Queer Resilience: A Mixed Methods Examination of LGBTQ+ Positive Identity, Community Connectedness, and Mental Health Outcomes in Sexual Minority Emerging Adults DOI Open Access
Alana Harrison Fondren

Published: Aug. 1, 2022

Despite significant progress in the acceptance and celebration of LGBTQ+ individuals, there is overwhelming evidence that sexual minorities still face disproportionate levels health inequity compared to their heterosexual peers. Relative peers, emerging adults may encounter unique challenges with discrimination, stigma, limited social support as they navigate changes educational occupational environments. Additionally, within broader public mental literature, little known about service utilization minority adults. To address these empirical gaps, a sample 98 completed self-report measures heterosexist discrimination experiences, symptoms, positive identity, community connectedness, utilization. The present study found identity connectedness did not attenuate relationship between negative outcomes. also predicted greater likelihood utilization, whereas not. Finally, exploratory qualitative analyses yielded deeper understanding relationships resilience among Implications future directions for research clinical practice are discussed.

Language: Английский

Intersectional Discrimination in Mental Health Care: A Systematic Review With Qualitative Evidence Synthesis DOI
Christin Hempeler, Lydia Schneider-Reuter,

Anne-Sophie Windel

et al.

Psychiatric Services, Journal Year: 2024, Volume and Issue: 75(11), P. 1125 - 1143

Published: June 28, 2024

Discriminatory practices in mental health care undermine the right to of marginalized service users. Intersectional approaches enable consideration multiple forms discrimination that occur simultaneously and remain invisible single-axis analyses. The authors reviewed intersectionality-informed qualitative literature on discriminatory better understand experiences users their evaluation navigation care.

Language: Английский

Citations

2

Intersectionality of Disabled People through a Disability Studies, Ability-Based Studies, and Intersectional Pedagogy Lens: A Survey and a Scoping Review DOI Creative Commons
Gregor Wolbring,

Laiba Nasir

Societies, Journal Year: 2024, Volume and Issue: 14(9), P. 176 - 176

Published: Sept. 7, 2024

Disabled people face many social problems in their lives, as outlined by the UN Convention on Rights of Persons with Disabilities. These often increase when disabled also belong to another marginalized identity. The first aim this study was report extent and what intersectionalities are mentioned academic abstracts conjunction people. Various intersectional concepts used discuss intersectionality-related issues. second ascertain use intersectionality-based intersectionality field pedagogy emerged teaching linked various identities. third coverage how teach about pedagogy-focused literature we covered. Ability judgments a general cultural reality. Many ability judgment-based have been developed within disability rights movement, studies, ability-based studies that could be impact enrich area pedagogy. fourth analyze To obtain data for four aims, performed manifest coding qualitative content analysis obtained from SCOPUS, 70 databases EBSCO-HOST Web Science, an online survey which ascertained views undergraduate students groups experiencing negative judgments. As 34,830 contained term “intersectionality”; 259,501 phrase “intersection of”; 11,653 35 concepts, numbers these terms our were 753, 2058, 274 abstracts, respectively, so 2.16%, 0.79%, 2.35%, indicating low engagement We found different people, but most only once or twice, main ones being race gender. covered made little 52 looked at (35 identified before 17 more during analysis). did not link Of 25 ableism used. surveys, saw judgments, suggesting might useful tool consequences such conflict. Our pedagogy, other fields engage academics covering topics part inquiries.

Language: Английский

Citations

2

Intersectionality in nursing research: A scoping review DOI Creative Commons
Athena D. F. Sherman, Sarah Febres‐Cordero, Kalisha Bonds Johnson

et al.

International Journal of Nursing Studies Advances, Journal Year: 2023, Volume and Issue: 5, P. 100155 - 100155

Published: Sept. 30, 2023

An intersectional approach to health research provides an analytical foundation explain the multidimensionality of status, resource accessibility, privilege, oppression, and current historical context. The use intersectionality in has known limitations. Its health-related fields too often focuses on outcomes, such as disparities, rather than processes, power structures social determinants. This scoping review serves examine how been implemented by nurses peer-reviewed literature. We offer insight into it may be incorporated inform future nursing healthcare provision. Systematic searches PubMed (n=257), SCOPUS (n=807), EMBASE (n=396), CINAHL (n=224), Health Source: Nursing Academics (n=491), published since seminal publication (1989 - 2023), identified 131 articles that met inclusion exclusion criteria. Data extraction synthesis were used describe breadth depth literature specific application research. included studies intersections numerous identities, race, gender, immigration status. However, most descriptive/observational nature, underreported their methods, conducted deficit-based instead strength-based inquiries. Of note, vast majority within last five years. Future researchers using a framework can improve reporting clear definitions operationalization intersectionality. Observational science dominated studies; should focus intervention development evaluation lens. Lastly, caution placed solely deficits among marginalized communities, which places scientists at risk perpetuating stereotypes or enhancing already-existing stigmas. Scoping revealed have applied globally, pointing its growing role advancement equity. @emorynursing @athenashermanrn @sfcphdrn

Language: Английский

Citations

4

Racial/ethnic differences in the association between transgender-related U.S. state policies and self-rated health of transgender women DOI Creative Commons
Wesley M. King, Kristi E. Gamarel, Nancy L. Fleischer

et al.

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: March 28, 2024

Abstract Background Policy protections for transgender adults in the United States are consistently associated with positive health outcomes. However, studies over-represent non-Latinx White people and obscure variation policies’ intended goals. This study examined racial differences relationship between transgender-related policies women’s self-rated health. Guided by Critical Race Theory, we hypothesized that conferring access to resources (e.g., healthcare) would be better among all participants while signifying equality nondiscrimination laws) only participants. Methods Using cross-sectional data collected March 2018-December 2020 from 1566 women, analyzed 7 state-level ‘access policies,’ 5 ‘equality sum indices of each. Participants represented 29 states, 54.7% were categorized as color. We fit a series multilevel ordinal regression models predicting each policy. Multivariate adjusted relevant covariates at individual- state-level. then tested moderation race/ethnicity using interaction terms generated stratified predicted probability plots. Results In bivariate models, 4 policies, 2 both health, but associations did not persist models. multivariable including indicated concerning private insurance coverage gender-affirming care, nondiscrimination, credit statistically significantly worse Conclusions The included this analysis do mitigate racism’s effects on resources, indicating they may less impactful women color than women. Future research policy advocacy efforts promoting must center equity well color’s priorities.

Language: Английский

Citations

1

Development of a gender-affirming care protocol in eating disorder treatment settings DOI Creative Commons

Scout Silverstein,

Megan Hellner, Jessie E. Menzel

et al.

Eating Disorders, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 17

Published: June 26, 2024

Transgender and gender-expansive (TGE) individuals suffer from eating disorders (EDs) at disproportionate rates relative to their gender-conforming counterparts. While literature on EDs in TGE populations is growing evolving, best practice guidelines are scant. A framework for providing gender-affirming care (GAC) an ED treatment setting was developed by integrating findings a focused review insights leading experts. Following synchronous asynchronous training, the protocol implemented virtual with national reach serving patients ages 6-24 years. This paper offers summary of practices approaches GAC settings. The use has potential address underlying issues inequities delivery outcomes. We encourage providers consider adoption/adaptation more effectively meet needs patients. More research needed better understand influence individual collective specific

Language: Английский

Citations

1

A Quantitative Intersectionality Analysis of HIV/STI Prevention and Healthcare Access Among Transgender and Nonbinary People DOI Open Access
Diana M. Tordoff,

Atlas Fernandez,

Nicole Lynn Perry

et al.

Epidemiology, Journal Year: 2023, Volume and Issue: 34(6), P. 827 - 837

Published: Sept. 26, 2023

Transgender and nonbinary people experience substantial barriers to accessing healthcare, including prevention of HIV other sexually transmitted infections (HIV/STI), due structural inequities. We examined differences in insurance, HIV/STI prevalence, testing, preexposure prophylaxis use among transgender living Washington State by race ethnicity gender.

Language: Английский

Citations

3

Causes of Death of Transgender and Gender Diverse Veterans DOI
Emmett R. Henderson, Taylor L. Boyer, Hill L. Wolfe

et al.

American Journal of Preventive Medicine, Journal Year: 2023, Volume and Issue: 66(4), P. 664 - 671

Published: Nov. 17, 2023

Language: Английский

Citations

3

Transgender Patients Report Lower Satisfaction with Care Received than Cisgender Patients Receiving Care in an Academic Medical Care System DOI
Mai-Han Trinh, Meg Quint, Devin Coon

et al.

LGBT Health, Journal Year: 2023, Volume and Issue: 11(3), P. 202 - 209

Published: Dec. 15, 2023

Purpose: Transgender and gender diverse (TGD) patients experience challenges in health care settings, including stigma, lack of culturally competent providers, suboptimal gender-affirming care. However, differences patient satisfaction between TGD compared with cisgender have been inadequately studied. This study aimed to assess such received a large academic medical system Boston, Massachusetts.

Language: Английский

Citations

2

Long-Acting Injectable Pre-Exposure Prophylaxis Perceptions and Preferences Among Transgender and Nonbinary Young Adults in the United States DOI
Allegra R. Gordon,

Samantha Haiken,

Gabriel R. Murchison

et al.

Qualitative Health Research, Journal Year: 2024, Volume and Issue: 35(1), P. 74 - 87

Published: Aug. 2, 2024

Long-acting injectable pre-exposure prophylaxis for HIV prevention (LAI-PrEP) was approved use in the United States 2021, yet little is known about perceptions of LAI-PrEP among transgender and nonbinary young adults, a group that faces substantial barriers to prevention. We investigated US adults' attitudes toward how perceived advantages disadvantages related PrEP continuum care. conducted semi-structured interviews with 31 adults who reported oral or were PrEP-eligible. analyzed responses using both deductive RADaR approach, identify relevant care, an inductive thematic analysis explore key themes. In this study, all PrEP-experienced most PrEP-naïve participants indicated interest LAI-PrEP, citing over daily medication (e.g., fewer adherence challenges). Three themes emerged: (1) Some linked experiences gender-affirming care familiarity needles via hormone use). (2) Participants weighed trade-offs contextual factors influenced their preferences contingent on whether location receiving injection geographically accessible). (3) envisaged alternative delivery methods could enhance acceptability uptake home injection). programs should incorporate insights ensure emerging technologies are accessible responsive needs concerns people gender modalities.

Language: Английский

Citations

0

The Lived Experiences of Racial Microaggressions for Black Individuals While Seeking Orthopedic-Related Care: A Qualitative Study DOI
Jerenda Bond, Wrenetha Julion, Mona Shattell

et al.

Journal of Racial and Ethnic Health Disparities, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 27, 2024

Language: Английский

Citations

0