LGBTQ

Question 1

Heterosexual

Answer 1

describes men and woman whose primaryy emotional and sexual relationships are with those of the opposite sex

Question 2

Homosexual

Answer 2

describes men and women whose primary emotional and sexual relationships are with those of the same sex

Question 3

Gay Men

Answer 3

men whose primary emotional and sexual relationships are with other men

Question 4

Lesbians

Answer 4

• women whose primary emotional and sexual relationships are with other women

Question 5

Bisexual

Answer 5

Individuals who are sexually and emotionally attracted to both men and women and can have an intimate relationship with either

Question 6

Transgendered

Answer 6

Individual who feels themselves to be of a gender different from biological sex; gender identity does not match their anatomic or chromosomal sex

Question 7

Transvestite

Answer 7

Dress in clothing of opposite sex and derive pleasure from such

Question 8

Sexual orientation

Answer 8

Emotional and sexual attraction that an individual has towards those of the same sex (gay/lesbian), those of the opposite sex (heterosexual)
or both (bisexual)

Multidimensional: sexual identity, sexual desire, sexual behavior

These three dimensions may or may not be consistent

Sexual behavior is most important for assessing medical risks

All three important for assessing psychosocial needs

Question 9

Sexual Identity

Answer 9

one’s self-identification as gay, lesbian, bisexual, heterosexual

Question 10

Sexual Desire

Answer 10

attraction one feels towards one sex or other or both, regardless of whether individual acts upon that attraction

Question 11

Sexual Behavior

Answer 11

specific sexual activities one engages in, has engaged in, or plans to engage in

Question 12

Same sex values and attitudes of dominant USA culture

Answer 12

Heterosexism is the normative value

It is unnatural (God or nature made man and woman to relate to one another)

It is immoral (against religious beliefs)

It is pathological

It is acceptable if kept private

It is a celebrated and valued lifestyle

Question 13

Barriers to Effective communication

Answer 13

healthcare provider attitudes

lack of medical training

lack of clinician skill and confidence

mistaken clinical assumptions

Question 14

Insensitive heterosexual biased questions

Answer 14

what is your marital status?

are you using birth control?

Question 15

Microlevel (individual) assumption

Answer 15

nurse is unable to ask further sexual history questions at a gyn appointment when the client discloses she is a lesbian

Question 16

Macrolevel (institutional,structural,healthcare system) assumption

Answer 16

health care brochures on surrogacy feature a husband, wife, and their newborn child on the cover

Question 17

Innappropriate and irrelevant verbal and nonverbal messages that are sent

Answer 17

invivo fertilization only has pictures of man and woman

lack of safe-sex messages for gays and lesbians

Question 18

Health Issues and Risks

Answer 18

most significant risk is avoiding routine preventive and treatment health care

sexual risk taking

fear of cancellation of health insurance with disclosure

Question 19

Health Issues With Gay Men

Answer 19

HIV

GI infections

STDs

Hep A & B

Liver cancers

HPV

Increased smoking and alcohol intake

Eating Disorders

Question 20

Lesbian Health Issues

Answer 20

Nulliparity

substance abuse

obesity and cardiovascular disease

STDs

Increased risk of cancer

Many think Pap smears not necessary

Question 21

Psychosocial Issues

Answer 21

isolation

stigma

lack of or reduced social support

increased levels of depression, stress, anxiety, suicide, and suicidal ideation

High rates of substance abuse

fear of homophobia

eating disorders

discriminaiton

Question 22

Abuse issues

Answer 22

familial physical abuse

battering and abuse in relationships

harassment and violence in the community

sexual abuse

Question 23

Legal Issues

Answer 23

Civil marriage contracts provided in few states

no social security survival benefits

states do no enforce child support

TANF will not provide support

No VA benefits to lesbian partners

End of Dont Ask Dont Tell

Some states prohibit adoption

Question 24

Adolescent Development Issues

Answer 24

isolation

fear of discovery

suicide attempt is higher

forced out of homes after disclosure

homelessness, increased numbers in child welfare systems

lack of family support and friends

more likely to engage in prostitution

depression, diminished school performance, school drop outs, alcohol and substance abuse, acting out

high risk of STDs

Question 25

Healthcare implications (gender neutral and sensitive language)

Answer 25

do you have a partner? are you in a relationship?

Do you have a need to discuss birth control

Talk about protection rather than birth control

For adolescents ask have you ever had a romantic relationship with a boy or girl, or ask when you think of people to whom you are sexually attracted, are they men, women, both, neither, or are you not sure yet?

on forms ask do you have sex with men, women, or both?

ask about risky sexual behaviors, suicidal thoughts, and depression

assist with disclosure

maintain confidentiality

Question 26

WHAT TO ASK

Answer 26

Is there anyone you want to include in the discussions or in your care?

Are you in a relationship?
Include option for “partnered”

Are you responsible for the care of a child or children?

Are you sexually active?

Do you have sex with men, women, both, or neither?

How many sexual partners do you have?

Have you given birth to any children (if this is what you want to know)? More exact than “do you have children”.

Do you need information about birth control today?

When was your last mammogram? Pap smear?
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Question 27

Healthy People 2020

Answer 27

10 year agenda improving the nation’s heath