Lecture 30: Impact of Sexual Orientation Flashcards
What are the developmental challenges of LGBT youth?
- victimization and violence and ABUSE (3.8x more likely to be sexually abused)
- suicide
- Coming out and reparative therapy
- Rites of passage are often denied
- lack of positive role models
- perceived adversity
- limited healthy outlets for sexual exploration
- Limited ability to project oneself in the future (gay people often cant say what they will do in 10 years)
What is the governing body of pediatricians?
American Academy of Pediatric
What is the impact of developmental challenges on mental/physical health?
- suicide (30% of gay male youth attempt suicide)
- engage in risky behaviors
- engage in substance abuse
- higher risk of depression and anxiety
What are suicide predictors?
- male
- closeted
- period after self-labeling
- feminine gender role concept
- drug and alcohol abuse
What are the barriers to health care in light of same-sex marriage controversy?
- Lack of partner visitation rights
- institutionalized bias in health insurance
- absence of coverage for same-sex partners
What is the impact of marriage discrimination on gays?
- increase in mood disorders
- increase in alcohol use disorders
- Generalized anxiety Disorder
What are the benefits of gay marriage?
Decreased number of medical care visits
Decreased number of mental health visits
Decreased costs for mental health treatments
What are 3 health disparities of LGBT adults?
- Increase use of substances
- higher risk for depression and anxiety
- victimization and violence is not picked up because NO SCREENING FOR DOMESTIC VIOLENCE in gay couples
- hate crimes
- barriers to health cares
What are the risk factors in lesbians that lead to breast cancer?
- Fewer pregnancies
- Increased prevalence of obesity, BMI
- Increased alcohol use
- Increased risk of advanced disease due to delayed diagnosis
What are increased risk factors in lesbians that lead to cervical cancer?
- Greater intervals between pap smears
- Physician misconception that lesbians are at lower risk
- HPV can be transmitted through sex toys
- lesbians have sex with men too
What are the risk factors in lesbians that lead to ovarian and endometrial cancer?
- decreased number of pregnancies
- decreased use of OCPs
- diagnosed at advanced stage due to delayed physician visit
How should you screen for STDs in gays?
Shouldn’t be different
What are the three medical conditions that gay men are more at risk for?
- anal cancer
- eating disorders and body image
- STI
- increase in syphilis and gonorrhea
What are HIV related cancers?
- Kaposi’s sarcoma (HHV-8)
2. non-hodgkins lymphoma
