LGBT Flashcards by ashley Hassler

Sex

Assigned at birth and refers to one’s biologic status (anatomy, chromosomes, genes)

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Gender

Social and cultural distinctions that go along with male or female sex

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Gender identity

Refers to an individuals identification as male, female, some of both or other.

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Cisgender

Sex and gender are congruent; gender identity matches the sex they were assigned at birth.

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Sexual orientation

Who are attracted to (homosexual, heterosexual, bisexual)

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Gay

A man who self identifies as having an emotional, sexual and or relational attraction to another man.
-An overarching term describing people attracted to other members of the same gender

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Lesbian

A woman who self-identifies as having an emotional, sexual and or relational attraction to other women

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Bisexual

Someone who self identifies as having an emotional/sexual and or relational attraction to others of either sex

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Transgender

An umbrella term for people who gender identity or gender expression differ from sex at birth

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Transgender: MTF

male to female; trans female

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Transgender FTM

female to male; trans male

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Trans-sexual

Older term that is not used by many transgender person

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Intersex

Having both male and female sex organs or other characteristics

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Nonbinary gender identity

Gender identity is not exclusively male or female: Identify outside traditional male-female binary
-Pangender, agender, gender fluid, gender expansive, genderqueer

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Pangender

Identify as more than one gender

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Agender

Identify as no gender

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Do we want to use “Queer” in a professional setting?

Gender non-conforming

The extent to which a person’s gender identity, role or expression DIFFERS from cultural norms.

Gender dysphoria

A general term referring to discomfort or distress that is caused by a discrepancy b/n a person’s gender identity and that person’s sex assigned at birth.

T/F All gender non-conforming people experience gender dysphoria at some-point in their lives.

False; only some gender non-comforming people experience gender dysphoria at some point.

Gender affirmation

Process by which individuals are affirmed in their gender identity or expression

Social
Psychological
Medical
Legal

population profile: Facts

LGBT ind. encompass all races and ethnicities, religions and social classes.
Gender orientation and gender identification are not asked on national or state surveys making it difficult to estimate the number of LGBT ind/ and their health needs.

LGBT health disparities (have disparities in most US health indicators)

Access to health care
Clinical preventative services
Injury and violence
Mental health
Nutrition, physical activity and obesity
Reproductive and sexual health
Substance abuse
Tobacco use

T/F LGBT have worse health outcomes

True

T/F LGBT are more likely to delay needed services and screening

True

T/F LGBT have lower rates of health insurance

True

Causes of LGBT health disparities

Personal risk behaviors Social and economic realities Stigma and minority stress model Provider factors- lack of providers knowledgeable about LGBT health needs and fear of discrimination in health care setting

Profile of LGBT older adult

65+ population expected to double in the next 15 years - Financial concerns, social isolation, access to aging services, acute care issues, long term care issues, end of life issue

What three factors in old age can be amplified if LGBT

Isolation, loneliness, economic concerns

T/F discrimination and social stigma affects quality of life

True

LGBT elders

Less likely to have children--> less likely to receive care from adult children--> higher rates of isolation --> in res. facilities, more vulnerable to hostile and unwelcoming environment --> pressured to go back into the closet

Social support and community engagement

Housing discrimination: Denies housing, separation from families, homeless

Healthcare quality index (HQI)

Rates how equitable healthcare organization teat LGBT patients and employees -Can be used as an organizational assessment tool

HQI focuses on what?

Discrimination Visitation Cultural competence Training

T/F Joint commission now require hospitals to provide care, tx, and services free from discrimination related to many thigs but includes sexual orientation, gender identity or expression.

True

Joint commission goals

Add info about sexual orientation ad gender identity to patient surveys Use aggregated patient level sexual orientation and gender identity data to develop or modify services, programs or initiatives to meet population needs.

Attitudes of health care provider: Negative attitudes leads to poorer health care due to:

-Decreased access and underutilization Inadequate care by some providers due to lack of -knowledge and awareness of LGBT issue -lack of individualized care due to nondisclosure by the patient -Decreased access to care due to lack of same sex benefits, lower SES

4 barriers to "identifying your barriers"

- This just isn't what I was brought up to accept - Are people going to start thinking I am gay - I just don't know enough and I don't want to say the wrong thing or not have the right information. - I don't want to be the health care provider with the reputation of having "gay practice"

4 benefits of addressing health concerns

- Reduces disease transmission and progression - Increases mental and physical wellbeing - Reduced health care costs - Increased longevity

Efforts to improve LGBT health

Collecting data App. inquiring about and being supportive of a pt. orientation and gender -Providing medical/nursing students and staff with training to increase provision of culturally competent care -Implementing anti-bullying policies in schools/communities -Providing supportive social services to reduce suicide and homelessness among youth -Curbing HIV and STI with interventions -healthy people 2020

Suggestions for inclusivity

Encourage clients to write in their gender designations | -If ever unsure about how to address them, let them guide you