Research Scope
Across the Lifespan
The health of SGM people of all ages impacts their families, friends, and communities. This is why research focusing on SGM health must begin at childhood and continue through the end of life. Members of the Consortium are working across all of these human developmental time periods. The following describes areas of research and focus at each of these important life stages.
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Childhood (<10)
- Creating safe and healthy childhoods for SGM kids
- Guarding against unnecessary surgeries for intersex children and against “reparative therapies” for SGM kids
- Studies of health care provider authority, informed consent, and ethical practices with SGM children and their families
- Health and wellbeing outcomes of SGM kids, kids raised by SGM parents, and SGM families
- Inclusion of SGM kids and families and their relationship to health and wellbeing
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Adolescence (10-19)
- SGM sexual and reproductive health (including access to comprehensive, holistic, SGM-inclusive sexual and reproductive education)
- SGM adolescent access to culturally-competent physical and mental health care (including gender-affirming treatment services)
- SGM inclusion, health, and wellbeing in social context (e.g., in schools, families, religious/spiritual centers, health care)
- Specific health outcomes of interest: family support, health, and homelessness; bullying, violence, and health; acute and chronic health issues (e.g., ADHD, Type I diabetes)
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Early Adulthood (20s and 30s)
- SGM sexual and reproductive health
- SGM culturally-competent and inclusive health care provision (including college/university and community/public health services)
- Substance use, experiences of violence, and their relationship to health
- Specific health outcomes of interest: acute and chronic health issues (e.g., depression and anxiety; fertility, fertility preservation, and infertility (e.g., Polycystic Ovary Syndrome); HIV/AIDS)
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Middle Adulthood (40s, 50s, early 60s)
- SGM aging experiences and their relationship to health and wellbeing (including sexual health)
- SGM middle-age relationships, caregiver stress, and wellbeing
- Preventive health care and screenings (e.g., colorectal, oral, breast, cervical, and prostate cancers)
- Specific health outcomes of interest: cognitive function; cardiovascular and metabolic health (e.g., heart attack, stroke, Type II diabetes); acute and chronic health conditions
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Older Adulthood (65+)
- SGM elder mental and physical health and wellbeing (including sexual health)
- SGM advance care planning, residential care, and support resources (including for grief, bereavement, and loss)
- Specific health outcomes of interest: cognitive function; disability; cardiovascular and metabolic health; acute and chronic health conditions (e.g., diabetes, dementia); independent, community, and residential living options)

Research Areas
Sexual and Gender Minority Health research relies on holistic and intersectional views of each individual and their experiences within and outside of the fields of physical and mental health care. From health disparities to barriers to care, provider education to community engagement, MSU is seeking ways to ensure SGM health and wellbeing becomes the norm.
Our research looks into the cross-sections of:
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Physical and mental health outcomes
Sexual Orientation and Diabetes During the Transition to Adulthood
Hui Liu, I-Chien Chen, Lindsey Wilkinson, Jennifer Pearson, and Yan Zhang
https://doi.org/10.1089/lgbt.2018.0153
Suicide Attempts Among a Cohort of Transgender and Gender Diverse People
Josephine Mak, Deirdre A. Shires, Qi Zhang, Vin Tangpricha, Suma Vupputuri, Michael Goodman
https://doi.org/10.1016/j.amepre.2020.03.026
Men, trans/masculine, and non-binary people’s experiences of pregnancy loss: an international qualitative study
Damien W. Riggs, Ruth Pearce, Carla A. Pfeffer, Sally Hines, Francis Ray White & Elisabetta Ruspini
https://doi.org/10.1186/s12884-020-03166-6Improving Young Male Couples’ Sexual and Relationship Health in the 2GETHER Program: Intervention Techniques, Environments of Care, and Societal Considerations
Kathryn Macapagal, Brian A. Feinstein, Jae A. Puckett, Michael E. Newcomb
https://doi.org/10.1016/j.cbpra.2018.07.004Predictors of Sexual Minority Youth’s Reported Suicide Attempts and Mental Health
Jae A. Puckett, PhD, Sharon G. Horne, PhD, Francisco Surace, MA, Alice Carter, PhD, Nicole Noffsinger-Frazier, PhD, Julie Shulman, PhD, Pam Detrie, PhD, Audrey Ervin, PhD & Chad Mosher, PhD
https://doi.org/10.1016/j.cbpra.2018.07.004Predictors of Sexual Minority Youth’s Reported Suicide Attempts and Mental Health
Jae A. Puckett, PhD, Sharon G. Horne, PhD, Francisco Surace, MA, Alice Carter, PhD, Nicole Noffsinger-Frazier, PhD, Julie Shulman, PhD, Pam Detrie, PhD, Audrey Ervin, PhD & Chad Mosher, PhD
https://doi.org/10.1080/00918369.2016.1196999Same-Sex Couples and Cognitive Impairment: Evidence From the Health and Retirement Study
Hui Liu, PhD, Ning Hsieh, PhD, Zhenmei Zhang, PhD, Yan Zhang, MA, Kenneth M Langa, PhD, MD
https://doi.org/10.1093/geronb/gbaa202Elevated Risk of Cognitive Impairment Among Older Sexual Minorities: Do Health Conditions, Health Behaviors, and Social Connections Matter?
Ning Hsieh, PhD, Hui Liu, PhD, Wen-Hua Lai, MA
https://doi.org/10.1093/geront/gnaa136Prescription opioid misuse among heterosexual versus lesbian, gay, and bisexual military veterans: Evidence from the 2015-2017 national survey of drug use and health
Kaston D. Anderson-Carpenter, Jaleah D. Rutledge, Koi Mitchell
https://doi.org/10.1016/j.drugalcdep.2019.107794Associations between sociodemographic characteristics and substance use disorder severity among methamphetamine-using men who have sex with men
Kaston D. Anderson-Carpenter, Jesse B. Fletcher, Dallas Swendeman & Cathy J. Reback
https://doi.org/10.1080/10826084.2019.1610445Bisexuality, Union Status, and Gender Composition of the Couple: Reexamining Marital Advantage in Health
Ning Hsieh; Hui Liu
https://doi.org/10.1007/s13524-019-00813-2Marital status differences in suicidality among transgender people
Hui Liu, Lindsey Wilkinson
https://doi.org/10.1371/journal.pone.0255494 -
Patient care
Performing informed consent in transgender medicine
stef m. shuster
https://doi.org/10.1016/j.socscimed.2019.02.053
Health and Health Care of Sexual and Gender Minorities
Ning Hsieh, stef m. shuster
https://doi.org/10.1177%2F00221465211016436
Improving Timely Linkage to Care among Newly Diagnosed HIV-Infected Youth: Results of SMILE
Robin Lin Miller, Danielle Chiaramonte, Trevor Strzyzykowski, Dhruv Sharma, Kaston Anderson-Carpenter & J. Dennis Fortenberry
https://doi.org/10.1007/s11524-019-00391-zLGBTQ College Students’ Experiences With University Health Services: An Exploratory Study
Logan Hood, BS, Devon Sherrell, BA, Carla A. Pfeffer, PhD & Emily S. Mann, PhD
https://doi.org/10.1080/00918369.2018.1484234Scoping review of transgender and gender diverse older adults’ experiences of health protocol
Kattari, Shanna K.; Call, Jarrod; Flatt, Jason; Gillani, Braveheart; Kattari, Leonardo; Kahn, Meredith; Hostetter, C. Riley; Holloway, Brendon; Prieto, Lucas; Saylor, Kate M.; Shires, Deirdre
https://dx.doi.org/10.7302/1231Are university health services meeting the needs of transgender college students? A qualitative assessment of a public university
Theodore C. Santos, BA, Emily S. Mann, PhD & Carla A. Pfeffer, PhD
https://doi.org/10.1080/07448481.2019.1652181 -
Education and training for healthcare providers
Trans Medicine: The Emergence and Practice of Treating Gender
stef m. shuster
https://nyupress.org/9781479899371/trans-medicine/
Transphobia rather than education predicts provider knowledge of transgender health care
Daphna Stroumsa, Deirdre A. Shires, Caroline R. Richardson, Kim D. Jaffee, Michael R. Woodford
https://doi.org/10.1111/medu.13796
Primary Care Clinicians’ Willingness to Care for Transgender Patients
Deirdre A. Shires, Daphna Stroumsa, Kim D. Jaffee and Michael R. Woodford
https://doi.org/10.1370/afm.2298Gynecologic Health Care Providers' Willingness to Provide Routine Care and Papanicolaou Tests for Transmasculine Individuals
Deirdre A. Shires, Lucas Prieto, Michael R. Woodford, Kim D. Jaffee, and Daphna Stroumsa
https://doi.org/10.1089/jwh.2018.7384 -
Social inequities and health
Family Structure and Child Health: Does the Sex Composition of Parents Matter?
Corinne Reczek, Russell Spiker, Hui Liu, Robert Crosnoe
https://doi.org/10.1007/s13524-016-0501-y
Project MUSE: Are the Parents Alright?: Time in Self-Care in Same-Sex and Different-Sex Two-Parent Families with Children
Jennifer March Augustine, Jose Martin Aveldanes, Carla A. Pfeffer
https://doi.org/10.1353/prv.2017.0007
Out in the Country: Rural Sexual Minority Mothers
Jae Puckett, Sharon G. Horne, Heidi M. Levitt & Teresa Reeves
https://doi.org/10.1080/10894160.2011.521101
LGBTQ+ college students with disabilities: demographic profile and perceptions of well-being
Ryan A. Miller, Sandra L. Dika, David J. Nguyen, Michael Woodford & Kristen A. Renn
https://doi.org/10.1080/19361653.2019.1706686Associations between Perceived Homophobia, Community Connectedness, and Having a Primary Care Provider among Gay and Bisexual Men
Kaston D. Anderson-Carpenter, Hannah M. Sauter, José G. Luiggi-Hernández & Paige E. Haight
https://doi.org/10.1007/s13178-018-0347-8Explaining the Mental Health Disparity by Sexual Orientation: The Importance of Social Resources
Ning Hsieh
https://doi.org/10.1177%2F2156869314524959Sexual Identity and Self-Rated Health in Midlife: Evidence from the Health and Retirement Study
Hui Liu, Ning Hsieh, and Wen-hua Lai
https://doi.org/10.1089/heq.2021.0034 -
Trauma, stigma and discrimination
Parental Rejection Following Sexual Orientation Disclosure: Impact on Internalized Homophobia, Social Support, and Mental Health
Jae Puckett, Eva N. Woodward, Ethan H. Mereish and David W. Pantalone
https://doi.org/10.1089/lgbt.2013.0024
Frequent Experience of LGBQ Microaggression on Campus Associated With Smoking Among Sexual Minority College Students
Thomas Ylioja, MSW, Gerald Cochran, PhD, Michael R Woodford, PhD, Kristen A Renn, PhD
https://doi.org/10.1093/ntr/ntw305
Gender and Sexual Prejudice and Subsequent Development of Dating Violence: Intersectionality Among Youth
Sudha Sankar, Heather L. McCauley, Deborah J. Johnson & Barbara Thelamour
https://doi.org/10.1007/978-3-030-12228-7_16
The Impact of Bullying On Substance Use Trajectories Among Sexual Minority Girls
Gerald T. Montano, Robert W.S. Coulter, Taylor Paglisotti, Heather L. McCauley, Elizabeth Miller, Alison E. Hipwell
https://doi.org/10.1016/j.jadohealth.2018.10.228
Feminine Discrepancy Stress and Psychosocial Maladjustment Among Adolescent Girls
Dennis E. Reidy, Poco D. Kernsmith, Carolyn A. Malone, Alana M. Vivolo-Kantor & Joanne P. Smith-Darden
https://doi.org/10.1007/s10578-017-0739-7
Masculine discrepancy stress and psychosocial maladjustment: Implications for behavioral and mental health of adolescent boys.
Reidy, D. E., Smith-Darden, J. P., Vivolo-Kantor, A. M., Malone, C. A., & Kernsmith, P. D
https://doi.org/10.1037/men0000132
Widening the Lens: An Ecological Review of Campus Sexual Assault
Carrie A. Moylan, McKenzie Javorka
https://doi.org/10.1177%2F1524838018756121Factors Associated with Health Care Discrimination Experiences among a National Sample of Female-to-Male Transgender Individuals
Deirdre A. Shires, Kim Jaffee
https://doi.org/10.1093/hsw/hlv025Coping with discrimination: The insidious effects of gender minority stigma on depression and anxiety in transgender individuals
Jae A. Puckett, Meredith R. Maroney, Lauren P. Wadsworth, Brian Mustanski, Michael E. Newcomb
https://doi.org/10.1002/jclp.22865Campus sexual assault climate: Toward an expanded definition and improved assessment.
Moylan, C. A., Javorka, M., Maas, M. K., Meier, E., & McCauley, H. L.
https://journals.sagepub.com/doi/10.1177/2378023120977731 -
Coping mechanisms
Poetic Justice: Engaging in Participatory Narrative Analysis to Find Solace in the “Killer Corridor”
LeConté J. Dill
https://doi.org/10.1007/s10464-014-9694-7
“Wearing My Spiritual Jacket”: The Role of Spirituality as a Coping Mechanism Among African American Youth
LeConté J. Dill
https://doi.org/10.1177%2F1090198117729398
Support networks of transmasculine and nonbinary young adults during chosen name transition
Finneran K. Muzzey, M. Killian Kinney, Megan K. Maas & Heather L. McCauley
https://doi.org/10.1080/19419899.2021.1902379
“I’m Not Just Runnin’ the Streets”: Exposure to Neighborhood Violence and Violence Management Strategies Among Urban Youth of Color
LeConté J. Dill, Emily J. Ozer
https://doi.org/10.1177%2F0743558415605382Social Networks in Later Life: Similarities and Differences between Sexual-Minority and Heterosexual Older Adults
Ning Hsieh, Jaclyn S. Wong
https://journals.sagepub.com/doi/10.1177/2378023120977731Notes from the Field: Developing a Support Group for Older Lesbian and Gay Community Members Who Have Lost a Partner
Anne K. Hughes, Petra Waters, Christie D. Herrick, and Sally Pelon
https://doi.org/10.1089/lgbt.2014.0039 -
Cultural and structural competency
Queering Families: The Postmodern Partnerships of Cisgender Women and Transgender Men
Carla A. Pfeffer
https://doi.org/10.1093/acprof:oso/9780199908059.001.0001
Transnormativity in the psy disciplines: Constructing pathology in the Diagnostic and Statistical Manual of Mental Disorders and Standards of Care.
Riggs, D. W., Pearce, R., Pfeffer, C. A., Hines, S., White, F., & Ruspini, E.
http://dx.doi.org/10.1037/amp0000545Awareness of LGBT Aging Issues Among Aging Services Network Providers
Anne K. Hughes, Rena D. Harold & Janet M. Boyer
https://doi.org/10.1080/01634372.2011.585392Aging Sexuality: Knowledge and Perceptions of Preparation Among U.S. Primary Care Providers
Anne K. Hughes & Daniela Wittmann
https://doi.org/10.1080/0092623X.2014.889056 -
Resilience and resistance
The moderating role of resilience resources in the association between crime exposure and substance use among young sexual minority men
Kristi E. Gamarel, Kimberly M. Nelson, Justin Heinze, Danielle M. Chiaramonte, Robin L. Miller
https://doi.org/10.1080/10826084.2019.1610447Identity and Agency: The Meaning and Value of Pregnancy for Young Black Lesbians
Sarah J. Reed, Robin Lin Miller, Tina Timm
https://doi.org/10.1177%2F0361684311417401Men, trans/masculine, and non-binary people negotiating conception: Normative resistance and inventive pragmatism
Damien W. Riggs, Carla A. Pfeffer, Ruth Pearce, Sally Hines & Francis Ray White
https://doi.org/10.1080/15532739.2020.1808554Transformative Theatre: A Promising Educational Tool for Improving Health Encounters With LGBT Older Adults
Anne K. Hughes, Clare Luz, Dennis Hall, Penny Gardner, Chris Walker Hennessey & Lynn Lammers
https://doi.org/10.1080/02701960.2015.1127812 -
Harm reduction
Gay Families: Challenging Racial and Sexual/Gender Minority Stressors through Social Support
Heidi M. Levitt, Sharon G. Horne, Jae Puckett, Kristin Kay Sweeney & Martavius L. Hampton
https://doi.org/10.1080/1550428X.2014.958266
Ecological barriers to HIV service access among young men who have sex with men and high-risk young women from low-resourced urban communities
Danielle Chiaramonte, Trevor Strzyzykowski, Ignacio Acevedo-Polakovich, Robin Lin Miller, Cherrie B. Boyer & Jonathan M. Ellen
https://doi.org/10.1080/15381501.2018.1502710
Evaluating Testing Strategies for Identifying Youths With HIV Infection and Linking Youths to Biomedical and Other Prevention Services
Robin Lin Miller, Cherrie B. Boyer, Danielle Chiaramonte
https://doi.org/10.1001/jamapediatrics.2017.0105Associations Between Methamphetamine Use, Housing Status, and Incarceration Rates Among Men Who Have Sex With Men and Transgender Women
Kaston D. Anderson-Carpenter, Jesse B. Fletcher, Cathy J. Reback
https://doi.org/10.1177%2F0022042617696917African American Gay Family Networks: An Entry Point for HIV Prevention
Sharon G. Horne, Heidi M. Levitt, Kristin Kay Sweeney, Jae A. Puckett & Martavius L. Hampton
https://doi.org/10.1080/00224499.2014.901285 -
Social and political analysis and change
None of the Above: Toward Identity and Community-Based Understandings of (A) sexualities
Kristin S. Scherrer & Carla A. Pfeffer
https://psycnet.apa.org/doi/10.1007/s10508-016-0900-6
Bystander Program Effectiveness to Reduce Violence and Violence Acceptance Within Sexual Minority Male and Female High School Students Using a Cluster RCT
Ann L. Coker, Heather M. Bush, Emily R. Clear, Candace J. Brancato & Heather L. McCauley
https://doi.org/10.1007/s11121-019-01073-7Protections for Transgender Inmates Under PREA: a Comparison of State Correctional Policies in the United States
Michelle L. Malkin & Christina DeJong
https://doi.org/10.1007/s13178-018-0354-9“A Human Being Like Other Victims”: The Media Framing of Trans Homicide in the United States
Christina DeJong, Karen Holt, Brenna Helm & Skyler J. Morgan
https://doi.org/10.1007/s10612-021-09559-zGood gay females and babies' daddies: Black lesbian community norms and the acceptability of pregnancy
Sarah J. Reed, Robin Lin Miller, Maria T. Valenti & Tina M. Timm
https://doi.org/10.1080/13691058.2011.571291Warning: Hegemonic Masculinity May Not Matter as Much as You Think for Confidant Patterns among Older Men
Celeste Campos-Castillo, stef m. shuster, Sarah M. Groh & Denise L. Anthony
https://doi.org/10.1007/s11199-020-01131-3Bodies in Relation—Bodies in Transition: Lesbian Partners of Trans Men and Body Image
Carla A. Pfeffer
https://doi.org/10.1080/10894160802278184Building an Intersectional and Trans-Inclusive Criminology: Responding to the Emergence of “Gender Critical” Perspectives in Feminist Criminology
Jace Valcore, Henry F. Fradella, Xavier Guadalupe-Diaz, Matthew J. Ball, Angela Dwyer, Christina DeJong, Allyn Walker, Aimee Wodda & Meredith G. F. Worthen
https://doi.org/10.1007/s10612-021-09590-0