Constructing (new) LGBT Youth of Color Health Narratives
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- 1. Martine Hackett Antonio (Jay) Pastrana, Jr.Hofstra
University John Jay College, CUNY ESS Annual Conference February
25, 2012
- 2. 1. From individual perspective: Health providers for LGBT
populations need to understand the stories of LGBT youth of color
to communicate effectively and to provide appropriate care.2. From
a population perspective: Effective construction of prevention
messages and health policies require accurate knowledge of LGBT
youth of color health beliefs and attitudes.
- 3. What are the current health narratives for LGBT youth of
color as constructed by public health authorities? What are the
interactions and experiences of LGBT youth of color with their
health and the health care system? How could new narratives inform
healthcare communication for LGBT youth of color?
- 4. Mixed-method approach, which encompassed secondary data
analysis of a nation-wide survey of LGBT people of color (N=4,953)
and selected youth of color (ages 18-24) from that sample.
Ultimately, 959 cases were selected for analysis. Purposeful sample
of 4 health campaigns (2010- 2012) from local health departments,
Centers for Disease Control and Prevention and GHMC were analyzed
for how LGBT youth of color health narratives were constructed in
the media.
- 5. HIV main focus: emphasis on testing and education Focus on
individual responsibility for health: what happens after you get
tested? Though more campaigns are using strength-based approaches,
a fear-centered deficit model and images pack a bigger punch Little
to no representation of health issues for lesbians and transgender
Health issues that LGBT youth of color at greater risk for not
addressed: chronic disease, mental health, homelessness
- 6. Self-Reported General HealthLGBT Youth of Color (N = 959)
Poor 2% Fair 9% Excellent 22% Good 33%Very Good 34%
- 7. Self-Reported Mental Health "Felt just as good as others"
LGBT Youth of Color (N = 959)Most of the Time 39.5A Lot of the Time
29.5 Sometimes 23.7 Never 7.3
- 8. Self-Reported Mental Health "Felt hopeful about the future"
LGBT Youth of Color (N = 959)Most of the Time 44.4A Lot of the Time
28.3 Sometimes 22.8 Never 4.5
- 9. Perceived comfort level of medical provider at last visit
LGBT Youth of Color (N = 959) Did not know 36.7 Ignored 12.7
Uncomfortable 6.6Seemed comfortable 44.1
- 10. Source of Health Information LGBT Youth of Color (N = 959)
Other 4.8 Friends 6.4 Family 20 Online 22.1A Medical Professional
36.3 0 5 10 15 20 25 30 35 40
- 11. Healthcare provider comfort level with LGBT youth of color
needs to improve Health information is heard from different places,
not just from medical professionals Most LGBT youth of color have
positive perceptions of their own health, have a positive sense of
self and are hopeful about the future
- 12. Would allow LGBT youth of color to own their stories about
health andwellness from where they are, not where they should
be.Would use narratives of their experiences to frame health
messagesusing friends, family and online sources.Would reflect a
contemporary, holistic image of LGBT youth of color inhealth
communication materials.Where LGBT youth of color bring their
authoritative selves and havean active role in patient-provider
communication.Addresses other pressing health issues beyond HIV at
community andpolicy levels.