Health Justice for LGBT Youths: Combining Public Health and Human Rights.

Autor:	Adelson SL; Weill Cornell Medical College, Yale Law School, and Columbia University Vagelos College of Physicians and Surgeons, New York. Electronic address: stewart.adelson@yale.edu., Reid G; Human Rights Watch, Yale University, New Haven, Connecticut., Miller AM; Yale Law School and Yale School of Public Health, New Haven, Connecticut., Sandfort TGM; Division of Gender Sexuality and Health, Columbia University and New York State Psychiatric Institute, New York.
Jazyk:	angličtina
Zdroj:	Journal of the American Academy of Child and Adolescent Psychiatry [J Am Acad Child Adolesc Psychiatry] 2021 Jul; Vol. 60 (7), pp. 804-807. Date of Electronic Publication: 2021 Mar 09.
DOI:	10.1016/j.jaac.2021.02.021
Abstrakt:	As a socially marginalized group, LGBT youths experience elevated rates of physical and mental health problems that are leading causes of mortality due to a variety of factors. Minority stress theory links exposure to stigma with health outcome disparities. Structural stigma including biased laws, policies, and societal norms predicts approximately 20% of elevated suicidality among LGBT youths. Comprehensive public health efforts to reduce mental health disparities among LGBT youths need to address structural stigma. An interdisciplinary Health Justice approach is described, in which public health evidence is integrated with human rights principles in keeping with the bioethical Justice Imperative. In this approach, epidemiological research is used to inform public health efforts to address health disparities in LGBT youths due to structural stigma in a way that is (1) empirical; (2) aimed at basic goals of reducing morbidity and mortality; (3) applicable to diverse cultural contexts; (4) capable of amending stigma-related power and associated health inequities; and (5) guided by human rights principles. By applying human rights principles to public health needs, this approach will help to achieve health equity for LGBT youths. (Copyright © 2021 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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