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1.
J Sex Res ; : 1-13, 2024 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-38776181

RESUMO

Despite the growing visibility of the asexual community across the globe, little is known about how individuals on the asexual spectrum navigate their (a)sexual experiences. Asexual individuals may be highly vulnerable to sexual violence victimization due to prejudice against their lack of sexual attraction. Perpetrators may seek to pressure asexual individuals into sexual activities by invalidating their asexuality or manipulating their need for emotional intimacy. Such non-consensual sexual acts or behaviors may have a profound impact on asexual individuals. The present study aimed to examine the prevalence of sexual violence victimization and its relationship with substance use among individuals identifying on the asexual spectrum. The data for this study were derived from a global sample of 8,752 individuals on the asexual spectrum from the Ace Community Survey. The results indicated that 67.4% of the participants had experienced at least one form of sexual violence victimization in their lifetime. Experiences of sexual violence were related to more frequent engagement in substance use over the past year. Additionally, the results showed that compared with asexual individuals, graysexual and demisexual individuals were more likely to experience sexual violence, which was linked to substance use. Given the widespread prevalence and detrimental effects of sexual violence victimization, it is important to integrate asexual perspectives into prevention and intervention efforts, while simultaneously raising public awareness about affirmative consent and boundaries. The study also offers significant implications for trauma-informed care, public education, and social policies that address the unique needs and experiences of this population.

2.
Soc Sci Med ; 348: 116840, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38615616

RESUMO

Critical consciousness is a powerful tool for individuals from marginalized groups to transcend their oppressive conditions through engagement in critical reflection, motivation, and action. Nonetheless, the mental health benefits and costs of critical consciousness have received limited research attention. The present study utilized a longitudinal research design to explore the positive and negative relationships between critical consciousness and mental health among sexual minority individuals in different developmental stages. A total of 636 sexual minority individuals were involved in the baseline study and were asked to complete a follow-up questionnaire after one year. The results demonstrated a co-occurrence of positive and negative effects of critical consciousness on mental health among sexual minority individuals across time. On the one hand, critical consciousness was associated with better mental health outcomes through the mediation of internalized oppression and community connectedness. Specifically, critical consciousness was associated with reduced internalized oppression, which in turn was linked to lower levels of emotional distress. Critical consciousness was also associated with heightened levels of community connectedness, which in turn was associated with improved well-being. On the other hand, the results revealed a positive direct effect of critical consciousness on emotional distress, after controlling for internalized oppression and community connectedness. Notably, developmental stage moderated the relationship between critical consciousness and well-being. A negative association between critical consciousness and well-being was observed among sexual minority youth, whereas no such association was found among sexual minority adults. While the study highlights that critical consciousness can be a pedagogical and therapeutic tool for the liberation and empowerment of sexual minority individuals, it is equally important to acknowledge the potential risks associated with critical consciousness. Striking a balance between critical consciousness and self-care is crucial for sustaining meaningful engagement in the pursuit of social change.


Assuntos
Estado de Consciência , Saúde Mental , Minorias Sexuais e de Gênero , Humanos , Minorias Sexuais e de Gênero/psicologia , Minorias Sexuais e de Gênero/estatística & dados numéricos , Masculino , Feminino , Estudos Longitudinais , Adulto , Inquéritos e Questionários , Pessoa de Meia-Idade , Adolescente
3.
Appl Clin Inform ; 15(2): 378-387, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38388174

RESUMO

OBJECTIVES: Pharmacogenetics (PGx) is increasingly important in individualizing therapeutic management plans, but is often implemented apart from other types of medication clinical decision support (CDS). The lack of integration of PGx into existing CDS may result in incomplete interaction information, which may pose patient safety concerns. We sought to develop a cloud-based orchestrated medication CDS service that integrates PGx with a broad set of drug screening alerts and evaluate it through a clinician utility study. METHODS: We developed the PillHarmonics service for implementation per the CDS Hooks protocol, algorithmically integrating a wide range of drug interaction knowledge using cloud-based screening services from First Databank (drug-drug/allergy/condition), PharmGKB (drug-gene), and locally curated content (drug-renal/hepatic/race). We performed a user study, presenting 13 clinicians and pharmacists with a prototype of the system's usage in synthetic patient scenarios. We collected feedback via a standard questionnaire and structured interview. RESULTS: Clinician assessment of PillHarmonics via the Technology Acceptance Model questionnaire shows significant evidence of perceived utility. Thematic analysis of structured interviews revealed that aggregated knowledge, concise actionable summaries, and information accessibility were highly valued, and that clinicians would use the service in their practice. CONCLUSION: Medication safety and optimizing efficacy of therapy regimens remain significant issues. A comprehensive medication CDS system that leverages patient clinical and genomic data to perform a wide range of interaction checking and presents a concise and holistic view of medication knowledge back to the clinician is feasible and perceived as highly valuable for more informed decision-making. Such a system can potentially address many of the challenges identified with current medication-related CDS.


Assuntos
Sistemas de Apoio a Decisões Clínicas , Farmacogenética , Humanos , Computação em Nuvem
4.
Fam Process ; 2024 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-38169124

RESUMO

Emerging research has demonstrated that transgender and non-binary (TNB) individuals face an elevated risk of experiencing family rejection and violence. However, there remains a significant knowledge gap regarding how TNB individuals manage stressors and their gender identity within the family context, particularly in regions where TNB individuals are highly stigmatized and where legal protections against family violence are lacking. The present study represents one of the first pioneering efforts to provide large-scale quantitative data examining the experiences of family stressors, the management of gender identity and expression, and family violence among TNB individuals in China. A national sample of 1063 TNB individuals in China was involved in the study. They completed questionnaires about their experiences of family stressors and violence. The results indicated that 76.0% of TNB individuals reported having encountered at least one form of violence perpetrated by their family members. Transfeminine individuals were more likely to report experiencing emotional and physical abuse, whereas transmasculine individuals were more likely to be subjected to gender identity and/or expression change efforts. Family stressors, including family non-acceptance and the pressure to marry and reproduce, were positively associated with non-disclosure of gender identity, the suppression of gender expression, and family violence. The findings underscore the substantial burden of family violence borne by TNB individuals in China, which warrants immediate legal, institutional, and social responses. Trans-inclusive family violence prevention and intervention are urgently needed, with a focus on Chinese cultural factors and gender identity differences in violence screening and risk assessment.

5.
Behav Processes ; 214: 104971, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38000519

RESUMO

How stimulant drugs affect risky choice and the role of reinforcement magnitude has been an important question for research on impulsivity. This study investigated rats' responding on a rapid acquisition, concurrent chains, probability discounting task under methamphetamine administration. In each block of four sessions, probability of reinforcement delivery was unequal (0.5/1.0, 1.0/0.5) or equal, (1.0/1.0, 0.5/0.5) while amount of reinforcement was constant and unequal. This allowed for an estimate of probability discounting and the magnitude effect (where larger reinforcers are discounted at a greater rate) in each block. Baseline, acute and chronic methamphetamine administration, and re-establish baseline phases were completed. Rats showed sensitivity to probability and magnitude in baseline, as well as a magnitude effect whereby preference for the larger reinforcement was greater with 100% than 50% reinforcement probability. Acute methamphetamine dose-dependently reduced the probability effect. There were no effects of chronic administration and only probability discounting was maintained in the re-establish baseline phase. This was the first procedure to find a magnitude effect with rats in a probability discounting procedure and demonstrates that acute methamphetamine reduces both the probability and magnitude effects which increases propensity for risky choice.


Assuntos
Desvalorização pelo Atraso , Metanfetamina , Ratos , Animais , Metanfetamina/farmacologia , Comportamento de Escolha , Reforço Psicológico , Probabilidade , Comportamento Impulsivo , Condicionamento Operante
6.
Psychol Rev ; 131(2): 494-522, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37358523

RESUMO

Where does arithmetic come from, and why are addition and multiplication its fundamental operations? Although we know that arithmetic is true, no explanation that meets standards of scientific rigor is available from philosophy, mathematical logic, or the cognitive sciences. We propose a new approach based on the assumption that arithmetic has a biological origin: Many examples of adaptive behavior such as spatial navigation suggest that organisms can perform arithmetic-like operations on represented magnitudes. If so, these operations-nonsymbolic precursors of addition and multiplication-might be optimal due to evolution and thus identifiable according to an appropriate criterion. We frame this as a metamathematical question, and using an order-theoretic criterion, prove that four qualitative conditions-monotonicity, convexity, continuity, and isomorphism-are sufficient to identify addition and multiplication over the real numbers uniquely from the uncountably infinite class of possible operations. Our results show that numbers and algebraic structure emerge from purely qualitative conditions, and as a construction of arithmetic, provide a rigorous explanation for why addition and multiplication are its fundamental operations. We argue that these conditions are preverbal psychological intuitions or principles of perceptual organization that are biologically based and shape how humans and nonhumans alike perceive the world. This is a Kantian view and suggests that arithmetic need not be regarded as an immutable truth of the universe but rather as a natural consequence of our perception. Algebraic structure may be inherent in the representations of the world formed by our perceptual system. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Assuntos
Matemática , Humanos
7.
Cognition ; 244: 105710, 2024 03.
Artigo em Inglês | MEDLINE | ID: mdl-38159525

RESUMO

Although there is substantial evidence for an innate 'number sense' that scaffolds learning about mathematics, whether the underlying representations are based on discrete or continuous perceptual magnitudes has been controversial. Yet the nature of the computations supported by these representations has been neglected in this debate. While basic computation of discrete non-symbolic quantities has been reliably demonstrated in adults, infants, and non-humans, far less consideration has been given to the capacity for computation of continuous perceptual magnitudes. Here we used a novel experimental task to ask if humans can learn to add non-symbolic, continuous magnitudes in accord with the properties of an algebraic group, by feedback and without explicit instruction. Three pairs of experiments tested perceptual addition under the group properties of commutativity (Experiments 1a-b), identity and inverses (Experiments 2a-b) and associativity (Experiments 3a-b), with both line length and brightness modalities. Transfer designs were used in which participants responded on trials with feedback based on sums of magnitudes and later were tested with novel stimulus configurations. In all experiments, correlations of average responses with magnitude sums were high on trials with feedback. Responding on transfer trials was accurate and provided strong support for addition under all of the group axioms with line length, and for all except associativity with brightness. Our results confirm that adult human subjects can implicitly add continuous quantities in a manner consistent with symbolic addition over the integers, and that an 'artificial algebra' task can be used to study implicit computation.


Assuntos
Cognição , Aprendizagem , Adulto , Humanos , Cognição/fisiologia , Aptidão , Matemática , Idioma
8.
J Homosex ; : 1-28, 2023 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-37976201

RESUMO

Despite the growing recognition of their harmful effects, sexual orientation change efforts (SOCE) continue to be practiced in various societies. This study examines the experiences of 11 sexual minority individuals in Hong Kong who have undergone SOCE. The findings reveal the pervasive influence of deeply ingrained homonegativity values within religious, family, educational, and soiocultural contexts during LGBTQ+ individuals' formative years. These prevailing stigmas compelled them to pursue SOCE through different methods. However, these methods have been proven ineffective and psychologically harmful, leading to increased distress and internalized homonegativity. The availability of knowledge and access to affirming LGBTQ+ values within religious, community, and sociocultural spheres played a crucial role in helping the respondents come to accept their sexual orientation and cease their attempts at SOCE. This study shed light on how the interplay of Chinese familial values and Christian doctrine in Hong Kong contributes to the promotion of homonegativity, consequently restricting the diverse expressions of sexuality. It is important to recognize that the notion of individuals actively "choosing" to undergo SOCE is misguided, as these decisions are often driven by social stigma and external pressures. Progress in this area requires confronting the systemic heteronormativity embedded within Hong Kong's cultural fabric.

9.
Biomedicines ; 11(11)2023 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-38001916

RESUMO

Human CLCA2 regulates store-operated calcium entry (SOCE) by interacting with Orai1 and STIM1. It is expressed as a 943aa type I transmembrane protein that is cleaved at amino acid 708 to produce a diffusible 100 kDa product. The N-terminal ectodomain contains a hydrolase-like subdomain with a conserved HEXXH zinc-binding motif that is proposed to cleave the precursor autoproteolytically. Here, we tested this hypothesis and its link to SOCE. We first studied the conditions for autocleavage in isolated membranes and then in a purified protein system. Cleavage was zinc-dependent and abolished by mutation of the E in the HEXXH motif to Q, E165Q. Cleavage efficiency increased with CLCA2 concentration, implying that it occurs in trans. Accordingly, the E165Q mutant was cleaved by co-transfected wildtype CLCA2. Moreover, CLCA2 precursors with different epitope tags co-immunoprecipitated. In a membrane-free system utilizing immunopurified protease and target, no cleavage occurred unless the target was first denatured, implying that membranes provide essential structural or conformational cues. Unexpectedly, cleavage caused a conformational shift: an N-terminal antibody that immunoprecipitated the precursor failed to precipitate the N-terminal product unless the product was first denatured with an ionic detergent. The E165Q mutation abolished the stimulation of SOCE caused by wildtype CLCA2, establishing that the metalloprotease activity is required for this regulatory function.

10.
Front Psychol ; 14: 1264487, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38034307

RESUMO

During childhood we begin to develop values, including valuing the natural environment (biospheric values). Although biospheric values are believed to provide the foundation for pro-environmental behavior throughout the course of one's life, little research has investigated these values in children. The present study aimed to investigate the relationships between children's endorsement of biospheric values, their pro-environmental behaviors, and their perception of their friends' and peers' endorsement of biospheric values. Moreover, we investigated whether these values and behaviors, as well as the hypothesized relationships, were affected by educational programmes that were already implemented at schools. The results showed that children generally strongly endorse biospheric values, and that biospheric values were positively related to some personal and group pro-environmental behaviors. The study also found that, as in previous research with adults, the participants believed that their friends and peers endorsed biospheric values significantly less than they themselves did. Environmental educational programs were partially effective in reducing the participants' underestimation of their friends' biospheric values and increased the likelihood of some group pro-environmental behaviors. Our findings highlight the need for further research to investigate the effects of group pro-environmental behaviors and the perception of group values.

11.
Am J Community Psychol ; 72(1-2): 101-115, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37337993

RESUMO

Everyday forms of political engagement, such as civic participation and collective action, have been recognized as a crucial factor for positive youth development, but less is known about their resilience effects on youth from marginalized populations, especially in less democratic societies. The present study investigated experiences of everyday political engagement among sexual minority youth in China and examined their compensatory and protective effects against heterosexist victimization. A sample of 793 Chinese sexual minority youth was included in the study. The results showed that collective action operated as a protective factor in buffering the effect of heterosexist victimization, such that its association with academic engagement was not significant among those with higher levels of collective action. In contrast, civic participation served the compensatory function and was associated with greater academic engagement, a stronger sense of school belonging, and fewer depression symptoms, but it did not protect against the negative effects of heterosexist victimization. The findings highlight the importance of identity-based action among sexual minority youth and provide insight into the differential resilience effects of everyday political engagement. The study has implications for fostering resilience among sexual minority youth with victimization experiences in school and counseling settings.


Assuntos
Vítimas de Crime , Minorias Sexuais e de Gênero , Humanos , Adolescente , Vítimas de Crime/psicologia , Fatores de Proteção
12.
Child Abuse Negl ; 143: 106254, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37348322

RESUMO

BACKGROUND: Navigating the developmental transition from adolescence to young adulthood while simultaneously integrating the emergence of a sexual minority identity can be overwhelming for lesbian, gay, bisexual, and questioning youth as the developmental tasks pose tremendous challenges to the cultivation of developmental assets, which are the building blocks necessary for fostering positive youth development and thriving. OBJECTIVES: The present study aimed to estimate the sexual orientation disparities in bullying victimization and developmental assets, investigate whether these sexual orientation differences varied by sex assigned at birth, and examine the mediating role of bullying victimization in the association between sexual orientation and developmental assets. METHODS: This study included a national sample of 3020 Chinese youth (51.5 % assigned male at birth; 48.5 % assigned female at birth) with a mean age of 15.71 years. They completed a self-report questionnaire on experiences of bullying victimization and developmental assets. RESULTS: Sexual minority and questioning youth showed significantly lower levels of developmental assets than heterosexual youth. The sexual orientation differences in developmental assets did not significantly differ by sex assigned at birth. In addition, sexual minority youth were at heightened risk of relational bullying than heterosexual youth. The results obtained from the structural equation modeling indicated that bullying victimization mediated the association of sexual orientation with developmental assets. Compared to heterosexual youth, sexual minority youth were more likely to be subjected to bullying, which was linked to lower levels of developmental assets. CONCLUSIONS: The study shows sexual orientation disparities in developmental assets among youth in China and reveals that the positive development of sexual minority youth may be hindered by their experiences of bullying victimization. The implications for positive psychological interventions and anti-bullying policies in Chinese educational settings are discussed.


Assuntos
Vítimas de Crime , Homossexualidade Feminina , Minorias Sexuais e de Gênero , Recém-Nascido , Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Comportamento Sexual/psicologia , Homossexualidade Feminina/psicologia , Bissexualidade/psicologia , Vítimas de Crime/psicologia
13.
J Sch Psychol ; 98: 96-112, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37253585

RESUMO

This study examined identity disclosure among lesbian, gay, bisexual, transgender, and intersex (LGBTI) students in China and investigated the effects of coming out on school victimization as well as current academic performance and long-term educational outcomes. The study drew on a national sample of 9260 Chinese LGBTI students (age range = 12-42 years) and 9668 LGBTI individuals who were not in education (age range = 14-85 years). The results showed that LGBTI students were more likely to come out to their fellow students (61.4%) than to their teachers (42.4%). Approximately 40.2% of LGBTI students reported having encountered victimization in school, and they also were more likely to report school dropout and lower levels of educational attainment than those who did not experience school victimization. Transgender and gender nonconforming students and intersex students were particularly vulnerable to the experiences and adverse effects of school victimization. In addition, the findings indicated that although students who came out in school were more likely to experience school victimization, identity disclosure was related to better long-term educational outcomes. This study is one of the first to document the identity disclosure, victimization experiences, and school outcomes of LGBTI students in China. The results show that identity concealment may bring short-term benefits by protecting LGBTI students from school victimization but may be harmful to them in the longer run. To foster a supportive climate and a safe school environment, it is important to enact sexual and gender diversity education, inclusive school policies, and teacher training programs at different levels of schooling.


Assuntos
Vítimas de Crime , Minorias Sexuais e de Gênero , Pessoas Transgênero , Feminino , Humanos , Criança , Adolescente , Adulto Jovem , Adulto , Revelação , Estudantes , Escolaridade , Identidade de Gênero
14.
JASA Express Lett ; 3(2): 023602, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36858981

RESUMO

A unique concept for suppression of trailing edge noise scattering from a splitter plate in a low Reynolds number flow is proposed. The key idea of the concept is the adoption of a structural compliance system embedded with a finite number of elastic panels. Specific compliance system designs are devised for promotion of panel structural resonance that effectively absorbs broadband flow/acoustic fluctuation energy responsible for noise scattering. The concept is examined using high-fidelity direct aeroacoustic simulation together with spatiotemporal aeroacoustic-structural interaction analysis. The concept is confirmed feasible and outperforms many similar trailing edge noise reduction approaches reported in the literature.

15.
J Youth Adolesc ; 52(5): 980-995, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36629987

RESUMO

Previous studies have primarily used an individual differences approach to identify dispositional factors associated with bullying behavior, which often neglect the broader school context in which bullying occurs. The present study used a multilevel research design to examine the contextual influence of school normative climate on allyship, bullying, and internalized homonegativity. The study included 3020 students (M = 15.83 years, SD = 1.50) from ten secondary schools in China. The results showed that school-level gender role attitudes were positively associated with bullying perpetration among heterosexual students as well as bullying victimization and internalized homonegativity among LGBQA+ students. In addition, there was a negative association between school-level sexual prejudice and allyship among heterosexual students. The findings demonstrate the contextual influence of school normative climate and highlight the need for regular school climate assessments, so that appropriate instructions, policies, and practices can be implemented to address gender biases and homophobia and the resulting bullying behavior.


Assuntos
Bullying , Vítimas de Crime , Humanos , Papel de Gênero , Instituições Acadêmicas , Homofobia , Atitude
16.
J Affect Disord ; 325: 794-803, 2023 03 15.
Artigo em Inglês | MEDLINE | ID: mdl-36623572

RESUMO

INTRODUCTION: While the asexual community has become increasingly visible, the pathologization and denial of asexuality remain strong, which may be linked to a higher prevalence of suicidality in this population. The present study examined experiences of minority stress and their relationship with suicidality among asexual individuals. METHODS: This study included a global sample of 12,449 individuals on the asexual spectrum. They completed an online survey assessing minority stress (including verbal aggression, victimization, and health care discrimination), impairment in different aspects of life, and suicidality. RESULTS: The results showed that 64.8 % of asexual individuals had experienced minority stress based on sexual and/or romantic orientation. Approximately 32.2 % reported suicidal ideation, 10.6 % had suicide plans, and 2.7 % had attempted suicide in the past 12 months. Suicidality was more prevalent among asexual men and non-binary individuals than among asexual women. Asexual individuals who were younger, identified as transgender, and lived in lower-income countries were more likely to report suicidality. Among the different dimensions of minority stress, victimization was most significantly associated with suicidal ideation, plans, and attempts. The positive association between minority stress and suicidality was mediated by impairment in health. LIMITATIONS: The cross-sectional nature of the data might prevent causal inferences from being drawn. Validated measures of asexual-specific minority stress were not available. CONCLUSION: The findings have implications for asexuality-affirming mental health practices supporting asexual individuals in coping with minority stress experiences. Public education efforts are needed to raise awareness of asexuality as a valid sexual orientation and to dispel misconceptions about asexuality.


Assuntos
Minorias Sexuais e de Gênero , Suicídio , Humanos , Masculino , Feminino , Ideação Suicida , Estudos Transversais , Comportamento Sexual
17.
J Sex Res ; 60(5): 704-717, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36121683

RESUMO

Monosexism has been increasingly recognized as a minority stressor uniquely experienced by plurisexual individuals. The present study investigated the effects of monosexist discrimination on mental health and examined the moderating role of gender and sexual identity integration (i.e., negation, authenticity, and disclosure). In a sample of 314 bisexual and pansexual individuals in Hong Kong (73.9% women and 26.1% men), the results showed that monosexist discrimination was associated with higher levels of depression and anxiety symptoms, above and beyond heterosexist discrimination. The association between monosexist discrimination and depression symptoms was stronger among bisexual and pansexual men than women, despite there being no gender differences in vulnerability to monosexist discrimination. Moreover, sexual identity negation, authenticity, and disclosure moderated the associations of monosexist discrimination with depression and anxiety symptoms, such that the associations were not significant among those with more positive integration of sexual identity (i.e., lower levels of sexual identity negation as well as higher levels of sexual identity authenticity and disclosure). This study provides insight into the deleterious impact of monosexism and the protective role of sexual identity integration. Implications for plurisexual-affirming psychological intervention, public policy, and community practice are discussed.


Assuntos
Saúde Mental , Minorias Sexuais e de Gênero , Masculino , Humanos , Feminino , Hong Kong , Comportamento Sexual/psicologia , Bissexualidade/psicologia , Identidade de Gênero
18.
AIDS Educ Prev ; 34(6): 467-480, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36454136

RESUMO

Pre-exposure prophylaxis (PrEP) stigma has been found to be a major barrier to PrEP acceptability and uptake. Research has found that different ethnic/cultural groups display varying levels of PrEP stigma. This article studies sex conservatism and internalized homonegativity as two sexuality- and culture-related aspects that influence PrEP stigma and intention to use PrEP. An online survey of 279 young gay and bisexual men in Hong Kong found that internalized homonegativity was positively associated with PrEP stigma. Respondents who were more conservative about sex showed lower intention to use PrEP, whereas those who had higher income and more positive attitudes about PrEP were more likely to express intention to use PrEP. This study provides novel empirical evidence for understanding PrEP stigma and uptake from a sexuality and cultural perspective. The influence of sexuality- and culture-related factors on PrEP stigma and uptake warrants greater attention, especially in the Asia-Pacific region.


Assuntos
Infecções por HIV , Minorias Sexuais e de Gênero , Adolescente , Masculino , Humanos , Intenção , Hong Kong , Infecções por HIV/prevenção & controle , Comportamento Sexual
19.
Arch Sex Behav ; 51(7): 3613-3625, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36121583

RESUMO

Previous estimates suggest that there are at least nine million transgender people in Asia-Pacific; however, in most countries, legal gender recognition has not been made possible or there are otherwise stringent eligibility criteria. The obligation of having undergone gender-affirming medical interventions as a basis for such recognition is being hotly debated. However, there has been little empirical evidence on the desire to undergo various gender-affirming medical interventions among transgender people. This study fills the research gap by studying Hong Kong, where a transgender person must produce medical evidence for "complete" sex reassignment surgery in order to change the sex entry on their identity card. A community-driven survey of 234 transgender people found that only 13.0% of the participants who were assigned male at birth could fit such a requirement. Strikingly, because none of the participants assigned female at birth had undergone construction of a penis or some form of a penis, all of them would be excluded from legal gender recognition. Financial reasons and reservations about surgical risks and/or techniques were the most commonly cited reasons for not undertaking the medical interventions. The findings suggest that an overwhelming majority of transgender people in Hong Kong are excluded from legal gender recognition, which fundamentally affects their civil, political, economic, social, and cultural rights. More generally, this study shows heterogeneity among transgender people in the desire for different gender-affirming medical interventions, and thus argues that the legal gender recognition debate needs to consider their concerns and self-determination.


Assuntos
Cirurgia de Readequação Sexual , Pessoas Transgênero , Feminino , Identidade de Gênero , Hong Kong , Humanos , Recém-Nascido , Masculino , Inquéritos e Questionários
20.
Sex Reprod Health Matters ; 30(1): 2102537, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36017871

RESUMO

As social inequalities during the COVID-19 pandemic have been recognised, emerging research showed that lesbian, gay and bisexual (LGB) people may be additionally affected during the pandemic. This paper adds to the understanding of the experiences of LGB people during the pandemic with a focus on Hong Kong, where issues of space significantly influence LGB people's lives in this city with high population density. As part of a larger community study of LGB lives in Hong Kong, COVID-19-related impact on 434 Chinese-speaking LGB people was explored. Data collection was conducted from 20 May to 30 June 2020. Inductive thematic analysis of the open-text response survey data found that the LGB participants described both negative and positive impacts brought by COVID-19. Such impacts could be dimensionalised into those related to personal space and privacy, romantic and sexual space, and community space. It was also found that the experiences of COVID-19 among LGB people in Hong Kong were intersectional, along the lines of living arrangement and relationship status. Such findings make unique contributions to the emerging literature. First, there needs to be a more nuanced understanding of sexual minority individuals' experiences during COVID-19 across cultural contexts. Second, COVID-19 was described as having brought positive impact in addition to its widely known negative impact.


Assuntos
COVID-19 , Minorias Sexuais e de Gênero , Bissexualidade , Feminino , Hong Kong/epidemiologia , Humanos , Pandemias
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