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Toward Sexual Health Equity for Gay, Bisexual, and Transgender Youth: An Intergenerational, Collaborative, Multisector Partnerships Approach to Structural Change.
Health Educ Behav. 2019 10; 46(1_suppl):88S-99S.HE

Abstract

Background. Gay, bisexual, and transgender youth (GBTY) experience sexual health inequities and contend with intersectional oppression. The Michigan Forward in Enhancing Research and Community Equity (MFierce) Coalition formed as an intergenerational, collaborative, multisector partnership with a focus on implementing community-identified policy, systems, and environmental (PSE) change strategies to address inequities and injustices. Aims. We describe MFierce coalition development and structural change activities organized within Collaborating for Equity and Justice (CEJ) principles and provide empirical data supporting the utility of such principles. Method. We prioritized leadership by GBTY and created personal and professional capacity-building activities to support GBTY in being change agents. Our work was grounded in community-engaged scholarship and used a shared-power community development process. Our PSE change intervention, the Health Access Initiative (HAI), was a structural change program for health facilities aimed at improving the quality of and access to sexual health care for GBTY. Results. We evaluated coalition functioning and activities through multimethod assessments and evaluated PSE changes through HAI participant surveys. Data demonstrated positive and steady coalition dynamics, multiple benefits of participation for GBTY, and strategies for collaborative multigenerational community work. HAI outcome data revealed significant increases in PSE changes. Discussion. Centering life experiences of GBTY in collaborative partnerships and building opportunities for professional and personal development can support sustainable community change. We offer recommendations for developing future intergenerational, collaborative, multisector partnerships that prioritize youth leadership. Conclusion. Collaborative methods and careful consideration of adult-youth dynamics can inform future transformative efforts focused on health equity and justice for GBTY.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Sirdenis TK
University of Michigan, Ann Arbor, MI, USA.
Harper GW
University of Michigan, Ann Arbor, MI, USA.
Carrillo MD
Detroit REPRESENT, Detroit, MI, USA.
Jadwin-Cakmak L
University of Michigan, Ann Arbor, MI, USA.
Loveluck J
Washtenaw County Health Department, Ypsilanti, MI, USA.
Pingel ES
Emory University, Atlanta, GA, USA.
Benton A
Unified HIV Health and Beyond, Detroit, MI, USA.
Peterson A
Michigan Department of Health and Human Services, Lansing, MI, USA.
Pollard R
Flint, MI, USA.
Bauermeister JA
University of Pennsylvania, Philadelphia, PA, USA.

MeSH

Community ParticipationCooperative BehaviorEnvironmentHealth EquityHumansIntergenerational RelationsMichiganSexual HealthSexual and Gender MinoritiesSocial Environment

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

31549560

Citation

Sirdenis, Triana Kazaleh, et al. "Toward Sexual Health Equity for Gay, Bisexual, and Transgender Youth: an Intergenerational, Collaborative, Multisector Partnerships Approach to Structural Change." Health Education & Behavior : the Official Publication of the Society for Public Health Education, vol. 46, no. 1_suppl, 2019, 88S-99S.
Sirdenis TK, Harper GW, Carrillo MD, et al. Toward Sexual Health Equity for Gay, Bisexual, and Transgender Youth: An Intergenerational, Collaborative, Multisector Partnerships Approach to Structural Change. Health Educ Behav. 2019;46(1_suppl):88S-99S.
Sirdenis, T. K., Harper, G. W., Carrillo, M. D., Jadwin-Cakmak, L., Loveluck, J., Pingel, E. S., Benton, A., Peterson, A., Pollard, R., & Bauermeister, J. A. (2019). Toward Sexual Health Equity for Gay, Bisexual, and Transgender Youth: An Intergenerational, Collaborative, Multisector Partnerships Approach to Structural Change. Health Education & Behavior : the Official Publication of the Society for Public Health Education, 46(1_suppl), 88S-99S. https://doi.org/10.1177/1090198119853607
Sirdenis TK, et al. Toward Sexual Health Equity for Gay, Bisexual, and Transgender Youth: an Intergenerational, Collaborative, Multisector Partnerships Approach to Structural Change. Health Educ Behav. 2019;46(1_suppl):88S-99S. PubMed PMID: 31549560.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Toward Sexual Health Equity for Gay, Bisexual, and Transgender Youth: An Intergenerational, Collaborative, Multisector Partnerships Approach to Structural Change. AU - Sirdenis,Triana Kazaleh, AU - Harper,Gary W, AU - Carrillo,Marcos D, AU - Jadwin-Cakmak,Laura, AU - Loveluck,Jimena, AU - Pingel,Emily S, AU - Benton,Akilah, AU - Peterson,Amy, AU - Pollard,Rama, AU - Bauermeister,José A, PY - 2019/9/25/entrez PY - 2019/9/25/pubmed PY - 2020/9/15/medline KW - community coalition KW - community-based participatory research KW - health equity KW - sexual and gender minorities KW - sexual health KW - structural change SP - 88S EP - 99S JF - Health education & behavior : the official publication of the Society for Public Health Education JO - Health Educ Behav VL - 46 IS - 1_suppl N2 - Background. Gay, bisexual, and transgender youth (GBTY) experience sexual health inequities and contend with intersectional oppression. The Michigan Forward in Enhancing Research and Community Equity (MFierce) Coalition formed as an intergenerational, collaborative, multisector partnership with a focus on implementing community-identified policy, systems, and environmental (PSE) change strategies to address inequities and injustices. Aims. We describe MFierce coalition development and structural change activities organized within Collaborating for Equity and Justice (CEJ) principles and provide empirical data supporting the utility of such principles. Method. We prioritized leadership by GBTY and created personal and professional capacity-building activities to support GBTY in being change agents. Our work was grounded in community-engaged scholarship and used a shared-power community development process. Our PSE change intervention, the Health Access Initiative (HAI), was a structural change program for health facilities aimed at improving the quality of and access to sexual health care for GBTY. Results. We evaluated coalition functioning and activities through multimethod assessments and evaluated PSE changes through HAI participant surveys. Data demonstrated positive and steady coalition dynamics, multiple benefits of participation for GBTY, and strategies for collaborative multigenerational community work. HAI outcome data revealed significant increases in PSE changes. Discussion. Centering life experiences of GBTY in collaborative partnerships and building opportunities for professional and personal development can support sustainable community change. We offer recommendations for developing future intergenerational, collaborative, multisector partnerships that prioritize youth leadership. Conclusion. Collaborative methods and careful consideration of adult-youth dynamics can inform future transformative efforts focused on health equity and justice for GBTY. SN - 1552-6127 UR - https://www.unboundmedicine.com/medline/citation/31549560/Toward_Sexual_Health_Equity_for_Gay_Bisexual_and_Transgender_Youth:_An_Intergenerational_Collaborative_Multisector_Partnerships_Approach_to_Structural_Change_ DB - PRIME DP - Unbound Medicine ER -