Reducing Inequalities Between Lesbian, Gay, Bisexual, Transgender, and Queer Adolescents and Cisgender, Heterosexual Adolescents Proceedings of a Workshop (2022) / Chapter Skim
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Day one concluded with a panel highlighting the lived experience of LGBTQ youth of color and a panel focused on the state of knowledge regarding outcomes and interventions for LGBTQ youth of color. Speakers on workshop days two and three detailed promising interventions being used to reduce inequalities in the domains of health, education, family, and community, as well as in systems of care and juvenile justice.
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The views contained in the proceedings are those of the individual workshop participants and do not necessarily represent the views of other workshop participants, the workshop planning committee, or the National Academies. OPENING REMARKS Stephen Russell (University of Texas at Austin)
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Third, BOX 1-1 Statement of Task A planning committee appointed by the National Academies of Sciences, Engineering, and Medicine will plan and execute a virtual 2-day public workshop focused on examining inequalities in mental, emotional, behavioral (MEB) , and physical health among LGBTQ youth, what is known about strategies for sup porting them, lessons to be learned from these strategies, and how to reduce inequities through programs, practices, and policies.
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. These shifts, said Toomey, are likely due to the increased visibility of sexual and gender diversity in everyday life, as well as shifting attitudes that have become more positive toward SGD populations.
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. The health outcomes measured in NIH-funded studies were narrow, with 80 percent focused on HIV and AIDS, 30 percent on drug use, 23 percent on mental health, 16 percent on FIGURE 1-1 Racial diversity among sexually diverse youth (SDY)
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There is robust or growing evidence in areas such as gender-affirmative practices, school policies and practices, and some sexual health interventions (Abreu et al., 2021; Craig et al., 2019) , but limited empirical literature in areas includ ing mental health interventions, family-based interventions, and multilevel interventions (Bochicchio et al., 2020; Coulter et al., 2019; Newcomb et al., 2019; Hobaica et al., 2018)
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. The multiplicative hypothesis proposes that, for each additional form of discrimination a person experiences, mental health would multiplicatively worsen (i.e., two forms of discrimination worsen mental health twice as much as one form of discrimination)
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While research is acknowledging and finding ways to incorporate the intersecting identities and experiences of SGD youth into research, there is more work to be done. POLICY LANDSCAPE In reviewing the policy landscape facing LGBTQ youth, Naomi oldberg (Movement Advancement Project)
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In the past year, eight states have passed laws restricting trans youth's ability to play sports, and Arkansas banned affirming medical care. Looking across many areas of LGBTQ youth-related laws and policies, Goldberg also noted trends in state policies across the country, which vary significantly by region (Figure 1-3)
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. On the other hand, policies that negatively target LGBTQ youth have a negative impact on their mental health and well-being (GLSEN, 2018)
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Goldberg responded that there are many innovative and groundbreaking programs happening around the country; for example, a program in Michigan brings together LGBTQ youth advocates, state officials, and child welfare professionals to help families understand gender diversity in small children. Funding is needed, she said, to share, adapt, and scale up these programs for use in other parts of the country.
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