Stress and Depression Among Sexual and Gender Minority Individuals: The Mediating Role of Rumination

2019 ◽  
Author(s):  
Elissa L. Sarno ◽  
Michael E. Newcomb ◽  
Brian Mustanski
Author(s):  
Meredith R. Maroney ◽  
Mallaigh McGinley

This chapter explores the mental health experiences and needs of sexual and gender minority individuals with disabilities. The authors review the evidence-based research on mental health, highlighting the role of stigma, discrimination, and barriers to care. Autistic sexual and gender minority individuals are used to illustrate the unique experiences of subgroups. Much of the research on this topic is exploratory or descriptive in nature, focused on the experiences of and prevalence rates of individuals from sexual and gender minorities. The chapter concludes with a discussion of future directions for research, and the importance of centering the voices of sexual and gender minority individuals with disabilities in research and practice whenever possible.


Author(s):  
Minna Laiti ◽  
Anni Pakarinen ◽  
Heidi Parisod ◽  
Sanna Salanterä ◽  
Salla Sariola

AbstractAimTo describe the encounters with sexual and gender minority (SGM) youth in healthcare based on the existing research.BackgroundThe development of sexual orientation and gender identity can create challenges in an SGM youth’s life, and they may need support from health professionals. Heteronormativity has been recognised as a barrier to the identification of diversity in sexuality and gender, and no previous literature review has studied heteronormativity thoroughly.MethodsAn integrative review following Whittemore and Knafl was conducted. A literature search was systematically undertaken in six databases (PubMed/MEDLINE, CINAHL, Cochrane Library, PsycINFO, Eric, and Academic Search Premier). Finally, 18 research articles were included. Data were analysed deductively with the theoretical framework from Stevi Jackson’s (2006) article to understand the role of heteronormativity in the healthcare of SGM youth.FindingsThe encounters with SGM youth consisted of two simultaneous themes.Heteronormative careincluded three elements: (1) the effect of heteronormativity on health professionals’ competence to work with SGM youth, (2) false assumptions about SGM youth, and (3) the influence of heteronormativity on encounters with SGM youth.Diversity-affirming careincluded two elements: (4) the considerateness of health professionals towards SGM youth and (5) inclusive care of SGM youth.ConclusionThis review summarised how SGM youth were encountered in healthcare and how heteronormativity was affecting their healthcare. Furthermore, this review identified elements that supported diversity-affirming care. With diversity-affirming care, SGM youth may access the information and support they need from healthcare. Further research is needed about how diversity-affirming care can be applied to the healthcare of SGM youth and how elements of heteronormative care are occurring globally in the healthcare of SGM youth. The perceptions of transgender and other gender minority youth were under-represented in the studies and research needs to focus more on how they are encountered in healthcare.


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