Rural LGBTQIA+ Youth: A Review of the Literature (2015–2025)
Round 1
Reviewer 1 Report
Comments and Suggestions for AuthorsThank you for the opportunity to review this manuscript. I think it is a good manuscript and will make an important contribution to the literature. Below I make some suggestions for improvement:
Introduction
This section is good, but I think it could be shortened. It feels like it pre-emptively jumps into the actual review of the literature. I think that is most apparent from lines 62-85.
The LGBTQIA+ Identity section is comprehensive, but I think it is too comprehensive. I don’t think the authors need to include a history of queer and trans terminology. The Rurality and Youth sections are much more succinct.
Methods
How many articles did the original search yield? What was the inclusion and exclusion criteria? Any concerns about the quality of articles?
Results
The results section is quite good. It does a good job of summarizing the literature. The themes that emerged make sense.
I’m not sure what is meant by “culturally responsive” services in this context.
If possible, I think it would be helpful to highlight some of the other demographic characteristics of participants in these studies. For example, did any of the studies pull out experiences of racialized LGBTQIA+ youth in rural areas?
Discussion
This section is good; however, it does feel like the bulk of the section (lines 479-536) is a summary of the findings rather than an analysis of the findings. I think the authors could compare their findings with the broader literature on LGBTQIA+ youth and youth who live in rural areas. Are there any differences and similarities?
Author Response
Comments | Author Responses | |
1 | This section is good, but I think it could be shortened. It feels like it pre-emptively jumps into the actual review of the literature. I think that is most apparent from lines 62-85. | Thank you for this comment. Revisions have been made to the introduction. We have retained most of the section, since is important to lay a framework for the review. |
2 | The LGBTQIA+ Identity section is comprehensive, but I think it is too comprehensive. I don’t think the authors need to include a history of queer and trans terminology. The Rurality and Youth sections are much more succinct. | Thank you for this comment. After discussion regarding the imiportance of historical terminology, it appears that this section is purposeful. History is central to our argument, and we believe this section should be at least partially retained in the manuscript. The history section provides important context about the evolution of terms and community identifiers, helping to ground our analysis in the broader social and cultural shifts that shape rural LGBTQIA+ youth experiences. We condensed the writing but kept the ideas. |
3 | How many articles did the original search yield? What was the inclusion and exclusion criteria? Any concerns about the quality of articles? | Thank you for this comment. Additional details about the search process are now provided. Please see lines 381-389. |
4 | The results section is quite good. It does a good job of summarizing the literature. The themes that emerged make sense. | Thank you for this positive feedback! |
5 | I’m not sure what is meant by “culturally responsive” services in this context. | Thank you for this comment. Please see change to lines 403-405 and 858-859 to include a short definition of culturally responsive services for LGBTQIA+ people |
6 | If possible, I think it would be helpful to highlight some of the other demographic characteristics of participants in these studies. For example, did any of the studies pull out experiences of racialized LGBTQIA+ youth in rural areas? | Thank you for this comment. Revisions made in the findings section which cover the new theme "Gaps in intersectional analysis" highlights demographics across, race, ethnicity, and disability. |
7 | This section is good; however, it does feel like the bulk of the section (lines 479-536) is a summary of the findings rather than an analysis of the findings. I think the authors could compare their findings with the broader literature on LGBTQIA+ youth and youth who live in rural areas. Are there any differences and similarities? | Thank you for this comment. Significant revisions to the discussion have been made.Please see lines 719-799. |
Reviewer 2 Report
Comments and Suggestions for AuthorsThank you for the opportunity to review this manuscript, which discusses the increasing rise of literature that addresses the experiences of rural LGBTQIA+ youth. I believe that this paper can have much to contribute to future research and practice. This being said, I do have some comments that I hope will assist you in further strengthening your article.
- Introduction
- You describe the rising identification with LGBTQIA+ identities, but then move onto say that rural areas have lagged in their acceptance of these identities. I would encourage you to expand on this argument more and offer citational evidence to further establish the justification for the work.
- Also, the reason for your RQs is not concretely justified when you introduce them—why is it important to look at the time of youth? Why look at the current political climate?
- I appreciate that you discuss the current sociopolitical landscape. Your grounding in the current anti-LGBTQ+ legislation is timely and important to highlight. What would make this even stronger is to articulate how rural communities have been at danger because of these sociopolitical shifts.
- As you articulate that the deficit perspectives can harm people, it would be useful to give examples of how.
- Terminology
- Although I appreciated the history on LGBTQIA+ identities, if you are looking to cut, I don’t think that the history on identities was crucial to the argument.
- Moreover, as you discuss the evolution of terminology, I would encourage you to briefly acknowledge that the relationship to these terms has been different for those with multiple minoritized identities.
- Materials and Methods
- I was interested in the lack of using ‘queer and trans’ as key terms given the shift in language. Can you offer your perspective of this?
- Also, you need more information about the search process. How many articles did the searches yield? How many duplicates? How did you get to 25?
- Related to this point, I was curious about how you ‘prioritized research from the U.S. South.’ This doesn’t sound methodologically congruent so as a reader, I would appreciate more context about this.
- How did you ensure consistency across team members in your analysis? How did you build trustworthiness in the study.
- I also valued you being forthcoming about the usage of AI. What would be useful is to understand how you double checked the work of the AI.
- Results
- Your first theme does not actually seem like it’s answering any of your research questions, but rather, it seems like it is an interesting finding beyond the context of the study. I would encourage you to cut the theme or make it clearer how it is answering the research questions.
- When you talk about the four key factors that signal a supportive community, are these four factors specifically from the Paceley et al. article or is it your own heuristic?
- Some of your results are descriptive and not interpretive. For instance, what about policy emerged as salient in the literature?
- I am concerned that one of your research questions was about highlighting strengths of these populations and currently your findings do not do this work—nor is this highlighted in the Discussion.
- Discussion
- Right now, it feels like the special focus on the U.S. South doesn’t feel important because it feels random, especially when you included studies from across the world.
Author Response
Comment | Author response | |
1 | You describe the rising identification with LGBTQIA+ identities, but then move onto say that rural areas have lagged in their acceptance of these identities. I would encourage you to expand on this argument more and offer citational evidence to further establish the justification for the work. | Thank you for your thorough and constructive comments. Please see line 50-51 which citations included to support our claim about lagging rates of LGBTQIA+ acceptance in rural communities. |
2 | Also, the reason for your RQs is not concretely justified when you introduce them—why is it important to look at the time of youth? Why look at the current political climate? | Thank you for this comment. Revisions were made to address this comment. Please see revisions made to lines 52-57. |
3 | I appreciate that you discuss the current sociopolitical landscape. Your grounding in the current anti-LGBTQ+ legislation is timely and important to highlight. What would make this even stronger is to articulate how rural communities have been at danger because of these sociopolitical shifts. | Thank you for this comment. Revisions were made to address this comment. Please see revisions made to lines 76-85. |
4 | As you articulate that the deficit perspectives can harm people, it would be useful to give examples of how. | Thank you for this comment. Revisions were made to address this comment. Please see revisions on lines 118-136. |
5 | Although I appreciated the history on LGBTQIA+ identities, if you are looking to cut, I don’t think that the history on identities was crucial to the argument. | Thank you for this comment. History is central to our argument, and we believe this section should be at least partially retained in the manuscript. The history section provides important context about the evolution of terms and community identifiers, helping to ground our analysis in the broader social and cultural shifts that shape rural LGBTQIA+ youth experiences. We condensed the writing but kept the ideas. |
6 | Moreover, as you discuss the evolution of terminology, I would encourage you to briefly acknowledge that the relationship to these terms has been different for those with multiple minoritized identities. | Thank you for this comment. Revisions were made to address this comment. Please see lines 224-226. |
7 | I was interested in the lack of using ‘queer and trans’ as key terms given the shift in language. Can you offer your perspective of this? | Thank you for this comment. Most articles that use the terms "queer" and "trans" will also likely include LGBT* in their key words or some other mention of the "umbrella" term within the text. So explicitly searching for queer and trans is akin to searching for "gay" or "lesbian" or "intersex." But our review focuses on the broader community, and thus maintains the decision to use the search terms, "LGBT*" & "sexual and gender minorities" |
8 | Also, you need more information about the search process. How many articles did the searches yield? How many duplicates? How did you get to 25? | Thank you for this comment. Additional details about the search process are now provided. Please see lines 381-389. |
9 | Related to this point, I was curious about how you ‘prioritized research from the U.S. South.’ This doesn’t sound methodologically congruent so as a reader, I would appreciate more context about this. | Thank you for this comment. To us, this is an invaluable point, as we are situated within the US South and have lived experience with this region as LGBTQIA+ people. Please see revisions on lines 326-365. |
10 | How did you ensure consistency across team members in your analysis? How did you build trustworthiness in the study. | Thank you for this comment. Please see revisions to lines 407-412. |
11 | I also valued you being forthcoming about the usage of AI. What would be useful is to understand how you double checked the work of the AI. | Thank you for this comment. We appreciate the opportunity to clarify our use of AI tools in the development of this manuscript. We used AI tools, including Manus and ChatGPT, to support our analysis and writing, while maintaining full responsibility for the interpretation and presentation of findings. Manus assisted with qualitative content review and analytic memoing, offering transparency through its visible agent screen. ChatGPT was used for grammar refinement, organizing ideas, and brainstorming phrasing. All outputs were critically reviewed and revised by the team. These tools supported our human-centered process and helped streamline—but not replace—our scholarly work. Please see revisions to lines 417-421. |
12 | Your first theme does not actually seem like it’s answering any of your research questions, but rather, it seems like it is an interesting finding beyond the context of the study. I would encourage you to cut the theme or make it clearer how it is answering the research questions. | Thank you for this comment. This theme has been removed from the findings section. Some elements were deemed more relevant to the terminology section defining rurality. The theme has been replaced by another theme: "Gaps in Interesectional Analysis." Please see revisions to lines 436-457. |
13 | When you talk about the four key factors that signal a supportive community, are these four factors specifically from the Paceley et al. article or is it your own heuristic? | Thank you for this comment. The list of four key factors is a finding from Paceley et al. (2018). The sentence has been revised to reflect proper attribution to Paceley and colleagues. Please see line 543. |
14 | Some of your results are descriptive and not interpretive. For instance, what about policy emerged as salient in the literature? | Thank you for this comment. The policy section covers nondiscrimination and anti-bullying policies, and we found that there were mixed results from policy efforts - some were effective, some had no 'teeth,' and some were nonexistent, but youth still wanted policies in place. The team asserts that lines 667 -688 address this comment well enough without revision. |
15 | I am concerned that one of your research questions was about highlighting strengths of these populations and currently your findings do not do this work—nor is this highlighted in the Discussion. | Thank you for this comment. To us, this is a very important point -- we aim to elevate the strengths based appraoch. Revisions include: rearranging the discussion, including a more robust section about strengths and resilience to lines 714-756 |
16 | Right now, it feels like the special focus on the U.S. South doesn’t feel important because it feels random, especially when you included studies from across the world. | Thank you for this comment. Revisions to the introduction and results sections emphasize intersectionality and focus on the Southern region. The changes provide a clearer rationale for our later focus on the South in the discussion section. Please see lines 757-793. |
Round 2
Reviewer 2 Report
Comments and Suggestions for AuthorsThank you for the opportunity to review your revision. You have addressed my concerns at this time!