Public Health Promotion Programs Flashcards
The Sexualitree
- model that helps us to see different ways of experiencing sexuality
1) Intimate Sexuality
- your lived experiences; fears, behaviours, attractions, preconceptions
- constantly changing
2) Relational Sexuality
- how people shape how we see our selves, how we make sense of our experiences
3) Cultural Sexuality
- how the world defines and values elements of sexuality
- created, reinforced, and recreated by social communities we participate in
Gender VS. Sex
Gender includes
1) identity: how we define and understand our gender
2) expression: how we demonstrate ur gender
(androgynous: gender expression that is feminine and masculine)
3)biological: biological attributes
Sexuality includes
1) attraction
2) identity
3) behaviour
Life Considerations for Sexuality
Childhood - need accurate information about their body and expected body changes
Adolescence - looking for acceptance, more likely yo experiment sexually and at a younger age
- At greater risk for STI’s and pregnancy
Adulthood
- May have concerns: fertility, sexual dysfunction, contraception, postpartum changes, menopause, impotence (inability to produce sperm)
Older Adulthood - may remain sexually active but aging affects functioning
What is the “Fourth R”?
- is a range of healthy relationship development programs
- focuses on building resiliency and capacity in youth
- It helps them obtain knowledge and build skills for managing emotions, showing empathy, establishing and maintaining positive relationships, and making responsible decisions
Domestic VS. Partner Violence
Domestic
- can be perpetrated by anyone to anyone in a household
ex. violence towards child, sibling, roomate
Partner
- perpetrated by a member of a romantic/sexual relationship toward the other member of the relationship
ex. violence toward partner, spouse
Violence is perpetuated by:
Using…
- coercion and threat
- intimidation
- isolation
- denying, minimizing, blaming
- children
- privilege
- economic abuse
Signs of IPV/DV
Physical
- unexplainable injuries
- bruises
- burn/bite marks
- frequent sore throats
- STI’s
- History pf UTI’s
- spiral fractures
Emotional
- anxiety
- social withdrawal
- depression
- self-harm
- disordered eating
- suicidality
- substance misuse
Situational
- inability to access documents (ie. passport, health
- inability to access to bank account
- restriction from seeking employment/education
- restriction from engaging with family/friends
- partner hesitant leaving client alone with healthcare provider
Major Signs of IPV/DV/
Physical
- spinal fractures; caused by a twisting motion and correlated with abuse
- history of UTI; it is a quiet symptom of abuse and is often seen is peduiatric and female adult clients
- UTI’s from abuse is caused by introduction of bacteria through frequent and unprotected sex
Situational
- partner hesitant about leaving client alone with provider
- power and control require isolation
How to Respond to Intimate Partner Violence
LIVES Protocol
Listen
- without empathy, judgement, and without judging
Inquire about needs and concerns
- ex. concerns about children
Validate
- to show the client you understand them
Enhance Safety
- discuss plan to protect themselves from further harm
Support
- help them connect to information, services, and social support
How to Screen for IPV/DV
S.A.F.E
Stress and Safety
- what stresses do you experience in your relationship?
- do you feel safe?
Afraid and Abused
- what happens when you and partner fight?
- has your partner forced you to engage in sexual activities that you didn’t want to?
Friends and Family
- are your family/friends aware of what is going on?
- is your contact with friends/fam reduced?
Emergency
- do you hav a safe place to go in emergency?
- if a client has a positive indication of any of these questions, affirm that what they are experiencing is not okay and not their fault
Mandatory Reporting?
- You do not need proof that there is an abuse of a child to report the situation per your agency policy
- Abusive behaviours toward ANY client (pediatric and adult) by a health care professional must be reported
Different Types of Prevention?
Primary Prevention
- aims to prevent disease before it occurs
- altering behaviours that lead to disease
ex. provide free condoms, need exchange programs, counselling
Secondary Prevention
- identifies disease at early stages
- using screening measures to detect injury/disease ASAP
ex. STI testing, testing of sexual partners
Tertiary Prevention
- soften the impact of illness/injury
- improving QOL and function for people who already have an illness/disease
ex. STI treatment, connecting with support groups
Disparities in LGBTQ+ are perpetrated by providers who:
- has unconscious bias toward LGBTQ
- engage in discriminatory behaviours
- fail to recognize sigs of stress that lead to risky behaviour
- are not prepared to communicate with LGBTQ due to lack of knowledge
Health Concerns for LGBTQ Communities
- lesbian and bi women avoid routine healthcare
- they do not get regular paps and breast screening
- gay men have lower life expectancy and are victims of anti-gay violence
Cultural Competency for LQBTQ+
- assess own biases
- use gender-neutral language
- expand knowledge on LGBTQ communities
- ask open-ended questions
