Valdez Elizabeth, Weil Mira, Dixon Saharra, Chan Jazmine, Fisher Tiarra, Simoun Alya, Egan Justine, Gubrium Aline
Department of Community Health Education, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
Department of Public Health, University of Massachusetts, Boston, MA, USA.
Cult Health Sex. 2025 May;27(5):638-655. doi: 10.1080/13691058.2024.2403108. Epub 2024 Oct 1.
Queerphobia is defined as society's negative attitude towards LGBTQIA + people, translating into structures that marginalise LGBTQIA + people and contribute to health inequities that cause real harm and can be understood as structural violence. The purpose of this article is to explore what historically marginalised youth in a youth participatory action research (YPAR) project characterise as the big picture issues affecting the lives of LGBTQIA + youth. We used participatory arts-based methods to conduct community and identity building, define research questions and photo prompts, conduct data collection, engage in group thematic analysis, and make recommendations at the state policy level. We also conducted individual semi-structured interviews with participants. Our findings can be grouped into three main themes: LGBTQIA + youth may feel it is safer to remain closeted; queerphobia perpetuates housing instability; and queerphobia functions as a structural barrier to social services. Youth also developed state level policy recommendations to address the structural issues causing harm to LGBTQIA + youth health. Recommendations included increasing access to affordable housing and LGBTQIA + inclusive foster and group homes, and advocating for government-funded LGBTQIA + specific healthcare practices for LGBTQIA + youth. More youth-driven data are needed that centre those directly impacted by structural violence and associated health outcomes.
恐同症被定义为社会对 LGBTQIA+ 群体的负面态度，这种态度转化为边缘化 LGBTQIA+ 群体的社会结构，并导致健康不平等，造成实际伤害，可被视为结构性暴力。本文的目的是探讨在一项青年参与式行动研究（YPAR）项目中，历史上被边缘化的青年认为哪些宏观问题影响着 LGBTQIA+ 青年的生活。我们运用基于参与式艺术的方法来开展社区建设和身份认同构建、确定研究问题和照片提示、进行数据收集、开展小组主题分析，并在州政策层面提出建议。我们还对参与者进行了个人半结构化访谈。我们的研究结果可归纳为三个主要主题：LGBTQIA+ 青年可能觉得出柜更不安全；恐同症使住房不稳定长期存在；恐同症成为获得社会服务的结构性障碍。青年还制定了州级政策建议，以解决对 LGBTQIA+ 青年健康造成伤害的结构性问题。建议包括增加经济适用房以及 LGBTQIA+ 包容型寄养家庭和集体家庭的可及性，倡导政府为 LGBTQIA+ 青年提供专门的医疗保健服务。需要更多以受结构性暴力及其相关健康结果直接影响的人群为中心的、由青年主导的数据。
