The utility of resilience as a conceptual framework for understanding and measuring LGBTQ health

Emily M. Colpitts · Jacqueline Gahagan

184 citations0/0 files storedInternational Journal for Equity in Health

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LGBTQ Health, Identity, and Policy Health disparities and outcomes Resilience and Mental Health

Abstract

BACKGROUND: Historically, lesbian, gay, bisexual, transgender and queer (LGBTQ) health research has focused heavily on the risks for poor health outcomes, obscuring the ways in which LGBTQ populations maintain and improve their health across the life course. In this paper we argue that informing culturally competent health policy and systems requires shifting the LGBTQ health research evidence base away from deficit-focused approaches toward strengths-based approaches to understanding and measuring LGBTQ health. METHODS: We recently conducted a scoping review with the aim of exploring strengths-based approaches to LGBTQ health research. Our team found that the concept of resilience emerged as a key conceptual framework. This paper discusses a subset of our scoping review findings on the utility of resilience as a conceptual framework in understanding and measuring LGBTQ health. RESULTS: The findings of our scoping review suggest that the ways in which resilience is defined and measured in relation to LGBTQ populations remains contested. Given that LGBTQ populations have unique lived experiences of adversity and discrimination, and may also have unique factors that contribute to their resilience, the utility of heteronormative and cis-normative models of resilience is questionable. Our findings suggest that there is a need to consider further exploration and development of LGBTQ-specific models and measures of resilience that take into account structural, social, and individual determinants of health and incorporate an intersectional lens. CONCLUSIONS: While we fully acknowledge that the resilience of LGBTQ populations is central to advancing LGBTQ health, there remains much work to be done before the concept of resilience can be truly useful in measuring LGBTQ health.

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References

2005Scoping studies: towards a methodological framework 1991Mapping the Margins: Intersectionality, Identity Politics, and Violence against Women of Color 2000The Construct of Resilience: A Critical Evaluation and Guidelines for Future Work 1993Development and psychometric evaluation of the Resilience Scale.2004ADOLESCENT RESILIENCE: A Framework for Understanding Healthy Development in the Face of Risk 2012The Health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding 2013Stigma, Mental Health, and Resilience in an Online Sample of the US Transgender Population 1998Resilience and Thriving: Issues, Models, and Linkages

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2019Differences in adverse childhood experiences (ACEs) and quality of physical and mental health between transgender and cisgender sexual minorities 2017Health and healthcare disparities among U.S. women and men at the intersection of sexual orientation and race/ethnicity: a nationally representative cross-sectional study 2021Beyond resilience: Resistance in the lives of LGBTQ youth 2017Nonsuicidal Self-Injury and Suicidality Among Sexual Minority Youth: Risk Factors and Protective Connectedness Factors

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