Applying a Structural‐Competency Framework to the Implementation of Strategies to Reduce Disparities for Sexual and Gender Minority Youth.
BACKGROUND: Sexual and gender minority youth (SGMY) are at high risk for adverse health outcomes. Safer schools decrease this risk. The US Centers for Disease Control and Prevention has identified 6 practices that can make schools safer for SGMY, yet few US schools implement them all. We apply a str...
| Publicado en: | Journal of School Health Vol. 90; no. 12; pp. 1030 - 1038 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146974338&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146974338 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00224391 JOS jtl: Journal of School Health issn: 00224391 maglogo: Y pubinfo: dt: Dec2020 vid: 90 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 146974338 146974338 146974338 10.1111/josh.12964 146974338 ppf: 1030 ppct: 8 formats: tig: atl: Applying a Structural‐Competency Framework to the Implementation of Strategies to Reduce Disparities for Sexual and Gender Minority Youth. aug: au: Shattuck, Daniel G. Willging, Cathleen E. Green, Amy E. affil: Pacific Institute for Research and Evaluation, 851 University Blvd SE, Suite 101, Albuquerque NM, 87106 sug: subj: Sexual and Gender Minorities In Adolescence Healthcare Disparities Safety Centers for Disease Control and Prevention (U.S.) Schools, Secondary Administration Organizational Structure Professional Competence Conceptual Framework Human Male Female Middle Age Funding Source Adolescence School Administrators Semi-Structured Interview New Mexico Coding Thematic Analysis Critical Thinking Culture Religion and Religions Politics Conflict Management Stigma Prevention and Control Discrimination Prevention and Control Implementation Science Health Policy Qualitative Studies Purposive Sample Descriptive Statistics Open-Ended Questionnaires Professional Development Community-Institutional Relations Diffusion of Innovation Middle Aged: 45-64 years Adolescent: 13-18 years Male Female ab: BACKGROUND: Sexual and gender minority youth (SGMY) are at high risk for adverse health outcomes. Safer schools decrease this risk. The US Centers for Disease Control and Prevention has identified 6 practices that can make schools safer for SGMY, yet few US schools implement them all. We apply a structural competency framework to elucidate factors contributing to this implementation gap. METHODS: We conducted 75 interviews and 32 focus groups with school professionals in 18 New Mexico high schools to assess factors impacting implementation of the practices over 2 years. We analyzed data using iterative coding, thematic identification techniques, and the sensitizing concept of structural competency. RESULTS: Themes included: rendering an invisible population visible; critical thinking about LGBTQ inequalities; building school personnel capacity; intersecting cultural, religious, and political conflicts; and tackling community‐based sources of stigma and discrimination. Conclusions: Underlying cultural and structural forces render SGMY invisible and constrain what schools can accomplish. Professional development encouraging critical thinking about structural inequities is foundational, but efforts to close the implementation gap must attend to structural forces producing disparities for SGMY. Structural competency can strengthen the ability of the Whole School, Whole Community, and Whole Child model's cross‐sector coordination of policy and process to meet the needs of every student. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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