scholarly journals Barriers in Access to Healthcare for Kenyan Queer Womxn and Trans Men: Findings of a Cross-Sectional Online Survey and Interviews

2021 ◽  
Author(s):  
Stephanie Haase ◽  
Virginia Zweigenthal ◽  
Alex Müller
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Service Providers ◽  
Vulnerable Groups ◽  
Service Utilisation ◽  
Sexual And Gender Minorities ◽  
Provider Attitudes ◽  
Trans Men ◽  
Gender Minorities ◽  
And Gender

Abstract BackgroundIn many African countries, including Kenya, sexual behaviour between consenting adults of the same sex/ gender is illegal, which results in limited availability and access to health services and information for sexual and gender minorities. This results in unmet health issues for sexual and gender minorities who have a higher burden of STD/STI and HIV, STI-related cancers, and mental ill-health and trauma.MethodsWe conducted an online survey among 335 Kenyan queer womxn and trans men over the age of 18 who had at least one self-identified female sexual partner, collecting data on health service utilisation and barriers to accessing healthcare. ResultsWe identified gaps in all four areas that comprise standard of health – availability, accessibility, acceptability, and quality of care, exacerbated by the restrictive law and policy landscape in Kenya. Queer womxn and trans men face multiple service-access barriers, many related to stigma and discrimination, as well as concerns around provider attitudes and knowledge. Violations of human rights and privacy are a concern for queer womxn and trans men patients. There are insufficient numbers of facilities, programmes, and information to meet the needs of queer womxn and trans men, which leads to a lack of holistic care or patients delaying care and preventative interventions. ConclusionMental health and trans health are areas that are particularly poorly equipped to serve the informants’ needs, highlighting the need to address the exclusion of sexual and gender minorities in the vulnerable groups of the National Mental Health Policy. Resources regarding the use of services need to be made available, and service providers need to be educated to provide non-judgmental, inclusive care for queer womxn and trans men in Kenya.

scholarly journals Factors Related to Mental Health During the COVID-19 Lockdown in Spain

2021 ◽  
Vol 12 ◽  
Author(s):  
Ruth Pinedo ◽  
Isabel Vicario-Molina ◽  
Eva González Ortega ◽  
Andrés Palacios Picos
Keyword(s):  
Mental Health ◽  
Latent Variables ◽  
Structural Equation ◽  
Online Survey ◽  
Psychological Impact ◽  
Well Being ◽  
Vulnerable Groups ◽  
Equation Modeling ◽  
Healthy Habits ◽  
And Gender

The COVID-19 disease has forced governments to adopt exceptional measures. The lockdown decreed in Spain in 2020 required citizens to stay confined at home, which might have affected their mental health. The objective is to identify factors that influenced adults' mental health during this period. A sample of 3,508 adults from the Spanish general population completed an online survey that collected sociodemographic data and information about daily planning and activities, healthy habits, loneliness, coping humor and mental health. Data were analyzed using Structural Equation Modeling. According to the results, the proposed model showed good fit values, and latent variables explained 30% of the variance in mental health. Loneliness, coping humor, healthy habits, age and gender had a significant weight in the prediction of mental health during lockdown. Area of residence, number of days of confinement and number of people in the household were not related to mental health. This study addresses the effect of COVID-19 and social distancing measures by identifying risk and protective factors for the development of mental health difficulties. There is a need to target specific and early interventions aimed at mitigating the psychological impact of the pandemic while increasing well-being, especially in more vulnerable groups.

"I'm Not That Innocent": Recruiting Sexual and Gender Minorities for Rural Mental Health Research

2007 ◽  
Vol 29 (2) ◽  
pp. 10-14
Author(s):  
Cathleen Willging
Keyword(s):  
Mental Health ◽  
Rural Areas ◽  
Mental Health Problems ◽  
Treatment Options ◽  
Health Resources ◽  
Mental Health Research ◽  
Sexual And Gender Minorities ◽  
Hidden Populations ◽  
Gender Minorities ◽  
And Gender

There is a dearth of research, anthropological and otherwise, focused on the mental health needs of sexual and gender minorities in rural areas. The risk for mental illness is greater for such groups due to their repeated exposure to psychosocial stressors associated with discrimination, stigmatization, and violence. The consequences of such exposure may be exacerbated in rural areas, where mental health resources are typically insufficient for the general population. Ethnographic research can provide important insights into how sexual and gender minorities cope with mental health problems within rural settings where treatment options are limited. The methodological challenges of undertaking such research are substantial, and include lack of identification among potential participants with externally imposed social categories, such as lesbian, gay, bisexual, and transgender (LGBT), and the problem of recruiting "hidden" populations to take part in studies on sensitive topics. When taking into account the geographical dispersion of LGBT people in rural areas, these challenges increase substantially.

Relationship quality and mental health among sexual and gender minorities.

2021 ◽  
Author(s):  
Elissa L. Sarno ◽  
Christina Dyar ◽  
Michael E. Newcomb ◽  
Sarah W. Whitton
Keyword(s):  
Mental Health ◽  
Relationship Quality ◽  
Sexual And Gender Minorities ◽  
Gender Minorities ◽  
And Gender

Perceived Barriers to Mental Health Services Among Canadian Sexual and Gender Minorities with Depression and at Risk of Suicide

2019 ◽  
Vol 55 (8) ◽  
pp. 1313-1321 ◽  
Author(s):  
Olivier Ferlatte ◽  
Travis Salway ◽  
Simon Rice ◽  
John L. Oliffe ◽  
Ashleigh J. Rich ◽  
...  
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Mental Health Services ◽  
Health Services ◽  
Perceived Barriers ◽  
Sexual And Gender Minorities ◽  
Gender Minorities ◽  
And Gender

scholarly journals Assessing mental health signals among sexual and gender minorities using Twitter data

2019 ◽  
Vol 26 (2) ◽  
pp. 765-786 ◽  
Author(s):  
Yunpeng Zhao ◽  
Yi Guo ◽  
Xing He ◽  
Yonghui Wu ◽  
Xi Yang ◽  
...  
Keyword(s):  
Mental Health ◽  
Positive Emotions ◽  
Sexual And Gender Minorities ◽  
Gender Minority ◽  
Gender Minorities ◽  
Sexual And Gender Minority ◽  
The Difference ◽  
And Gender ◽  
Laws And Policies ◽  
Minority People

Sexual and gender minorities face extreme challenges that breed stigma with alarming consequences damaging their mental health. Nevertheless, sexual and gender minority people and their mental health needs remain little understood. Because of stigma, sexual and gender minorities are often unwilling to self-identify themselves as sexual and gender minorities when asked. However, social media have become popular platforms for health-related researches. We first explored methods to find sexual and gender minorities through their self-identifying tweets, and further classified them into 11 sexual and gender minority subgroups. We then analyzed mental health signals extracted from these sexual and gender minorities’ Twitter timelines using a lexicon-based analysis method. We found that (1) sexual and gender minorities expressed more negative feelings, (2) the difference between sexual and gender minority and non-sexual and gender minority people is shrinking after 2015, (3) there are differences among sexual and gender minorities lived in different geographic regions, (4) sexual and gender minorities lived in states with sexual and gender minority-related protection laws and policies expressed more positive emotions, and (5) sexual and gender minorities expressed different levels of mental health signals across different sexual and gender minority subgroups.

scholarly journals Bladder Health Experiences, Perceptions and Knowledge of Sexual and Gender Minorities

2019 ◽  
Vol 16 (17) ◽  
pp. 3170 ◽  
Author(s):  
Cecilia T. Hardacker ◽  
Anna Baccellieri ◽  
Elizabeth R. Mueller ◽  
Linda Brubaker ◽  
Georgia Hutchins ◽  
...  
Keyword(s):  
Focus Group ◽  
Community Based Participatory Research ◽  
Research Approach ◽  
Care Seeking ◽  
Sexual And Gender Minorities ◽  
Trans Men ◽  
Gender Minorities ◽  
Health Experiences ◽  
Gender Affirmation ◽  
And Gender

While recent efforts have been made to understand the bladder health experiences, perceptions, and knowledge of cisgender adolescent females and women, virtually nothing is known about the bladder health experiences of people who identify as sexual and gender minorities (SGMs). A community-based participatory research approach using a focus group methodology to engage 36 adult participants who identify as SGM, including individuals who identify as gender non-conforming, queer, transgender (trans) men, or lesbian, in one of six focus group discussions on bladder health. Using directed content qualitative data analysis from the six unique focus groups, three interrelated themes were revealed: gender socialization of voiding behavior and toilet environment culture producing identity threats, and risks to gender affirmation; consequences of hetero-cis normative bathroom infrastructure necessitating adaptive voiding behaviors; and, physical and psychosocial consequences of chronic anxiety and fear are associated with voiding experiences. Insight on how SGMs navigate voiding behaviors, toilet experiences, and health care seeking is needed to assure that bladder health promotion activities are inclusive of this population’s needs.

Sign in / Sign up

Export Citation Format

Share Document