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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="1.3" xml:lang="en" article-type="research-article"><?properties open_access?><?properties manuscript?><processing-meta base-tagset="archiving" mathml-version="3.0" table-model="xhtml" tagset-family="jats"><restricted-by>pmc</restricted-by></processing-meta><front><journal-meta><journal-id journal-id-type="nlm-journal-id">101564249</journal-id><journal-id journal-id-type="pubmed-jr-id">39369</journal-id><journal-id journal-id-type="nlm-ta">J Youth Dev</journal-id><journal-title-group><journal-title>Journal of youth development : bridging research and practice</journal-title></journal-title-group></journal-meta><article-meta><article-id pub-id-type="pmid">35284581</article-id><article-id pub-id-type="pmc">8916108</article-id><article-id pub-id-type="doi">10.5195/jyd.2021.1072</article-id><article-id pub-id-type="manuscript">NIHMS1783173</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>LGBTQ+ Inclusion and Support: An Analysis of Challenges and Opportunities Within 4-H</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Rand</surname><given-names>Joseph J.</given-names></name><aff id="A1">Extension Center for Youth Development, University of Minnesota</aff></contrib><contrib contrib-type="author"><name><surname>Paceley</surname><given-names>Megan S.</given-names></name><aff id="A2">School of Social Welfare, University of Kansas</aff></contrib><contrib contrib-type="author"><name><surname>Fish</surname><given-names>Jessica N.</given-names></name><aff id="A3">Department of Family Science, University of Maryland</aff></contrib><contrib contrib-type="author"><name><surname>Anderson</surname><given-names>Sloan Okrey</given-names></name><aff id="A4">Department of Family Social Science, University of Minnesota</aff></contrib></contrib-group><author-notes><corresp id="CR1">
<email>joerand@umn.edu</email>
</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>25</day><month>2</month><year>2022</year></pub-date><pub-date pub-type="ppub"><year>2021</year></pub-date><pub-date pub-type="pmc-release"><day>11</day><month>3</month><year>2022</year></pub-date><volume>16</volume><issue>4</issue><fpage>26</fpage><lpage>51</lpage><permissions><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/" specific-use="textmining" content-type="ccbylicense">https://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p>New articles in this journal are licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><abstract id="ABS1"><p id="P1">LGBTQ+ youth experience health disparities compared with heterosexual and cisgender youth. Community-based, positive youth development organizations are an important resource to support and affirm LGBTQ+ youth. This study aimed to identify the opportunities and challenges in supporting LGBTQ+ youth within 4-H. The study took place in one state in the United States within a 4-H program and employed qualitative, community-based methods using SWOT (strengths, weaknesses, opportunities, threats) analyses and focus groups of 4-H staff, support staff, volunteers, and youth participants. The majority of participants were White and middle class with direct connections to the 4-H program. Thematic analyses were conducted by multiple analysts until consensus was reached. Challenges and opportunities emerged in 3 themes: (a) organizational climate; (b) policies and procedures; and (c) training, education, and resources. Two additional themes included opportunities only: (a) community engagement and (b) youth-specific resources. This study has important implications for the 4-H program, rural community practice, and research, including strategies to improve LGBTQ+ inclusivity through education, programs and policies, hiring, and community partnerships. Additionally, this study highlights the opportunity and unique positionality of the 4-H program to amplify youth voices in the creation of youth-specific resources.</p></abstract><kwd-group><kwd>LGBTQ+</kwd><kwd>4-H</kwd><kwd>inclusion</kwd><kwd>diversity</kwd><kwd>gay</kwd><kwd>lesbian</kwd><kwd>bisexual</kwd><kwd>trans</kwd><kwd>youth</kwd></kwd-group></article-meta></front><body><p id="P2">Lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ+) youth are both a resilient and uniquely vulnerable population (<xref rid="R13" ref-type="bibr">Fish et al., 2020</xref>; <xref rid="R50" ref-type="bibr">Russell &#x00026; Fish, 2016</xref>). Compared to heterosexual and cisgender youth, LGBTQ+ youth experience poorer mental health (<xref rid="R28" ref-type="bibr">Marshal et al., 2011</xref>; <xref rid="R50" ref-type="bibr">Russell &#x00026; Fish, 2016</xref>) and greater substance use (<xref rid="R29" ref-type="bibr">Marshal et al., 2008</xref>; <xref rid="R30" ref-type="bibr">Mereish, 2019</xref>), including binge drinking, illicit drug use, and polysubstance use (<xref rid="R12" ref-type="bibr">Fish &#x00026; Baams, 2018</xref>; <xref rid="R30" ref-type="bibr">Mereish, 2019</xref>). Additionally, LGBTQ+ youth are significantly more likely to attempt suicide compared with non-LGBTQ+ youth (<xref rid="R28" ref-type="bibr">Marshal et al., 2011</xref>; <xref rid="R43" ref-type="bibr">Perez-Brumer et al., 2017</xref>). As evidence of these disparities mounts, local and national stakeholders have taken interest in developing ways to support LGBTQ+ youth (<xref rid="R8" ref-type="bibr">Center for Disease Control, 2018</xref>; <xref rid="R35" ref-type="bibr">Office of Disease Prevention and Health Promotion, 2020</xref>; <xref rid="R57" ref-type="bibr">Substance Abuse and Mental Health Services Administration, 2020</xref>).</p><p id="P3">A growing body of science illustrates that sexual orientation and gender identity-related health disparities are a function of stigma, discrimination, bullying, and victimization (<xref rid="R15" ref-type="bibr">Goldbach et al., 2014</xref>; <xref rid="R17" ref-type="bibr">Hatzenbuehler, 2009</xref>). LGBTQ+ youth are more likely to report harassment, discrimination, and bullying in school contexts than heterosexual and cisgender youth (<xref rid="R59" ref-type="bibr">Toomey et al., 2018</xref>) and are susceptible to family rejection based on their sexuality or gender (<xref rid="R53" ref-type="bibr">Ryan et al., 2009</xref>). Additionally, when LGBTQ+ youth experience hostility based on their sexuality or gender within their community they have an increased risk of suicide (<xref rid="R19" ref-type="bibr">Hatzenbuehler &#x00026; Keyes, 2013</xref>). These experiences with stigma and rejection help explain the differences between non-LGBTQ+ and LGBTQ+ youth mental health (<xref rid="R10" ref-type="bibr">Day et al., 2017</xref>; <xref rid="R15" ref-type="bibr">Goldbach et al., 2014</xref>; <xref rid="R43" ref-type="bibr">Perez-Brumer et al., 2017</xref>; <xref rid="R50" ref-type="bibr">Russell &#x00026; Fish, 2016</xref>). Conversely, family acceptance and LGBTQ+-specific school protections are associated with better mental health and less substance use among LGBTQ+ youth (<xref rid="R17" ref-type="bibr">Hatzenbuehler, 2009</xref>; <xref rid="R54" ref-type="bibr">Ryan et al., 2010</xref>; <xref rid="R56" ref-type="bibr">Snapp et al., 2015</xref>). This suggests that affirming and accepting environments and interpersonal networks&#x02014;perhaps not surprisingly&#x02014;are a necessary support for positive youth development for this population and may foster resilience in the face of adversity (e.g., <xref rid="R59" ref-type="bibr">Toomey et al., 2018</xref>). Relatedly, when LGBTQ+ youth experience support in their communities, such as via supportive religious institutions, their mental and behavioral health improves (<xref rid="R17" ref-type="bibr">Hatzenbuehler, 2009</xref>).</p><p id="P4">One aspect of community that warrants critical empirical attention is that of community-based positive youth development organizations serving broad populations of youth and their ability to support LGBTQ+ youth. For example, 4-H programs can be a great source of support for youth, yet they may also have opportunities for growth in their ability to support the many LGBTQ+ youth and staff who engage with this program across the United States. Given the importance of community support for the well-being of LGBTQ+ youth, this study aimed to identify the challenges to LGBTQ+ inclusion and the opportunities to promote LGBTQ+ affirmation and support within 4-H. Findings from this study have the potential for important implications for both 4-H and other community-based organizations.</p><sec id="S1"><title>LGBTQ+ Youth Development and Wellbeing</title><p id="P5">Even with great strides in LGBTQ+ visibility and rights, contemporary LGBTQ+ young people continue to navigate social and cultural contexts that are fundamentally rooted in and reify hetero- and cis-normativity. With each new release of the Youth Risk Behavioral Surveillance Survey (YRBS), findings continue to highlight the profound differences in mental health, substance use, and victimization between heterosexual, cisgender youth and their LGBTQ+ peers (<xref rid="R24" ref-type="bibr">Johns et al., 2018</xref>, <xref rid="R23" ref-type="bibr">2019</xref>). More recent studies tracking trends in sexual orientation-related disparities in mental health, substance use, victimization, and family support highlight that these inequities have not subsided alongside the growing acceptance of LGBTQ+ people (<xref rid="R14" ref-type="bibr">Fish et al., 2019</xref>; <xref rid="R12" ref-type="bibr">Fish &#x00026; Baams, 2018</xref>; <xref rid="R45" ref-type="bibr">Poteat et al., 2019</xref>; <xref rid="R47" ref-type="bibr">Raifman et al., 2020</xref>; <xref rid="R62" ref-type="bibr">Watson et al., 2019</xref>). Unfortunately, with the long-standing exclusion of gender identity measures in population-based data, these trend analyses have not been possible for transgender youth. Still, data on the health of transgender youth show similar, if not elevated, rates of poor mental and behavioral health relative to both cisgender heterosexual and sexual minority peers (<xref rid="R10" ref-type="bibr">Day et al., 2017</xref>; <xref rid="R43" ref-type="bibr">Perez-Brumer et al., 2017</xref>).</p><p id="P6">With increasing visibility and protections for LGBTQ+ people, many are left wondering why LGBTQ+ youth mental health remains urgent. Recent writings illustrate how&#x02014;alongside changing cultural contexts for LGBTQ+ people&#x02014;sexual and gender minority youth are empowered to come out at younger ages than decades past (<xref rid="R5" ref-type="bibr">Bishop et al., 2020</xref>); however, this disclosure now occurs during a developmental period in which LGBTQ+ youth are particularly vulnerable to peer disapproval, victimization, and family ruptures (<xref rid="R50" ref-type="bibr">Russell &#x00026; Fish, 2016</xref>; <xref rid="R51" ref-type="bibr">2019</xref>). Contemporary LGBTQ+ youth are therefore able to understand and disclose sexual and gender identity at younger ages, but are left to navigate potentially unsupportive spaces with fewer resources. Thus, youth programs that are able to provide support to LGBTQ+ youth remain a critical and necessary area of future research and development.</p><sec id="S2"><title>Positive Youth Development</title><p id="P7">One population that has yet to receive adequate attention in the application of positive youth development (PYD) is LGBTQ+ youth. PYD (<xref rid="R3" ref-type="bibr">Benson et al., 1998</xref>; <xref rid="R55" ref-type="bibr">Silbereisen &#x00026; Lerner, 2007</xref>) guides much of the nation&#x02019;s youth policy and programming initiatives (<xref rid="R4" ref-type="bibr">Benson et al., 2011</xref>; <xref rid="R7" ref-type="bibr">Catalano et al., 2004</xref>; <xref rid="R49" ref-type="bibr">Roth &#x00026; Brooks-Gunn, 2016</xref>), including 4-H. PYD is rooted in prevention and is an approach to programming that seeks to promote youth social connection, socioemotional competence, self-determination, self-efficacy, future orientation, and prosocial behavior, among other prosocial outcomes across the various contexts in which youth develop, such as schools, family, and community (<xref rid="R7" ref-type="bibr">Catalano et al., 2004</xref>; <xref rid="R55" ref-type="bibr">Silbereisen &#x00026; Lerner, 2007</xref>). Despite its widespread use in youth programming, PYD&#x02019;s application to LGBTQ+ youth has been limited (<xref rid="R60" ref-type="bibr">Toomey et al., 2019</xref>). Preliminary research in this area has focused on the Developmental Assets Framework, which names 40 positive resources and strengths that youth need to thrive (<xref rid="R4" ref-type="bibr">Benson et al., 2011</xref>). Findings suggest that these assets operate similarly for heterosexual, cisgender, and LGBTQ+ youth (<xref rid="R58" ref-type="bibr">Syvertsen et al., 2019</xref>; <xref rid="R60" ref-type="bibr">Toomey et al., 2019</xref>). Perhaps not surprisingly, however, LGBTQ+ youth reported fewer internal (e.g., academic engagement, social competence) and external (e.g., support, belonging) assets than their heterosexual and cisgender peers (<xref rid="R58" ref-type="bibr">Syvertsen et al., 2019</xref>; <xref rid="R60" ref-type="bibr">Toomey et al., 2019</xref>); yet these assets would likely provide LGBTQ+ youth greater increased resilience and additional coping strategies in the face of adversity. With intentional efforts to enhance inclusion and affirmation of LGBTQ+ identities, community-based youth organizations, such as 4-H, may help to increase developmental assets among LGBTQ+ youth.</p></sec><sec id="S3"><title>LGBTQ+ Youth and Rural Community Context</title><p id="P8">Scholarship on LGBTQ+ youth often reflects and frames the experience of LGBTQ+ youth in urban contexts, a focus that ignores the geographic heterogeneity that often alters the experience of being an LGBTQ+ young person. Simultaneously, rural communities are often characterized as inherently hostile toward LGBTQ+ youth, with few opportunities for support or resources (<xref rid="R38" ref-type="bibr">Paceley, 2020</xref>). Indeed, some research suggests that LGBTQ+ youth in rural communities overhear more anti-LGBTQ+ sentiment (<xref rid="R25" ref-type="bibr">Kosciw et al., 2015</xref>) and have less access to supportive resources (<xref rid="R37" ref-type="bibr">Paceley, 2016</xref>; Paceley et al., 2019) than youth in urban communities. Alternatively, research indicates that rural LGBTQ+ youth are resilient and develop pathways to positive identity and well-being in ways that are different from urban youth. For example, <xref rid="R16" ref-type="bibr">Gray (2009)</xref> described how rural LGBTQ+ youth in Kentucky utilized non-LGBTQ+ spaces to form community, such as the local Walmart. Youth in her study also used online and social media outlets to communicate and find support across rural areas, a common strategy for rural LGBTQ+ youth (<xref rid="R16" ref-type="bibr">Gray, 2009</xref>; Paceley et al., in press).</p><p id="P9">Rather than position rural communities as inherently hostile, it may be useful to consider rural communities as promoting different strengths and values for LGBTQ+ youth and identify opportunities to strengthen these communities. <xref rid="R38" ref-type="bibr">Paceley (2020)</xref> described the necessity of understanding rural communities in light of their strengths rather than from a deficit-based approach. For example, rural communities may offer a sense of closeness and connection to others not found in urban spaces. Still, these studies remain rare in LGBTQ+ youth scholarship and more research is needed to identify the opportunities for support in rural communities for LGBTQ+ youth. One possibility is that existing youth organizations could provide support to LGBTQ+ youth, yet their impact and work with LGBTQ+ youth have not been explored. One such organization that is common in rural communities is 4-H.</p></sec></sec><sec id="S4"><title>4-H Programs: Historical Roots and Youth Engagement</title><p id="P10">4-H has its roots in the corn- and tomato-growing clubs of rural Clark County, Ohio in 1902. Realizing adults were often averse to changes in agricultural practices, researchers found that offering new strategies to young people often transferred to their parents, and &#x0201c;hands-on&#x0201d; learning in club settings arose from a need to connect public school education and country life. Membership in 4-H has seen remarkable growth throughout the 19<sup>th</sup> and 20<sup>th</sup> centuries. In 2018, the Annual Report by National 4-H indicated that 6 million youth were engaged in the program, with increasing participation among youth in metropolitan areas (<xref rid="R34" ref-type="bibr">National 4-H Council, 2018</xref>). For example, in 1975, only 36.7% of members reported living in a town of more than 10,000 compared to 56.7% in 2018 (<xref rid="R32" ref-type="bibr">National 4-H Council, n.d.</xref>). Today, the 4-H program focuses on providing meaningful opportunities to create sustainable community change through youth and adult relationships. This is accomplished through three primary content areas: civic engagement and leadership, healthy living, and science (<xref rid="R9" ref-type="bibr">CFERR, 2019</xref>). 4-H engages youth in programs that foster PYD with attention to the &#x0201c;5 C&#x02019;s&#x0201d;: competence, confidence, connection, character, and caring (<xref rid="R26" ref-type="bibr">Lerner et al., 2013</xref>; <xref rid="R27" ref-type="bibr">Lerner et al., 2005</xref>).</p><p id="P11">Stated goals demonstrate National 4-H&#x02019;s commitment to engage youth members and staff to accurately reflect the demographics of the United States by 2025 (<xref rid="R9" ref-type="bibr">CFERR, 2019</xref>). To support these efforts, unaffiliated groups like the 4-H Access, Equity, and Belonging Committee (AEBC) have formed. As part of the 4-H Program Leader&#x02019;s Working Group the mission of the AEBC is to increase the capacity of the 4-H program to create an inclusive organizational culture (<xref rid="R46" ref-type="bibr">Program Leaders Working Group, n.d.</xref>). The committee is composed of champion groups focused on logic models, best practices, and strategies to attract marginalized groups of young people.</p><p id="P12">Existing champion groups focus on different groups of marginalized youth, including incarcerated youth, immigrant and refugee youth, LGBTQ+ youth, youth with mental health concerns, homeless youth, youth in foster care, disabled youth, youth in poverty, and racial and ethnic minoritized youth. Despite this stated commitment, 4-H has primarily focused on race, ethnicity, and socio-economic factors. While an LGBTQ+ champion group exists within the AEBC, National 4-H does not name gender identity or sexual orientation in its stated diversification goals.</p><p id="P13">Although 4-H does not collect data about LGBTQ+ identity, it does offer a document aimed at increased equity for LGBTQ+ participants (<xref rid="R1" ref-type="bibr">AEBC, 2020</xref>). While many 4-H clubs were co-ed, membership activities were created specific to gender based on young people&#x02019;s interests. At present, the 4-H program offers gendered programming and measures participation using the gender binary. For example, 2014 participation was reported as 51.7% female and 48.3% male (<xref rid="R33" ref-type="bibr">National 4-H Council, 2014</xref>). As more LGBTQ+ youth engage in 4-H, many in the organization have recognized necessary changes to policies and programs. Still, attempts to make 4-H more welcoming and inclusive for LGBTQ+ youth are scattershot and largely tied to the willingness of local educators and staff to integrate these policies either on their own or through outside support groups, but without the backing of national 4-H support.</p><p id="P14">Given the relevance of 4-H to youth, many of whom are rural, and the need to identify supportive community-based resources, this study aims to understand the challenges and opportunities to supporting the positive development of LGBTQ+ youth within 4-H.</p></sec><sec id="S5"><title>Methods</title><p id="P15">Community-based case study methods were used to center the expertise of 4-H youth, staff, and volunteers in one state and provide benefits to both the organization and the research. As a 4-H affiliate and community member, the first author conducted a series of LGBTQ+ competency-building workshops with youth, staff, and volunteers affiliated with 4-H. Workshops were provided with the goal of engaging in a process of change and empowerment within the state&#x02019;s 4-H program. Workshops included a SWOT (strengths, weaknesses, opportunities, threats) analysis of the 4-H program with an LGBTQ+ inclusion lens or a related structure and process using focused questions. A SWOT analysis is a process used to evaluate factors within and outside an organization that impact its functioning, effectiveness, or success (<xref rid="R21" ref-type="bibr">Helms, 2019</xref>). Strengths focus on what the organization is doing well and its capacities. Weaknesses include challenges faced by the organization, or areas in which they may lack resources or capabilities. Opportunities focus on the potential for growth and change from internal or external sources. Finally, threats include factors within or outside the organization that have the potential to damage or disrupt growth. SWOT analyses are often used in organizational planning and improvement and offer unique and innovative ways to collect qualitative methods, particularly within a single case study.</p><p id="P18">Participants were recruited through workshop descriptions provided in respective conference agendas (see <xref rid="T1" ref-type="table">Table 1</xref>). Although geographic data were not collected, these workshops engaged 4-H affiliates from diverse county backgrounds across the state, including large metropolitan cities and rural towns. Workshops were 45- to 90-minute sessions facilitated within larger conferences. A total of three separate SWOT analyses were conducted with different constituent groups (<italic toggle="yes">n</italic> = 68) within the state&#x02019;s 4-H program (see <xref rid="T1" ref-type="table">Table 1</xref>). A fourth group with staff (<italic toggle="yes">n</italic> = 12), included specific questions used as prompts rather than just the SWOT headings as part of a competency-building workshop modified for support staff working in local county 4-H programs. The questions were designed to help develop supports and strategies to meet their specialized role, rather than a more general SWOT analysis. Question prompts included the following: <italic toggle="yes">Where do you run into difficulty navigating LGBTQ+ related circumstances? What guidance do you need in your county to provide successful experiences for LGBTQ+ youth in your programs? What tools would be helpful in order to better navigate LGBTQ+ related circumstances? What opportunities do you see for 4-H to make our programs more inclusive for LGBTQ+ youth? Adults? Volunteers?</italic></p><p id="P19">Headings or questions were written on large Post-it notes and placed around the room. Participants worked in small groups rotating to each Post-it note to provide their thoughts and feedback. They were asked to place stars or check marks next to responses from previous groups with whom they agreed or whose sentiments resonated with them. Responses ranged from single words to phrases and questions. Once groups provided feedback on all Post-it notes, responses were discussed as a large group. Post-it notes were collected and data were compiled by the first author. Groups were not audio-recorded; however, the first author took notes as part of the data collection process. This research was approved by the University of Kansas Institutional Review Board.</p><sec id="S6"><title>Data Analysis</title><p id="P20">Data were analyzed using thematic analysis (<xref rid="R6" ref-type="bibr">Braun &#x00026; Clarke, 2006</xref>) by three coders. Thematic analysis is a flexible, yet rigorous method of qualitative analysis that allows for the discovery of patterns within a set of qualitative data. It is particularly useful with this data set given our goal of assessing patterns across constituent groups via SWOT and group meetings in which notes were taken, but without verbatim transcripts. It provides the structure to assess patterns without being theoretically driven. Our analytic process followed the steps laid out by <xref rid="R6" ref-type="bibr">Braun and Clarke (2006)</xref>. The first author established familiarity with the data based on a review of the meeting notes, given he had been present at each meeting. Next, the second author and a student assistant read through all the notes to become familiar with the data without reviewing the first author&#x02019;s notes. They independently created an initial set of codes; the second author combined their codes into an initial set of themes, discussing areas in which there were discrepancies. They compared their set of themes to the first author&#x02019;s and, finding consistency, the second author used the set of themes to engage in multiple rounds of coding until near-final sets of themes and sub-themes were identified. After the themes were named and defined, a summary of findings was shared with the research team before compiling them for dissemination.</p></sec><sec id="S7"><title>Researcher Positionality</title><p id="P21">Given the qualitative and community-based nature of this study, it is important for us to reflect on our positionality within the research project. Author 1 is directly affiliated with 4-H through his position as youth development Extension faculty that includes research and advocacy for LGBTQ+ youth. He identifies as a White, gay, cisgender man that lives and works in rural communities. Author 2 is a social worker and scholar engaged in research with queer and trans youth and communities. She identifies as a White, queer, cisgender woman. Author 3 is a White, cisgender, queer woman with training in human development, family science, and couple and family therapy. Author 4 is a White, transgender social worker and scholar within the discipline of human development and family science. We engaged reflexively with these positionalities in terms of identities and what we bring to the research, as well as our professional roles and identities. As queer and/or trans scholars, social workers, practitioners, and youth development leaders, we take an explicit stance toward promoting equity and inclusion for LGBTQ+ youth; this lens was intentionally present in our data collection, analysis, and dissemination processes. Importantly, we also reflected on our positionality as White scholars and geographic positionality outside of the studied area for authors 2, 3, and 4.</p></sec></sec><sec id="S8"><title>Findings</title><p id="P22">Findings include challenges specific to LGBTQ+ constituents within the 4-H program, as well as opportunities to address these challenges and promote safety and acceptance for 4-H LGBTQ+ youth. Challenges and opportunities were present in three themes: (a) organizational climate; (b) policies and procedures; and (c) training, education, and resources. Two additional themes included opportunities only: (a) community engagement and (b) youth-specific resources. The following sections illustrate these themes with a thick description of the findings based on meeting notes and the first author&#x02019;s presence at the meetings. <xref rid="T2" ref-type="table">Table 2</xref> summarizes these findings.</p><sec id="S9"><title>Organizational Climate</title><p id="P23">The first theme encompasses the ways in which the organizational climate created challenges or opportunities to support LGBTQ+ youth in 4-H. We use <xref rid="R36" ref-type="bibr">Oswald et al.&#x02019;s (2010)</xref> definition of climate as it relates to communities, given its connection to LGBTQ+ people, specifically. Therefore, we define climate as the level of support for or hostility toward LGBTQ+ people within the 4-H organization.</p><sec id="S10"><title>Challenges</title><p id="P24">Numerous factors contributed to a lack of LGBTQ+ support within the climate of 4-H. These factors were sometimes overt, such as experiencing or witnessing harassment and bullying based on real or perceived LGBTQ+ identity and a lack of intervention by adult leaders, staff, and volunteers. Group 4 shared instances of other youth misgendering, misnaming, and harassing LGBTQ+ youth or youth perceived to be LGBTQ+. This led LGBTQ+ youth to feel unsafe and unwelcome in the program. Feeling unsafe and unwelcome was exacerbated by a lack of intervention by program staff and leaders. Group 3 shared an experience in which an adult at a 4-H meeting responded to a discussion around creating inclusivity for LGBTQ+ youth by saying, &#x0201c;<italic toggle="yes">Why do we want those people?</italic>&#x0201d; They shared other examples of overt hostility by program staff and adults involved with the program, such as purposefully saying &#x0201c;<italic toggle="yes">mom and dad</italic>,&#x0201d; even after a youth shared that they had two moms.</p><p id="P25">There were also myriad subtle ways participants perceived the organizational climate creating challenges for the inclusion of LGBTQ+ youth. Groups 1 and 4 expressed that the lack of diversity pertaining to gender, sexuality, and other forms of diversity among staff, volunteers, and youth sent a message that LGBTQ+ youth were not welcome. The lack of diversity also made it challenging to create positive change within the organization as allies and advocates lacked diverse leaders in positions of power. Another way that diversity was challenged was by the assumption of heterosexuality in the ways in which staff or volunteers communicated. For example, some constituents suggested there were no LGBTQ+ youth in 4-H or assumed all youths&#x02019; dating partners were of a different gender.</p><p id="P26">Multiple groups discussed the challenges present in assuming a gender binary, such that youth who identified as non-binary were forced to &#x0201c;choose&#x0201d; a gender or participate in gendered activities based on their sex assigned at birth. This showed up in the ways in which activities, bathrooms, sleeping arrangements at camp, and other activities were organized into a sex assigned at birth binary of boys and girls.</p><p id="P27">The final subtle way in which organizational climate posed challenges was through the conservative religious tone conveyed by some individual members, even though 4-H is not a religious organization. One program staff shared how a chapter organized a service-learning project with a religiously based organization known for its anti-LGBTQ+ stance and how this created a barrier to participation for LGBTQ+ youth or youth with LGBTQ+ parents. Another staff member shared how an adult affiliated with 4-H challenged the need to support LGBTQ+ youth because it contradicted individual religious beliefs.</p></sec><sec id="S11"><title>Opportunities</title><p id="P28">It is important to note that although participants across constituent groups within 4-H were critical of climate factors that resulted in hostility or challenges for LGBTQ+ youth, they also expressed positive sentiments about the climate of 4-H and the opportunities it held for creating inclusion and safety for LGBTQ+ youth. These opportunities were discussed in two ways: (a) features within the existing climate that can promote acceptance if they are specific to LGBTQ+ youth and (b) new opportunities to improve the climate for LGBTQ+ youth.</p><p id="P29">Within the existing climate of 4-H, constituents across all of the groups shared how the mission and values of 4-H are rooted in acceptance of and support for all youth&#x02014;there are no exclusionary criteria. Youth and volunteers shared that 4-H promotes a sense of togetherness, positivity, and safety, as well as independence and leadership for all youth. Participants also indicated that although there are many religious members of 4-H in their local, often rural communities, 4-H is not affiliated with a particular religion, which provides opportunities to engage across religious beliefs and identities. Finally, youth were able to identify numerous accepting staff, volunteers, and leaders who actively support LGBTQ+ youth even when hostility or harassment were present.</p><p id="P30">There were also opportunities to shift the climate in new and positive directions in order to better support LGBTQ+ youth. Multiple groups identified concrete strategies that fit neatly within the existing climate opportunities. Youth, alumni, and volunteers suggested that increasing the diversity and visibility of LGBTQ+ youth, staff, volunteers, and leaders would create additional opportunities to support existing and future LGBTQ+ youth members. They recognized the importance of the visibility of LGBTQ+ identities in promoting a positive climate for LGBTQ+ youth, but also recognized that if other climate factors do not shift toward supportive opportunities, diversity and visibility will not be maintained or may result in safety concerns. Therefore, participants described the need for specific strategies to make visible a climate change for LGBTQ+ people. Some examples included adding pronoun options to nametags and providing group activity opportunities without gendering them. Other opportunities were related to policies and procedures or education and training and, thus, are discussed below.</p></sec></sec><sec id="S12"><title>Policies &#x00026; Procedures</title><p id="P31">The second theme encompassed the policies and procedures within 4-H (broadly and locally) that created challenges or opportunities to support LGBTQ+ youth. Policies and procedures are one aspect of climate (<xref rid="R36" ref-type="bibr">Oswald et al., 2010</xref>; <xref rid="R41" ref-type="bibr">Paceley et al., 2020</xref>) however, we separate them here to illustrate their importance in establishing an environment that supports or creates challenges to supporting LGBTQ+ youth.</p><sec id="S13"><title>Challenges</title><p id="P32">Policies and procedures were challenging when they limited acceptance for and inclusion of LGBTQ+ youth. Youth, alumni, and volunteers described how 4-H lacked policies that explicitly included LGBTQ+ youth, staff, and volunteers. Although their general policies were affirming of all youth broadly, participants shared that in the absence of that explicit language, members of the organization could elect to ignore LGBTQ+ issues or overtly discriminate.</p><p id="P33">Finally, the assumption that all youth are cisgender and the enforcement of gender as a binary, discussed in organizational climate, also showed up in policy challenges, specifically in terms of policies pertaining to group activities, bathrooms, and sleeping arrangements. Gender binary-based policies can be complex for non-binary youth to navigate and can reinforce stereotypes that create challenges for youth who are questioning their gender identity or identifying as a gender other than their sex assigned at birth.</p></sec><sec id="S14"><title>Opportunities</title><p id="P34">Constituents remained positive in their perception of 4-H and noted several areas that were opportunities for 4-H policies and procedures to be more inclusive and affirming of LGBTQ+ youth. First, they suggested revision to the equal employment opportunity policy to include sexual orientation and gender identity as protected identity classes. Although this specific policy was named, participants also noted the need to explicitly apply policies related to acceptance, non-discrimination, and bullying to LGBTQ+ people. Another policy opportunity that would enhance support for LGBTQ+ youth, identified across constituent groups, was to change or remove policies that promote or enforce a gender binary. This may include policies such as dress codes, gender assignments, programs specifically designed for or marketed for one gender (e.g., girls/boys lock-in, camp, overnight retreats, etc.), or programs that reinforce gender stereotypes subversively (sewing and scrapbooking events geared toward girls, fishing and shooting sports geared toward boys). When discussing the need for policy change, program staff suggested that opportunities existed to collaborate and utilize the expertise from local universities. They identified university diversity offices and Extension units as potential resources, suggesting they could assist with policy efforts.</p></sec></sec><sec id="S15"><title>Training, Education, and Resources</title><p id="P35">The third theme encompassed challenges and opportunities within 4-H training, education, and resources that prevented or could create a supportive environment for LGBTQ+ youth. Participants primarily discussed opportunities for positive growth within this theme.</p><sec id="S16"><title>Challenges</title><p id="P37">Program staff noted a stark lack of training and education resources to assist them in supporting LGBTQ+ youth and facilitating change within the organization. They shared that their volunteer training excluded content on LGBTQ+ youth and they lacked guidance on LGBTQ+-related language, how to create safe and affirming environments, and how to respond to criticism and resistance. All constituents shared how a lack of LGBTQ+-inclusive or supportive resources limited their ability to support LGBTQ+ youth. They specifically noted a lack of resources on responding to harassment and discrimination, addressing anti-LGBTQ+ sentiment in the community, and creating inclusive and affirming program materials.</p></sec><sec id="S17"><title>Opportunities</title><p id="P38">In many ways, the opportunities noted by participants are the opposite of the challenges&#x02014;ways in which 4-H could address the lack of training, education, and resources to support LGBTQ+ youth. However, participants were more specific than general calls for &#x0201c;additional training.&#x0201d; They identified specific opportunities to create inclusive training and educational resources. They indicated that opportunities existed to incorporate LGBTQ+ content into volunteer and camp counselor training, as well as within training for youth. Having LGBTQ+ content in the training would provide skills and resources for staff and volunteers, and also send a message that LGBTQ+ youth are supported. Program staff also suggested that training should be trauma-informed in order to address the stigma and victimization that LGBTQ+ youth experience. They suggested training should include a focus on LGBTQ+ language, creating safe environments, and strategies for communicating their inclusivity to all constituents. Some youth suggested a regular LGBTQ+ keynote speaker at large events.</p><p id="P39">Program staff specifically identified opportunities to enhance their resources to be more LGBTQ+ supportive. They identified an opportunity to update forms and documents to be more inclusive of various genders and parent/family structures. They also suggested adding publications and advertisements that explicitly include LGBTQ+ youth in 4-H, including LGBTQ+ youth stories and a video featuring inclusivity and visibility of LGBTQ+ identities. They also suggested a need for resources that promote visibility and support, such as safe space stickers. Youth, alumni, and volunteers suggested that a best practices handbook with housing, restroom, language, and mental health guidance would be an asset to program staff and volunteers.</p></sec></sec><sec id="S18"><title>Community Engagement</title><p id="P40">The fourth theme included opportunities for 4-H chapters and the larger organization to engage with the community in ways that support LGBTQ+ youth. Program staff suggested determining where LGBTQ+ youth find support in the community and allying with those agencies or organizations. They indicated that a possible resource that could improve 4-H&#x02019;s ability to engage with the community was the local university, specifically diversity and extension offices. These offices may be able to facilitate training and resources identified above, as well as assist with larger community-level events, such as LGBTQ+ Pride or other LGBTQ+ events. Youth participants echoed this desire to have 4-H involved in the local community via participation at Pride events or connecting with other LGBTQ+-supportive resources.</p></sec><sec id="S19"><title>Youth-Specific Resources</title><p id="P41">Finally, an opportunity exists within 4-H to promote the leadership and empowerment of LGBTQ+ and allied youth. Youth participants described a need for youth-specific resources provided within the 4-H umbrella that are LGBTQ+-specific and/or LGBTQ+-supportive. They provided several examples including an LGBTQ+ club within 4-H youth groups, youth advocacy clubs for youth to learn about and practice advocacy skills, peer mentorship programs for older and younger youth to connect on shared identities and experiences, support groups, youth retreats specific to gender and sexuality, and other groups that can increase empowerment and visibility of LGBTQ+ youth.</p></sec></sec><sec id="S20"><title>Discussion</title><p id="P42">Findings from this study highlight the challenges and opportunities within 4-H as identified by individuals directly connected to a 4-H program in one state. The identification of both challenges and opportunities within the organization promotes a balance of risk and strengths in considering how 4-H can better support LGBTQ+ youth. In research on rural communities and LGBTQ+ youth, <xref rid="R38" ref-type="bibr">Paceley (2020)</xref> suggests that this balance is an essential step toward making changes in a community; we also advocate for this balance within organizations. A wealth of literature illustrates the ways in which 4-H promotes positive development for youth broadly. This study contributes to the literature on LGBTQ+ youth positive youth development and emphasizes how 4-H can meet their commitment to diversity and inclusion by engaging with opportunities to better support the development of LGBTQ+ youth.</p><p id="P43">LGBTQ+ youth identified challenges related to safety, reliance on a gender binary, religious conservativism, and lack of diversity (<xref rid="R40" ref-type="bibr">Paceley et al., 2020b</xref>). Safety is a significant concern for LGBTQ+ youth across contexts (<xref rid="R40" ref-type="bibr">Paceley et al., 2020b</xref>), resulting in health, mental health, and educational inequities (<xref rid="R2" ref-type="bibr">Aragon et al., 2014</xref>; <xref rid="R39" ref-type="bibr">Paceley et al., 2020a</xref>; <xref rid="R48" ref-type="bibr">Rosario et al., 2006</xref>). Our findings add to this evidence by demonstrating how harassment and misgendering within 4-H decreases feelings of safety among LGBTQ+ youth. Importantly, research also illustrates opportunities to increase safety and promote positive development. In one study, when transgender individuals&#x02019; names and pronouns consistent with their gender identity were used, depression decreased by 71%, suicidal thoughts decreased by 34%, and suicide attempts decreased by 65% (<xref rid="R52" ref-type="bibr">Russell et al., 2018</xref>). Additionally, intervention by adults sends a message to all participants that harassment and misgendering are not acceptable at 4-H. The lack of intervention reported by the participants in this study is consistent with school climate research with LGBTQ+ youth, which finds there is a lack of intervention by school staff and teachers, including in rural schools, and that youth feel unsafe as a result (<xref rid="R42" ref-type="bibr">Palmer et al., 2012</xref>).</p><p id="P44">Challenges related to enforcement of a gender binary were present across our findings, such as practices and policies that promoted gendered activities, sleeping arrangements, and bathroom usage based on sex assigned at birth. These types of policies and practices send a message to LGBTQ+ youth, and transgender youth in particular, that they are not welcome (<xref rid="R41" ref-type="bibr">Paceley et al., 2020</xref>). Additionally, a recent study highlighted the experiences of LGBTQ+ youth in schools who were told they could not use bathrooms based on their gender (<xref rid="R44" ref-type="bibr">Porta et al., 2017</xref>). Youth were able to advocate for inclusive bathrooms with support from teachers and the school-based GSA, echoing the need for a more diverse staff to support youth in these efforts.</p><p id="P45">Research suggests that conservative ideologies are more common in rural communities (<xref rid="R22" ref-type="bibr">Herek, 2002</xref>; <xref rid="R31" ref-type="bibr">Movement Advancement Project, 2019</xref>) and are associated with greater opposition to non-heteronormative identities (<xref rid="R61" ref-type="bibr">Van der Toorn et al., 2017</xref>). It is not a surprise, therefore, that even though 4-H is not a religious organization, its membership and the broader community may reflect more conservative values. Alternatively, the findings from this study suggest that the 4-H guiding principles of acceptance and support for all youth provide opportunities for affirming and accepting LGBTQ+ youth and convincing those who may be resistant to do the same. This is especially important given the relationship between a supportive religious climate and reduced sexual risk-taking behaviors and substance use among LGBTQ+ youth (<xref rid="R20" ref-type="bibr">Hatzenbuehler et al., 2012</xref>). Finding ways to bridge conservative and LGBTQ+-supportive ideologies could be critical to the health of LGBTQ+ youth.</p><p id="P46">Our findings suggest the need for more visible and out LGBTQ+ youth and adults within 4-H&#x02014;to provide mutual support, but also to promote visibility and inclusive policies and programs. Related studies have navigated the complex tensions between visibility and safety. For example, transgender youth in a rural Midwestern state identified the need for more visible transgender youth and adults in their communities, but wrestled with the safety issues inherent for more visible transgender community members (<xref rid="R41" ref-type="bibr">Paceley et al., 2020</xref>). In attempts to promote visibility of LGBTQ+ youth, volunteers, and staff, attention must be given to balancing the need for safety for LGBTQ+ people, as well, within both 4-H organizations and the broader community context. Safety, at minimum, must be considered simultaneous to visibility.</p><p id="P47">Importantly, the findings from this study also include strengths of 4-H and opportunities for growth. Given the inclusive mission of 4-H, incorporating LGBTQ+ identities into anti-bullying, inclusion, and non-discrimination policies is an opportunity to explicitly stand with and affirm LGBTQ+ communities. Consistent with school-based research, when a school policy does not explicitly include diverse genders and sexualities, youth remain discriminated against and victimized (<xref rid="R42" ref-type="bibr">Palmer et al., 2012</xref>). One type of policy the groups talked about in this study was that of dress codes. Youth described the dress code as problematic in both its language and enforcement. For example, dress code policies described formal attire in a gendered manner (suit and tie for boys, blouses for girls) and gendered bathing suit requirements.</p><p id="P48">Another opportunity exists for 4-H to connect with LGBTQ+ community organizations and groups and/or host their own LGBTQ+-specific youth groups. Pride and other community LGBTQ+ events are a critical component of LGBTQ+ youth feeling supported and affirmed in their communities (<xref rid="R37" ref-type="bibr">Paceley, 2016</xref>; <xref rid="R41" ref-type="bibr">Paceley et al., 2020</xref>); having 4-H connected to these events would go a long way toward supporting LGBTQ+ youth. Additionally, 4-H could create their own LGBTQ+-affinity group, similar to a school-based GSA, to provide support and resources (<xref rid="R42" ref-type="bibr">Palmer et al., 2012</xref>).</p><sec id="S21"><title>Implications</title><p id="P49">This study has important implications for the 4-H program, rural community practice, and research. First, 4-H should consider strategies related to education, programs and policies, hiring, and community partnerships in order to increase inclusion of the LGBTQ+ community and improve the climate for LGBTQ+ youth. These strategies may also improve the climate for LGBTQ+ families, volunteers, and staff who are part of the vital operation of the 4-H program. One important strategy is education. Our findings emphasize the need for education pertaining to gender identity and sexual orientation among staff, volunteers, and youth. Education at all of these levels will not only provide resources to 4-H participants, but can help improve organizational climate, inform policies and procedures, scrutinize existing partnerships that may damage inclusion efforts, help develop new partnerships, and empower youth to create new spaces and experiences for LGBTQ+ 4-H young people. Education can be weaved into traditional training for staff and volunteers, reviewing forms and other written documents for bias, amplifying voices of LGBTQ+ 4-H members, and promoting LGBTQ+ inclusion in publications and advertisements. One resource for education and training for 4-H is respective university resources, such as offices of equity and diversity and LGBTQ+-specific groups and clubs that can inform and support inclusion efforts. Whereas geographic location can be a barrier to local, county-based, 4-H programs, local staff are capable of directing inquiries to respective resources.</p><p id="P51">4-H programs can also adapt policy and program changes to promote inclusion of LGBTQ+ youth. Gendered activities can be altered to promote the inclusion of all participants, regardless of gender identity and expression. Additionally, practices that normalize the use of pronouns consistent with gender identity and foster respect for gender diversity among youth members and staff should be implemented or enhanced. Policies that reinforce gender binaries and stereotypes, such as dress codes, should be revised to promote inclusion of all genders. The promotion of affiliated university inclusion statements and equal opportunity clauses is not enough. 4-H codes of conduct and other behavioral contracts should include gender and sexual identity in clauses that prohibit biased-based bullying in order to proactively promote inclusivity within 4-H clubs, retreats, leadership experiences, livestock programs, and fairs. Given that research demonstrates linkages between stated policies and LGBTQ+ youth experiences of safety (<xref rid="R18" ref-type="bibr">Hatzenbuehler, 2016</xref>) and support (<xref rid="R11" ref-type="bibr">Day et al., 2019</xref>), the adoption and implementation of these policies within 4-H could create a culture shift for LGBTQ+ youth members and staff.</p><p id="P52">Education and program/policy work is important and sexual orientation and gender identity equity and inclusion requires enforcement at all levels. Specific attention should be paid to equipping 4-H participants, volunteers, and staff with strategies for responding effectively to LGBTQ+ harassment and prejudice. Youth can also be equipped with resources on how to support their peers and strategies for addressing harassment and prejudice. Volunteers and staff should be trained on policy and program requirements for inclusion of LGBTQ+ youth and held accountable to uphold those standards. Given the geographic and sociopolitical dispersion of 4-H programs around the country, 4-H leadership will have to consider how to support LGBTQ+ youth, volunteers, and staff in communities that may be more hostile toward or rejecting of LGBTQ+ people and identities</p><p id="P53">Given 4-H&#x02019;s goal of achieving demographic parity in 2025, 4-H needs to consider strategies that actively recruit and retain LGBTQ+ diversity in staffing and leadership. 4-H should consider how to codify and promote state implementation of strategies outlined in the <italic toggle="yes">Practices for Inclusion of Individuals of all Genders and Sexual Orientation</italic> (<xref rid="R1" ref-type="bibr">AEBC, 2020</xref>), developed by their LGBTQ+ champions team. 4-H would benefit from building on individual states&#x02019; existing efforts toward inclusion, like the Ohio 4-H LGBTQ+ Youth Summit, Iowa 4-H&#x02019;s LGBTQ+ champions team, and Washington 4-H&#x02019;s Teen Equity and Inclusion Task Force.</p><p id="P54">Finally, 4-H programs need to examine community partnerships to determine whether partners are inclusive and learn from partners&#x02019; efforts. 4-H should not partner with organizations that promote prejudice or are intolerant of the LGBTQ+ community. Instead, 4-H should cultivate and learn from partnerships with local, county, and state organizations that promote LGBTQ+ inclusion and engage in LGBTQ+ community pride events. In order for the 4-H program to fulfill its commitment to youth voice and effectively serve its young participants it needs to promote and amplify LGBTQ+ youth voices by supporting LGBTQ+ youth-created spaces, clubs, education and leadership opportunities, training and other events.</p><p id="P55">Although this study focused on the 4-H program, the findings have broader implications for rural community programs. Youth-based programs, such as after-school programs, youth groups within churches, and general support groups should consider assessing their program inclusion of LGBTQ+ youth and identify strategies to increase inclusion and support. Including youth voice and expertise in the process of assessing and identifying strategies for improvement will be critical to ensuring that these efforts are meeting the needs of diverse LGBTQ+ youth. These organizations can also lead the way in educating the broader community to increase community-level inclusion efforts, which have been shown to benefit LGBTQ+ youth in rural spaces (<xref rid="R14" ref-type="bibr">Fish et al., 2019</xref>; <xref rid="R37" ref-type="bibr">Paceley, 2016</xref>).</p><p id="P56">Finally, this study has implications for research, particularly research that includes community-based organizations. The qualitative methods used in this study were focused first on the community engaging in a SWOT analysis and working directly with staff, volunteers, and youth. Researchers aiming to improve community organizations or systems should consider similar strategies to promote engagement and research that meet the needs of local communities. Additionally, including LGBTQ+ youth in the process of conducting and using research is important to ensure our questions, methods, and findings are relevant to the youth whose lives we aim to impact.</p></sec><sec id="S22"><title>Limitations</title><p id="P57">This study has several notable limitations that warrant discussion. First, the data were collected within 4-H programs in one U.S state and therefore reflect the concerns and ideas of a specific population. This potentially limits the generalizability of the findings. Additionally, the groups consisted of LGBTQ+ and LGBTQ+-supportive individuals affiliated with 4-H who were motivated to make 4-H more inclusive and affirming. Their bias may have affected their impressions of current inclusion efforts and resources. LGBTQ+ youth who may have felt unwelcome and stopped participating in 4-H programs or did not join due to a lack of inclusion may have different experiences, concerns, or suggestions. Finally, because we did not audio-record participant responses, we are not able to provide quotes in support of our findings, which would help add context to bolster the evidence. In spite of these limitations, this study has several strengths. It focuses on a topic that has received no empirical attention: LGBTQ+ youth and 4-H and centers the voices and expertise of youth and adults involved with 4-H.</p></sec><sec id="S23"><title>Conclusion</title><p id="P58">The findings from this study contribute to the wealth of literature on the 4-H program and its commitment to positive youth development. Still, it is among the first to center LGBTQ+ youth and staff in the 4-H program with the specific goal of increasing inclusion and support. Given the vast health disparities between LGBTQ+ youth and heterosexual and cisgender youth, it is essential to enhance understanding of how both LGBTQ+ and non-LGBTQ+ organizations can improve support and inclusion for this group of marginalized young people. This is particularly important for LGBTQ+ youth in geographic spaces without access to LGBTQ+-specific supports, such as youth in rural communities. 4-H and similar organizations have important opportunities to grow and support LGBTQ+ youth.</p></sec></sec></body><back><ack id="S24"><title>Acknowledgements</title><p id="P61">The authors would like to thank the 4-H youth, staff, volunteers, and alumni who participated in this study. Additionally, we want to thank Amanda Dyhouse for her assistance in early data analysis.</p></ack><ref-list><title>References</title><ref id="R1"><mixed-citation publication-type="book"><collab>Access, Equity, and Belonging Committee</collab>. (<year>2020</year>). <source>Practices for inclusion of individuals of all genders and sexual orientations</source>. <publisher-name>4-H Program Leaders Working Group</publisher-name>. <comment><ext-link xlink:href="https://access-equity-belonging.extension.org/wp-content/uploads/2020/02/Inclusion-Practices-Gender-and-Orientation-Final-2-20-2020.pdf" ext-link-type="uri">https://access-equity-belonging.extension.org/wp-content/uploads/2020/02/Inclusion-Practices-Gender-and-Orientation-Final-2-20-2020.pdf</ext-link></comment></mixed-citation></ref><ref id="R2"><mixed-citation publication-type="journal"><name><surname>Aragon</surname><given-names>SR</given-names></name>, <name><surname>Poteat</surname><given-names>VP</given-names></name>, <name><surname>Espelage</surname><given-names>DL</given-names></name>, &#x00026; <name><surname>Koenig</surname><given-names>BW</given-names></name> (<year>2014</year>). <article-title>The influence of peer victimization on educational outcomes for LGBTQ and non-LGBTQ high school students</article-title>. <source>Journal of LGBT Youth</source>, <volume>11</volume>(<issue>1</issue>), <fpage>1</fpage>&#x02013;<lpage>19</lpage>. <pub-id pub-id-type="doi">10.1080/19361653.2014.840761</pub-id></mixed-citation></ref><ref id="R3"><mixed-citation publication-type="journal"><name><surname>Benson</surname><given-names>PL</given-names></name>, <name><surname>Leffert</surname><given-names>N</given-names></name>, <name><surname>Scales</surname><given-names>PC</given-names></name>, &#x00026; <name><surname>Blyth</surname><given-names>DA</given-names></name> (<year>1998</year>). <article-title>Beyond the &#x0201c;village&#x0201d; rhetoric: Creating healthy communities for children and adolescents</article-title>. <source>Applied Developmental Science</source>, <volume>2</volume>, <fpage>138</fpage>&#x02013;<lpage>159</lpage>. <pub-id pub-id-type="doi">10.1080/10888691.2012.642771</pub-id></mixed-citation></ref><ref id="R4"><mixed-citation publication-type="book"><name><surname>Benson</surname><given-names>PL</given-names></name>, <name><surname>Scales</surname><given-names>PC</given-names></name>, &#x00026; <name><surname>Syvertsen</surname><given-names>AK</given-names></name> (<year>2011</year>). <part-title>The contribution of the developmental assets framework to positive youth development theory and practice</part-title>. In <source>Advances in Child Development and Behavior</source> (Vol. <volume>41</volume>, pp. <fpage>197</fpage>&#x02013;<lpage>230</lpage>). <publisher-name>Elsevier</publisher-name>. <pub-id pub-id-type="doi">10.1016/B978-0-12-386492-5.00008-7</pub-id><pub-id pub-id-type="pmid">23259193</pub-id></mixed-citation></ref><ref id="R5"><mixed-citation publication-type="journal"><name><surname>Bishop</surname><given-names>MD</given-names></name>, <name><surname>Fish</surname><given-names>JN</given-names></name>, <name><surname>Hammack</surname><given-names>PL</given-names></name>, &#x00026; <name><surname>Russell</surname><given-names>ST</given-names></name> (<year>2020</year>). <article-title>Sexual identity development milestones in three generations of sexual minority people: A national probability sample</article-title>. <source>Developmental Psychology</source>, <volume>56</volume>(<issue>11</issue>), <fpage>2177</fpage>&#x02013;<lpage>2193</lpage>.<pub-id pub-id-type="pmid">32833471</pub-id></mixed-citation></ref><ref id="R6"><mixed-citation publication-type="journal"><name><surname>Braun</surname><given-names>V</given-names></name>, &#x00026; <name><surname>Clarke</surname><given-names>V</given-names></name> (<year>2006</year>). <article-title>Using thematic analysis in psychology</article-title>. <source>Qualitative Research in Psychology</source>, <volume>3</volume>(<issue>2</issue>), <fpage>77</fpage>&#x02013;<lpage>101</lpage>. <pub-id pub-id-type="doi">10.1191/1478088706QP063OA</pub-id></mixed-citation></ref><ref id="R7"><mixed-citation publication-type="journal"><name><surname>Catalano</surname><given-names>RF</given-names></name>, <name><surname>Berglund</surname><given-names>ML</given-names></name>, <name><surname>Ryan</surname><given-names>JAM</given-names></name>, <name><surname>Lonczak</surname><given-names>HS</given-names></name>, &#x00026; <name><surname>Hawkins</surname><given-names>JD</given-names></name> (<year>2004</year>). <article-title>Positive youth development in the United States: Research findings on evaluations of positive youth development programs</article-title>. <source>The ANNALS of the American Academy of Political and Social Science</source>, <volume>591</volume>(<issue>1</issue>), <fpage>98</fpage>&#x02013;<lpage>124</lpage>. <pub-id pub-id-type="doi">10.1177/0002716203260102</pub-id></mixed-citation></ref><ref id="R8"><mixed-citation publication-type="webpage"><collab>Center for Disease Control and Prevention</collab>. (<year>2018</year>, <month>November</month>
<day>19</day>). <source>LGBT youth: Lesbian, gay, bisexual, and transgender health</source>. <comment><ext-link xlink:href="https://www.cdc.gov/lgbthealth/youth.htm" ext-link-type="uri">https://www.cdc.gov/lgbthealth/youth.htm</ext-link></comment></mixed-citation></ref><ref id="R9"><mixed-citation publication-type="webpage"><collab>CFERR</collab>. (<year>2019</year>). <source>National 4-H partners memorandum of understanding</source>. <comment><ext-link xlink:href="https://www.aplu.org/members/commissions/food-environment-and-renewable-resources/CFERR_Library/ecop-national-4h-partners-mou/file" ext-link-type="uri">https://www.aplu.org/members/commissions/food-environment-and-renewable-resources/CFERR_Library/ecop-national-4h-partners-mou/file</ext-link></comment></mixed-citation></ref><ref id="R10"><mixed-citation publication-type="journal"><name><surname>Day</surname><given-names>JK</given-names></name>, <name><surname>Fish</surname><given-names>JN</given-names></name>, <name><surname>Perez-Brumer</surname><given-names>A</given-names></name>, <name><surname>Hatzenbuehler</surname><given-names>ML</given-names></name>, &#x00026; <name><surname>Russell</surname><given-names>ST</given-names></name> (<year>2017</year>). <article-title>Transgender youth substance use disparities: Results from a population-based sample</article-title>. <source>Journal of Adolescent Health</source>, <volume>61</volume>(<issue>6</issue>), <fpage>729</fpage>&#x02013;<lpage>735</lpage>. <pub-id pub-id-type="doi">10.1016/j.jadohealth.2017.06.024</pub-id></mixed-citation></ref><ref id="R11"><mixed-citation publication-type="journal"><name><surname>Day</surname><given-names>JK</given-names></name>, <name><surname>Ioverno</surname><given-names>S</given-names></name>, &#x00026; <name><surname>Russell</surname><given-names>ST</given-names></name> (<year>2019</year>). <article-title>Safe and supportive schools for LGBT youth: Addressing educational inequities through inclusive policies and practices</article-title>. <source>Journal of School Psychology</source>, <volume>74</volume>, <fpage>29</fpage>&#x02013;<lpage>43</lpage>. <pub-id pub-id-type="doi">10.1016/j.jsp.2019.05.007</pub-id><pub-id pub-id-type="pmid">31213230</pub-id></mixed-citation></ref><ref id="R12"><mixed-citation publication-type="journal"><name><surname>Fish</surname><given-names>JN</given-names></name>, &#x00026; <name><surname>Baams</surname><given-names>L</given-names></name> (<year>2018</year>). <article-title>Trends in alcohol-related disparities between heterosexual and sexual minority youth from 2007 to 2015: Findings from the youth risk behavior survey</article-title>. <source>LGBT Health</source>, <volume>5</volume>(<issue>6</issue>), <fpage>359</fpage>&#x02013;<lpage>367</lpage>. <pub-id pub-id-type="doi">10.1089/lgbt.2017.0212</pub-id><pub-id pub-id-type="pmid">30010480</pub-id></mixed-citation></ref><ref id="R13"><mixed-citation publication-type="book"><name><surname>Fish</surname><given-names>JN</given-names></name>, <name><surname>Baams</surname><given-names>L</given-names></name>, &#x00026; <name><surname>McGuire</surname><given-names>JK</given-names></name> (<year>2020</year>). <part-title>Sexual and gender minority mental health issues among children and youth</part-title>. In <name><surname>Rothblum</surname><given-names>ED</given-names></name> (Ed.), <source>Oxford handbook of sexual and gender minority mental health</source> (pp. <fpage>229</fpage>&#x02013;<lpage>244</lpage>). <publisher-name>Oxford University Press</publisher-name>.</mixed-citation></ref><ref id="R14"><mixed-citation publication-type="journal"><name><surname>Fish</surname><given-names>JN</given-names></name>, <name><surname>Schulenberg</surname><given-names>JE</given-names></name>, &#x00026; <name><surname>Russell</surname><given-names>ST</given-names></name> (<year>2019</year>). <article-title>Sexual minority youth report high-intensity binge drinking: The critical role of school victimization</article-title>. <source>Journal of Adolescent Health</source>, <volume>64</volume>, <fpage>186</fpage>&#x02013;<lpage>193</lpage>. <pub-id pub-id-type="doi">10.1016/j.jadohealth.2018.07.005</pub-id></mixed-citation></ref><ref id="R15"><mixed-citation publication-type="journal"><name><surname>Goldbach</surname><given-names>JT</given-names></name>, <name><surname>Tanner-Smith</surname><given-names>EE</given-names></name>, <name><surname>Bagwell</surname><given-names>M</given-names></name>, &#x00026; <name><surname>Dunlap</surname><given-names>S</given-names></name> (<year>2014</year>). <article-title>Minority stress and substance use in sexual minority adolescents: A meta-analysis</article-title>. <source>Prevention Science</source>, <volume>15</volume>(<issue>3</issue>), <fpage>350</fpage>&#x02013;<lpage>363</lpage>. <pub-id pub-id-type="doi">10.1007/s11121-013-0393-7</pub-id><pub-id pub-id-type="pmid">23605479</pub-id></mixed-citation></ref><ref id="R16"><mixed-citation publication-type="book"><name><surname>Gray</surname><given-names>ML</given-names></name> (<year>2009</year>). <source>Out in the country: Youth, media, and queer visibility in rural America</source> (Vol. <volume>2</volume>). <publisher-name>NYU Press</publisher-name>.</mixed-citation></ref><ref id="R17"><mixed-citation publication-type="journal"><name><surname>Hatzenbuehler</surname><given-names>ML</given-names></name> (<year>2009</year>). <article-title>How does sexual minority stigma &#x0201c;Get under the skin&#x0201d;? A psychological mediation framework</article-title>. <source>Psychological Bulletin</source>, <volume>135</volume>(<issue>5</issue>), <fpage>707</fpage>&#x02013;<lpage>730</lpage>. <pub-id pub-id-type="doi">10.1037/a0016441</pub-id><pub-id pub-id-type="pmid">19702379</pub-id></mixed-citation></ref><ref id="R18"><mixed-citation publication-type="journal"><name><surname>Hatzenbuehler</surname><given-names>ML</given-names></name> (<year>2016</year>). <article-title>Structural stigma and health inequalities: Research evidence and implications for psychological science</article-title>. <source>American Psychologist Journal</source>, <volume>71</volume>(<issue>8</issue>), <fpage>742</fpage>&#x02013;<lpage>751</lpage>. <pub-id pub-id-type="doi">10.1037/amp0000068</pub-id></mixed-citation></ref><ref id="R19"><mixed-citation publication-type="journal"><name><surname>Hatzenbuehler</surname><given-names>ML</given-names></name>, &#x00026; <name><surname>Keyes</surname><given-names>KM</given-names></name> (<year>2013</year>). <article-title>Inclusive anti-bullying policies and reduced risk of suicide attempts in lesbian and gay youth</article-title>. <source>Journal of Adolescent Health</source>, <volume>53</volume>(<issue>1, Supplement</issue>), <fpage>S21</fpage>&#x02013;<lpage>S26</lpage>. <pub-id pub-id-type="doi">10.1016/j.jadohealth.2012.08.010</pub-id></mixed-citation></ref><ref id="R20"><mixed-citation publication-type="journal"><name><surname>Hatzenbuehler</surname><given-names>ML</given-names></name>, <name><surname>Pachankis</surname><given-names>JE</given-names></name>, &#x00026; <name><surname>Wolff</surname><given-names>J</given-names></name> (<year>2012</year>). <article-title>Religious climate and health risk behaviors in sexual minority youths: A population-based study</article-title>. <source>American Journal of Public Health</source>, <volume>102</volume>(<issue>4</issue>), <fpage>657</fpage>&#x02013;<lpage>663</lpage>. <pub-id pub-id-type="doi">10.2105/AJPH.2011.300517</pub-id><pub-id pub-id-type="pmid">22397347</pub-id></mixed-citation></ref><ref id="R21"><mixed-citation publication-type="book"><name><surname>Helms</surname><given-names>M,M</given-names></name>. (<year>2019</year>) <article-title>SWOT analysis</article-title>. In <source>Encyclopedia of management</source> (Vol <volume>2</volume>., <edition>8<sup>th</sup></edition> ed., pp. <fpage>1064</fpage>&#x02013;<lpage>1068</lpage>). <publisher-name>Thomas Gale</publisher-name>.</mixed-citation></ref><ref id="R22"><mixed-citation publication-type="journal"><name><surname>Herek</surname><given-names>GM</given-names></name> (<year>2002</year>). <article-title>Heterosexuals&#x02019; attitudes toward bisexual men and women in the United States</article-title>. <source>Journal of Sex Research</source>, <volume>39</volume>(<issue>4</issue>), <fpage>264</fpage>&#x02013;<lpage>274</lpage>. <pub-id pub-id-type="doi">10.1080/00224490209552150</pub-id><pub-id pub-id-type="pmid">12545409</pub-id></mixed-citation></ref><ref id="R23"><mixed-citation publication-type="journal"><name><surname>Johns</surname><given-names>MM</given-names></name>, <name><surname>Lowry</surname><given-names>R</given-names></name>, <name><surname>Andrzejewski</surname><given-names>J</given-names></name>, <name><surname>Barrios</surname><given-names>LC</given-names></name>, <name><surname>Demissie</surname><given-names>Z</given-names></name>, <name><surname>McManus</surname><given-names>T</given-names></name>, <name><surname>Rasberry</surname><given-names>CN</given-names></name>, <name><surname>Robin</surname><given-names>L</given-names></name>, &#x00026; <name><surname>Underwood</surname><given-names>JM</given-names></name> (<year>2019</year>). <article-title>Transgender identity and experiences of violence victimization, substance use, suicide risk, and sexual risk behaviors among high school students&#x02014;19 states and large urban school districts, 2017</article-title>. <source>Morbidity and Mortality Weekly Report</source>, <volume>68</volume>(<issue>3</issue>), <fpage>67</fpage>&#x02013;<lpage>71</lpage>. <pub-id pub-id-type="doi">10.15585/mmwr.mm6803a3</pub-id><pub-id pub-id-type="pmid">30677012</pub-id></mixed-citation></ref><ref id="R24"><mixed-citation publication-type="journal"><name><surname>Johns</surname><given-names>MM</given-names></name>, <name><surname>Lowry</surname><given-names>R</given-names></name>, <name><surname>Rasberry</surname><given-names>CN</given-names></name>, <name><surname>Dunville</surname><given-names>R</given-names></name>, <name><surname>Robin</surname><given-names>L</given-names></name>, <name><surname>Pampati</surname><given-names>S</given-names></name>, <name><surname>Stone</surname><given-names>DM</given-names></name>, &#x00026; <name><surname>Mercer Kollar</surname><given-names>LM</given-names></name> (<year>2018</year>). <article-title>Violence, victimization, substance use, and suicide risk among sexual minority high school students&#x02014;United States, 2015&#x02013;2017</article-title>. <source>Morbidity and Mortality Weekly Report</source>, <volume>67</volume>. <pub-id pub-id-type="doi">10.15585/mmwr.mm6743a4</pub-id></mixed-citation></ref><ref id="R25"><mixed-citation publication-type="journal"><name><surname>Kosciw</surname><given-names>JG</given-names></name>, <name><surname>Palmer</surname><given-names>NA</given-names></name>, &#x00026; <name><surname>Kull</surname><given-names>RM</given-names></name> (<year>2015</year>). <article-title>Reflecting resiliency: Openness about sexual orientation and/or gender identity and its relationship to well-being and educational outcomes for LGBT students</article-title>. <source>American Journal of Community Psychology</source>, <volume>55</volume>(<issue>1&#x02013;2</issue>), <fpage>167</fpage>&#x02013;<lpage>178</lpage>. <pub-id pub-id-type="doi">10.1007/s10464-014-9642-6</pub-id><pub-id pub-id-type="pmid">24691967</pub-id></mixed-citation></ref><ref id="R26"><mixed-citation publication-type="book"><name><surname>Lerner</surname><given-names>JV</given-names></name>, <name><surname>Bowers</surname><given-names>EP</given-names></name>, <name><surname>Minor</surname><given-names>K</given-names></name>, <name><surname>Boyd</surname><given-names>MJ</given-names></name>, <name><surname>Mueller</surname><given-names>MK</given-names></name>, <name><surname>Schmid</surname><given-names>KL</given-names></name>, <name><surname>Napolitano</surname><given-names>CM</given-names></name>, <name><surname>Lewin-Bizan</surname><given-names>S</given-names></name>, &#x00026; <name><surname>Lerner</surname><given-names>RM</given-names></name> (<year>2013</year>). <part-title>Positive youth development: Processes, philosophies, and programs</part-title>. In <name><surname>Lerner</surname><given-names>RM</given-names></name>, <name><surname>Easterbrooks</surname><given-names>MA</given-names></name>, <name><surname>Mistry</surname><given-names>J</given-names></name>, &#x00026; <name><surname>Weiner</surname><given-names>IB</given-names></name> (Eds.), <source>Handbook of psychology: Developmental psychology</source> (pp. <fpage>365</fpage>&#x02013;<lpage>392</lpage>). <publisher-name>John Wiley &#x00026; Sons</publisher-name>.</mixed-citation></ref><ref id="R27"><mixed-citation publication-type="book"><name><surname>Lerner</surname><given-names>RM</given-names></name>, <name><surname>Lerner</surname><given-names>JV</given-names></name>, &#x00026; <comment>Colleagues</comment> (<year>2005</year>). <source>The positive development of youth: Comprehensive findings from the 4-H study of positive youth development</source>. <publisher-name>National 4-H Council</publisher-name>. <comment><ext-link xlink:href="https://4-h.org/wp-content/uploads/2016/02/4-H-Study-of-Positive-Youth-Development-Full-Report.pdf" ext-link-type="uri">https://4-h.org/wp-content/uploads/2016/02/4-H-Study-of-Positive-Youth-Development-Full-Report.pdf</ext-link></comment></mixed-citation></ref><ref id="R28"><mixed-citation publication-type="journal"><name><surname>Marshal</surname><given-names>MP</given-names></name>, <name><surname>Dietz</surname><given-names>LJ</given-names></name>, <name><surname>Friedman</surname><given-names>MS</given-names></name>, <name><surname>Stall</surname><given-names>R</given-names></name>, <name><surname>Smith</surname><given-names>HA</given-names></name>, <name><surname>McGinley</surname><given-names>J</given-names></name>, <name><surname>Thoma</surname><given-names>BC</given-names></name>, <name><surname>Murray</surname><given-names>PJ</given-names></name>, <name><surname>D&#x02019;Augelli</surname><given-names>AR</given-names></name>, &#x00026; <name><surname>Brent</surname><given-names>DA</given-names></name> (<year>2011</year>). <article-title>Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review</article-title>. <source>Journal of Adolescent Health</source>, <volume>49</volume>(<issue>2</issue>), <fpage>115</fpage>&#x02013;<lpage>123</lpage>. <pub-id pub-id-type="doi">10.1016/j.jadohealth.2011.02.005</pub-id></mixed-citation></ref><ref id="R29"><mixed-citation publication-type="journal"><name><surname>Marshal</surname><given-names>MP</given-names></name>, <name><surname>Friedman</surname><given-names>MS</given-names></name>, <name><surname>Stall</surname><given-names>R</given-names></name>, <name><surname>King</surname><given-names>KM</given-names></name>, <name><surname>Miles</surname><given-names>J</given-names></name>, <name><surname>Gold</surname><given-names>MA</given-names></name>, <name><surname>Bukstein</surname><given-names>OG</given-names></name>, &#x00026; <name><surname>Morse</surname><given-names>JQ</given-names></name> (<year>2008</year>). <article-title>Sexual orientation and adolescent substance use: A meta-analysis and methodological review</article-title>. <source>Addiction</source>, <volume>103</volume>(<issue>4</issue>), <fpage>546</fpage>&#x02013;<lpage>556</lpage>. <pub-id pub-id-type="doi">10.1111/j.1360-0443.2008.02149.x</pub-id><pub-id pub-id-type="pmid">18339100</pub-id></mixed-citation></ref><ref id="R30"><mixed-citation publication-type="journal"><name><surname>Mereish</surname><given-names>EH</given-names></name> (<year>2019</year>). <article-title>Substance use and misuse among sexual and gender minority youth</article-title>. <source>Current Opinion in Psychology</source>, <volume>30</volume>, <fpage>123</fpage>&#x02013;<lpage>127</lpage>. <pub-id pub-id-type="doi">10.1016/j.copsyc.2019.05.002</pub-id><pub-id pub-id-type="pmid">31202102</pub-id></mixed-citation></ref><ref id="R31"><mixed-citation publication-type="webpage"><collab>Movement Advancement Project</collab>. (<year>2019</year>). <source>Where we call home: LGBT people in rural America</source>. <comment><ext-link xlink:href="http://lgbtmap.org/rural-lgbt" ext-link-type="uri">http://lgbtmap.org/rural-lgbt</ext-link></comment></mixed-citation></ref><ref id="R32"><mixed-citation publication-type="book"><collab>National 4-H Council. (n.d.)</collab>. <source>At a glance: Urban, suburban, rural [Infographic]</source>. <publisher-name>4-H.org</publisher-name>. <comment>Retrieved</comment>
<month>July</month>
<day>7</day>, <year>2020</year>
<comment>from <ext-link xlink:href="https://4-h.org/about/what-is-4-h/opt-infographic-at-a-glance-urban-suburban-rural/" ext-link-type="uri">https://4-h.org/about/what-is-4-h/opt-infographic-at-a-glance-urban-suburban-rural/</ext-link></comment></mixed-citation></ref><ref id="R33"><mixed-citation publication-type="book"><collab>National 4-H Council</collab>. (<year>2014</year>). <source>National 4-H enrollment report [Data set]</source>. <publisher-name>U.S. Department of Agriculture: Research, Education &#x00026; Economics Information System</publisher-name>. <comment><ext-link xlink:href="https://reeis.usda.gov/reports-and-documents/4-h-reports" ext-link-type="uri">https://reeis.usda.gov/reports-and-documents/4-h-reports</ext-link></comment></mixed-citation></ref><ref id="R34"><mixed-citation publication-type="webpage"><collab>National 4-H Council</collab>. (<year>2018</year>). <source>National 4-H council annual report 2018</source>. <comment><ext-link xlink:href="https://4-h.org/wp-content/uploads/2020/04/National-4-H-Council-FY18B-Annual-Report.pdf" ext-link-type="uri">https://4-h.org/wp-content/uploads/2020/04/National-4-H-Council-FY18B-Annual-Report.pdf</ext-link></comment></mixed-citation></ref><ref id="R35"><mixed-citation publication-type="webpage"><collab>Office of Disease Prevention and Health Promotion</collab>. (<year>2020</year>). <source>Lesbian, gay, bisexual, and transgender health</source>. <comment><ext-link xlink:href="https://www.healthypeople.gov/2020/topics/objectives/topic/lesbian-gay-bisexual-and-transgender-health" ext-link-type="uri">https://www.healthypeople.gov/2020/topics/objectives/topic/lesbian-gay-bisexual-and-transgender-health</ext-link></comment></mixed-citation></ref><ref id="R36"><mixed-citation publication-type="journal"><name><surname>Oswald</surname><given-names>RF</given-names></name>, <name><surname>Cuthbertson</surname><given-names>C</given-names></name>, <name><surname>Lazarevic</surname><given-names>V</given-names></name>, &#x00026; <name><surname>Goldberg</surname><given-names>AE</given-names></name> (<year>2010</year>). <article-title>New developments in the field: Measuring community climate</article-title>. <source>Journal of GLBT Family Studies</source>, <volume>6</volume>(<issue>2</issue>), <fpage>214</fpage>&#x02013;<lpage>228</lpage>. <pub-id pub-id-type="doi">10.1080/15504281003709230</pub-id></mixed-citation></ref><ref id="R37"><mixed-citation publication-type="journal"><name><surname>Paceley</surname><given-names>MS</given-names></name> (<year>2016</year>). <article-title>Gender and sexual minority youth in nonmetropolitan communities: Individual-and community-level needs for support</article-title>. <source>Families in Society: The Journal of Contemporary Social Services</source>, <volume>97</volume>(<issue>2</issue>), <fpage>77</fpage>&#x02013;<lpage>85</lpage>. <pub-id pub-id-type="doi">10.1606/1044-3894.2016.97.11</pub-id></mixed-citation></ref><ref id="R38"><mixed-citation publication-type="book"><name><surname>Paceley</surname><given-names>MS</given-names></name> (<year>2020</year>). <part-title>Moving away from a risk paradigm to study rural communities among LGBTQ+ youth: Promotion of a strengths perspective in research, practice, and policy</part-title>. In <name><surname>Mendenhall</surname><given-names>AN</given-names></name> &#x00026; <name><surname>Carney</surname><given-names>MM</given-names></name> (Eds.) <source>Rooted in strengths: 30 years of the strengths perspective in social work</source> (pp. <fpage>281</fpage>&#x02013;<lpage>292</lpage>). <publisher-name>University of Kansas Press</publisher-name>.</mixed-citation></ref><ref id="R39"><mixed-citation publication-type="journal"><name><surname>Paceley</surname><given-names>MS</given-names></name>, <name><surname>Fish</surname><given-names>JN</given-names></name>, <name><surname>Conrad</surname><given-names>A</given-names></name>, &#x00026; <name><surname>Schuetz</surname><given-names>N</given-names></name> (<year>2020a</year>). <article-title>Diverse community contexts and community resources for sexual and gender minority youth: A mixed-methods study</article-title>. <source>Journal of Community and Applied Social Psychology</source>, <volume>29</volume>(<issue>6</issue>), <fpage>445</fpage>&#x02013;<lpage>460</lpage>. <pub-id pub-id-type="doi">10.1002/casp.2417</pub-id></mixed-citation></ref><ref id="R40"><mixed-citation publication-type="journal"><name><surname>Paceley</surname><given-names>MS</given-names></name>, <name><surname>Sattler</surname><given-names>P</given-names></name>, <name><surname>Goffnett</surname><given-names>J</given-names></name>, &#x00026; <name><surname>Jen</surname><given-names>S</given-names></name> (<year>2020b</year>). <article-title>&#x0201c;It feels like home&#x0201d;: Transgender youth in the Midwest and conceptualizations of community climate</article-title>. <source>Journal of Community Psychology</source>. <comment>Advanced online publication.</comment>
<pub-id pub-id-type="doi">10.1002/jcop.22378</pub-id></mixed-citation></ref><ref id="R41"><mixed-citation publication-type="journal"><name><surname>Paceley</surname><given-names>M</given-names></name>, <name><surname>Goffnett</surname><given-names>J</given-names></name>, <name><surname>Sanders</surname><given-names>L</given-names></name>, &#x00026; <name><surname>Gadd-Nelson</surname><given-names>J</given-names></name> (<year>2020</year>). <article-title>&#x0201c;Sometimes you get married on Facebook&#x0201d;: The use of social media among nonmetropolitan sexual and gender minority youth</article-title>. <source>Journal of Homosexuality</source>. <pub-id pub-id-type="doi">10.1080/00918369.2020.1813508</pub-id></mixed-citation></ref><ref id="R42"><mixed-citation publication-type="book"><name><surname>Palmer</surname><given-names>N</given-names></name>, <name><surname>Kosciw</surname><given-names>J</given-names></name>, &#x00026; <name><surname>Bartkiewicz</surname><given-names>M</given-names></name> (<year>2012</year>). <source>Strengths and silences: The experiences of lesbian, gay, bisexual and transgender students in rural and small town schools</source>. <publisher-name>GLSEN</publisher-name>. <comment><ext-link xlink:href="https://www.glsen.org/sites/default/files/2019-11/Strengths_and_Silences_2012.pdf" ext-link-type="uri">https://www.glsen.org/sites/default/files/2019-11/Strengths_and_Silences_2012.pdf</ext-link></comment></mixed-citation></ref><ref id="R43"><mixed-citation publication-type="journal"><name><surname>Perez-Brumer</surname><given-names>A</given-names></name>, <name><surname>Day</surname><given-names>JK</given-names></name>, <name><surname>Russell</surname><given-names>ST</given-names></name>, &#x00026; <name><surname>Hatzenbuehler</surname><given-names>ML</given-names></name> (<year>2017</year>). <article-title>Prevalence and correlates of suicidal ideation among transgender youth in California: Findings from a representative, population-based sample of high school students</article-title>. <source>Journal of the American Academy of Child and Adolescent Psychiatry</source>, <volume>56</volume>(<issue>9</issue>), <fpage>739</fpage>&#x02013;<lpage>746</lpage>. <pub-id pub-id-type="doi">10.1016/j.jaac.2017.06.010</pub-id><pub-id pub-id-type="pmid">28838578</pub-id></mixed-citation></ref><ref id="R44"><mixed-citation publication-type="journal"><name><surname>Porta</surname><given-names>CM</given-names></name>, <name><surname>Gower</surname><given-names>AL</given-names></name>, <name><surname>Mehus</surname><given-names>CJ</given-names></name>, <name><surname>Yu</surname><given-names>X</given-names></name>, <name><surname>Saewyc</surname><given-names>EM</given-names></name>, &#x00026; <name><surname>Eisenberg</surname><given-names>ME</given-names></name> (<year>2017</year>). <article-title>&#x0201c;Kicked out&#x0201d;: LGBTQ youths&#x02019; bathroom experiences and preferences</article-title>. <source>Journal of Adolescence</source>, <volume>56</volume>, <fpage>107</fpage>&#x02013;<lpage>112</lpage>. <pub-id pub-id-type="doi">10.1016/j.adolescence.2017.02.005</pub-id><pub-id pub-id-type="pmid">28212504</pub-id></mixed-citation></ref><ref id="R45"><mixed-citation publication-type="journal"><name><surname>Poteat</surname><given-names>VP</given-names></name>, <name><surname>Birkett</surname><given-names>M</given-names></name>, <name><surname>Turner</surname><given-names>B</given-names></name>, <name><surname>Wang</surname><given-names>X</given-names></name>, &#x00026; <name><surname>Phillips</surname><given-names>G</given-names></name> (<year>2019</year>). <article-title>Changes in victimization risk and disparities for heterosexual and sexual minority youth: Trends from 2009 to 2017</article-title>. <source>Journal of Adolescent Health</source>, <volume>66</volume>(<issue>2</issue>), <fpage>202</fpage>&#x02013;<lpage>209</lpage>. <pub-id pub-id-type="doi">10.1016/j.jadohealth.2019.08.009</pub-id></mixed-citation></ref><ref id="R46"><mixed-citation publication-type="webpage"><collab>Program Leaders Working Group (n.d.)</collab>. <source>About: Access equity and belonging committee</source>. <comment><ext-link xlink:href="https://access-equity-belonging.extension.org" ext-link-type="uri">https://access-equity-belonging.extension.org/</ext-link></comment></mixed-citation></ref><ref id="R47"><mixed-citation publication-type="journal"><name><surname>Raifman</surname><given-names>J</given-names></name>, <name><surname>Charlton</surname><given-names>BM</given-names></name>, <name><surname>Arrington-Sanders</surname><given-names>R</given-names></name>, <name><surname>Chan</surname><given-names>PA</given-names></name>, <name><surname>Rusley</surname><given-names>J</given-names></name>, <name><surname>Mayer</surname><given-names>KH</given-names></name>, <name><surname>Stein</surname><given-names>MD</given-names></name>, <name><surname>Austin</surname><given-names>SB</given-names></name>, &#x00026; <name><surname>McConnell</surname><given-names>M</given-names></name> (<year>2020</year>). <article-title>Sexual orientation and suicide attempt disparities among US adolescents</article-title>: <fpage>2009</fpage>&#x02013;<lpage>2017</lpage>. <source>Pediatrics</source>. <pub-id pub-id-type="doi">10.1542/peds.2019-1658</pub-id></mixed-citation></ref><ref id="R48"><mixed-citation publication-type="journal"><name><surname>Rosario</surname><given-names>M</given-names></name>, <name><surname>Schrimshaw</surname><given-names>EW</given-names></name>, &#x00026; <name><surname>Hunter</surname><given-names>J</given-names></name> (<year>2006</year>). <article-title>A model of sexual risk behaviors among young gay and bisexual men: Longitudinal associations of mental health, substance abuse, sexual abuse, and the coming-out process</article-title>. <source>AIDS Education and Prevention</source>, <volume>18</volume>(<issue>5</issue>), <fpage>444</fpage>&#x02013;<lpage>460</lpage>. <pub-id pub-id-type="doi">10.1521/aeap.2006.18.5.444</pub-id><pub-id pub-id-type="pmid">17067255</pub-id></mixed-citation></ref><ref id="R49"><mixed-citation publication-type="journal"><name><surname>Roth</surname><given-names>JL</given-names></name>, &#x00026; <name><surname>Brooks-Gunn</surname><given-names>J</given-names></name> (<year>2016</year>). <article-title>Evaluating youth development programs: Progress and promise</article-title>. <source>Applied Developmental Science</source>, <volume>20</volume>(<issue>3</issue>), <fpage>188</fpage>&#x02013;<lpage>202</lpage>. <pub-id pub-id-type="doi">10.1080/10888691.2015.1113879</pub-id><pub-id pub-id-type="pmid">28077922</pub-id></mixed-citation></ref><ref id="R50"><mixed-citation publication-type="journal"><name><surname>Russell</surname><given-names>ST</given-names></name>, &#x00026; <name><surname>Fish</surname><given-names>JN</given-names></name> (<year>2016</year>). <article-title>Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth</article-title>. <source>Annual Review of Clinical Psychology</source>, <volume>12</volume>, <fpage>465</fpage>&#x02013;<lpage>487</lpage>. <pub-id pub-id-type="doi">10.1146/annurev-clinpsy-021815-093153</pub-id></mixed-citation></ref><ref id="R51"><mixed-citation publication-type="journal"><name><surname>Russell</surname><given-names>ST</given-names></name>, &#x00026; <name><surname>Fish</surname><given-names>JN</given-names></name> (<year>2019</year>). <article-title>Sexual minority youth, social change, and health: A developmental collision</article-title>. <source>Research in Human Development</source>, <volume>16</volume>(<issue>1</issue>), <fpage>5</fpage>&#x02013;<lpage>20</lpage>. <pub-id pub-id-type="doi">10.1080/15427609.2018.1537772</pub-id><pub-id pub-id-type="pmid">31602178</pub-id></mixed-citation></ref><ref id="R52"><mixed-citation publication-type="journal"><name><surname>Russell</surname><given-names>ST</given-names></name>, <name><surname>Pollitt</surname><given-names>AM</given-names></name>, <name><surname>Li</surname><given-names>G</given-names></name>, &#x00026; <name><surname>Grossman</surname><given-names>AH</given-names></name> (<year>2018</year>). <article-title>Chosen name use is linked to reduced depressive symptoms, suicidal ideation, and suicidal behavior among transgender youth</article-title>. <source>Journal of Adolescent Health</source>, <volume>63</volume>(<issue>4</issue>), <fpage>503</fpage>&#x02013;<lpage>505</lpage>
<pub-id pub-id-type="doi">10.1016/j.jadohealth.2018.02.003</pub-id></mixed-citation></ref><ref id="R53"><mixed-citation publication-type="journal"><name><surname>Ryan</surname><given-names>C</given-names></name>, <name><surname>Huebner</surname><given-names>D</given-names></name>, <name><surname>Diaz</surname><given-names>RM</given-names></name>, &#x00026; <name><surname>Sanchez</surname><given-names>J</given-names></name> (<year>2009</year>). <article-title>Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults</article-title>. <source>PEDIATRICS</source>, <volume>123</volume>(<issue>1</issue>), <fpage>346</fpage>&#x02013;<lpage>352</lpage>. <pub-id pub-id-type="doi">10.1542/peds.2007-3524</pub-id><pub-id pub-id-type="pmid">19117902</pub-id></mixed-citation></ref><ref id="R54"><mixed-citation publication-type="journal"><name><surname>Ryan</surname><given-names>C</given-names></name>, <name><surname>Russell</surname><given-names>ST</given-names></name>, <name><surname>Huebner</surname><given-names>D</given-names></name>, <name><surname>Diaz</surname><given-names>R</given-names></name>, &#x00026; <name><surname>Sanchez</surname><given-names>J</given-names></name> (<year>2010</year>). <article-title>Family acceptance in adolescence and the health of LGBT young adults</article-title>. <source>Journal of Child and Adolescent Psychiatric Nursing</source>, <volume>23</volume>(<issue>4</issue>), <fpage>205</fpage>&#x02013;<lpage>213</lpage>. <pub-id pub-id-type="doi">10.1111/j.1744-6171.2010.00246.x</pub-id><pub-id pub-id-type="pmid">21073595</pub-id></mixed-citation></ref><ref id="R55"><mixed-citation publication-type="book"><name><surname>Silbereisen</surname><given-names>RK</given-names></name>, &#x00026; <name><surname>Lerner</surname><given-names>RM</given-names></name> (Eds.). (<year>2007</year>). <source>Approaches to positive youth development</source>. <publisher-name>Sage Publishing</publisher-name>.</mixed-citation></ref><ref id="R56"><mixed-citation publication-type="journal"><name><surname>Snapp</surname><given-names>SD</given-names></name>, <name><surname>Watson</surname><given-names>RJ</given-names></name>, <name><surname>Russell</surname><given-names>ST</given-names></name>, <name><surname>Diaz</surname><given-names>RM</given-names></name>, &#x00026; <name><surname>Ryan</surname><given-names>C</given-names></name> (<year>2015</year>). <article-title>Social support networks for LGBT young adults: Low cost strategies for positive adjustment</article-title>. <source>Family Relations</source>, <volume>64</volume>(<issue>3</issue>), <fpage>420</fpage>&#x02013;<lpage>430</lpage>. <pub-id pub-id-type="doi">10.1111/fare.12124</pub-id></mixed-citation></ref><ref id="R57"><mixed-citation publication-type="webpage"><collab>Substance Abuse and Mental Health Services Administration</collab>. (<year>2020</year>). <source>Behavioral Health Equity: Lesbian, Gay, Bisexual, and Transgender</source>. <comment>From <ext-link xlink:href="https://www.samhsa.gov/behavioral-health-equity/lgbt" ext-link-type="uri">https://www.samhsa.gov/behavioral-health-equity/lgbt</ext-link></comment></mixed-citation></ref><ref id="R58"><mixed-citation publication-type="journal"><name><surname>Syvertsen</surname><given-names>AK</given-names></name>, <name><surname>Scales</surname><given-names>PC</given-names></name>, &#x00026; <name><surname>Toomey</surname><given-names>RB</given-names></name> (<year>2019</year>). <article-title>Developmental assets framework revisited: Confirmatory analysis and invariance testing to create a new generation of assets measures for applied research</article-title>. <source>Applied Developmental Science</source>, <fpage>1</fpage>&#x02013;<lpage>16</lpage>. <pub-id pub-id-type="doi">10.1080/10888691.2019.1613155</pub-id></mixed-citation></ref><ref id="R59"><mixed-citation publication-type="journal"><name><surname>Toomey</surname><given-names>RB</given-names></name>, <name><surname>Ryan</surname><given-names>C</given-names></name>, <name><surname>Diaz</surname><given-names>RM</given-names></name>, &#x00026; <name><surname>Russell</surname><given-names>ST</given-names></name> (<year>2018</year>). <article-title>Coping with sexual orientation-related minority stress</article-title>. <source>Journal of Homosexuality</source>, <volume>65</volume>(<issue>4</issue>), <fpage>484</fpage>&#x02013;<lpage>500</lpage>. <pub-id pub-id-type="doi">10.1080/00918369.2017.1321888</pub-id><pub-id pub-id-type="pmid">28441107</pub-id></mixed-citation></ref><ref id="R60"><mixed-citation publication-type="journal"><name><surname>Toomey</surname><given-names>RB</given-names></name>, <name><surname>Syvertsen</surname><given-names>AK</given-names></name>, &#x00026; <name><surname>Flores</surname><given-names>M</given-names></name> (<year>2019</year>). <article-title>Are developmental assets protective against suicidal behavior? Differential associations by sexual orientation</article-title>. <source>Journal of Youth and Adolescence</source>, <volume>48</volume>(<issue>4</issue>), <fpage>788</fpage>&#x02013;<lpage>801</lpage>. <pub-id pub-id-type="doi">10.1007/s10964-018-0954-y</pub-id><pub-id pub-id-type="pmid">30417268</pub-id></mixed-citation></ref><ref id="R61"><mixed-citation publication-type="journal"><name><surname>Van der Toorn</surname><given-names>J</given-names></name>, <name><surname>Jost</surname><given-names>JT</given-names></name>, <name><surname>Packer</surname><given-names>DJ</given-names></name>, <name><surname>Noorbaloochi</surname><given-names>S</given-names></name>, &#x00026; <name><surname>Van Bavel</surname><given-names>JJ</given-names></name> (<year>2017</year>). <article-title>In defense of tradition: Religiosity, conservatism, and opposition to same-sex marriage in North America</article-title>. <source>Personality and Social Psychology Bulletin</source>, <volume>43</volume>(<issue>10</issue>), <fpage>1455</fpage>&#x02013;<lpage>1468</lpage>. <comment><ext-link xlink:href="https://doi.org/10.1177%2F0146167217718523" ext-link-type="uri">https://doi.org/10.1177%2F0146167217718523</ext-link></comment><pub-id pub-id-type="pmid">28918711</pub-id></mixed-citation></ref><ref id="R62"><mixed-citation publication-type="journal"><name><surname>Watson</surname><given-names>RJ</given-names></name>, <name><surname>Rose</surname><given-names>HA</given-names></name>, <name><surname>Doull</surname><given-names>M</given-names></name>, <name><surname>Adjei</surname><given-names>J</given-names></name>, &#x00026; <name><surname>Saewyc</surname><given-names>E</given-names></name> (<year>2019</year>). <article-title>Worsening perceptions of family connectedness and parent support for lesbian, gay, and bisexual adolescents</article-title>. <source>Journal of Child and Family Studies</source>, <volume>28</volume>(<issue>11</issue>), <fpage>3121</fpage>&#x02013;<lpage>3131</lpage>. <pub-id pub-id-type="doi">10.1007/s10826-019-01489-3</pub-id><pub-id pub-id-type="pmid">31649475</pub-id></mixed-citation></ref></ref-list></back><floats-group><table-wrap position="float" id="T1"><label>Table 1.</label><caption><p id="P59">Groups/Participants</p></caption><table frame="box" rules="all"><colgroup span="1"><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/></colgroup><thead><tr><th align="left" valign="middle" rowspan="1" colspan="1">Group</th><th align="center" valign="middle" rowspan="1" colspan="1">
<italic toggle="yes">n</italic>
</th><th align="left" valign="middle" rowspan="1" colspan="1">Constituent(s)</th><th align="left" valign="middle" rowspan="1" colspan="1">Event</th><th align="left" valign="middle" rowspan="1" colspan="1">Format</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Group 1</td><td align="center" valign="top" rowspan="1" colspan="1">40</td><td align="left" valign="top" rowspan="1" colspan="1">4-H youth</td><td align="left" valign="top" rowspan="1" colspan="1">Leadership retreat</td><td align="left" valign="top" rowspan="1" colspan="1">SWOT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Group 2</td><td align="center" valign="top" rowspan="1" colspan="1">16</td><td align="left" valign="top" rowspan="1" colspan="1">4-H youth development staff</td><td align="left" valign="top" rowspan="1" colspan="1">Annual staff development conference</td><td align="left" valign="top" rowspan="1" colspan="1">Question prompts</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Group 3</td><td align="center" valign="top" rowspan="1" colspan="1">12</td><td align="left" valign="top" rowspan="1" colspan="1">4-H Extension support staff</td><td align="left" valign="top" rowspan="1" colspan="1">Quarterly staff meeting</td><td align="left" valign="top" rowspan="1" colspan="1">SWOT</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Group 4</td><td align="center" valign="top" rowspan="1" colspan="1">12</td><td align="left" valign="top" rowspan="1" colspan="1">4-H youth, 4-H alumni, 4-H parents</td><td align="left" valign="top" rowspan="1" colspan="1">Focus group</td><td align="left" valign="top" rowspan="1" colspan="1">SWOT</td></tr></tbody></table></table-wrap><table-wrap position="float" id="T2"><label>Table 2.</label><caption><p id="P60">Challenges and Opportunities for LGBTQ+ Inclusion in 4-H</p></caption><table frame="box" rules="all"><colgroup span="1"><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/></colgroup><thead><tr><th align="left" valign="middle" rowspan="1" colspan="1">Theme</th><th align="center" valign="middle" rowspan="1" colspan="1">Challenges</th><th align="center" valign="middle" rowspan="1" colspan="1">Opportunities</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">Organizational climate</td><td align="left" valign="top" rowspan="1" colspan="1">
<list list-type="bullet" id="L2"><list-item><p id="P261">Harassment &#x00026; bullying</p></list-item><list-item><p id="P62">Lack of intervention</p></list-item><list-item><p id="P63">LGBTQ+ youth feeling unsafe</p></list-item><list-item><p id="P64">Lack of diversity in staff &#x00026; youth</p></list-item><list-item><p id="P65">Enforcement of gender binary</p></list-item><list-item><p id="P66">Conservative religious tone</p></list-item></list>
</td><td align="left" valign="top" rowspan="1" colspan="1">
<list list-type="bullet" id="L4"><list-item><p id="P67">Mission &#x00026; values rooted in acceptance</p></list-item><list-item><p id="P68">Principles of safety &#x00026; independence</p></list-item><list-item><p id="P69">No religious affiliation</p></list-item><list-item><p id="P70">Increase diversity &#x00026; visibility</p></list-item></list>
</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Policies &#x00026; procedures</td><td align="left" valign="top" rowspan="1" colspan="1">
<list list-type="bullet" id="L6"><list-item><p id="P71">Lack of inclusive policies</p></list-item><list-item><p id="P72">Gender binary in policies</p></list-item></list>
</td><td align="left" valign="top" rowspan="1" colspan="1">
<list list-type="bullet" id="L8"><list-item><p id="P73">Explicitly include LGBTQ+ in policy</p></list-item><list-item><p id="P74">Collaborate with university extension</p></list-item></list>
</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Training, education, &#x00026; resources</td><td align="left" valign="top" rowspan="1" colspan="1">
<list list-type="bullet" id="L10"><list-item><p id="P75">Lack of LGBTQ+ training</p></list-item><list-item><p id="P76">Lack of guidance</p></list-item><list-item><p id="P77">Lack of resources</p></list-item></list>
</td><td align="left" valign="top" rowspan="1" colspan="1">
<list list-type="bullet" id="L12"><list-item><p id="P78">Volunteer &#x00026; camp counselor training</p></list-item><list-item><p id="P79">Youth trainings</p></list-item><list-item><p id="P80">Trauma-informed training</p></list-item><list-item><p id="P81">Language, safe spaces</p></list-item><list-item><p id="P82">Inclusive forms &#x00026; documents</p></list-item></list>
</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Community engagement</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">
<list list-type="bullet" id="L14"><list-item><p id="P83">Allying with LGBTQ+ organizations</p></list-item><list-item><p id="P84">Engagement with university</p></list-item><list-item><p id="P85">Pride events</p></list-item></list>
</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Youth-specific resources</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">
<list list-type="bullet" id="L16"><list-item><p id="P86">LGBTQ+ specific groups/events</p></list-item><list-item><p id="P87">Advocacy clubs</p></list-item><list-item><p id="P88">Peer mentorship</p></list-item><list-item><p id="P89">Youth LGBTQ+ retreats</p></list-item></list>
</td></tr></tbody></table></table-wrap></floats-group></article>