Sexual Orientation Flashcards
Can sexual orientation be different from sexual behavior?
Yes, you can have a particular sexual orientation and but express different sexual behavior
What is the kinsey scale?
the sexual continum from 0-6
From entirely heterosexual to entirely homosexual
Who are more likely to be homosexual, men or women?
men 3-16%
women 1-3%
Who are more likely to be exclusively heterosexual men or women?
women 61-90%
men 53-92%
Children who grow up with one or two gay parents do not differ from children of heterosexual parents in emotional, cognitive, social or sexual functioning.
T or F?
True
What are the four theories about the etiology of homosexuality?
genetic (nature)
hormonal
environmental (nurture)
psychological
What is this:
Phenotypically distinct gender (male/female) but live as the opposite sex and may or may not undergo sexual reassignment surgery (M F or F M). May pursue any of the above relationships.
transgender/ gender dysphoria
What is this:
Individuals born with both male and female gonads or individuals with rare congenial discordance between gonadal sex (male/female) and gender expression. Rarely, individuals who have undergone genital mutilation in infancy with discordant sexual reassignment.
intersex
What are the stages of gay/lesbian identity development?
sensitization
sexual identity confusion
sexual identity assumption
integration and commitment
What stage of Gay/Lesbian identity development is this:
– different from peers based on gender neutral or atypical gender role choices/behaviors; < age 12.
Sensitization
What stage of Gay/Lesbian identity of development is this:
awareness of same-sex thoughts or feelings –> cognitive dissonance –> isolation, confusion, depression; early adolescence.
Sexual identity confusion
What stage of Gay/Lesbian identity development is this:
self-identify and “come out” to some, interact with g/l peers, strengthen self-esteem; mid/late adolescence, early adult.
Sexual identity addumption
What stage of Gay/Lesbian identity development is this:
self-acceptance –> integration of g/l identity into all aspects of life, come out to non-gay friends, colleagues; adulthood.
Integration and commitment
Gay men and women may have higher rates of what?
depression suicide alcohol abuse cancers social drug abuse CV disease victims of violence
Why are LGBT populations more at risk for certain kinds of cancers?
because they see physicians less often
Why are lesbians at higher risk for breast cancer?
beause they are more likely to smoke, have bad diets, be obese, have fewer pregnancies, less likely to seek early diagnosis
Gay men and HIV+ men and are at higher risk for (blank) most likely due to HPV
anal cancer
How often should you have anal pap screens?
every year in HIV positive patients
every 2-3 years in non-HIV positive gay patients
T or F
HIV and STD infections rates are rising in the gay male population < 25
T
Who should you screen for syphilis?
high risk and pregnant patients
Tell me about drugs and LGBT populations?
at risk for poly drug use and cigarette smoking which results in high risk sexual behaviors so dangerous and can result in depression
What is the prevalence of lesbian/gay adolescents?
5-6% among teens
WHo are more likely to be violent, gay or non gay students?
gay students!
What is hard about gays at school?
their teachers, peers make homophobic remarks and counselors arent competent in counseling
How do you take a sexual history for LGBT?
follow patient leads, notice how they identify
What should you ask instead of “are you married?”
ask do you have a spouse or domestic partner
What should you ask instead of “Do you have a boyfriend/girlfriend?”
“do you have a partner”
What should you ask instead of “ are you the mother/father?”
are you the parent or guardian
What should you ask instead of “who is the real mother/father?
Who is the biological mother/father?
Tell me about (names)’s birth
What are these important for:
Are you sexually active?
Do you have sex with men, women or both?
Number of partners in the last year, month?
Contraceptive use and type of contraceptive?
Type of sexual contact (e.g. oral, vaginal penetration, anal penetration)
Do you have questions about STD’s or HIV?
MAKE NO ASSUMPTIONS!! Must ask a question to truly know an answer!!
key questions in sexual history taking
What is a poor interview for homosexual patient care?
making assumptions
skipping sexual history
evades educational opportunities
What is a good interview for homosexual patient care?
engages and expands upon inclusive language
sexual hx
safe sex practices
emphasizes disease screening and prevention
Can you refuse to treat people based on their sexual orientation?
yes, in michigan
What is a key form of homophobia?
silence
(blank) is an intense, irrational fear of homosexuality, and homosexual behavior.
It is a belief system that supports negative myths and stereotypes of lesbian, gay, bisexual, and transgender individuals.
Homophobia
(blank) is intolerance of non-heterosexual expressions of sexuality.
heterosexism
If you dont want to treat homosexuals what do you need to do?
refer them to another professional for treatment
What percent of the population if LGBT
3-7%
Who does this describe:
Twice as likely to live alone
Four times less likely to have children
Half as likely to have a significant other or close relative to call on for help
Fear discrimination in long term or institutional care setting
LGBT elders
