LGBT 101 An Introduction to Lesbian, Gay, Bisexual and

LGBT 101
An Introduction to Lesbian, Gay,
Bisexual and Transgender
Issues in Public Health
Agenda
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Common terms
Issues unique to LGBT people
Data and risk factors
Challenges
Strategies for interventions
Conclusion
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.
Terms and definitions
 Terms are always changing
 Self definition
 LGBT
LGBT- An Umbrella Term
 Dissecting the acronym LGBT
 Sexual orientation vs gender identity
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
Gender Identity
 Transgender-
A term used to describe someone whose
gender identity falls outside of the
stereotypical gender norm
The Transgender Umbrella Defined
 Transgender
 Transexual
 Crossdresser
 Intersex
 Drag performers
 Gender bender, androgyne, gender queer
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 person’s experience?
Coming Out
 What do you think it is like to come out?
 Who would an LGBT person come out to?
Feelings
Behaviors
 Isolated
 Leave home/ forced
 Scared
homelessness
 Drop out of school
 Increase drug and alcohol
use/ abuse
 Self inflicted violence
 Suicidal ideation and
attempts
 Anger
 Stress
 Relief
 Uncertainty
 Depressed
In the Public Health Context
 Considerations for LGBT people
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
Health Disparities by Population
 Lesbian and bisexual women
 Gay and bisexual men
 Transgender people
Barriers to adequate healthcare
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Lack of legal protections
Sporadic inclusive policies
Invisibility
Historic experiences
Limited insurance coverage
Lack of competent providers
Barriers continued
 Limited funding for improving LGBT
outcomes
Inadequate data collection efforts
The silver lining…
LGBT as a protective factor
 Many LGBT people have high social capital
 Visibility is increasing in medical/academic field
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.
References
Bradford J, Ryan C. The National Lesbian Health Care Survey. National Lesbian
and Gay Health Foundation, Washington, DC, 1988:76-85.
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.
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, O’Hanlan 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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