Randolph C H Chan
Biographic Data
| ID | 239147 |
|---|---|
| NAME | Randolph C H Chan |
| GIVEN NAMES | Randolph C H |
| FAMILY NAME | Chan |
| SIGNATURE | CHAN R C H |
| AFFILIATIONS | Chinese University of Hong Kong |
| ORCID | 0000-0002-4604-5154 |
| VERIFIED | Yes |
| TOTAL WORKS | 61 |
| TOTAL CITATIONS | 110 |
| AUTHOR COUNT | 61 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2008 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 7 |
Misgendering as a predictor of basal cortisol levels and psychological distress among transgender, nonbinary, and cisgender nonconforming individuals in Hong Kong.
LGBTQ+-affirmative educational practices: Scale development and psychometric evaluation in Chinese school contexts
Lesbian, gay, bisexual, transgender, queer, and other gender and sexuality diverse (LGBTQ+) students encounter hostile school environments characterised by discrimination, exclusion, and victimisation. Teachers are central to fostering inclusive school climates, yet few validated instruments exist to assess their engagement in promoting LGBTQ+ affirmation in schools. This study developed and validated the LGBTQ+-Affirmative Educational Practices …
Wanting to change gender markers on identity cards but unable to do so: Gender-congruent markers on identity cards and mental health among transgender people in Hong Kong
Sexual Orientation and Gender Identity and Expression Change Efforts Among Gender and Sexually Diverse Youth: Associations With Internalized Stigma and Depression Symptoms
Minority Stress as a Risk Factor for Depression Symptoms and Sleep Disturbance among Sexual Minority Individuals: The Role of Cognitive and Emotional Dysregulation
Introduction Although recent research indicates that sexual minority individuals are at greater risk of sleep disturbance compared to their heterosexual counterparts, the mechanisms underlying these disparities remain poorly understood. This study examines the relationships between minority stress, cognitive and emotional dysregulation, and sleep disturbance among sexual minority individuals. Methods A total of 1,457 sexual minority individuals w…
Navigating gender nonconformity in Hong Kong: The contextual influence of peer gender norms on social connectedness and well-being
Gender nonconforming individuals often experience considerable stress, and these experiences are profoundly influenced by cultural context. This dynamic is evident in Hong Kong, where traditional Chinese values intersect with Western cultural exposure, creating a complex sociocultural landscape that governs attitudes towards gender diversity. This study employed a prospective research design to (1) examine the associations among gender nonconform…
Drag as a Representation of Community Pride: The Awareness, Significance, and Impact of Nymphia Wind on the LGBTQ+ Community in Taiwan
The unprecedented victory of drag performer Nymphia Wind in Season 16 of RuPaul's Drag Race marked a historic milestone for Asian and LGBTQ+ representation in global media. The present study employed a mixed-methods design to investigate the awareness, significance, and impact of Nymphia's achievement on Taiwan's LGBTQ+ community. Among 1370 LGBTQ+ individuals surveyed, the results indicated that 46.0% demonstrated high awareness of Nymphia's vic…
Loss of Material, Personal, and Social Resources and Their Impact on Mental Health Among Young People Not in Employment, Education, or Training
INTRODUCTION: Young people face heightened employment pressure, particularly those in the school-to-work transition phase. Although earlier studies have indicated that young people who are not in employment, education, or training (NEET) experience considerable psychological distress, limited attention has been paid to understanding why they are at risk of poor mental health. Grounded in the conservation of resources theory, this study examined t…
Evolving experiences of HIV stigma and their impact on well-being: A serial cross-sectional study of people living with HIV in Hong Kong from 2012 to 2022
The Undetectable = Untransmittable campaign has transformed HIV prevention over the past decade, potentially reshaping societal perceptions of people living with HIV (PLHIV). While this scientific breakthrough challenges traditional stigmatizing narratives about HIV transmission, there is a lack of empirical evidence on how different forms of HIV stigma have changed over time. The present study aimed to document changes in enacted, anticipated, a…
Inclusion of LGBTQ+ Individuals in Hong Kong: A Scoping Review
Heteronormativity and cisgenderism in medical training: A scoping review of lesbian, gay, bisexual, transgender, queer and plus (LGBTQ+) issues in medical training in Asia
Lesbian, gay, bisexual, transgender, queer and plus (LGBTQ+) related health concerns in medical training have historically been underrepresented or largely omitted. This review goes beyond the Global North and is one of the first scoping reviews to take a regional approach to understanding LGBTQ+ issues in medical training in Asia, a region that millions of LGBTQ+ people call home. A scoping review of peer-reviewed articles published from 2000 to…
Gayborhoods as Spaces of Risk and Resilience: Associations of Gayborhood Residence with Psychological Distress and Substance Use among Ethnically Diverse Sexual Minority Men
Gayborhoods are urban neighborhoods characterized by a high concentration of LGBTQ + residents, businesses, community spaces, and subcultures. Living in gayborhoods may foster a sense of community and belonging that can be particularly beneficial for sexual minority men. However, existing research on gayborhoods has predominantly centered on the experiences of White gay men. The extent to which gayborhoods serve as an inclusive space for ethnical…
Effects of perceived resilience on daily functioning and mental well-being among parents during the Covid-19 pandemic: A cross-lagged panel analysis
The COVID-19 pandemic can pose a heavy toll on parents' daily functioning and mental health. While previous studies have identified resilience as a potential protective factor, less is known about the role of resilience in protecting parents from the negative impact caused by the pandemic. Using a two-wave cross-lagged panel design, the present study aimed to examine how the daily functioning of parents was impacted by the COVID-19 pandemic and i…
Self-awareness and nonattachment as internal resources for well-being among lesbian, gay, bisexual, transgender, queer, and other gender and sexually diverse individuals
Previous studies showed inconsistent findings on the association between self-awareness and well-being among lesbian, gay, bisexual, transgender, queer, and other gender and sexually diverse (LGBTQ+) individuals. The present study examined the mediating effects of self-stigma and negative emotional responses to oppression in the relationship between self-awareness and well-being, as well as the protective role of nonattachment on the relationship…
Sexual, Romantic, and Community Experiences of Individuals at the Intersection of Autism and Asexuality
The present study investigated the prevalence of autism among individuals identifying on the asexual spectrum and explored the potential differences in sexual, romantic, and community experiences between autistic and non-autistic individuals on the asexual spectrum. The study included a global sample of 10,419 individuals identifying on the asexual spectrum from the 2020 Ace Community Survey. They completed a questionnaire on asexual identificati…
Intracommunity intersectional discrimination and its impact on psychological distress and smoking behavior among sexual minority men from minority ethnic backgrounds
Despite growing awareness of the experiences of LGBTQ+ communities, there has been relatively little attention given to the issues of exclusion and marginalization that occur within these communities. This gap is particularly significant given the health disparities faced by LGBTQ+ individuals from minority ethnic backgrounds. To address this gap, this paper examines the experiences of intracommunity intersectional discrimination among sexual min…
The cultural underpinnings of transnegativity: Understanding the role of traditionality and modernity in the contemporary Chinese context
Prejudice and discrimination against transgender and gender diverse individuals are pervasive in contemporary Chinese societies. However, there remains a limited understanding of the factors and processes contributing to transnegativity in this context. Building upon theoretical and empirical literature suggesting that traditional beliefs in Chinese culture may fuel transnegativity, the present study aimed to investigate the influence of traditio…
Consuming fitspiration content on Instagram as a risk factor for self-objectification and depression symptoms among sexual minority individuals: Exploring the intersection of gender and sexual orienta…
Gender identity differences in the experiences of family stressors and violence among transgender and non‐binary individuals in China
Emerging research has demonstrated that transgender and non‐binary (TNB) individuals face an elevated risk of experiencing family rejection and violence. However, there remains a significant knowledge gap regarding how TNB individuals manage stressors and their gender identity within the family context, particularly in regions where TNB individuals are highly stigmatized and where legal protections against family violence are lacking. The present…
Sexual Violence Victimization and Substance Use among Individuals Identifying on the Asexual Spectrum: Differences between Asexuality, Graysexuality, and Demisexuality
Despite the growing visibility of the asexual community across the globe, little is known about how individuals on the asexual spectrum navigate their (a)sexual experiences. Asexual individuals may be highly vulnerable to sexual violence victimization due to prejudice against their lack of sexual attraction. Perpetrators may seek to pressure asexual individuals into sexual activities by invalidating their asexuality or manipulating their need for…
Identity Experiences, Group Consciousness, and Collective Action Among Bisexual Individuals: An Investigation of Identity-Based Pathways That Facilitate and Constrain Collective Action Through Multipl…
Introduction Social identity has been recognized as a central factor explaining participation in collective action. Previous studies have predominantly focused on collective action within sexual minority groups as a whole. However, there is a need to explore the specific experiences of bisexual individuals who face distinct challenges due to monosexism. Currently, limited research has been conducted to understand the underlying mechanism that con…
The mental health benefits and costs of critical consciousness: A longitudinal investigation of the co-occurring positive and negative effects of critical consciousness among sexual minorities
The Pathways to Join, Engage in, and Quit Sexual Orientation Change Efforts (Soce): A Qualitative Study of Sexual Minority Individuals who Self-Initiated Soce in Hong Kong
Despite the growing recognition of their harmful effects, sexual orientation change efforts (SOCE) continue to be practiced in various societies. This study examines the experiences of 11 sexual minority individuals in Hong Kong who have undergone SOCE. The findings reveal the pervasive influence of deeply ingrained homonegativity values within religious, family, educational, and soiocultural contexts during LGBTQ+ individuals' formative years. T…
Benefits and risks of LGBT social media use for sexual and gender minority individuals: An investigation of psychosocial mechanisms of LGBT social media use and well-being
There has been a proliferation of lesbian, gay, bisexual, and transgender (LGBT) social media platforms and users over the past decade. Previous studies have reported mixed effects of social media use on well-being, but less is known about the benefits and risks of LGBT social media use. The present study investigated different aspects of LGBT social media use and examined the psychosocial mechanisms of LGBT social media use and well-being. Among…
Effects of identity disclosure on school victimization and long-term educational outcomes among lesbian, gay, bisexual, transgender, and intersex students in China
This study examined identity disclosure among lesbian, gay, bisexual, transgender, and intersex (LGBTI) students in China and investigated the effects of coming out on school victimization as well as current academic performance and long-term educational outcomes. The study drew on a national sample of 9260 Chinese LGBTI students (age range = 12-42 years) and 9668 LGBTI individuals who were not in education (age range = 14-85 years). The results …
Empowerment for civic engagement and well-being in emerging adulthood: Evidence from cross-regional and cross-lagged analyses
Resistance as a form of resilience in sexual and gender minorities: Differential moderating roles of collective action on the discrimination-depression relationship among sexual minority men and women
These differential moderating effects could be attributed to gender role socialization and gender-specific coping mechanisms in response to minority stress. Although public collective action is more powerful in triggering structural changes than private collective action, individuals in less democratic societies may not necessarily have access to public collective action due to the absence of opportunity structures. Private collective action, whi…
Effects of Minority Stress on Group Identification and Collective Action among Sexual Minorities: A Longitudinal Test of the Rejection-Identification Model
Minority stress remains pervasive in various aspects of life among sexual minorities. Driven by the awareness of social injustice, some sexual minority individuals may undertake collective action to counteract discrimination, but this does not apply to all members of sexual minorities. The present study used a prospective, longitudinal research design to examine how different dimensions of minority stress (i.e., perceived discrimination and inter…
Experiences, Motivations, and Impacts of Sexual Orientation Change Efforts: Effects on Sexual Identity Distress and Mental Health Among Sexual Minorities
Liberating and Empowering Effects of Critical Reflection on Collective Action in LGBT and Cisgender Heterosexual Individuals
Critical consciousness represents the transformation from a passive target of oppression to an active actor with an increased capacity to analyze and negotiate conditions of oppression. It is considered as an antidote for oppression that can liberate people from oppressive ideologies and empower them to resist social injustice. Building on the theory of critical consciousness and the Social Identity Model of Collective Action, this paper examined…
Mental Health of Transgender People in Hong Kong: A Community-Driven, Large-Scale Quantitative Study Documenting Demographics and Correlates of Quality of Life and Suicidality
A community-driven survey of 106 transgender people (the first such survey in Hong Kong) showed that: (1) more than half the sample (50.9%) had a university degree or higher qualification; (2) despite this, 43.4% had a monthly income below HK$6,000 (about USD$775); (3) 66% reported "fair" or "poor" quality of life; (4) 67% of the sample (87.1% of respondents aged 15-24 years) had contemplated suicide; and (5) 20.8% of the sample (35.5% of respond…
Monosexism as an Additional Dimension of Minority Stress Affecting Mental Health among Bisexual and Pansexual Individuals in Hong Kong: The Role of Gender and Sexual Identity Integration
Monosexism has been increasingly recognized as a minority stressor uniquely experienced by plurisexual individuals. The present study investigated the effects of monosexist discrimination on mental health and examined the moderating role of gender and sexual identity integration (i.e., negation, authenticity, and disclosure). In a sample of 314 bisexual and pansexual individuals in Hong Kong (73.9% women and 26.1% men), the results showed that mo…
A Typology of Intergenerational Relationships Between Taiwanese Gay and Bisexual Men And Their Parents: Negotiating Outness and Co-residence in Chinese Families
The mental health benefits and costs of critical consciousness: A longitudinal investigation of the co-occurring positive and negative effects of critical consciousness among sexual minorities
Chinese Lesbian and Gay Adults' Self-Reported Experiences of Negative Treatment and Violence From Family of Origin: Evidence From a Larger-Scale Study in China
Lesbian and gay adults' self-reported experiences of violence from family of origin in adulthood have been less examined in previous research on interpersonal violence from intimate others. In China, while it has been understood that lesbians and gay men face mounting pressure to marry and have children, there is little empirical evidence on their experiences of violence from family of origin. This paper analyzes self-reported experiences of nega…
Relationship Between Religion and Non-Heterosexuality: A Study of Lesbian, Gay and Bisexual People of Diverse Religions in China
An established scholarly literature, largely generated from North America and Europe, highlighted intolerance experienced by lesbian, gay and bisexual (LGB) people in some mainstream religious traditions such as Christianity and Islam. However, very little research has examined the lived experiences of LGB people who identify as followers of other religions in other parts of the world. The study examined the self-reported experiences of 2,681 LGB…
Intracommunity intersectional discrimination and its impact on psychological distress and smoking behavior among sexual minority men from minority ethnic backgrounds
Despite growing awareness of the experiences of LGBTQ+ communities, there has been relatively little attention given to the issues of exclusion and marginalization that occur within these communities. This gap is particularly significant given the health disparities faced by LGBTQ+ individuals from minority ethnic backgrounds. To address this gap, this paper examines the experiences of intracommunity intersectional discrimination among sexual min…
Sexual Violence Victimization and Substance Use among Individuals Identifying on the Asexual Spectrum: Differences between Asexuality, Graysexuality, and Demisexuality
Despite the growing visibility of the asexual community across the globe, little is known about how individuals on the asexual spectrum navigate their (a)sexual experiences. Asexual individuals may be highly vulnerable to sexual violence victimization due to prejudice against their lack of sexual attraction. Perpetrators may seek to pressure asexual individuals into sexual activities by invalidating their asexuality or manipulating their need for…
Gay Brain Drain”: Hong Kong Lesbian, Gay, and Bisexual People’s Consideration of Emigration Because of Non-inclusive Social Policies
Relationship between Religion and Public Attitudes toward Same-Sex Marriage: Examining the role of Traditional Chinese Religions through a Case Study of Hong Kong
Contextual Influence of School-Level Gender Role Attitudes and Sexual Prejudice on Allyship, Bullying, and Internalized Homonegativity
Differential resilience effects of everyday political engagement against heterosexist victimization among sexual minority youth: The importance of identity‐based action
Everyday forms of political engagement, such as civic participation and collective action, have been recognized as a crucial factor for positive youth development, but less is known about their resilience effects on youth from marginalized populations, especially in less democratic societies. The present study investigated experiences of everyday political engagement among sexual minority youth in China and examined their compensatory and protect…
Utility and Cost-effectiveness of Motivational Messaging to Increase Survey Response in Physicians: A Randomized Controlled Trial
The present study examined whether, when, and how motivational messaging can boost the response rate of postal surveys for physicians based on Higgin’s regulatory focus theory, accounting for its cost-effectiveness. A three-arm, blinded, randomized controlled design was used. A total of 3,270 doctors were randomly selected from the registration list. Results showed that motivational messaging was effective in boosting response rate among younger …
Assessment of executive functions: Review of instruments and identification of critical issues
"Executive functions" is an umbrella term for functions such as planning, working memory, inhibition, mental flexibility, as well as the initiation and monitoring of action. The impairment of executive functions in various clinical groups is a topic of much debate, as are recent attempts to formulate the corresponding intervention and rehabilitation regimes of these dysfunctions. This article reviewed current theories of executive functions and t…
Validation of the Recovery Assessment Scale for Chinese in recovery of mental illness in Hong Kong
Self-stigma and empowerment as mediating mechanisms between ingroup perceptions and recovery among people with mental illness
Perceived primal threat of mental illness and recovery: The mediating role of self-stigma and self-empowerment
Although people in recovery from mental illness can continue to live a personally meaningful life despite their mental illness, their perception of mental illness as being a threat to their basic needs may influence the way they view themselves as a person with mental illness and their sense of mastery over their condition. The present study explored the effects of perceived primal threat on the recovery of people with mental illness, considering…
Utility and Cost-effectiveness of Motivational Messaging to Increase Survey Response in Physicians: A Randomized Controlled Trial
The present study examined whether, when, and how motivational messaging can boost the response rate of postal surveys for physicians based on Higgin’s regulatory focus theory, accounting for its cost-effectiveness. A three-arm, blinded, randomized controlled design was used. A total of 3,270 doctors were randomly selected from the registration list. Results showed that motivational messaging was effective in boosting response rate among younger …
Mental Health of Transgender People in Hong Kong: A Community-Driven, Large-Scale Quantitative Study Documenting Demographics and Correlates of Quality of Life and Suicidality
A community-driven survey of 106 transgender people (the first such survey in Hong Kong) showed that: (1) more than half the sample (50.9%) had a university degree or higher qualification; (2) despite this, 43.4% had a monthly income below HK$6,000 (about USD$775); (3) 66% reported "fair" or "poor" quality of life; (4) 67% of the sample (87.1% of respondents aged 15-24 years) had contemplated suicide; and (5) 20.8% of the sample (35.5% of respond…
Prevalence and risk and protective factors associated with HIV-related behavior among transgender people in Hong Kong
This paper presents findings from the first large-scale quantitative study into HIV-related behavior among transgender people in Hong Kong. A survey of 195 transgender people found that only one-third of those who had engaged in sexual behavior in the past 3 months reported consistent condom use. Stable relationships, beliefs in low HIV transmission risk, and condom inaccessibility were cited as reasons for inconsistent condom use. The HIV testin…
Bisexual individuals are at greater risk of poor mental health than lesbians and gay men: The mediating role of sexual identity stress at multiple levels
Effects of HIV-Related Discrimination on Psychosocial Syndemics and Sexual Risk Behavior among People Living with HIV
In the context of HIV-related stigma and discrimination, people living with HIV (PLHIV) might be vulnerable to a 'syndemic' of co-occurring psychosocial challenges that can affect sexual behavior. The present study examined how HIV-related discrimination contributes to co-occurring psychosocial syndemic problems and results in inconsistent condom use among PLHIV in Hong Kong. Two-hundred and ninety-one PLHIV were recruited to complete a self-repo…
A nationwide cross-sectional study of 15,611 lesbian, gay and bisexual people in China: Disclosure of sexual orientation and experiences of negative treatment in health care
There is a strong need to enhance LGB cultural competence among health care providers. Policymakers in China should also formulate laws, policies, regulations, clearly articulated codes of conduct, and transparent procedures and practices to ensure non-discrimination of LGB people in the health care system, with a particular focus on banning conversion therapy
Interpersonal and intrapersonal manifestations of HIV stigma and their impacts on psychological distress and life satisfaction among people living with HIV: Toward a dual-process model
Gay Brain Drain”: Hong Kong Lesbian, Gay, and Bisexual People’s Consideration of Emigration Because of Non-inclusive Social Policies
Liberating and Empowering Effects of Critical Reflection on Collective Action in LGBT and Cisgender Heterosexual Individuals
Critical consciousness represents the transformation from a passive target of oppression to an active actor with an increased capacity to analyze and negotiate conditions of oppression. It is considered as an antidote for oppression that can liberate people from oppressive ideologies and empower them to resist social injustice. Building on the theory of critical consciousness and the Social Identity Model of Collective Action, this paper examined…
Relationship Between Religion and Non-Heterosexuality: A Study of Lesbian, Gay and Bisexual People of Diverse Religions in China
An established scholarly literature, largely generated from North America and Europe, highlighted intolerance experienced by lesbian, gay and bisexual (LGB) people in some mainstream religious traditions such as Christianity and Islam. However, very little research has examined the lived experiences of LGB people who identify as followers of other religions in other parts of the world. The study examined the self-reported experiences of 2,681 LGB…
Filial piety, internalized homonegativity, and depressive symptoms among Taiwanese gay and bisexual men: A mediation analysis
6) were recruited to complete a web-based survey comprising the Contemporary Filial Piety Scale, the Chinese Internalized Homophobia Scale, and the Patient Health Quesionanire-9. Structural equation modeling was performed to test the mediation paths. Results showed that pragmatic obligations are directly and negatively associated with depressive symptoms without yielding significant correlation with internalized homonegativity. A full mediation p…
Empowerment for civic engagement and well-being in emerging adulthood: Evidence from cross-regional and cross-lagged analyses
Effects of Social Movement Participation on Political Efficacy and Well-Being: A Longitudinal Study of Civically Engaged Youth
Protective and Compensatory Effects of Group Identification on the Mental Health of People Living with HIV
A Typology of Intergenerational Relationships Between Taiwanese Gay and Bisexual Men And Their Parents: Negotiating Outness and Co-residence in Chinese Families
Resistance as a form of resilience in sexual and gender minorities: Differential moderating roles of collective action on the discrimination-depression relationship among sexual minority men and women
These differential moderating effects could be attributed to gender role socialization and gender-specific coping mechanisms in response to minority stress. Although public collective action is more powerful in triggering structural changes than private collective action, individuals in less democratic societies may not necessarily have access to public collective action due to the absence of opportunity structures. Private collective action, whi…
Dyadic associations between Covid‐19‐related stress and mental well‐being among parents and children in Hong Kong: An actor–partner interdependence model approach
The spread of COVID‐19 and its subsequent social distancing policies have profoundly impacted the lives of parents and children. Prolonged exposure to parenting‐related responsibilities and heightened levels of family conflict under stay‐at‐home orders coupled with reduced access to support systems and resources have rendered parents and children more prone to stress and mental health difficulties. Drawing on a transactional model of parent–child…
Condom Use and Social Capital Among Filipinx Transgender Women and Cisgender Men Who Have Sex with Men (Trans-WSM and Cis-MSM): A Structural Equation Modeling
Experiences, Motivations, and Impacts of Sexual Orientation Change Efforts: Effects on Sexual Identity Distress and Mental Health Among Sexual Minorities
Effects of Minority Stress on Group Identification and Collective Action among Sexual Minorities: A Longitudinal Test of the Rejection-Identification Model
Minority stress remains pervasive in various aspects of life among sexual minorities. Driven by the awareness of social injustice, some sexual minority individuals may undertake collective action to counteract discrimination, but this does not apply to all members of sexual minorities. The present study used a prospective, longitudinal research design to examine how different dimensions of minority stress (i.e., perceived discrimination and inter…
Monosexism as an Additional Dimension of Minority Stress Affecting Mental Health among Bisexual and Pansexual Individuals in Hong Kong: The Role of Gender and Sexual Identity Integration
Monosexism has been increasingly recognized as a minority stressor uniquely experienced by plurisexual individuals. The present study investigated the effects of monosexist discrimination on mental health and examined the moderating role of gender and sexual identity integration (i.e., negation, authenticity, and disclosure). In a sample of 314 bisexual and pansexual individuals in Hong Kong (73.9% women and 26.1% men), the results showed that mo…
Psychology (53 works) · Social Psychology (40 works) · LGBTQ Health, Identity, and Policy (37 works) · Clinical Psychology (25 works) · Developmental psychology (24 works) · Sociology (23 works) · Sexual orientation (21 works) · Social Psychology (20 works) · Psychiatry (19 works) · Medicine (18 works)