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 guidelines for our assignment, which were to have an article younger than five years with an author who has nursing credentials. We used terms such as “mental health issues” and “minority groups” to drive our search, and from there we chose articles that best fit our own individual interests. Findings: From our research, we found that these groups tend to have a much poorer mental health status compared to their majority counterparts. In healthcare settings, sexual minorities tend to be generalized and treated without understanding of their differences; the same can be said for ethnic minorities, who are often treated by uneducated or biased healthcare workers. Conclusions and Nursing Interventions: There is a severe lack of specialized mental health teaching being given to healthcare workers. In implementing comprehensive care teaching programs, we could greatly 2 improve the therapeutic mental health services being provided to these minority groups.

This dissertation used queer rhetoric as a lens for studying queering gender norms on Instagram by using Lady Gaga's, Nicki Minaj's, and fan posts as case studies. The research considers how celebrities may use social media, like Instagram, for queering gender norms, and what this might look like. This research also aimed to better understand if and how fans may take up celebrities' efforts at queering gender norms and, in turn, queer gender norms in their own Instagram posts where they tag Gaga or Minaj. To conduct this research, I took a multimodal methodological approach and collected and coded 1,000 posts from Gaga and Minaj, respectively, and 1,000 posts that used the hashtag Gaga and another 1,000 posts that used the hashtag Minaj. My findings suggested that Gaga and Minaj do not engage in the queering of gender norms as frequently as anticipated, and when they do it is often in relation to their public, staged performances as musicians. Furthermore, Gaga also spoke on issues relating to gender and marriage equality whereas Minaj also spoke on issues relating to racial equality. The data collected on fans was inconclusive in part because of the large number of spam posts and also because, without interviewing fans, it was difficult to discern whether they were taking up celebrity messages in their posts given information shared in the photo and in the caption. However, I was able to note that, most often, fans were engaging with celebrities by expressing admiration. This research is useful for considering how gender performance manifests on Instagram, and possible ways celebrities can utilize Instagram to queer gender norms as well as promote other messages. With regard to fan posts, I argue for continued research in ways to support fans becoming critical rather than passive consumers of celebrity culture.

This study searches twenty composition readers' table of contents for the degree of inclusivity of queer people and issues. Four means of erasure are labeled as possible erasing of queer identity: presuming heteronormativity, overt homophobia, perpetuating tokenism, and pathologizing queer identity. The presence of other differences are compared to the number of times that queer identity is referenced in the table of contents. The final portion of the analysis examines the two most inclusive composition readers to understand more clearly how the readers present queer individuals and issues. In a sense, I want to explore the question of how often queer people are discussed or addressed and in what forms within these composition readers. My hope is to develop a means for instructors and students to investigate whether or not, and in what ways a composition reader prescribes presence for the queer individual.

Background: Transgender people face several barriers to healthcare when accessing services. Purpose: The purpose of this study was to explore the lived-experience of the transgender person accessing healthcare. Methods: Colaizzi phenomenological method was used to delve into the experience. The guiding question was: What is the lived experience (challenges, barriers, and/or difficulties) that the transgender person experiences when accessing healthcare? Results: Initial themes were collapsed to create relevant meanings. Five themes emerged from the protocols and were validated by participants. Overall, the transgender person is vulnerable in the healthcare system due to the lack of representation of their identity, which results in their underutilization of healthcare services. Conclusion: This study demonstrates the need for changes to our current system of healthcare education and practice to provide competent care to the transgender population.

This study investigated how Christianity affects Black queer women's decision-making regarding seeking mental health services. Those who felt they met the inclusion criteria completed a Basic Demographic Survey. After vetting these individuals, eleven female participants—who are both Black and queer—were asked to participate in an individual semi-structured qualitative interview. The interview focused on one's journey with mental health, societal and relationship influences, Black and LGBTQ+ identity, influences from conservative, traditional, or mainstream Christianity, and sense of self. Although Christianity may not have directly impacted most of the women in this study to seek mental health services, Christianity did have an overwhelmingly negative impact on these women's mental health and their queer identities both directly (i.e., church or the Bible) and indirectly (familial and societal beliefs rooted in Christianity). Due to the intersectionality of racial, sexual, and gender identities, this research will help look at how mental health professionals, Christians, and researchers can address those in this population. Keywords: Black, lesbian, bisexual, LGBTQ+, queer, women, Christianity, mental health services, mental health fields, community, sense of self, religion, sexuality, gender, gender roles, Black church, evangelicalism, mental health, faith, conservatism, traditional Christianity

Background As transgender identification rises in younger generations, it is imperative that colleges and universities account for the health and wellbeing of this growing subset of the student body. Previous research indicates that transgender populations experience unique barriers to accessing healthcare, including socioeconomic barriers and a lack of healthcare providers experienced in transgender medicine. These barriers contribute to low rates of healthcare utilization and significant health disparities in transgender populations. Methods A community health assessment of transgender and gender-nonconforming (TGNC) students at the University of Central Florida was conducted in order to assess: (1) students' access to and experiences with healthcare on-campus at Student Health Services and off-campus with other healthcare providers, (2) barriers affecting healthcare accessibility for TGNC students, and (3) the overall mental and physical health-related quality of life (HRQOL) of this population. These measures were assessed utilizing a 15-minute online survey administered via Qualtrics distributed during the Fall 2023 semester. Results TGNC students' HRQOL was found to be substantially poorer than the general population, particularly with regard to mental health. The most significant socioeconomic barriers identified were related to financial dependence and insurance. Although students generally reported positive experiences with Student Health Services (SHS), respondents frequently reported lacking confidence or being unsure of their providers' knowledge of transgender medicine. Additionally, recent legislation in the state of Florida affecting the provision of transgender medicine was also identified as a significant barrier to accessing transition-related care. Conclusion This research reveals significant structural barriers to transgender healthcare which require large-scale, policy-level changes to fully rectify. However, simple interventions such as a workshop, training, or lecture on transgender health for providers may serve to produce more inclusive healthcare experiences for transgender students in the meantime.

Latinx lesbian, gay, and bisexual (LGB) queer community members have unique health needs compared to non-Latinx heterosexual patients, including sexual and mental health issues, and challenges in ability to access healthcare. But research is unclear whether LGB Latinx patients may also face double stigma related to their sexual orientation and race. This study examined this issue in experiences of queer and Latinx adults with healthcare providers. I conducted semistructured in-depth interviews with 13 LGB Latinx adults between November 2018 and February 2019. Interviews were audio-recorded, and transcribed. Transcripts were coded, and data analyzed for themes using the Grounded Theory approach. My findings indicate that the quality of individual experience depends on key factors of the provider, in particular the provider's sexuality, gender, age, race, and ability to empathize. When LGB Latinx patients interact with like-identified providers, their experience is significantly more satisfactory, however, differently-identified providers who create open and non-judgmental communication with patients have the ability to provide this level of satisfactory service. More diverse staff in clinics also contributes to a better experience for LGB Latinx patients. This study calls attention to the need for greater diversity of healthcare providers as well as new non-judgmental approaches in care delivery to address LGB Latinx patients' needs.

The lesbian, gay, bisexual, and transgender (LGBT) community is a unique population that has specific health issues and health care needs associated with lifestyle behaviors that increase risk for certain diseases. Health concerns include mental and behavioral health, issues associated with gender identity and relationships (i.e. intimate partner violence), sexually transmitted infections, and chronic illnesses. The research suggests poorer health outcomes for the LGBT population compared to heterosexual and/or cisgender counterparts. Most research conducted with LGBT populations occurred in more populated urban settings with very few studies focusing on this population in the rural context. Consequently, there is a paucity of information on the health care concerns of the rural LGBT population. Considering the information gap, this integrative review of 14 research articles focused on health-related issues of the LGBT population in rural regions. The findings revealed rural LGBT persons experience disparities in accessing health care and support services; coupled with health care providers who often were not culturally competent; and, sometimes, unfamiliar with evidence-based health care protocols when caring for the LGBT patient. Implications for nursing research, education, practice, and policy and study limitations are highlighted.

The wealth of literature which intends to explain various aspects of LGBT rights, politics, and activism in Eastern Europe has been well established (Swimelar, 2017, p. 912). There are currently two opposing theories on the effect of backlash on LGBT attitudes and activism. One theory, purported by O'Dwyer, suggests that backlash is beneficial to the visibility of LGBT issues and for attracting international attention and support. Rosenberg argues that right-wing backlash is detrimental to attitudes and activism (Rosenberg 2008, p. 344-347). These two arguments for and against the "benefits to backlash" approach are clearly defined and testable. With this paper, I will map out the history of anti-LGBT backlash in Russia, along with the development of the gay propaganda law, and how it supports or detracts from both theories.

The relationship between monstrosity and homosexuality is complex, interwoven, and essential to 21st century understandings of horror and pop culture. Yet, not enough work has been done to disentangle these narratives. While the LGBT community has recently made tremendous strides in national acceptance and legalized marriage, queer individuals still feel like the monsters of both media and real life. This thesis seeks to explore the relationship between monstrosity and queerness, developing both a lens for understanding monstrosity, and understanding pop culture monsters through that lens. This thesis seeks to dismember these cultural narratives––much as these narratives have dismembered queer communities. By dismantling and reconstructing monstrosity through verse, this thesis hopes to shed light towards the struggles queer men (and non-fictional monsters) face.