Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York.
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York.
J Adolesc Health. 2018 Oct;63(4):383-393. doi: 10.1016/j.jadohealth.2018.05.018. Epub 2018 Aug 23.
This scoping study sought to provide an overview of existing interventions, programs and policies that address family-based stigma and discrimination against LGBTQ youth.
A keyword search in three online databases identified relevant scientific publications. Because it located a relatively small number of peer-reviewed publications, additional grey literature references were included, identified through consultation with specialists and through anonymous peer-review. Research, policies and interventions were categorized using an adapted ecological framework.
There is very little peer-reviewed research on interventions to reduce family stigma and discrimination against LGBTQ youth. Most on-going work to improve family environments for LGBTQ youth appears to be currently conducted by city governments and non-governmental organizations. Very few interventions or programs provide any outcome data. Theoretical frameworks and approaches vary widely.
Given the widely recognized importance of a supportive family environment for a healthy transition to adulthood for LGBTQ youth, there is an urgent need for scientific research on policies and interventions to address stigma and discrimination and create supportive environments within families. Tackling family-based stigma and discrimination will require interventions and policies at each level of the ecological framework, including individual- and interpersonal-level interventions as well as community-level programs and structural-level policymaking.
本范围界定研究旨在概述现有的干预措施、项目和政策,以解决针对 LGBTQ 青年的基于家庭的污名化和歧视问题。
在三个在线数据库中进行关键词搜索,以确定相关的科学出版物。由于只找到了相对较少的同行评议出版物,因此还纳入了额外的灰色文献参考资料,这些资料是通过与专家协商以及匿名同行评议确定的。研究、政策和干预措施使用经过改编的生态框架进行了分类。
针对减少 LGBTQ 青年的家庭污名化和歧视的干预措施,几乎没有经过同行评议的研究。目前,似乎大多数改善 LGBTQ 青年家庭环境的工作都是由市政府和非政府组织开展的。很少有干预措施或项目提供任何结果数据。理论框架和方法差异很大。
鉴于支持性家庭环境对于 LGBTQ 青年健康过渡到成年期至关重要,因此迫切需要开展关于政策和干预措施的科学研究,以解决污名化和歧视问题,并在家庭内部创造支持性环境。解决基于家庭的污名化和歧视问题需要在生态框架的各个层面采取干预措施和政策,包括个人和人际层面的干预措施以及社区层面的项目和结构层面的政策制定。