污名与少数群体压力作为女同性恋、男同性恋、双性恋和跨性别青少年健康的社会决定因素：研究证据与临床意义
Stigma and Minority Stress as Social Determinants of Health Among Lesbian, Gay, Bisexual, and Transgender Youth: Research Evidence and Clinical Implications.
作者信息
Hatzenbuehler Mark L, Pachankis John E
机构信息
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street, Room 549B, New York, NY 10032, USA.
Chronic Disease Epidemiology: Social & Behavioral Sciences, Yale School of Public Health, 60 College Street, Suite 316, New Haven, CT 06510, USA.
出版信息
Pediatr Clin North Am. 2016 Dec;63(6):985-997. doi: 10.1016/j.pcl.2016.07.003. Epub 2016 Oct 12.
In this article, we review theory and evidence on stigma and minority stress as social/structural determinants of health among lesbian, gay, bisexual, and transgender (LGBT) youth. We discuss different forms of stigma at individual (eg, identity concealment), interpersonal (eg, victimization), and structural (eg, laws and social norms) levels, as well as the mechanisms linking stigma to adverse health outcomes among LGBT youth. Finally, we discuss clinical (eg, cognitive behavioral therapy) and public health (eg, antibullying policies) interventions that effectively target stigma-inducing mechanisms to improve the health of LGBT youth.
在本文中，我们回顾了关于污名和少数群体压力作为女同性恋、男同性恋、双性恋和跨性别（LGBT）青年健康的社会/结构决定因素的理论和证据。我们讨论了个体层面（如身份隐瞒）、人际层面（如受害）和结构层面（如法律和社会规范）的不同形式的污名，以及将污名与LGBT青年不良健康结果联系起来的机制。最后，我们讨论了有效针对引发污名机制以改善LGBT青年健康的临床干预措施（如认知行为疗法）和公共卫生干预措施（如反欺凌政策）。
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