Associations of Lesbian, Gay, Bisexual, Transgender, and Questioning–Inclusive Sex Education With Mental Health Outcomes and School-Based Victimization in U.S. High School Students

Proulx, Chelsea N.; Coulter, Robert W. S.; Egan, James E.; Matthews, Derrick D.; Mair, Christina

doi:10.1016/j.jadohealth.2018.11.012

Cited by 95 publications

(51 citation statements)

References 27 publications

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“…More work is critically needed in vulnerable populations, including work focused on interventions that may improve mental health outcomes, e.g. interventions that focus on the family unit and interpersonal relationships to foster support and educational interventions, which may decrease peer victimization and cyberbullying [237,238].…”

Section: Limitations/future Directionsmentioning

confidence: 99%

The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders

Lippard

Nemeroff

2020

AJP

352

180

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A large body of evidence has demonstrated that exposure to childhood maltreatment at any stage of development can have long-lasting consequences. It is associated with a marked increase in risk for psychiatric and medical disorders. This review summarizes the literature investigating the effects of childhood maltreatment on disease vulnerability for mood disorders, specifically summarizing cross-sectional and more recent longitudinal studies that demonstrate childhood maltreatment is more prevalent and associated with increased risk for first mood episode, episode recurrence, greater comorbidities, and increased risk for suicidal ideation and attempts in individuals with mood disorders. It summarizes the persistent alterations associated with childhood maltreatment, including alterations in the HPA axis and inflammatory cytokines, which may contribute to disease vulnerability and a more pernicious disease course. We discuss several candidate genes and environmental factors, for example alcohol/substance use, that may alter disease vulnerability and illness course and neurobiological associations that may mediate these relationships following childhood maltreatment. Studies provide insight into modifiable mechanisms and provide direction to improve both treatment and prevention strategies. "It is not the bruises on the body that hurt. It is the wounds of the heart and the scars on the mind."

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Section: Limitations/future Directionsmentioning

confidence: 99%

The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders

Lippard

Nemeroff

2020

AJP

352

180

View full text Add to dashboard Cite

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“…Likely related to this context, research has also focused on the mental health, self-harm, depression and/or attempted suicide among (some) young LGB people in America and the UK (Demissie et al., 2018; McDermott and Roen, 2016), as well as their heightened risk for alcohol, drug and/or tobacco use (Fish, 2007; Rivers and Noret, 2008). However, where SRE is more inclusive, research suggests that LGBTQ youth have lower odds of experiencing school-based victimisation and adverse mental health (Proulx et al., 2019).…”

Section: Setting the Context: The Need For Lgbt+ Inclusive Srementioning

confidence: 99%

Sex and relationships education for LGBT+ young people: Lessons from UK youth work

Formby

Donovan

2020

Sexualities

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Lesbian, gay, bisexual and trans (LGBT) inclusive sex and relationships education (SRE) is of growing interest. However, there is a lack of clarity about what LGBT inclusive SRE should/does look like in practice. This article addresses that uncertainty by examining original research findings on innovative youth work based SRE provided within an arts-based project run by a third sector organisation in the North East of England. The research is set within the context of three broad rationales for LGBT inclusive SRE: to support the mental health of LGBT+ young people; to tackle sexual health issues, and to address concerns about sexual encounters and intimate relationships. The article sets out research findings within four main themes concerning: young people’s experiences of formal SRE; young people’s attempts to acquire SRE informally; young people’s experiences of youth work based SRE; practitioners’ experiences of delivering youth work based SRE. It then draws on this data to make the case for dedicated youth work for LGBT+ young people, outlining its potential alongside school-based SRE.

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“…[31] One of the rst steps for creating a safe and supportive school climate is to reinstate sexual education in the curriculum. [32] Other examples of actions that improve school climate include presentation of LGB lms, [33] presence in the school of Gay-Straight Alliance for three or more years [34] and training for school staff to support LGB students. [4] According to Gower et al [4] 4-6 practices had a much higher effect on victimization than 0-4 practices for an LGB supportive climate.…”

Section: Discussionmentioning

confidence: 99%

Heteronormativity in Schools is Associated with Unhealthy Weight-Control Behaviors in Lesbian, Gay, and Bisexual Youth: A Multilevel Analysis.

Franca

Godoy

Menezes

et al. 2020

Preprint

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Background: Previous studies found that a school climate of more heteronormativity is associated with adverse effects on the mental health of LGB students. Accordingly, our aim was to assess the association between low LGB visibility in schools and unhealthy weight-control behaviors among LGB youth. Methods: Cross-sectional, multilevel study based in public high schools in the city of Olinda, Northeast Brazil. A multilevel logistic regression was performed, including 2,500 adolescents enrolled in 27 schools. The contextual variable was the prevalence of LGB youth in each school (as a proxy for heteronormativity in schools) while the outcome was unhealthy weight-control behaviors (fasting, purging, and taking diet pills). We controlled for socioeconomic characteristics (age, gender, receiving a family allowance), obesity, and self-reported happiness. Results: Low LGB visibility in schools was associated with higher odds of engaging in unhealthy weight-control behaviors (OR: 1.5, 95%CI: 1.0, 2.2) among all youth, regardless of sexual orientation. Among LGB youth, there was some suggestion that the association between LGB visibility and unhealthy weight control behaviors was mediated by experiences of victimization and self-perceptions of unhappiness.Conclusion: A school environment of low LGB visibility was associated with unhealthy weight-control behaviors in youth.

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Associations of Lesbian, Gay, Bisexual, Transgender, and Questioning–Inclusive Sex Education With Mental Health Outcomes and School-Based Victimization in U.S. High School Students

Cited by 95 publications

References 27 publications

The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders

The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders

Sex and relationships education for LGBT+ young people: Lessons from UK youth work

Heteronormativity in Schools is Associated with Unhealthy Weight-Control Behaviors in Lesbian, Gay, and Bisexual Youth: A Multilevel Analysis.

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