168. Sexual and Reproductive Health Promotion Information for Sexual and Gender Minority Youth: A Systematic, Web-Based Content Analysis

2020 ◽  
Vol 66 (2) ◽  
pp. S85-S86
Author(s):  
Jack Andrzejewski ◽  
Catherine N. Rasberry ◽  
Brian S. Mustanski ◽  
Riley J. Steiner
Author(s):  
Ingrid Lynch ◽  
Finn Reygan

Both significant progress and profound backlash have occurred in the inclusion of sexual and gender diversity across eastern and southern Africa. This includes the decriminalization of homosexuality in Mozambique in 2015 and the introduction of the Anti-Homosexuality Act (later annulled) in Uganda in the preceding year. Simultaneously there is increased pressure on Ministries of Education to engage more robustly with sexual and reproductive health and rights (SRHR) education in education systems across the region. Emerging regional research points to a narrow, heteronormative focus in comprehensive sexuality education; access barriers to sexual and reproductive health services; and pervasive school-related gender-based violence, including homophobic and transphobic violence. Civil society organizations (CSOs) play a key role in developing best practice in advancing the SRHR of sexual and gender minority youth and are therefore a valuable resource for government SRHR policies and programmatic responses. The regional SRHR education policy landscape is underpinned by two policy narratives: that of young people’s SRHR as a public health concern and a focus on young people’s human rights. These policy narratives not only underpin SRHR policy in the region but also in many instances are drawn on in CSO advocacy when positioning the SRHR of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) young people as an important policy concern. These two dominant policy narratives, however, have a narrow focus on young people’s risks and vulnerabilities, may inadvertently perpetuate stigma and marginalization of LGBTQI youth, and may limit youth voice and agency. These narratives also do not sufficiently engage local sociocultural and structural conditions that drive negative SRHR outcomes for young people in the region. Research, advocacy, and policy development toward the full realization of the SRHR of sexual and gender minority youth can address some of the limitations of health and rights-based policy narratives by drawing on a sexual and reproductive justice framework. Such a framework expands the policy focus on health risks and individual rights to include engagement with sociocultural and structural constraints on young people’s ability to exercise their rights. A sexual and reproductive justice framework provides a more robust toolkit when working toward full inclusion of sexual and gender diversity in regional school-based SRHR policy and programs.


2020 ◽  
Vol 34 (4) ◽  
pp. 393-401
Author(s):  
Jack Andrzejewski ◽  
Catherine N. Rasberry ◽  
Brian Mustanski ◽  
Riley J. Steiner

Purpose: Sexual and gender minority (SGM) youth face risks for negative sexual and reproductive health (SRH) outcomes; it is critical to provide these populations with health education that is both inclusive of and specific to their needs. We sought to characterize the strengths and weaknesses of SGM-related messages from web sites that address SRH for young people. We considered who is included, what topics are discussed, and how messages are framed. Methods: A systematic Google search and screening process was used to identify health promotion web sites with SRH content for adolescents and young adults. Using MAXQDA, we thematically coded and analyzed SGM content qualitatively. Results: Of 32 SRH web sites identified, 23 (71.9%) contained SGM content. Collectively, the sites included 318 unique SGM codes flagging this content. Approximately two-thirds of codes included messages that discussed SGM youth in aggregate (eg, lesbian, gay, bisexual, and transgender)—specific content about the diverse subpopulations within this umbrella term (eg, transgender youth) was more limited. In addition to SRH topics, most web sites had messages that addressed a broad array of other health issues including violence, mental health, and substance use (n = 17, 73.9%) and SGM-specific topics, for example coming out (n = 21, 91.3%). The former were often risk-framed, yet affirmational messages were common. Most web sites (n = 16; 69.6%) presented information for SGM youth both in stand-alone sections and integrated into broader content. Yet, integrated information was slightly more common (56.6% of all codes) than stand-alone content. Conclusions: Challenges of developing SRH content related to SGM youth include: (1) aggregate terms, which may not represent the nuances of sexual orientation and gender, (2) balancing risk versus affirmational messages, and (3) balancing stand-alone versus integrated content. However, SGM-related content also offers an opportunity to address diverse topics that can help meet the needs of these populations.


2020 ◽  
Vol 130 ◽  
pp. 327-332 ◽  
Author(s):  
Alexandra H. Bettis ◽  
Elizabeth C. Thompson ◽  
Taylor A. Burke ◽  
Jacqueline Nesi ◽  
Anastacia Y. Kudinova ◽  
...  

Groupwork ◽  
2020 ◽  
Vol 29 (2) ◽  
pp. 35-57
Author(s):  
Shelley L Craig ◽  
Wook Yang ◽  
Ashley Austin

The current study examined the efficacy of an affirmative group cognitive behavioral intervention on the sexual self-efficacy level of sexual and gender minority youths (SGMY). SGMY (n=30) between the age of 15 and 18 participated in a series of eight cognitive behavioral-focused groups. They also completed measures on sexual self-efficacy before and after the intervention. Paired sample t-test was chosen as method of analysis. The results indicated a statistically significant increase in protection sexual self-efficacy but not in abstinence sexual self-efficacy post intervention.The current study concluded that affirmative groups that utilize cognitive behavioral therapy show promise for SGMY. Group content and process is detailed, and key components of groups designed to improve the sexual health of SGMY are discussed.


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