There are factors that influence our health and social well-being exist throughout our lifetimes. This is especially true for youth, when positive or negative experiences can lead to long-term health benefits and consequences as adults. 

Protective factors for the healthy development of SGM youth include: family support and acceptance; the presence of caring adults; positive peer influences; strong self-esteem; and social involvement.

As such, ‘ohana—both biological and hanai—is a vital support system for youth and adults to build resiliency, overcome adversity, promote equity, and ensure health.