Affiliation:
1. Department of Child, Family, and Population Health Nursing University of Washington Seattle WA
2. Department of Health Systems and Population Health, School of Public Health University of Washington Seattle WA
3. Northwest Center for Public Health Practice, University of Washington Seattle WA
4. Department of Epidemiology, School of Public Health University of Washington Seattle WA
Abstract
ABSTRACTBACKGROUNDSexual violence (SV) is a serious public health concern, and lesbian, gay, bisexual, transgender, queer and questioning (LGBTQ+) youth report higher rates than their heterosexual and cisgender peers. This qualitative study aimed to understand LGBTQ+ students' perspectives on how middle and high school environments can better prevent and address SV.METHODSIn partnership with a school‐based LGBTQ+ support group in Washington State, we recruited 31 LGTBQ+ students ages 13‐18 for virtual interviews (n = 24) and for providing text‐based answers to interview questions (n = 7). We used inductive thematic analysis to analyze data and identify themes.RESULTSTo prevent and respond to SV, students highlighted schools having: (1) access to gender‐neutral spaces; (2) LGBTQ+ competency training for staff; (3) enforcement of school policies (eg, SV, anti‐bullying) and accountability; (4) LGBTQ+‐competent mental health support; and (5) comprehensive sexual health education that addresses LGBTQ+ relationships and SV.IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITYStudents expressed the need for changes in school physical and social environments to address SV among LGBTQ+ youth.CONCLUSIONSIncorporating youth perspectives, particularly LGBTQ+ youth at high risk of SV, can help schools implement strategies that are supported by youth and thus potentially more sustainable and effective.
Funder
Centers for Disease Control and Prevention
Subject
Public Health, Environmental and Occupational Health,Philosophy,Education