G. Nic Rider

Background: Trans and nonbinary (TNB) people remain invisible in cancer care. Limited research indicates barriers to quality cancer treatment, including healthcare discrimination linked to poor survivorship outcomes. Aims: This study aimed to characterize cancer treatment experiences among TNB cancer patients using an intersectionality lens and exploring the structural processes underlying inequities. Methods: We recruited TNB cancer patients ( N = 42) using multiple strategies and conducted individual, semi‐structured interviews (45–90 minutes). Interviews were transcribed by professional service and de‐identified. We used reflexive thematic analysis to generate themes from interview data. Results: We developed seven interconnected themes across three, mutually constitutive domains of power that compose a matrix of dehumanization in cancer care—a structural process that confers uneven risks of harm based on patients' multiple social positions. In the institutional systems domain, The Climate We Live In describes how anti‐trans politics are embedded in legal systems, and A New Type of Consumer explains how for‐profit cancer care exploits value from patients. In the cancer care organizations domain, Made Invisible articulates practices of erasure in clinics leading to unmet care needs, and What Are You Doing Here? elaborates hyper‐visibility and a lack of safety in clinic settings. In the socio‐structural processes domain, Ingrained Racism details racialized dehumanization in provider and staff interactions, Losing Sexuality captures sexual and gendered objectification, and Continues to Hurt Me highlights the enduring traumas of dehumanizing care. Conclusions: Improving cancer treatment inequities for TNB people requires disrupting the status quo power relations that sustain dehumanization in cancer care.

Recruitment is a persistent challenge for cancer research studies seeking to advance evidence-based, affirming care for transgender and nonbinary (TGNB) cancer patients (Alpert et al., 2023; Rosser...

Transgender and gender diverse (TGD) children and adolescents in the United States are living in a sociopolitical climate that is devaluing and dehumanizing their existence (Parchem et al., 2024). ...

Sexual function is crucially important to overall health, including for people of all racial/ethnic, sexual, and gender identities. As such, measurement scales for sexual function that include multiple marginalized communities need to be developed and evaluated. This study aimed to adapt the Female Sexual Function Index to enhance its relevance and applicability with more diverse populations. The resulting Inclusive Sexual Function Index (ISFI) was then validated with a racially diverse LGBTQIA+ sample. Participants (N = 1,947) who identified as having one or a combination of marginalized identities (specifically, racial/ethnic, gender, and/or sexual identities) were recruited using Prolific. Internal consistency, convergent validity, and exploratory factor analysis (EFA) were assessed. Reliability and validity for an 18-item ISFI were established. EFA indicated a five-factor solution with subscales in sexual interest, physical arousal, orgasm, sexual satisfaction, and pain/discomfort. Valid scales that are inclusive of diverse racial/ethnic, gender, and sexual identities allow for more accurate assessment and treatment of sexual health concerns. The ISFI is an inclusive and psychometrically sound tool to assess core dimensions of sexual function in both clinical and research contexts.

This chapter describes a collaborative, two-stage art project that occurred in one of the few places in the United States that have committed to protect transgender people and their providers from the persecution of anti-trans laws like those found in other states. The first stage of the project occurred in multiple clinics within a large academic medical institution, and the second stage was in a section of Twin Cities Pride where community members could learn about LGBTQ+ inclusive healthcare services and contribute their own art to the project. The purpose was to (1) raise awareness about transgender people’s experiences seeking gender-affirming healthcare, and (2) offer support to the transgender community. The collaboration was between transgender patients and the viewing public who responded to their artwork. The co-ordinators of the project included the director of a gender and sexuality therapy and research program and the manager and clinic staff of a comprehensive gender care program within a large academic medical institution. The materials chosen were limited to what the settings allowed and, because the art process was largely self-directed, were accessible and easy to use.

Introduction: Recent studies have indicated that sleep is fundamental for adolescents' physical and mental health. Although it is known that context influences sleep, the impact of school climate on sleep duration remains understudied. Methods: Using a large, diverse, population‐based sample of adolescents attending California high schools ( N = 277,954; data collection: 2018–2019) and applying two statistical methods suggested for quantitative research using an intersectionality approach (linear regressions with interaction terms and Exhaustive Chi‐square Automatic Interaction Detection [ECHAID]), this study examined associations between school climate and sleep duration among adolescents at the intersection of multiple social positions. Results: Similar proportions of participants were assigned male and female at birth. The sample was racially and ethnically diverse (54.1% Latina/x/o). The large majority of participants were straight (85.4%) and cisgender (97.7%). On average, participants slept 6.75 h/night. Positive school climate was associated with longer and adequate sleep duration; however, this association varied across social positions, such that the effects of school climate on sleep duration were attenuated among adolescents who held some minoritized social positions. ECHAID results indicated that those reporting the lowest averages of sleep duration not only perceived school climate as negative but also held multiple minoritized identities. In contrast, those who perceive their school climate as positive are overrepresented among those who reported the highest averages of sleep duration. Conclusion: Findings underscore the impact that schools have on adolescents' sleep health. Our study indicates that adolescents with multiple minoritized social positions face additional challenges impacting their sleep. Future interventions should focus on strategies to improve school climates, given that they would benefit a large number of students.

Effective efforts to promote equity require survey measurement that accurately captures youth's experiences of gender. The present study aimed to identify multiple categorization options and examine differences in rates of gender-based bullying and past-year suicidal ideation by those options. Data come from the 2022 Minnesota Student Survey, specifically 8th, 9th, and 11th grade students (N = 98,682). Students (age range: 12-19 years, M = 14.8, SD = 1.3) had nine response options for gender, with 96.1% selecting one, 3.0% selecting two, 0.6% selecting three, and 0.9% selecting four or more. Responses were coded four ways (15-, 9-, or two 4-category options). Important between-group differences were lost when combining responses into larger groups. For example, the prevalence of gender-based bullying was 39.3% for genderfluid+ youth and 52.2% for nonbinary youth (p < .05) in the 15-category option. Using the 9-category variable that combines nonbinary, nonbinary+, genderfluid, and genderfluid+ into one group, the prevalence of gender-based bullying was 49.8%, which masks significant differences seen with the 15-category variable. The findings from this study support further research with expanded, select-all-that-apply gender identity response options in large adolescent epidemiologic surveys and inform survey creation and analytic approaches. (PsycInfo Database Record (c) 2026 APA, all rights reserved).