Class 12: Gender & Sexuality

Question 1

define: sex

Answer 1

• term used to describe physical or genetic markers

Question 2

sex includes… (4)

Answer 2

• biology
• hormones
• chromosomes
• genitals / reproductive organs

Question 3

what is included as categories under sex:

Answer 3

• assigned female at birth
• assigned male at birth
• intersex

Question 4

define: intersex

Answer 4

• includes sex characteristics of both
• person is born with a reproductive or sexual anatomy that doesn’t seem to fit the typical definitions of female or male

Question 5

what are intersex individuals assigned at birth

Answer 5

• either male or female by HCP & parents

Question 6

describe the relationship between intersex indiv. sex assignment at birth to gender identity

Answer 6

• may not match their gender identity when they age
• may identify as their assigned, intersex, transgender, etc.

Question 7

define: gender identity

Answer 7

• internal feeling of being male, female, neither, or both

Question 8

what is included as categories under gender identity

Answer 8

• cisgender
• transgender
• non-binary

Question 9

define: cisgender

Answer 9

• sense of personal identity and gender corresponds with their sex assigned at birth

Question 10

define: transgender

Answer 10

• person is someone whose gender identity or gender expression does not correspond with their sex assigned at birth

Question 11

define: non-binary

Answer 11

• a person who does not identify exclusively as a man or a woman
• experience gender identity as outside binary categories of male or female
• umbrella term that encompasses many different ways to understand one’s gender
  ex. agender, etc.

Question 12

define: gender expression

Answer 12

• outward expression of gender
  ex. clothes, style

Question 13

describe the alignment of gender expression & identity

Answer 13

• may not always align

Question 14

define: sexual orientation

Answer 14

• one’s sexual attraction to others

Question 15

define: asexual

Answer 15

• lack of sexual attraction to others

Question 16

define: pansexual

Answer 16

• sexual attraction that is not limited to people of a particular gender identity

Question 17

define: 2 spirit

Answer 17

• used by some Indigenous individuals to describe people’s gender identity that involves both feminine and masculine gender identity

note: some individuals may not identify as 2spirit, but rather non-bindary, cisgender, etc.

Question 18

gender diversity is separated into:

Answer 18

• cisgender
• transgender

Question 19

transgender is divided into:

Answer 19

• binary
• non binary

Question 20

what terms are included in binary category of transgender individuals

Answer 20

• trans man
• trans woman

Question 21

what terms are included in non-binary category of transgender individuals (7)

Answer 21

• 2spirit
• agender
• pangender
• genderqueer
• gender non-conforming
• non-binary
• gender fluid

Question 22

what is included in gender affirming care (7)

Answer 22

• ask & document the person’s name & pronouns (so other HCP can avoid misgendering or misnaming)
• familiarize yourself w the language, terminology, be aware of these changes over time & adapt to the changes
• familiarize yourself w transitioning process
• ask questions to clarify as needed (but do not expect them to educate you on everything)
• ask permission & explain rationale for physical exam, need to undress for exam, etc.
• provide TIC
• do not assume relationships

Question 23

what should be done if you make a mistake r/t someone’s name or pronouns

Answer 23

• apologize, and move on

Question 24

gender affirming care includes care that is…

Answer 24

• individualized to the person’s needs & goals

Question 25

define: gender dysphoria

Answer 25

- anxiety and/or discomfort regarding one's sex assigned at birth

Question 26

what are 3 ways of transitioning

Answer 26

- social - medical - surgical

Question 27

what is included in social transitioning (6)

Answer 27

- binding - tucking - packing - padding - changing name & gender on ID documents - changing speech

Question 28

define: binding

Answer 28

- involves wrapping of chest to flatten

Question 29

what should be recommended r/t binding

Answer 29

- methods that permit air & blood flow

Question 30

what risks are associated w binding if not using methods that allow for air & blood flow (3)

Answer 30

- skin infections - rashes - difficulty breathing

Question 31

define: tucking

Answer 31

- process that involves hiding/flattening the penis and testes

Question 32

what are risks associated w tucking (2)

Answer 32

- skin infection - trauma

Question 33

define: padding

Answer 33

- involves wearing undergarments that increase the appearance of breasts, hips, and buttocks

Question 34

what is included in medical transitioning (4)

Answer 34

- hormones - progestin based IUD or injection to suppress menses - meds to suppress puberty (puberty blockers) - electrolysis or laser hair removal

Question 35

describe the process of transitioning between individuals

Answer 35

- journey varies between individuals - no set steps - some may do some, none, or all

Question 36

the trans health klinic sees which pts at which age?

Answer 36

- clients 16 1/2 years old & older

Question 37

what care does the trans health klinic provide (3)

Answer 37

- medical care r/t medical transition (hormones, referall for speecj therapy, hair removal, surgical referal) - care for gender diverse people - collab w PCP for ongoing mngmt of medical mngmt

Question 38

define intersectionality

Answer 38

- a lens or prism for seeing the way in which various forms of inequality often operate together and exacerbate each other - includes an increased risk of discrimination due to a variety of inequities - some people are subject to multiple inequities and the experience is not just the sum of its parts

Question 39

define: health inequalities

Answer 39

- refer to differences in health status or in the distribution of health determinants between different population groups

Question 40

with health inequalities, differences in health status can be due to..

Answer 40

(3)

Question 41

with health inequalities, differences in health status can be due to... (5)

Answer 41

- biological factors - individual choices - chance - unequal distribution of the social & economic factors that influence health (ex. income, education, employment, social supports) - exposure to societal conditions & enviro largely beyond the control of the individuals concerned

Question 42

define: health inequities

Answer 42

- refer to the subset of health inequalities that are deemed to be unfair or unjust, that arise from the systematic & intentional or unintentional marginalization of certain groups, and that are unlikely to reinforce or exacerbate disadvantage and vulnerability

Question 43

what does 2SLGBTQIA+ stand for

Answer 43

2 spirit Lesbian Gay Bisexual Transgender Questioning, Queer Intersex Asexual, Agender, Ally + (pansexual, genderfluid, non-binary, QTPOC, demisexual, and more)

Question 44

what can relate to poor health outcomes (3)

Answer 44

- lower income - food insecurity - housing insecurity

Question 45

what can help build resilience

Answer 45

- supportive families - communities

Question 46

colonization & trauma inflicted on Indigenous peoples of Canada, has disrupted???

Answer 46

- the teachings around gender diversity that were traditionally part of Indigenous culture

Question 47

historically, the medical system has... (3)

Answer 47

- not provided gender affirming care - has pathologized individuals within the LGBT2SQ community - has contributed to stigma and discrimination of LGBT2SQ

Question 48

due to the historical medical treatment of the LGBT2SQ community, there are higher rates of: (7)

Answer 48

- depression - anxiety - substance use - cancers - chronic health conditions - rates of HIV - suicide (contemplation and attempts)

Question 49

due to the historical medical treatment of the LGBT2SQ community, there are lower rates of:

Answer 49

- lower screening for health conditions