Abstract:Young people who identify as gender minority (ie, transgender, nonbinary, gender diverse) experience violence at significantly higher rates than their cisgender counterparts (ie, those whose gender identity aligns with their sex category assigned at birth). These experiences of violence include threat or injury with a weapon, forced sexual intercourse, dating violence, and bullying. 1 Studies indicate that gender minority youth experience significant discrimination and stigma, which contribute to disparities i… Show more
“…Scholars have made calls for preventionists and programme developers to centre marginalized voices and broader social justice efforts into programming (Bonomi, 2019 ; Brush & Miller, 2022 ; Klein et al, 2021 ; Rothman, 2019 ), in response to research demonstrating that SOGD communities tend to understand their increased risk for victimization as being attributed broader queerphobic/bi-phobic/homophobic/transphobic climate, want sexual prevention efforts to integrate social justice training into their programming (Flanders et al, 2023 ; Johnson et al, 2019 ; McMahon et al, 2020 ; Potter et al, 2012 ). Scholars have noted how gender transformative paradigms in prevention programmes (which aim to levy social norms approaches to challenge gender inequity that contributes to violence risk) (Brush & Miller, 2019 ; Orchowski, 2019 ) may be particularly helpful in considering strategies to change attitudes and perceptions of SOGD youth as deviant or dangerous, and promote attitudes that disavow violence against SOGD people (Miller, 2022 ). Explicitly challenging stigmatizing attitudes for sexual minorities that are specifically at risk (e.g.…”
Section: Recommendations For Enhancing Sogd Sexual Violence Preventionmentioning
Background:
Members of the lesbian, gay, bisexual, transgender, queer, and other sexual orientation and gender diverse (SOGD) communities are at disproportionately higher risk for sexual violence compared to cisgender heterosexual people. Despite this elevated risk, relatively few sexual violence prevention efforts effectively reduce these victimization disparities based on sexual orientation or gender identity.
Objective:
This narrative review provides an overview of the prevalence of sexual violence in the SOGD communities, delineates risk factors for sexual victimization among SOGD community members, and reviews and evaluates existing prevention efforts for the SOGD communities. We outline specific recommendations for ensuring that prevention efforts meet the needs of the SOGD communities.
Method:
Drawing on ecological systems theory and public health approaches to sexual violence prevention, we outline current approaches and opportunities for preventionists and scholars to push the field forward.
Results:
There have been promising prevention programmes designed to be implemented within SOGD communities specifically; however, it is important that general primary prevention programmes endeavour to specifically address sexual violence perpetrated against SOGD people. While many packaged programmes that endeavour to prevent sexual violence across all gender identities and sexual orientations are inclusive of SOGD participants, more programming is needed that integrates anti-oppression training to target social norms that perpetuate SOGD-specific rape myths and normalize sexual violence against SOGD community members.
Conclusion:
Ecological prevention strategies in line with a public health approach for primary prevention may be particularly valuable for reducing victimization disparities based on SOGD status and identity. Comprehensive sexual education and anti-discrimination policies should be considered front-line prevention programming. To assess if these strategies are effective, the implementation of large-scale surveillance surveys that use comprehensive assessments of sexual orientation, gender identity, and sexual violence are needed. Using theoretically grounded implementation strategies for prevention programmes can ensure effective programme delivery.
“…Scholars have made calls for preventionists and programme developers to centre marginalized voices and broader social justice efforts into programming (Bonomi, 2019 ; Brush & Miller, 2022 ; Klein et al, 2021 ; Rothman, 2019 ), in response to research demonstrating that SOGD communities tend to understand their increased risk for victimization as being attributed broader queerphobic/bi-phobic/homophobic/transphobic climate, want sexual prevention efforts to integrate social justice training into their programming (Flanders et al, 2023 ; Johnson et al, 2019 ; McMahon et al, 2020 ; Potter et al, 2012 ). Scholars have noted how gender transformative paradigms in prevention programmes (which aim to levy social norms approaches to challenge gender inequity that contributes to violence risk) (Brush & Miller, 2019 ; Orchowski, 2019 ) may be particularly helpful in considering strategies to change attitudes and perceptions of SOGD youth as deviant or dangerous, and promote attitudes that disavow violence against SOGD people (Miller, 2022 ). Explicitly challenging stigmatizing attitudes for sexual minorities that are specifically at risk (e.g.…”
Section: Recommendations For Enhancing Sogd Sexual Violence Preventionmentioning
Background:
Members of the lesbian, gay, bisexual, transgender, queer, and other sexual orientation and gender diverse (SOGD) communities are at disproportionately higher risk for sexual violence compared to cisgender heterosexual people. Despite this elevated risk, relatively few sexual violence prevention efforts effectively reduce these victimization disparities based on sexual orientation or gender identity.
Objective:
This narrative review provides an overview of the prevalence of sexual violence in the SOGD communities, delineates risk factors for sexual victimization among SOGD community members, and reviews and evaluates existing prevention efforts for the SOGD communities. We outline specific recommendations for ensuring that prevention efforts meet the needs of the SOGD communities.
Method:
Drawing on ecological systems theory and public health approaches to sexual violence prevention, we outline current approaches and opportunities for preventionists and scholars to push the field forward.
Results:
There have been promising prevention programmes designed to be implemented within SOGD communities specifically; however, it is important that general primary prevention programmes endeavour to specifically address sexual violence perpetrated against SOGD people. While many packaged programmes that endeavour to prevent sexual violence across all gender identities and sexual orientations are inclusive of SOGD participants, more programming is needed that integrates anti-oppression training to target social norms that perpetuate SOGD-specific rape myths and normalize sexual violence against SOGD community members.
Conclusion:
Ecological prevention strategies in line with a public health approach for primary prevention may be particularly valuable for reducing victimization disparities based on SOGD status and identity. Comprehensive sexual education and anti-discrimination policies should be considered front-line prevention programming. To assess if these strategies are effective, the implementation of large-scale surveillance surveys that use comprehensive assessments of sexual orientation, gender identity, and sexual violence are needed. Using theoretically grounded implementation strategies for prevention programmes can ensure effective programme delivery.
“…Survivors belonging to the LGBTQIA+ community may not seek help because of fear of retribution, lack of protection, and concerns about being rejected by family and friends, which cause extra psychological pressure. [ 19 ] Lesbian, gay, bisexual, and transgender people may perceive that their sexual orientation or gender identity may play in making them vulnerable to sexual violence. Medical professionals should listen sympathetically and validate their thoughts and emotions.…”
Section: Lgbtqia+mentioning
confidence: 99%
“…Survivors belonging to the LGBTQIA+ community may not seek help because of fear of retribution, lack of protection, and concerns about being rejected by family and friends, which cause extra psychological pressure. [ 19 ]…”
Globally, adolescents experience a significant burden of interpersonal violence, impacting their health, well-being and life trajectory. To address this, decision-makers need reliable evidence on effective interventions across various contexts.ObjectivesSynthesise the evidence for interventions addressing interpersonal violence experienced by adolescents aged 10–25 years.MethodsSix electronic databases were systematically searched. Systematic reviews and meta-analyses published globally between 2010 and 2022 were included if they reported interventions addressing interpersonal violence experienced by adolescents. Results were synthesised narratively.Results35 systematic reviews were included, of which 16 were also meta-analyses. Majority of reviews included interventions set in high income countries (71%) and implemented in educational settings (91%). Effectiveness was reported in majority of interventions measuring victimisation and/or perpetration of intimate partner violence, sexual violence, bullying and/or cyberbullying (90%), majority of interventions measuring improvements in knowledge and attitudes towards violence (94%) and all interventions measuring bystander behaviour and improvements in well-being and quality of life. However, the quality of included reviews as per Assessment of Multiple Systematic Reviews 2 and National Health and Medical Research Council was low, and equity as per PROGRESS-PLUS was seldom considered. There was also a paucity of interventions addressing interpersonal violence in low-middle income countries (12%) and none of the included interventions specifically addressed interpersonal violence perpetrated in the home such as family violence.ConclusionThere is some evidence of promising interventions to address interpersonal violence experienced by adolescents, however there are gaps in scope and implementation. There is a need for equity-oriented public health approaches to comprehensively address the disproportionate burden of interpersonal violence experienced by adolescents globally, including those at the highest risk of harm.PROSPERO registration numberCRD42020218969.
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