Health and Health Care of Sexual and Gender Minorities

2021 ◽  
Vol 62 (3) ◽  
pp. 318-333
Author(s):  
Ning Hsieh ◽  
Stef M. Shuster
Keyword(s):  
Health Care ◽  
Care Utilization ◽  
Future Research ◽  
Sexual And Gender Minorities ◽  
Social Dimensions ◽  
Gender Minorities ◽  
Care Health ◽  
Gender Based ◽  
And Gender ◽  
Interdisciplinary Scholarship

Research on the social dimensions of health and health care among sexual and gender minorities (SGMs) has grown rapidly in the last two decades. However, a comprehensive review of the extant interdisciplinary scholarship on SGM health has yet to be written. In response, we offer a synthesis of recent scholarship. We discuss major empirical findings and theoretical implications of health care utilization, barriers to care, health behaviors, and health outcomes, which demonstrate how SGMs continue to experience structural- and interactional-level inequalities across health and medicine. Within this synthesis, we also consider the conceptual and methodological limitations that continue to beleaguer the field and offer suggestions for several promising directions for future research and theory building. SGM health bridges the scholarly interests in social and health sciences and contributes to broader sociological concerns regarding the persistence of sexuality- and gender-based inequalities.

scholarly journals A Feminist Future for the Pacific

2020 ◽  
Author(s):  
Emma Cliffe
Keyword(s):  
Sexual And Gender Minorities ◽  
Gender Based Violence ◽  
Left Behind ◽  
Gender Minorities ◽  
The Pacific ◽  
Marginalised Groups ◽  
Essential Services ◽  
Women And Girls ◽  
Gender Based ◽  
And Gender

The COVID–19 pandemic continues to devastate the lives and wellbeing of millions of people around the world; women and girls, people with disabilities, youth, older people, and sexual and gender minorities are most at risk of ‘being left behind’. While confirmed cases of COVID–19 are low in the Pacific compared with other regions, the threat of the virus remains and the wider social and economic impacts are already evident. Pacific Island countries grappling with pervasive inequality, sustainable development challenges and climate change now must consider their response to the COVID–19 pandemic. This paper envisions an inclusive and transformative feminist response focused on four key outcomes: preserving access to healthcare and essential services; promoting women’s economic empowerment; protecting women and girls from gender–based violence; and supporting vulnerable and marginalised groups to express their voice and claim their rights amid the pandemic.

scholarly journals Health care of sexual and gender minorities: an integrative literature review

2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Jedison Feliciano Silva ◽  
Gabriela Maria Cavalcanti Costa
Keyword(s):  
Health Care ◽  
Health Services ◽  
Literature Review ◽  
Population Group ◽  
Educational Institutions ◽  
Sexual And Gender Minorities ◽  
Health Care Practices ◽  
Gender Minorities ◽  
Care Practices ◽  
And Gender

ABSTRACT Objectives: to describe health care practices aimed at lesbians, gays, bisexuals, transvestites, and transsexuals. Methods: an integrative literature review based on systematic steps, in MEDLINE, LILACS AND SciELO databases and/or electronic libraries. It was held from September to November 2018, with articles published between 2012 and 2017, available in full in Portuguese, English, and Spanish, addressing health care to that population group. Results: fourteen articles were included. Most of the articles were about the trajectory of individuals within health services and showed limitations and obstacles in the use of these services. Final Considerations: there is evidence that factors related to organization of services, attitude of professionals, stigma, and discrimination experienced undermine health care practices. Therefore, it is essential to carry out educational activities in health services and educational institutions.

scholarly journals A systematic review of stigma in sexual and gender minority health interventions

2020 ◽  
Vol 10 (5) ◽  
pp. 1200-1210 ◽  
Author(s):  
Eric K Layland ◽  
Joseph A Carter ◽  
Nicholas S Perry ◽  
Jorge Cienfuegos-Szalay ◽  
Kimberly M Nelson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Behavioral Interventions ◽  
Health Interventions ◽  
Future Research ◽  
Sexual And Gender Minorities ◽  
Gender Minority ◽  
Gender Minorities ◽  
Intervention Efficacy ◽  
Sexual And Gender Minority ◽  
And Gender

Abstract Stigma against sexual and gender minorities is a major driver of health disparities. Psychological and behavioral interventions that do not address the stigma experienced by sexual and gender minorities may be less efficacious. We conducted a systematic review of existing psychological and behavioral health interventions for sexual and gender minorities to investigate how interventions target sexual and gender minority stigma and consider how stigma could affect intervention efficacy. Preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed. Eligible studies were peer reviewed and published in English between January 2003 and July 2019 and reported empirical results of behavioral or psychological interventions implemented among sexual and gender minorities. All interventions addressed stigma. We identified 37 eligible interventions. Most interventions targeted sexual minority men. Interventions were frequently developed or adapted for implementation among sexual and gender minorities and addressed multiple levels and types of stigma. Interventions most frequently targeted proximal stressors, including internalized and anticipated stigma. HIV and mental health were the most commonly targeted health outcomes. A limited number of studies investigated the moderating or mediating effects of stigma on intervention efficacy. The application of an intersectional framework was frequently absent and rarely amounted to addressing sources of stigma beyond sexual and gender minority identities. A growing number of interventions address sexual and gender minority stigma in an effort to prevent deleterious health effects. Future research is needed to assess whether stigma modifies the effectiveness of existing psychological and behavioral interventions among sexual and gender minorities. Further, the application of intersectional frameworks is needed to more comprehensively intervene on multiple, intersecting sources of stigma faced by the diverse sexual and gender minority community.

scholarly journals Sexual and Gender Minorities Facing the Coronavirus Pandemic: A Systematic Review

2021 ◽  
Author(s):  
Clara Bleckmann ◽  
Birgit Leyendecker ◽  
Julian Busch
Keyword(s):  
Systematic Review ◽  
Minority Stress ◽  
Vulnerable Groups ◽  
Future Research ◽  
Sexual And Gender Minorities ◽  
Current State ◽  
Gender Minorities ◽  
And Gender ◽  
The Impact

Sexual and gender minorities (SGM) constitute vulnerable groups in many countries. Thus, they might be affected to a different extent than heterosexual and cisgender individuals by the Coronavirus pandemic. The aim of this systematic review is to summarize the current state of international research on the effects of the Coronavirus pandemic on SGM individuals. Following the PRISMA protocol, we synthesized 35 publications including different article formats. Key findings yield that SGM individuals overall suffer to a larger extent from combinations of both minority- and pandemic-specific stressors. Some evidence was contradicting across studies, for example changes in the extent of risk behavior, and minority stress experiences during the pandemic. Although our review distinctively spots on the impact of the pandemic on SGM individuals’ lives, its pathways still remain to be better understood. Moreover, future research should also examine the yet unforeseeable long-term consequences of the pandemic for SGM populations.

Understanding (and Acting On) 20 Years of Research on Violence and LGBTQ + Communities

2017 ◽  
Vol 20 (5) ◽  
pp. 665-678 ◽  
Author(s):  
Tasseli McKay ◽  
Christine H. Lindquist ◽  
Shilpi Misra
Keyword(s):  
Sexual Assault ◽  
Hate Crime ◽  
Public Discourse ◽  
Grey Literature ◽  
Future Research ◽  
Sexual And Gender Minorities ◽  
Crime Victimization ◽  
Probabilistic Sampling ◽  
Gender Minorities ◽  
And Gender

Questions related to violence, vulnerability, and sexual and gender minorities continuing to occupy a focal place in U.S. public discourse. We reviewed findings from 20 years of research on that topic to make recommendations for policy, practice, and future research. This article synthesizes findings from 102 peer-reviewed articles as well as a small number of unpublished studies and grey literature. We found no data to support the idea (widespread in popular discourse) that those in the sexual or gender majority require protection from sexual or gender minority individuals. Instead, this wide body of research indicates that sexual and gender minorities are themselves at elevated risk for physical and sexual assault, harassment, bullying, and hate crime victimization throughout childhood, adolescence, and adulthood. Contradicting the image of hate crimes as perpetrated by strangers or acquaintances, we find that bias-related verbal abuse, physical, and sexual assault by close family members contribute heavily to observed victimization rates. Further, despite the perception that society is becoming more welcoming, victimization disparities appear to be stable or widening since the 1990s. More studies with probabilistic sampling approaches, standardized measures, and larger samples of gender minorities are needed. However, widespread victimization of sexual and gender minorities is clearly an urgent issue, demanding attention from clinicians, program developers, and policy makers.

scholarly journals An unintended consequence of online directories for people seeking sex-positive psychotherapists

2019 ◽  
Vol 5 (2) ◽  
pp. 59-65
Author(s):  
Karin Wandrei
Keyword(s):  
Unintended Consequence ◽  
Future Research ◽  
Negative Consequences ◽  
Sexual And Gender Minorities ◽  
Successful Therapy ◽  
Gender Minorities ◽  
And Gender ◽  
Sex Positive

Feeling safe is an important element of successful therapy. Sexual and gender minorities often experience bias in their therapy encounters. While the existence of online directories can be valuable for people seeking sex-positive therapists, there can also be unintended negative consequences. Since most directories allow therapists to check off their areas of expertise, a therapist can indicate an expertise that they do not really have. This can result in clients not getting the help they need and even worsening their situation. This article provides recommendations as to how this can be addressed and recommendations for future research.

Health and health care of rural sexual and gender minorities: A systematic review.

2017 ◽  
Vol 2 (3) ◽  
pp. 229-243 ◽  
Author(s):  
Dani E. Rosenkrantz ◽  
Whitney W. Black ◽  
Roberto L. Abreu ◽  
Mollie E. Aleshire ◽  
Keisa Fallin-Bennett
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Sexual And Gender Minorities ◽  
Gender Minorities ◽  
And Gender
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