Interpersonal Trauma, Marginalization, and Low-Resource Settings: Understanding Sexual and Gender Minority People’s Help-Seeking and Service Utilization Experiences.

Sexual and gender minority (SGM) people disproportionately experience interpersonal trauma and face significant barriers to affirmative support. This mixed-methods study explored help-seeking and care utilization among 55 SGM people who experienced sexual assault, intimate partner violence, or child...

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Publicado en:Journal of Child Sexual Abuse pp. 1 - 29
Autores principales: Scheer, Jillian R., Zabelski, Sasha, Epshteyn, Gabriella, Girard, Rachel, Cascalheira, Cory J., Shaw, Thomas J., Helminen, Emily C., Messinger, Adam M., Edwards, Katie M.
Formato: Journal Article
Publicado: Taylor & Francis Ltd Jul2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
      pid: 377
      pub: Taylor & Francis Ltd
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        10.1080/10538712.2026.2706497
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        atl: Interpersonal Trauma, Marginalization, and Low-Resource Settings: Understanding Sexual and Gender Minority People’s Help-Seeking and Service Utilization Experiences.
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        au:
          Scheer, Jillian R.
          Zabelski, Sasha
          Epshteyn, Gabriella
          Girard, Rachel
          Cascalheira, Cory J.
          Shaw, Thomas J.
          Helminen, Emily C.
          Messinger, Adam M.
          Edwards, Katie M.
        affil: University of Rhode Island
      sug:
      ab: Sexual and gender minority (SGM) people disproportionately experience interpersonal trauma and face significant barriers to affirmative support. This mixed-methods study explored help-seeking and care utilization among 55 SGM people who experienced sexual assault, intimate partner violence, or childhood maltreatment and lived in low-resource areas across New York State (<italic>M</italic>age=30.47; <italic>SD</italic>=9.83; 70.9% cisgender women; 27.3% people of color; 29.1% annual income ≤$9,999). Participants completed an online needs assessment survey with quantitative and open-ended questions. Descriptive statistics described sample characteristics, help-seeking, and care utilization experiences. Conventional content analysis was employed to examine contexts surrounding experiences seeking support and utilizing services. In the past year, 38.2% sought interpersonal trauma-related mental health treatment; nearly a third lacked confidence in finding SGM-affirmative providers and experienced poor provider treatment and 18.2% experienced SGM conversion efforts in their lifetime. Qualitative data revealed five interrelated themes describing social and structural contexts that shaped help-seeking and care engagement, including (1) anticipated stigma and self-protective avoidance as barriers to help-seeking; (2) family and relational responses shape safety, disclosure, and avoidance; (3) provider validation versus invalidation shapes trust and engagement in care; (4) geographic isolation undermines safety, anonymity, and care access; and, (5) structural inequities and policy barriers reinforce mistrust and limit options. The current study’s findings offer a novel socioecological perspective on interpersonal trauma – related help-seeking among SGM people in low-resource settings, demonstrating how stigma, trust, provider interactions, geographic isolation, and structural inequities shape care-seeking pathways.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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