4.1 Article

First- and Second-Hand Experiences of Enacted Stigma Among LGBTQ Youth

Journal

JOURNAL OF SCHOOL NURSING
Volume 37, Issue 3, Pages 185-194

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/1059840519863094

Keywords

enacted stigma; lesbian; gay; bisexual; transgender; and queer youth; safety; bias-based bullying; harassment; school nursing

Categories

Funding

  1. Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health [R01HD078470]
  2. National Institutes of Drug Abuse [K01DA047918]

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Research shows that enacted stigma experienced by LGBTQ youth occurs in various contexts, restricting their movement and impacting their perceptions of safety. Efforts to improve LGBTQ youth well-being must address the diverse forms and contexts of enacted stigma they experience. School nurses can play a critical role in reducing enacted stigma in schools and collaborating with community partners.
Research on enacted stigma, or stigma- and bias-based victimization, including bullying and harassment, among lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth often focuses on one context (e.g., school) or one form (e.g., bullying or microaggressions), which limits our understanding of these experiences. We conducted qualitative go-along interviews with 66 LGBTQ adolescents (14-19 years) in urban, suburban, town, and rural locations in the United States and Canada identified through purposive and snowball sampling. Forty-six participants (70%) described at least one instance of enacted stigma. Three primary themes emerged: (1) enacted stigma occurred in many contexts; (2) enacted stigma restricted movement; and (3) second-hand accounts of enacted stigma shaped perceptions of safety. Efforts to improve well-being among LGBTQ youth must address the diverse forms and contexts of enacted stigma that youth experience, which limit freedom of movement and potential access to opportunities that encourage positive youth development. School nurses can play a critical role in reducing enacted stigma in schools and in collaboration with community partners.

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