A Mixed-Method Assessment of a Pilot Peer Advocate Intervention for Rural Gender and Sexual Minorities

Willging, Cathleen E.; Harkness, Audrey; Israel, Tania; Ley, David; Hokanson, Patricia S.; DeMaria, Catherine; Joplin, Aaron; Smiley, Verida

doi:10.1007/s10597-017-0168-x

Cited by 12 publications

(5 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A majority (n = 36) of the 43 reported interventions designed to address sexual minority people's mental health were conducted in North America, [43][44][45][46][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63]66,67,[69][70][71][72][73][75][76][77][78][79][80][81][82]85 3 in Europe, 47,65,84 and 1 each in Australia, 74 China, 83 New Zealand, 68 and South Africa. 64 The study designs ranged from 21 (48.84%) studies 45,53,54,56,57,59,61,…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In addition to LGB participants, some studies included participants who self-identified as asexual, 80 queer 53,59,60,66,67,70,73,75,79 pansexual, 59,66,70,80 or questioning. 60,70,73,79,81 Result of intersectionality coding Thirteen (30.2%) studies 53,55,57,[59][60][61][64][65][66][67]69,72,75 were coded as low intersectionality because participants in these interventions were presented as homogenous sexual minority groups. Twenty-three (53.4%) studies were classified as medium because they added a recruitment criterion other than sexual orientation (HIV positive = 16 43,44,[46][47][48][49]51,52,54,58,63,74,76,77,83,85 ; age = 5 70,…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Seven (16.3%) studies showed a high level of intersectionality to account for the intersection between membership as a sexual minority and HIV-positive status (n = 3) 56,62,82 ; age (n = 3) 56,68,73 ; disability (n = 1) 71 ; homelessness (n = 1) 73 ; or rurality (n = 1). 81…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Targeting rural sexual and gender minority people, a peer advocate intervention was implemented to address the social isolation stemming from the intersection of geographic distance, conservative gender norms, limited socialization opportunities, and identity concealment. 81 Viewing societal institutions as a source of minority stress, especially for rural sexual and gender minority people, a distinctive characteristic of this intervention was its advocacy orientation and training of peer advocates to effect changes for this community. This intervention addressed issues other than HIV and responded to different needs within rural sexual and gender minority communities.…”

Section: Description Of Intersectionality-informed Interventionsmentioning

confidence: 99%

“…73 In the peer advocate intervention for rural sexual and gender minority people, community-based participatory research (CBPR) proved instrumental in maintaining the intersectionality approach by involving community members ''who have close knowledge of local social realities, and can improve access to quality of care for underserved populations.'' 81 (p. 396) Finally, the program Still Climbin' was a cognitive-behavioral therapy adapted through ''an iterative community-engagement process'' with input from community stakeholders 82 (p. 543).…”

Section: Community-based Participatory Researchmentioning

confidence: 99%

See 4 more Smart Citations

How Intersectional Are Mental Health Interventions for Sexual Minority People? A Systematic Review

et al. 2020

View full text Add to dashboard Cite

Purpose: Complex and widespread stigma exposes sexual minority people to disproportionate risks for adverse mental health. Intersectionality theory calls for consideration of the unique experiences of living with multiple forms of inequality. Yet, concerns remain regarding the extent to which intersectionality theory has been integrated into mental health interventions for sexual minority populations. This systematic review aims to assess the degree to which available mental health interventions account for intersecting forms of marginalization and to identify methods that facilitate the application of intersectionality. Methods: A search for peer-reviewed English language journal articles was conducted using PsycINFO and PubMed to locate reports of mental health interventions for sexual minority groups. A coding framework was designed to evaluate how interventions incorporated intersectionality theory. Results: Of 1877 potentially eligible articles, forty-three were included in the analysis. They were each classified as low, medium, or high with regard to intersectionality. Thirteen (30.2%) were rated as low on intersectionality for only recruiting a homogeneous group of participants in the interventions; 23 (53.4%) were classified as medium for including additional identities in recruitment without responding to possible intersectional disadvantages; 7 (16.3%) were rated as high with adequate consideration of the complex effects of intersecting positions. In addition, the review identified community-based participatory research as a common and instrumental method to ensure intersectionality. Conclusions: This review highlights the limitations of interventions for sexual minority people in addressing intersectionality. Guidelines are needed for clinical practice and evaluation to adequately incorporate intersectionality theory.

show abstract