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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:
–
–
–
–
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