Search Results (266)

Persons with disabilities face barriers to accessing sexuality education. For those who identify as queer, these challenges are compounded by stigma, ableism, and heteronormativity, resulting in distinct and overlooked experiences. This study explored the sexuality education needs of persons with disabilities who identify as queer in Kenya—a neglected demographic—using a phenomenological approach. Data were collected through a focus group discussion with six participants and analyzed thematically. Three themes emerged: invisibility and erasure; unprepared institutions and constrained support networks; and agency and everyday resistance. Educational institutions often overlook the intersectional needs of persons with disabilities who identify as queer, leaving them without adequate tools to navigate relationships, sexuality, and rights. Support systems are often unprepared or unwilling to address these needs. Societal attitudes that desexualize disability and marginalize queerness intersect to produce compounded exclusion. Despite these challenges, participants demonstrated agency by using digital spaces and informal networks to resist exclusion. This calls for policy reforms that move beyond tokenism to address the lived realities of multiply marginalized groups. Policy reform means not only a legal or governmental shift but also a broader cultural and institutional process that creates space for recognition, protection, and participation. Full article

There has been a growing trend of young people coming out as Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ) in recent years. Research on the relationship between LGBTQ grandchildren and their grandparents is limited and primarily focuses on the grandchildren’s perspective. This pilot study seeks to understand the relationship between grandparents and their LGBT grandchildren, from the grandparents’ perspective. Six Israeli grandparents were interviewed using a qualitative methodology, guided by a semi-structured interview protocol. Analysis of the interviews revealed three main themes: grandparents’ exposure to the grandchildren’s sexual orientation and their gender identity; the shattering of the grandparents’ dream and concern for the grandchild; and the relations between the grandparents and their LGBT grandchildren. The research findings in this pilot study indicate that the relations remained close and did not change following disclosure of the sexual orientation. However, some grandparents needed time to resume their regular relationship. The insights learned from the research findings regarding the process undergone by the grandparents upon discovering their grandchildren’s sexual orientation can help professionals treat and counsel family members, when necessary, how to bridge the gaps, and rebuild the relations between the grandparent and the grandchild, as these relations are important for the well-being of both. Full article

What can hybridity teach us? The answer I posit is–like water–to embrace movement in all its forms. We are currently experiencing the sixth mass extinction event on earth and yet few scholars give prolonged attention to how we are to sustainably move our human inheritances forward on this increasingly uninhabitable planet. Reflecting on the work of transnational poets, specifically South Korean poet Kim Hyesoon translated through Korean American poet Don Mee Choi and Lebanese American poet Etel Adnan, we are reminded of the myriad ways in which humans can move and survive in a foreign yet familiar world. This paper finds its support in the confluence of transnational contemporary feminist poetics, formalism, environmentalism, and posthumanism. Through the use of various critical discourses, this paper considers how movement and its hybrid capacities offer a new understanding of contemporary North American poetics. In this sense, a poem should be viewed as a dynamic temporal cybernetic system, a vessel, full of energy, simultaneously pulsing with the changing movements and constrictions of everyday life. Full article

This article examines LGBTQI+ asylum claims in the U.S. Circuit Court of Appeals. The data are part of a larger study that has identified 520 LGBTQI+ claims in the U.S. Circuit of Appeals from 1994 to 2023. It focuses on examples from the 115 cases that were granted a review and analyzes the logic that U.S. Circuit Court justices use when deciding to grant a review of a petition that was denied by a lower court, such as the Board of Immigration Appeals (BIA) and immigration courts. This article argues that the U.S. Circuit of Appeals contests lower court rulings from BIA and immigration court judges based on assumptions about credibility, discretion, persecution, and criminalization for LGBTQI+ asylum seekers. By granting reviews, the Circuit Courts provide an opening for the acceptance of queer asylum claims. Full article

This paper explores the under-researched phenomenon of queer migration in Croatia, Lithuania, and Poland—three post-communist, Catholic-majority countries. Drawing on existing studies in the literature and empirical data, it examines how prevailing social conservatism—shaped by the influence of Catholicism and the distinct developmental trajectories of these countries—is reflected in research on queer migration. Although limited, the current body of knowledge confirms that concerns over LGBTQIA+ rights are a factor motivating emigration. The three examples illustrate how queer migration must be analyzed within the complex interplay between Europeanization and liberalization, and the backlash against these processes. This backlash, prominently supported by the Catholic Church, includes resistance to gender equality and LGBTQIA+ rights. By critically engaging with existing research, the paper underscores the need for future studies—particularly those investigating the gap between legal protections and prevailing social attitudes toward LGBTQIA+ individuals, the relationship between human rights backlashes and queer migration, the intersections between spatial context and personal biographies, and the connection between the queer migration and recent immigration waves in these countries. Full article

Oklahoma has become a focal point in the national escalation of anti-2SLGBTQIA+ and anti-DEI efforts, emerging as one of the most aggressive states in proposing and advancing bills that undermine queer and trans rights across sectors, including public education, healthcare, free speech, and civil liberties. Although many bills do not pass into law, the volume, language, and momentum constitute a discursive and political terrain that actively regulates 2SLGBTQIA+ lives. This study retools the concept of strategic planning—typically associated with institutions’ mission-setting—as an analytical heuristic to examine how legislative efforts operate as a coordinated political agenda. Drawing on critical policy analysis (CPA) and critical discourse analysis (CDA), the authors map selected legislative texts from 2021 to 2024 to demonstrate how Oklahoma lawmakers are using policy discourse to reshape higher education into an extension of state power, advancing white cisheteronormative logics. By framing these efforts as ideologically coherent rather than isolated, this analysis contributes to the urgent work of identifying and resisting the restructuring of public education against 2SLGBTQIA+ communities. Full article

The literature details the healthcare needs of migrant people living with chronic illnesses and the consequent economic, social, and healthcare needs of their caregivers. Similarly, some studies have underscored the social and healthcare needs of 2SLGBTQIA+ (two-spirit, lesbian, gay, bisexual, transgender, queer, and intersex individuals, including diverse sexual and gender identities under the “+” symbol) adults living with chronic illnesses and their caregivers. This narrative review presents the context of migrant 2SLGBTQIA+ unpaid caregivers and how their intersecting identities influence their caregiving roles for family members with chronic illnesses. In this article, caregivers are defined as family members or chosen families who provide unpaid support that may last for three months or longer for people living with chronic illnesses. Most studies and policies overlook 2SLGBTQIA+ migrants who are also unpaid caregivers of individuals living with chronic illnesses, leaving them unsupported through discrimination at the intersection of racism, homophobia, transphobia, ageism, and ableism, forcing them to remain vulnerable to increased emotional and physical strain. There is a presence of pervasive systemic barriers, including a lack of training and education among social and healthcare providers, about the needs of migrant 2SLGBTQIA+ unpaid caregivers. Additional challenges stem from inadequate policies and insufficient targeted resources, particularly for caregivers from marginalized racial and ethnic backgrounds. The findings of this study highlight the necessity for a call to action to address these gaps and improve support systems for these highly marginalized communities. Full article

The latest Relationships Education, Relationships and Sex Education, and Health Education (RSHE) Draft Guidance seeks to reduce the inclusion of LGBT themes in English schools. Additionally, the Gender Questioning Draft Guidance for Schools and Colleges and the Cass Review overlook the rights of trans and non-binary young people, further intensifying the heated debates surrounding their lives. In response, the author draws upon research conducted in a primary school in Greater London in 2021, when statutory RSHE, including LGBT content, was first introduced. The research aimed to understand how teachers felt about teaching RSHE and to collaborate with them to enhance pupil learning within and beyond the RSHE curriculum. This paper critiques lesson observations and teachers’ reflections on their lessons using a Framework for Sexuality Education and Queer Theory. The researcher’s call to rethink how RSHE is taught should not be taken to mean it should not be taught. To the contrary, the findings suggest a need for the school to broaden its curriculum, teaching methods, and strategies to become a truly ‘LGBT-inclusive’ environment. However, the paper also illuminates the apprehensions these primary school teachers experienced, which in turn influenced pedagogical decisions. The article concludes by recommending specific whole-school approaches and effective pedagogical practices for RSHE in the school, which could be beneficial to other primary school settings. Effective teaching of LGBT themes requires clear support for educators, especially within the complexity of a primary school setting and given the changing political and social climate. Full article

The National Institute on Minority Health and Health Disparities Research Framework (NIMHD-RF) provides a multidimensional structure to examine health disparities across domains and levels of influence. While influential, its current Behavioral Domain centers on observable behaviors and underrepresents key psychological factors and determinants that shape health outcomes among minoritized populations. This gap limits the framework’s capacity to account for complex factors such as internalized stigma, identity-related stress, and cultural processes that significantly contribute to mental health disparities. In this viewpoint, we propose an adaptation of the Behavioral Domain into a Psychological/Behavioral Domain to better reflect the interconnected psychological, biological, sociocultural, and environmental factors influencing health. The revised domain incorporates psychological vulnerabilities, coping strategies, and identity-based stressors across all levels of influence, from individual to societal, and acknowledges macro-level processes such as structural stigma and inequitable policies. This reframing emphasizes that behaviors are shaped by psychological experiences and systemic inequities, not merely individual choice. By explicitly integrating psychological factors and determinants, the framework becomes more robust in guiding culturally responsive, equity-driven research and interventions. This adaptation aims to enhance the framework’s utility in mental health disparities research and to support efforts to achieve health equity for historically underserved populations. Full article

Cervical cancer remains one of the main causes of female mortality, especially in middle- and low-income countries, despite efforts towards the implementation of global vaccination against human papillomavirus (HPV). The aim of this study was to review and compare the most recently published international guidelines providing recommendations on cervical cancer screening strategies among average and high-risk women. Thus, a comparative review of guidelines by the US Preventive Services Task Force (USPSTF), the American Cancer Society (ACS), the American Society of Clinical Oncology (ASCO), the World Health Organization (WHO), the Canadian Task Force on Preventive Health Care (CTFPHC), the Cancer Council Australia (CCA), and the European Guidelines (EG) was conducted. There is an overall agreement regarding the suggestions made for women younger than 21 and those older than 65, with all guidelines stating against routine screening, with the exceptions of CTFPHC and CCA that expand the age group to up to 70 and 75 years, respectively. Continuation of screening in older women is also suggested in those with a history of a precancerous lesion and those with inadequate screening. Most guidelines recommend routine screening at 30–65 years, while the WHO advises that screening should be prioritized at 30–49 years. HPV DNA testing is the method of choice recommended by most guidelines, followed by cytology as an alternative, except for CTFPHC, which refers to cytology only, with self-sampling being an acceptable method by most medical societies. Agreements exist regarding recommendations for specific groups, such as women with a history of total hysterectomy for benign reasons, women with a complete vaccination against HPV, individuals from the lesbian, gay, bisexual, transgender, and queer communities and women with multiple sexual partners or early initiation of sexual activity. On the other hand, the age group of 21–29 is addressed differently by the reviewed guidelines, while differentiations also occur in the screening strategies in cases of abnormal screening results, in women with immunodeficiency, those with in utero exposure to diethylstilbestrole and pregnant women. The development of consistent practice protocols for the most appropriate cervical cancer screening programs seems to be of major importance to reduce mortality rates and safely guide everyday clinical practice. Full article

Cisgender sexual minority women (SMW, e.g., lesbian, queer) are at greater risk for poor mental and physical health compared to heterosexual women and face challenges when accessing health care. Previous research has largely focused on general sexual and gender minority barriers to health care, but more research is needed on the experiences of specific subgroups, including cisgender SMW. The current study qualitatively explored barriers and facilitators for cisgender SMW seeking health care. Twenty cisgender SMW aged 18–40 recruited using Meta advertisements and past participant lists completed 45 min semi-structured interviews and a brief survey. Thematic analysis conducted by two coders revealed a barrier theme with six subthemes, and a facilitator theme with seven subthemes. The barrier subthemes included discrimination, dominant culture centric, unsupportive socio-political environment, lack of patient-centered care, avoidance/concealment of sexual identity, and socio-economic challenges. The facilitator subthemes included supportive socio-political environment, advance identification of LGBTQ-affirming HCPs, patient-centered care, HCP identity similar to patient, social support, re-engagement with care after bad experiences, and socio-economic advantages. This study provides insight into the lived experiences of cisgender SMW that can help improve knowledge about health care disparities and inform health care interventions for this population. Full article

Among transgender binary and nonbinary/queer (TNBQ) individuals, perceived stigma has been documented to be significantly associated with health disparities that diminish overall quality of life. The present study examined the serial mediating roles of patient–provider relationship quality and perceived barriers to care in the association between perceived stigma and quality of life among TNBQ individuals residing in Italy. Data were collected from 132 TNBQ participants aged 18–60 years (M = 28.52, SD = 8.57) through an online survey assessing perceived stigma, patient–provider relationship quality, perceived barriers to care, and quality of life. A serial mediation model was analyzed using Model 6 of the SPSS Macro Process, version 29, and separately applied to two subgroups of TNBQ participants (i.e., binary and nonbinary) to detect potential differences. Findings indicated that in both groups (i.e., binary and nonbinary populations), when considered independently, only perceived barriers to care—but not patient–provider relationship quality—mediated the relationship between perceived stigma and quality of life. A serial mediation effect was also observed, wherein the relationship between perceived stigma and quality of life was mediated sequentially through patient–provider relationship quality and barriers to care, but only for the binary group. These findings hold significant clinical relevance, as improving the perceived quality of patient–provider relationships may help reduce perceived barriers to healthcare access. In turn, this may attenuate the detrimental effects of perceived stigma on the quality of life among TNBQ individuals. Full article

This essay defies the literary ghettoization of Asian-authored narratives and interrogates the space delineated as mainstream American feminist literature by placing Ng’s Everything in dialogue with Kate Chopin’s The Awakening and Kingston’s Woman Warrior (focusing on the first chapter, “No Name Woman”). It proposes a dialectical reading of Ng’s contemporary novel as a synthesis of Chopin’s and Kingston’s works and shows how Ng accounts for the reality and complexity of our intersectional identities—mixed racial parentage, nonbinary sex, or gender. Ng underscores the urgency of considering intersectional bodies and communities, especially relevant to our current times. It calls for a reading that accounts for both White people and people of color, both men and women, and both straight and queer. It reevaluates the thorny questions of the ethics of motherhood and intergenerational trauma that Chopin’s and Kingston’s narratives explore. This article encourages ongoing conversations about interethnic and intersectional fissures and affinities. Full article

This paper identifies and critiques the way conceptions of fidelity and reproduction shape contemporary approaches to doctrine. As an interdisciplinary work, I draw tools from adaptation studies, queer theory, and theatrical practice. This allows me to demonstrate how, in recent debates over doctrinal expansion or inclusion, both liberal and conservative approaches operate within the logics of the fidelity urge and reproductive futurism. The result of these commitments is an emphasis on handing on the past to the future. The work of Paleo-Orthodox theologian Thomas Oden, and the recent debates over marriage rites in the Uniting Church in Australia serve as illustrations. In suggesting an alternative, I turn again to the theatrical practices of adaptation to resource new conceptions of fidelity (and, in turn, novelty and transgression) that resist a dichotomy between a stable, unified origin and dependent, derivative copies. In their stead, I connect the bisexual epistemology of Marcella Althaus-Reid to the task of doctrine. Such a move brings the present into focus, resisting the allure of reproduction through a doctrinal agenda of confusion, effusiveness, and obscenity. Doctrine, outside of the fidelity urge, is suggested to be an act of non-competitive adaptation, whose horizon is not bound by the past or beholden to the future but is directed to the needs of the present. Full article

Introduction: Mental health conditions include disorders, diseases, problems, and/or symptoms that affect an individual’s emotions, thoughts, and/or behaviors, such as anxiety, depression, and substance use disorders. When describing the etiology of mental health conditions, various factors are often considered, including genetic, biomedical, social, and environmental. Therefore, the theoretical framework through which mental health conditions are discussed is important to consider, as it directly affects the conceptualization and treatment of mental health conditions. This narrative review synthesized the existing literature on different theoretical frameworks that can be used to understand the etiology of mental health conditions. Methods: This review employed a pragmatic, narrative approach to literature synthesis. Google Scholar was searched using variations of the terms “theory”, “mental health”, “etiology”, and “resilience” to locate the relevant peer-reviewed literature. The identified literature was further mined for additional important evidence sources. Results: Six theoretical frameworks were identified and discussed, including (1) attachment theory, (2) intersectionality theory, (3) intergenerational theory, (4) queer theory, (5) social cognitive theory, and (6) resilience theory. Strengths and weaknesses of each theoretical framework are identified. Conclusions: Although overlap exists among these theories, the different theoretical frameworks influence the conceptualization and treatment of mental health conditions. This has important implications since perceptions about the etiology and treatment of mental health conditions can be influenced by the theoretical perspective that one adopts. Some theoretical frameworks focus predominantly on psychosocial versus biological mechanisms, or vice versa, alluding to the need for interdisciplinary collaboration to best understand the etiology and treatment of mental health conditions. Full article