The limits of tolerance
Sexual orientation and gender identity
as social determinants of health?
The Social Determinants o...
William Leonard, Marian Pitts, Anne Mitchell,
Anthony Lyons, Anthony Smith, Sunil Patel,
Murray Couch, Anna Barrett
www.gl...
The three AGES of being LGBT

Affirmation
A positive value

Tolerance
An effect of heterosexist discrimination

Repulsion
...
Phase 1 - Repulsion
Repulsion
Two British psychiatrists are using the
Pavlovian conditioned reflex theory to change
homosexual orientations. T...
Phase 2 - Tolerance

We have no
problem with the
gays and lesbians
as long as they
don’t…
Mental disorders – Sexual orientation

Feeling queer and blue, 2008
K10 Psychological Distress - Women
25

20

15
15

10

5

0
Lesbian

Bisexual
Private Lives II - Women

Other
NSMHW 2007 - ...
K10 Psychological Distress - Men
25

20

14
15

10

5

0
Gay

Bisexual
Private Lives 2 - Men

Other
NSMHW 2007 - Men
SF36 Mental Health - Women
80
73.5

70

60

50

40

30

20

10

0
Lesbian

Bisexual
Private Lives II - Women

Other identi...
SF36 Mental Health - Men
80

75.3

70

60

50

40

30

20

10

0
Gay

Bisexual
Private Lives II - Men

Other identity
HILD...
K10 by sex and age, PL2 and national data
The LGBT risk register
Population groups
LGBT communities
Same sex attraction
Racial
background

Bisexuality

Ethnic& reli...
Self-reported general health (SF36) by sexuality
Phase 3 - Affirmation
www.glhv.org.au
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Liam Leonard, La Trobe University: Sexuality and Gender Identity as Social Determinants of Health

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Liam Leonard, Director, Gay and Lesbian Health Victoria and Research Fellow, Australian Research Centre in Sex, Health and Society, La Trobe University delivered this presentation at the 2013 Social Determinants of Health conference. The conference brought together health, social services and public policy organisations to discuss how social determinants affect the health of the nation and to consider how policy decisions can be targeted to reduce health inequities. The agenda facilitated much needed discussion on new approaches to manage social determinants of health and bridge the gap in health between the socially disadvantaged and the broader Australian population. For more information about the event, please visit the conference website: http://www.informa.com.au/social-determinants.

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Liam Leonard, La Trobe University: Sexuality and Gender Identity as Social Determinants of Health

  1. 1. The limits of tolerance Sexual orientation and gender identity as social determinants of health? The Social Determinants of Health Conference 10-11 December 2013 Sydney Harbour Marriott Hotel 30 Pitt Street Liam Leonard Director Gay and Lesbian Health Victoria Australian Research Centre in Sex, Health and Society La Trobe University
  2. 2. William Leonard, Marian Pitts, Anne Mitchell, Anthony Lyons, Anthony Smith, Sunil Patel, Murray Couch, Anna Barrett www.glhv.org.au/library
  3. 3. The three AGES of being LGBT Affirmation A positive value Tolerance An effect of heterosexist discrimination Repulsion Fear and loathing
  4. 4. Phase 1 - Repulsion
  5. 5. Repulsion Two British psychiatrists are using the Pavlovian conditioned reflex theory to change homosexual orientations. The patient, who has evidenced interest in marrying and raising a family, was placed in a darkened room and a photograph of an attractive male was flashed on the screen. The patient was given eight seconds to change the picture and, if he failed to do so, then the physician gave him an electric shock… Lee Edeleman, Homographesis, 1994, UK report, 1960s
  6. 6. Phase 2 - Tolerance We have no problem with the gays and lesbians as long as they don’t…
  7. 7. Mental disorders – Sexual orientation Feeling queer and blue, 2008
  8. 8. K10 Psychological Distress - Women 25 20 15 15 10 5 0 Lesbian Bisexual Private Lives II - Women Other NSMHW 2007 - Women
  9. 9. K10 Psychological Distress - Men 25 20 14 15 10 5 0 Gay Bisexual Private Lives 2 - Men Other NSMHW 2007 - Men
  10. 10. SF36 Mental Health - Women 80 73.5 70 60 50 40 30 20 10 0 Lesbian Bisexual Private Lives II - Women Other identity HILDA 2008 - Women
  11. 11. SF36 Mental Health - Men 80 75.3 70 60 50 40 30 20 10 0 Gay Bisexual Private Lives II - Men Other identity HILDA 2008 - Men
  12. 12. K10 by sex and age, PL2 and national data
  13. 13. The LGBT risk register Population groups LGBT communities Same sex attraction Racial background Bisexuality Ethnic& religious affiliation Geographic location Gender identity Age Dis/Ability
  14. 14. Self-reported general health (SF36) by sexuality
  15. 15. Phase 3 - Affirmation
  16. 16. www.glhv.org.au

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