Stigma shapes lesbian, gay, bisexual, transgender, and queer person's mental health and experiences with mental health services in North Macedonia
There is a dearth of lesbian gay, bisexual, transgender, and queer (LGBTQ+) mental health research in Southeast Europe. Our study aimed to explore Macedonian LGBTQ+ people's mental health and their experiences with mental health services. We conducted a qualitative study with 71 LGBTQ persons i...
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| Veröffentlicht in: | Global public health 2022-06, Vol.17 (6), p.857-869 |
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| creator | Stojanovski, Kristefer King, Elizabeth Jane Bondikjova, Viktorija Mihajlov, Antonio |
| description | There is a dearth of lesbian gay, bisexual, transgender, and queer (LGBTQ+) mental health research in Southeast Europe. Our study aimed to explore Macedonian LGBTQ+ people's mental health and their experiences with mental health services.
We conducted a qualitative study with 71 LGBTQ persons in N. Macedonia in the summer of 2017. Diverse sexual orientations, gender identities, and geography were represented among participants. We used content, thematic, and narrative analyses to understand LGBTQ+ people's mental health and experiences with mental health services.
LGBTQ+ participants described living a 'double-life' and explained that minority stressors challenge their mental health and ability to access mental health services. Participants extensively shared unethical experiences with mental health services. Transgender participants and LGBTQ+ persons living in smaller towns described additional stigmatisation that harmed their mental health and hampered use of services. While, safe and affirming mental health services exist, they are not the norm nor readily accessible to all LGBTQ+ persons.
Macedonian LGBTQ+ people experience mental health burdens because of societal stigmatisation. Institutional discrimination, lack of accessibility, and poor quality of services challenge LGBTQ+ people's ability to address mental health needs. Structural and community-level interventions are needed to support Macedonian LGBTQ people's mental health. |
| doi_str_mv | 10.1080/17441692.2021.1896767 |
| format | Article |
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We conducted a qualitative study with 71 LGBTQ persons in N. Macedonia in the summer of 2017. Diverse sexual orientations, gender identities, and geography were represented among participants. We used content, thematic, and narrative analyses to understand LGBTQ+ people's mental health and experiences with mental health services.
LGBTQ+ participants described living a 'double-life' and explained that minority stressors challenge their mental health and ability to access mental health services. Participants extensively shared unethical experiences with mental health services. Transgender participants and LGBTQ+ persons living in smaller towns described additional stigmatisation that harmed their mental health and hampered use of services. While, safe and affirming mental health services exist, they are not the norm nor readily accessible to all LGBTQ+ persons.
Macedonian LGBTQ+ people experience mental health burdens because of societal stigmatisation. Institutional discrimination, lack of accessibility, and poor quality of services challenge LGBTQ+ people's ability to address mental health needs. Structural and community-level interventions are needed to support Macedonian LGBTQ people's mental health.</description><identifier>ISSN: 1744-1692</identifier><identifier>EISSN: 1744-1706</identifier><identifier>DOI: 10.1080/17441692.2021.1896767</identifier><identifier>PMID: 33650937</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Access ; Accessibility ; Bisexuality ; Discrimination ; Ethics ; Europe ; Female ; Gays & lesbians ; Gender Identity ; Geography ; Health needs ; Health research ; Health services ; Homosexuality ; Humans ; Lesbianism ; LGBTQ ; LGBTQ people ; Low income groups ; Medical research ; Mental Health ; Mental Health Services ; Republic of North Macedonia ; Sexual and Gender Minorities ; Sexual orientation ; Sexuality ; Stigma ; Stress ; Towns ; Transgender Persons</subject><ispartof>Global public health, 2022-06, Vol.17 (6), p.857-869</ispartof><rights>2021 Informa UK Limited, trading as Taylor & Francis Group 2021</rights><rights>2021 Informa UK Limited, trading as Taylor & Francis Group</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-43dfcac753307cc641a384659e2003723da7298b9f6ba6cea3787eb4d4a76d593</citedby><cites>FETCH-LOGICAL-c394t-43dfcac753307cc641a384659e2003723da7298b9f6ba6cea3787eb4d4a76d593</cites><orcidid>0000-0003-1239-5153 ; 0000-0001-8465-4607</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/17441692.2021.1896767$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/17441692.2021.1896767$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,780,784,27866,27924,27925,30999,33774,59647,60436</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33650937$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stojanovski, Kristefer</creatorcontrib><creatorcontrib>King, Elizabeth Jane</creatorcontrib><creatorcontrib>Bondikjova, Viktorija</creatorcontrib><creatorcontrib>Mihajlov, Antonio</creatorcontrib><title>Stigma shapes lesbian, gay, bisexual, transgender, and queer person's mental health and experiences with mental health services in North Macedonia</title><title>Global public health</title><addtitle>Glob Public Health</addtitle><description>There is a dearth of lesbian gay, bisexual, transgender, and queer (LGBTQ+) mental health research in Southeast Europe. Our study aimed to explore Macedonian LGBTQ+ people's mental health and their experiences with mental health services.
We conducted a qualitative study with 71 LGBTQ persons in N. Macedonia in the summer of 2017. Diverse sexual orientations, gender identities, and geography were represented among participants. We used content, thematic, and narrative analyses to understand LGBTQ+ people's mental health and experiences with mental health services.
LGBTQ+ participants described living a 'double-life' and explained that minority stressors challenge their mental health and ability to access mental health services. Participants extensively shared unethical experiences with mental health services. Transgender participants and LGBTQ+ persons living in smaller towns described additional stigmatisation that harmed their mental health and hampered use of services. While, safe and affirming mental health services exist, they are not the norm nor readily accessible to all LGBTQ+ persons.
Macedonian LGBTQ+ people experience mental health burdens because of societal stigmatisation. Institutional discrimination, lack of accessibility, and poor quality of services challenge LGBTQ+ people's ability to address mental health needs. Structural and community-level interventions are needed to support Macedonian LGBTQ people's mental health.</description><subject>Access</subject><subject>Accessibility</subject><subject>Bisexuality</subject><subject>Discrimination</subject><subject>Ethics</subject><subject>Europe</subject><subject>Female</subject><subject>Gays & lesbians</subject><subject>Gender Identity</subject><subject>Geography</subject><subject>Health needs</subject><subject>Health research</subject><subject>Health services</subject><subject>Homosexuality</subject><subject>Humans</subject><subject>Lesbianism</subject><subject>LGBTQ</subject><subject>LGBTQ people</subject><subject>Low income groups</subject><subject>Medical research</subject><subject>Mental Health</subject><subject>Mental Health Services</subject><subject>Republic of North Macedonia</subject><subject>Sexual and Gender Minorities</subject><subject>Sexual orientation</subject><subject>Sexuality</subject><subject>Stigma</subject><subject>Stress</subject><subject>Towns</subject><subject>Transgender Persons</subject><issn>1744-1692</issn><issn>1744-1706</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kc2O0zAUhS0EYoaBRwBZYgGLtvgvdrIbNOJPGmABrK0b56b1KLGLnTDT1-CJcWmLBAu8sXXud8-1fQh5ytmKs5q94kYprhuxEkzwFa8bbbS5R873-pIbpu-fzgU6I49yvmFMlaUfkjMpdcUaac7Jzy-TX49A8wa2mOmAufUQFnQNuwVtfca7GYYFnRKEvMbQYVpQCB39PiMmusWUY3iR6YhhgoFuEIZp8xvAu1L0GFxxvfVF_BvJmH74fc0H-immonwEh10MHh6TBz0MGZ8c9wvy7e2br1fvl9ef3324en29dLJR01LJrnfgTCUlM85pxUHWSlcNCsakEbIDI5q6bXrdgnYI0tQGW9UpMLqrGnlBXh58tymW5-TJjj47HAYIGOdshWoqxVRdi4I-_we9iXMK5XZWaCPK70teF6o6UC7FnBP2dpv8CGlnObP70OwpNLsPzR5DK33Pju5zO2L3p-uUUgEuD4APfUwj3MY0dHaC3RBTX5JxPlv5_xm_ADXRpz4</recordid><startdate>20220603</startdate><enddate>20220603</enddate><creator>Stojanovski, Kristefer</creator><creator>King, Elizabeth Jane</creator><creator>Bondikjova, Viktorija</creator><creator>Mihajlov, Antonio</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TQ</scope><scope>7U3</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1239-5153</orcidid><orcidid>https://orcid.org/0000-0001-8465-4607</orcidid></search><sort><creationdate>20220603</creationdate><title>Stigma shapes lesbian, gay, bisexual, transgender, and queer person's mental health and experiences with mental health services in North Macedonia</title><author>Stojanovski, Kristefer ; King, Elizabeth Jane ; Bondikjova, Viktorija ; Mihajlov, Antonio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-43dfcac753307cc641a384659e2003723da7298b9f6ba6cea3787eb4d4a76d593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Access</topic><topic>Accessibility</topic><topic>Bisexuality</topic><topic>Discrimination</topic><topic>Ethics</topic><topic>Europe</topic><topic>Female</topic><topic>Gays & lesbians</topic><topic>Gender Identity</topic><topic>Geography</topic><topic>Health needs</topic><topic>Health research</topic><topic>Health services</topic><topic>Homosexuality</topic><topic>Humans</topic><topic>Lesbianism</topic><topic>LGBTQ</topic><topic>LGBTQ people</topic><topic>Low income groups</topic><topic>Medical research</topic><topic>Mental Health</topic><topic>Mental Health Services</topic><topic>Republic of North Macedonia</topic><topic>Sexual and Gender Minorities</topic><topic>Sexual orientation</topic><topic>Sexuality</topic><topic>Stigma</topic><topic>Stress</topic><topic>Towns</topic><topic>Transgender Persons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stojanovski, Kristefer</creatorcontrib><creatorcontrib>King, Elizabeth Jane</creatorcontrib><creatorcontrib>Bondikjova, Viktorija</creatorcontrib><creatorcontrib>Mihajlov, Antonio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>Social Services Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><jtitle>Global public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stojanovski, Kristefer</au><au>King, Elizabeth Jane</au><au>Bondikjova, Viktorija</au><au>Mihajlov, Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stigma shapes lesbian, gay, bisexual, transgender, and queer person's mental health and experiences with mental health services in North Macedonia</atitle><jtitle>Global public health</jtitle><addtitle>Glob Public Health</addtitle><date>2022-06-03</date><risdate>2022</risdate><volume>17</volume><issue>6</issue><spage>857</spage><epage>869</epage><pages>857-869</pages><issn>1744-1692</issn><eissn>1744-1706</eissn><abstract>There is a dearth of lesbian gay, bisexual, transgender, and queer (LGBTQ+) mental health research in Southeast Europe. Our study aimed to explore Macedonian LGBTQ+ people's mental health and their experiences with mental health services.
We conducted a qualitative study with 71 LGBTQ persons in N. Macedonia in the summer of 2017. Diverse sexual orientations, gender identities, and geography were represented among participants. We used content, thematic, and narrative analyses to understand LGBTQ+ people's mental health and experiences with mental health services.
LGBTQ+ participants described living a 'double-life' and explained that minority stressors challenge their mental health and ability to access mental health services. Participants extensively shared unethical experiences with mental health services. Transgender participants and LGBTQ+ persons living in smaller towns described additional stigmatisation that harmed their mental health and hampered use of services. While, safe and affirming mental health services exist, they are not the norm nor readily accessible to all LGBTQ+ persons.
Macedonian LGBTQ+ people experience mental health burdens because of societal stigmatisation. Institutional discrimination, lack of accessibility, and poor quality of services challenge LGBTQ+ people's ability to address mental health needs. Structural and community-level interventions are needed to support Macedonian LGBTQ people's mental health.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>33650937</pmid><doi>10.1080/17441692.2021.1896767</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-1239-5153</orcidid><orcidid>https://orcid.org/0000-0001-8465-4607</orcidid></addata></record> |
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| ispartof | Global public health, 2022-06, Vol.17 (6), p.857-869 |
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| source | MEDLINE; PAIS Index; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis:Master (3349 titles) |
| subjects | Access Accessibility Bisexuality Discrimination Ethics Europe Female Gays & lesbians Gender Identity Geography Health needs Health research Health services Homosexuality Humans Lesbianism LGBTQ LGBTQ people Low income groups Medical research Mental Health Mental Health Services Republic of North Macedonia Sexual and Gender Minorities Sexual orientation Sexuality Stigma Stress Towns Transgender Persons |
| title | Stigma shapes lesbian, gay, bisexual, transgender, and queer person's mental health and experiences with mental health services in North Macedonia |
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