{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T04:45:10Z","timestamp":1782362710347,"version":"3.54.5"},"reference-count":72,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,7,22]],"date-time":"2013-07-22T00:00:00Z","timestamp":1374451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To present the findings of a dimensional analysis of isolation in the context, and from the perspective, of lesbian, gay, bisexual and transgender youth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Lesbian, gay, bisexual and transgender youth are often at greater risk for negative health outcomes compared with heterosexual youth. Isolation is one risk factor cited throughout the literature; however, the concept is complicated and has many uses and thus warrants clarification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Concept Analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>Sources comprise 35 English language research articles retrieved from <jats:styled-content style=\"fixed-case\">CINAHL<\/jats:styled-content> and EBSCOHost (1987\u20132012).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A dimensional concept analysis was undertaken to analyse how the concept, isolation, is socially constructed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This dimensional analysis revealed five socially constructed dimensions and four sub\u2010dimensions. These findings indicate that there is substantial variability in the concept of isolation. These differences and variations are most notably observed in the 20 articles (57%) that had more than one dimension. Although some of these articles were explicit with the different meanings and use of the concept, most of the papers had wide variability in the use and meaning of the concept.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The disproportionately greater physical and mental health disparities between lesbian, gay, bisexual and transgender and heterosexual youth are a signal to conduct more research to clarify the concept of isolation, to develop instrumentation to identify at\u2010risk youth and to explore predictors and consequences of isolation. Nurses and others can lead the way in translating this knowledge into strategies that will improve the health and lives of these young people.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12212","type":"journal-article","created":{"date-parts":[[2013,7,22]],"date-time":"2013-07-22T06:20:51Z","timestamp":1374474051000},"page":"523-532","source":"Crossref","is-referenced-by-count":38,"title":["Isolation of lesbian, gay, bisexual and transgender youth: a dimensional concept analysis"],"prefix":"10.1111","volume":"70","author":[{"given":"Michael J.","family":"Johnson","sequence":"first","affiliation":[{"name":"Medical University of South Carolina College of Nursing Charleston South Carolina USA"},{"name":"Faculty University of Nevada Las Vegas School of Nursing Las Vegas Nevada USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine J.","family":"Amella","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina College of Nursing Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,7,22]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-009-9397-9"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000131139.93862.10"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-3588.2011.00637.x"},{"key":"e_1_2_14_5_1","unstructured":"Berkeley(n.d.)LGBT resource center. Retrieved fromhttp:\/\/geneq.berkeley.edu\/lgbt_resources_definiton_of_terms#transgenderon 05 April 2013."},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-008-9389-1"},{"issue":"3","key":"e_1_2_14_7_1","first-page":"15","article-title":"Young, female and gay: lesbian students and the school environment","volume":"1","author":"Black J.","year":"1998","journal-title":"Professional School Counseling"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(01)00415-3"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198110375911"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/62.6.S371"},{"key":"e_1_2_14_11_1","unstructured":"2011 Cambridge University Press Cambridge dictionary"},{"key":"e_1_2_14_12_1","first-page":"285","volume-title":"Concept Development in Nursing: Foundations, Techniques and Applications","author":"Caron C.D.","year":"2000"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224498409551214"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10560-007-0089-6"},{"key":"e_1_2_14_15_1","unstructured":"CDC(2012)HIV among gay and bisexual men. Retrieved fromhttp:\/\/www.cdc.gov\/hiv\/topics\/msm\/pdf\/msm.pdfon 02 October 2012."},{"key":"e_1_2_14_16_1","unstructured":"Collins Dictionary(2012)Isolation. Retrieved fromhttp:\/\/www.collinsdictionary.com\/dictionary\/american\/isolation?showCookiePolicy=trueon 02 September 2012."},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2009.12.019"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10560-007-0091-z"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1521\/suli.2005.35.6.646"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.36.2.241"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1300\/J035v12n01_06"},{"key":"e_1_2_14_22_1","volume-title":"Serving Our Youth: Findings from a National Survey of Service Providers Working with Lesbian, Gay, Bisexual and Transgender Youth who are Homeless or at Risk of Becoming Homeless","author":"Durso L.E.","year":"2012"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2006.04.024"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANS.0b013e3181e63e49"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.56.10.876"},{"issue":"3","key":"e_1_2_14_26_1","first-page":"8","article-title":"Evidencing a need: school counselors' experiences with gay and lesbian students","volume":"1","author":"Fontaine J.H.","year":"1998","journal-title":"Professional School Counseling"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1446.2012.01015.x"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/10556699.2000.10608645"},{"key":"e_1_2_14_29_1","unstructured":"GLSEN(2011)The 2011 national school climate survey: Executive summary. Retrieved fromhttp:\/\/www.glsen.org\/binary-data\/GLSEN_ATTACHMENTS\/file\/000\/001\/1676-4.pdfon 06 September 2012."},{"issue":"1","key":"e_1_2_14_30_1","first-page":"39","article-title":"Homophobia: a cofactor of HIV disease in gay and lesbian youth","volume":"5","author":"Grossman A.H.","year":"1994","journal-title":"JANAC: Journal of the Association of Nurses in AIDS Care"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2011.534038"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.2003.tb03584.x"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11205-005-7746-y"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1556-6678.2002.tb00206.x"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1300\/J082v14n01_03"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2009.01.009"},{"issue":"3","key":"e_1_2_14_37_1","first-page":"180","article-title":"Stresses on lesbian and gay adolescents in schools","volume":"9","author":"Hunter J.","year":"1987","journal-title":"Social Work in Education"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2010.01.019"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANS.0b013e31825372b9"},{"issue":"2","key":"e_1_2_14_40_1","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1080\/02796015.2000.12086008","article-title":"Substance abuse among gay, lesbian, bisexual, transgender and questioning adolescents","volume":"29","author":"Jordan K.M.","year":"2000","journal-title":"School Psychology Review"},{"issue":"2","key":"e_1_2_14_41_1","first-page":"114","article-title":"Gay and lesbian adolescents: implications for Adlerian therapists","volume":"51","author":"Kottman T.","year":"1995","journal-title":"Individual Psychology: Journal of Adlerian Theory, Research & Practice"},{"key":"e_1_2_14_42_1","volume-title":"Progress and Its Problems","author":"Laudan L.","year":"1977"},{"key":"e_1_2_14_43_1","volume-title":"The Social Organization of Sexuality: Sexual Practices in the United States","author":"Laumann E.O.","year":"1994"},{"key":"e_1_2_14_44_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/537467"},{"key":"e_1_2_14_45_1","doi-asserted-by":"publisher","DOI":"10.1300\/J082v15n01_12"},{"key":"e_1_2_14_46_1","unstructured":"Merriam\u2010Webster(2012)Merriam\u2010Webster. Retrieved fromhttp:\/\/www.merriam-webster.com\/on 02 September 2012."},{"key":"e_1_2_14_47_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.178319"},{"key":"e_1_2_14_48_1","unstructured":"Oxford University Press(2013)Oxford English dictionary: The definitive record of the English language. Retrieved fromhttp:\/\/www.oed.comon 01 September 2012."},{"key":"e_1_2_14_49_1","first-page":"71","volume-title":"Handbook of Research with Lesbian, Gay, Bisexual and Transgender Populations","author":"Parks C.A.","year":"2009"},{"key":"e_1_2_14_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-0070(87)90263-4"},{"key":"e_1_2_14_51_1","doi-asserted-by":"publisher","DOI":"10.1080\/10894160903058840"},{"key":"e_1_2_14_52_1","doi-asserted-by":"publisher","DOI":"10.1300\/J009v20n02_05"},{"key":"e_1_2_14_53_1","doi-asserted-by":"publisher","DOI":"10.1177\/001698620004400404"},{"key":"e_1_2_14_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(97)00007-X"},{"issue":"1","key":"e_1_2_14_55_1","first-page":"88","article-title":"Lesbian, gay and bisexual teens and the school counselor: building alliances","volume":"77","author":"Reynolds A.L.","year":"1993","journal-title":"The High School Journal"},{"key":"e_1_2_14_56_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.156.4.349"},{"key":"e_1_2_14_57_1","first-page":"7","volume-title":"Concept Development in Nursing: Foundations, Techniques and Applications","author":"Rodgers B.L.","year":"2000"},{"key":"e_1_2_14_58_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200205000-00020"},{"key":"e_1_2_14_59_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200312000-00020"},{"key":"e_1_2_14_60_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.8.1276"},{"key":"e_1_2_14_61_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-3524"},{"key":"e_1_2_14_62_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.123109"},{"key":"e_1_2_14_63_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6171.2011.00310.x"},{"key":"e_1_2_14_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.2008.00342.x"},{"issue":"4","key":"e_1_2_14_65_1","first-page":"422","article-title":"Issues relating to the treatment of adolescent lesbians and homosexuals","volume":"14","author":"Teague J.B.","year":"1992","journal-title":"Journal of Mental Health Counseling"},{"key":"e_1_2_14_66_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0020705"},{"key":"e_1_2_14_67_1","doi-asserted-by":"publisher","DOI":"10.1080\/00405849409543635"},{"key":"e_1_2_14_68_1","doi-asserted-by":"publisher","DOI":"10.1177\/0044118X09334957"},{"key":"e_1_2_14_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/0883-9417(93)90004-G"},{"key":"e_1_2_14_70_1","doi-asserted-by":"publisher","DOI":"10.1080\/15546128.2010.503863"},{"key":"e_1_2_14_71_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.190025"},{"key":"e_1_2_14_72_1","doi-asserted-by":"publisher","DOI":"10.1300\/J137v08n02_08"},{"key":"e_1_2_14_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2006.08.004"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.12212","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.12212","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.12212","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T21:47:06Z","timestamp":1696283226000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.12212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,22]]},"references-count":72,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,3]]}},"alternative-id":["10.1111\/jan.12212"],"URL":"https:\/\/doi.org\/10.1111\/jan.12212","archive":["Portico"],"relation":{},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,22]]}}}