the association between these experiences, which is crucial for understanding identity development among SGM-POC.
CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY
(2021)
Article
Psychology, Clinical
John P. Salerno, Karina A. Gattamorta, Natasha D. Williams
Summary: This study examines the impact of SGM-related family rejection and racism since the start of COVID-19 on SGM-related internalized homophobia and identity concealment among SGM college students of color. The findings suggest that increased racism and family rejection are significantly associated with greater odds of experiencing identity concealment since the start of COVID-19. The intersection of racism and family rejection consequently translates to increased experiences of identity concealment.
PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY
(2023)
Article
Nursing
Priyoth Kittiteerasack, Alicia K. Matthews, Alana Steffen, Colleen Corte, Linda L. McCreary, Wendy Bostwick, Chang Park, Timothy P. Johnson
Summary: Evidence from this study suggests that both general and minority-specific stressors play important roles in predicting suicidality among Thai LGBT adults, while socioeconomic and health factors are also associated with suicide behavior. Nursing education and practice need to be improved to better address the mental health needs of LGBT individuals, and interventions focused on reducing stress should be prioritized in mental health nursing.
JOURNAL OF PSYCHIATRIC AND MENTAL HEALTH NURSING
(2021)
Article
Sociology
Stephen T. Russell, Meg D. Bishop, Jessica N. Fish
Summary: Sexual identities are expanding and taking new forms among LGBTQ+ people. This article explores the social construction and intersectionality of contemporary sexual identities, as well as the intersections of sexuality and gender with other identities such as race and social class. It also looks at the development of sexual identities within the context of the life course.
ANNUAL REVIEW OF SOCIOLOGY
(2023)
Article
Psychology, Multidisciplinary
Laura M. Houghtaling, Wendy D. Manning, Claire M. Kamp Dush
Summary: National polls have shown that COVID-19 has significantly impacted the well-being and life satisfaction of individuals, particularly within the sexual and gender diverse communities. Pandemic-related stress may exacerbate existing health disparities among LGBTQ+ populations. This study reveals higher rates of both negative and positive coping behaviors among certain sexual and gender diverse groups compared to their heterosexual and cisgender counterparts. These responses to the pandemic may have long-term implications for the health and well-being of sexual and gender diverse individuals.
JOURNAL OF HOMOSEXUALITY
(2023)
Article
Psychiatry
Allie Slemon, Chris Richardson, Trevor Goodyear, Travis Salway, Anne Gadermann, John L. Oliffe, Rod Knight, Shivinder Dhari, Emily K. Jenkins
Summary: This study examines the impacts of the COVID-19 pandemic on mental health and substance use among sexual and gender minority (SGM) populations compared to non-SGM populations, finding that SGM individuals are more adversely affected and identifying various risk factors associated with these impacts.
PSYCHIATRY RESEARCH
(2022)
Article
Public, Environmental & Occupational Health
Kristen D. Clark, Mitchell R. Lunn, Athena D. F. Sherman, G. Bosley, Micah E. Lubensky, Juno Obedin-Maliver, Zubin Dastur, Annesa Flentje
Summary: This study evaluates the relationship between COVID-19 news exposure and symptoms of anxiety and posttraumatic stress disorder (PTSD) among sexual and gender minority (SGM) adults. The results show a positive association between COVID-19 news exposure and symptoms of anxiety and PTSD in SGM individuals.
JMIR PUBLIC HEALTH AND SURVEILLANCE
(2022)
Article
Gerontology
Tonia Poteat, Porsha Hall, Mary Anne Adams, Dipa Sharma Gautam, Robynn Ashenden, Jennifer Horn
Summary: This study aimed to explore the caregiving experiences of aging Black same-gender-loving women during the COVID-19 pandemic. Through 16 focus group discussions, it was found that participants engaged in various forms of caregiving and were heavily affected by the pandemic in terms of stress, mental health, and intimate partner relationships. The study highlights the importance of considering intersectional factors in caregiving experiences and the need for support for marginalized caregivers during pandemics.
Article
Psychology, Multidisciplinary
Elena Ball, Melanie C. Steffens, Claudia Niedlich
Summary: There is a lack of social psychological research on the intertwining of race with other identities in Europe. By adopting an intersectional approach, specific experiences of discrimination can be identified in studying racism in Europe. The prevalent understanding of European racism is related to migration and the post-World War II immigration of 'guest workers.' This research focuses on work-related discrimination. The pattern of findings is more complex than the assumption that individuals belonging to multiple marginalized social categories are always the most discriminated against. Gender, sexual orientation, and origin interact with specific job contexts to determine whether minority individuals are discriminated against or preferred over the majority group.
FRONTIERS IN PSYCHOLOGY
(2022)
Article
Substance Abuse
Renee M. Johnson, Denali Boon, Xinzi Wang, Lauren B. Beach, Sherri-Chanelle Brighthaupt, Kristin E. Schneider, Gregory Phillips
Summary: This study examines the prevalence and changes in heroin use and injection drug use among high school students in five large, urban school districts in the US. The findings indicate that these districts have higher rates of heroin use and injection drug use compared to the general US high school student population, with no significant increases observed since 2009. The study highlights the importance of adolescence as a critical period for initiating heroin use among Black and/or Latino adolescents in these urban school districts.
JOURNAL OF ETHNICITY IN SUBSTANCE ABUSE
(2023)
Review
Peripheral Vascular Disease
Ian K. Everitt, Katherine V. Trinh, Daniel L. Underberg, Lauren Beach, Sadiya S. Khan
Summary: This article summarizes the factors that increase the risk of heart failure and discusses the evidence and barriers for pharmacologic primary prevention of heart failure. The article specifically focuses on female and sexual and gender minority patients.
CURRENT ATHEROSCLEROSIS REPORTS
(2022)
Article
Cardiac & Cardiovascular Systems
Sadiya S. Khan, Lauren B. Beach, Clyde W. Yancy
Summary: Sex-based differences in risk, symptoms, and management of heart failure exist, with women having a higher incidence of HF with preserved ejection fraction compared to men. However, there are gaps in understanding gender-based differences in HF and inadequate representation of women and gender minorities in clinical trials.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Mandi L. Pratt-Chapman, Kristen Eckstrand, Amorie Robinson, Lauren B. Beach, Charles Kamen, Alex S. Keuroghlian, Scott Cook, Asa Radix, Markus P. Bidell, Daniel Bruner, Liz Margolies
Summary: This article describes a collaborative process to provide core cultural competency recommendations for training healthcare and social service providers for LGBTQIA+ patients. The recommendations, developed through a synthesis of research, training, and stakeholder feedback, focus on knowing the audience, developing and fine-tuning the curriculum, employing different learning theories, choosing effective trainers, and evaluating the impact of training. These recommendations contribute to advancing SGD health equity in healthcare and social services.
Article
Public, Environmental & Occupational Health
Caleb W. Curry, Lauren B. Beach, Xinzi Wang, Megan M. Ruprecht, Dylan Felt, Ysabel Beatrice Floresca, Gregory L. Phillips II
Summary: The study found that sexual minority and/or racial/ethnic minority youth were more likely to use alcohol at school compared to White heterosexual youth, with the highest odds among multiply marginalized and polyvictimized youth. Furthermore, disparities persisted, although at a lower magnitude, after accounting for polyvictimization.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2022)
Article
Social Sciences, Interdisciplinary
Gregory I. I. I. I. Phillips, Dylan Felt, Esrea Perez-Bill, Megan M. Ruprecht, Erik Elias Glenn, Peter Lindeman, Robin Lin Miller
Summary: Lesbian, gay, bisexual, transgender, queer, intersex, Two-Spirit, and other sexual and gender minority (LGBTQ+) individuals face numerous obstacles to equity in various areas, and these barriers are even greater for LGBTQ+ individuals who are also Black, Indigenous, and People of Color, disabled, working-class, poor, or otherwise economically disadvantaged. The evaluation process has systematically failed to recognize and value LGBTQ+ populations. Therefore, the proposal for a new paradigm of LGBTQ+ evaluation is grounded in transformative, equitable, culturally responsive, and decolonial frameworks.
AMERICAN JOURNAL OF EVALUATION
(2023)
Article
Peripheral Vascular Disease
Adovich S. Rivera, Laura Rusie, Megan Plank, Juned Siddique, Lauren B. Beach, Donald M. Lloyd-Jones, Matthew J. Feinstein
Summary: The study found that long-term higher cumulative viral load may be associated with incident hypertension among people with HIV, but not with diabetes. The associations of HIV control with cardiovascular disease risk factors may differ depending on the health care system context.
Article
Cardiac & Cardiovascular Systems
Chantal L. Rytz, Lauren B. Beach, Nathalie Saad, Sandra M. Dumanski, David Collister, Amelia M. Newbert, Lindsay Peace, Elle Lett, Dina Greene, Paul Connelly, Jaimie Veale, Cris Morillo, Sofia B. Ahmed
Summary: Cardiovascular disease is a major cause of illness and death globally. Transgender and nonbinary (TNB) individuals may face significant cardiovascular health inequities, but there are currently no evidence-based interventions specifically for reducing cardiovascular risk in this population. To address this gap, we propose a road map to enhance the inclusion of TNB individuals in cardiovascular research, which would improve cardiovascular health surveillance and care for TNB communities.
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY
(2023)
Article
Psychology, Developmental
Raina V. Voss, Lisa M. Kuhns, Gregory Phillips II, Xinzi Wang, Sigrid F. Wolf, Robert Garofalo, Sari Reisner, Lauren B. Beach
Summary: Evidence suggests that transgender youth participate in physical activity less than nontransgender youth, which may lead to poorer health outcomes. This study examined the relationship between gender modality and participation in physical activity, physical education (PE), and sports teams in a multistate sample of high school youth, while also considering the impact of bullying. The findings indicate that transgender students have lower odds of participating in physical activity, but similar or higher odds of participating in PE and sports compared to cisgender students. The study suggests that factors other than bullying may contribute to the limited physical activity among transgender youth.
JOURNAL OF ADOLESCENT HEALTH
(2023)
Article
Endocrinology & Metabolism
Adovich S. Rivera, Megan Plank, Ash Davis, Matthew J. Feinstein, Laura K. Rusie, Lauren B. Beach
Summary: Disparities in retesting for glycated hemoglobin and systolic blood pressure among people with diabetes mellitus and hypertension persisted during the pandemic, with significant widening of disparities according to sexual orientation.
BMJ OPEN DIABETES RESEARCH & CARE
(2022)
Editorial Material
Psychology, Clinical
Adovich S. Rivera, Lauren B. Beach
ARCHIVES OF SEXUAL BEHAVIOR
(2023)
Article
Public, Environmental & Occupational Health
Gregory Phillips, Shahin Davoudpour, Ysabel Beatrice Floresca, Dylan Felt, Caleb W. Curry, Xinzi Wang, Joseph Choi, Scar Winter Kelsey, Lauren B. Beach
Summary: Transgender individuals, especially transgender youth aged 18 and younger, are disproportionately affected by HIV in the United States. This study examined HIV testing, education, and condom use among transgender youth and found that condom use and HIV education remain lower among transgender individuals compared to their not-transgender peers. The findings highlight the need for culturally appropriate HIV education and prevention supports for transgender youth.
HEALTH EDUCATION & BEHAVIOR
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Lauren B. Beach, Carl G. Streed
Article
Cardiac & Cardiovascular Systems
Omar Deraz, Billy Caceres, Carl G. Streed, Lauren B. Beach, Xavier Jouven, Mathilde Touvier, Marcel Goldberg, Marie Zins, Jean-Philippe Empana
Summary: This study examined the association between cardiovascular health scores and sexual minority status, finding disparities in cardiovascular health among sexual minority adults. Lesbian and bisexual women had lower cardiovascular health scores compared to heterosexual women, while gay and bisexual men had higher cardiovascular health scores compared to heterosexual men. Primordial prevention targeted at sexual minority populations may be necessary.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Psychology, Clinical
Dylan Felt, Jiayi Xu, Ysabel Beatrice Floresca, Ella Segovia Fernandez, Aaron K. Korpak, Gregory Phillips, Xinzi Wang, Caleb W. Curry, Lauren B. Beach
Summary: This study aims to assess the inequitable impact of the COVID-19 pandemic on key social determinants of health (employment, housing, and healthcare) for transgender populations in the US. The findings indicate that transgender and gender diverse individuals are more likely to experience homelessness/housing instability and interruptions in medical care compared to cisgender individuals, while there were no significant differences in employment. These results highlight the urgent need for public health professionals to address the impacts of COVID-19 on transgender populations in terms of social determinants of health.
TRANSGENDER HEALTH
(2023)
