LGBT

Question 0

What problems do trans people often face? (Not healthcare related)

Answer 0

Job loss
Social isolation
Rejection by family
High risk of violence

Question 1

What general problems do LGBT people face?

Answer 1

Abuse at school
Rejection by family
Bullying at work/unfair treatment
Older LGBT people more likely to live at home
Can feel unsafe, isolated, avoid showing same sex affection in public as it may lead to verbal or physical abuse

Question 2

What can discrimination lead to?

Answer 2

Increased stress
Low self esteem
Isolation
Increased conflict
Distrust of authorities - don't report mental health problems
Discriminatory healthcare

Question 3

Give an example of discriminatory healthcare against LGBT a

Answer 3

Lesbians refused smear tests

Question 4

Define sexual orientation

Answer 4

Describes the gender one is attracted to.

Lifelong or vary over lifetime

Question 5

What is MSM and WSW?

Answer 5

MSM - men who have sex with men

WSW - women who have….

Question 6

Define gender identity

Answer 6

Someone’s internal perception and experience of their gender

Question 7

Define gender role/expression

Answer 7

The way the person lives in society and interacts with others

Question 8

Define transgender

Answer 8

Umbrella term for those whose gender identity and/or expression differs from their birth sex.

Question 9

What people can transgender people be?

Answer 9

Transsexuals
Transvestites
Cross-dressers
Gender-queer

Question 10

What is a transsexual person?

Answer 10

Someone who feels a consistent and overwhelming desire to transition and fulfil their life as a member of the opposite sex.
Some have gender reassignment

Question 11

Are all trans transsexual?

Answer 11

No - may not wish to surgically alter their bodies

Question 12

What is heterosexism?

Answer 12

Discrimination/prejudice against homosexuals on the assumption that heterosexuality is the normal sexual orientation

Question 13

Examples of heterosexism in healthcare?

Answer 13

Only have paternity leave for male doctors

Failure of organisation to tackle homophonic attitudes at work

Question 14

Why should lesbians be allowed to have smear tests?

Answer 14

Still have sex with men
HPV can be transmitted between women
10% of lesbians have abnormal smears

Question 15

What are health risks for MSM?

Answer 15

Anal cancer
HIV
Syphilis
Mental health
Substance use

Question 16

What problems can LGBT experience with their doctor/healthcare professional?

Answer 16

Inappropriate questions and comments
Prejudice
Not respecting confidentiality

Question 17

What assumptions should not be made concerning LGBT and straight people?

Answer 17

Same sex partner is not next of kin (could be!) 
Don't need contraception
Don't have anal sex
Lesbian doesn't want children 
Married man doesn't need and STI test

Question 18

What are some ethical and legal requirements of doctors providing good healthcare to LGBT patients?

Answer 18

Validate and respect patient’s identity
Respect confidentiality
Don’t rely on patient for info about it, should already know it
Challenge homophobia
Don’t let views prejudice treatment
Respect all patients regardless
Illegal to discriminate on grounds of sexual orientation or gender identity in provision of goods, services, in education and in the workplace