Lesbian, Gay, Bisexual, and Transgender Studies Commons^™

Neuroqueering Art Therapy: Bringing Neurodivergent Gender Diversity Into The Creative Arts Therapy Room: A Literature Review, Avital Eisen

Expressive Therapies Capstone Theses

Recent research across disciplines has established the significance of the overlap between neurodivergence and gender diversity, a truth long espoused by the community. Acting on this research, some mental health disciplines have begun addressing neurodivergent transgender and gender diverse people as a unified population in their research, but the field of art therapy has not yet followed suit. Theoretical frameworks of intersectionality, queer theory, and disability justice highlight the importance of centering the unique experiences and needs of neurodivergent gender diversity. Using these frameworks, this literature review synthesizes community knowledge with art therapy research on both neurodivergence and gender diversity, …

Differences In Risk And Protective Factors For Suicide In Latinx And White Lgb Adults, Maria Hernandez

Masters Theses & Specialist Projects

Suicide in Lesbian, Gay, and Bisexual (LGB) adults is on the rise, as well as those that identify as Latinx LGB. To identify those at risk and prevent future suicide, researchers rely heavily on risk and protective factors to determine those individuals that may be more susceptible to suicide. However, the existing research on these factors is very limited and has been hyper focused on internalizing factors that contribute to suicide risk. Additionally, research in LGB and Latinx populations is limited because researchers have focused mostly on White and heterosexual populations. This study identifies one risk and one protective factor …

Lessons In Persistence, Syble Heffernan

Department of English: Dissertations, Theses, and Student Research

LESSONS IN PERSISTENCE is a thesis that operates within the tradition of writing about trauma and resilience, taking up themes of mental illness, class, colonialism, loss of a parent, navigating queerness in a conservative Christian context, and reckoning with gender-based violence and expectations directed toward people socialized as women. The use of ecopoetics highlights the relationship between traumas to the earth brought about by climate change, war, and worldwide suffering, and those brought upon the human body (specifically marginalized bodies) by grief, illness, abuse, and the loss of self. The collection ultimately aims to establish explicit connections between internal and …

The Consequences Of Homophobia: Analysis Of Discriminatory Medical And Legislative Policies And Their Influence On Health Disparities, Kaiden J. Fandel

Honors Thesis

Are there specific roots that influence the introduction and incorporation of discriminatory medical policies? What are the sources of such stigma, discrimination, and prejudice, in what forms does such discrimination take place, and what negative impacts does such hatred have on health outcomes, quality of care, and health disparities? Through a review of existing literature on this topic, intertwining the examination of the evolution of discriminatory policies and other explanatory literature in the United States, this thesis aims to answer the questions above, and explain the roots of such homophobic discrimination and its prevalence in the United States. Through the …

"My Longest Relationship Is With Food": Exploring Eating Related Behaviors Throughout The Gender Identity Journey Of Transgender Males, Angeles Polett Coss

Dissertations

This study sought to explore how transgender adult males have navigated the development of their eating behaviors throughout their gender identity trajectory. While recent research has focused on gender identity development and protective factors of the transgender community, this study explored and examined elements regarding the eating related behaviors of transgender males. Interviews were conducted with six participants within the United States during semi structured virtual sessions; the age range of participants was 19 to 35. Results of this research revealed identity management, Sociopolitical discourse, identity management and inter-relational identity affirmations as inter-multicultural segments that connected with eating related behaviors …

Examining The Risks And Resilience Of Older Adults Living With Hiv/Aids: Qualitative Community-Based Participatory Research Studies In Southern Nevada, Brandon Ranuschio

UNLV Theses, Dissertations, Professional Papers, and Capstones

Since the height of the HIV pandemic in the 1980s, medical interventions have significantly increased the life expectancy of people living with HIV/AIDS (PLWH) and made HIV/AIDS a livable, chronic health condition. Because of this, PLWH have been living longer lives and thriving with the help of HIV sector healthcare and service providers. However, with their longer life expectancy, older PLWH have been experiencing other health challenges. One such challenge is the risk of developing HIV-Associated Neurocognitive Disorder (HAND), which is a condition that affects up to 50% of PLWH at some point in their lifetime, with middle-aged and older …

The Bloodless Period: A Transfeminine Experience, Rin Nguyen

College of Education and Human Sciences: Dissertations, Theses, and Student Research

There is limited research exploring menstruation in transgender and gender diverse (TGD) populations, and studies have primarily examined the relationship between menstruation and gender congruence. Findings revealed menstruating TGD people experienced distress related to decreased gender congruence (Eisenberg et al., 2021), and 88% of TGD people expressed interest in menstrual suppression to manage the distress (Schwartz et al., 2022). By contrast, Lowik (2020) highlighted a transfeminine person who wished to menstruate to achieve womanhood and commented on the “bloodless period” (i.e., menstrual-like symptoms in the absence of bleeding) upon receiving gender-affirming hormone therapy. To the author’s knowledge, there is no …

Exploring Lgbtq+ Cultural Competency And Dei In Continuing Education: A Cross-Sectional Review Of U.S. Pharmacy Legislation, Jennifer Ko, Jeremy Carlos, Yvonne Nguyen

Pharmacy Faculty Articles and Research

Background

Lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, or other sexual orientations or gender identities (LGBTQ+) cultural competency training is offered in pharmacy curricula to variable extents. State legislation directly dictates pharmacist training through continuing pharmacy education (CPE) requirements.

Objectives

This study aimed to identify the U.S. states and the District of Columbia (D.C.) that require CPE or training on topics related to LGBTQ+ cultural competency or topics related to diversity, equity, and inclusion (DEI) in general. In addition, this study quantified and compared each state’s CPE hours required for each renewal period.

Methods

This cross-sectional study retrospectively …

Understanding The Lgbtq+ Divide: A Review On The Impact Of Geographic Location And Political Climate On Lgbtq+ Patient Care In The United States., Conner Clark

Cooper Rowan Medical Journal

Background:

In the United States, laws and policies are proposed and passed daily that either protect or restrict transgender patients’ access to care. The objective of this study is to review the existing body of literature on the effect of state-level policy on transgender patients’ overall health.

Methods:

Primary literature was identified through PubMed and the National Institutes of Health. Search terms included keywords related to the following concepts: LGBTQ terms, differentiating terms, regional terms, and health outcome terms. Inclusion criteria: Quantifiable studies conducted on the American LGBTQ and Transgender population from January 2015 to April 2023. Exclusion criteria: Studies …

Incorporating Sex-Diverse And Gender-Inclusive Perspectives In Higher Education Biology Courses, Breanne N. Harris, A Kelsey Lewis, Sam L. Sharpe, Teri J. Orr, Christopher T. Martine, Chloe C. Josefson

Faculty Journal Articles

Inclusive teaching is teaching in a way that reaches all students in the classroom; this is beneficial for everyone, particularly for those with minoritized identities. Instructors play a critical role in scaffolding how students are exposed to and learn science content in the classroom. In this manuscript, we discuss how biology instructors can make their classrooms more inclusive with regard to sex and gender diversity content. Many topics in biology are based on androcentric, heteronormative, and oppressive framing, even though those lenses are more reflective of our own history and culture than they are of the diversity we see in …

Autoimmunities After Covid: An Interview With Cindy Patton, Cindy Patton, Travis Alexander, Nishant Shahani

English Faculty Publications

Taken collectively, Patton’s scholarship and activism has laid the foundation for insights in the health humanities, particularly AIDS studies, that consider the inextricable connections between epidemiology and ideology. Patton’s theorizations of stigma and discrimination patterns, her deconstruction of “truth” discourses subtending science, her critical re-evaluations of axioms associated with risk, safe sex, community, and knowledge production have been crucial interventions in the understanding of health and illness as cultural and discursive scripts. Among Patton’s most enduring contributions has been her theorization of how “African AIDS” was invented and circulated—that is, the notion of geographically bifurcated HIV pandemics split by the …

State Politics And Stress Amongst Lgbtq+ Students At Florida’S Private Colleges: A Psychological And Normative Analysis, Alise Fortune

Honors Program Theses

The recent wave of anti-LGBTQ+ politics and policies in Florida pose potential risks to the mental health and well-being of Florida’s LGBTQ+ students. The present study surveyed LGBTQ+ students attending private colleges in Florida to measure their self-reported stress levels in comparison to non-LGBTQ+ students, the level at which they believed specific sources of stress contributed to their stress levels, their level of distress upon experiencing discrimination, their sense of sexual identity distress, and their awareness of and involvement in advocacy against Florida’s anti-LGBTQ+ bills. Survey results suggested that anti-LGBTQ+ politics in Florida and the personal lives (social and family …

Understanding The Effects Of Hormone Treatments On The Transgender Singer: A Pedagogical Study And Voice Studio Guide, Erin M. Hannon

Theses and Dissertations--Music

Transitioning from one gender to another can be an arduous and emotionally charged experience, accompanied by many physical and mental transformations. The journey of self-discovery and vocal explorations is both unique and deeply personal. Modifications that emerge in an individual's vocal characteristics have a profound influence on their capacity to communicate and express themselves.

Transgender vocal students and professional singers must navigate the delicate balance between their vocal and gender identities while considering the possible risks of Gender Affirming Hormone Therapy. Though these therapies may significantly alter one's appearance and overall well-being, they are also capable of causing notable declines …

Cigarette Smoking Behaviors And Nicotine Dependence At The Intersection Of Sexual Identity And Sex In The United States: Findings From The National Survey On Drug Use And Health, Ollie Ganz, Jonathan A. Schulz, Sarah J. Ehlke, Jessica L. King Jensen, Andrea C. Villanti

Psychology Faculty Publications

Introduction: Cigarette smoking is disproportionately high among lesbian, gay, and bisexual (LGB) adults. Yet, collapsing these identities into a monolith can disguise important within group disparities (e.g., lesbian/gay versus bisexual female). The purpose of this study is to report recent national prevalence estimates and trends of cigarette smoking behaviors and nicotine dependence by sexual identity and sex. Methods: Data were from the 2015–2019 National Survey on Drug Use and Health (n = 210,392; adults 18+), a nationally representative, repeated cross-sectional study of substance use and mental health in the U.S. We examined bivariate and multivariable associations between sexual identity and …

Bi-Negativity: An Assessment Of Negativity Surrounding Bisexuality From The Lgbtq+ And Heterosexual Communities, Whitney R. Ford

The Confluence

This study was conducted to test the hypothesis that negative attitudes towards bisexual people (bi-negativity) exists within the LGBTQ+ and heterosexual communities and to determine if levels of bi-negativity are higher within the LGBTQ+ group. I administered the Gender-Based Attitudes Towards Bisexuality (GBAB) Scale by Nielsen et al. (2022) to measure bi-negativity using an online survey. The results, obtained from 87 participants who identify as LGBTQ+ and 121 participants who identify as heterosexual between the ages of 18 and 80, support my hypothesis that bi-negativity exists within both groups. However, contrary to my second hypothesis, higher levels of bi-negativity were …

Hiv/Aids Research Symposium, College Of The Holy Cross

LGBTQIA Archive: Posters

Poster detailing planned events of the HIV/AIDS Research Symposium, held November 29-December 2, 2023 at the College of the Holy Cross. In observance of the 35th World AIDS Day, the Holy Cross LGBTQ+ Alumni Network and a multidisciplinary faculty team invited a broad ranging conversation about the historical and current impact and intersection of the HIV/AIDS pandemic on both the Holy Cross community and the wider world.

Differences In Mental Wellbeing Factors Amongst College Students By Intersections Of Race/Ethnicity And Sexual Orientation/Gender, Hannah N. Schlichte

USF Tampa Graduate Theses and Dissertations

The aim of this study was to examine our understanding regarding the intersection of both racial/ethnic and sexual/gender minority identities and its impact on the mental health of college students. A secondary data analysis of the Wake Forest University Wellbeing Assessment was utilized. The total number of participants was comprised of 528 students from a large research university in the Southeastern United States. For this study, new categories representing the intersection of race/ethnicity (White, Black, Hispanic etc.) and sexual orientation/gender (LGBTQ, heterosexual, cisgender etc.) were created: double majority, single minority race/ethnicity, single minority sexual orientation/gender, and double minority. One-way ANOVA …

Improving Health Literacy Among Transgender/ Gender Non-Conforming People Using Social Media, Isha Mittal, Michelle Cordoba Kissee

Research Colloquium

Background: Health literacy has been elicited as a barrier to healthcare amongst LGBT individuals. Social media has become a popular force in transmitting health information, but often time lacks evidence-based information.

Aims/purpose: The TikTok channel GenderDefenders was created to address the lack of reliable evidence-based information for transgender and gender-non conforming (TGNC) individuals.

Methods: Data was collected from current TikTok videos that were tagged with TGNC terminology to identify gaps in knowledge and commonly asked questions. Themes were selected and educational video recordings were created using WPATH and UCSF guidelines for transgender healthcare. Some topics included what …

The Influence Of Minority Stress, Coping, And A Pandemic On The Relationship Between Sexual Orientation And Mental Health: A Mixed Methods Study, James Michael Macchia

Psychology Theses & Dissertations

For decades, scientific literature has shown that sexual minority individuals across populations are disproportionately affected by negative mental health outcomes when compared to their heterosexual counterparts. These disparities are largely attributable to minority stress. Coping is a significant factor that can impact the content and severity of mental health outcomes and coping behaviors have been shown to vary based on sexual orientation. Mental health outcomes may also differ between sexual minority subgroups due to additional factors such as double discrimination and bisexual invisibility/erasure. Moreover, factors such as internalized homophobia and community connectedness have demonstrated strong associations with sexual minority mental …

Disrupting Cisheteronormativity In Stem Through Humanism, Meg C. Jones, Desiree Forsythe, Rachel Friedensen, Annemarie Vaccaro, Ryan A. Miller, Ezekiel Kimball, Rachael Forester

Biology, Chemistry, and Environmental Sciences Faculty Books and Book Chapters

Cisheteronormativity is prevalent throughout college STEM discourses and classrooms. In this paper, we present findings from a U.S. based study focused on the experiences of collegiate STEM students with minoritized identities of sexuality and gender (MIoSG) as the backdrop for discussing how current harmful ideologies in STEM perpetuate cisheteronormativity through discursive practice. We propose that humanistic classrooms and pedagogy can work to dismantle cisheteronormative D/discourses in STEM and create MIoSG inclusive STEM classrooms and programs. Our findings highlight the ways participants experienced cisheteronormative D/discourses in their collegiate STEM contexts. We discuss how these experiences might be mitigated through humanistic educational …

How Art Therapy Can Be Used To Teach Queer Inclusive Sex Education To Queer Youth: A Literature Review, Olivia Souza

Expressive Therapies Capstone Theses

This literature review examines the potential of art-making as a tool to educate and inform queer youth about queer sexual experiences. Many queer individuals lack information about safe and healthy sex due to the exclusion of queer experiences in sex education programs. Current sex programs solely focus on abstinence and heterosexual experiences, leaving queer youth in the dark about what to expect from future sexual experiences they may have and how to practice safe queer sex. Through a search of the literature, it was discovered that there is a gap in research using art therapy in this specific context. Through …

Playing With Policy: What Insights Arise From Transgender Adults After Participating In A Legislative Theatre Exercise, Skylar A. Stratemeyer

Expressive Therapies Capstone Theses

The transgender community is underrepresented in the current body of academic research, underserved in the current clinical model of healthcare services, and legislatively oppressed on a state and federal level in the United States. As of March 2023, more than 400 anti-LGBTQI laws have been introduced on a state level in 2023 alone (ACLU, 2023). In response to the hostile Western sociopolitical climate, this thesis will focus on what insights arise from transgender adults and cisgender allies (N = 12) after participating in a dramatherapeutic group therapy session that explored current anti-trans legislation and highlighted the legal needs of …

Transcendence: Exploring The Connections Between Transgender/Gender Non-Conforming Identities And Experiences Of Nature Through Art, Mc Jackson

Undergraduate Theses

“Transcendence: Exploring the connections between transgender/gender non-conforming identities and experiences of nature through art” is the written portion of a creative thesis revolving around an immersive art installation and short film. Transcendence, the installation, was created to promote connection by exploring the overlap between transgender and gender non-conforming (GNC) experiences and experiences of nature. Part of this installation is a short film of interviews conducted with transgender and GNC individuals about nature, their gender experiences, and the transcendent nature of the two. The written thesis analyzes existing literature on nature as a restorative, therapeutic, spiritual setting, offers insight into …

Ga(Y)Zing Backward: Queer Desire In Ovid, Shakespeare, And Scaimma, Falynn Blayre Brickler

UNLV Theses, Dissertations, Professional Papers, and Capstones

As Ovidian myth is a central influence on queer stories throughout time, I am interested in how the female/sapphic gaze impacts the retellings of these narratives. In this thesis, I analyze the action of the gaze as an expression of desire and discuss its multiple meanings in both text and performance. Through tracing the gaze within the queer/sapphic narratives of Shakespeare’s Twelfth Night and Sciamma’s Portrait of a Lady on Fire, I show that the gaze is an intersecting act through which non-normative desire is conveyed. In constructing the gaze as an ephemeral action of queer desire in practice, I …

The Effect Of Minority Stress On Sexual Minority College Students' Mental Health: The Role Of General Social Support And Sexuality-Specific Social Support, Lee A. Golembiewski

Psychology Theses & Dissertations

Sexual minority (SM) college students continue to face greater mental health problems relative to their heterosexual peers (Woodford et al., 2014; Wilson & Liss, 2022). According to minority stress theory, SM individuals face distal (e.g., heterosexist discrimination) and proximal (e.g., expectations of rejection, internalized homophobia, and concealment) stressors related to their SM identity which can have negative effects on their mental health (Douglass & Conlin, 2020; Meyer, 2003). However, social support has been hypothesized to help protect against the effects of minority stress experienced by SM individuals (Cohen & Wills, 1985; Moody & Smith, 2013). Most of the existing research …

Mental Health In Sexual And Ethnic Minorities, Aaliyah Bailey, Ashlyn Bowers, Ashley Clark, Cassidy Paquette, Garrett Bassham

Epsilon Sigma at-Large Research Conference

Evidence Based Health Promotion Scientific Abstract

Introduction & Background:

Mental Health resources are scarce in rural areas. In 2020, suicide was the third leading cause of death for African Americans ages 15 to 24; this is only one example of the mental health disparities experienced by minority groups.

Purpose Statement and Research Question:

We saught to answer: “Are there greater mental health disparities among sexual and ethnic minorities, such as LGBTQ+ groups or Middle Eastern women, compared to their heterosexual, majority counterparts; if so, is there anything we can do about the issue as nurses?”

Literature Review:

To match the …

Mental Health Disparities In Minorities And Their Relation To Nursing Practice, Aaliyah Bailey, Ashley Clark, Ashlyn Bowers, Cassidy Paquette, Garrett Bassham

Epsilon Sigma at-Large Research Conference

Evidence Based Health Promotion Scientific Abstract

Introduction & Background:

Mental Health resources are scarce in rural areas. In 2020, suicide was the third leading cause of death for African Americans ages 15 to 24; this is only one example of the mental health disparities experienced by minority groups.

Purpose Statement and Research Question:

We saught to answer: “Are there greater mental health disparities among sexual and ethnic minorities, such as LGBTQ+ groups or Middle Eastern women, compared to their heterosexual, majority counterparts; if so, is there anything we can do about the issue as nurses?”

Literature Review:

To match the …

The State Of Transgender And Kinnar Communities In Delhi: Case Studies Connecting Socioeconomic Factors To Health, Ray Craig

Independent Study Project (ISP) Collection

The paper seeks to draw connections between socioeconomic barriers faced by the transgender (trans) community in Delhi, India and the healthcare that the community receives. It primarily discusses transgender people who are not part of the kinnar population, with as much consideration to the experiences of the kinnar community as possible, given limited access to their circles. Five transgender individuals and two cisgender individuals who have worked with trans communities participated in semi-structured qualitative interviews to understand various factors that affect trans people’s daily lives and their healthcare experiences in Delhi. Interviews were transcribed and coded, finding common themes of …

Inclusion Of Sexual Orientation And Gender Identity (Sogi) Cultural Competence In Higher Education Healthcare Programs: A Scoping Review, Kristin Willey, Jennifer K. Fortuna, Jessica Guerra, Amanda Gross, Samantha Turner, Tara Grant, Betsy Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Lack of sexual orientation and gender identity (SOGI) cultural competence in healthcare providers contributes to poor health outcomes in individuals who are lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, and more (LGBTQIA+). However, SOGI is often overlooked in healthcare education. Existing research shows educational programs in the nursing, medical, and pharmacy professions are incorporating cultural competence training into the curricula. Few studies have explored how SOGI cultural competence is incorporated into occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP) curricula. Clear guidelines for training on SOGI cultural competence are lacking in these professions. It is …

Examining The Impact Of Holistic Practices On Lgbtqia+ Wellness, Airelle Railley

Mahurin Honors College Capstone Experience/Thesis Projects

The project involved surveying the before and aftereffects of holistic healing for ten undergraduate Kentuckians who identify as LGBTQIA+. The purpose of the project was to heighten and expand the LGBTQIA+ participants experience with holistic and wellness care, by utilizing on or off campus wellness activities. Those ten participants were split into two groups of five. The control group was lightly “encouraged” to attend any health and wellness activities. The intervention group was required to attend at least one yoga session per week. Each participant was instructed to complete and submit documentation each month. Those documents included surveys and monthly …