Module 4.5 Flashcards
How does the social determinant of social supports impact gender minorities, homophobia and marginalization?
Sexual and gender minorities that do not have social supports from their families, peers, institutions, etc. have higher rates of mental health issues and suicide attempts. They may also have a harder time accepting themselves.
•Participants described trying to hide or deny their sexual orientation in an attempt to fit into a heterosexual norm.
How does the social determinant of Health services impact gender minorities, homophobia and marginalization?
Less likely to access services out of fear of discrimination, have experienced health inequities from health care providers because of their sexual or gender orientation, less likely to be asked about their sexual/gender orientation, feel “invisible” because most services do not include their status or ask appropriate questions about their status, many people do not want to come out to HCP due to fear of discrimination or lack of confidentiality
How does the social determinant of Gender impact gender minorities, homophobia and marginalization?
Many people do not receive proper screening, tests, and services because they are not asked about them, do not want them, or are less likely to access care due to their sexual/gender orientation
How does the social determinant of Personal Behavior and Coping Skills impact gender minorities, homophobia and marginalization?
May have unhealthy coping skills due to issues with other determinants of health (social support, health services).
How does the social determinant of Physical Environment impact gender minorities, homophobia and marginalization?
May be homeless due to homophobia, stigmas, etc. from their families
What are commonly identified health concerns of sexual and gender minorities?
- Mental Health problems such as depression, anxiety, suicidal behavior and eating disorders.
- High prevalence of cardiovascular disease due to the high rates of smoking
- Higher use of cocaine, MDMA, methamphetamines
What are health concerns of lesbian women?
They go for fewer pap’s than heterosexuals, still at risk of cervical cancer, fewer mammograms (breast cancer), obesity, dyslipidemia, and impaired glucose tolerance are common
What are health concerns of men who have sex with men? (MSM)
Higher risk of Syphilis, HIV/AIDS**, Gonorrhea, Chlamydia, Viral hepatitis (A, B), HPV
What are health concerns of transgender individuals?
They need to make sure they are still taking care of their bodies, for example they can still get cervical cancer if they have a uterus, etc.
What are health promotion strategies for sexual and gender minority populations?
- Address overt discrimination in the system through educational programs in schools and professional associations.
- Creating and facilitating public health/support groups for sexual/gender minorities
- Creating safe places by displaying assign (often with a rainbow) that shows inclusion/non-discrimination and having staffs attitudes and actions match.
- Wearing an ally pin (light pink) to show your support and show that you are a safe and trusting person people from this population can talk to
What are the 6 things, identified by the joint commission, which we can do to incorporate nonjudgmental language into the healthcare environment?
- Create a welcoming environment
- Become familiar with language that doesn’t assume heterosexuality
- Refrain from making assumptions about sexual orientation or gender identity based on how a person looks or dresses
- Facilitate openness and honesty from patients by using forms that contain inclusive, gender-neutral language.
- Provide specific healthcare information and guidance for subgroups of the GLBTQ community. Become familiar with community and online resources available for specific healthcare needs
- Ask sexual orientation and gender identity questions.
What are the four policies essential for equitable and inclusive LGTB care?
- patient non-discrimination
- equal visitation rights
- employment non-discrimination
- staff training in LGTB patient-centered care
Compared to heterosexual youth, youth who report same sex attraction are how many times as likely to attempt suicide ?
Two times as likely
Identified in the article, From Personal struggle to collective Identity, what are the three themes of social connectedness?
- Affirming the self
- Finding others like you
- Moving toward action
What does social connection with others allow the LGTBQ youth to do?
- Connection allows one to reach beyond the self, take action against his/her own oppression and situates the gay, lesbian, bisexual or transgender youth within a larger sociohistorical context shifting their personal experiences of oppression into a larger collective struggle.
- While connections to individuals served to affirm one’s identity, group membership provided people with a sense of belonging, introduced the youth to others with shared experiences, and allowed them to make new meaning of personal struggles.
