Health inequity by design: LGBTQ+ youth homelessness and a path towards health justice

The health inequities facing the LGBTQ+ community are well documented despite limited resources towards addressing these issues. Traditional frameworks have failed to account for the role of stigma at various levels, namely public, self and structural, that perpetuate these inequities. Health justice has emerged as a framework that explicitly addresses both stigma and power dynamics as key areas that must be targeted to truly effect change. Focusing on LGBTQ+ youth homelessness, I examine how stigma operates across systems including healthcare, housing, and social systems, and how power embedded within systems reinforces inequities over time. After contextualizing these issues within the framework, discussion regarding non-reformist compared to reformist reform is addressed to better understand how past frameworks can fall short in their reform efforts.

Grantor dc:publisher

Temple University. Libraries

Year dc:date.issued

2026

Author dc:creator

• Miller, David

Advisor dc:contributor.advisor

• Strand, Nicolle K.

• LGBTQ studies
• Health justice
• LGBTQ
• Stigma
• Urban bioethics

Statement dc:rights

• IN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available.

Licence dc:rights.uri

• http://rightsstatements.org/vocab/InC/1.0/

Language dc:language.iso

eng

Repository record dc:identifier.uri

https://scholarshare.temple.edu/handle/20.500.12613/12176

OAI identifier oai:identifier

oai:scholarshare.temple.edu:20.500.12613/12176