Lauren Munro, R. Travers, A. John, Kate Klein, H. Hunter, D. Brennan, C. Brett
{"title":"A bed of roses?: exploring the experiences of LGBT newcomer youth who migrate to Toronto","authors":"Lauren Munro, R. Travers, A. John, Kate Klein, H. Hunter, D. Brennan, C. Brett","doi":"10.1108/EIHSC-09-2013-0018","DOIUrl":"https://doi.org/10.1108/EIHSC-09-2013-0018","url":null,"abstract":"Purpose – This study sought to gain a better understanding of the general life experiences of lesbian, gay, bisexual and transgender (LGBT) newcomer youth, situated within the broader context of their lives post-migration. The purpose of this paper is to explore the nature of various forms of oppression experienced by LGBT newcomers and offers recommendations for transforming services to better serve the complex needs of this marginalized population. Design/methodology/approach – The Teens Resisting Urban Trans/Homophobia (TRUTH) project was comprised of ten focus groups with 70 youth (aged 14-29) living in the Greater Toronto Area (GTA). Another three focus groups were conducted with 13 GTA service providers and teachers working with LGBT youth, in addition to one key informant interview. For this paper, the authors drew from a subset of the data including four newcomer-specific focus groups in which there were 39 youth who identified as refugees or immigrants, as well as key informant interviews with fo...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"6 1","pages":"137-150"},"PeriodicalIF":0.0,"publicationDate":"2013-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-09-2013-0018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gender and sexual minorities: intersecting inequalities and health","authors":"M. Robinson, L. Ross","doi":"10.1108/EIHSC-01-2014-0003","DOIUrl":"https://doi.org/10.1108/EIHSC-01-2014-0003","url":null,"abstract":"Purpose – The purpose of this paper is to outline the use of intersectionality theory in research with gender and sexual minorities – that is, with lesbian, gay, bisexual, trans, and queer (LGBTQ) people, and lesser-studied groups such as two-spirited people. Design/methodology/approach – First, the paper note the limited way that LGBTQ research has taken up issues of intersecting oppression. The paper outlines why theoretical and methodological attention to overlapping oppressions is important, and why theorists of intersectionality have identified the additive model as inadequate. The paper presents a sketch of current best practices for intersectional research, notes special issues for intersectional research arising within qualitative and quantitative paradigms, and finishes with an overview of how these issues are taken up in this special issue of Ethnicity and Inequalities in Health and Social Care. Findings – Current best practices for intersectional research include. Bringing a critical political lens to data analyses; contextualizing findings in light of systemic oppressions; strategically using both additive and multivariate regression models; and bringing a conscious awareness of the limitations of current methods to our analyses. Originality/value – This paper addresses the use of intersectionality theory in research with gender and sexual minorities, highlighting methodological issues associated with qualitative and quantitative paradigms in LGBTQ research.","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"6 1","pages":"91-96"},"PeriodicalIF":0.0,"publicationDate":"2013-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-01-2014-0003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. George, Lydia Makoroka, W. Husbands, B. Adam, R. Remis, S. Rourke, S. Read
{"title":"Sexual health determinants in black men-who-have-sex-with-men living in Toronto, Canada","authors":"C. George, Lydia Makoroka, W. Husbands, B. Adam, R. Remis, S. Rourke, S. Read","doi":"10.1108/EIHSC-10-2013-0034","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2013-0034","url":null,"abstract":"Purpose – The purpose of this paper is to develop a profile of the sexual behavioural characteristics of black men who have sex with men (MSM) in the Greater Toronto Area (GTA), Canada who constitute a unique mixture in terms of background, race, ethnicity, and culture. Having a profile of the sexual health and risk taking behaviours of these men is important since it provides information on these black Canadian men in comparison other black MSM. Design/methodology/approach – Data were collected as part of a cross-sectional study of black MSM in GTA. Survey participants completed a questionnaire requesting information on socio-demographic characteristics, sexual behaviour, general and mental health, and awareness of social marketing strategies for gay men. The study was conducted in 2007-2008, through convenience sampling. Based on the data collected, the authors characterized the profile of black MSM with respect to sexual risk behaviours. Findings – The authors collected data on 168 black MSM. These men...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"6 1","pages":"151-162"},"PeriodicalIF":0.0,"publicationDate":"2013-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-10-2013-0034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62150169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intersecting impacts of transphobia and racism on HIV risk among trans persons of colour in Ontario, Canada","authors":"Roxanne Longman Marcellin, G. Bauer, A. Scheim","doi":"10.1108/EIHSC-09-2013-0017","DOIUrl":"https://doi.org/10.1108/EIHSC-09-2013-0017","url":null,"abstract":"Purpose – Minority stress theory suggests enhanced HIV risk for those experiencing social marginalization, while an intersectionality framework posits that forms of marginalization may interact. The purpose of this paper is to understand how race/ethnicity- and gender-based discrimination may impact HIV risk among transgender or transsexual (trans) people. Design/methodology/approach – The Trans PULSE project – a community-based research study in Ontario, Canada – used respondent-driven sampling to survey 433 trans participants, including 35 Aboriginal persons and 62 non-Aboriginal persons of colour. Descriptive and regression analyses were weighted to adjust for recruitment probabilities. Findings – Most Aboriginal persons (65 per cent, 95 per cent CI: 37-90) and persons of colour (90 per cent, 95 per cent CI: 74-100) reported at least one experience of racism or ethnicity-based discrimination, and the vast majority had experienced transphobia (90 and 92 per cent, respectively). Among non-Aboriginal tran...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"6 1","pages":"97-107"},"PeriodicalIF":0.0,"publicationDate":"2013-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-09-2013-0017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Scheim, R. Jackson, L. James, T. S. Dopler, Jake Pyne, G. Bauer
{"title":"Barriers to well-being for Aboriginal gender-diverse people: results from the Trans PULSE Project in Ontario, Canada","authors":"A. Scheim, R. Jackson, L. James, T. S. Dopler, Jake Pyne, G. Bauer","doi":"10.1108/EIHSC-08-2013-0010","DOIUrl":"https://doi.org/10.1108/EIHSC-08-2013-0010","url":null,"abstract":"Purpose – Despite health inequities experienced by Aboriginal and transgender (trans) communities, little research has explored the well-being of Aboriginal trans (gender-diverse) people. This paper aims to describe barriers to well-being in a sample of Aboriginal gender-diverse people in Ontario, Canada. Design/methodology/approach – In 2009-2010, 433 trans people in Canada's most populous province participated in a multi-mode health survey. In all, 32 participants identified as First Nations, Metis, or Inuit (Aboriginal); unweighted frequencies were calculated to describe their characteristics. Findings – Participants expressed diverse gender identities; 44 per cent identified with the pan-Aboriginal term two-spirit. High levels of poverty (47 per cent), homelessness or underhousing (34 per cent), and ever having to move due to being trans (67 per cent) were reported. In all, 61 per cent reported at least one past-year unmet health care need. Most participants had experienced violence due to being trans...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"7 1","pages":"108-120"},"PeriodicalIF":0.0,"publicationDate":"2013-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-08-2013-0010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mainstreaming black churches into suicide prevention among adolescents: a literature review","authors":"A. C. Adedoyin, S. Salter","doi":"10.1108/EIHSC-10-2013-0029","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2013-0029","url":null,"abstract":"Purpose – The purpose of this paper is to propose that black churches in the USA are best suited to curtail the rising incidence of suicide, and suicide ideation among African-American adolescents. Presently, little is known about the best preventive practices and mental healthcare interventions for the black adolescents assailed by suicide and suicidal ideation. Design/methodology/approach – A review of the extant literature was conducted to understand and synthesize the current knowledge base about suicide rates among African-American adolescents. To retrieve and review relevant literature that focussed on suicide among African-American adolescents and the preventive roles of black churches the authors searched the following databases: PsychINFO, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Social Work abstracts, and Google Scholar. Findings – Findings indicate that black churches could implement, and profusely replicate the lay health advisors and HAVEN models to successfully miti...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"10 1","pages":"43-53"},"PeriodicalIF":0.0,"publicationDate":"2013-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-10-2013-0029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62150197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashley B. Cole, LaRicka R Wingate, Meredith L. Slish, Raymond P. Tucker, David W. Hollingsworth, V. O’Keefe
{"title":"Burdensomeness, depression, and suicide in a sample of American-Indian college students","authors":"Ashley B. Cole, LaRicka R Wingate, Meredith L. Slish, Raymond P. Tucker, David W. Hollingsworth, V. O’Keefe","doi":"10.1108/EIHSC-10-2013-0026","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2013-0026","url":null,"abstract":"Purpose – The interpersonal theory of suicide (ITS; Joiner, 2005) has gained empirical support as a framework for understanding why people die by suicide in the general population, and more recently, among American Indians (AIs). The purpose of this paper is to examine two key constructs of the theory, perceived burdensomeness and thwarted belongingness as mediators of depression and suicidal ideation within an AI sample. Design/methodology/approach – In all, 156 self-identified AI students completed measures of depression symptoms, thwarted belongingness, perceived burdensomeness, and suicidal ideation online. Non-parametric bootstrapping procedures were conducted. Findings – Results of bootstrapping analyses indicated that perceived burdensomeness had an indirect effect on the relationship between symptoms of depression and suicidal ideation; however, thwarted belongingness did not demonstrate an indirect effect between symptoms of depression and suicidal ideation. Findings suggest that the ITS construc...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"6 1","pages":"77-86"},"PeriodicalIF":0.0,"publicationDate":"2013-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-10-2013-0026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suicide from diverse perspectives","authors":"McKenzie Kwame","doi":"10.1108/EIHSC-02-2014-0005","DOIUrl":"https://doi.org/10.1108/EIHSC-02-2014-0005","url":null,"abstract":"","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Culture and suicide: Korean-Canadian immigrants’ perspectives","authors":"Christina S Han, J. Oliffe, J. Ogrodniczuk","doi":"10.1108/EIHSC-08-2013-0015","DOIUrl":"https://doi.org/10.1108/EIHSC-08-2013-0015","url":null,"abstract":"Purpose – The purpose of this paper is to describe culture- and context-specific suicidal behaviours among Korean-Canadian immigrants as a means to guiding the development of targeted culturally sensitive suicide prevention programmes. Design/methodology/approach – Fifteen Korean-Canadian immigrants who had experiences with suicidal behaviours (e.g. suicidal ideation, suicide attempts) participated in this qualitative research study. Semi-structured interviews were conducted for 30-90 minutes individually and constant comparison analysis methods were used to inductively derive recurrent prevailing themes from the interview data. Findings – The study findings reveal that causes and triggers for suicidal behaviours among Korean-Canadians most often emerged from academic and work pressures, estranged family and altered identities. Permeating these themes were deeply embedded cultural values, which according to the participants, could afford protection or heighten the risk for suicide. Research limitations/im...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"6 1","pages":"30-42"},"PeriodicalIF":0.0,"publicationDate":"2013-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-08-2013-0015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62149749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Humensky, R. Gil, Beatriz Coronel, Rosa Cifre, Silvia L. Mazzula, R. Lewis-Fernández
{"title":"Life is Precious: reducing suicidal behavior in Latinas","authors":"J. Humensky, R. Gil, Beatriz Coronel, Rosa Cifre, Silvia L. Mazzula, R. Lewis-Fernández","doi":"10.1108/EIHSC-10-2013-0027","DOIUrl":"https://doi.org/10.1108/EIHSC-10-2013-0027","url":null,"abstract":"Purpose – Hispanic female (Latina) adolescents have high rates of suicidal behavior. Latinas face suicide risks common to all adolescents, but also face unique risks, including family and acculturation struggles. Life is Precious (LIP), a community-based organization operating in Brooklyn and the Bronx, has developed a comprehensive suicide prevention intervention for Latinas that has been well-received by adolescents, their parents, and the community. The purpose of this paper is to describe an academic-community partnership that has been created to evaluate the program and develop an evidence-based practice (EBP) that can be replicated in other settings. Design/methodology/approach – A quantitative and qualitative research design has been developed to evaluate the current program and identify how it can be scaled into an EBP. Findings – To date, 55 participants have completed the baseline interview. All participants are Latinas age 12-18. In total, 84 percent were born in the USA and 89 percent report f...","PeriodicalId":90494,"journal":{"name":"Ethnicity and inequalities in health and social care","volume":"6 1","pages":"54-61"},"PeriodicalIF":0.0,"publicationDate":"2013-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/EIHSC-10-2013-0027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62150152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}