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LGBT 101

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LGBT 101 An Introduction to Lesbian, Gay, Bisexual and Transgender Issues in Public Health SCRIPT To think about the context of LGBT people in the medical field, lets ... – PowerPoint PPT presentation

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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

3
Presentation 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.

4
Terms and definitions
  • Terms are always changing
  • Self definition
  • LGBT

5
LGBT- An Umbrella Term
  • Dissecting the acronym LGBT
  • Sexual orientation vs gender identity

6
Sexual 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

7
Gender Identity
  • Transgender-
  • A term used to describe someone whose gender
    identity falls outside of the stereotypical
    gender norm

8
The Transgender Umbrella Defined
  • Transgender
  • Transexual
  • Crossdresser
  • Intersex
  • Drag performers
  • Gender bender, androgyne, gender queer

9
LGBT 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?

10
Coming 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

14
Health Disparities by Population
  • Lesbian and bisexual women
  • Gay and bisexual men
  • Transgender people

15
Barriers to adequate healthcare
  • Lack of legal protections
  • Sporadic inclusive policies
  • Invisibility
  • Historic experiences
  • Limited insurance coverage
  • Lack of competent providers

16
Barriers continued
  • Limited funding for improving LGBT outcomes
  • Inadequate data collection efforts

17
The silver lining
  • LGBT as a protective factor
  • Many LGBT people have high social capital
  • Visibility is increasing in medical/academic
    field

18
Acknowledgements
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.
19
References
  • 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.

20
References
  • 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.
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