The Netherlands is often celebrated for its progressive policies regarding sexual and gender minority (SGM) rights. However, recent research highlights persistent health disparities among these populations, particularly in mental health and substance use. A scoping review titled "Health disparities in one of the world’s most progressive countries: a scoping review of mental health and substance use among sexual and gender minority people in the Netherlands" offers valuable insights that can guide practitioners in addressing these issues.
Key Findings from the Research
The review examined studies published between 2010 and 2022, focusing on SGM youth and adults in the Netherlands. Despite the country's supportive policies, SGM individuals reported poorer mental health outcomes compared to their heterosexual counterparts. The research identified several contributing factors:
- Minority Stress: SGM individuals experience unique stressors such as stigma, discrimination, and internalized negativity, which contribute to mental health disparities.
- Structural Stigma: Societal-level conditions and cultural norms continue to impact SGM individuals' well-being despite progressive policies.
- Lack of Representation: The literature shows major gaps, particularly concerning nonbinary individuals and older SGM adults.
Implications for Practitioners
Practitioners working with SGM populations can draw several lessons from this research:
- Adopt a Holistic Approach: Consider individual, interpersonal, and structural factors when assessing SGM clients' needs. Addressing only individual-level issues may overlook broader societal influences.
- Promote Resilience: While much focus has been on problems faced by SGM individuals, it's equally important to highlight strengths and resilience factors that can mitigate negative outcomes.
- Enhance Cultural Competency: Practitioners should seek training to better understand the unique challenges faced by diverse SGM populations. This includes recognizing intersectional identities that may influence health outcomes.
The Need for Further Research
The review underscores the necessity for more comprehensive research to fill existing gaps. Future studies should aim to:
- Diversify Study Samples: Include a broader range of participants across different ages, races, ethnicities, and gender identities to capture diverse experiences within SGM communities.
- Explore Structural Factors: Investigate how healthcare systems and policies affect SGM individuals' access to care and overall well-being.
- Develop Interventions: Create targeted interventions that address both mental health and substance use issues among SGM populations.
Conclusion
The findings from this scoping review provide a crucial foundation for improving care for SGM individuals. By understanding the complex interplay of factors contributing to health disparities, practitioners can better support their clients. As we move forward, it is essential to continue building on this knowledge through further research and collaboration within the healthcare community.
To read the original research paper, please follow this link: Health disparities in one of the world’s most progressive countries: a scoping review of mental health and substance use among sexual and gender minority people in the Netherlands.
