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Issues in Public Health. LGBT Youth. Participants will be able to identify three issues unique to LGBT youth Participants will be able to identify two reasons for disparities in LGBT youth experiences
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Issues in Public Health LGBT Youth
Participants will be able to identify three issues unique to LGBT youth Participants will be able to identify two reasons for disparities in LGBT youth experiences Participants will be able to identify at least three methods of improving LGBT youth outcomes Presentation objectives:
Brief overview of LGBT • Lesbian • Gay • Bisexual • Transgender
The coming out process • General Model: • Awareness • Exploration • Acceptance • Integration
LGBT youth experiences Not monolithic! Can be shaped by many factors Trends Heightened risks
Heightened risks for LGBT youth: • Vulnerable housing/ homelessness • Trouble in school • Violence • Self harm, suicidal ideation
Experiences of LGBT youth in high school • Increased harassment • Feelings of safety • School absences • Poorer academic outcomes
Vulnerable housing/ homelessness • Hostile or unwelcoming home • Disproportionately homeless • Safety concerns • Survival sex
Violence • Bullying • Domestic Violence • Sexual Assault • Bias crimes/ hate crimes
Self harm, suicidal ideation • Alcohol, substance and tobacco use/abuse • Self inflicted harm • Suicidal ideation • Rates of suicide
Considerations for LGBT youth Parental acceptance and views Supportive climate in school Healthy LGBT role models
Considerations for intervention Create inclusive policies Ensure safe spaces Consider the ecological model Tips for inclusive programs
Acknowledgements This presentation was designed in Spring 2011 by Curran Saile, Program Director of the Pride Center of the Capital Region done in partial completion of Masters in Public Health requirements at the University at Albany School of Public Health. The project would not have been possible without the support of Mary Applegate, Jennifer Manganello, Cheryl Reeves and the Pride Center of the Capital Region.
References Blake et al. Preventing Sexual Risk Behaviors Among Gay, Lesbian, and Bisexual Adolescents: The Benefits of Gay-Sensitive HIV Instruction in Schools. American Journal of Public Health. .June 2001. Vol. 91,No. 6, 940-946. Cochran, Bryan N., Stewart, Angela J., Ginzler, Joshua A., and Ana Mari Cauce. 2002. Challenges Faced by Homeless Sexual Minorities: Comparison of Gay, Lesbian, Bisexual, And Transgender Homeless Adolescents With Their Heterosexual Counterparts. American Journal of Public Health 92, no. 5: 773-777. Garofalo, Robert, MD; R. Wolf, Cameron MS; S. Wissow, Lawrence MD, MPH; Woods, Elizabeth R., MD, MPH; Goodman, Elizabeth MD. Sexual Orientation and Risk of Suicide Attempts Among a Representative Sample of Youth. Pediatric and Adolescent Medicine. Volume153, May 1999. Kelleher, Cathy. Minority stress and health: Implications for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) young people. Counseling Psychology Quarterly; Dec 2009, Vol. 22 Issue 4, p373-379, 7p, 2 Charts
References Kosciw, J. G., Greytak, E. A., Diaz, E. M., and Bartkiewicz, M. J. (2010). The 2009 National School Climate Survey: The experiences of lesbian, gay, bisexual and transgender youth in our nation’s schools. New York: GLSEN, 2009. Kosciw, J. G., Greytak, E. A., & Diaz, E. M. Who, what, where, when, and why: Demographic and ecological factors contributing to hostile school climate for lesbian, gay, bisexual, and transgender youth. Journal of Youth and Adolescence, 38(7), 976–988, 2009. Horn, S. S., Kosciw, J. G., & Russell, S. T. New research on lesbian, gay, bisexual, and transgender youth: Studying lives in context. Journal of Youth and Adolescence, 38(7), 863–866, 2009. Nealy, Eleanor C., Public Testimony to the New York State Legislature; Standing Committees on Alcoholism and Drug Abuse and Health, New York City, January 7, 2005. Rew, Lynn, Whittaker, Tiffany A., Taylor-Seehafer, Margaret, and Lorie R. Smith. Sexual Health Risks and Protective Resources in Gay, Lesbian, Bisexual, and Heterosexual Homeless Youth. Journal for Specialists in Pediatric Nursing 10, no. 1: 11-20, 2005.
References Rew, Lynn, Tayler-Seehafer, Margaret and Maureen Fitzgerald. Sexual Abuse, Alcohol and Other Drug Use, and Suicidal Behaviors in Homeless Adolescents. Issues in Contemporary Pediatric Nursing 24: 225-240, 2001. Riley, Bettina H. GLB Adolescent’s “Coming Out”. Journal of Child & Adolescent Psychiatric Nursing. February 2010, Vol. 23 Issue 1, 3-10. Whitbeck,Les B., Chen, Xiaojin, Hoyt, Dan R., Tyler, Kimberly A. and Kurt D. Johnson. Mental Disorder, Subsistence Strategies, and Victimization Among Gay, Lesbian, and Bisexual Homeless and Runaway Adolescents. The Journal of Sex Research 41, no. 4: 329-342, 2004.
Further resources in New York State • Albany-Pride Center of the Capital Region www.capitalpridecenter.org • Buffalo- Gay and Lesbian Youth Services www.glyswny.org • Long Island- Long Island Gay and Lesbian Youth www.ligly.org • Manhattan- The LGBT Center www.gaycente.org • Rochester- The Gay Alliance of Genesee Valley www.gayalliance.org • Empire State Pride Agenda Health and Human Service Network www.prideagenda.org