Native American Two Spirit And Lgbtq Health: A Systematic Review Of The Literature

Introduction: Two Spirit and Native LGBTQ people have unique health risks and cultural strengths.Method: This study analyzes 28 reports published since 1980 examining the health and identity-formation experiences of Two Spirit or Native LGBTQ individuals.Results: The majority (68%) of the articles focus on urban populations. Few employ a strengths-based approach. Less than half capture information about gender identity.Conclusion: Findings suggest that Two Spirit and Native LGBTQ individuals are underrepresented in current health research. Existing research prioritizes a disease-specific perspective. Future research focused on intersectional identity formation, connectedness, and culture as a protective factor is needed.