Mapping the missing: a scoping review identifying critically underrepresented LGBTQI+ youth within online sexual, reproductive, and transgender healthcare research
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Online sexual, reproductive, and transgender healthcare can overcome barriers to care among lesbian, gay, bisexual, trans, queer/questioning, intersex, and other (LGBTQI+) youth and address disproportionately poor sexual and reproductive health outcomes. However, LGBTQI + youth are heterogenous and online healthcare spans broad health topics and online platforms. To map recent research and identify gaps, we conducted a scoping review, following Joanna Briggs Institute methodology, using the Participants (LGBTQI + youth aged 10-35 years), Concept (online sexual, reproductive, and transgender healthcare), Context (high-income countries) eligibility framework. We searched nine databases for recent literature (2018-2024), two reviewers screened studies using Rayyan, and data were extracted to Excel and analysed descriptively (N = 132 included papers). Most papers (89/132) were from distinct studies; 43/132 were from 15 studies. There were quantitative (57/132), qualitative (41/132), and mixed methods studies (34/132). Most focused on sexual healthcare (95/132) including HIV/STI prevention (68/95) and HIV management (10/95); 30/132 on transgender healthcare; and only 3/132 on reproductive healthcare. Most targeted young men who have sex with men (79/132) or trans and gender-diverse youth (44/132). Only 4/132 targeted young sexual minority women. Almost all were from the US (119/132). Amid a global shift to delivering healthcare online, this timely review provides the first comprehensive map of critical blind spots, highlighting the urgency of research on reproductive health, sexual wellbeing, and sexual minority women. Addressing these gaps is essential for providing equitable healthcare and reducing health disparities. These findings can guide the delivery of online healthcare that meets the needs of all LGBTQI + youth.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.007 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it