The LGBTQ Supportive Environments Inventory: Methods for quantifying supportive environments for LGBTQ youths
Abstract The social environment in which lesbian, gay, bisexual, transgender, and queer (LGBTQ) youths live influences health and well-being. We describe the development of the LGBTQ Supportive Environments Inventory (LGBTQ SEI), designed to quantify the LGBTQ-inclusiveness of social environments in the United States and Canada. We quantify aspects of the social environment including: (1) presence/quality […]
“It makes such a difference”: A examination of how LGBTQ youth talk about personal gender pronouns across North America
ABSTRACT Background and purpose: The World Health Organization has developed standards for youth-friendly health services to support adolescents and encourage health care utilization among youth. Necessary building blocks for youth-friendly care include strong interpersonal relationships between youth and health care providers. Nurse practitioners (NPs) may be particularly well positioned to form these relationships. This study […]
Worsening Perceptions of Family Connectedness and Parent Support for Lesbian, Gay, and Bisexual Adolescents
Abstract Objectives Lesbian, gay, and bisexual (LGB) adolescents often report compromised relations with their families. Given the recent changes in societal attitudes toward LGB individuals, in respect to rights for marriage and other legal statuses, we explore whether or not there has been a change in how LGB and heterosexual adolescents perceive their family relations […]
The Links Between Sexual Abuse Severity, Running Away, and Parental Connectedness Among Youth at a Hospital-Based Child Advocacy Center
Abstract Purpose Runaway adolescents often have strained relationships with their parents. Given parental support is an important protective resource for traumatized young people, understanding differences in support within parent–adolescent relationships could aid in designing more effective interventions. We hypothesized (1) runaway adolescents seen at a Child Advocacy Center (CAC) would have poorer parental relationships than […]
Risk and protective factors for transgender youths’ substance use
Abstract Research at the intersection of substance use and protective factors among transgender youth is scarce; emerging evidence suggests high risk for substance use for transgender youth. We analyzed data from 323 transgender youth aged 14–18 ( M age = 16.67) to investigate the extent that risk (enacted stigma) and protective factors (support from family, school, friends) […]
Primary care access and foregone care: a survey of transgender adolescents and young adults
Abstract Objective: To examine the issues of primary care access and foregone health care among transgender adolescents and young adults. This cross-sectional analysis of data from the Canadian Trans Youth Health Survey was conducted online during 2013–2014. Participants included 923 youth aged 14–25 (323 adolescents aged 14–18 and 600 young adults aged 19–25). Main outcome […]
Substance Use among Sexual Minorities: Has it Actually Gotten Better?
Abstract Despite efforts to decrease substance use, rates among sexual minority youth (SMY) remain higher than among heterosexuals. Substance use is a leading contributor to morbidity and mortality in adulthood, and SMY’s use of substances is related to poorer mental and emotional health. We sought to document the trends in substance use for a large […]
Population-level sexual behaviours in adolescent girls before and after introduction of the human papillomavirus vaccine (2003–2013)
Abstract The human papillomavirus (HPV) vaccine is delivered widely through school-based immunization programs. Some groups have expressed concern that HPV vaccination programs will result in an increase in sexual risk-taking behaviours among adolescents. We aimed to evaluate population-level changes in sexual behaviours before and after implementation of the school-based HPV vaccination program in British Columbia. […]
