Background: Non-binary and genderqueer (NBGQ) people are those who do not identify within the gender binary system (male vs. female), not falling exclusively in man/male or woman/female normative categories. A higher proportion of NBGQ people is usually found within young persons. This population is marginalized and, as such, is at risk of stigmatization and of developing negative health outcomes. As literature on the health of NBGQ people is sparse, this study aims at systematically review the limited studies on this field. Methods: The research questions which guided the systematic review were: (1) What are the differences in the health levels between NBGQ and binary transgender (BT) individuals? (2) What are the differences in the health levels between NBGQ and cisgender individuals? (3) Which medical and psychological interventions are most suitable for improving NBGQ health? According to PRISMA guidelines, a systematic search was conducted in PubMed, PsycInfo, Web of Science, and Google Scholar. Results: Eleven studies met the inclusion criteria for the current systematic review. Among them, 9 were focused on the health differences between NBGQ and BT individuals, 4 of the latter and 1 individually were focused on the health differences between NBGQ and cisgender individuals, and 1 was focused on the evaluation of health outcomes related to medical procedures. No studies assessed psychological interventions aimed at improving health in NBGQ individuals. All studies were cross-sectional, did not generally recruit a large sample of NBGQ individuals, and used non-probability sample design. Results related to the difference in health between NBGQ and BT were mixed; indeed, some found a better health status while others a worse one. Results related to the differences in health between NBGQ and cisgender highlighted higher health needs in NBGQ than in BT individuals. The only study analyzing the effects of medical interventions on health found that NBGQ female-assigned at birth individuals improved their quality of life after chest surgery. Conclusions: Although scholars are starting to pay attention to the NBGQ health, research needs to be expanded both in terms of methodology and research contents. Clinical, health-related social policies, and research recommendations in this field are reported.
Bisexual people are a strongly stigmatized population experiencing health disparities caused by social stigmatization. The predominant framework helping to understand these health disparities and the impact of stigma on mental health of social groups belonging to a sexual minority identity constitutes the minority stress theory. In Italy, studies assessing this model in bisexual populations are very limited. Within this framework, the current study aimed at assessing in 381 Italian bisexual individuals (62 men and 319 women) the effects of anti-bisexual discrimination, proximal stressors (i.e., anticipated binegativity, internalized binegativity, and outness), and resilience on psychological distress. The results suggested that only anti-bisexual discrimination and internalized binegativity were positively associated with psychological distress, and that resilience was negatively associated with mental health issues. Furthermore, the results suggested that internalized binegativity mediated the relationship between anti-bisexual discrimination and mental health problems. No moderating effect of resilience was found. This is the first study to have thoroughly applied minority stress in Italian bisexual people, providing Italian clinicians and researchers with an outline of the associations between minority stress, stigma, resilience, and psychological distress within this population.
Although capable of mobilizing significant resilience factors to face stigma and discrimination, transgender and gender diverse (TGD) children and adolescents tend to suffer from more adverse mental health outcomes compared to their cisgender counterparts. The minority stressors that this population faces are mainly due to the gender-based pressure to conform to their assigned gender. This systematic review was aimed at assessing the potential mental health issues that affect the TGD population. The literature search was conducted in three databases; namely, Scopus, PubMed, and Web of Science, based on the PRISMA guidelines. The 33 articles included in the systematic review pointed out how TGD children and adolescents experience high levels of anxiety and depression, as well as other emotional and behavioral problems, such as eating disorders and substance use. Resilience factors have been also pointed out, which aid this population in facing these negative mental health outcomes. The literature review highlighted that, on the one hand, TGD individuals appear to exhibit high levels of resilience; nonetheless, health disparities exist for TGD individuals compared with the general population, which are mainly attributable to the societal gender pressure to conform to their assigned gender. Considerations for research and clinical practice are provided.
Lesbian, gay, bisexual, and transgender (LGBT) older adults have not received proper attention by the scientific literature and gerontology research, especially in Italy. This lack represents only an aspect of a more general condition of social invisibility that weighs on this population. The present contribution aims to provide researchers and clinicians with a review of scientific works which, especially in the USA, have casted light on experiences of stigmatization, discrimination, and victimization experienced and perceived by this population. The theoretical framework is represented by the minority stress perspective which provides an overview of risk and protective factors related to physical and mental health of minority groups. In the current review, authors considered studies conducted through quantitative, qualitative, and mixed methods, starting from 2000. Following the above described perspective, results are presented in two sections: the first one is focused on the different forms of stigma which weigh on LGBT older adults and the second one on the mental and physical health outcomes and on protective factors. The application of the minority stress perspective on LGBT older adults provides researchers and social and health care system providers with a psychosocial and clinical framework through which reading the phenomenon. Finally, main research recommendations are discussed
Introduction Online sexual activities (OSAs) are sexual behaviors involving online sexual content and stimuli and are categorized into non-arousal (N-OSAs), solitary arousal (S-OSAs), and partnered arousal activities (P-OSAs). As such activities in older age remain largely underexamined, this study aimed to explore OSAs in a sample of Italian older adults, analyzing their associations with gender and sexual orientation, considering sexual permissiveness as a moderator. Methods One hundred and fourteen cisgender participants (85 men and 29 women) aged from 52 to 79 years old (M = 62.57, SD = 6.19) were recruited between September 2019 and January 2020 to participate in an online cross-sectional survey on OSAs. Results A total of 58.1% of participants had engaged in S-OSAs at least 2–3 times during the previous month, while a lower percentage of participants had engaged in N-OSAs (38.6%) and P-OSAs (29.9%) at least 2–3 times during the previous month. Men were more likely to be engaged in S-OSAs than women. Being non-heterosexual was associated with an increase in engagement in N-OSAs and S-OSAs, but not in P-OSAs. Sexual permissiveness was significantly associated with N-OSAs and S-OSAs, but not with P-OSAs, and did not moderate either the relationship of gender with OSAs or that of sexual orientation with OSAs. Conclusions This study sheds light on the need to include online resources in sexual health educational programs addressed at older people, as well as in training programs addressed at healthcare professionals and social workers working with this population.
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