First- and Second-Hand Experiences of Enacted Stigma Among LGBTQ Youth.
Amy L Gower, Cheryl Ann B Valdez, Ryan J Watson and 6 others
PMID 31337243WHAT IT FOUND
LGBTQ youth described harassment and violence in schools and public places.
Second-hand stories made them avoid activities or change schools. Some said school staff did not intervene.
Key findings
01Youth described enacted stigma in schools and community, ranging from microaggressions and verbal harassment to physical violence.
02First-hand stigma led youth to restrict routines, avoid activities, and sometimes change schools or relocate.
03Second-hand stories of harassment shaped perceptions of safety and led youth to avoid neighborhoods, transit areas and organizations.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited through LGBTQ youth-serving organizations and school gay-straight alliances, not from a general population sample. The interview guide did not ask about enacted stigma directly, so findings may reflect what youth chose to mention. Youth who did not experience enacted stigma may have been less likely to mention it. Only 46 of the 66 recruited youth were analysed because they discussed enacted stigma. The analysis summarises coded quotes and themes, not measured outcomes.
The easy way to misread this
Do not read this as evidence that school staff usually ignore enacted stigma or that nurse-led safety conversations reduce harassment. The quotes came from youth who spontaneously discussed stigma, and the study reports themes, not measured outcomes or tested interventions.