Differences in Mental Health Symptoms Across Lesbian, Gay, Bisexual, and Questioning Youth in Primary Care Settings

Shearer, Annie; Herres, Joanna; Kodish, Tamar; Squitieri, Helen; James, Kiera; Russon, Jody; Atte, Tita; Diamond, Guy

doi:10.1016/j.jadohealth.2016.02.005

Cited by 98 publications

(97 citation statements)

References 36 publications

(50 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…27 Second, despite a fairly large sample, sexual minority subgroups were small and could not be disaggregated for analyses. In light of growing research suggesting diversity among sexual minority subgroups, 1,3 future research is needed to better understand the unique health care needs of lesbian, gay, bisexual, and questioning adolescents. Third, although the current analytic sample is largely similar to the Wave 2 NEXT sample in terms of sample characteristics, attrition and missing data which varied by race/ethnicity and family affluence could have introduced bias to the analytic sample.…”

Section: Discussionmentioning

confidence: 99%

“…These findings are particularly important in the context of past research suggesting that sexual orientation-related health disparities may be more pronounced among females. 1–3,38 Structural and policy approaches aimed at increasing the rates of annual routine physical check-up could further reduce sexual orientation-related health disparities among female adolescents.…”

Section: Discussionmentioning

confidence: 99%

“…1–3 Sexual orientation disparities in multiple core domains of adolescent health are concerning because these disparities may persist across development, leading to higher rates of substance use disorders, obesity, hypertension, and heart disease in adulthood. 4,5 Adequate access to health care, with appropriate routine screening and feedback on health-related behaviors, may provide one route to addressing the formation of sexual orientation health disparities.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Luk

Gilman

Haynie

et al. 2017

Journal of Adolescent Health

View full text Add to dashboard Cite

Purpose Physician screening and advice on health-related behaviors are an integral part of adolescent health care. Sexual minority adolescents encounter more barriers to health services, yet no prior research has examined whether they also experience disparity in physician screening and advice. We examined possible sexual orientation disparities in health care access, physician screening and advice on six health-related behaviors. Methods Data were from a national sample of U.S. adolescents who participated in Wave 2 of the NEXT Generation Health Study (n = 2023). Poisson regressions were conducted separately for males and females to estimate sexual orientation differences in health care access and health-related screening and advice. Results Compared to heterosexual males, sexual minority males were more likely to report unmet medical needs in the past year (ARR = 2.23), but did not differ with respect to receiving physician advice concerning health-related behaviors. Compared to heterosexual females, sexual minority females were more likely to report no routine physical check-up in the past year (ARR = 1.67), but were more likely to receive physician advice to reduce or stop drinking, smoking, drug use, increase physical activity, and improve diet (ARRs = 1.56–1.99), even after controlling for corresponding health-related behaviors. Sexual minority females were also more likely to receive advice about risk associated with sexual behavior (ARR = 1.35) and advice to avoid sexually transmitted diseases (ARR = 1.49). Conclusions Both sexual minority males and females experienced disparities in aspects of health care access. Improved health-promoting advice would better serve sexual minority males. Implications and Contribution Clinical guidelines recommend physician screening and advice as part of routine care. Compared to heterosexual females, sexual minority females received more health-promoting advice and did not report greater unmet medical needs. The reverse pattern was found among males, highlighting the potential benefits of increasing health-promoting advice targeting sexual minority males.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Luk

Gilman

Haynie

et al. 2017

Journal of Adolescent Health

View full text Add to dashboard Cite

show abstract

“…There has been insufficient attention paid to understanding how variations in sexual identity shape needs in relation to – and experiences of – alcohol and mental health treatment 28 . Instead of treating LBQ women as a homogenous sub‐population, it has been suggested that LBQ sub‐groups should be considered separately in the context of their healthcare needs 17 . This paper aims to address this gap by focusing on how differences in sexual identity among LBQ women shaped treatment experience and needs.…”

mentioning

confidence: 99%

Improving alcohol and mental health treatment for lesbian, bisexual and queer women: Identity matters

Pennay

McNair

Hughes

et al. 2018

Australian and New Zealand Journal of Public Health

View full text Add to dashboard Cite

Objective: Lesbian, bisexual and queer (LBQ) women experience substantial unmet alcohol and mental health treatment needs. This paper explores the way in which sexual identity shapes experience, and needs, in relation to alcohol and mental health treatment, and presents key messages for improving treatment.Methods: Twenty-five in-depth interviews were undertaken with same-sex attracted Australian women, aged 19-71. Interview transcripts were analysed thematically.Results: Key messages offered by participants focused on language, disclosure and practitioner training. Variation in sexual identity did not alter treatment expectations or needs; however, we noted an important difference with respect to identity salience, with high LBQ identity salience linked with preference for disclosure and acknowledgement of sexual identity in treatment interactions, and low identity salience linked with a preference not to disclose and for sexual identity not to require acknowledgement in treatment.Conclusions: Treatment providers may find it useful to gather information about the centrality of sexual identity to LBQ women as a means of overcoming treatment barriers related to heteronormative conventions and discrimination, language and disclosure.Implications for public health: Treatment providers should adopt more inclusive language, seek information about identity salience and the importance of sexual identity to the current treatment, and regularly pursue LBQ-related professional development upskilling.

show abstract

“…As Phyllis pointed out, when these platforms' features fell short and women in this study were unable to modulate their identities as they desired, they developed workarounds or migrated to new platforms altogether. Practices of identity modulation, which contribute to the formation of networked publics where queer women can see their identities represented and access social support, are especially important when studies still report higher rates of anxiety, depression, traumatic stress, and suicidal ideation for lesbian and bisexual women than for heterosexual women (Shearer et al, 2016). Queer women's networked publics can increase their visibility, offer routes for attaining personal and professional aims, and draw heteronormative biases into question.…”

Section: Resultsmentioning

confidence: 99%

Identity modulation in networked publics: Queer women's participation and representation on Tinder, Instagram, and Vine

Duguay¹

View full text Add to dashboard Cite

Differences in Mental Health Symptoms Across Lesbian, Gay, Bisexual, and Questioning Youth in Primary Care Settings

Abstract: Findings highlight varying level of risk across subgroups of LGBQ youth and suggest the importance of considering LGBQ groups separately in the context of a behavioral health assessment, especially for females.

Cited by 98 publications

References 36 publications

Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Sexual Orientation Differences in Adolescent Health Care Access and Health-Promoting Physician Advice

Improving alcohol and mental health treatment for lesbian, bisexual and queer women: Identity matters

Identity modulation in networked publics: Queer women's participation and representation on Tinder, Instagram, and Vine

Contact Info

Product

Resources

About