Abstract

BackgroundMany LGBTQ youth experience rejection and discrimination in their families and schools, and the range of interventions for improving their resilience and well-being is limited. We developed and piloted an LGBTQ-youth-focused intervention to build resilience and promote health equity, called Pride Camp, in an urban environment in the Midwest.MethodsUsing a mixed-method approach we examined the impact of Pride Camp on resilience and other measures of well-being among LGBTQ high school students who attended camp on a college campus in 2015, 2016, and 2017. Camp attendees and the research sample included a majority proportion of transgender and gender nonbinary (TGN) youth.ResultsPre- and post-test data from our quantitative surveys (n = 28), indicated significant increases in resilience, self-esteem, and quality of life in LGBTQ youth who attended camp. Similar results were found among the TGN participants (n = 19). Qualitative data from focus groups indicated that specifically for TGN youth, the affirming environment at the camp provided social opportunities that they had not found elsewhere.ConclusionsFindings suggest that the Pride Camp intervention provides a platform for LGBTQ youth to meet peers and engage in LGBTQ communities, improving their resilience and outlook on the future. A larger controlled study of the Pride Camp intervention including measurement of additional specific health outcomes over a longer follow-up period is warranted to examine the impact of this program on health equity.

Highlights

  • It is imperative to understand how to shape our schools, communities, and society to be more inclusive and empowering, as more people are openly identifying and expressing their sexual orientation and gender diversity at young ages

  • transgender and non-binary students (TGN) youth were four times more likely to experience bullying in school, and bullying was associated with 3-fold greater odds for substance use, depression, and anxiety among transgender youth compared to nontransgender youth [4]

  • The current study This research served as an uncontrolled pilot test of the effects of a six-day on-campus program, called Pride Camp, on resilience and well-being among LGBTQ youth. This pilot research examined LGBTQ youth using two approaches: 1) we aggregated Pride Camp data from 2015 to 2017 to assess whether there were significant changes in psychological outcomes between pre- and post-intervention, and, because our sample consisted of a large proportion of TGN youth, in sub-analysis we examined whether these changes were present for the TGN campers and 2) we conducted two semi-structured focus groups in 2016 to describe the experiences of TGN campers at Pride Camp

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Summary

Introduction

It is imperative to understand how to shape our schools, communities, and society to be more inclusive and empowering, as more people are openly identifying and expressing their sexual orientation and gender diversity at young ages. Among transgender and non-binary students (TGN), the National School Climate Survey conducted in 2015 found that TGN students faced more hostile school climates, including non-inclusive policies, lack of inclusive curricular resources, and greater victimization, when compared to their cisgender LGBQ peers [1]. In another large study, TGN youth were four times more likely to experience bullying in school, and bullying (mental and physical harassment and aggression) was associated with 3-fold greater odds for substance use, depression, and anxiety among transgender youth compared to nontransgender youth [4]. We developed and piloted an LGBTQ-youth-focused intervention to build resilience and promote health equity, called Pride Camp, in an urban environment in the Midwest

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