Abstract
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people experience worse mental and physical health than their heterosexual cisgender peers. Research shows that stigma and discrimination are consistent predictors of these negative health outcomes. Using a critical, intersectional, feminist perspective, this chapter reviews the literature on stress processes and how they are applied to understanding LGBTQ health disparities, primarily in the U.S. context. An analysis of power is central to understanding and intervening on systems of oppression that produce worse health outcomes. Research demonstrates that LGBTQ people who live in places with protective structures such as laws enforcing marriage equality and anti-bullying policies in schools have better health outcomes. Thus, this chapter concludes with suggestions for broad structural change as well as concrete actions scholars can take in the domains of research (e.g., collecting quality data on gender and sexual orientation and analyzing it appropriately) and teaching (e.g., offering evidence-based perspectives on LGBTQ experiences to students and trainees) to improve LGBTQ health.
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Notes
- 1.
In the chapter I use the terms LGBTQ, sexual and gender minority, and queer interchangeably depending on the context.
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Acknowledgements
I am grateful to the Vada A. Yeomans endowment at the University of Florida Foundation for financial support and to Alexandra Sky Martin, Hannah L. P. Brown, and Sam Kosak for research assistance. This chapter benefited from my “writing time” with many people, including Elizabeth Cole, Zaje Harrell, Kathy McKee, Angelica Mordecai, Joan Ostrove, and especially my near-daily writing partner Eileen Zurbriggen.
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Zucker, A.N. (2023). Understanding and Addressing LGBTQ Health Disparities: A Power and Gender Perspective. In: Zurbriggen, E.L., Capdevila, R. (eds) The Palgrave Handbook of Power, Gender, and Psychology . Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-031-41531-9_22
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