QUEER CAFE │ LGBTQ INFORMATION NETWORK │ RAINBOW OF RELEVANT RESOURCES

REPORTS
 

Government Report: LGBTQ Youth Information

National Alliance on Mental Illness: LGBTQ Issues

American Psychological Association: Information on LGBTQ Community

Foundation for Better Understanding: The Health of LGBTQ People

Pew Research Center: Global Snapshot of Same-Sex Marriage

Human Rights Watch: Doctors Need Intersex Care Standards

HRW Report: Discrimination Against LGBTQ Youth in US Schools

APA: Sexual Orientation, Homosexuality

Call to Action: Inclusive Sex Education Needed in Public Schools

 

LGBTQ Youth

 

Sexual orientation and gender are important aspects of a young person’s identity. Understanding and expressing sexual orientation and gender and developing related identities are typical development tasks that vary across children and youth. For example, some youth may be unsure of their sexual orientation, whereas others have been clear about it since childhood and have expressed it since a young age. Expressing and exploring gender identity and roles is also a part of normal development. The process of understanding and expressing one’s sexual orientation and gender identity is unique to each individual. It is not a one-time event and personal, cultural, and social factors may influence how one expresses their sexual orientation and gender identity.

 



Unfortunately, lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth experience various challenges because of how others respond to their sexual orientation or gender identity/expression. This is also true for youth who are questioning their sexual orientation or gender identity, or may be perceived as LGBTQ or gender variant by others.

 

Gender variant youth are not necessarily LGBTQ. In fact, any youth who does not fit typical social expectations for his or her mannerisms, behavior, or choice of clothing based on birth-assigned gender, for example, can be considered “gender variant.” This does not mean the youth is lesbian, gay, or bisexual, or identifies as transgender or a gender different from what he or she was assigned at birth.

 

A landmark 2011 Institute of Medicine (IOM) report reviewed research on the health of LGBTQ individuals, including youth. Although this research is limited, the IOM report found that “the disparities in both mental and physical health that are seen between LGBTQ and heterosexual and non-gender-variant youth are influenced largely by their experiences of stigma and discrimination during the development of their sexual orientation and gender identity.” These negative experiences include high rates of physical and emotional bias and violence; rejection by families and peers; and inadequate supports in schools, employment, and communities because of their sexual orientation and gender identity/expression.

Stress associated with these experiences can put LGBTQ young people at risk for negative health outcomes. Research shows that due to these environmental challenges, LGBTQ youth are at risk for negative health outcomes and are more likely to attempt suicide, experience homelessness, and use illegal drugs. These issues may also contribute to anxiety, depressive symptoms, and feelings of isolation. Youth who express their gender in ways that vary from societal expectations for their perceived sex or gender are at risk for high levels of childhood physical, psychological, and sexual abuse. They are also at risk for school victimization. As a result, they may have poorer well-being than lesbian, gay, and bisexual peers whose gender expression is more closely aligned with societal expectations.

 



To date, most research on LGBTQ youth has focused on the risk factors and disparities they experience compared with youth who are not LGBTQ. However, emerging research on resiliency and protective factors offers a strength-based focus on LGBTQ youth well-being. Addressing LGBTQ-related stigma, discrimination, and violence; building on the strengths of LGBTQ youth; and fostering supports such as family acceptance and safe, affirming environments in schools and other settings will help improve outcomes for LGBTQ young people. Federal and local policies and practices increasingly acknowledge and focus on the experiences and needs of LGBTQ youth. Numerous national advocacy and other organizations are also giving greater attention to LGBTQ youth in their work. Fostering safe, affirming communities and youth-serving settings such as schools for all youth requires efforts to address the challenges described here. At the same time, it is also important to acknowledge and build on the strengths, resilience, and factors that protect LGBTQ youth from risk, such as connection to caring adults and peers and family acceptance.

 

[Source: Youth.Gov website / Institute of Medicine, 2011 / Poirier, Fisher, Hunt, & Bearse, 2014 / Hunter & Schaecher, 1987 / Reis, 1999 / Reis & Saewyc, 1999 / Ray, 2006 / Ryan, Huebner, Diaz, & Sanchez, 2009 / SAMHSA, 2014 / Roberts, Rosario, Corliss, Koenen, & Austin, 2012 / Toomey, Ryan, Diaz, & Russell, 2010 / Rieger & Savin-Williams, 2012 / American Association of School Administrators / National Association of School Nurses, 2003 / National Association of School Psychologists, 2006]
 

LGBTQ Funders: Research on LGBTQ Issues

National LGBTQ Task Force: Reports and Studies

UALR Archives: Basic Guide to LGBTQ Issues

Info: LGBTQ Data and Statistics

Why “Homosexual” is an Offensive Term

APA: Transgender, Gender Identity, Gender Expression

HRC: State Equality Index

Encyclopedia of Homosexuality

 

Family Acceptance and Support

 

Family acceptance and support are significant factors that promote well-being and protection from risks for all youth, including LGBTQ youth. The meaning of family varies by personal, cultural, and other factors and can include individuals who are not biologically or legally related to a youth (families of choice). Family responses to expressions of gender and sexual identity by youth may vary. Although some families are supportive, accepting, and even celebratory, others may respond and behave in ways that have negative consequences and result in trauma to the youth. Research demonstrates a strong link between family rejection of LGBTQ youth and negative physical and mental health outcomes for them. In contrast, family acceptance can serve as a protective factor against depression, substance use, and suicidal ideation and attempts. Research has found that compared with LGBTQ youth who experienced little or no parental/caregiver rejection, those LGBTQ youth who were highly rejected were:


--more than eight times as likely to attempt suicide
--almost six times as likely to report high levels of depression
--more than three times as likely to use illegal drugs
--more than three times as likely to be at high risk for HIV and sexually transmitted diseases
 


 

A recent report of findings from a survey of more than 10,000 LGBTQ youth ages 13 to 17 (using a convenience sample, which may not be representative of all LGBTQ youth) also found that approximately one in four identified non-accepting families as the most important challenge in their lives. These findings illustrate the importance of family acceptance and support in the lives of LGBTQ youth.

Youth-serving organizations and systems can build awareness about and encourage family behaviors that research has shown can affect outcomes for LGBTQ youth. Examples of behaviors that should be avoided and discouraged include:


--blocking access to LGBTQ friends, events, and resources
--blaming youth when they are discriminated against because of their LGBTQ identity
--pressuring youth to be more (or less) “masculine” or “feminine”

--pressuring youth to keep their LGBTQ identity a “secret”

 



Rather, it is important for families to express support through such behaviors as:


--talking with youth about their LGBTQ identity in an affirming manner
--communicating that their young person can have a happy future as an LGBTQ adult
--working to ensure that other family members respect the young person
--talking with clergy and help their faith community support LGBTQ individuals
--advocating for youth if they are mistreated because of their identity

It is also important for youth-serving agencies and communities to enhance their cultural competence in working with LGBTQ-headed families, which are increasing in number. Youth who are not LGBTQ but have an LGBTQ caregiver may also experience bias and other negative outcomes because of reactions to their caregiver’s LGBTQ identity.

 

[Source: Youth.Gov website / Poirier, Fisher, Hunt, & Bearse, 2014 / Poirier, Fisher, Hunt, & Bearse, 2014 / Ryan, 2009, 2010 / SAMHSA, 2014 / Institute of Medicine, 2011 / Ryan, Huebner, Diaz, & Sanchez, 2009 / SAMHSA, 2014 / Human Rights Campaign, 2012 / Krivickas & Lofquist, 2011]

 

Government Report: LGBTQ Youth Information

National Alliance on Mental Illness: LGBTQ Issues

American Psychological Association: Information on LGBTQ Community

Foundation for Better Understanding: The Health of LGBTQ People

Human Rights Watch: Doctors Need Intersex Care Standards

Info: LGBTQ Data and Statistics

HRW Report: Discrimination Against LGBTQ Youth in US Schools

APA: Sexual Orientation, Homosexuality

 

Health of LGBTQ People

 

Lesbians, gay men, and bisexual men and women are defined according to their sexual orientation, which is typically conceptualized in terms of sexual attraction, behavior, identity, or some combination of these dimensions. They share the fact that their sexual orientation is not exclusively heterosexual. Yet this grouping of “non-heterosexuals” includes men and women; homosexual and bisexual individuals; people who label themselves as gay, lesbian, or bisexual, among other terms; and people who do not adopt such labels but nevertheless experience same-sex attraction or engage in same-sex sexual behavior. These differences have important health implications for each group.

 

 

In contrast to lesbians, gay men, and bisexual men and women, transgender people are defined according to their gender identity and presentation. This group encompasses individuals whose gender identity differs from the sex originally assigned to them at birth or whose gender expression varies significantly from what is traditionally associated with or typical for that sex (people identified as male at birth who subsequently identify as female, and people identified as female at birth who later identify as male), as well as other individuals who vary from or reject traditional cultural conceptualizations of gender in terms of the male–female dichotomy. The transgender population is diverse in gender identity, expression, and sexual orientation. Some transgender individuals have undergone medical interventions to alter their sexual anatomy and physiology, others wish to have such procedures in the future, and still others do not. Transgender people can be heterosexual, homosexual, or bisexual in their sexual orientation. Some lesbians, gay men, and bisexuals are transgender. Most are not. Male-to-female transgender people are known as MtF, transgender females, or transwomen, while female-to-male transgender people are known as FtM, transgender males, or transmen. Some transgender people do not fit into either of these binary categories. As one might expect, there are health differences between transgender and non-transgender people, as well as between transgender females and transgender males.

 

What do lesbians, gay men, bisexual women and men, and transgender people have in common that makes them, as a combined population, an appropriate focus of health research?  The main commonality across these diverse groups is their members' historically marginalized social status relative to society's cultural norm of the exclusively heterosexual individual who conforms to traditional gender roles and expectations. Put another way, these groups share the common status of “other” because of their members' departures from heterosexuality and gender norms. Their “otherness” is the basis for stigma and its attendant prejudice, discrimination, and violence, which underlie society's general lack of attention to their health needs and many of the health disparities discussed in this report. For some, this “otherness” may be complicated by additional dimensions of inequality such as race, ethnicity, and socioeconomic status, resulting in stigma at multiple levels.

 

 

To better understand how sexuality- and gender-linked stigma are related to health, imagine a world in which gender nonconformity, same-sex attraction, and same-sex sexual behavior are universally understood and accepted as part of the normal spectrum of the human condition. In this world, membership in any of the groups encompassed by LGBTQ would carry no social stigma, engender no disgrace or personal shame, and result in no discrimination. In this world, a host of issues would threaten the health of LGBTQ individuals: major chronic diseases such as cancer and heart disease; communicable diseases; mental disorders; environmental hazards; the threat of violence and terrorism; and the many other factors that jeopardize human “physical, mental and social well-being.” By and large, however, these issues would be the same as those confronting the rest of humanity.

 

Only a few factors would stand out for LGBTQ individuals specifically. There would be little reason for any major medical research organization to issue a report on LGBTQ health issues.

 

While the experience of stigma can differ across sexual and gender minorities, stigmatization touches the lives of all these groups in important ways and thereby affects their health. In contrast to members of many other marginalized groups, LGBTQ individuals frequently are invisible to health care researchers and providers.

 

It is important to note that, despite the common experience of stigma among members of sexual- and gender-minority groups, LGBTQ people have not been passive victims of discrimination and prejudice. The achievements of LGBTQ people over the past few decades in building a community infrastructure that addresses their health needs, as well as obtaining acknowledgment of their health concerns from scientific bodies and government entities, attest to their commitment to resisting stigma and working actively for equal treatment in all aspects of their lives, including having access to appropriate health care services and reducing health care disparities. Indeed, research demonstrates the impressive psychological resiliency displayed by members of these populations, often in the face of considerable stress.

 

[Source: National Center for Biotechnology Information, US National Library of Medicine]

 

LGBTQ Funders: Research on LGBTQ Issues

National LGBTQ Task Force: Reports and Studies

UALR Archives: Basic Guide to LGBTQ Issues

Why “Homosexual” is an Offensive Term

APA: Transgender, Gender Identity, Gender Expression

Info: LGBTQ Data and Statistics

HRC: State Equality Index

Encyclopedia of Homosexuality

 

Sexual Orientation: What Scientists Know and Do Not Know

 

Over the last 50 years, political rights for lesbian, gay, and bisexual (LGB) individuals have significantly broadened in some countries, while they have narrowed in others. In many parts of the world, political and popular support for LGB rights hinges on questions about the prevalence, causes, and consequences of non-heterosexual orientations.

 

In a new report, a team of researchers bring the latest science to bear on these issues, providing a comprehensive review of the scientific research on sexual orientation.

 

"We wanted to write a comprehensive review that was state of the art. In doing so, we also wanted to correct important misconceptions about the link between scientific findings and political agendas," explains psychology researcher and lead author J. Michael Bailey of Northwestern University.

 

 

The report is published in Psychological Science in the Public Interest, a journal of the Association for Psychological Science, and is accompanied by a commentary by psychological scientist Ritch Savin-Williams of Cornell University.

 

Based on their review of the latest science, Bailey and colleagues draw several conclusions about the nature of sexual orientation:

 

--Across cultures, a "small but nontrivial" percentage of people have non-heterosexual feelings. The specific expression of sexual orientation varies widely according to cultural norms and traditions, but research suggests that individuals' sexual feelings are likely to develop in similar ways around the world.

 

--Men's and women's sexual orientations manifest in different ways: Men's sexual orientation is more closely linked to their patterns of sexual arousal than women's sexual orientation is.

 

--Various biological factors (including prenatal hormones and specific genetic profiles) are likely to contribute to sexual orientation, though they are not the sole cause. Scientific evidence suggests that biological and non-social environmental factors jointly influence sexual orientation.

 

--Scientific findings do not support the notion that sexual orientation can be taught or learned through social means. And there is little evidence to suggest that non-heterosexual orientations become more common with increased social tolerance.

 

 

Despite these points of consensus, some aspects of sexual orientation are not as clear-cut. While Bailey and colleagues describe sexual orientation as primarily falling into categories (lesbian, gay, bisexual), Savin-Williams argues that considerable evidence supports a sexual continuum. He notes that the label “bisexual” serves as a catchall for diverse sexual orientations that fall in between heterosexual and homosexual. As a result, his estimate of the prevalence of the non-heterosexual population is double that of Bailey and colleagues.

 

From their review, the authors also conclude that gender nonconformity in childhood (behaving in ways that do not align with gender stereotypes) predicts non-heterosexuality in adulthood. According to Savin-Williams, the degree to which this is true could be a consequence of how study participants are typically recruited and may not be accurate among more representative samples of non-heterosexual individuals.

 

The report authors and Savin-Williams agree on most issues, including that a major limitation of existing research relates to how sexual orientation is measured. Most researchers view sexual orientation as having several components (including sexual behavior, sexual identity, sexual attraction, and physiological sexual arousal) and yet, the majority of scientific studies focus solely on self-reported sexual attraction. The decision to use these self-report measures is typically made for pragmatic reasons, but it necessarily limits the conclusions that can be drawn about how different aspects of sexual orientation vary by individual, by culture, or by time.

 

Additionally, individual and cultural stigma likely results in underreporting of non-heterosexual behaviors and orientations across the board.

 

Perhaps the most prominent question in political and public debates is whether people can "choose" to have non-heterosexual orientations. Because sexual orientation is based on desire and we do not "choose" our desires, the authors argue, this question is illogical.

 

Ultimately, these kinds of debates come down to moral issues, not scientific ones: "People have often thought unclearly about sexual orientation and the political consequences of research," Bailey adds. "The question of whether sexual orientation is 'chosen' has divided pro-gay and anti-gay forces for decades, but the question of causation is mostly irrelevant to the culture wars."

 

 

The fact that issues related to sexual orientation continue to be hotly debated in the public arena underscores the need for more and better research.

 

"Sexual orientation is an important human trait, and we should study it without fear, and without political constraint," Bailey argues. "The more controversial a topic, the more we should invest in acquiring unbiased knowledge and science is the best way to acquire unbiased knowledge."

 

[Source: Association for Psychological Science]

 

Government Report: LGBTQ Youth Information

National Alliance on Mental Illness: LGBTQ Issues

Info: LGBTQ Data and Statistics

American Psychological Association: Information on LGBTQ Community

Foundation for Better Understanding: The Health of LGBTQ People

Human Rights Watch: Doctors Need Intersex Care Standards

HRW Report: Discrimination Against LGBTQ Youth in US Schools

APA: Sexual Orientation, Homosexuality

 

Sex Education in Public Schools

 

According to GLSEN and other national LGBTQ advocacy organizations, a lack of comprehensive sex education in public schools is putting LGBTQ youth at risk. GLSEN and other national organizations issued a call for action to improve programs and policies.

 

GLSEN, in partnership with Advocates for Youth, Answer, the Human Rights Campaign (HRC) Foundation, Planned Parenthood Federation of America (PPFA), and the Sexuality Information and Education Council of the US (SIECUS), called for significant improvements in sex education programs to ensure that lesbian, gay, bisexual, transgender, queer and questioning (LGBTQ) youth have access to information crucial to their health and well being. Sixty-one additional organizations signed a letter in support of this call to action.

 



Their document, A Call to Action: LGBTQ Youth Need Inclusive Sex Education, urges educators, advocates, and policymakers to take immediate, concrete steps to provide LGBTQ inclusive education for all students --from crucial guidance for LGBTQ students on protecting themselves from HIV and other sexually transmitted infections, to ensuring safe, supportive environments in which to learn about their sexual health. Programs that overlook LGBTQ students, or worse, stigmatize and stereotype them, contribute to unsafe school environments.

“As the leading national education organization working to create safe and affirming schools for LGBTQ students, GLSEN has long been committed to ensuring all schools include LGBTQ people, events and history in their curriculum, which our research shows helps to create positive school climates and better educational outcomes for LGBTQ students,” said Dr. Joe Kosciw, GLSEN’s Chief Research and Strategy Officer. “Health and sexual education courses are one of the most natural and common classes in which students can learn about LGBTQ topics in a positive way; however, less than five percent of LGBTQ students were taught about LGBTQ topics in a positive way in health class. In fact, eight states prohibit schools from providing this vital, life-saving information. This sends a dangerous message to LGBTQ students, along with their non-LGBTQ peers, that they are not an equal and valued part of the school community.”

 



Data from a range of sources including the Centers for Disease Control and Prevention, researchers and professional organizations show how few sex education programs are inclusive of LGBTQ youth. Only 19 percent of US secondary schools provide curricula or supplementary sex education materials that are LGBTQ-inclusive. Fewer than five percent of LGBTQ students have health classes that included positive representations of LGBTQ-related topics. This leaves many LGBTQ youth without the skills to maintain healthy relationships and protect themselves if they are engaging in sexual activity. This call to action for inclusive sex education comes at a critical time, when different groups within the LGBTQ youth community are:


--More likely to have begun having sex at an early age and to have multiple partners compared to their heterosexual peers
--More likely to have sex while under the influence of alcohol or other drugs
--More likely to experience dating violence
--Less likely to use condoms or birth control when they have sex
--More likely to contract HIV or other STIs
--More likely to experience teen pregnancy

 



Studies show that parents, health professionals and experts, as well as youth, express high levels of support for LGBTQ-inclusive sex education. Advocates for Youth, Answer, GLSEN, the Human Rights Campaign Foundation, Planned Parenthood Federation of America, and the Sexuality Information and Education Council of the US (SIECUS) call on advocates and policymakers to require and fund LGBTQ-inclusive sex education; and on educators to make schools safe and affirming spaces for LGBTQ youth and provide inclusive sex education programs that empower all youth to take care of their sexual health.
 

[Source: GLSEN, December 2015]

 

Call to Action: Inclusive Sex Education Needed in Public Schools

The Atlantic: The Power of Inclusive Sex Education

Info: Safe Sex

HRC: LGBTQ Youth Need Inclusive Sex Education

Full Report: LGBTQ Youth Need Inclusive Sex Education

Info: Educational Considerations

Human Rights Watch: Doctors Need Intersex Care Standards

 

Doctors Need Intersex Care Standards

 

Medical professional associations should enact standards of care for intersex children that rule out medically unnecessary surgery before patients are old enough to consent, according to a report released in October 2017 by Human Rights Watch and interACT. After decades of controversy in the medical community over the procedures, the lack of centralized care standards allows doctors to continue operating on children’s gonads, internal sex organs, and genitals when they are too young to participate in the decision, even though such surgery is dangerous and could be safely deferred.

 

The 41-page report, A Changing Paradigm: US Medical Provider Discomfort with Intersex Care Practices, examines the controversy over the operations inside the medical community and the pressure on parents to opt for surgery.

 

 

Once called “hermaphrodites,” a term now considered pejorative and outdated, intersex people are not rare, but their needs are widely misunderstood. Based on a medical theory popularized in the 1960s, doctors perform surgery on intersex children (often in infancy) with the stated aim of making it easier for them to grow up “normal.” The results are often catastrophic, the supposed benefits are largely unproven, and there are rarely urgent health considerations requiring immediate, irreversible intervention.

 

“The intersex community today is saying the same thing we were saying two decades ago, we want doctors to care for us, not try to ‘fix’ us,” said Kimberly Zieselman, an intersex woman and the executive director of interACT Advocates for Intersex Youth. “We’re not anti-doctor or anti-surgery, we’re just pro-consent and pro-honesty, especially for children who are too young to speak or to comprehend what’s going on around them."

 

As many as 1.7 percent of babies are different from what is typically called a boy or a girl. The chromosomes, gonads, or internal, or external sex organs of these children differ from social expectations. Some intersex traits (such as atypical external genitalia) are apparent at birth. Others (such as gonads or chromosomes that do not match the expectations of the assigned sex) may manifest later in life, in some cases around puberty. Any of these children can be raised as either sex without surgery. On the other hand, genital or gonadal surgeries on intersex children too young to declare their gender identity carry the risk of surgically assigning the wrong sex.

 

 

Surgery to remove gonads can result in sterilization, and then require lifelong hormone replacement therapy. Operations to alter the size or appearance of children’s genitals risk incontinence, scarring, lack of sensation, and psychological trauma. The procedures are irreversible, nerves that are severed cannot regrow, and scar tissue can limit options for future surgery. While certain surgical interventions on intersex children are undisputedly medically necessary, some surgeons in the US perform risky and medically unnecessary cosmetic surgery on intersex children, often before they are even able to talk.

 

Medical protocols have evolved. It is increasingly common for multi-disciplinary teams to treat intersex patients, often called cases of Differences of Sex Development (DSD.) This is a marked improvement over families meeting solely with a surgeon. Most medical practitioners now acknowledge that parents may prefer to leave their child’s body intact. And while there are no centralized standards of care for intersex children, expert practitioners emphasize the need for change.

 

“Many children have differences,” one pediatric surgeon said. “We deal with kids with all kinds of vascular anomalies and port wine stains, and we encourage those children to be out there, we encourage those children to be in school. And they are, and they do great. You can have a difference. We don't need to necessarily create normalization to make you safe and well-adjusted.”

 

 

Guidelines have begun to emerge. In 2016, the American Medical Association (AMA) Board of Trustees issued a report recognizing that “DSD communities and a growing number of health care professionals have condemned genital ‘normalizing,’ arguing that except in the rare cases in which DSD presents as life-threatening anomalies, genital modification should be postponed until the patient can meaningfully participate in decision making.” The board recommended adoption of a resolution that, “except when life-threatening circumstances require emergency intervention, doctors should defer medical or surgical intervention until the child is able to participate in decision making.”

 

In a 2017 letter to the AMA, the largest US support group for intersex people and parents of intersex children, called the AIS-DSD group, wrote: “We hope that the AIS-DSD Support Group will be able to shift the focus of our support efforts over time away from helping adults, youth and their families recover from medically-induced traumas, and toward support of the physical and psychological health of our members, from birth to old age.”

 

In July 2017, three former US surgeons-general wrote that they believed “there is insufficient evidence that growing up with atypical genitalia leads to psychosocial distress,” and “while there is little evidence that cosmetic infant genitoplasty is necessary to reduce psychological damage, evidence does show that the surgery itself can cause severe and irreversible physical harm and emotional distress.”

 

In a statement marking 2017 Intersex Awareness Day, Physicians for Human Rights said: “Carrying out an irreversible and medically unnecessary surgery before a child is old enough to meaningfully consent violates informed consent requirements, and violates the obligation to do no harm,” and called for an end to medically unnecessary surgery until a child is old enough to participate meaningfully in such decisions.

 

“Medical professional bodies should demonstrate the leadership doctors look to them for,” said Kyle Knight, Human Rights Watch researcher and author of the report. “The American Medical Association, the American Academy of Pediatrics, and other specialist bodies should draw a hard line and say that except in cases of medical necessity, surgery on intersex children should be delayed until they can participate in the decision themselves.”

 

[Source: Human Rights Watch]

 

HOME

 


QUEER CAFE │ LGBTQ Information Network │ Established 2017 │ www.queercafe.net