Cultural Unintelligibility and Marital Pressure: A Grounded Theory of Minority Stigma Against Women with Same-Sex Attraction in Mainland China

Parenting Desire Among Sexual Minority Women in China: From the Stigma Perspective

In China, women who are childless or have children outside of heterosexual marriage are generally stigmatized. Consequently, Chinese sexual minority women are challenged for their willingness to have children. This study explored how multiple (structural-interpersonal-individual) levels of sexual minority stigma are related to parenting desire among Chinese sexual minority women. Furthermore, it examined the mediation mechanism of individual stigma and the moderation effect of outness to one's family in the link between structural/interpersonal stigma and parenting desire. Participants (265 lesbian and 193 bisexual women) completed online measures of structural stigma (adherence to Confucianism), interpersonal stigma (discrimination events), individual stigma (internalized homophobia and rejection sensitivity), outness to one's family, and parenting desire. Lesbian women reported lower structural and individual stigma and parenting desire levels than bisexual women. Sexual minority women's high adherence to Confucianism, internalized homophobia, and rejection sensitivity were positively associated with their increased parenting desires. Notably, adherence to Confucianism and discrimination events were associated with parenting desire through internalized homophobia, but not rejection sensitivity; moreover, outness to one's family buffered the direct link between adherence to Confucianism and parenting desire and strengthened the direct link between discrimination events and internalized homophobia and the indirect link between discrimination events and parenting desire. This study contributes to a robust understanding of how sexual minority stigma is connected to parenting desire among sexual minority women in Chinese sociocultural contexts, providing cultural-specific evidence to support theories of stigma and minority stress.

Mapping the Scientific Literature on Health Needs of Women with Same-Sex Attraction in Mainland China: A Scoping Review

Purpose: This review study aimed to investigate how much and how well the unique health needs of women with same-sex attraction (WSSA) in mainland China have been studied. Methods: This review included published studies and gray reports between January 1, 1990, and March 31, 2022, regarding the health needs of Chinese WSSA. Chinese peer-reviewed journal articles, conference papers, theses, and dissertations were retrieved through the China National Knowledge Infrastructure. Studies with WSSA of mainland China as research participants were retrieved through PubMed, Embase, PsycInfo, LGBT Life, CINAHL, Web of Science, and International Bibliography of the Social Sciences. Gray reports were provided by two informaticists and eight Chinese WSSA who consented to be our stakeholders for consultation. Results: Of the 38 reviewed articles, unmet health needs of Chinese WSSA fell into three domains: mental health and substance abuse, sexual and reproductive health, and domestic, intimate partner, and dating violence, which were significantly associated with minority stress. Minority stigma was discovered to oppress Chinese WSSA by a covert and subtle pathway that makes Chinese WSSA culturally unintelligible and health care providers unprepared to provide them with respectful care. The barriers to the health care of Chinese WSSA were identified as health care providers' presumption of heterosexuality and Chinese WSSA's concealment of minority sexuality when discussing medical history. Conclusion: This scoping review is the first research effort to explore studies about the health needs of WSSA in mainland China. More research is needed with the guidance of minority stress theory to address the unique health needs of Chinese WSSA.

Recurring Victimization and Same-Sex Attraction

STUDY QUESTIONS

People who identify as same-sex attracted (SSA) face significantly greater risk for victimization than their non-SSA counterparts. However, little distinction is made between single versus recurring victimization among the SSA population. There are no national prevalence estimates, and we do not know the extent to which disproportionate risk of victimization among SSA populations applies to recurring victimization versus single occurrences.

SUBJECTS

We analyze data from 483 survey respondents who reported same-sex attraction and 8544 respondents who do not report SSA.

METHODS

The current study utilizes a nationally representative sample to estimate the prevalence of single and recurring victimization among SSA populations, and compare these estimates with those found in the non-SSA population. We further investigate some possible mediating processes that may explain differences between these groups in risk for recurring victimization, drawing upon lifestyles, self-control, and minority stress frameworks. Findings indicate that SSA groups have significantly greater risk for both single and recurring physical assault victimization. Much of the disproportionate recurring victimization risk can be explained by differences in both risky lifestyles and low self-control, as well as minority stress.

IMPLICATIONS

Recurring victimization is an important problem for SSA individuals. Prevention efforts may focus on school contexts, including the addition of Gay-Straight alliances, creating supporting peer groups, and providing supportive adult role models.