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首页> 外文期刊>American journal of orthopsychiatry >The Health Equity Promotion Model: Reconceptualization of Lesbian, Gay, Bisexual, and Transgender (LGBT) Health Disparities
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The Health Equity Promotion Model: Reconceptualization of Lesbian, Gay, Bisexual, and Transgender (LGBT) Health Disparities

机译：健康公平促进模型：女同性恋，男同性恋，双性恋和变性者（LGBT）健康差距的概念化

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摘要

National health initiatives emphasize the importance of eliminating health disparities among historically disadvantaged populations. Yet, few studies have examined the range of health outcomes among lesbian, gay, bisexual, and transgender (LGBT) people. To stimulate more inclusive research in the area, we present the Health Equity Promotion Model-a framework oriented toward LGBT people reaching their full mental and physical health potential that considers both positive and adverse health-related circumstances. The model highlights (a) heterogeneity and intersectionality within LGBT communities; (b) the influence of structural and environmental context; and (c) both health-promoting and adverse pathways that encompass behavioral, social, psychological, and biological processes. It also expands upon earlier conceptualizations of sexual minority health by integrating a life course development perspective within the health-promotion model. By explicating the important role of agency and resilience as well as the deleterious effect of social structures on health outcomes, it supports policy and social justice to advance health and well-being in these communities. Important directions for future research as well as implications for health-promotion interventions and policies are offered.
机译：国家卫生举措强调了消除历史上处于不利地位的人群之间卫生差距的重要性。但是，很少有研究检查同性恋，双性恋和变性者（LGBT）人群健康结局的范围。为了促进该领域的更多包容性研究，我们提出了健康公平促进模型-一种框架，旨在使LGBT人群充分发挥其身心健康潜力，并考虑与健康有关的正面和负面方面。该模型强调了（a）LGBT社区内部的异质性和交叉性; （b）结构和环境背景的影响; （c）包括行为，社会，心理和生物过程的促进健康和不良途径。通过将生命过程发展的观点纳入健康促进模型中，它还扩展了对性少数健康的早期概念。通过阐明机构和抵御力的重要作用以及社会结构对健康结果的有害影响，它支持政策和社会正义，以促进这些社区的健康和福祉。提供了未来研究的重要方向以及对健康促进干预措施和政策的启示。

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