scholarly journals Sexual and Reproductive Health Web Sites: An Analysis of Content for Sexual and Gender Minority Youth

2020 ◽  
Vol 34 (4) ◽  
pp. 393-401
Author(s):  
Jack Andrzejewski ◽  
Catherine N. Rasberry ◽  
Brian Mustanski ◽  
Riley J. Steiner
Keyword(s):  
Reproductive Health ◽  
Web Sites ◽  
Coming Out ◽  
Sexual And Reproductive Health ◽  
Screening Process ◽  
Specific Content ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
Google Search

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.

Sexual and Reproductive Justice for LGBTQI Youth in Policy Responses Across Eastern and Southern Africa

2021 ◽  
Author(s):  
Ingrid Lynch ◽  
Finn Reygan
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Gender Diversity ◽  
Minority Youth ◽  
Reproductive Justice ◽  
Policy Narratives ◽  
Sexual And Gender Minority ◽  
Eastern And Southern Africa ◽  
And Gender

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.

Trainings needs of allied health professionals caring for sexual and gender minority adolescents and young adults with cancer: A qualitative analysis.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18532-e18532
Author(s):  
Ash B. Alpert ◽  
Vikas Gampa ◽  
Susan Thomas Vadaparampil ◽  
Gwendolyn P. Quinn
Keyword(s):  
Reproductive Health ◽  
Health Professionals ◽  
Allied Health ◽  
Educational Interventions ◽  
Adolescent And Young Adult ◽  
Allied Health Professionals ◽  
Gender Minority ◽  
Minority Adolescents ◽  
Sexual And Gender Minority ◽  
And Gender

e18532 Background: Little is known about the training needs of allied health professionals who provide reproductive health counseling and other support services to sexual and gender minority (SGM) adolescent and young adult (AYA) people with cancer. Methods: A 28-item electronic survey with 4 qualitative items was distributed to 601 allied health professionals who had participated in a training focused on reproductive health needs in AYA people with cancer. Open-ended questions invited respondents to describe personal experiences, reservations, and suggestions for improving SGM AYA cancer care. Using an interpretive description methodology, two investigators independently analyzed qualitative survey responses noting thematic saturation. Together, they refined themes, resolving disagreements with consensus. Interrater reliability was 88%. Results: 321 people participated in the survey and 190 answered open-ended questions. Themes included: 1) an ecosystem exists around patients’ interactions with clinicians and institutions; 2) institutional and individual assumptions result in stigmatization of SGM AYA people with cancer; 3) accommodating patients and providing clinicians with relevant education and experiences are initial steps to decrease stigma; and 4) improving the care for SGM AYA people with cancer may require transformative approaches that incorporate intersectional frameworks and challenge current systems. Conclusions: Improving the quality of care for SGM AYA people with cancer will require systemic and institutional change as well as educational interventions.

Parental Nativity and Familial Acceptance of Sexual and Gender Minority Latinx Youth

2021 ◽  
Author(s):  
Jack Simons ◽  
Tatiana Pineiro ◽  
Matthew Gallo
Keyword(s):  
Coming Out ◽  
Family Members ◽  
Latino Youth ◽  
The United States ◽  
Survey Study ◽  
Gender Minority ◽  
Latino Family ◽  
Family Acceptance ◽  
Sexual And Gender Minority ◽  
And Gender

Accepting and sharing about oneself as a sexual and gender minority (SGM) individual is complex. This is even more complex for individuals who identify as both SGM and Latino because they possess more than one minoritized identity. As a result, SGM Latino youth are more susceptible to higher levels of stress, which if not effectively managed, can lead to homelessness, anxiety and depression, and substance abuse. Latino family members find it difficult to learn how to positively interact with their SGM family member (e.g., in the early phases of coming out). In this quantitative survey study, researchers examined survey data collected from 1,877 Latino youth concerning home experiences, health, identity, and parental nativity. Data were drawn from the LGBTQ National Teen Survey, an online, anonymous comprehensive survey designed to advance understanding of the experiences of SGM adolescents (13-17 years of age). The survey, developed and distributed by the Human Rights Campaign, examined perceptions of familial acceptance regarding SGM identity during youth. Significant relationships were found between family acceptance, sexual orientation, and parental nativity (birthplace of parents in- or outside of the United States). The findings provide for a rich discussion about the implications for helping Latino SGM youth and educating Latino family members.

scholarly journals CLINICIAN TRAINING NEEDS IN REPRODUCTIVE HEALTH COUNSELING FOR SEXUAL AND GENDER MINORITY AYA WITH CANCER

2020 ◽  
Vol 114 (3) ◽  
pp. e545-e546
Author(s):  
Gwendolyn P. Quinn ◽  
Amani Sampson ◽  
Ash B. Alpert ◽  
Rhyan Jenifer Toledo ◽  
Megan E. Sutter ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Training Needs ◽  
Health Counseling ◽  
Clinician Training ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender
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