4.5 Article

A framework for addressing health inequities in sexual and gender diverse populations by nurses

Journal

NURSING OUTLOOK
Volume 70, Issue 4, Pages 651-663

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.outlook.2022.04.001

Keywords

Health care policy; Nursing research; Sexual and gender diverse

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It is necessary to increase health equity in sexual and gender diverse (SGD) populations. To better understand and address the issue, we have developed a conceptual framework that incorporates the concepts of stigma, intersectionality, identity affirmation, and life course trajectory. Using this framework, we have proposed recommendations to promote health equity through nursing research, health care practice, health care education, and public health care policy. These recommendations align with the need to dismantle structures that perpetuate racism and impede health inequity and to implement interventions that address social determinants of health.
There is a need to increase health equity in sexual and gender diverse (SGD) pop-ulations, a medically underserved group with widening health disparities. To better understand and address SGD health disparities, we have developed a multi-level conceptual framework for nurse scientists that incorporates the con-cepts of stigma, intersectionality, identify affirmation, and life course trajectory. Social determinants of health formed the background of our conceptual frame-work. Using this framework, we proposed recommendations to promote SGD health equity through nursing research, health care practice, health care educa-tion, and public health care policy. These recommendations align with the National Institute of Nursing Research's goals of dismantling structures that per-petuate racism and impede health inequity and the need to implement interven-tions that address social determinants of health. As a result, nurse scientists are poised to influence health care policy by translating effective interventions to reduce health disparities for the SGD population into practice.

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