Phyllis A Raynor1, Austin Nation2, Freida Outlaw3. 1. College of Nursing, University of South Carolina, Columbia, South Carolina. 2. College of Nursing, California State University, Fullerton, California. 3. American Nurses Association, SAMHSA Minority Fellowship Program, Silver Spring, Maryland.
Abstract
BACKGROUND: Transgender youth, particularly if they are transgender female and of a minority racial or ethnic group (i.e., minority transgender youth [MTY]), are known to have higher incidence of new HIV infections, substance abuse, and suicidality when compared with cisgender youth. Mental health disparities and substance use among MTY, between the ages of 13-24 years, have been underexplored in the United States, although they have serious public health concerns contributing to morbidity and mortality. OBJECTIVES: To examine the US literature to discover what is known about the intersection of substance use, mental health disorders, and associated health risks for MTY. DATA SOURCES: An integrative review exploring experimental and nonexperimental research was conducted from 2010 to 2018 using Cumulative Index for Nursing and Allied Health (CINAHL), PsycINFO, and PubMed. Articles were selected if the research identified MTY, mental health and/or substance use risks, data-driven outcomes, or considerations that could potentially influence MTY outcomes. Ten articles were included in the final selection. CONCLUSIONS: All studies addressed mental health, substance use, and/or health risks, although many of the articles explored all transgender youth outcomes without a particular focus on MTY. Identified factors linked to poor health outcomes included socioeconomic vulnerability, substance use, mood disorders, self-harm, and risky sexual behaviors. IMPLICATIONS FOR PRACTICE: The authors have provided recommendations regarding culturally appropriate, compassionate, evidence-informed practices for engaging MTY and their families to promote greater well-being for all youth, regardless of gender identity.
BACKGROUND: Transgender youth, particularly if they are transgender female and of a minority racial or ethnic group (i.e., minority transgender youth [MTY]), are known to have higher incidence of new HIV infections, substance abuse, and suicidality when compared with cisgender youth. Mental health disparities and substance use among MTY, between the ages of 13-24 years, have been underexplored in the United States, although they have serious public health concerns contributing to morbidity and mortality. OBJECTIVES: To examine the US literature to discover what is known about the intersection of substance use, mental health disorders, and associated health risks for MTY. DATA SOURCES: An integrative review exploring experimental and nonexperimental research was conducted from 2010 to 2018 using Cumulative Index for Nursing and Allied Health (CINAHL), PsycINFO, and PubMed. Articles were selected if the research identified MTY, mental health and/or substance use risks, data-driven outcomes, or considerations that could potentially influence MTY outcomes. Ten articles were included in the final selection. CONCLUSIONS: All studies addressed mental health, substance use, and/or health risks, although many of the articles explored all transgender youth outcomes without a particular focus on MTY. Identified factors linked to poor health outcomes included socioeconomic vulnerability, substance use, mood disorders, self-harm, and risky sexual behaviors. IMPLICATIONS FOR PRACTICE: The authors have provided recommendations regarding culturally appropriate, compassionate, evidence-informed practices for engaging MTY and their families to promote greater well-being for all youth, regardless of gender identity.
Authors: Jorge Medina-Martínez; Carlos Saus-Ortega; María Montserrat Sánchez-Lorente; Eva María Sosa-Palanca; Pedro García-Martínez; María Isabel Mármol-López Journal: Int J Environ Res Public Health Date: 2021-11-10 Impact factor: 3.390
Authors: Paula M Luz; Emilia M Jalil; Jessica Castilho; Luciane Velasque; Michelle Ramos; Ana Cristina G Ferreira; Ana Luisa Ferreira; Erin C Wilson; Valdilea G Veloso; Brett D Thombs; Erica E M Moodie; Beatriz Grinsztejn Journal: Transgend Health Date: 2022-02-14