The Pursuit of Wellness Attainment for Filipino LGBTQIA Adolescents in Family Contexts: Gender Minority-Family Relations Wellness Model

Authors

  • Mark Angelo T. Cristino, PhD, MAN, RN Doña Remedios Trinidad Romualdez Educational Foundation, Inc Author
    Competing Interests

    The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

DOI:

https://doi.org/10.64397/nepj.v01i03.2026.a36

Keywords:

LGBTQIA adolescents, wellness, family dynamics, family acceptance, nursing

Abstract

Introduction: Wellness is a dynamic and multidimensional state that evolves across the lifespan, with adolescence representing a critical developmental stage. This study developed a Gender Minority–Family Relations Wellness Model explaining how family-related factors influence the multidimensional wellness of Filipino LGBTQIA adolescents within sociocultural contexts characterized by collectivism, religiosity, and strong family cohesion.

Methods: A structured narrative review was conducted using literature from PubMed, CINAHL, and Google Scholar (2001–2025). Studies from Philippine and Southeast Asian contexts were included. Thematic synthesis identified patterns related to family structure, dynamics, acceptance, rejection, and adolescent health outcomes.

Results: The proposed model identifies eight interrelated determinants: family type, family structure, family dynamics, family reactions, family conflict, family rejection, family acceptance, and family support. Evidence indicates that Filipino family systems significantly shape adolescent wellness trajectories. Affirming environments promote resilience, identity integration, and psychological well-being, while rejecting environments may increase risks of depression, substance use, and suicidality. Family acceptance is consistently identified as a key protective factor.

Conclusion: The model provides a culturally grounded framework for nursing and adolescent health. However, as a conceptual model, it requires empirical validation through quantitative and mixed-methods research.

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Author Biography

  • Mark Angelo T. Cristino, PhD, MAN, RN, Doña Remedios Trinidad Romualdez Educational Foundation, Inc

    MARK ANGELO TAN CRISTINO, PhDNSC, MAN, RN is the Dean/Program Head of the Graduate School and a faculty member of the College of Nursing at Doña Remedios Trinidad Romualdez Educational Foundation, Inc. He has a strong academic and clinical background in nursing. He earned his Bachelor of Science in Nursing from Visayas State University, his Master of Arts in Nursing major in Nursing Administration from the University of Cebu, and his Doctor of Philosophy in Nursing Science from Cebu Doctors’ University. His research interests include perioperative nursing, adult health research, nursing education, and community, family and LGBTQIA+ welfare. His scholarly work reflects a commitment to advancing culturally responsive, evidence-based nursing practice and promoting inclusive health outcomes among diverse populations.

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Published

07.06.2026

Data Availability Statement

The data that support the findings of this study are available from the corresponding author, upon reasonable request.

How to Cite

Cristino, M. A. (2026). The Pursuit of Wellness Attainment for Filipino LGBTQIA Adolescents in Family Contexts: Gender Minority-Family Relations Wellness Model. Nurse Educators and Practitioners Journal, 1(03). https://doi.org/10.64397/nepj.v01i03.2026.a36