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      Stigma and Minority Stress as Social Determinants of Health Among Lesbian, Gay, Bisexual, and Transgender Youth: Research Evidence and Clinical Implications.

      1 , 2

      Pediatric clinics of North America

      Elsevier BV

      Health, LGBT youth, Minority stress, Stigma

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          Abstract

          In this article, we review theory and evidence on stigma and minority stress as social/structural determinants of health among lesbian, gay, bisexual, and transgender (LGBT) youth. We discuss different forms of stigma at individual (eg, identity concealment), interpersonal (eg, victimization), and structural (eg, laws and social norms) levels, as well as the mechanisms linking stigma to adverse health outcomes among LGBT youth. Finally, we discuss clinical (eg, cognitive behavioral therapy) and public health (eg, antibullying policies) interventions that effectively target stigma-inducing mechanisms to improve the health of LGBT youth.

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          Author and article information

          Journal
          Pediatr. Clin. North Am.
          Pediatric clinics of North America
          Elsevier BV
          1557-8240
          0031-3955
          Dec 2016
          : 63
          : 6
          Affiliations
          [1 ] Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street, Room 549B, New York, NY 10032, USA. Electronic address: mlh2101@cumc.columbia.edu.
          [2 ] Chronic Disease Epidemiology: Social & Behavioral Sciences, Yale School of Public Health, 60 College Street, Suite 316, New Haven, CT 06510, USA.
          Article
          S0031-3955(16)41055-2
          10.1016/j.pcl.2016.07.003
          27865340

          Minority stress, LGBT youth, Health, Stigma

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