当前位置： SCI文献检索 > Translational Behavioral Medicine期刊下所有文献 > A systematic review of stigma in sexual and gender minority health interventions.

A systematic review of stigma in sexual and gender minority health interventions.

Abstract：

:Stigma against sexual and gender minorities is a major driver of health disparities. Psychological and behavioral interventions that do not address the stigma experienced by sexual and gender minorities may be less efficacious. We conducted a systematic review of existing psychological and behavioral health interventions for sexual and gender minorities to investigate how interventions target sexual and gender minority stigma and consider how stigma could affect intervention efficacy. Preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed. Eligible studies were peer reviewed and published in English between January 2003 and July 2019 and reported empirical results of behavioral or psychological interventions implemented among sexual and gender minorities. All interventions addressed stigma. We identified 37 eligible interventions. Most interventions targeted sexual minority men. Interventions were frequently developed or adapted for implementation among sexual and gender minorities and addressed multiple levels and types of stigma. Interventions most frequently targeted proximal stressors, including internalized and anticipated stigma. HIV and mental health were the most commonly targeted health outcomes. A limited number of studies investigated the moderating or mediating effects of stigma on intervention efficacy. The application of an intersectional framework was frequently absent and rarely amounted to addressing sources of stigma beyond sexual and gender minority identities. A growing number of interventions address sexual and gender minority stigma in an effort to prevent deleterious health effects. Future research is needed to assess whether stigma modifies the effectiveness of existing psychological and behavioral interventions among sexual and gender minorities. Further, the application of intersectional frameworks is needed to more comprehensively intervene on multiple, intersecting sources of stigma faced by the diverse sexual and gender minority community.

journal_name

Transl Behav Med

journal_title

Translational behavioral medicine

authors

Layland EK,Carter JA,Perry NS,Cienfuegos-Szalay J,Nelson KM,Bonner CP,Rendina HJ

doi

10.1093/tbm/ibz200

subject

Has Abstract

pub_date

2020-10-12 00:00:00

pages

1200-1210

issue

eissn

1869-6716

issn

1613-9860

pii

5921062

journal_volume

pub_type

杂志文章

在线工具

A systematic review of stigma in sexual and gender minority health interventions.