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This essay brings structural intimacies – theorised as the meeting of social structural patterns with interpersonal lives – to the border to consider transnational LGBTQ kinships. Specifically, the paper considers ‘the border’ and its state-driven bio-regulations as a reproductive technology that produces LGBTQ, racial/ethnic and social class inequities through the consolidation of heteronormative, bio-genetic kinship institutions and ideations of family. Structural intimacies harnesses intimacy as both subject and as an analytic lens for queering reproductive sociology that insists on re-conceptualizing institutions central to our lives. Structural intimacies move our analytic gaze from how the border structures sexuality, and vice versa, to consider the border as at once a structural and an affective domain. Structural intimacies is a conceptual tool useful for cross-disciplinary inquiry into the social and structural contexts in which reproductive technologies render meaning, as well as produce families, and to illustrate the analytic necessity of storying both content and method as integral to queer/ing scholarship. Straddling the most proximal forms of daily care and labor patterning everyday intimacies with the policies and practices of the state, the concept of structural intimacies reveals moments of encounter between state institutions with the most intimate components of a person's life and identity, in this case amplified by the bio-politics of the border.

This edited collection proposes an interdisciplinary and integrated approach to the study of reproductive technologies (RTs), which reflects the fact that many people use different technologies throughout their lifecourse and resists the disciplinary siloing of research on these technologies. The ever-expanding availability of RTs, the continued roll-out of ‘family planning’ and maternity services across low- and middle-income settings and the rapid development of the fertility industry mean that it is more likely than ever that individuals, especially women and trans* people, will engage with more than one RT at some point in their life. These multiple engagements with RTs will affect users' expectations and uptake, as well as the technologies' availability, commercial success, ethical status and social meanings. We offer this book as part of a wider movement in the study of reproduction and RTs, which takes inspiration from the reproductive justice framework to address forms of exclusion, discrimination and stratification that are perpetuated in the development and application of RTs and the ways in which they are studied and theorised. Here, we introduce the project and outline the structure of the book.

Purpose: This paper presents an exploratory analysis of minority stress and resiliency processes among parents in LGBTQ families. The paper examines two unique minority stress processes – (1) parents experiencing sexual and/or gender minority stress due to the stigmatization of their own identities as individuals and (2) parents sharing the gender minority stress faced by their transgender and gender expansive (TGE) child, and in the context of their parent–child relationship.

Methodology: Between 2017 and 2018 in-depth, in-person qualitative interviews on the topics of gender, stress, and resilience were conducted with 12 parents in LGBTQ families. Audio recordings were transcribed and then open coded using ATLAS.ti qualitative data analysis software. Analyses of data were informed by critical intersectional theories that locate gender and sexuality within structures of social and racial oppression.

Findings: Interview data indicate that minority stress is experienced by parents experiencing sexual and/or gender minority stress due to the stigmatization of their own identities, as well as among parents sharing the gender minority stress faced by their TGE child in the context of their parent–child relationship. Parents described community resilience and minority coping through interpersonal, community, and institutional support. This paper provides evidence that sexual and gender minority stressors are enhanced and resiliency factors are reduced among those experiencing racism and economic disadvantage.

Research limitations: This is an exploratory study conducted with a small sample of parents in a specific geographic area.

Originality/Value: These data provide initial evidence to support further analyses of the dyadic minority stressors within parent–child relationships in LGBTQ families

Here we provide a short reflection on the persistent theme of choice in reproductive studies which allows us to draw out further insights from each of the chapters.

Purpose: The goal of Volume 21 of Advances in Medical Sociology, entitled Sexual and Gender Minority Health, is to showcase recent developments and areas for future research related to the health, well-being, and healthcare experiences of LGBTQA+ (Lesbian, Gay, Transgender, Queer, Asexual, and related communities that do not identify as heterosexual) persons and communities.

Approach: In this introduction to the volume, we trace the historical development of research on sexual and gender minority (SGM) health, discussing how priorities, theories, and evidence have evolved over time. We conclude with brief suggestions for future research and an overview of the articles presented in this volume.

Findings: Research on SGM health has flourished in the past two decades. This trend has occurred in conjunction with a period of intense social, political, and legal discourse about the civil rights of SGM persons, which has increased understanding and recognition of SGM experiences. However, recent advances have often been met with resistance and backlash rooted in enduring social stigma and long histories of discrimination and prejudice that reinforce and maintain health disparities faced by SGM populations.

Value: Our review highlights the need for additional research to understand minority stress processes, risk factors, and resiliency, particularly for those at the intersection of SGM and racial/ethnic or socioeconomic marginality.

This chapter discusses an instance of spectacular reproduction that circulated in US media during the late 2010s. Through the use of commercial DNA tests, it was revealed that a fertility doctor, Donald Cline, had used his own sperm to impregnate scores of women who had sought fertility treatment from him during the 1980s. More than 60 biogenetic children, now in their mid to late 30s, were identified by early 2020. This instance illustrates several concepts and concerns that might further guide the social and cultural study of human reproduction and especially the uses of reproductive technologies: (1) Most of us encounter instances of extraordinary reproduction from a mediated distance, yet they may shape and inform our expectations and experiences of ordinary reproduction in our everyday lives. How might the concept of spectacle help us understand what is perceived and understood about reproductive technologies? (2) Reproductive technologies offer ‘fixes’ for disruptions of not only reproduction but also kinship. A focus of this chapter is on genetic genealogy tests as a re(tro)productive technology, which produces children, parents, and kinship in hindsight. (3) The social and cultural study of reproductive technologies ought to take a longitudinal approach that both includes a lifecourse perspective and takes into account the historical contexts in which the technologies become developed and individuals encounter them.