The purpose of this study is to examine the social and communicative barriers LGBTQIA+ students face when seeking healthcare at campus health and counseling services at Arizona State University. Social barriers relate to experiences and internalizations of societal stigma experienced by sexual and gender minority individuals as well as the anticipation of such events. Communication between patient and provider was assessed as a potential barrier with respect to perceived provider LGBTQIA+ competency. This study applies the minority stress model, considering experiences of everyday stigma and minority stress as a predictor of healthcare utilization among sexual and gender minority students. The findings suggest a small but substantial correlation between minority stress and healthcare use with 23.7% of respondents delaying or not receiving one or more types of care due to fear of stigma or discrimination. Additionally, communication findings indicate a lack of standardization of LGBTQIA+ competent care with experiences varying greatly between respondents.

The perception that homosexuality is an immoral affliction and an innovation from Western cultures is prevalent throughout Africa, specifically in six case countries: Togo, Nigeria, Senegal, Uganda, Zimbabwe, and Namibia. This thesis seeks to demonstrate that homophobia, not homosexuality, is the true Western import. Additionally, it will analyze the background and colonial histories of my six dossier countries, their current laws surrounding LGBT+ rights, the social and legal repercussions of being LGBT+, and the consequences of state-sponsored homophobia in terms of justice, international law, and the future of each country. Based on my research, all these case countries use colonial-era provisions, penal codes, and religious norms to discriminate against homosexuals, which operate under legally-mandated “morality,” a notion inherently subjective. Additionally, the most targeted groups are gay men and transgender people, while lesbians and bisexual women are rarely targeted and convicted compared to homosexual men. This is due to various social, legal, and religious factors regarding the high importance of patriarchy and masculinity. Ultimately, this thesis concludes that European colonization in Togo, Nigeria, Senegal, Uganda, Zimbabwe, and Namibia introduced new legal norms that persecuted pre-colonial practices of homosexuality under the guise of morality. Now, the repercussions are rampant and dangerous (especially for homosexual men and transgender people) and cannot be overcome without radical changes to local legal and social systems.