Earnshaw Valerie A, Reisner Sari L, Juvonen Jaana, Hatzenbuehler Mark L, Perrotti Jeff, Schuster Mark A
Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts;
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Pediatrics. 2017 Oct;140(4). doi: 10.1542/peds.2017-0432.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth experience significant bullying that undermines their mental and physical health. National health organizations have called for the development of innovative strategies to address LGBTQ bullying. Pediatricians and other clinicians, medical and public health students, interdisciplinary researchers, government officials, school leaders, community members, parents, and youth from around the country came together at a national symposium entitled "LGBTQ Bullying: Translating Research to Action to Improve the Health of All Youth" in May 2016 to generate strategies to prevent LGBTQ bullying and meet the needs of LGBTQ youth experiencing bullying. This article describes key scientific findings on bullying, LGBTQ stigma, and LGBTQ bullying interventions that were shared at the symposium and provides recommendations for pediatricians to address LGBTQ bullying via clinical care, research, interventions, and policy. Symposium participants recommended that pediatricians engage in efforts to foster inclusive and affirming health care environments wherein LGBTQ youth feel comfortable discussing their identities and experiences, identify youth experiencing LGBTQ bullying, and prevent the negative health consequences of bullying among youth. Moreover, pediatricians can attend to how multiple identities (eg, sexual orientation, gender identity, race and/or ethnicity, disability, and others) shape youth experiences of bullying and expand intervention efforts to address LGBTQ bullying in health care settings. Pediatricians can further advocate for evidence-based, antibullying policies prohibiting bullying on the basis of sexual orientation and gender identity. Collaboration between pediatricians and diverse stakeholders can contribute to the development and implementation of lasting change in all forms of bullying, including LGBTQ bullying.
女同性恋、男同性恋、双性恋、跨性别及酷儿(LGBTQ)青少年遭受着严重的欺凌,这损害了他们的身心健康。国家卫生组织呼吁制定创新策略来应对LGBTQ欺凌问题。2016年5月,儿科医生和其他临床医生、医学及公共卫生专业学生、跨学科研究人员、政府官员、学校领导、社区成员、家长以及来自全国各地的青少年齐聚一堂,参加了一场名为“LGBTQ欺凌:将研究转化为行动以改善所有青少年的健康状况”的全国性研讨会,旨在制定预防LGBTQ欺凌的策略,并满足正在遭受欺凌的LGBTQ青少年的需求。本文介绍了在研讨会上分享的关于欺凌、LGBTQ污名化以及LGBTQ欺凌干预措施的关键科学发现,并为儿科医生通过临床护理、研究、干预和政策来应对LGBTQ欺凌提供了建议。研讨会参与者建议,儿科医生应努力营造包容且肯定性的医疗环境,让LGBTQ青少年能够自在地讨论自己的身份和经历,识别遭受LGBTQ欺凌的青少年,并预防欺凌给青少年带来的负面健康后果。此外,儿科医生可以关注多种身份(如性取向、性别认同、种族和/或族裔、残疾等)如何塑造青少年的欺凌经历,并扩大干预措施,以解决医疗环境中的LGBTQ欺凌问题。儿科医生还可以进一步倡导基于证据的反欺凌政策,禁止基于性取向和性别认同的欺凌行为。儿科医生与不同利益相关者之间的合作有助于推动包括LGBTQ欺凌在内的所有形式欺凌行为的持久变革的发展和实施。