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Table 2 Sample characteristics of included reports

From: Toward an understanding of sexual minority women’s social stressors and health in post-communist countries in Europe: a scoping review

Author (Year)

Study Location

Type of Data and Study

Design

Method of recruitment

Aim of Study

Sample Size (N)

Sexual Identity

Heterosexual comparison group

Race/

Ethnicity

Age

(M, Mdn, Range)

Wołowicz 2021

Poland

Primary, qualitative

Snowball sampling, with support of disability or LGBT-focused NGOs and websites

Understand disabled sexual minority women (SMW)’s everyday experiences of intimacy and care

11

9% bisexual women, 9% pansexual women, 82% lesbian women

No

Not reported

M: 38.8, range: 30–47

Voina 2022

Romania

Primary, cross-sectional survey

Snowball sampling via Romanian Facebook groups of the LGBTQ

community

Map workplace discrimination experiences of LGBTQ

individuals, based on gender identity, across

Romania

10

50% gay men, 20% lesbian women, 10% transgender men, 20% bisexual or pansexual

No

Not reported

Range: 19–40

Stokłosa 2021

Poland

Primary, cross-sectional survey

Approximately 60,000 university students at the 50 biggest universities in Poland were directly contacted via email or social media form

Assess sexual behavior of university students

5,964

Female participants:

90% heterosexual, 9% bisexual, 2% homosexual

Male participants:

83% heterosexual, 5% bisexual, 12% homosexual

Yes

Not reported

M: 22

Stojanovski 2018

North Macedonia

Primary, mixed-methods

Snowball sampling

Investigate whether differences in experiences of discrimination are associated with social anxiety and rumination among sexual and gender minorities in North Macedonia

396

Among total sample across all genders:

47% straight, 22% gay, 7% lesbian, 18% bisexual, 2% pansexual, 4% not reported

Yes

SGM participants: 95.3% Macedonian; 4.8% Non-Macedonian

Non-SGM participants: 93.8% Macedonian; 6.3% Non-Macedonian

Range among total sample: 18–30

SGM participants:

M: 23.0, SD: 3.7

Non-SGM participants:

M: 23.5, SD: 3.7

Stojanovski 2019

North Macedonia

Primary, qualitative

Snowball sampling

Present a needs assessment of SGM minorities in North Macedonia. The study identifies relevant health needs and the social, cultural, and political determinants of these health needs

71 total; 6 participated in in-depth interviews, 65 in focus groups

All genders: 41% gay, 26% lesbian, 13% bisexual, 13% straight, 4% queer,

1% pansexual,

1% uncertain

No

67% Macedonian, 14% Albanian, 7% Roma,

4% Serbian,

3% Turkish,

4% Other

M: 25.8, range: 18–42

Stemmler 2015

Czechia

Primary, cross-sectional survey

Time-site survey at cafes, bars, beer gardens; potential respondents were approached by researchers

Examine HIV risk, substance use, and sexual behaviors among adults in Prague

124

76% heterosexual women, 9% homosexual women, 8% bisexual women, 3% transsexual

Yes

Not reported

M: 29, range: 18–67

Stasińska 2022

Poland

Primary, qualitative (ethnographic)

Recruited from broader sample of FOCIP project or via snowball sampling

Understand the sexuality of nonheterosexual people from a geographic perspective by examining the impacts of local cultural norms and socio-political conditions on their sexual perspectives and experiences

53 individual interviews, ethnography of 21 nonheterosexual families

Not reported

No

Not reported

Not reported

Niedźwiedzka-Stadnik 2021

Poland

Secondary, laboratory results, cross-sectional

Analysis of laboratory results of HIV testing from doctors and testing centers

Evaluate the epidemiological situation of new HIV infections and AIDS cases and deaths in Poland in 2019

Total number of HIV tests: 41,817 (provided number of tests taken, rather than number of individuals who took tests)

No sample size provided; among 41,817 HIV tests under study, 1,018 (2%) were among SMW. Out of the 14,765 tests from women overall, 295 (2%) were from women reporting sexual contacts with women, and 723 (6%) were from women reporting sexual contacts with men and women

Yes

Not reported

Range: under 18 to over 65

Niedźwiedzka-Stadnik 2022

Poland

Secondary, laboratory results, cross-sectional

Analysis of laboratory results of HIV testing from doctors and testing centers

Evaluate the epidemiological situation of new HIV infections and AIDS cases and deaths in Poland in 2020

Total number of HIV tests provided: 23,376 (provided number of tests taken, rather than number of individuals who took tests)

No sample size provided; among 23,276 HIV tests under study, 598 (2%) were among SMW; out of the 7,797 tests from women overall, 166 (2%) were from women reporting sexual contacts with women, and 432 (6%) were from women reporting sexual contacts with men and women

Yes

Not reported

Range: under 18 to over 65

Mizielińska 2023

Poland

Primary, qualitative

Snowball sampling (part of the larger FOCIP project)

Examine “ways of doing and displaying families by older generations of lesbian and gay people in Poland.

10

50% lesbian women, 50% gay men

No

Not reported

Range: 55–72

Mizielińska 2023

Poland

Primary, ethnography

Not reported (part of the larger FOCIP project)

Examine the planned family formation and the experiences of lesbian couples

2 couples (4 adults total)

100% lesbian women

No

Not reported

Couple 1 are in their 40s; Couple 2 are 41 and 33

Mijas 2020

Poland

Primary, cross-sectional survey

Online survey

Test a Polish adaptation of the Daily Heterosexist Experiences Questionnaire (DHEQ)

197

19% cisgender SMW, 64% cisgender SMM, 17% transgender individuals

No

Not reported

M: 31.93, SD: 8.37

Llullaku 2024

Kosovo

Primary, quantitative

Snowball sampling and targeted sampling

Assess correlations between social stigma and self-reported anxiety, depression, and stress among sexual minority people in Kosovo

103

22% lesbian women, 18% bisexual women, 40% gay men, 20% bisexual men

No

Not reported

M: 26.5, range: 18–50, SD: 7.8

Lasala 2011

Estonia

Primary, qualitative

Snowball sampling

Establish perception of the changes in Estonia since the end of the Soviet occupation, as well as how lesbian and gay participants believed these changes personally affected them

6

83% gay men, 17% lesbian women

No

Not reported

Full sample: Range: 32–52

The one female participant was 51

Kuhar 2014

Slovenia

Primary, qualitative

Snowball sampling, or the link-tracing method starting with ads published on gay and lesbian websites in Slovenia or who were recruited through personal networks

Build a model to explain how (stigmatized) social identity coexists with individual identity in a heteronormative context

36 focus group participants (of 443 total study sample)

34% lesbian women, 66% gay men

No

Not reported

M: 27, range: 19–40

Koziara 2022

Poland

Primary, cross-sectional survey

Social media

Explore the association between age, health determinants (e.g., resilience, self-esteem, depression), and minority stress exposure in Polish LGBTQ individuals

518

47% Sexually diverse cisgender women (SDCW), 34% sexually diverse cisgender men (SDCM), 19% transgender and gender diverse persons (TGDP)

No

Not reported

M: 26.92, range: 19–70, SD: 8.53, Mdn: 24

Kowalczyk 2019

Poland

Primary, cross-sectional survey

Email to individuals subscribed to local pro-LGBT rights mailing lists

Understand STI knowledge and sexual health of WSW and WSWM

259

56% WSW, 44% WSWM

No

Not reported

Mdn: 30, lower-upper quartile: 28–34, quartile deviation: 5.77

Holliday 2023

Moldova

Primary, mixed methods, survey and interview data

In-person, online, and snowball sampling

Examine the effects of the Covid-19 pandemic on the mental and physical wellbeing of LGBTQ + individuals in Moldova

Qualitative study: 12

Survey study: 86

Qualitative study, across all genders:

8% lesbian, 8% heteroflexible, 8% panromantic, 17% bisexual, 33% gay, 42% pansexual

Survey study, across all genders:

17% lesbian, 28% bisexual/pansexual, 34% gay, 8% heterosexual, 5% queer, 4% prefer to self-describe

No

Primarily ethnically Moldovan; many had multi- ethnic backgrounds (e.g., Romanian, Ukrainian, Russian, Georgia)

Qualitative study:

50%: 18–24, 25%: 25–30, 25%: 35–40

Survey study: M: 25, range: 18–72

Butterfield 2020

Croatia

Primary, qualitative semi-structured interviews

N/A

Assess discrimination against the LGBTI community

17

25% lesbian, 13% bisexual women, 13% gay men, 6% queer/non-identifying

No

Not reported

Not reported

Butterfield 2018

Croatia

Primary, qualitative semi-structured interviews

Snowball sampling, social media

Examine the process of ‘coming out’ in rural and urban places and how it impacts the imagined hierarchical distinction between these two spaces

17

25% lesbian, 13% bisexual women, 13% gay men, 6% queer/non-identifying

No

Not reported

17.7%: 18–25,

58.8%: 25–40, 23.5% over 40

Béres-Deák 2022

Hungary

Primary, qualitative (ethnographic)

N/A

Examine coming out and being out practices for LGBTQ individuals and their families and explore how different spaces (city, country) shape these decisions

68 people who have or have had a same-sex relationship,

13 people who had a family member in a same sex relationship

Not reported

No

Not reported

Not reported

  1. Abbreviations: acquired immunodeficiency syndrome (AIDS), compulsive sexual behavior disorder (CSBD), Daily Heterosexist Experiences Questionnaire (DHEQ), Families of Choice in Poland study (FOCIP), human immunodeficiency virus (HIV), lesbian, gay, bisexual, and transgender (LGBT), lesbian, gay, bisexual, transgender, and intersex (LGBTI), lesbian, gay, bisexual, transgender, questioning/queer, often with “+” representing the many additional identities beyond these terms (LGBTQ+), mean (M), median (Mdn), men who have sex with men (MSM), men who have sex with women (MSW), men who have sex with men and women (MSMW), non-governmental organizations (NGOs), problematic pornography use (PPU), sexually diverse cisgender men (SDCM), sexually diverse cisgender women (SDCW), sexual and gender minorities (SGM), sexual minority men (SMM), sexual minority women (SMW), sexually transmitted infection (STI), standard deviation (SD), transgender and gender diverse persons (TGDP), women who have sex with men (WSM), women who have sex with women (WSW), women who have sex with women and men (WSWM)