Joining the Dots – LGBT Health and the National Preventative Health Strategy - Paul Martin
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Presentation from the AFAO National Symposium on Prevention, held in Sydney, Thursday 27 May, 2010.
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Joining the Dots – LGBT Health and the National Preventative Health Strategy - Paul Martin
- 1. Joining the Dots – LGBT Health and the National Preventative Health Strategy
- 18. Government Response to Equity Groups Disability Regional & Rural CALD Young People Seniors Women Indigenous Minister/ Par. Secretary Advisory Group ~ Departmental Unit National Strategy NGO Peak Body
- 19. Government Response to Equity Groups Disability Regional & Rural CALD Young People Seniors Women Indigenous LGBT Minister/ Par. Secretary Advisory Group ~ Departmental Unit National Strategy NGO Peak Body ~
- 27. Contact www.lgbthealth.org.au [email_address] Ph: 02 9206 2054 M: 0437876824 [email_address] Ph: 07 3017 1791 M: 0407 376 540
Editor's Notes
- WHO Commission no Social determinants of Health conceptual framework Recognises that factors such as gender, ethnicity etc can impact on health as well as wider social factors e.g. social cohesion, cultural and societal norms
- National Preventative Health Strategy has a similar conceptual framework relating to obesity, tobacco and alcohol Note that broader features of society and socioeconomic characteristics impact on health behaviours and in turn individual and population health and functioning
- People may be more familiar with this diagram from Dahlgren and Whitehead which shows these “layers of influence”. The models suggest that by addressing wider social or cultural conditions, we can enable change in health behaviours leading to better health outcomes. Challenging stigma will improve mental health, which will lessen the use of drugs & alcohol, which will result in a more context more conducive to sexual health and HIV prevention.
- So what social factors are at work in relation to LGBT people? At the most direct, state laws impact the lives of LGBT people. 5 countries in the world have the death penalty for being LGBT 75 countries imprison people for being LGBT Only 53 countries have anti-discrimination laws And only 26 countries recognise same-sex unions
- So, what does the WHO commission on the social determinants of health have to say on LGBT people and sexual orientation and gender identity?
- Absolutely nothing. Not a single mention.
- Well what about laws in Australia? To take as an example Qld... For well over half of their lives LGBT seniors have lived in a society which saw them as diseased and criminal, where people were freely able to discriminate against them, and where their relationships were not recognised. This social exclusion has resulted in mental, physical and financial disadvantage and harm, which is impacting on their quality and length of life. You’ve also heard from Anne earlier the health statistics for LGBT people in Australia showing poorer health and less access to health services.
- So, what does the final report from the National Health and Hospitals Reform Commission have to say about LGBT people and sexual orientation or gender identity?
- Nothing. Not a single mention.
- Ok, well maybe national health reform is too broad for a mention of LGBT issues. What about the “Roadmap for Action’ from the Preventative Health Taskforce. It looked at areas where there is clear evidence of need within LGBT communities.
- Nothing. Not a single mention (other than listing that the Alliance made a submission).
- Ok, so maybe the overall report was too Board. What about the technical reports?
- Nothing. Although the addendum to the alcohol report did include a section headed ‘Gender and Sexuality’ which lists research papers, 2 mention LGBT explicitly 1 from UK 1 form US – a little progress here
- Ok, so maybe the evidence isn’t clear enough yet for those issues. What about mental health? There’s very robust evidence of health disparity here – ABS 2007 Mental Health Household Survey. What do the National Mental Health Policy and National Mental Health Plan have to say?
- You guessed it. Absolutely nothing.
- Ok, so maybe we’re a few years behind in gathering the evidence and being included in government policy. How is the government responding to the health and wellbeing needs of other ‘equity’ groups. As you can see, all have a Min/Par Sec, Advisory Group, Departmental Unit, National Strategy, NGO Peak Body
- So what about LGBT people? No surprise, we have none of this. No...
- So what have we learnt so far...
- Well I promised you hope...
- We finally have an example of a national, government health policy that includes GBT and intersex people.
- Here’s some examples of how it includes us...
- So what needs to change?