Understanding the Well-Being of LGBTQI+ Populations

By: Charlotte Patterson

In September 2021, Youth-Nex hosted a virtual panel with some of the authors of this report. You can view this panel discussion online.

Highlights:

  • Over the past decade, there have been remarkable changes in the social, political, and legal status of lesbian, gay, bisexual, and transgender (LGBT) individuals, especially in the United States.
  • There are over 11 million LGBT individuals in the U.S., but many data collection efforts lack measures that capture the diversity of sexual orientation and gender identity.
  • To address these and other issues, I co-edited a new report that identifies the need for heightened attention to the social and structural inequities that exist for LGBTQI+ people and argues for new research on the full range of sexual and gender diversity.

In the fall of 2020, the National Academies of Sciences, Engineering, and Medicine released a landmark report on the well-being of lesbian, gay, bisexual, transexual, queer, intersex (e.g., persons with differences of sexual development), and other sexual and gender diverse people (LGBTQI+). The study updates and considerably expands a 2011 National Academies’ report on the health of LGBT people by also examining life experiences in multiple domains, such as law, education, public policy, and employment.

In a recent opinion piece for JAMA Pediatrics, my colleague and I shared the report’s review of the current state of knowledge on children and youths in several areas and offer some considerations on these subjects for pediatricians and other healthcare providers who work with children and youth. I highlight here a few areas of focus that may be of interest to educators, developmental psychologists, and other researchers.

Demography

Demographic data on sexual orientation and gender identity for people younger than 18 years remain sparse, since many data collection instruments still fail to assess these in pediatric populations. However, surveys that do collect this information show a consistent pattern of increasing disclosure of sexual orientation and gender identity (coming out) by adolescents over time. For example, findings from 10 US states using the US Centers for Disease Control and Prevention’s Youth Risk Behavior Surveillance System show significant increases in adolescents (ages 14-18 years) identifying as nonheterosexual (lesbian, gay, bisexual, other, or questioning) over time (ie, 7.3% in 2009 and 14.3%in 2017). This change reflects greater affirmation of minority sexual and gender identities by younger people. This is happening in a context of growing societal acceptance of sexual and gender diverse individuals that has been characterized by increased visibility of sexual and gender diverse populations, more positive media coverage, improved legal protections, and more supportive school policies.

Education

By reinforcing societal expectations of sexual and gender normativity in behavior and appearance, schools play vital roles in the cognitive, social, and emotional development of children and youths. Educational environments that are not inclusive, supportive, and protective of sexual and gender diverse students expose them to stigma, violence, abuse and other mistreatment that may promote negative academic outcomes, such as delinquency, lower academic achievement, and lower high school graduation rates. For example, a study matching 900 LGBTQ students with a comparison group of heterosexual youths found a higher rate of school suspensions among LGBTQ students that were not explained by punishable behavior at school. In contrast, schools that offer supportive policies and practices, training for teachers and other school personnel, and support for gender-sexuality alliances (sometimes called gay-straight alliances, or simply GSAs) have been shown to have less bullying. In these schools, LGBTQ students report feeling safer and having higher self-esteem, fewer mental health problems, less substance use, and less suicidal ideation.

Health

Consistent with earlier studies, recent research on the physical health of LGBTQI children and youth reveals their earlier initiation and higher prevalence rates of cigarette smoking, use of alcohol and other substances, as well as higher risk for HIV and other sexually transmitted infections. There has been a significant increase in research and knowledge of mental health over recent years. These data extend earlier findings of significant disparities in depression and suicidality, demonstrating higher rates of anxiety disorders, posttraumatic stress disorder, eating disorders, and suicide attempts compared with heterosexual youths. In addition, there is now evidence that mental health disparities in adolescence can persist into adulthood, increasing the risk of LGBTQI adults for mood, anxiety, and eating disorders.

Final Thoughts

The current report underscores the urgent need to integrate measures of sexual and gender diversity into major public and private survey instruments. The report also emphasizes that while acronyms such as LGBTQI are used to describe this population, LGBTQI people actually have many other identities as well, and they are more diverse than this acronym suggests. I hope that our report will deepen understanding of the experiences of these youth and help to support constructive discussions among LGBTQI youngsters and their family members.

To read the full opinion piece, please see the JAMA Pediatrics Viewpoint entitled “LGBTQI Youths Today—New Knowledge, Better Understanding.” The views represented here are those of the authors.

To read the full report and highlights from the National Academies of Sciences, Engineering, and Medicine, please see Understanding the Well-Being of LGBTQI+ Populations. Note that the report can be downloaded free of charge from the National Academies Press website.


References

Patterson CJ, Sepúlveda M-J, White J, eds; National Academies of Sciences, Engineering, and Medicine. Understanding the Well-Being of LGBTQI+ Populations. The National Academies Press; 2020. doi:10.17226/25877

Sepúlveda M, Patterson CJ. LGBTQI Youths Today—New Knowledge, Better Understanding. JAMA Pediatrics. Published online May 24, 2021. doi:10.1001/jamapediatrics.2021.0893


Youth-Nex also hosted a virtual panel discussion on this topic on September 17th, 2021. The video from this panel is now available online. You can also download a copy of the slide deck (PDF).

If you have any comments or questions about this post, please email Youth-Nex@virginia.edu. Please visit the Youth-Nex Homepage for up to date information about the work happening at the center.

Author Bio: Charlotte J. Patterson is a Professor in the UVA Department of Psychology. Her research focuses on the psychology of sexual orientation, with an emphasis on sexual orientation, human development, and family lives. In the context of her research, Patterson has worked with children, adolescents, couples, and families; she is best known for her studies of child development in the context of lesbian- and gay-parented families.

Whose Ideal (and Who’s Ideal)?

By: Chris Chang-Bacon

I did my dissertation on “monolingual ideologies” in education. The idea of “monolingualism” made sense to me at the time (and still does in many cases). I was writing about states that had “English-only education” policies, despite evidence of the many benefits of bilingual education. To me, this was best explained by a deep-seated English-only bias of “monolingualism” (and the racism/nationalism that so often goes along with it).

Source: Chris Chang-Bacon’s personal blog.
A post summarizing my latest article in Teachers College Record.

The more I’ve written about the idea, however, the notion that all of the linguistic discrimination going on in schools was driven by “monolingualism” started to feel incomplete. Don’t get me wrong, there are far too many contexts where overt language oppression still takes place. But in other contexts, it began to feel too simple to explain all of it as a bias toward (English) monolingualism.

The history of U.S. education is often written as a long march toward monolingualism. This is appropriate in most cases: Schools have far too often been places where students were (and are) forbidden to speak languages other than English and overtly taught that learning English was the only avenue toward professional success or proving their knowledge.

However, it turns out that U.S. education has always encouraged multilingualism for some while forbidding it for others. Take renowned polyglots like Ben Franklin who were lauded for their cosmopolitan multilingualism: These figures gained fame at the same time that U.S. policies were attempting to forbid indigenous populations and enslaved people from speaking languages other than English.

So I realized I had to start thinking and writing about this in more complex ways. I’m trying to think less along the lines of “monolingual” and more along the lines of which language practices become “idealized” (and for whom). I bring out these ideas in my recent article for Teachers College Record. I write that,

“In addition to monolingualism as a language ideology, I argue that there is much to gain from a related, but broader framework of idealized language ideologies. Monolingual language ideologies uphold one specific language practice as the norm (e.g., so-called standard English). On the other hand, a framework of idealized language ideologies highlights the malleability of these supposed norms—involving (1) a set of idealized language practices (2) mapped onto an idealized speaker (3) in relation to certain institutional interests or power dynamics (see Figure 1). This framework helps to explain the entrenchment of problematic language hierarchies, whether through restrictive monolingual language policies or within educational programs ostensibly geared toward bilingualism.”

This has been helping me to articulate more clearly the underlying racism and anti-immigrant bias that informs whose langue practices are idealized–whether it be in monolingual or bilingual educational spaces. My thoughts on this are still being shaped by by engaging with related work from linguists, educators, and linguistic anthropologists (see article for massive list of name-drops, but here are two on my bookshelf at the moment). I’m looking forward to writing with this idea of “idealized language ideologies” more to see if it can help me better sort through the entanglements of language, racism, and nationalism in language education. Hopefully the idea that language practices can be “idealized” in different ways, for different individuals, and in different contexts can also help to better expose the host of other problematic ideologies that are ever-present in educational contexts and in society more widely.

For those interested in the full article, you can find it here (or a here for those without access to the journal).

Chang-Bacon, C. K. (2021). Idealized language ideologies: The “new bilingualism” meets the “old” educational inequities. Teachers College Record. 123(1). https://www.tcrecord.org/Content.asp?ContentId=23558

Read the original post on Dr. Chang-Bacon’s personal blog.


If you have any comments or questions about this post, please email Youth-Nex@virginia.edu. Please visit the Youth-Nex Homepage for up to date information about the work happening at the center.

Author Bio: Assistant professor at the University of Virginia School of Education and Human Development. Former High School English teacher in Lawrence, Massachusetts, ESL Faculty Manager in South Korea, and Peace Corps Volunteer in Morocco. Chang-Bacon’s scholarship is informed by the dynamic multilingual, multidialectal, and multimodal language practices young people bring to classrooms. Follow on Twitter @ChrisChangBacon

Special Journal Focuses on Civic Engagement, Moral Identity: Charlottesville’s Summer of 2017

We resume blogs about Positive Youth Development with a focus on the center’s three new core areas: a) Out-of-School Time; b) Educational Systems: Middle School; and c) Community Engagement: Civic and Political.

We start with the Journal of Adolescent Research Special Issue focus on Youth Civic and Moral Engagement. Nancy Deutsch penned the introduction, posted with the permission of the publisher, which shines a light on the events that transpired in Charlottesville over the summer of 2017.

Introduction to the Journal of Adolescent Research Special Issue on Youth Civic and Moral Engagement

As our editorial team was putting together this issue, our home, Charlottesville, Virginia, was still reeling from the events of the summer of 2017. Images of angry White, mostly male, faces holding tiki torches and weapons, wearing white polo shirts and khakis, chanting fascist and racist slogans were still fresh in our minds. Many of these faces were young; the leaders were under 40. The man charged with killing Charlottesville community member Heather Heyer, who was one of the counter protestors on August 12, was 20 years old. For those of us who study young people, these images could seem to signify a crisis of civic engagement—a reflection of youth whose disengagement from the moral fabric of our society was so great as to lead them to a White supremacist movement that advocates violent hatred.

Yet that is not the full Charlottesville story. On the evening of August 11, 2017, a group of students from the University of Virginia faced down a mob of tiki torch wielding White supremacists who had marched across the school’s campus. The students linked arms, surrounding the statue of Thomas Jefferson that sits at the heart of campus, in front of a sign proclaiming “VA Students Act Against White Supremacy.” These students took the ultimate civic stand—putting their bodies in harm’s way to defend the values that we hold dear. Members of the antifascist movement, whom some clergy members credit with saving their lives during the protests on August 12, are also primarily young people. Furthermore, for weeks, months, and even years before the August events, local youth had been working within our community to organize for racial and social justice. It was a high school student who started the petition to have the confederate statues removed from our local parks. Local high school students started a Black Student Association and an organization to help undocumented students. Their story is one of civic and moral engagement of the highest caliber.

This fall, as I walked across campus every day, I was reminded of the courage and moral fortitude of our local youth. At the same time, I could not ignore the continued presence of White supremacy and the increasing public presence of hate groups across the globe, groups that often prey on disengaged young people for recruitment. The time for a developmental focus on youth civic and moral identity and engagement is now.

In line with our mission, and following that commitment, our editorial team decided to create a special issue featuring articles focused on civic engagement and moral identity. The four articles in this volume feature a range of perspectives from across the globe. Some consider contexts or interventions that may promote civic engagement, such as schools, service learning, and youth councils. Others consider the development of moral and/or civic identities. We felt that this topic was timely and deserving of a dedicated issue. We hope that you agree. And we hope that some day #Charlottesville can come to represent not the violent reemergence of hate groups in the United States but the power of youth civic engagement and moral identity, and the tremendous ability of young people to promote positive social change.

Nancy L. Deutsch
University of Virginia
Youth-Nex: The UVA Center to Promote Effective Youth Development
Charlottesville, VA
nld7a@virginia.edu

Articles in the issue: (access depends on your individual or institutional permissions):

If Someone Asked, I’d Participate: Teachers as Recruiters for Political and Civic Participation
Rebecca Jacobsen, David Casalaspi
First Published October 24, 2016; pp. 153–186

Youth Civic Engagement: Do Youth Councils Reduce or Reinforce Social Inequality?
Astraea Augsberger, Mary Elizabeth Collins, Whitney Gecker, Meaghan Dougher
First Published January 4, 2017; pp. 187–208

Globalization and Moral Personhood: Dyadic Perspectives of the Moral Self in Rural and Urban Thai Communities
Jessica McKenzie
First Published October 9, 2016; pp. 209–246

Development of Adolescent Moral and Civic Identity Through Community Service: A Qualitative Study in Hong Kong
Huixuan Xu, Min Yang
First Published March 20, 2017; pp. 247–272

https://doi.org/10.1177/0743558418756524
Journal of Adolescent Research
2018, Vol. 33(2) 151–152
© The Author(s) 2018
Reprints and permissions:
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DOI: 10.1177/0743558418756524
journals.sagepub.com/home/jar
The final, definitive version of this paper has been published in the Journal of Adolescent Research, Vol. 33(2) 151–152, February/2018 published by SAGE Publishing, All rights reserved.

Itching For Scratch

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By Valerie N. Adams-Bass, PhD

Valerie N. Adams-Bass is an Assistant Professor of the Youth and Social Innovations (YSI) program in the Curry School of Education and a Youth-Nex Faculty Affiliate, at the University of Virginia.

Educational Technology, Ed-Tech is garnering considerable attention as public school districts increasingly adopt and integrate technology into day-to-day instruction. In 2015, I worked as a research fellow with the University of California Davis School of Education on the Digital Promise Pilot to Purchase Project.

Considered a “short-cycle” research project, we worked at a rapid pace for the first half of the year to learn as much as we could from six districts that ranged in size from 1,200-to-96,000 students about how they pilot and make purchasing decisions about ed-tech products. To collect data, I touched down in 4 time zones and visited 4 states; Alabama, California, Idaho, Pennsylvania and the District of Columbia. After a demanding travel schedule, I wrapped up my data collection and headed home.

Many of our findings were published in Pilot-to-Purchase, Piloting Ed-tech Products in k-12 Public Schools report and we created a “tool kit” of resources that are the result of recommendations included in the report. In steps two, three and four of the toolkit I discuss planning, training and implementation and data collection, all important components of piloting ed-tech tools. You’ll find videos discussing these steps throughout this blog, courtesy of DigitalPromise.org.

Adams-Bass Video One:
From Digital Promise.org
Planning
When planning a pilot, districts must clearly articulate what they are trying to accomplish and how they will collect evidence to make an informed decision. Pilots produce the most useful results when everyone involved can answer the question, “What does success look like?”
adamsbassvid1

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Time to Mobilize: Youth Development Scholars and the Movement for Black Lives

Arbeit Mimi_3601.jpgBy Mimi Arbeit, Ph.D., postdoctoral fellow with Youth-Nex

The Movement for Black Lives is a coalition of more than 50 organizations fighting for Black liberation and for the end of state-sanctioned violence against Black people and communities.

The platform is divided into six sets of demands.

To examine how these demands relate to our work as scholars of youth development, we needn’t look any further than the first demand of the first set:

  1. An immediate end to the criminalization and dehumanization of Black youth across all areas of society including, but not limited to; our nation’s justice and education systems, social service agencies, and media and pop culture. This includes an end to zero-tolerance school policies and arrests of students, the removal of police from schools, and the reallocation of funds from police and punitive school discipline practices to restorative services.

This is not hypothetical. This is not up for empirical debate. This is happening, across all areas of society, as in, all the areas of youth lives that we study. And this is urgent.

“The urgency around Black Lives is not only relevant to scholars who list “race” among their research interests. It is relevant to ALL of us whose work touches our nation’s justice and education systems, social service agencies, and media and pop culture.”

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Have Courage – The Connection Between Race and Trauma

Mims copy

Lauren Mims is a Ph.D. student in the Curry School of Education’s educational psychology-applied developmental science program. She is also affiliated with Youth-Nex, and is a fellow with Virginia Educational Science Training (VEST). Mims interned at the White House Initiative on Educational Excellence for African Americans in the summer of 2015 and posts regularly on their blog. This article is reposted with the permission of the U.S. Dept of Education, White House Initiative on Educational Excellence for African Americans.

I will never forget my experience working as a Mile 22 Hydration Station volunteer at the Boston Marathon when bombs exploded at the finish line. I can still picture the chaos that ensued moments after the bomb exploded at the finish line: the speeding of police cars from the security station behind me, the confused looks from runners who asked me what was happening, the screams from sprinters passing by as they called the names of fellow teammates, and the sobs of onlookers doubled over in fear and distress. I offered Gatorade and words of comfort to runners until the road in front of me was clear. Continue reading

Discrimination: How being rejected by one’s own ethnic group affects youth

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By Joanna Lee Williams, Ph.D. Williams is Assistant Professor in Leadership, Foundations and Policy at the University of Virginia Curry School of Education and affiliated with Youth-Nex. Her research interests include the role of identity processes related to race/ethnicity, resiliency, and coping in adolescent development, with a particular emphasis on perceptions of stigma and discrimination among ethnic minority youth. She recently received a Racial Discrimination and Health Award of Excellence from the National Cancer Institute for a distinguished poster presentation at the 2011 Science of Research on Discrimination and Health meeting. Her current work examines the nature and frequency of racial microaggressions and their relation to racial ethnic identity development, psychosocial functioning, and achievement outcomes among adolescents and young adults.

Related posts: Research

A central feature of adolescence is engagement in the process of understanding oneself both in terms of personal identity (e.g., What are my goals, values, beliefs, and personal choices?  What are the continuous aspects of my personal character?) and social identity (e.g., Who am I in relation to my reference groups?  How connected am I to these groups and what do they mean for my personal identity?).  Continue reading