Class 12: Gender & Sexuality Flashcards
define: sex
- term used to describe physical or genetic markers
sex includes… (4)
- biology
- hormones
- chromosomes
- genitals / reproductive organs
what is included as categories under sex:
- assigned female at birth
- assigned male at birth
- intersex
define: intersex
- 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
what are intersex individuals assigned at birth
- either male or female by HCP & parents
describe the relationship between intersex indiv. sex assignment at birth to gender identity
- may not match their gender identity when they age
- may identify as their assigned, intersex, transgender, etc.
define: gender identity
- internal feeling of being male, female, neither, or both
what is included as categories under gender identity
- cisgender
- transgender
- non-binary
define: cisgender
- sense of personal identity and gender corresponds with their sex assigned at birth
define: transgender
- person is someone whose gender identity or gender expression does not correspond with their sex assigned at birth
define: non-binary
- 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.
define: gender expression
- outward expression of gender
ex. clothes, style
describe the alignment of gender expression & identity
- may not always align
define: sexual orientation
- one’s sexual attraction to others
define: asexual
- lack of sexual attraction to others
define: pansexual
- sexual attraction that is not limited to people of a particular gender identity
define: 2 spirit
- 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.
gender diversity is separated into:
- cisgender
- transgender
transgender is divided into:
- binary
- non binary
what terms are included in binary category of transgender individuals
- trans man
- trans woman
what terms are included in non-binary category of transgender individuals (7)
- 2spirit
- agender
- pangender
- genderqueer
- gender non-conforming
- non-binary
- gender fluid
what is included in gender affirming care (7)
- 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
what should be done if you make a mistake r/t someone’s name or pronouns
- apologize, and move on
gender affirming care includes care that is…
- individualized to the person’s needs & goals
define: gender dysphoria
- anxiety and/or discomfort regarding one’s sex assigned at birth
what are 3 ways of transitioning
- social
- medical
- surgical
what is included in social transitioning (6)
- binding
- tucking
- packing
- padding
- changing name & gender on ID documents
- changing speech
define: binding
- involves wrapping of chest to flatten
what should be recommended r/t binding
- methods that permit air & blood flow
what risks are associated w binding if not using methods that allow for air & blood flow (3)
- skin infections
- rashes
- difficulty breathing
define: tucking
- process that involves hiding/flattening the penis and testes
what are risks associated w tucking (2)
- skin infection
- trauma
define: padding
- involves wearing undergarments that increase the appearance of breasts, hips, and buttocks
what is included in medical transitioning (4)
- hormones
- progestin based IUD or injection to suppress menses
- meds to suppress puberty (puberty blockers)
- electrolysis or laser hair removal
describe the process of transitioning between individuals
- journey varies between individuals
- no set steps
- some may do some, none, or all
the trans health klinic sees which pts at which age?
- clients 16 1/2 years old & older
what care does the trans health klinic provide (3)
- 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
define intersectionality
- 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
define: health inequalities
- refer to differences in health status or in the distribution of health determinants between different population groups
with health inequalities, differences in health status can be due to..
(3)
with health inequalities, differences in health status can be due to… (5)
- 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
define: health inequities
- 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
what does 2SLGBTQIA+ stand for
2 spirit
Lesbian
Gay
Bisexual
Transgender
Questioning, Queer
Intersex
Asexual, Agender, Ally
+ (pansexual, genderfluid, non-binary, QTPOC, demisexual, and more)
what can relate to poor health outcomes (3)
- lower income
- food insecurity
- housing insecurity
what can help build resilience
- supportive families
- communities
colonization & trauma inflicted on Indigenous peoples of Canada, has disrupted???
- the teachings around gender diversity that were traditionally part of Indigenous culture
historically, the medical system has… (3)
- not provided gender affirming care
- has pathologized individuals within the LGBT2SQ community
- has contributed to stigma and discrimination of LGBT2SQ
due to the historical medical treatment of the LGBT2SQ community, there are higher rates of: (7)
- depression
- anxiety
- substance use
- cancers
- chronic health conditions
- rates of HIV
- suicide (contemplation and attempts)
due to the historical medical treatment of the LGBT2SQ community, there are lower rates of:
- lower screening for health conditions