Title: LGBT 101
1 - LGBT 101
- An Introduction to Lesbian, Gay, Bisexual and
Transgender Issues in Public Health -
-
2 Agenda
- Common terms
- Issues unique to LGBT people
- Data and risk factors
- Challenges
- Strategies for interventions
- Conclusion
3Presentation Objectives
- Participants will be able to define the acronym
LGBT and each component. - Participants will be able to list at least two
unique risk factors that exist for LGBT people. - Participants will be able to name two public
health considerations specific to LGBT people.
4Terms and definitions
- Terms are always changing
- Self definition
- LGBT
5LGBT- An Umbrella Term
- Dissecting the acronym LGBT
- Sexual orientation vs gender identity
6Sexual Orientation
- Lesbian -
- A woman or girl whose attraction is to the
same sex - Gay
- A man or boy whose attraction is to people of
the same sex - Bisexual
- A person whose attraction is to people of either
sex
7Gender Identity
- Transgender-
- A term used to describe someone whose gender
identity falls outside of the stereotypical
gender norm
8The Transgender Umbrella Defined
- Transgender
- Transexual
- Crossdresser
- Intersex
- Drag performers
- Gender bender, androgyne, gender queer
9LGBT in the United States
- What images do people have?
- What were you taught about LGBT people?
- Not a monolithic experience!
- What can shape an LGBT persons experience?
10Coming Out
- What do you think it is like to come out?
-
- Who would an LGBT person come out to?
11 Feelings Behaviors
- Isolated
- Scared
- Anger
- Stress
- Relief
- Uncertainty
- Depressed
- Leave home/ forced homelessness
- Drop out of school
- Increase drug and alcohol use/ abuse
- Self inflicted violence
- Suicidal ideation and attempts
12- In the Public Health Context
-
- Considerations for LGBT people
13- A Snapshot of LGBT People in the Medical
Institution - 1869- The word homosexual is invented
- 1949 Hormone treatment for transsexuals
- 1973 Homosexuality is removed from the DSM
- 1996 Shock therapy, conversion therapy
- 2011 Gender Identity Disorder still in DSM
14Health Disparities by Population
- Lesbian and bisexual women
- Gay and bisexual men
- Transgender people
15Barriers to adequate healthcare
- Lack of legal protections
- Sporadic inclusive policies
- Invisibility
- Historic experiences
- Limited insurance coverage
- Lack of competent providers
16Barriers continued
- Limited funding for improving LGBT outcomes
- Inadequate data collection efforts
17The silver lining
- LGBT as a protective factor
- Many LGBT people have high social capital
- Visibility is increasing in medical/academic
field
18Acknowledgements
This presentation was designed in Spring 2011 by
Curran Saile, Program Director of the Pride
Center of the Capital Region done in partial
completion of Masters in Public Health
requirements at the University at Albany School
of Public Health. The project would not have been
possible without the support of Mary Applegate,
Jennifer Manganello, Cheryl Reeves and the Pride
Center of the Capital Region.
19References
- Bradford J, Ryan C. The National Lesbian Health
Care Survey. National Lesbian - and Gay Health Foundation, Washington, DC,
198876-85. - Centers for Disease Control. Cigarette smoking
among adults United States, - 1997. Morbidity and Mortality Weekly Report
18(43)993-996, 1999. - Cochran, S.D., and Mays, V.M. Relation between
psychiatric syndromes and - Behaviorally defined sexual orientation in a
sample of the US population. American - Journal of Epidemiology 151(5)516-523, 2001.
- Finlon, Charles. Health Care for All Lesbian,
Gay, Bisexual and Transgender - Populations. Journal of Gay Lesbian Social
Services. 2002, Vol. 14 Issue 3, 109 - 116.
- Healthy People 2010 Companion Document for
Lesbian, Gay, Bisexual and - Transgender (LGBT) Health published by the Gay
and Lesbian Medical Association\ - and the National Coalition for LGBT Health in
2001 Fergusson, Hoorwood and - Beautrais, 1999.
20References
- Makadon, Harvey J. Improving Health Care for the
Lesbian and Gay Communities. New England Journal
of Medicine. 3/2/2006, Vol. 354 Issue 9, 895-897. - Male-to-Female Transgender Individuals Building
Social Support and Capital from Within a - Gender-Focused Network. Journal of Gay Lesbian
Social Services. 2008, Vol. 20 Issue 3, - 203-220.
- Schatz B, OHanlan K. Anti-Gay Discrimination in
Medicine Results of a National Survey of - Lesbian, Gay and Bisexual Physicians. American
Association of Physicians for Human - Rights/Gay Lesbian Medical Association, San
Francisco, May 1994.