Individuals who identify themselves as sexual or gender minorities report experienced and anticipated stigma known as minority stress. This stigma or stress has been consistently linked with worse mental health outcomes (e.g., depression, anxiety) compared with non-stigmatized (heterosexual, cisgender) individuals. However, little is understood about sexual minorities who also identify as gender minorities. This “doubly stigmatized” subgroup of the population may be transgender or gender-nonconforming or non-binary while simultaneously holding a non-heterosexual identity. This study sought to explore whether stigma and minority stress processes were different between individuals who identified as sexual minority/ gender majority (n=148) versus sexual and gender minority (n=167). Results revealed that individuals who were both sexual and gender minorities reported significantly more depressive and anxiety symptoms, greater minority stress, and fewer support resources. Moreover, increased minority stress (anticipated discrimination) and fewer support resources explained the disparity in mental health (bootstrapped indirect effects = -.4111 se=.1720 95%CI=-.8675, -.1634) between sexual and gender SATURDAY PROGRAM • JUNE 22, 2019 103 minority versus sexual minority/gender majority participants. Community connection was further examined as a potential moderating resource. Findings are discussed in relation to multiple stigmatized identities, the intersections of sexuality and gender identity, and the need for both future research and support resources for this population.

Sexual and gender minorities experience disparities in mental and physical health often attributed to structural discrimination through policies that do not promote equal rights and interpersonal–intrapersonal processes. Social issues research on stigma and intergroup relations can explicate the intervening processes that explain health. In this introduction to the special issue entitled Translating Stigma and Intergroup Relations Research to Explain and Reduce Sexual and Gender Minority Health Disparities, we call social issues researchers to focus their work on sexual and gender minority stigma and intergroup relations processes in order to understand and ultimately reduce health disparities.

Sexual and gender minorities experience disparities in mental and physical health often attributed to structural discrimination through policies that do not promote equal rights and interpersonal–intrapersonal processes. Social issues research on stigma and intergroup relations can explicate the intervening processes that explain health. In this introduction to the special issue entitled Translating Stigma and Intergroup Relations Research to Explain and Reduce Sexual and Gender Minority Health Disparities, we call social issues researchers to focus their work on sexual and gender minority stigma and intergroup relations processes in order to understand and ultimately reduce health disparities.

Introduction: Structural stigma, or stigma at a society or policy level, has a negative impact on the mental and physical health of sexual and gender minorities (SGMs). In particular, political leaders and the policies they enact can limit the resources and safety of SGM. Following the 2016 presidential election, there was fear of an increase in structural stigma in the USA. However, research on the specifics of anticipated structural stigma is lacking. Methods: Using data from 187 participants who completed an online study conducted from 2016 to 2017, we used inductive thematic coding to examine anticipated structural stigma. Results: We found four themes: (1) anticipated negative consequences of specific anti-SGM political figures, (2) concerns about the loss of existing SGM rights, (3) fear of new anti-SGM policies, and (4) fears of vulnerability related to limited existing protections. Conclusion: We discuss how these themes tie into each other, map them onto existing structural stigma work, and use laws and policies that have been passed or proposed in the past 4 years to describe how these anticipated stigmas have become enacted.

Diplomová práce Relations in gender-unbalanced classes ABSTRACT The diploma thesis is focused on relations in gender-unbalanced high school classes. A combination of three methods was used for data collection: sociometric rating questionnaire, questionnaire for girls and boys in the classroom and interview with teachers. The sample included six schools in Prague. The theoretical part maps the influence of gender stereotypes on development of individuals and character of relationships in coeducated and separated classes. The empirical part provides data analysis with respect to the whole group and the position of minority individuals among classmates. Results showed that gender-unbalanced classes evaluated mutual popularity and influence comparably to gender-balanced classes. However, classes with predominance of girls achieved better results since the respondents reflected greater respect and tolerance in comparison to classes with predominance of boys. The boys' minority is more satisfied among girls than the girls' minority among boys. Boys in the boys' classes were negatively assessed for not appreciating girls and laughing at them. In both types of gender unbalanced collectives, minorities were in the background and not participating in class very much. Qualitative analysis of verbal responses has shown...

abstract: This exploratory quantitative study examined the risks and needs expressed by gender/sexual minority emerging adults in Phoenix, Arizona. Differences in experiences and perceived service needs between gender minorities and cisgender sexual minority emerging adults were also identified. Respondents (N=102) completed a 78-item questionnaire in March and April of 2015. Individuals reported high rates of risk factors and physical needs, with those individuals who were both gender and ethnic minorities more likely to report having a perceived service need than their cisgender white counterparts. In addition, the study found significant positive correlations between housing factors (i.e., having experienced homelessness, ever/currently being in foster care, not having a safe/stable living situation) and other risk factors and needs. Risk factors were also correlated with wishing for a different gender identity or sexual orientation. With the majority of the respondents reporting a service need, implications include the need for culturally competent and accessible services, as well as services that continue to build on the protective factors of having an accepting family, friend group, and a sense of belonging to a community. / Dissertation/Thesis / Masters Thesis Social Work 2016

The gender binary is a pervasive idea in society which suggests that there only exist two genders – man and woman. The wide array of differing gender identities would suggest otherwise. Identifying as nonbinary means that you reject the gender binary and identify somewhere between, in both, or beyond the binary. However, research on nonbinary identities has been relatively scarce which suggests an importance of furthering the knowledge in the area. This study aims to examine how nonbinary students navigate their identity at university in Sweden. This is done by examining and trying to understand (1) their experience and treatment by peers and teachers, (2) how they manage these experiences at university, and (3) the experiences that obstruct and facilitate their navigation of their identity. To answer the aim, semi- structured interviews with 6 participants were conducted and analyzed with the help of thematic analysis. The empirical data was analyzed through the lens of cisnormativity, which refers to the idea that everyone’s gender identity is and should be congruent with the one assigned at birth. The findings shows that while nonbinary students in Sweden have generally good relations towards peers and faculty, they are all exposed to microaggressions in the form of misgendering, deadnaming, and invalidating experiences. To manage these discriminating interactions, they develop strategies in the form of preventive measures, avoiding confrontation, confronting behavior as well as the responsibility to educate. The experiences of facing these obstacles as well as the exclusion and erasure of nonbinary identities, was easier facilitated with the support and kinship from peers and faculty. These findings emphasize the importance of removing the burden of responsibility from nonbinary people by normalizing gender identities outside the binary and inviting them into the master narrative of cisnormativity.

Suicidality rates are far higher among gender minority individuals than in the general population. This study sought to determine if intersecting identities and social support play a role in these rates. There were no differences in suicidality among gender minorities with an intersecting sexual minority identity. For intersecting racial/ethnic identities, it was found that White individuals were more likely to report past suicidal ideation than racial/ethnic minority individuals. Family support was independently associated with less suicidal ideation, whereas gender minority friend support was independently associated with an increase in suicidal ideation.

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Bakgrund   Ätstörningar påverkar ungefär nio procent av världens befolkning. De definieras som allvarliga och tvångsmässiga beteenden med potentiellt livsfarliga konsekvenser. Sexuella-och könsminoriteter är sårbara och marginaliserade grupper med hög risk för att lida av psykisk ohälsa. Deras upplevelser och erfarenheter som marginaliserade samhällsgrupper påverkar deras interaktion med vården. Syfte Att beskriva prevalensen och lidandet av ätstörningar hos sexuella-och könsminoriteter. Metod Studien är en icke-systematisk litteraturstudie. För att söka ut de 17 originalartiklar som inkluderades i studien användes tre separata databaser och manuell sökning. Alla artiklar har kvalitetsgranskats enligt Sophiahemmets Högskolas bedömningsunderlag. Därefter lästes materialet igenom och en integrerad dataanalys användes för att analysera det syntetiserade resultatet. Resultat Sexuella-och könsminoriteter påvisade en högre risk för att lida av ätstörningar än ciskönade heterosexuella individer. Helt homosexuella deltagare hade ofta en officiell ätstörningsdiagnos medan bisexuella deltagare rapporterade höga resultat på bedömningar om ätstörningar. Ätstörningar och ätstörningsbeteende var ofta förekommande hos könsminoriteter med motiveringen att framhäva eller förtrycka könskaraktärer. Deltagare rapporterade upplevt lidande på grund av en bristande kunskap eller möjlighet till vård. Slutsats Det finns ett behov av ett empatiskt förhållningssätt gentemot målgrupperna samt utbildning i att förstå minoritetsperspektivet för att minska lidandet bland sexuella-och könsminoriteter som lider av ätstörningar. Minoritetsstress måste tas i beaktning när man hanterar minoriteter då de löper hög risk för fysiska och psykiska sjukdomar. Resultaten illustrerade skillnader mellan grupperna vilket lyfte fram vikten av att se individen holistiskt. Genom att arbeta för att förstå minoritetsperspektivet kan vårdgivare bidra till globala mål samt lindra lidande för individen. / Background Feeding and eating disorders affect about nine percent of the human population. They are defined as serious and compulsory behaviours with potentially life-threatening consequences. Sexual and gender minorities are vulnerable and marginalised groups who are at risk of suffering psychological illnesses. Their experiences as marginalised groups of society affect their interaction with the healthcare system.  Aim To describe the prevalence and suffering of feeding and eating disorders amongst sexual and gender minorities. Method The study is a non-systematic literature review. Three separate databases along with manual search were used to find the 17 primary articles included in the study. All articles have been reviewed as per Sophiahemmet University’s assessment instruments. Thereafter, the source material was examined, and an integrated analysis was used to analyse the synthesised results.  Results Sexual and gender minorities exhibited a high risk for suffering feeding and eating disorders than cisgendered heterosexual individuals. Completely homosexual participants were more likely to have an official feeding and eating disorder diagnosis whilst bisexual participants reported high scores on feeding and eating disorder questionnaires. Feeding and eating disorders and disturbed eating behaviours were frequent amongst gender minorities with the motivation of accentuating or repressing sex characteristics. Participants reported further suffering due to lack of knowledge or care amongst healthcare providers.  Conclusions There is a need for an empathic attitude and education in understanding the minority perspective to reduce the suffering amongst sexual and gender minorities suffering feeding and eating disorders. Minority stress needs to be taken into consideration when dealing with minorities as they are at high risk of physical and mental illnesses. The results illustrated various differences between the subgroups which highlighted the importance of viewing the individual holistically. By working to understand the minority perspective, healthcare providers can contribute to global goals as well as alleviate suffering for the individual.