Brett, CE, Madden, H, Tillbrook, D and Hope, VD (2025) A scoping review of sense of coherence and salutogenesis among LGBTQ+ populations. Health Promotion International, 40 (2). ISSN 0957-4824

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Abstract

Salutogenesis and sense of coherence can buffer the effects of external threats such as stigma, discrimination, and emergencies. Lesbian, gay, bisexual, trans, and queer (LGBTQ+) communities globally face discrimination, prejudice, and victimization. Understanding salutogenesis and sense of coherence among LGBTQ+ people could improve policy and health promotion responses and reduce the impact of these stressors on LGBTQ+ people’s health. This scoping review addressed the following question: To what extent has salutogenesis, either qualitatively or through measurement of sense of coherence, been explored among LGBTQ+ populations globally? Systematic searches of five databases identified 448 unique sources: 413 were excluded through title and abstract screening, and 18 by full-text screening. Of the 17 included studies, 14 were quantitative, two qualitative, and one mixed methods. Studies recruited participants from 11 high-income countries. Two-thirds (11) recruited participants only from within the LGBTQ+ community and six had more broadly based samples. The studies sampled a diverse range of subpopulations and subgroups from a variety of contexts limiting generalizability. The quantitative measure of sense of coherence most often used was the SoC-13 (n = 7), however, heterogeneity in the results reporting prevented quantitative synthesis. The limited evidence suggests that sense of coherence may be lower in LGBTQ+ populations than in comparison groups of cisgender heterosexuals, at least in some contexts, and is related to measures of wellbeing and discrimination. Further research is needed to understand how sense of coherence and its dimensions influence, and is influenced by, LGBTQ + people’s life experiences and resources and their responses to external stressors.

Item Type:	Article
Uncontrolled Keywords:	1117 Public Health and Health Services; 1302 Curriculum and Pedagogy; Public Health; 4206 Public health; 4407 Policy and administration
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Psychology (from Sep 2019) Public and Allied Health
Publisher:	Oxford University Press (OUP)
SWORD Depositor:	A Symplectic
Date Deposited:	24 Apr 2025 08:43
Last Modified:	24 Apr 2025 08:45
DOI or ID number:	10.1093/heapro/daaf049
URI:	https://researchonline.ljmu.ac.uk/id/eprint/26236

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