A Social Ecological Approach to Identifying Barriers and Proposing Interventions at Multiple Levels to Improve Healthcare for LGBTQIA+ Youths in the United States.
Julia Wickman, Sruti Mukherjee, Abby Mintz, Jennifer L Northridge
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引用次数: 0
Abstract
Young people who identify as lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and other sexual and gender minorities (LGBTQIA+) in the United States experience poorer health than US youths overall. A social ecological approach that recognizes the multidimensional and multilevel influences on healthcare was used to identify barriers and propose interventions to achieve health equity for LGBTQIA+ adolescents and young adults. Database searches were conducted for original articles published within the last decade (2014-2024) that identified healthcare barriers for LGBTQIA+ individuals with participants aged 10-24 years and/or their family members or healthcare providers. The 36 studies included in this evidence-based, integrative review were conducted in 6 healthcare environments. Thirty-five barriers at the 6 levels of the Social Ecological Model were identified as follows: 5 individual, 10 interpersonal, 9 organizational, 6 community, 3 public policy, and 2 societal. The most frequently cited barrier was anti-LGBTQIA+ stigma at the societal level (21 studies). Findings point to interventions at multiple levels that would improve healthcare for LGBTQIA+ youths and youths overall: updating clinical education to address the needs of LGBTQIA+ youths, expanding Medicaid to cover costs of services in all US states, forming partnerships among LGBTQIA+ groups and healthcare organizations, and implementing inclusive intake forms.
期刊介绍:
The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.