Exploring the lived experiences of
LGBTQIA
+ young people with visible differences: Being ‘
double different
’
Emma Waite, Elizabeth Jenkinson, Victoria Clarke, Ella Guest Abstract
Objectives
Existing research suggests young people with visible differences can experience a range of psychosocial challenges, such as low self‐esteem and increased anxiety and depression. However, young people from minoritised groups are not well represented in visible difference research. This includes LGBTQIA+ young people, who experience both mental and physical health inequalities and may be at greater risk of negative body image than their cisgender/heterosexual peers. While it can be argued that LGBTQIA+ young people with visible differences may be at greater risk of negative psychosocial outcomes compared to their cisgender/heterosexual counterparts, little research explores the unique experiences of this population. Therefore, this study aimed to explore the lived experiences of LGBTQIA+ young people (aged 15–28 years) with visible differences.
Design
This study used an inductive, qualitative design. The research was underpinned by a critical realist/contextualist perspective.
Methods
Data were generated using online qualitative surveys and 75 young people with a range of gender identities, sexualities, and visible differences took part. Reflexive thematic analysis was used to analyse the data.
Results
One overarching theme, The weight of multiple marginalisation , was generated that encompassed two themes: (1) Dual identities , dual stigma and (2) Hiding to prevent hurting .
Conclusions
Analysis suggested that LGBTQIA+ young people with visible differences face unique challenges not accounted for by generic support. However, some experienced personal growth and described feeling accepted by LGBTQIA+ people. Tailored, co‐produced interventions are needed to effectively support this population and reduce the health and social inequalities they face.