Lesbian, gay, bisexual, and transgender youth:
Gespeichert in:
Weitere Verfasser: | , , , |
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Format: | Buch |
Sprache: | English |
Veröffentlicht: |
Philadelphia, Pennsylvania
Elsevier
[2016]
|
Schriftenreihe: | Pediatric clinics of North America
volume 63, number 6 (December 2016) |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | xxiii Seiten, Seite 955-1150 Illustrationen |
ISBN: | 9780323477475 |
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245 | 1 | 0 | |a Lesbian, gay, bisexual, and transgender youth |c editors Stewart L. Adelson, Nadia L. Dowshen, Harvey J. Makadon, Robert Garofalo |
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700 | 1 | |a Dowshen, Nadia L. |0 (DE-588)112424218X |4 edt | |
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Datensatz im Suchindex
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adam_text | Titel: Lesbian, gay, bisexual, and transgender youth
Autor: Adelson, Stewart L
Jahr: 2016
Lesbian, Gay, Bisexual, and Transgender Youth
Contents
Foreword: Lesbian, Gay, Bisexual, and Transgender Youth
Bonita F. Stanton
xv
Preface: Introduction to Lesbian, Gay, Bisexual, and Transgender Youth Health
Stewart L. Adelson, Nadia L. Dowshen, Harvey J. Makadon, and
Robert Garofalo
XVII
Erratum
XXIII
Caring for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in
Inclusive and Affirmative Environments
955
Scott E. Hadland, Baligh R. Yehia, and Harvey J. Makadon
Lesbian, gay, bisexual, transgender, queer and questioning (LGBTQ) youth
may experience interpersonal and structural stigma within the health care
environment. This article begins by reviewing special considerations for
the care of LGBTQ youth, then turns to systems-level principles underlying
inclusive and affirming care. It then examines specific strategies that indi-
vidual providers can use to provide more patient-centered care, and con-
cludes with a discussion of how clinics and health systems can tailor
clinical services to the needs of LGBTQ youth.
Development and Mental Health of Lesbian, Gay, Bisexual, or Transgender Youth
in Pediatric Practice 971
Stewart L. Adelson, Oliver M. Stroeh, and Yiu Kee Warren Ng
Assessing, monitoring, and supporting children and adolescents mental
health are integral parts of comprehensive pediatric primary care. These
are especially relevant for LGBT youth, who frequently experience unique
stressors, often including having an identity different from family and peer
expectations, whether to reveal it, and stigma like peer bullying, family
rejection, social intolerance, and self nonacceptance. Pediatricians should
know key mental health practice principles for LGBT youth, how to adapt
these to various pediatric settings, the continuum of mental health inter-
ventions, and their local resources. Practice principles in pediatric care
for LGBT youth and examples of their implementation are discussed.
Stigma and Minority Stress as Social Determinants of Health Among Lesbian, Gay,
Bisexual, and Transgender Youth: Research Evidence and Clinical Implications 985
Mark L. Hatzenbuehler and John E. Pachankis
In this article, we review theory and evidence on stigma and minority stress
as social/structural determinants of health among lesbian, gay, bisexual,
and transgender (LGBT) youth. We discuss different forms of stigma at in-
dividual (eg, identity concealment), interpersonal (eg, victimization), and
structural (eg, laws and social norms) levels, as well as the mechanisms
x Contents
linking stigma to adverse health outcomes among LGBT youth. Finally, we
discuss clinical (eg, cognitive behavioral therapy) and public health (eg,
antibullying policies) interventions that effectively target stigma-inducing
mechanisms to improve the health of LGBT youth.
Bullying Among Lesbian, Gay, Bisexual, and Transgender Youth 999
Valerie A. Earnshaw, Laura M. Bogart, V. Paul Poteat, Sari L. Reisner, and
Mark A. Schuster
Bullying of lesbian, gay, bisexual, and transgender (LGBT) youth is preva-
lent in the United States, and represents LGBT stigma when tied to sexual
orientation and/or gender identity or expression. LGBT youth commonly
report verbal, relational, and physical bullying, and damage to property.
Bullying undermines the well-being of LGBT youth, with implications for
risky health behaviors, poor mental health, and poor physical health that
may last into adulthood. Pediatricians can play a vital role in preventing
and identifying bullying, providing counseling to youth and their parents,
and advocating for programs and policies to address LGBT bullying.
Lesbian, Gay, Bisexual, and Transgender Youth and Family Acceptance 1011
Sabra L. Katz-Wise, Margaret Rosario, and Michael Tsappis
In this article, we address theories of attachment and parental acceptance
and rejection, and their implications for lesbian, gay, bisexual, and trans-
gender (LGBT) youths identity and health. We also provide 2 clinical cases
to illustrate the process of family acceptance of a transgender youth and a
gender nonconforming youth who was neither a sexual minority nor trans-
gender. Clinical implications of family acceptance and rejection of LGBT
youth are discussed.
Human Immunodeficiency Virus, Other Sexually Transmitted Infections, and
Sexual and Reproductive Health in Lesbian, Gay, Bisexual, Transgender Youth 1027
Sarah M. Wood, Caroline Salas-Humara, and Nadia L. Dowshen
Lesbian, gay, bisexual, transgender (LGBT), and questioning youth repre-
sent a diverse population who are affected by many sexual health ineq-
uities, including increased risk for human immunodeficiency virus (HIV)
and sexually transmitted infections (STIs). To provide comprehensive sex-
ual health care for LGBT youth, providers should set the stage with a
nonjudgmental, respectful tone. Providers should be competent in recog-
nizing symptoms of STIs and HIV and aware of the most up-to-date
screening guidelines for LGBT youth. Sexual health visits should also focus
on prevention, including safer sex practices, HIV pre-exposure and post-
exposure prophylaxis, family planning, and immunization for hepatitis
and human papillomavirus.
Substance Abuse Prevention, Assessment, and Treatment for Lesbian, Gay,
Bisexual, and Transgender Youth 1057
Romulo Alcalde Aromin Jr
Knowing how to manage substance abuse in all youth is an important
aspect of pediatric care, including providing clinically appropriate
Contents xi
anticipatory guidance, monitoring, assessment, and treatment. Although
most lesbian, gay, bisexual, and transgender (LGBT) youth do not abuse
substances, as a group they experience unique challenges in self-
identity development that put them at an increased risk for substance
abuse. This article addresses prevention and management of substance
use in LGBT youth relevant to pediatrics and allied professions as an
aspect of their overall health care. It reviews basic information about sub-
stance abuse in youth and special considerations for LGBT youth.
Body Image and Eating Disorders Among Lesbian, Gay, Bisexual, and Transgender
Youth 1079
Zachary McClain and Rebecka Peebles
Adolescence is a crucial period for emerging sexual orientation and gender
identity and also body image disturbance and disordered eating. Body im-
age distortion and disordered eating are important pediatric problems
affecting individuals along the sexual orientation and gender identity spec-
trum. Lesbian, gay, bisexual, transgender (LGBT) youth are at risk for
eating disorders and body dissatisfaction. Disordered eating in LGBT
and gender variant youth may be associated with poorer quality of life
and mental health outcomes. Pediatricians should know that these prob-
lems occur more frequently in LGBT youth. There is evidence that newer
treatment paradigms involving family support are more effective than indi-
vidual models of care.
The Intersection of Sociocultural Factors and Health-Related Behavior in Lesbian,
Gay, Bisexual, and Transgender Youth: Experiences Among Young Black Gay
Males as an Example 1091
Errol Fields, Anthony Morgan, and Renata Arrington Sanders
Intersectionality suggests that multiple social identities intersect at the in-
dividual or micro level of experience and reflects larger social structural in-
equities experienced on the macro level. This article uses intersectionality
to describe how multiple stigmatized social identities can create unique
challenges for young black gay and bisexual men (YBGBM). YBGBM exist
at the intersection of multiple stigmatized identities compared with their
majority peers. This article examines key intersecting identities and cultural
expectations that exist in YBGBM and how those factors may predispose
young men to adverse health outcomes and health inequality.
Lesbian, Gay, Bisexual, and Transgender Families 1107
Cecil R. Webster Jr and Cynthia J. Telingator
Families headed by sexual minorities encounter unique barriers to care
and health equity despite greater cultural acceptance and visibility. Empir-
ical research suggests that children in lesbian, gay, bisexual, and trans-
gender (LGBT) families develop and function comparably to those from
traditional families. In helping families, awareness of family structure is
important. The health care provider should be familiar with family compo-
sition, and their community, social supports, race/ethnic concerns, finan-
cial issues, and other vulnerabilities. Cultivating an office culture and
practice that supports all patients to comfortably discuss their family
xii Contents
history, interpersonal experiences, needs, and vulnerabilities is essential
for excellence in clinical care.
What the Primary Care Pediatrician Needs to Know About Gender Incongruence
and Gender Dysphoria in Children and Adolescents 1121
Annelou L.C. de Vries, Daniel Klink, and Peggy T. Cohen-Kettenis
The recognition and acknowledgment that gender identity and birth-
assigned sex may be incongruent in children and adolescents have
evolved in recent decades. Transgender care for children and adolescents
has developed and is now more widely available. Controversies exist,
however, around clinical management of gender dysphoria and gender
incongruence in children and adolescents. Clinical guidelines are
consensus based and research evidence is limited. Puberty suppression
as part of clinical management has become a valuable element of adoles-
cent transgender care, but long-term evidence of success is limited. These
uncertainties should be weighed against the risk of harming a transgender
adolescent when medical intervention is denied.
National Resources for Lesbian, Gay, Bisexual, Transgender Youth, Providers,
and Support Persons
Index
1137
1141
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spellingShingle | Lesbian, gay, bisexual, and transgender youth Pediatric clinics of North America |
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title_full | Lesbian, gay, bisexual, and transgender youth editors Stewart L. Adelson, Nadia L. Dowshen, Harvey J. Makadon, Robert Garofalo |
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title_full_unstemmed | Lesbian, gay, bisexual, and transgender youth editors Stewart L. Adelson, Nadia L. Dowshen, Harvey J. Makadon, Robert Garofalo |
title_short | Lesbian, gay, bisexual, and transgender youth |
title_sort | lesbian gay bisexual and transgender youth |
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