What is known about the protective factors that promote LGBTI+ youth wellbeing? A scoping review protocol

Background: There is much concern at the substantial vulnerabilities experienced by lesbian, gay, bisexual, transgender and intersex (LGBTI+) youth as a consequence of discrimination, stigmatisation and marginalisation. Recent research highlights the importance of understanding factors that can promote wellbeing for this population. This paper presents a protocol for a scoping review which aims to systematically map and synthesise the extent and nature of the peer-reviewed, published academic literature on the protective factors that promote wellbeing for sexual and gender minority young people. Methods: In accordance with the methodological framework for scoping reviews, the following six stages will be undertaken: (1) identifying the research question, (2) identifying relevant studies, (3) study selection, (4) charting the data, (5) collating, summarising and reporting results and (6) consultation. The PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation will be used throughout the review process. Key inclusion criteria will use the Population, Concept, Context approach, with two reviewers independently conducting the screening and extraction stages across five databases. Identified protective factors will be collated, summarised and categorised iteratively by one reviewer in consultation with the review team. Stakeholder consultation is a key strength of the scoping review process and will be complemented by the public patient involvement of LGBTI+ young people with expertise by experience. Conclusions: The scoping review has the potential to inform policy, practice and future research through enhanced understandings of the complex interplay of factors that promote wellbeing for sexual and gender minority youth. This first stage of the research process will inform the development of a larger research project. The findings will be disseminated through a peer reviewed publication, a conference presentation and by sharing the findings with key stakeholders, including LGBTI+ young people.

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What is known about the protective factors that promote LGBTI+ youth wellbeing? A scoping review protocol

HRB Open Research ◽

10.12688/hrbopenres.13018.2 ◽

2020 ◽

Vol 3 ◽

pp. 11

Author(s):

Nerilee Ceatha ◽

Marta Bustillo ◽

Louise Tully ◽

Oscar James ◽

Des Crowley

Keyword(s):

Young People ◽

Protective Factors ◽

Scoping Review ◽

Review Process ◽

Research Question ◽

Research Process ◽

Future Research ◽

Gender Minority ◽

Review Team ◽

Scoping Reviews

Background: There is much concern at the substantial vulnerabilities experienced by lesbian, gay, bisexual, transgender and intersex (LGBTI+) youth as a consequence of discrimination, stigmatisation and marginalisation. Recent research highlights the importance of understanding factors that can promote wellbeing for this population. This paper presents a protocol for a scoping review which aims to systematically map and synthesise the extent and nature of the peer-reviewed, published and unpublished academic literature on the protective factors that promote wellbeing for sexual and gender minority young people. Methods: In accordance with the methodological framework for scoping reviews, the following six stages will be undertaken: (1) identifying the research question, (2) identifying relevant studies, (3) study selection, (4) charting the data, (5) collating, summarising and reporting results and (6) consultation. The PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation will be used throughout the review process. Key inclusion criteria will use the Population, Concept, Context approach, with two reviewers independently conducting the screening and extraction stages across five databases. Identified protective factors will be collated, summarised and categorised iteratively by one reviewer in consultation with the review team. Stakeholder consultation is a key strength of the scoping review process and will be complemented by the public patient involvement of LGBTI+ young people with expertise by experience. Conclusions: The scoping review has the potential to inform policy, practice and future research through enhanced understandings of the complex interplay of factors that promote wellbeing for sexual minority, gender minority and intersex youth. This first stage of the research process will inform the development of a larger research project. The findings will be disseminated through a peer reviewed publication, a conference presentation and by sharing the findings with key stakeholders, including LGBTI+ young people.

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Risk and Protective Factors for Substance Use Among Sexual and Gender Minority Youth: a Scoping Review

Current Addiction Reports ◽

10.1007/s40429-018-0196-9 ◽

2018 ◽

Vol 5 (2) ◽

pp. 158-173 ◽

Cited By ~ 15

Author(s):

Jeremy D. Kidd ◽

Kasey B. Jackman ◽

Margaret Wolff ◽

Cindy B. Veldhuis ◽

Tonda L. Hughes

Keyword(s):

Substance Use ◽

Protective Factors ◽

Scoping Review ◽

Risk And Protective Factors ◽

Minority Youth ◽

Gender Minority ◽

Sexual And Gender Minority ◽

And Gender

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Sexual and Gender Minority Mental Health among Children and Youth

The Oxford Handbook of Sexual and Gender Minority Mental Health ◽

10.1093/oxfordhb/9780190067991.013.21 ◽

2020 ◽

pp. 228-243

Author(s):

Jessica N. Fish ◽

Laura Baams ◽

Jenifer K. McGuire

Keyword(s):

Mental Health ◽

Young People ◽

Mental Health Treatment ◽

Treatment Strategies ◽

Youth Mental Health ◽

Children And Youth ◽

Gender Minority ◽

The World ◽

Sexual And Gender Minority ◽

And Gender

Sexual and gender minority (SGM) young people are coming of age at a time of dynamic social and political changes with regard to LGBTQ rights and visibility around the world. And yet, contemporary cohorts of SGM youth continue to evidence the same degree of compromised mental health demonstrated by SGM youth of past decades. The authors review the current research on SGM youth mental health, with careful attention to the developmental and contextual characteristics that complicate, support, and thwart mental health for SGM young people. Given a large and rapidly growing body of science in this area, the authors strategically review research that reflects the prevalence of these issues in countries around the world but also concentrate on how mental health concerns among SGM children and youth are shaped by experiences with schools, families, and communities. Promising mental health treatment strategies for this population are reviewed. The chapter ends with a focus on understudied areas in the SGM youth mental health literature, which may offer promising solutions to combat SGM population health disparities and promote mental health among SGM young people during adolescence and as they age across the life course.

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Barriers to palliative care in sexual and gender minority patients with cancer: A scoping review of the literature

Health & Social Care in the Community ◽

10.1111/hsc.13126 ◽

2020 ◽

Author(s):

Kelly Haviland ◽

Chasity Burrows Walters ◽

Susan Newman

Keyword(s):

Palliative Care ◽

Scoping Review ◽

Review Of The Literature ◽

Gender Minority ◽

Patients With Cancer ◽

Sexual And Gender Minority ◽

And Gender

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Risk, Resilience, and Smoking in a National, Probability Sample of Sexual and Gender Minority Adults, 2017, USA

Health Education & Behavior ◽

10.1177/1090198119893374 ◽

2020 ◽

Vol 47 (2) ◽

pp. 272-283 ◽

Cited By ~ 2

Author(s):

Joseph G. L. Lee ◽

Bonnie E. Shook-Sa ◽

Jeffrey Gilbert ◽

Leah M. Ranney ◽

Adam O. Goldstein ◽

...

Keyword(s):

Substance Use ◽

Protective Factors ◽

Smoking Status ◽

Risk And Resilience ◽

Theoretical Frameworks ◽

Targeted Interventions ◽

Gender Minority ◽

Sexual And Gender Minority ◽

Advertising Skepticism ◽

And Gender

Background. There are well-documented inequities in smoking between sexual and gender minority (SGM; e.g., lesbian, gay, bisexual, and transgender [LGBT]) and straight and cisgender people. However, there is less information about risk for and resilience against smoking among SGM people. Such information is critical for understanding etiology and developing interventions. Aims. To conduct a within-group assessment of risks and resiliencies relating to smoking status. Method. In 2017, we conducted a cross-sectional telephone survey with a national, probability-based sample of SGM adults ( N = 453). We assessed theory-informed risks (adverse childhood events, substance use–oriented social environment, mental distress, stigma, discrimination, social isolation, and identity concealment) and resiliencies (advertising skepticism, identity centrality, social support, and SGM community participation). We applied survey weights, standardized predictor variables, and fit logistic regression models predicting smoking status. We stratified by age and SGM identity. Results. Patterns of risk and resilience differ by age and identity. Effects were consistently in the same direction for all groups for participating in substance use–oriented social environments, pointing to a potential risk factor for all groups. Advertising skepticism and having people you can talk to about being LGBTQ were potential protective factors. Discussion. Intervention development should address risk and resilience that differs by SGM identity. Additionally, our findings suggest interventionists should consider theoretical frameworks beyond minority stress. Conclusion. While much of the literature has focused on the role of stress from stigma and discrimination in tobacco use, addressing social norms and bolstering protective factors may also be important in SGM-targeted interventions.

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From secrecy to discretion: The views of psychological therapists on supporting Chinese sexual and gender minority young people

Children and Youth Services Review ◽

10.1016/j.childyouth.2018.08.005 ◽

2018 ◽

Vol 93 ◽

pp. 307-314 ◽

Cited By ~ 1

Author(s):

Szu-Ying Chiang ◽

Theresa Fleming ◽

Mathijs F.G. Lucassen ◽

Christa Fouche ◽

John Fenaughty

Keyword(s):

Young People ◽

Gender Minority ◽

Sexual And Gender Minority ◽

And Gender

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

Translational Behavioral Medicine ◽

10.1093/tbm/ibz200 ◽

2020 ◽

Vol 10 (5) ◽

pp. 1200-1210 ◽

Cited By ~ 1

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.

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Schizophrenia Spectrum and Other Psychotic Disorders among Sexual and Gender Minority Populations

The Oxford Handbook of Sexual and Gender Minority Mental Health ◽

10.1093/oxfordhb/9780190067991.013.12 ◽

2020 ◽

pp. 123-134

Author(s):

Jayme L. Peta

Keyword(s):

Mental Health ◽

Psychotic Disorders ◽

Future Research ◽

Culturally Competent ◽

Transition Age Youth ◽

Transition Age ◽

Gender Minority ◽

Schizophrenia Spectrum ◽

Sexual And Gender Minority ◽

And Gender

Despite robust evidence that barriers exist for sexual and gender minority (SGM) individuals in accessing mental health care, and evidence that these populations are at higher risk for mental health concerns in general, there is a lack of literature on schizophrenia spectrum and other psychotic disorders in SGM populations or specific adaptations and changes needed to engage and treat SGM individuals with these disorders in a culturally competent manner. This chapter outlines key areas of research regarding SGM populations with schizophrenia spectrum and other psychotic disorders, including important considerations for differential diagnosis and suggestions for cultural competence. Also covered are the unique needs of SGM populations with these disorders and the needs of subpopulations (transgender and gender nonbinary individuals, people of color, and transition-age youth). Directions for future research are discussed.

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