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Review
. 2023 Jul 23;11(14):2098.
doi: 10.3390/healthcare11142098.

Between Resilience and Agency: A Systematic Review of Protective Factors and Positive Experiences of LGBTQ+ Students

Telmo Fernandes  1 , Beatriz Alves  2 , Jorge Gato  1   2
Affiliations
Review

Between Resilience and Agency: A Systematic Review of Protective Factors and Positive Experiences of LGBTQ+ Students

Telmo Fernandes et al. Healthcare (Basel). .

Abstract

A negative school climate resulting from homophobic and transphobic bias and discrimination is associated with poor well-being and mental health among LGBTQ+ youth. However, protective factors and mechanisms may buffer against the impact of stigmatization. Drawing on the socio-ecological model, minority stress theory, and positive youth development and agency perspectives, we carried out a systematic review of research focusing on factors that can promote the well-being of LGBTQ+ students in educational settings, outlining the primary outcomes from studies published between 2012 and 2022. The PRISMA protocol was used for this review, and 64 articles were scrutinized. The results of the thematic analysis revealed that both external factors (school-inclusive policies and extracurricular activities; social support from school, family, and the community; and school connectedness) and internal factors (psychosocial characteristics and personal agency) promote positive school experiences, such as the exploration of sexual and gender identities in a safe environment. The present findings highlight the need for inclusive school policies and strategies and individual-level interventions that target the well-being and positive mental health outcomes of sexual and gender minority students.

Keywords: LGBTQ students; minority stress; protective factors; resilience; risk; systematic review.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

Figures

Figure 1
Figure 1
PRISMA flow chart. Exclusion criteria: (1) did not assess positive experiences or protective factors; (2) did not focus on the school context; and (3) sample included only older students or did not include LGBTQ+ students.
Figure 2
Figure 2
Percentage of studies’ according to methodologies.
Figure 3
Figure 3
Types of studies according to sexual orientation, gender identity, and GSA membership.
Figure 4
Figure 4
Thematic tree considering Meyer’s minority stress model [11,12] and the social-ecological framework [10].
See this image and copyright information in PMC

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