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Limited provider knowledge of transgender health contributes to stigmatizing interactions and access-to-care challenges for incarcerated transgender people. Drawing on interviews with recently incarcerated transgender individuals and correctional staff, a transgender health care provider training was developed and piloted. Providers indicated the training gave them the requisite competencies to offer gender-affirming care to transgender patients. Participants also rated the intervention to be highly acceptable and feasible and recommended it be provided to others. In addition, results suggested that the training may increase providers' transgender-related knowledge. Further testing of the intervention is warranted.

Little is known about the motivations for an occasional sexual encounter with a man or a transgender woman among heterosexual men. This study employed qualitative methods to better understand occasional atypical sexual partnering. Open-ended interviews were conducted with 31 heterosexual men who reported at least one sexual encounter with a man or a transgender woman in the previous 12 months. Using the principles of Grounded Theory, three themes emerged: Participants were motivated by (1) the easy, uncomplicated nature of a sexual encounter with a man and/or a trans woman that often circumvented the sexual politics of a typical male-female interaction and/or, (2) the sexual experimentation that took place with these partners; and/or, (3) the default nature of such encounters when a cisgender woman sexual partner was unavailable or perceived to be unattainable. These findings indicated that, among this sample of heterosexual men, the motivations for occasional atypical sexual partnering with a man or a transgender woman were varied, complex and could be multifaceted. Furthermore, these findings support prior studies that have demonstrated that sexual behavior can span beyond sexual identity.

OBJECTIVES: Although lesbian, gay, bisexual, and transgender (LGBT) people have a higher prevalence of reporting a lifetime suicide attempt than non-LGBT people, suicide prevention research on access to lethal means (eg, firearms) among LGBT people is limited. Our study examined (1) the presence of firearms in the home and (2) among respondents with firearms in the home, the storage of firearms as stored unloaded, stored as loaded and locked, or stored as loaded and unlocked. METHODS: We used data from the 2017 Behavioral Risk Factor Surveillance System surveys from California and Texas (N = 11 694), which were the only states to include items about both sexual orientation and gender identity and the status of firearms in the home. We used logistic regression analysis to assess the association of sexual orientation and gender identity with having firearms in the home while accounting for sociodemographic characteristics and survey state. All analyses were weighted to account for the complex sampling design. RESULTS: Approximately 4.2% of the sample identified as lesbian, gay, and bisexual (LGB). About 18.2% of LGB people reported firearms in the home compared with 29.9% of their heterosexual peers. After adjusting for sex, age, race/ethnicity, educational attainment, and military veteran status, LGB respondents had significantly lower odds of reporting firearms in the home than their heterosexual peers (adjusted odds ratio = 0.47; 95% CI, 0.27-0.84). Among respondents with firearms in the home, firearm storage did not differ by sexual orientation. CONCLUSIONS: Further research is needed to examine whether lower odds of firearms in the home are protective against suicide deaths among LGB populations.

The aim of this study was to investigate sexual orientation differences in gun ownership and gun safety beliefs among U.S. adults. We used information from the General Social Survey (2010–2016) to assess presence of guns in the household, personal gun ownership, and endorsement of a gun safety law among sexual minority (n = 195) versus heterosexual (n = 4359) respondents. Methods employed multivariate logistic regression analyses adjusted for confounding including gender, age, race/ethnicity, education level, size of household, urbanicity, military veteran status, and political views. Gay/bisexual men were more likely to endorse a gun safety law (adjusted odds ratio [aOR] = 3.24, 95% confidence interval [CI] = 1.79–5.88) and less likely to report guns in the household (aOR = 0.34, 95% CI = 0.18–0.65) than heterosexual men. In contrast, lesbian/bisexual and heterosexual women similarly endorsed a gun safety law and reported household guns. However, among women reporting a household gun, lesbian/bisexual women were more likely to be the personal gun owner (aOR = 3.97, 95% CI = 1.43–11.03). Attitudes toward a gun safety law and gun ownership differ by sexual orientation, but patterns vary by gender. We recommend that clinicians inquire about gun ownership and gun storage practices with both heterosexual and sexual minority patients.

Most incarceration settings around the world are governed by strong cisnormative policies, architectures, and social expectations that segregate according to a person's legal gender (i.e. male or female). This paper draws on the lived experiences of 24 formerly incarcerated trans women in Australia and the U.S. to elucidate the way in which the prison functions according to Lucas Crawford's theory of trans architecture, alongside Jacques Derrida's notion of archive fever. The paper displays how the cisnormative archive of the justice system and its architectural constructs impact trans women in men's incarceration settings, including how trans women entering the incarceration setting are able to embody gender in a way that is not reified by the insistences of those normative structures. In light of this, this paper advances a theoretical understanding of the prison as an archive and as an architectural construct, providing a new means of understanding how incarcerated trans persons may use and perform gender to survive carceral violence.