Felner, J. K., Dudley, T. D., & Ramirez-Valles, J. (2018). “Anywhere but here”: Querying spatial stigma as a social determinant of health among youth of color accessing LGBTQ services in Chicago’s Boystown. Social Science & Medicine, 213, 181–189. Felner, Dudley, and Ramirez discuss the role of stigma across the areas of neighborhood residence, race, and class among a group of LGBTQ+ young people. The researchers discuss the fact that stigma’s role in negative health outcomes and describe their study which demonstrates that stigma is often compounded by being part of multiple stigmatized groups. As such it builds on the discussion from Week 2 regarding intersectionality. It also provides a discussion of implications for practice and policy.
Kamen, C. S., Alpert, A., Lytle, M., Norton, S. A., Margolies, L., Griggs, J. J., Darbes, L., Smith-Stoner, M., Poteat, T., & Scout, N. (2019). “Treat us with dignity”: A qualitative study of the experiences and recommendations of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients with cancer. Supportive Care in Cancer, 27(7), 2525–2532. Kamen et al. describe their study on LGBTQ+ individual’s experiences of cancer treatment. They provide recommendations for cancer providers that may be generalized to all health care providers who hope to provide effective services to those that identify as LGBTQ+.
McCabe, H. A., & Kinney, M. K. (2019). LGBTQ+ individuals, health inequities, and policy implications. Creighton Law Review, 52(4), 427–450. McCabe and Kinney (2019) discuss health disparities that exist based on sexual orientation and how these disparities are diminished or exacerbated by external factors, such as family support and stigma. Reviewing health disparities demonstrates the negative outcomes associated with stigma and barriers to treatment, emphasizing the need to be aware of and address these issues.
Romanelli, M., & Hudson, K. D. (2017). Individual and systemic barriers to health care: Perspectives of lesbian, gay, bisexual, and transgender adults. American Journal of Orthopsychiatry, 87(6), 714–728. In their study, Romanelli and Hudson identified system-level and individual-level barriers to health services for LGBTQ+ individuals. They discuss the necessity of addressing both levels to improved health outcomes for this population.
Scheim, A. I., & Travers, R. (2017). Barriers and facilitators to HIV and sexually transmitted infections testing for gay, bisexual, and other transgender men who have sex with men. AIDS Care, 29(8), 990–995. Scheim and Travers review the role of stigma and discrimination in accessing sexual health care among Transgender men who have sex with men. They highlight unique barriers to treatment among this population, such as attention to interactions between sexual health care and hormone therapy. As such, readers will become familiar with the needs of this population and consider methods for reducing barriers to treatment.
Smith, R. W., Altman, J. K., Meeks, S., & Hinrichs, K. L. (2019). Mental health care for LGBT older adults in long-term care settings: Competency, training, and barriers for mental health providers. Clinical Gerontologist, 42(2), 198–203. Smith, Altman, Meeks, and Hinrichs describe their study in which they interview mental health providers on the barriers to mental health treatment for LGBTQ+ older adults. They identify specific barriers for this population which demonstrate that there are similar barriers experienced across the LGBTQ+ population as a whole, but also unique barriers given intersecting identities, such as age.