'You definitely choose struggling over humiliation': Experiences of food insecurity in Nova Scotia, Canada, for LGBTQ + individuals.

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-07-14 DOI:10.17269/s41997-025-01081-x

Phillip Joy, Aliya Seward, Megan White, Stephen Fewer, Min Gao, Sue Kelleher

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引用次数: 0

Abstract

Objectives: This study explores food insecurity among lesbian, gay, bisexual, trans, queer, and other sexual and gender minority (LGBTQ +) individuals in Nova Scotia, Canada.

Methods: Using a descriptive qualitative research design, guided by queer theory, LGBTQ + participants with lived experience of food insecurity were recruited from across Nova Scotia. Data were generated through semi-structured interviews and analyzed using reflexive thematic analysis, drawing on the queer theoretical lens, alongside concepts from minority stress theory, queer activism, and food justice.

Results: Eleven participants, representing a range of sexual orientations and gender identities, described food insecurity as shaped by factors such as non-standard work schedules, limited transportation, stigma, and gaps in healthcare and gender-affirming care. Three themes are reported: (1) Structural Barriers and Institutional Failures, (2) Healthcare Barriers and Food Insecurity, and (3) Structural Economic Exclusion and Food Insecurity.

Conclusion: This study highlights how food insecurity among LGBTQ + individuals is shaped by intersecting structural inequities. It calls for inclusive, equity-focused food systems and policy reforms that reflect LGBTQ + lived realities.

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“你肯定会选择挣扎而不是羞辱”：加拿大新斯科舍省LGBTQ +人群的食物不安全经历。

目的：本研究探讨了加拿大新斯科舍省女同性恋、男同性恋、双性恋、跨性别、酷儿和其他性少数群体（LGBTQ +）的食物不安全状况。方法：采用描述性定性研究设计，以酷儿理论为指导，从新斯科舍省招募有食物不安全生活经历的LGBTQ +参与者。数据是通过半结构化访谈生成的，并使用反身性主题分析，利用酷儿理论视角，以及少数族裔压力理论、酷儿行动主义和食物正义的概念进行分析。结果：11名代表不同性取向和性别认同的参与者将粮食不安全描述为由不标准的工作时间表、有限的交通、耻辱以及医疗保健和性别肯定护理方面的差距等因素造成的。报告了三个主题：(1)结构障碍和制度失败，(2)医疗障碍和粮食不安全，(3)结构性经济排斥和粮食不安全。结论：本研究强调了LGBTQ +个体的粮食不安全是如何由交叉的结构性不平等形成的。报告呼吁建立包容性、以公平为重点的粮食体系和政策改革，以反映LGBTQ +的生活现实。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.