Navigating double marginalisation: migrant Chinese sexual and gender minority young people’s views on mental health challenges and supports

Chiang, Szu-Ying; Fenaughty, John; Lucassen, Mathijs; Fleming, Theresa

doi:10.1080/13691058.2018.1519118

Cited by 12 publications

(13 citation statements)

References 54 publications

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“…As literature searches were performed in 2019, additional literature searches of the MedLINE databases were performed on 3 June 2021. This search produced several articles eligible for inclusion in the review, [64][65][66] and their findings supported our findings on barriers to care. One qualitative study of facilitators and barriers for engagement in mental health treatment among Latino youth, for example, reported logistical barriers, beliefs about depression, and negative experiences of treatment as barriers.…”

Section: Limitations and Methodological Considerationssupporting

confidence: 73%

Perceived barriers to care for migrant children and young people with mental health problems and/or neurodevelopmental differences in high-income countries: a meta-ethnography

et al. 2021

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ObjectivesTo develop conceptual understanding of perceived barriers to seeking care for migrant children and young people (aged 0–25 years) with mental health problems and/or neurodevelopmental differences in high-income countries.DesignQualitative evidence synthesis using meta-ethnography methodology. We searched four electronic databases (Medline, PsycINFO, Global Health and Web of Science) from inception to July 2019 for qualitative studies exploring barriers to care (as perceived by migrant communities and service providers) for migrant children and young people in high-income countries with neurodevelopmental differences and/or mental health problems. The quality of included studies was explored systematically using a quality assessment tool.ResultsWe screened 753 unique citations and 101 full texts, and 30 studies met our inclusion criteria. We developed 16 themes representing perceived barriers to care on the supply and demand side of the care-seeking process. Barriers included: stigma; fear and mistrust of services; lack of information on mental health and service providers lacking cultural responsiveness. Themes were incorporated into Levesque et al’s conceptual framework of patient-centred access to healthcare, creating a version of the framework specific to migrant children and young people’s mental health and neurodevelopmental differences.ConclusionsThis is the first qualitative evidence synthesis on barriers to care for mental health problems and/or neurodevelopmental differences in migrant children and young people in high-income countries. We present an adapted conceptual framework that will help professionals and policy-makers to visualise the complex nature of barriers to care, and assist in improving practice and designing interventions to overcome them. Similar barriers were identified across study participants and migrant populations. While many barriers were also similar to those for children and young people in general populations, migrant families faced further, specific barriers to care. Interventions targeting multiple barriers may be required to ensure migrant families reach care.

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Section: Limitations and Methodological Considerationssupporting

confidence: 73%

Perceived barriers to care for migrant children and young people with mental health problems and/or neurodevelopmental differences in high-income countries: a meta-ethnography

et al. 2021

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“…The records in the review attest to the importance of spaces and places, particularly LGBTI+ youth groups. Visibility of LGBTI+ communities was emphasised [ 98 , 100 , 106 , 108 , 112 , 114 , 115 ], achieved though LGBTI+ role models [ 73 , 75 , 93 , 100 , 101 , 117 , 123 , 124 , 125 ] and organisations [ 68 , 100 , 104 , 113 , 115 ], and through media representation [ 67 , 75 , 115 , 126 ].…”

Section: Resultsmentioning

confidence: 99%

“…An emergent topic area identified as part of this review is the protective potential of cultural communities. Five records identify the potential for LGBTI+ identification and cultural identification to be mutually enhancing [ 70 , 73 , 103 , 106 , 125 ]. The interaction of these diverse identities provided support from peers and the inspiration of role models [ 70 , 106 , 125 ], resistance to cultural stigma and prejudice related to intersecting identities [ 103 ] and affirmation through the value of such unique and multifaceted identities [ 70 , 106 ].…”

Section: Resultsmentioning

confidence: 99%

Protective Factors for LGBTI+ Youth Wellbeing: A Scoping Review Underpinned by Recognition Theory

Ceatha

Koay

Buggy

et al. 2021

IJERPH

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Considerable research has been undertaken regarding the mental health inequalities experienced by lesbian, gay, bisexual, transgender and intersex (LGBTI+) youth as a consequence of societal and individual prejudice, stigma and discrimination. Far less research has focussed on protective factors that promote wellbeing for this population. A scoping review was conducted using a six-stage methodological framework, and is reported in accordance with the PRISMA-ScR statement. This explored the extent, range and nature of the peer-reviewed, published, academic literature on what is known about the protective factors that promote LGBTI+ youth wellbeing. Six databases were systematically searched applying Population–Concept–Context key inclusion criteria, complemented by contact with authors to identify additional sources, reference checks and hand searches. Ninety-six individual research records were identified and analysed, drawing from Honneth’s Recognition Theory. Interpersonal relations with parents (n = 40), peers (n = 32) and providers (n = 22) were associated with indicators of enhanced wellbeing, as were LGBTI+ community relations (n = 32). Importantly, online (n = 10), faith (n = 10) and cultural (n = 5) communities were potentially protective. Content and thematic analysis highlighted the importance of Gay–Straight Alliances (GSAs) (n = 23) offering powerful protective opportunities through intersecting interpersonal, community and legal forms of recognition. GSAs enhance allyship by peers and providers (n = 21), facilitate access to LGBTI+ community networks (n = 11) and co-exist alongside inclusive policies (n = 12), curricular (n = 5) and extracurricular activities (n = 1). This scoping review underscores the need to move beyond the predominant focus on risk factors for LGBTI+ youth, which subsequently inform protectionist approaches. It concludes with an appeal to develop mechanisms to apply recognitive justice to policy, practice and, importantly, future research directions. This emphasises the salience of enhanced understandings of inclusion, which is rights-based, universally available and of potential benefit to all.

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“…Although SGMY immigrate to countries such as Canada to escape imprisonment, execution, and victimization, many challenges persist (Logie et al, 2016 ; Munro et al, 2013 ). Newcomer SGMY may face homophobia from their families and diaspora communities, as well as racism from white LGBTQ+ people (Alessi et al, 2017 ; Chiang et al, 2019 ; Kahn & Alessi, 2017 ; Lewis, 2016 ). Further, refugee claimants must repeatedly come out to numerous decision makers and retell their traumatic stories of persecution, which poses risks of re-traumatization (Lee & Brotman, 2013 ).…”

Section: Priority Populations Of Sgmymentioning

confidence: 99%

“…Qualitative research with SGM refugee and asylum seekers has found that they experienced challenging mental health concerns (Alessi et al, 2015 ) and exhibited resilience. Despite the challenges facing newcomer LGBTQ+ youth, there have also been investigations into the resiliency that youth with multiple marginalization are able to build alongside coping strategies as they grow through these adversities (Chiang et al, 2019 ; Li et al, 2017 ).…”

Section: Priority Populations Of Sgmymentioning

confidence: 99%

Towards an integrative self: a digital photo elicitation study of resilience among key marginalized populations of sexual and gender minority youth

Craig

Eaton

Kirkland

et al. 2021

International Journal of Qualitative Studies on Health and Well

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Purpose: Sexual and gender minority youth (SGMY) experience unique challenges related to identity and disclosure, and cope in vibrant ways. Qualitative research has not yet fulsomely explored the risk, resilience, and identity intersections that impact vulnerable SGMY wellbeing. Methods: This digital photo-elicitation study (QueerView) recruited thirty SGMY (aged 14–29) from priority populations that had one or more of the following experiences: trans and gender diverse, homelessness, child welfare, and immigration. From submission of fifteen photos representing resilience and a semi-structured interview via web conferencing, constructivist grounded theory was utilized for multimodal analysis of photos, interview video, and interview transcript. Triangulation, an audit trail, and member checking were employed to support trustworthiness. Results: A visual model emerged showing how participants work towards an integrative self, with themes of reflecting and knowing, discrimination and intersectional challenges, connecting, performing, curating, coping, (re)defining and (re)creating, growing and being. Sub-themes of the impact of family dynamic and values, mental health and trauma, and the cathartic benefit from advocacy and leadership offered insight. Participant images were captured in a digital gallery. Conclusions: QueerView animates the complex lives of multiply marginalized SGMY and their intersectional strengths and challenges while demonstrating the utility of a digital multimodal approach.

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Navigating double marginalisation: migrant Chinese sexual and gender minority young people’s views on mental health challenges and supports

Abstract: For guidance on citations see FAQs.

Cited by 12 publications

References 54 publications

Perceived barriers to care for migrant children and young people with mental health problems and/or neurodevelopmental differences in high-income countries: a meta-ethnography

Perceived barriers to care for migrant children and young people with mental health problems and/or neurodevelopmental differences in high-income countries: a meta-ethnography

Protective Factors for LGBTI+ Youth Wellbeing: A Scoping Review Underpinned by Recognition Theory

Towards an integrative self: a digital photo elicitation study of resilience among key marginalized populations of sexual and gender minority youth

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