Transforming the Paradigm for LGBTQ+ Evaluation: Advancing a Praxis of LGBTQ+ Inclusion and Liberation in Evaluation

American Journal of Evaluation, Год журнала: 2022, Номер 44(1), С. 7 - 28

Опубликована: Июнь 9, 2022

Lesbian, gay, bisexual, transgender, queer, intersex, Two-Spirit, and other sexual gender minority (LGBTQ+) individuals encounter numerous obstacles to equity across health healthcare, education, housing, employment, domains. Such barriers are even greater for LGBTQ+ who also Black, Indigenous, People of Color (BIPOC), as well those disabled, working-class, poor, otherwise economically disadvantaged, among intersecting forms oppression. Given this, an evaluation cannot be equitable people without meaningfully including our experiences voices. Unfortunately, all evidence indicates that has systematically failed recognize the presence value populations. Thus, we propose critical action steps articulation a new paradigm Evaluation. Our recommendations grounded in transformative, equitable, culturally responsive, decolonial frameworks, own evaluators accomplices. We conclude by inviting others participate enactment this paradigm.

Язык: Английский

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Improving the inclusion of transgender and nonbinary individuals in the planning, completion, and mobilization of cardiovascular research

AJP Heart and Circulatory Physiology, Год журнала: 2023, Номер 324(3), С. H366 - H372

Опубликована: Янв. 13, 2023

Cardiovascular disease is the leading cause of morbidity and mortality globally. Transgender nonbinary (TNB) individuals face unclear but potentially significant cardiovascular health inequities, yet no TNB-specific evidence-based interventions for risk reduction currently exist. To address this gap, we propose a road map to improve inclusion TNB in planning, completion, mobilization research. In doing so, adoption inclusive practices would optimize surveillance care communities.

Язык: Английский

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Housing Insecurity Among Transgender Individuals: Racially Heterogeneous Gender Effects in the Household Pulse Survey

Journal of Economics Race and Policy, Год журнала: 2025, Номер unknown

Опубликована: Апрель 11, 2025

Язык: Английский

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Impacts of COVID-19 on trans and non-binary people in Canada: a qualitative analysis of responses to a national survey

BMC Public Health, Год журнала: 2022, Номер 22(1)

Опубликована: Июль 2, 2022

Abstract Background Emerging international evidence indicates the COVID-19 pandemic has exacerbated socioeconomic and health challenges faced by transgender (trans) non-binary populations globally. This qualitative study is among first to characterize impacts of on these groups in Canada. Methods Drawing data from Trans PULSE Canada survey ( N = 820), we used thematic analysis examine free-form responses 697 participants one open-ended question pandemic. We organized into descriptive themes, then this preliminary analytical process construct more refined, higher order themes that provided a rich account pandemic’s impacts. Results Our results are five highlight trans These include: (1) reduced access both gender-affirming other healthcare, (2) heightened financial, employment, housing precarity, (3) strained social networks an era physical distancing virtual communication, (4) intensification safety concerns, (5) changes experiences gender affirmation. Conclusion findings systemic lives people domains such as housing, groups, many which reflect exacerbation pre-existing inequities. Based our analysis, recommend public researchers, policymakers, practitioners attend structural primary sites inquiry intervention.

Язык: Английский

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“Being Queer, It Was Really Isolating”: Stigma and Mental Health Among Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Young People During COVID-19

Health Education & Behavior, Год журнала: 2024, Номер 51(4), С. 521 - 532

Опубликована: Май 17, 2024

Lesbian, Gay, Bisexual, Transgender, Queer, and other sexual gender minority (LGBTQ+) youth young adults (YYAs) have poorer mental health outcomes than their cisgender, heterosexual peers in large part due to multilevel stigmatization stress. This was exacerbated by psychological stressors stemming from the COVID-19 pandemic; these experiences intersected with YYA unique developmental stage. Here we explored LGBTQ+ YYA’s pandemic-related experiences, focusing on intersections between stigma belonging, processes, relationship health. We conducted qualitative interviews August November 2021 34 ages 14 24; were nested within a quantitative study during COVID-19. Interviews transcribed coded using thematic analysis. described how pandemic impacts like quarantine isolation directly impacted health; coalesced around four types of shifts: shifts (1) time, (2) living situations, (3) community supports, (4) social political climate. Multilevel also created new mechanisms norm enforcement for YYA. demonstrated key processes including identity formation autonomy seeking. The potential consequences largely depended and/or belonging throughout pandemic. Findings suggested that existing socio-ecological structures people’s lives. Efforts investigate longitudinal pandemic, as well intervene reduce experienced YYA, remain urgent.

Язык: Английский

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Lesbian, Gay, Bisexual, Transgender and Queer People's Experiences of Stigma Across the Spectrum of Inpatient Psychiatric Care: A Systematic Review

International Journal of Mental Health Nursing, Год журнала: 2024, Номер unknown

Опубликована: Окт. 22, 2024

ABSTRACT Lesbian, gay, bisexual, transgender, queer and other diverse sexual orientations gender identity groups (LGBTQ+) face high rates of poor mental health. In the most severe emergent instances, inpatient psychiatric care may be required. LGBTQ+ people report experiences mistreatment in healthcare settings broadly, such as denial services harassment from providers patients. However, little is known about settings, specifically. The purpose this review was to assess existing literature for descriptions people's within care. We searched multiple databases (i.e., PubMed, PsychINFO, CINAHL, Web Science Google Scholar) peer‐reviewed articles that described were published English. included ( N = 14) analysed using a conceptual model stigma organised those strata (structural, interpersonal individual stigma) across experience, (admission, unit, discharge). Themes identified included: noninclusive intake tools pervasive misgendering during admission process; lack infrastructure , inadequate training cultural humility discrimination victimization silencing patients feelings fear shame while on units, community resources discharge process. Clinicians should consider perspectives enact identity‐affirming practices increase engagement improve long‐term health outcomes.

Язык: Английский

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Telehealth in Trans and Gender Diverse Communities: the Impact of COVID-19

Current Obstetrics and Gynecology Reports, Год журнала: 2022, Номер 11(2), С. 75 - 80

Опубликована: Апрель 19, 2022

Язык: Английский

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Considerations in the care of transgender persons

Nature Reviews Nephrology, Год журнала: 2023, Номер 19(6), С. 360 - 365

Опубликована: Апрель 17, 2023

Язык: Английский

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HIV pre‐exposure prophylaxis programme preferences among sexually active HIV‐negative transgender and gender diverse adults in the United States: a conjoint analysis

Journal of the International AIDS Society, Год журнала: 2024, Номер 27(2)

Опубликована: Фев. 1, 2024

Abstract Introduction Current implementation efforts have failed to achieve equitable HIV pre‐exposure prophylaxis (PrEP) provision for transgender and gender‐diverse (trans) populations. We conducted a choice‐based conjoint analysis measure preferences key attributes of hypothetical PrEP delivery programmes among diverse online sample predominantly comprised transmasculine nonbinary individuals in the United States. Methods Between April 2022 June 2022, national survey with an embedded experiment was 304 trans aged ≥18 years States assess five programme attributes: out‐of‐pocket cost; dispensing venue; frequency visits PrEP‐related care; travel time provider; ability bundle care gender‐affirming hormone therapy services. Participants responded questions, each which presented two scenarios one opt‐out option per question selected their preferred question. used hierarchical Bayes estimation multinomial logistic regression part‐worth utility scores total by respondents’ status. Results The median age 24 (range 18–56); 75% were assigned female sex at birth; 54% identified as transmasculine; 32% nonbinary; 14% transfeminine. Out‐of‐pocket cost had highest attribute importance score (44.3%), followed services (18.7%). Minimal cost‐sharing ($0 cost) most positively influenced (average coefficient 2.5 [95% CI 2.4−2.6]). PrEP‐experienced respondents primary settings (relative 4.7); however, PrEP‐naïve pharmacies 5.1). Conclusions that offered without bundled Bolstering federal regulations cover prioritizing expand low‐barrier are critical achieving provision. Community‐engaged research close collaboration community stakeholders researchers needed streamline design patient‐centred develop strategies salient sexual health needs patients.

Язык: Английский

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COVID-19, lockdowns, and the mental wellbeing of LGBTQ people in Australia

Culture Health & Sexuality, Год журнала: 2024, Номер unknown, С. 1 - 16

Опубликована: Май 16, 2024

LGBTQ communities around the world entered COVID-19 pandemic with generally high rates of poor mental health and faced additional challenges including stigma, discrimination, barriers to care. This study sample was drawn from a survey 3135 adults residing in Australia during pandemic. Regression analysis used explore individual differences psychological distress perceived change wellbeing since onset as well impact lockdowns, by taking advantage natural experiment comparing states that experienced more extensive lockdowns (Victoria New South Wales) rest Australia. The burden found vary across gender, sexual orientation, age, area residence. While no on observed, participants living Victoria (β = −0.15; 95% CI −0.23, −0.07) Wales −0.13; −0.21, −0.05) self-reported negative their compared country. findings suggest had populations, particularly among those who highlight need for increased efforts enable access supports times crisis.

Язык: Английский

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