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"lgbtqia"
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Community norms of the Eating Pathology Symptoms Inventory (EPSI) in cisgender sexual minority adults
by
Brown, Tiffany A.
,
Lee, Christopher M.
,
Otmar, Christopher D.
in
Adult
,
Adults
,
Body Dissatisfaction - psychology
2025
Purpose
Cisgender sexual minority adults are at elevated risk for eating disorders; however, community norms for certain eating disorder measures are lacking for this population. This study aimed to establish community norms for the Eating Pathology Symptom Inventory (EPSI) among cisgender gay, lesbian, bisexual + (individuals who identify as bisexual or pansexual; bi +) adults.
Methods
Cross-sectional data were analyzed from 2062 cisgender participants—including 925 gay men, 573 lesbian women, 116 bi + men, and 448 bi + women—enrolled in The PRIDE Study, a national longitudinal cohort of sexual and gender minority adults in the United States. Participants completed the EPSI, and descriptive statistics were calculated for the eight EPSI scales.
Results
We report mean scores, standard deviations, medians, interquartile ranges, and percentile ranks for the eight EPSI scales within cisgender sexual minority populations. Distinct patterns of eating-pathology symptoms were evidenced among the cisgender sexual minority groups. Cisgender bi + women exhibited the highest scores for Body Dissatisfaction, Binge Eating, and Restricting compared to other groups, whereas cisgender bi + men reported the highest scores for Excessive Exercise. Cisgender gay men had significantly higher scores for Muscle Building and Negative Attitudes Toward Obesity compared to other groups.
Conclusion
These findings offer valuable benchmarks for interpreting EPSI scores in the assessment and treatment of eating disorders among cisgender sexual minority individuals.
Level of evidence
: Level V: based on descriptive results.
Journal Article
Untold. Miss Major Griffin-Gracy : activist for transgender rights
2023
Present at the Stonewall Uprising of 1959, pioneering transgender activist Miss Major Griffin-Gracy lived through the HIV/AIDS epidemic to fight for LGBTQ+ rights in the United States and beyond.
Streaming Video
Building Fires in the Snow
2016
Diversity has always been central to Alaska identity, as the
state's population consists of people with many different
backgrounds, viewpoints, and life experiences. This book opens a
window into these diverse lives, gathering stories and poems about
lesbian, gay, bisexual, transgender, and queer life into a
brilliant, path-breaking anthology. In these pages we see the
panoply of LGBTQ life in Alaska today, from the quotidian urban
adventures of a family-shopping, going out, working-to intimate
encounters with Alaska's breathtaking natural beauty. At a time of
great change and major strides in LGBTQ civil rights, Building
Fires in the Snow shows us an Alaska that shatters stereotypes
and reveals a side of Alaska that's been little seen until now.
Introducing LGBTQIA+ Patient Care to Pharmacy Students Through Laboratory-Based Exercises
by
Wagner, Tyler D.
,
Crawford, Alexis N.
,
Matulewicz, Abigale T.
in
Curriculum
,
Education, Pharmacy - methods
,
Female
2022
Objective. To assess the impact of novel skills-based laboratory exercises on first-, second-, and third-year pharmacy students’ confidence and knowledge regarding care for people identifying as lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other (LGBTQIA+).
Methods. An LGBTQIA+ lecture discussing pronouns, common terminology, health disparities, health screenings, and gender-affirming hormone therapy was presented to students. During laboratory sessions, students applied lecture topics via a learning level-specific activity. Students completed a pre- and post-activity survey assessing their knowledge, confidence, and activity experience.
Results. Seventy-nine students (N=348) completed both the pre- and post-activity survey. Students’ overall increase in knowledge scores was significant, with improvement in four out of six questions among each cohort. A significant increase was seen in students understanding of the role of the pharmacist, their confidence in caring for LGBTQIA+ patients, and their comfort with using appropriate terminology. Most students (92%) agreed or strongly agreed that learning about LGBTQIA+ patient care was a positive experience, while 74% agreed that additional education on LGBTQIA+ patients is needed within their pharmacy curriculum.
Conclusion. After a brief skills-based laboratory course, students’ knowledge and confidence in caring for LGBTQIA+ patients improved; however, students agreed that more exposure was necessary. Future studies will follow students as they progress through the curriculum to determine the impact of exposure to LGBTQIA+ content across all three didactic years.
Journal Article
Biographical Work of Parents of Children with Non-Normative Sexual Orientation and/or Gender Identity
2024
This paper aims to reconstruct the biographical work (Corbin and Strauss) undertaken by parents of non-normative people. The initiating event of biographical work is the disclosure of a non-normative sexual orientation and/or gender identity by the child. For many parents, this is an event that causes a breakdown of previous schemes of action, a gradual loss of control, and suffering.The empirical data consist of autobiographical narratives of parents of people with non-normative sexual orientation and/or gender identity. The study involved mothers and fathers residing throughout Poland, who were selected according to the snowball procedure. The data were collected through the narrative interview technique and compiled according to the analytical procedure proposed by Fritz Schütze, which is part of the interpretative research paradigm.In the course of four parallel biographical processes (contextualizing, coming to terms, reconstituting identity, and recasting biography), the new experience is integrated into the biography, its consequences are understood and accepted, a coherent identity is reconstituted and a new course for one’s life are charted. The analysis of the narrators’ biographical work has made it possible to identify three categories that organize the course of the parents’ lives and identities—stigma, normalization, and activism.
Journal Article
Understanding the outdoors and conservation through a queer lens
by
FORIST, BRIAN
,
HEATH, SANDY
,
KING-CORTES, FORREST
in
Conservation
,
LGBTQIA EXPERIENCES IN THE OUTDOORS AND IN CONSERVATION
,
National parks
2023
Copyright 2023 by the author(s).This work is made available under the terms of a Creative Commons Attribution-NonCommercial License, available at https://creativecommons.org/licenses/by-nc/4.0/ Brian Forist (he/him/his) worked in national parks and other protected areas for four decades and now teaches at Indiana University. Sandy Heath (they/she/he) worked as a (dis)ability rights advocate and now teaches and is building a research program at Northern Arizona University and the Institute for Human Development. Forrest King-Cortes (he/el) has worked in community-centered conservation for over ten years and co-founded Out In Nature, an outdoor meetup group for LGBTQIA+ people, with his husband.
Journal Article
VEJEZ LGBTQIA+ EN UN CONTEXTO CARCELARIO BRASILEÑO DURANTE LA PANDEMIA DE COVID-19: UN ESTUDIO COMPARATIVO ENTRE HOMBRES Y MUJERES
by
Evair Mendes da Silva Sousa
,
Lima Silva, Maria Fernanda
,
Igor Eduardo de Lima Bezerra
in
COVID-19
,
deprivation of freedom
,
LGBTQIA old age
2023
El presente estudio se configura como una investigación comparativa que busca identificar y analizar las representaciones sociales de la vejez LGBTQIA+ entre personas en privación de libertad. Participaron 28 personas, 14 hombres y 14 mujeres, con edades comprendidas entre 21 y 46 años (M = 43,7 años; DT = 16,2). Después de la recolección de datos, los análisis se realizaron utilizando el software SPSS Statistics (datos sociodemográficos) e Iramuteq (entrevistas semiestructuradas). Considerando los resultados, se observa que las representaciones sociales de la vejez LGBTQIA+ entre el público mencionado se subdividen en cuatro concepciones: a) aquellas en las que el prejuicio es central; b) quienes consideran la orientación personal como el único factor a tener en cuenta; c) los que creen que debe prevalecer el respeto; d) y aquellos específicos del público femenino que comprendan la necesidad de recursos que funcionen como soporte. Así, se espera que haya más discusiones sobre el tema, con el fin de deconstruir estigmas negativos sobre estas poblaciones y generar oportunidades equitativas para ellas, considerando y respetando su existencia y contribuyendo positivamente a sus vidas.
Journal Article
Age-related trends in eating pathology symptoms among transgender and gender-diverse adults
2025
Purpose
This study examined how eating disorder symptoms, assessed by the Eating Pathology Symptoms Inventory (EPSI), vary across chronological age in a large national (USA) sample of transgender and gender-diverse (TGD) adults.
Method
Participants were 2098 TGD adults—including transgender men (
n
= 599), transgender women (
n
= 293), and gender-diverse individuals (
n
= 1,206, including nonbinary and those who identified with “another gender identity”)—enrolled in The PRIDE Study. A multivariate general linear model tested the effects of chronological age, gender group (with gender-diverse as the reference), and their interaction on the eight EPSI scales.
Results
Multivariate analyses showed significant main effects of age (
V
= .045, p < .001) and gender group (
V
= .098, p < .001), but no significant age-by-group interaction. Older age was associated with greater Cognitive Restraint (
β
= .22, p < .001), Negative Attitudes toward Obesity (
β
= .22, p < .001), and Excessive Exercise (
β
= .12, p = .001). Compared to gender-diverse individuals, transgender men exhibited higher Muscle Building, Cognitive Restraint, and Excessive Exercise scores, whereas transgender women reported higher Binge Eating, Purging, Cognitive Restraint, and Negative Attitudes toward Obesity, but lower Muscle Building. A single significant interaction indicated that transgender women showed stronger age-related differences in Purging.
Conclusions
These findings contribute to growing evidence that disordered eating symptoms may not simply resolve with age among TGD individuals and necessitate lifespan-sensitive approaches to eating disorder care. These patterns likely capture a mix of aging processes and cohort-specific exposures to weight-normative and cis-normative ideals.
Level of evidence
Level V: based on descriptive studies.
Journal Article
Workplace Experiences of LGBTQIA + Individuals in Portugal
2023
Although Portuguese Labour Code forbids discrimination based on sexual orientation and gender identity, 20% of LGBTQIA + workers report workplace discrimination, potentially because non-discrimination policies do not protect against more covert types of discrimination. This study aimed to characterize workplace discrimination and support among Portuguese LGBTQIA + workers using online surveys to capture workplace satisfaction and support and discrimination in the workplace. Quantitative results were computed using STATA, Version 17.0. Qualitative data was analysed using NVivo 12. The sample included 60 participants who self-identified as a sexual or gender minority. Although only 31.9% of participants reported experiencing LGBTQIA + -based discrimination at work, only 30% of participants reported being completely out at work. Qualitative findings revealed two main themes regarding adverse workplace experiences (overt discrimination and covert discrimination), two main themes regarding neutral and positive workplace experiences (acceptance and support and liberation after disclosure at work), and two main themes regarding participants’ vision of a truly inclusive and supportive workplace (instrumental changes and changes in values). These findings indicate that discrimination attributable to sexual orientation and gender identity still exists in Portuguese workplaces despite anti-discrimination protections and that more legal, institutional, and social support is needed to ensure a safe workplace for LGBTQIA + people.
Journal Article