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Among the minorities underserved by today׳s healthcare system, the lesbian, gay and bisexual (LGB) population may be the least studied, and the least understood by healthcare providers. High-quality evidence is often lacking regarding optimal preventive care measures, both in medical areas that (to date) fail to identify differences in need between LGB and heterosexual patients, and in those more prevalent in or more specific (or both) to sexual minorities. Issues of substance abuse, sexual health and sexually transmitted diseases, obesity and other eating disorders, cardiovascular prevention, cancer prevention and screening, depression and other psychological disorders, social isolation and personal and intimate partner violence are all as or more important to address in LGB patients as they are in the general American population. Although many barriers to the delivery of quality healthcare to these patients exist, support from governmental, professional and private organizations can assist both patients and providers in overcoming these barriers.

Gay and bisexual men in the United States and South Korea have some of the highest HIV rates in their countries, and both have the fewest sex education programs and policies for gay and bisexual males in secondary and postsecondary school systems. Consequently, many South Koreans do not view HIV as a South Korean problem, and with American gay and bisexual men living in this type of environment, their HIV sexual protection knowledge and practices may be compromised. The purpose of this study was to gain more understanding and insight into the sex education experiences and sexual practices of gay and bisexual American men living in a large city in South Korea, to determine how they perceived their sex education experiences from the American school system. The theoretical framework was based on Husserl and Heidegger's theory of intentionality. A phenomenological method was employed, utilizing a purposeful and criterion sample of 6 gay and bisexual American men who experienced sex education in the American school system and reported testing HIV negative on their last HIV tests. Data were analyzed and coded to identify categories and themes. The findings revealed that the participants who experienced heterosexual-focused sex education did not find it useful to them as gay men. The implications of these findings for positive social change are to inform policy makers and education leaders of how gay and bisexual American men perceived their sex education experiences and of the value of providing diverse, comprehensive sex education in the school system as it relates to knowledge about HIV and HIV prevention, not only for gay and bisexual males but for all American students as a tool to reduce or prevent new HIV cases.

This thesis examines the evolution and adaptive function of female homosexuality. Biological, sociological, evolutionary, socioecological, and sociobiological theories are discussed. To assess the evolution of female homoerotic behavior, primate and human behavior are examined. Because the purpose of this thesis is to investigate the evolution of female same-sex relations, particular emphasis is placed on chimpanzees and bonobos, species in which these relations have been extensively documented. It is proposed that human females form homoerotic relationships to achieve independence from males and maintain alliances. If sufficient resources are present, aggregates of females can control their most significant resource-sex. Sex is utilized to recruit new females, to maintain alliances within the aggregate, and to distribute to males in exchange for strategic resources. This thesis concludes with several suggestions for future research.

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This thesis analyzes Transgender experience and dynamics in the Pagan community of Central Florida. Religion plays an important role as part of social structure for many people in the United States. It can also be a source of strife and conflict between culture groups and within cultures. In the US, predominant religious traditions stem from monotheistic Abrahamic faiths (Christianity, Judaism, and Islam); however, Wicca, a Neo-Pagan polytheistic religion, is practiced by a small but growing number of people. Based on nearly one year of ethnographic engagement with the Central Florida Wiccan community, this study presents an analysis of participants experiences in Wicca, especially as it refers to the experiences of Trans Wiccan practitioners and their religious communities. I argue that the theology underlying Pagan religious beliefs and practices, alongside shared experiences of othering and liminality, encourages the maintenance of an open, accepting and encouraging atmosphere towards LGBTQ+, and particularly Trans, Wicca practitioners.

The understanding of the experiences of queer Arab Americans and the ways in which they navigate cross cultural expectations of gender and sexuality is limited in the anthropology or social sciences scholarship. The available scholarship focuses primarily on queerness in juxtaposition to Islam, which is not relatable to all Arab Americans as they are a religiously diverse group. Through an intersectional approach, this research, conducted from April 2020 to May 2021, explores the lived experiences of queer Arab Americans from across the United States (U.S.) while seeking to identify potential commonalities that could encompass a more general queer Arab American experience in an attempt to broaden the understanding of an underrepresented population. Over the course of four months from June to September 2020, I conducted 16 semi-structured interviews that explored how participants navigated their worlds as queer Arab Americans. I conducted media analysis to contextualize the primary data. The narrative data were transcribed, coded, and analyzed to identify significant themes and subthemes, and capture the diversity of explanations. The findings in this study were divided into two article manuscripts. The first article examines participants' experiences through their interpersonal connections with their families of origin and communities. I argue that, although religion plays a role in anti-LGBTQ+ attitudes, Arab families are predominantly anti-LGBTQ+ to prevent social ostracization from their communities. Additionally, a lack of public representation for queer Arab Americans creates hardship and delay in coming to terms with their gender identities and sexualities and perpetuates this population's invisibility. Ultimately, acceptance by an inclusive community strengthened individuals' confidence in their identities and helped alleviate the effects of rejection and isolation felt by the participants. The second article examines the positionality of queer Arab Americans resulting from cultural othering due to historically strained U.S. relations with the Arab world. As a result, participants felt invalidated and alienated by people from both Arab and American communities, however they felt their existences as queer Arabs defied the opposition aimed at them. Additionally, they perceived American stereotyping of the Arab world hypocritical as the Queer community is still marginalized and without nationwide legal protections in the U.S.

Individuals who identify as lesbian, gay, bisexual, questioning, and other non-heterosexual orientations (LGBQ+) are significantly more likely to experience a sexual assault. To date, research on barriers to sexual assault disclosure (i.e., telling someone about a sexual assault) has been conducted almost exclusively on heterosexual women. Participants ages 18 to 30 participated in a cross-sectional, online study that assessed unwanted sexual experiences, disclosure of those experiences, perceptions of the police and perceptions of belonging to the LGBQ+ community. Findings demonstrated that survivors who identified as LGBQ+ took longer to initially disclose their sexual assault and had greater negative perceptions of police than survivors who identified as heterosexual. Also, among survivors who identified as LGBQ+, the degree of "outness" of sexual orientation was positively associated with sexual assault disclosure. However, perceptions of the police were not associated with disclosure of sexual assault to the police among people who identified as LGBQ+. Perceptions of belonging to the LGBQ+ community were also not associated with disclosure likelihood. The results of this study help to better understand how the sexual assault disclosure process differs by sexual orientation and suggest that providers who work with survivors who identify as LGBQ+ need to keep in mind the unique concerns faced by survivors who identify as LGBQ+ who may be considering disclosing their trauma. These findings also call attention to the negative perceptions of police that continue to be held by people who identify as LGBQ+. Due to limited research on the topic of sexual assault and the LGBQ+ community, this study may encourage future researchers to examine additional barriers to sexual assault disclosure that may be unique for survivors who identify as LGBQ+ and how disclosure is received by both formal and informal support.

Previous research suggests that suicide is more prevalent among those in the LGBTQ+ community (Abelson et al., 2006), and they are also more likely to experience bullying and psychological symptoms while less likely to have adequate social support. Although many studies have examined risk factors for suicidality, the current study aimed to compare the impact of the risk factors among those in the LGBTQ+ community with those who are not. Further, this study examined the role of identity in conjunction with these other risk and protective factors. College students (N = 501) completed an anonymous online survey battery. Suicidality was significantly correlated with microaggressions, childhood bullying, internalized symptoms, identity distress, and negatively correlated with social support. Close to a third of the sample (31%) identified as LGBTQ+, which was higher than anticipated and may be reflective of recent changes in young people being more open to exploring their gender and sexuality than in the past. Those who identified as LGBTQ+ experienced greater suicidality and other risk factors, including identity distress, suggesting that despite the fact that identifying as LGBTQ+ is becoming more common, the risk factors for negative adjustment still remain.