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LGBT Youth
Issues in Public Health
Presentation objectives:
 Participants will be able to identify three
issues unique to LGBT youth
 Participants will be able to identify two
reasons for disparities in LGBT youth
experiences
 Participants will be able to identify at
least three methods of improving LGBT
youth outcomes
Brief overview of LGBT
 Lesbian
 Gay
 Bisexual
 Transgender
The coming out process
 General Model:
–
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–
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Awareness
Exploration
Acceptance
Integration
LGBT youth experiences
 Not monolithic!
 Can be shaped by many factors
 Trends
 Heightened risks
Heightened risks for LGBT youth:
 Vulnerable housing/ homelessness
 Trouble in school
 Violence
 Self harm, suicidal ideation
Experiences of LGBT youth
in high school
 Increased harassment
 Feelings of safety
 School absences
 Poorer academic outcomes
Vulnerable housing/ homelessness
 Hostile or unwelcoming home
 Disproportionately homeless
 Safety concerns
Survival sex
Violence
 Bullying
 Domestic Violence
 Sexual Assault
 Bias crimes/ hate crimes
Self harm, suicidal ideation
 Alcohol, substance and tobacco use/abuse
 Self inflicted harm
 Suicidal ideation
 Rates of suicide
Considerations for LGBT youth
 Parental acceptance and views
 Supportive climate in school
 Healthy LGBT role models
Considerations for intervention
 Create inclusive policies
 Ensure safe spaces
 Consider the ecological model
 Tips for inclusive programs
Acknowledgements
This presentation was designed in Spring
2011 by Curran Saile, Program Director of
the Pride Center of the Capital Region done
in partial completion of Masters in Public
Health requirements at the University at
Albany School of Public Health. The project
would not have been possible without the
support of Mary Applegate, Jennifer
Manganello, Cheryl Reeves and the Pride
Center of the Capital Region.
References
Blake et al. Preventing Sexual Risk Behaviors Among Gay, Lesbian, and Bisexual
Adolescents: The Benefits of Gay-Sensitive HIV Instruction in Schools. American Journal of
Public Health. .June 2001. Vol. 91,No. 6, 940-946.
Cochran, Bryan N., Stewart, Angela J., Ginzler, Joshua A., and Ana Mari Cauce. 2002.
Challenges Faced by Homeless Sexual Minorities: Comparison of Gay, Lesbian, Bisexual,
And Transgender Homeless Adolescents With Their Heterosexual Counterparts. American
Journal of Public Health 92, no. 5: 773-777.
Garofalo, Robert, MD; R. Wolf, Cameron MS; S. Wissow, Lawrence MD, MPH;
Woods, Elizabeth R., MD, MPH; Goodman, Elizabeth MD. Sexual Orientation and Risk of
Suicide Attempts Among a Representative Sample of Youth. Pediatric and Adolescent
Medicine. Volume153, May 1999.
Kelleher, Cathy. Minority stress and health: Implications for lesbian, gay, bisexual,
transgender, and questioning (LGBTQ) young people. Counseling Psychology Quarterly; Dec
2009, Vol. 22 Issue 4, p373-379, 7p, 2 Charts
References
Kosciw, J. G., Greytak, E. A., Diaz, E. M., and Bartkiewicz, M. J. (2010). The 2009 National
School Climate Survey: The experiences of lesbian, gay, bisexual and transgender youth in
our nation’s schools. New York: GLSEN, 2009.
Kosciw, J. G., Greytak, E. A., & Diaz, E. M. Who, what, where, when, and why:
Demographic and ecological factors contributing to hostile school climate for lesbian, gay,
bisexual, and transgender youth. Journal of Youth and Adolescence, 38(7), 976–988, 2009.
Horn, S. S., Kosciw, J. G., & Russell, S. T. New research on lesbian, gay, bisexual,
and transgender youth: Studying lives in context. Journal of Youth and Adolescence, 38(7),
863–866, 2009.
Nealy, Eleanor C., Public Testimony to the New York State Legislature; Standing Committees on
Alcoholism and Drug Abuse and Health, New York City, January 7, 2005.
Rew, Lynn, Whittaker, Tiffany A., Taylor-Seehafer, Margaret, and Lorie R. Smith.
Sexual Health Risks and Protective Resources in Gay, Lesbian, Bisexual, and Heterosexual
Homeless Youth. Journal for Specialists in Pediatric Nursing 10, no. 1: 11-20, 2005.
References
Rew, Lynn, Tayler-Seehafer, Margaret and Maureen Fitzgerald. Sexual Abuse, Alcohol
and Other Drug Use, and Suicidal Behaviors in Homeless Adolescents. Issues in
Contemporary Pediatric Nursing 24: 225-240, 2001.
Riley, Bettina H. GLB Adolescent’s “Coming Out”. Journal of Child & Adolescent Psychiatric
Nursing. February 2010, Vol. 23 Issue 1, 3-10.
Whitbeck,Les B., Chen, Xiaojin, Hoyt, Dan R., Tyler, Kimberly A. and Kurt D. Johnson. Mental
Disorder, Subsistence Strategies, and Victimization Among Gay, Lesbian, and Bisexual
Homeless and Runaway Adolescents. The Journal of Sex Research 41, no. 4: 329-342, 2004.
Further resources in New York State
 Albany-Pride Center of the Capital Region
www.capitalpridecenter.org
 Buffalo- Gay and Lesbian Youth Services
www.glyswny.org
 Long Island- Long Island Gay and Lesbian Youth
www.ligly.org
 Manhattan- The LGBT Center
www.gaycente.org
 Rochester- The Gay Alliance of Genesee Valley
www.gayalliance.org
 Empire State Pride Agenda Health and Human Service
Network
www.prideagenda.org