Lecture 17 - Gender diversity in healthcare Flashcards
barriers to healthcare for sexuality
Services that are aligned to normative sex, gender expression and assumption of heterosexuality
Discriminatory, unwelcoming, inappropriate, unsupportive, unresponsive care
Fear of reaction, response, ongoing discomfort, breach of confidentiality
Unavailability or long waiting lists for gender affirmative healthcare
Cisnormativity and heteronormativity
Cisnormativity - cultural assumption or norm that all people idenitfy with the gender identify that they were assigned to at birth (cisgender) - assumption that people are not transgender
Heteronormatibity - cultural assumption that the norm of heteroxeuality is most natural, normal expression of sexualtiy - practices in instituion sometimes incorportate this
Heteronormitivity and cisnormativity in healthcare
Being assumed to be heterosexual and cisgender in sexual health consultations leading to wrong advice and treatment
Failing to recognize a transman’s need to seek gynaecological and maternity services
Failing ask questions that would point us to potential health issues (e.g. heightened cancer risk)
Thinking narrowly about identities and behaviours (e.g. gay men and HIV)
Failing to consider sex, sexuality and gender diversity in forms and facilities, e.g. male/female questions and lack of all gender
bathrooms
These all may result in overt discrimination in medical care, i.e. failing to diagnosis, treat, health promote.
What can stigmas around LCBTQI result in
Socially based (stem from social structures beyond individual’s control)
Chronic (constantly present in social and cultural structures and interactions)
Unique (additive to general stressors)
Accumulative (stressors proliferate and compounds across life course)
These stressors cause adverse health outcomes including mental distress, increase in health harming behaviours, avoidance of
healthcare, particularly preventative healthcare.
