The purpose of this dissertation is to utilize an intersectional approach to determine what external factors (social, political, and economic) contribute to the health challenges of black heterosexual women and black queer women in the American South. The dissertation made a comparison between black heterosexual women and black queer women to explore whether their health challenges result from their social, political, and economic experiences. The research further examined how the daily experiences of these black women impact their health. This dissertation found that the daily lives of black heterosexual and black queer women associated with their social, economic, and political experiences create vulnerability in the health challenges of these populations. The dissertation also found that black queer women appear to become a sub-population whose health is poorer than their black heterosexual female counterparts because they suffer additional challenges, in the form of isolation and stigmatization, resulting from their sexual orientation in the American South.

Since the early 1990s with the AIDS pandemic, there has been an increasing interest on the importance of risky sexual behaviors, especially among men who have sex with men (MSM). An important antecedent for these behaviors is alcohol use. Studies consistently show an increased frequency of both alcohol use and risky sexual behaviors in MSM populations. However, to date, there has not been a precise estimate of the effect size in these diverse populations and a consistent way to measure it. More so, the importance of context is often cited as a source of variability, but is rarely measured in these studies. Contextual factors are different and specific for MSM, as they have been approached by two theories, both of which will be guiding this dissertation: Singer’s Syndemic Theory and Meyer’s Minority Stress Theory. Chapter 1, then presents a comprehensive review of both theories as they apply to alcohol use, risky sexual behaviors, and contextual factors driving them. Chapter 2 answers the first research question about effect sizes through a systematic literature review. The effect sizes or measures of association of these contextual risk and protective factors were summarized using meta-analytic techniques. Using five electronic databases, we identified 26 studies in 26 years (1990–2015), all diverse in terms of sampling techniques, assessment of sexual orientation, operationalization of alcohol use and risky sexual behaviors, contextual factors included, and measurement of effect sizes. Despite this diversity, studies reporting an effect size were pooled and summarized using both descriptive and meta-analytic techniques, as appropriate. Meta-analyses were conducted using Cochrane’s guidelines for generic inverse variance outcomes with random effects. The pooled effects of alcohol use on condomless anal intercourse (CAI; OR 1.73 [95% CI 1.43, 2.10], I2 0%), heavy episodic drinking on CAI (OR 1.88 [95% CI 1.25, 2.81], I2 32%), and heavy episodic drinking on condomless oral sex (OR: 8.00; 95% CI 2.48, 25.81), as well as the effects of substance use, mental health status, violence and victimization, and self-reported HIV status as contextual factors in the pathway between alcohol use and risky sexual behaviors were calculated, reported, and discussed along with study limitations and implications for public health. Chapter 3 answers the second research question regarding a standardized measurement model for effect sizes and the multiple mediation of contextual factors. We used the male subset of Wave IV of the AddHealth dataset to test our hypotheses through structural equation modeling approaches, including measurement analysis with invariance testing, path analysis for direct effects, and multiple mediation analysis through bootstrapping for indirect effects. The AUD scale was invariant between MSM and MSW, but the risky sexual behavior scale was not. For MSM, the standardized direct effect of AUD onto risky sexual behaviors was –1.25 and the standardized total indirect effect of the multiple mediation model was 1.58, 95% CI [1.42, 1.73]. Among the mediators, the strongest indirect effect for any measured or latent mediator was the mental health construct (2.09). We conclude that even though AUD has the same measurement structure for MSM and MSW, its effect on risky sexual behaviors does not operate the same way for these two populations, supporting both causal and contextual behavioral theories. Conclusions are individually discussed, respectively, in Chapters 2 and 3. However, Chapter 4 puts both manuscript conclusions in context and further discusses future implications for public health research, practice, and policy.

In response to a dearth of empirical literature concerning the mechanisms underlying female same-sex intimate partner violence (FSSIPV) perpetration, the purpose of this research is to inform intimate partner violence intervention and prevention strategies specific to sexual minority women. The research responds in particular, this research aims to inform a working intersectional model predicting FSSIPV perpetration, and to evaluate the face validity and construct coverage of existing survey measures related to gender, minority stress, and violence. Fourteen lesbian, gay, bisexual, transgender, and queer women recruited from the greater Portland, Oregon area participated in a series of in-depth, semi-structured, open-ended one-on-one and focus group interviews. Participant recruitment involved a combination of purposive and convenience sampling methods aided by the involvement of multiple community partners working in violence and education related fields. Interview and focus group questions addressed participants' experiences with gender role stress and minority stress. Grounded theory analysis of participants' narrative responses informed the coverage and relevance of constructs in a working intersectional model predicting women's use of violence in their same-gender intimate relationships. In particular, findings indicate that sexual minority women's experiences of gender role stress and minority stress, particularly in combination, were especially influential on their identities. Sexual minority women's experiences with minority stressors were not confined to minority stressors specific to their gender identities and sexual orientations, but intersected with minority stressors related to race and class as well. These findings support an intersectional and contextually-minded approach to IPV intervention and prevention strategies.

Transgendered Indonesians live in the fourth most populated nation in the world with more Muslims than any other country. This thesis summarizes an ethnography conducted on one religiously oriented male-to-female transgender community known in the city of Yogyakarta as the waria. This study analyzes the waria’s gender and religious identities from an emic and etic perspective, focusing on how individuals comport themselves inside the world’s first transgender mosque-like institution called a pesantren waria. The waria take their name from the Indonesian words wanita (woman) and pria (man). I will chart how this male-to-female population create spaces of spiritual belonging and physical security within a territory that has experienced geo-religio-political insecurity: natural disasters, fundamentalist movements, and toppling dictatorships. This work illuminates how the waria see themselves as biologically male, not men. Anatomy is not what gives the waria their gender, their feminine expression and sexual attraction does. Although the waria self-identity as women/waria, in a religious context they perform as men, not women.

This thesis addresses spiritual violence done to queer people in the sacrament of Communion, or Eucharist, in both Protestant and Roman Catholic churches in the U.S. Rooted in the sexual dimorphic interpretation of Genesis, theologians engendered Christianity with sexism and patriarchy, both of which have since developed into intricate intersections of oppressions. Religious abuse is founded on the tradition of exclusionary practices and is validated through narrow interpretations of Scripture that work to reassert the authority of the experiences of the dominant culture. The resultant culture of oppression manifests itself in ritualized spiritual violence. Queer people are deemed “unworthy” to take ‘the body and blood of the Christ’ and, in fact, are excluded altogether. This “unworthiness” is expressed as spiritual violence against queer people who are shunned and humiliated, internalize hateful messages, and are denied spiritual guidance or life-affirming messages. By “queering” Scripture, or reading the Bible anew through a framework of justice, queer people have begun to sacramentalize their experiences and reclaim their place at the table.

Sexual stereotyping -- United States and Spain -- Attitudes toward homosexuality and gender.

Analyzing Emily Bronte’s Wuthering Heights and linking trends of the Byronic hero that have merged into a variety of genres reveal that the hero is a mode of subversive gender expression, which has evolved within the Gothic through feminine desire. Delving into Bram Stoker’s Dracula will provide unique insight into the audience’s desires/expressions of gender. Finding the transition point from the monster vampire of Dracula to Stephanie Meyer’s desirous, sparkling boy-next-door in Twilight will track the trajectory of gender and sexual norms through time. From the foundational adaptation of the Byronic hero in Wuthering Heights to the repressed vampiric desire of Dracula, to queer desire/domestication within Anne Rice’s Interview with the Vampire, ending with sparkling vampires of Twilight, we can invite the Byronic hero, which already supports rejection of societal expectations, into a genderless space, becoming a champion of desire absent from the constraints of gender and sexuality conformity.

Black men who have sex with men (MSM) on Historically Black College/University (HBCU) campuses face a unique set of challenges. In addition to being disproportionately affected by HIV, Black MSM are impacted by risk behavior, stigma, and environmental policies and practices that adversely influence their experiences. The purpose of this study was to explore the experiences of Black MSM at a HBCU and how stigma, culture, social practices and the collegiate environment impact HIV risk-taking behavior. Utilizing the ecological framework and qualitative analysis, the behaviors of 13 Black MSM on a HBCU campus were examined. Personal interviews and risk assessment questionnaires were analyzed utilizing the phenomenological inquiry method. Data were inductively coded and combined into themes using a qualitative data analysis computer software package. The findings revealed that these 13 participants perceived that HIV-related risk behavior is occurring. They also noted a stigma within the current culture and expressed feelings of marginalization and a negative campus climate from students in the sexual majority. Implications for improving social change from this research include opportunities to (a) establish a culture of social responsibility and consciousness related to the integration and socialization of Black MSM; (b) dialogue regarding the campus climate; and (c) address conscious, unconscious, individual, and environmental stigmas experienced by Black MSM attending this HBCU.

The city of Portland adopted different policies toward gay bars between 1948 and 1965. Portland's conservative mayors, generally uninterested in changing the city or promoting growth, ignored gay bars. Reform mayors instigated campaigns against gay bars to gain public, political, and business support for their broader economic and social goals. They were able to use crackdowns on gay bars as popular components of their reform initiatives because Portland, in comparison to other cities, professed conservatism and morality and had little economic or cultural incentive to tolerate gay bars. Blaming Portland's vice on outsiders, reform mayors argued that their actions protected Portland's traditional reputability, despite the city's long history of tolerating vice and gay bars. This thesis focuses on the reform mayoral administrations of Dorothy McCullough Lee and Terry Schrunk and their policies toward gay bars and vice. Chapter two discusses Lee's attack on all criminality in Portland, and deals briefly with why the previous administration, under Frank Riley, was rejected as corrupt. Terry Schrunk's later reform, centered in suppressing sexual deviance and promoting economic development downtown, is discussed in chapter four. Chapter three describes growing awareness of queer communities, including changing definitions of queerness and perceived threats. These changes in popular beliefs about queerness, although not the direct cause of actions against gay bars in Portland, influenced the types of vice associated with gay bars, arguments used to justify anti-queer actions, and the level of priority placed on suppressing Portland's queer community. This thesis incorporates primary and secondary sources on gay bars, Portland, and queer history. It relies heavily on city council minutes and newspaper articles, but also draws from sources including City Club Bulletins, letters from Schrunk's constituents, interviews, popular psychological works, and comparisons with articles about other cities, such as Miami, San Francisco, and New York.

Scholarly research on the subject of the swift pace of change in support for same-sex marriage has evolved significantly over the last ten years. The shift has gone beyond the scholarship's initial description amongst demographic groups on how opinion has changed on gay rights issues, like same-sex marriage, to an examination of why the change has occurred. A great deal of the initial research on the topic seemed to focus on demographic traits that suggested a greater propensity toward support for same-sex marriage as time went on. Is the existent literature sufficient to explain why such a dramatic change in public opinion has occurred in the United States? My goal in this paper is to explore the plausibility that electoral events and the public dialogue/debate that surround them have accelerated the impact described in the four predominant theories, cohort succession, contact theory, intracohort theory, and media exposure. This paper includes three separate hypotheses to explore the possible connections between efforts to restrict gay rights at the ballot box and the ever-increasing support for same-sex marriage in public opinion polls. The results provide some preliminary indication that there are plausible connections between individual statewide efforts to restrict gay rights and increases in national public opinion support for same-sex marriage. The first analysis examines electoral events concerning gay rights in states where these issues have faced voters most frequently; California, Maine, and Oregon. The first hypotheses posits a potential connection between exposure to gay rights at the ballot box and greater support for gay rights in subsequent elections concerning gay rights in the same state. No clear or consistent pattern of support emerges for successive electoral measures concerning gay rights where voters have been previously exposed to gay rights question in an electoral context. The second analysis explores national public opinion support for same-sex marriage as statewide ballot measures increase in popularity across the United States. The second hypotheses posits a connection between an increase in statewide electoral events concerning questions of same-sex marriage and an increase in national public opinion support for same-sex marriage with state-to-nation diffusion occurring and prodding upward national public opinion support for same-sex marriage simultaneously. The hypotheses is confirmed by data that suggests as election events on same-sex marriage increase across the United States at the state level, so too increases national public opinion support for same-sex marriage. The third analysis explores the rate of change in support for legal same-sex marriage across the three states where gay rights referenda and ballot initiatives have been most frequent; it posits that in states where voters have greater familiarity with gay rights at the ballot because of previous exposure to them, their support will be greater over time than public opinion measured in other states that have similar political cultures but have not faced the same level of electoral activity on gay rights. The final hypothesis is inconclusive because of the fluid nature of the same-sex marriage debate in the universe of states within the United States. States are handling this salient issue in a number of ways; some legislatures now seem to be taking steps to legalize same-sex marriage statutorily; others may take no action to propel the provision of same-sex marriage equality or end constitutional bans on the practice; while another group of states are leaving activists to litigate the policy in Federal courts or shift the debate toward statewide popular votes on the issue of authorizing same-sex marriage at the ballot box via ballot initiative or referendum.