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Critical Consciousness for Connectivity: Decoding Social Isolation Experienced by Latinx and LGBTQ+ Youth Using a Multi-Stakeholder Approach to Health Equity

Author

Listed:
  • Nancy Vargas

    (College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA
    Nancy Vargas and Jonathan Garcia are co-first authors.)

  • Jesse L. Clark

    (David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA)

  • Ivan A. Estrada

    (College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA)

  • Cynthia De La Torre

    (Benton County Public Health, Corvallis, OR 97330, USA)

  • Nili Yosha

    (Outside the Frame, Portland, OR 97209, USA)

  • Mario Magaña Alvarez

    (College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA)

  • Richard G. Parker

    (Associação Brasileira Interdisciplinar de AIDS, Rio de Janeiro 20071-907, Brazil)

  • Jonathan Garcia

    (Hallie E. Ford Center for Healthy Children and Families, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA
    Nancy Vargas and Jonathan Garcia are co-first authors.)

Abstract

Systemic oppression creates a context in which Latinx LGBTQ+ youth experience social isolation. Social isolation has been associated with mental and physical health disparities, including disproportionate levels of depression, substance use, self-harm, and attempted suicide. These disparities are often magnified in rural and suburban areas with fewer identity-affirming spaces. This community-engaged study reports on the formative process of developing a Latinx LGBTQ+ telenovela (soap opera) allyship intervention based on critical consciousness theory. We conducted eight focus groups with community advisory boards, which included Latinx LGBTQ+ youth ( n = 12), health and social service providers serving LGBTQ+ youth ( n = 10), 4-H Latinx alumni youth ( n = 12), and 4-H Latinx parents ( n = 8). We interviewed nine Latinx LGBTQ+ youth enrolled in a film-making workshop. As a result of our multi-stakeholder approach, we: (1) described how stakeholders reflected on and decoded intersectional isolation on the individual, community, and structural levels; and (2) identified ways that stakeholders suggested taking action by improving access to resources to address social isolation, provide culturally competent healthcare, and co-create an enabling social environment. Our study indicated the importance of tapping into core values and intersectional identities to build solidarity among and within marginalized groups to dismantle oppressive systems.

Suggested Citation

  • Nancy Vargas & Jesse L. Clark & Ivan A. Estrada & Cynthia De La Torre & Nili Yosha & Mario Magaña Alvarez & Richard G. Parker & Jonathan Garcia, 2022. "Critical Consciousness for Connectivity: Decoding Social Isolation Experienced by Latinx and LGBTQ+ Youth Using a Multi-Stakeholder Approach to Health Equity," IJERPH, MDPI, vol. 19(17), pages 1-29, September.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:11080-:d:906543
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    References listed on IDEAS

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    1. Nina Wallerstein & Leandro L. Giatti & Cláudia Maria Bógus & Marco Akerman & Pedro Roberto Jacobi & Renata Ferraz De Toledo & Rosilda Mendes & Sonia Acioli & Margaret Bluehorse-Anderson & Shelley Fraz, 2017. "Shared Participatory Research Principles and Methodologies: Perspectives from the USA and Brazil—45 Years after Paulo Freire’s “Pedagogy of the Oppressed”," Societies, MDPI, vol. 7(2), pages 1-17, April.
    2. Edward McCann & Michael Brown, 2019. "Homelessness among youth who identify as LGBTQ+: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2061-2072, June.
    3. Tyler Hatchel & Robert Marx, 2018. "Understanding Intersectionality and Resiliency among Transgender Adolescents: Exploring Pathways among Peer Victimization, School Belonging, and Drug Use," IJERPH, MDPI, vol. 15(6), pages 1-15, June.
    4. Seil, K.S. & Desai, M.M. & Smith, M.V., 2014. "Sexual orientation, adult connectedness, substance use, and mental health outcomes among adolescents: Findings From the 2009 New York city youth risk behavior survey," American Journal of Public Health, American Public Health Association, vol. 104(10), pages 1950-1956.
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