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Home Mental Health A-Z LGBTQ

What Does LGBTQ+ Mean?

Mozhgan Jamshidi Eyni by Mozhgan Jamshidi Eyni
in LGBTQ
What Does LGBTQ+ Mean?

Overview

LGBTQ+ stands for lesbian, gay, bisexual, transgender, queer (or sometimes questioning), and others. The “plus” represents other sexual identities including pansexual and Two-Spirit. The first four letters of the acronym have been used since the 1990s, but in recent years there has been an increased awareness of the need to be inclusive of other sexual identities to offer better representation. 

The acronym is used to represent a diverse range of sexualities and gender-identities, referring to anyone who is transgender and/or same/similar gender attracted.

What Does Each Letter Mean?

  • L (Lesbian): A lesbian is a woman/woman-aligned person who is attracted to only people of the same/similar gender.
  • G (Gay): Gay is usually a term used to refer to men/men-aligned individuals who are only attracted to people of the same/similar gender. However, lesbians can also be referred to as gay. The use of the term gay became more popular during the 1970s. Today, bisexual and pansexual people sometimes use gay to casually refer to themselves when they talk about their similar gender attraction.
  • B (Bisexual): Bisexual indicates an attraction to all genders. The recognition of bisexual individuals is important, since there have been periods when people who identify as bi have been misunderstood as being gay. Bisexuality has included transgender, binary and nonbinary individuals since the release of the “Bisexual Manifesto” in 1990.
  • T (Transgender): Transgender is a term that indicates that a person’s gender identity is different from the gender associated with the sex they were assigned at birth. 
  • Q (Queer or Questioning): Though queer may be used by people as a specific identity, it is often considered an umbrella term for anyone who is non-cisgender or heterosexual. But it is also a slur. It should not be placed on all members of the community, and should only be used by cisgender and heterosexual individuals when referring to a person who explicitly identifies with it. Questioning refers to people who may be unsure of their sexual orientation and/or gender identity.
  • + (Plus): The ‘plus’ is used to signify all of the gender identities and sexual orientations that are not specifically covered by the other five initials. An example is Two-Spirit, a pan-Indigenous American identity.

History of the Acronym

Where a variety of orientations and identities had previously been referred to as “the gay community” and later “the gay and lesbian community,” the acronym eventually evolved as a way to be more inclusive of other identities.

Why has the acronym changed over time? One important thing to remember is that words and meanings are always evolving. Bisexual, as defined by Sigmund Freud, originally meant a person was both a man and a woman. Being both a man and a woman is now referred to as bigender (under the transgender umbrella) and bisexuality is attraction to multiple/all genders.

Why the “Plus” Matters

While variations such as LGBT or LGBTQ are often used, many advocates argue that the addition of the “plus” is important and should not be overlooked. The purpose of the acronym is to represent the tremendous diversity of people who are same/similar gender attracted and transgender. The addition of the plus is better able to fully capture that diversity.

Related Terms to Know

Some other terms that you may see or hear related to the LGBTQ+ community include:

  • Asexual: Sometimes shorted to “ace,” this term refers to someone who has little or no sexual attraction; they may, however, experience romantic attraction.
  • Cisgender: This term refers to individuals whose gender identity corresponds to the gender associated with the sex they were assigned at birth.
  • Intersex: A term to describe individuals who are born with variations of sex characteristics that do not fit with binary definitions of male or female bodies.
  • Nonbinary: A person whose gender identity is neither exclusively woman or man.
  • Gender nonconforming: An individual whose gender identity or expression is outside or beyond the traditional masculine/feminine and woman/man norms.

A person’s gender identity is their internal sense of gender, whether that is woman, man, or a nonbinary gender. A person’s gender identity does not necessarily correspond to their sex assigned at birth or with their gender expression. 

It is also important to understand that gender is not the same as sex. Sex is biological, while gender is influenced by social, cultural, and environmental factors.

Why Representation Matters

The LGBTQ+ acronym serves an important purpose—not only is it designed to be more inclusive, but it also represents the self-identities of people who are transgender and/or similar gender attracted. 

Inclusivity 

The use of the acronym is intended to be an all-encompassing way to recognize different gender identities and sexual orientations. The addition of other identities to the LGBT acronym also plays an important role in recognizing and connecting them to a larger community.

It also means that these individuals are able to gain greater recognition by society as a whole. Rather than being erased, ignored, or denied, acknowledgment can help foster greater visibility of marginalized identities.

Visibility

Visibility can also help create a greater sense of self-affirmation of a person’s identity. Research has found that offering inclusive and affirmative environments is important for LGBTQ+ youth.

Research also suggests that despite safety concerns, being visible as a member of the LGBTQ+ community can be an important way to feel a sense of pride in individual identity. Affirming self-identity can help people feel greater self-esteem, self-worth, and boost overall mental well-being. This can be particularly important since representation has long been lacking in mainstream media.

Research and statistics suggest that LGBTQ+ youth have an increased risk of a range of mental health and social issues, often due to or exacerbated by isolation, marginalization, and discrimination based on their orientation or identity. Fostering inclusivity and acceptance may be one way to help combat some of these issues.

Uses

The acronym LGBTQ+ has become more popular and accepted. Terms such as queer are sometimes used as well, but not all members of the community are comfortable with it as it is still a slur.

When to Use It

So how do you know when to use the term LGBTQ+? 

  • The purpose of the term is to be inclusive of all same gender attracted and trans people.
  • Use a specific term if you are talking about issues that may be specific to a particular orientation or identity.
  • Be specific when talking about individuals. LGBTQ+ is also an adjective for the community as a whole, not for a single person. For example, you wouldn’t say “Ali is LGBTQ+”—you’d say “Ali is gay.”

If you are striving for inclusivity, LGBTQ+ can be helpful, but LGBT on its own is the most commonly used and probably widely recognized. Even more inclusive variations exist, such as LGBTQI2S (which represents lesbian, gay, bisexual, transgender, questioning, queer, intersex, and Two-Spirit). There is no consensus between intersex people if they identify as part of the community, some do and some do not. Indigenous people created the term Two-Spirit to separate themselves from Western descriptions of gender and sexual identities, and some feel it is disrespectful to attach Two-Spirit to the acronym because of that.

Regardless of what terms people choose to use, what matters is that people have choice in self-identification and that others acknowledge that identity. If someone tells you how they identify, focus on honoring their individual identity.

If you are interested in learning more about what terms and phrases should be avoided, GLAAD, the Gay & Lesbian Alliance Against Defamation, has a reference page that offers helpful information on LGBTQ terms as well as information on terms that are specific to the transgender community.

Sexual orientation: How a person characterizes their sexuality. “There are three distinct components of sexual orientation,” said Ryan Watson, a professor of Human Development & Family Studies at the University of Connecticut. “It’s comprised of identity (I’m gay), behavior (I have sex with the same gender) and attraction (I’m sexually attracted to the same gender), and all three might not line up for all people.” (Don’t say “sexual preference,” which implies it’s a choice and easily changed.)

Impact

LGBT and related acronyms have become widely used in recent years. It has also played a role in raising the visibility of marginalized groups, including transgender individuals.

Research suggests that while attitudes have shifted towards greater acceptance, LGBTQ+ people still face considerable homophobia and discrimination. Harassment, bullying, and workplace discrimination are not uncommon.

One advantage of utilizing a unified terminology is the ability to engage in political advocacy. Social solidarity can be used to improve visibility, combat discrimination, and advance causes including anti-discrimination and equality laws. 

Unifying terms like LGBTQ+ can help people feel connected to a larger group of people with shared experiences. But the term can sometimes seem to imply that there is a single, homogenous group when there are actually many individual communities made up of diverse individuals. These communities has some things in common, but each identity has its own unique experiences and needs.

Challenges

While the goal of this initialism is to raise visibility and boost inclusivity, not everyone agrees about what term or variation to use. The community has been referred to by many words over the years, including many that were intended to be hurtful. So it’s not unusual that the self-descriptors that people use can vary, particularly when it comes to issues related to self-expression, sexuality, and identity.

LGBT is still prevalent in use and may be preferred by some who feel that the four-letter acronym is a simpler way to represent a wide range of identities. 

Others may feel left out from the standard four initials, which is why the addition of Q and “Plus” can be helpful.

This doesn’t mean that terminology won’t continue to evolve and shift, particularly as people work to achieve greater representation and acceptance of transgender people especially. 

Resources

If you are interested in learning about LGBTQ+ issues, there are a number of resources available that can help.

  • The Trevor Project
  • Gay, Lesbian & Straight Education Network (GLSEN)
  • National Center for Transgender Equality (NCTE)

Symbols

Pride rainbow flag: The universal symbol of pride for LGBTQ people around the world. 

Original rainbow flag: In the late 70s, Harvey Milk, the first openly gay elected official in California, challenged activist Gilbert Baker to design a symbol of hope for the gay community. Baker’s original design had 8 stripes, and included the color pink. It first flew in 1978. In the intervening years eight stripes became six, pink was removed, and royal blue replaced turquoise. 

Post-BLM rainbow: Philadelphia redesigned the Pride flag in 2017 to include the colors brown and black in an effort to promote diversity and inclusion and to “honor the lives of our black and brown LGBTQ siblings,” the city said in a statement. Philadelphia’s Office of LGBT Affairs partnered with Tierney, a Philadelphia PR agency, to redesign the flag as part of its new inclusivity campaign, #MoreColorMorePride. 

Progress rainbow flag: Designed by Daniel Quasar in 2018, it adds five new colors to emphasize progress around inclusion. The flag includes black and brown stripes to represent people of color, and baby blue, pink and white, which are used in the Transgender Pride Flag.

References
  1. Gold M. The ABCs of L.G.B.T.Q.I.A.+. The New York Times. Updated June 7, 2019.

  2. GLAAD. Media reference guide.

  3. Intersex Society of North America. What Is Intersex?

  4. Clayton JA, Tannenbaum C. Reporting sex, gender, or both in clinical research?. JAMA. 2016;316(18):1863–1864. doi:10.1001/jama.2016.16405

  5. Hadland SE, Yehia BR, Makadon HJ. Caring for lesbian, gay, bisexual, transgender, and questioning youth in inclusive and affirmative environments. Pediatr Clin North Am. 2016;63(6):955-969. doi:10.1016/j.pcl.2016.07.001

  6. Higa D, Hoppe MJ, Lindhorst T, et al. Negative and positive factors associated with the well-being of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth. Youth Soc. 2014;46(5):663-687. doi:10.1177/0044118X12449630

  7. GLAAD. Where are we on TV report – 2019.

  8. OECD. The LGBT challenge: How to better include sexual and gender minorities?. Society at a Glance 2019: OECD Social Indicators, OECD Publishing, Paris. 2019. doi:10.1787/c64c3d3f-en

  9. Stotzer RL. Data sources hinder our understanding of transgender murders. Am J Public Health. 2017;107(9):1362-1363. doi:10.2105/AJPH.2017.303973

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