The importance of health(ism): A focus group study of lesbian, gay, bisexual, pansexual, queer and transgender individuals’ understandings of health

Graham, Katie; Treharne, Gareth J.; Ruzibiza, Christian; Nicolson, Max

doi:10.1177/1359105315600236

Cited by 9 publications

(7 citation statements)

References 37 publications

(65 reference statements)

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“…Alongside these social shifts, researchers have underscored the importance of identifying and recognizing the health disparities experienced by sexual and gender minorities (Institute of Medicine [IOM], 2011;Meyer, 2003). Compared to the health disparities literature focused on gay, bisexual and other men who have sex with men, there has been limited research attending to the psychosocial needs of other sexual and gender minority subgroups (Graham, Treharne, Ruzibiza, & Nicolson, 2017), including sexual minority women (SMW; i.e., women with same-sex attractions and/or who identify as nonheterosexual). Sexual minority women are less likely to have insurance and report lower rates of overall good health (U.S. Department of Health and Human Services, 2011), annual physical exams (Blosnich, Farmer, Lee, Silenzio, & Bowen, 2014), and cervical cancer screenings (IOM, 2011).…”

Section: Introductionmentioning

confidence: 99%

Young sexual minority women's definition of community: Toward addressing health disparities in the LGBTQQ community

Sexton

Flores

Bauermeister

2017

Journal Community Psychology

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In accord with Healthy People 2020 goals, the elimination of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQQ) health disparities will require community-level strategies to address stigma, discrimination, and prejudice linked to poor health. We explored how young sexual minority women (YSMW) define LGBTQQ community, community connection, community engagement, and community tensions because these concepts have implications for development and evaluation of health disparities interventions. A total of 30 YSMW (aged 18-24 years) from Michigan participated in semistructured, in-depth interviews. Participants varied by sexual identity, residency, and race/ethnicity. We analyzed transcribed interviews using thematic analysis and compared emergent themes across sexual identity, residency, and race/ethnicity. Women described community connection in terms of organizational involvement, participation in LGBTQQ spaces, and collective social identity. Participants noted how community connections were linked to stigma towards the LGBTQQ community. YSMW highlighted how divisive tensions exist within subgroups constituting the LGBTQQ community, hindering opportunities for social advocacy, unified policy priorities, and community-level interventions. The heterogeneity of YSMW's experiences identifying with the LGBTQQ community and engaging within LGBTQQ spaces suggest that researchers should attend to the role of community dynamics when developing health disparities interventions and policies. Efforts to reconcile tensions within the LGBTQQ community may strengthen and advance policymakers' ability to address sexuality-related disparities.

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Section: Introductionmentioning

confidence: 99%

Young sexual minority women's definition of community: Toward addressing health disparities in the LGBTQQ community

Sexton

Flores

Bauermeister

2017

Journal Community Psychology

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“…O reconhecimento e a proteção dos direitos humanos são os pilares de sustentação de uma democracia 8 . Nas publicações revisadas, discutiu-se a importância dos ativismos LGBTT nas lutas pelos direitos humanos no campo da saúde e, por conseguinte, nas lutas por transformar, em um sentido positivo, as próprias condições contextuais e intrínsecas aos serviços e às práticas profissionais que influenciam o acesso e a qualidade da assistência à saúde LGBTT 45,46,51 .…”

Section: A Dimensão Contextualunclassified

Abrindo os armários do acesso e da qualidade: uma revisão integrativa sobre assistência à saúde das populações LGBTT

Ferreira

Bonan

2020

Ciênc. saúde coletiva

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Resumo A pesquisa buscou estudar as situações que condicionam o acesso e a qualidade da assistência à saúde de lésbicas, gays, bissexuais, travestis e transexuais (LGBTT) nos serviços de saúde, a partir de uma revisão integrativa da literatura nacional e internacional, cuja amostra de 41 artigos foi selecionada nas bases PubMed, Lilacs e SciELO, no período entre 2007 e 2018. O acesso e a assistência à saúde das populações LGBTT foram discutidos em três dimensões: relacional, que diz respeito às relações intersubjetivas entre usuários e profissionais; organizacional, que se refere aos modos de organizar os serviços e os processos de trabalho; e contextual, que engloba como situações de vulnerabilidades imbricadas com os determinantes sociais afetam as condições de satisfação das necessidades de saúde. Os dados mostraram que as populações LGBTT são alvo de preconceitos, violências e discriminações, que, somados a diferentes marcadores sociais, engendram um contexto de vulnerabilidades no acesso e na assistência à saúde. É necessário transformar as práticas e as relações sociais que se dão no interior das instituições de saúde, do contrário, corre-se o risco de afastar cada vez mais parte dessas populações dos serviços de saúde.

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“…Internationally, the mental health needs of the lesbian, gay, bisexual and transgender (LGBT) communities have been largely overlooked. Much of the health focus for these communities have been on sexual health issues, primarily human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) (Cicero et al., 2020; Graham et al., 2017; Neville & Henrickson, 2006). It has been suggested that this limited focus is a consequence of heterosexualism and homophobic bias, resulting in a lack of research around the specific health needs of the LGBT communities (Treharne & Adams, 2017).…”

Section: Introductionmentioning

confidence: 99%

The lesbian, gay, bisexual and transgender communities' mental health care needs and experiences of mental health services: An integrative review of qualitative studies

Rees

Crowe

Harris

2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? There is evidence that the LGBT communities experience greater health disparities, particularly in relation to their mental health needs. The LGBT communities are often faced with stigma and discrimination within mental health services. What the paper adds to existing knowledge? People within the LGBT communities have identified that their experiences of mental health services reinforce stigma and lack an understanding of their specific needs. Their needs can be addressed by mental health services that challenge heteronormative assumptions and promote self‐acceptance and equity. What are the implications for practice? The existing heteronormative culture in mental health nursing practice needs to be challenged. Practice needs to demonstrate self-awareness of personal and societal LGBT biases, prejudices, and stigma. Practice needs to demonstrate knowledge of important LGBT health care and psychosocial issues. Practice needs to reflect LGBT clinical skills grounded in professional ethics, guidelines, and standards of care. Abstract Introduction The lesbian, gay, bisexual and transgender (LGBT) communities are a minority population that experience a range of health disparities, including mental health. Because these groups have higher rates of mental disorder than the general population it is, therefore, pertinent to identify their specific mental health needs and their experiences when accessing mental health care. Aim To identify the mental health needs of the LGBT communities and their experiences of accessing mental health care. Methods An integrative review of qualitative studies was conducted. Results A total of fourteen studies were selected for this review. The studies identified that participants’ experiences of accessing mental health care were related to (a) experiencing stigma and (b) staff's lack of knowledge and understanding of LGBT people's needs. They identified a need for mental health care that promotes the principles of equity, inclusion and respect for diversity. Discussion The LGBT communities while not a homogenous group, face unique challenges when dealing with their mental health needs. Services that promote health equity and self‐acceptance are important for this group. Implications for practice It is vital that mental health nursing education incorporate models that promote equity, inclusion and respect for diversity regarding this group of people.

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The importance of health(ism): A focus group study of lesbian, gay, bisexual, pansexual, queer and transgender individuals’ understandings of health

Cited by 9 publications

References 37 publications

Young sexual minority women's definition of community: Toward addressing health disparities in the LGBTQQ community

Young sexual minority women's definition of community: Toward addressing health disparities in the LGBTQQ community

Abrindo os armários do acesso e da qualidade: uma revisão integrativa sobre assistência à saúde das populações LGBTT

The lesbian, gay, bisexual and transgender communities' mental health care needs and experiences of mental health services: An integrative review of qualitative studies

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