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连通性的批判意识:采用多利益相关者方法解码拉丁裔和 LGBTQ+青年的社交孤立问题以实现健康公平。

Critical Consciousness for Connectivity: Decoding Social Isolation Experienced by Latinx and LGBTQ+ Youth Using a Multi-Stakeholder Approach to Health Equity.

机构信息

College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA.

David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.

出版信息

Int J Environ Res Public Health. 2022 Sep 4;19(17):11080. doi: 10.3390/ijerph191711080.

Abstract

Systemic oppression creates a context in which Latinx LGBTQ+ youth experience social isolation. Social isolation has been associated with mental and physical health disparities, including disproportionate levels of depression, substance use, self-harm, and attempted suicide. These disparities are often magnified in rural and suburban areas with fewer identity-affirming spaces. This community-engaged study reports on the formative process of developing a Latinx LGBTQ+ telenovela (soap opera) allyship intervention based on critical consciousness theory. We conducted eight focus groups with community advisory boards, which included Latinx LGBTQ+ youth ( = 12), health and social service providers serving LGBTQ+ youth ( = 10), 4-H Latinx alumni youth ( = 12), and 4-H Latinx parents ( = 8). We interviewed nine Latinx LGBTQ+ youth enrolled in a film-making workshop. As a result of our multi-stakeholder approach, we: (1) described how stakeholders reflected on and decoded intersectional isolation on the individual, community, and structural levels; and (2) identified ways that stakeholders suggested taking action by improving access to resources to address social isolation, provide culturally competent healthcare, and co-create an enabling social environment. Our study indicated the importance of tapping into core values and intersectional identities to build solidarity among and within marginalized groups to dismantle oppressive systems.

摘要

系统性压迫导致拉丁裔 LGBTQ+ 青年经历社会孤立。社会孤立与心理健康和身体健康差距有关,包括不成比例的抑郁、物质使用、自我伤害和自杀企图。在身份认同空间较少的农村和郊区,这些差距往往更加明显。这项以社区为基础的研究报告了基于批判意识理论制定拉丁裔 LGBTQ+ 电视剧(肥皂剧)联盟干预措施的形成过程。我们与社区咨询委员会进行了八次焦点小组讨论,成员包括拉丁裔 LGBTQ+青年(=12)、服务 LGBTQ+青年的健康和社会服务提供者(=10)、4-H 拉丁裔校友青年(=12)和 4-H 拉丁裔家长(=8)。我们采访了九名参加电影制作研讨会的拉丁裔 LGBTQ+青年。通过我们的多利益相关者方法,我们:(1)描述了利益相关者如何在个人、社区和结构层面上反思和解码交叉隔离;(2)确定了利益相关者提出的通过改善资源获取来解决社会隔离、提供文化上合适的医疗保健以及共同创造有利的社会环境的方法。我们的研究表明,利用核心价值观和交叉身份在边缘化群体中建立团结、打破压迫性制度非常重要。

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本文引用的文献

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Suicide ideation, planning, and attempts: the case of the Latinx LGB youth.自杀意念、计划与企图:拉丁裔 LGBTQ 青年的案例
Health Promot Perspect. 2019 Aug 6;9(3):198-206. doi: 10.15171/hpp.2019.28. eCollection 2019.
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Ethical Issues in Gender-Affirming Care for Youth.《青年性别认同关怀中的伦理问题》
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