Lesbian, gay, bisexual, transgender, queer + Latinx youth mental health disparities: A systematic review

García-Pérez, Javier

doi:10.1080/10538720.2020.1764896

Cited by 13 publications

(6 citation statements)

References 58 publications

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“…While some research shows that Latinx SGM youth experience overt forms of discrimination because of racism, xenophobia, cissexism, and heterosexism (Garcia‐Perez, 2020), our study is among one of the first ones to show that Latinx SGM youth are also experiencing different forms of intersectional microaggressions. In addition, several scholars have established the importance LGBTQ‐specific parental support on the well‐being of Latinx SGM youth and Latinx parent‐child relationship (e.g., Abreu, Gonzalez, et al, 2020; Gattamorta et al, 2019; Lozano et al, 2021).…”

Section: Discussionmentioning

confidence: 64%

“…Latinx SGM youth experience unique forms of oppression (Garcia‐Perez, 2020) at the intersection of racism, xenophobia, and nativism (e.g., Borges, 2018; Cave et al, 2020; Chavez et al, 2021; Chavez, 2013; Chávez‐Moreno, 2020) and cissexism and heterosexism (e.g., Abreu, Lefevor, Gonzalez, Teran, et al, 2022; Barrita & Wong‐Padoongpatt, 2021; Hall, 2018). Intersectional oppression takes place in multiple settings such as in schools (e.g., see review in Abreu, Audette, et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

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Intersectional microaggressions, depressive symptoms, and the role of LGBTQ‐specific parental support in a sample of Latinx sexual and gender minority youth

Abreu

Lefevor

Barrita

et al. 2023

Journal of Adolescence

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Introduction: Latinx and sexual and gender minority (SGM) youth experience higher incidents of racism, cissexism, and heterosexism in the forms of overt discrimination and microaggressions. These experiences could in part explain increased negative mental health outcomes, such as depressive symptoms. Evidence points to the possibility that LGBTQ-specific parental support buffers the effects of intersectional microaggressions on depressive symptoms among Latinx SGM youth. Methods: In a sample of 1292 Latinx SGM youth (ages 13-17), we assessed: a) the association between LGBTQ-specific parental support and depressive symptoms, b) the associations between three forms of intersectional microaggressions and depressive symptoms, and c) whether parental LGBTQ-specific parental support moderated the relationship between three forms of intersectional microaggressions and depressive symptoms. Main effect and moderation analyses examined interactions between LGBTQ-specific parental support with each of the three forms of intersectional microaggressions on depressive symptoms. Results: We found that Latinx transgender youth experienced higher intersectional microaggressions compared to their cisgender counterparts and that Latinx SGM youth who reported lower LGBTQ-specific parental support experienced higher depressive symptoms. We also identified a significant interaction between intersectional microaggressions and LGBTQ-specific parental support, suggesting that parental support was more protective at low rather than high levels of intersectional microaggressions. Conclusions: Findings suggest a need for future work examining culturally appropriate approaches to foster a supportive parent-child relationship among Latinx SGM youth and their parental figures.

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Intersectional microaggressions, depressive symptoms, and the role of LGBTQ‐specific parental support in a sample of Latinx sexual and gender minority youth

Abreu

Lefevor

Barrita

et al. 2023

Journal of Adolescence

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“…Family navigation is an evidence-based, multi-component intervention that incorporates motivational interviewing, problem-solving strategies, patient education, and care coordination to aid families at high-risk for disparities in gaining timely access to needed services. Traditional navigation models train CHWs to assist families in overcoming system and patient-specific barriers to a defined set of services over a time-limited period (Ali-Faisal et al, 2017;Broder-Fingert et al, 2019, 2020. Over the past few years, CHWs have gained prominence as an important answer to some of the US healthcare system's most pressing problems, with hundreds of millions of dollars being invested in building this workforce (Barnett et al, 2021b).…”

Section: Introductionmentioning

confidence: 99%

“…For example, experiencing multiple minority stressors increases the odds of a suicide attempt across all identities for LGBTQ youth; however, American Indian/ Alaskan Native youth were most likely to experience these stressors, which placed them at higher risk for suicide attempts (Green et al, 2022 ). Findings from a systematic review examining mental health disparities among LGBTQ Latinx youth also found that these intersecting identities were associated with unique challenges impacting their sense of belonging, sense of self, and mental health (Garcia-Perez, 2020 ). These challenges have been exacerbated by the current social and geopolitical environment that is promoting greater discrimination against groups of color (Castro-Ramirez et al, 2021 ) and influencing policy changes that threaten LGBTQ individuals’ rights as well as access to services and opportunities (Chappell, 2022 ; Diaz, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Adapting Community Health Worker Care Models to Advance Mental Health Services Among LGBTQ Youth

Barnett

Salem

Rosas

et al. 2023

Adm Policy Ment Health

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Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth of color experience high rates of mental health disorders, yet they experience challenges to accessing mental health services. Community health worker (CHW) models of care have potential to promote equitable mental health services among LGBTQ youth. Our aim was to understand how CHW models could be adapted to better support LGBTQ youth of color in accessing mental health services. Semi-structured qualitative interviews were conducted with LGBTQ youth of color (n = 16), caregivers of LGBTQ youth (n = 11), and CHWs (n = 15) in Massachusetts and California. Interviews were coded by 8 members of the research team. A Rapid Qualitative Analysis was conducted to identify themes. Caregivers, youth, and CHWs all endorsed the value of CHW models for this population. They also almost universally suggested multiple adaptations are needed for the model to be effective. Four main categories of themes emerged related to intervention adaptations: (1) Why adaptations are needed for LGBTQ youth, (2) Who should serve as CHWs providing care, (3) How CHWs should be trained, and (4) What content needs to be included in the intervention. Broadly, findings suggest the relevance of having CHW models for LGBTQ youth of color to address stigma and discrimination experienced, access to culturally and linguistically relevant services, and the need for caregiver support of LGBTQ youth. CHWs need increased training in these areas.

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“…Though the SMASI is a relatively new measure, it captures a large amount of information regarding minority stress in a population that lacks options for valid measures of minority stress (Andretta et al, 2018; Eckstrand et al, 2019; Garcia-Perez, 2020). To improve the scientific and clinical utility of the SMASI, and the measurement of minority stress with sexual minority adolescents broadly, it is important to have a reliable and valid instrument for assessing proximal and distal stress domains.…”

mentioning

confidence: 99%

Validating the Structure of Proximal and Distal Factors within the Sexual Minority Adolescent Stress Inventory

Weeks

Renshaw

Serang

2022

Journal of Psychoeducational Assessment

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Minority stress theory is a model for understanding health disparities among sexual minorities, defined as those who experience a level of same-sex attraction, identity, or behavior. Methods for assessing minority stress among youth included only adult measures until the development of the Sexual Minority Adolescent Stress Inventory (SMASI). The SMASI appears to be a robust scale in its ability to measure specific stressors and global minority stress among adolescents; however, it does not measure the domain-level constructs of proximal and distal stress, which are integral features of the underlying theory. This study tests the psychometric defensibility of including these domain-level factors within an updated SMASI measurement model. Results provide evidence for the structural validity of the proximal and distal domains within the SMASI measurement model and suggest this updated model has more informational value than the original model for capturing minority stress.

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Lesbian, gay, bisexual, transgender, queer + Latinx youth mental health disparities: A systematic review

Cited by 13 publications

References 58 publications

Intersectional microaggressions, depressive symptoms, and the role of LGBTQ‐specific parental support in a sample of Latinx sexual and gender minority youth

Intersectional microaggressions, depressive symptoms, and the role of LGBTQ‐specific parental support in a sample of Latinx sexual and gender minority youth

Adapting Community Health Worker Care Models to Advance Mental Health Services Among LGBTQ Youth

Validating the Structure of Proximal and Distal Factors within the Sexual Minority Adolescent Stress Inventory

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