Stigma and Minority Stress as Social Determinants of Health Among Lesbian, Gay, Bisexual, and Transgender Youth Research Evidence and Clinical Implications

被引：530
作者：
Hatzenbuehler, Mark L. [1 ]
Pachankis, John E. [2 ]
机构：
[1] Columbia Univ, Mailman Sch Publ Hlth, Dept Sociomed Sci, 722 West 168th St,Room 549B, New York, NY 10032 USA
[2] Yale Sch Publ Hlth, Chron Dis Epidemiol Social & Behav Sci, 60 Coll St,Suite 316, New Haven, CT 06510 USA
来源：
PEDIATRIC CLINICS OF NORTH AMERICA | 2016年 / 63卷 / 06期
关键词：
Stigma; Minority stress; Health; LGBT youth; RANDOMIZED CONTROLLED-TRIAL; LGBT HATE CRIMES; YOUNG-ADULT GAY; SEXUAL-MINORITY; STRUCTURAL STIGMA; MENTAL-HEALTH; SUICIDE ATTEMPTS; INTERNALIZED HOMONEGATIVITY; REJECTION SENSITIVITY; EMOTION REGULATION;
D O I：
10.1016/j.pcl.2016.07.003
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
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 individual (eg, identity concealment), interpersonal (eg, victimization), and structural (eg, laws and social norms) levels, as well as the mechanisms 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.
引用
收藏
页码：985 / +
页数：15
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