Overview of recommendations for quality care at the end of life for Lesbian, Gay, Bisexual, Transgender, and Questioning or GenderQueer patients. Caring as a cultural competency.
HELLO EVERYONE, THIS PRESENTATION IS BRIEFLY DISCUSSING ABOUT THE LGBT COMMUNITY, STATUS, CAUSES, EFFECTS, CHALLENGES, LEGAL PROVISIONS, INATTENTIVE OF N.G.O, CRITICISM, SUGGESTIONS AND ROLL OF SOCIAL WORKERS .
Overview of recommendations for quality care at the end of life for Lesbian, Gay, Bisexual, Transgender, and Questioning or GenderQueer patients. Caring as a cultural competency.
HELLO EVERYONE, THIS PRESENTATION IS BRIEFLY DISCUSSING ABOUT THE LGBT COMMUNITY, STATUS, CAUSES, EFFECTS, CHALLENGES, LEGAL PROVISIONS, INATTENTIVE OF N.G.O, CRITICISM, SUGGESTIONS AND ROLL OF SOCIAL WORKERS .
Lesbian, gay, bisexual and transgender (LGBT) people are associated with certain stereotypes - conventional, formulaic generalizations, opinions, or images based on their sexual orientation or gender identity. Stereotypical perceptions may be acquired through interactions with parents, teachers, peers and the mass media, or, more generally, through a lack of firsthand familiarity, resulting in an increased reliance on generalizations
Lesbian, gay, bisexual and transgender (LGBT) people are associated with certain stereotypes - conventional, formulaic generalizations, opinions, or images based on their sexual orientation or gender identity. Stereotypical perceptions may be acquired through interactions with parents, teachers, peers and the mass media, or, more generally, through a lack of firsthand familiarity, resulting in an increased reliance on generalizations
Jill Blumenthal MD of UC San Diego presents "Free to Be You and Me: Providing Culturally-Sensitive Patient Care to Transgender Individuals" at AIDS Clinical Rounds
Invisible Men who have Sex with Men and Survival: From Practice to Research a...Jim Pickett
John Schneider's, University of Chicago, presentation at the Sex in the City II: Men, Sex, Love and HIV conference, held in Chicago on September 25, 2014. Sponsored by AIDS Foundation of Chicago and other partners.
Cultural Competence Resources for GLBT Health. Delivered at the Diverse Students' Leadership Conference, St Mary's College, Notre Dame, IN. March 2011.
GLBTI Social Health And Well Being 2009guest43c4cd
This is a presentation done to present to Doctors and Nurses.
It identifies how homophobia can and does have a direct effect on the phyical and mental health of Gay, Lesbian, Bisexual and Transgender People both young ang aged.
Report: LGBTQ+ Community and Clinical TrialsCOUCH Health
We’re all aware that clinical trials have been discussed more widely since the COVID-19 pandemic. While that’s a great thing for raising awareness of clinical trials in general, it’s also highlighted some pretty big issues in clinical research. For example, the world can see how the BAME community has been disproportionately affected by the coronavirus, which has also underlined how unrepresentative clinical trials are of them. And over the last few weeks, we’ve been looking at other populations who are also being left behind.
With June being PRIDE month, conversations were taking place around the world with regards to COVID-19, clinical trials and the LGBTQ+ community, and we were there to listen and collect important insights.
Ray Baxter from Kaiser Permanente's Community Benefit presented at the Bay Area Open Space Council's 2011 conference. More about the conference here: http://openspacecouncil.org/upload/page.php?pageid=53
Commissioner Bechara Choucair Keynote at the National Tobacco Control Conference in Washington, DC on December 3, 2015 discussing Chicago's Tobacco Policies.
Dr. Bechara Choucair, Commissioner, Chicago Department of Public Health, giving the keynote for the conference on "Breaking Silos to Reduce Health Disparities: Successful Strategies in a Changing Healthcare System" sponsored by the Robert Wood Johnson Foundation's "Finding Answers: Disparities Research for Change Program."
Commissioner Choucair presents "Pioneering Community Health" at the 9th Annual YMCA of the USA Healthier Communities Initiatives Learning Institute on November 5, 2014
Commissioner Choucair presenting at NACCHO Annual 2014 on "What gets Measured Gets Done: Data Needs, Uses and Innovations in Large Urban Health Departments."
Commissioner Choucair at the 2014 National Network of Public Health Institutes Open Forum for Quality Improvement in Public Health presentation on "Perfect Timing! The Launch of Healthy Chicago and Our Accreditation Journey" in Kansas City.
Commissioner Choucair sharing Local Strategies to Address Homelessness in his Susan L. Neibacher Address at the 2014 National Health Care for the Homeless Conference & Policy Symposium in New Orleans.
Commissioner Choucair presenting at Chicago Health Tech and Health 2.0's Spring Health 2.0 Local Conference focused on the changing landscape of opportunities after 4 years of innovations fueled by the Affordable Care Act requirements.
In recognition of LGBT Health Awareness Week, CDPH hosted a community discussion on HIV and sexually transmitted infections (STIs) in the LGBT Community at Center on Halsted that included a keynote address from Commissioner Choucair, an overview of CDPH’s 2013 HIV/STI Surveillance Report from Nik Prachand and a panel discussion where local leaders including our own Tarek Mikati outlined how the community can use this information to combat the spread of HIV and STIs.
Dr. Bechara Choucair, Commissioner for the Chicago Department of Public Health and Dr. Stephanie Whyte, Chief Health Officer for CPS both testified at the Chicago City Council Health and Education Committees on on plans to improve adolescent health through Chicago’s Action Plan for Healthy Adolescents here: http://www.cityofchicago.org/content/dam/city/depts/cdph/CDPH/AHAC_PLAN_Feb32014.pdf
Commissioner Choucair presents Healthy Chicago and Health Care Reform at the University of Chicago MacLean Center's 32nd Interdisciplinary Faculty Seminar Series.
Commissioner Choucair presenting on Healthy Chicago at the Gold Humanism Society Lori Ann Roscetti Annual Memorial Lecture on Ethical & Humanitarian Issues in Medicine at Rush University Medical Center
Commissioner Choucair presenting the Healthy Chicago public health agenda and how the Chicago Department of Public Health think about health disparities and the recent work addressing health disparities.
Commissioner Choucair and the Chicago Department of Public Health released Chicago’s Action Plan for Healthy Adolescents, which will guide city-wide efforts to improve the health and well-being of Chicago’s adolescents.
The plan was released at a special event at Jones College Prep High School, bringing together students and community partners from across Chicago to discuss the plan and how best to implement the strategies moving forward.
Chicago's Action Plan for Healthy Adolescents: http://www.cityofchicago.org/content/dam/city/depts/cdph/CDPH/AHAC_PLAN_Feb32014.pdf
Prezi from Release Event: http://bit.ly/HealthyAdolescentsPrezi
http://www.beyoubehealthy.org
Commissioner Choucair presents at Northwestern University's Institute for Public Health and Medicine Seminar Series on the state of the health in Chicago and current Chicago Department of Public Health projects.
More from Chicago Department of Public Health (20)
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Chicago LGBTQ Disparities: Working toward Health Equity
1. Chicago LGBTQ Disparities:
Chicago Department of Public Health
Working toward Health Equity
The Chicago LGBTQ Health and Wellness Microconference
November 30, 2012
Bechara Choucair, MD
Commissioner
Chicago Department of Public Health
@choucair on
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner
2. Presentation Outline
1. Health Equity and LGBT
2. LGBTQ Health in Chicago
3. Healthy Chicago Public Health Agenda
4. Solutions: LGBT Community Action Plan
5. Solutions: Your Charge
3. Presentation Outline
1. Health Equity and LGBT
2. LGBTQ Health in Chicago
3. Healthy Chicago Public Health Agenda
4. Solutions: LGBT Community Action Plan
5. Solutions: Your Charge
4. Social Justice and Health Disparities
• Health disparities are differences in the rate of disease,
incidence, prevalence, morbidity, mortality or survival rates
• The root causes of disparities are inequalities
• U.S. history of discrimination has made race, ethnicity, sexual
orientation, and gender identity determinants in access to
health care and in health status
5. Historical Basis for LGBT
Health Disparities
• The categorization of people based on sexual attraction and
behavior emerged in the 19th century
• Consensual same-sex sexual behavior was illegal during most
of 20th century
• Homosexuality was considered to be mental illness
The Health of Lesbian, Gay, Bisexual, and Transgender People Building a Foundation for Better Understanding ,
Institute of Medicine, March 2011
6. Current Basis for LGBT Health Disparities
• Sexual orientation and gender identity disparities are rooted
in oppression and discrimination against LGBT people
– Legal discrimination in access to health insurance,
employment, housing, marriage, adoption
– Lack of laws to protect against school bullying
– Lack of social programs appropriate for LGBT community
– Shortage of health care providers who are culturally
competent and knowledgeable
Source: Healthy People 2020, LGBT Health Overview, Understanding LGBT Health
7. Promoting Social Justice
Reduces Health Disparities
• Food Stamps (1961)
• Civil Rights Act (1964)
• Voting Rights (1965)
• Desegregation of Medical Facilities (1963-1965)
Gamble and Stone, U.S. Policy on Health Inequities: The Interplay of Politics and Research, Journal of Health Politics,
Policy and Law, Vol. 31, No. 1, Feb. 2006
8. Presentation Outline
1. Health Equity and LGBT
2. LGBTQ Health in Chicago
3. Healthy Chicago Public Health Agenda
4. Solutions: LGBT Community Action Plan
5. Solutions: Your Charge
9. LGBT Population
• Racially, ethnically, culturally, geographically diverse
• 3.4% of U.S. population self-identifies as LGB, but there are
generational differences (UCLA, Gallop)
– 6.4% of 18-29 year-olds self-identify
– 3.2% of 30-49 year-olds self-identify
– 1.9% over age 65 self-identify
• Other estimates are as high as 10%
• 2007 estimates: 114,500 LGBT persons in Chicago
• U.S. transgender population estimate:
– 1:500 for Male to Female
– 1:500 for Female to Male (Lynn Conway)
10. Why are LGBT so Invisible?
• Lack of epidemiological studies
– Sexual orientation and gender identity variables not typically
included in study designs
• Population hard to identify even for dedicated researchers
– Reluctance of community members to self-identify
– Many recruiting techniques do not work well with this
community
– No perceived advantage to being “out”
11. LGBT Disparities
• Tobacco
• Obesity
• STD/HIV/AIDS
• Cancer
• Heart Disease
• Violence
• Health Care Access
12. Tobacco Use Among LGBT
Tobacco Types LGBT Heterosexual
Cigarettes 32.8% 19.5%
Cigars/Cigarillos 12.2% 6.6%
Any Tobacco 38.5% 25.2%
King BA, Dube SR, Tynan MA (2012). Current Tobacco Use Among Adults in the United States: Findings
from the National Adult Tobacco Survey. American Journal of Public Health . 102(11): e93-e100
November 2012, Vol. 102, No. 11 : pp. e93-e100
13. Why Is Smoking More Common
Among LGBT?
• Higher levels of stress
• Early smoking
• Adverse role models
• Social norms
• Big tobacco targeting
• Cognitive disconnect
14. LGBT and Obesity
• Many studies suggest that lesbian women are more likely to be
overweight and obese than heterosexual women. A 2007 study
found:
o Lesbians are over 2 times as likely to be overweight, and
obesity as heterosexual women
o Bisexual women showed no such increase in the odds of overweight
and obesity
• Higher prevalence rates of obesity among lesbians who are
African-American, live in rural or urban areas, have lower levels of
education, of low socioeconomic status.
• Some research has indicated that adult lesbians are not sufficiently
physically active.
Am J Public Health. 2007 June; 97(6): 1134–1140. Overweight and Obesity in Sexual-Minority Women:
Evidence From Population-Based Data; Ulrike Boehmer, PhD, Deborah J. Bowen, PhD, and Greta R. Bauer, PhD
15. 2009 HIV/AIDS Diagnoses, Chicago
Characteristic AIDS HIV
Number Percent Number Percent
MSM 349 53.8% 676 61.9%
(Male Sex w/Male)
Injection Drug Use 111 17.1% 135 12.4%
(IDU)
MSM & IDU 30 4.6% 23 2.1%
Heterosexual 148 22.8% 231 21.2%
Other (Perinatal, Blood ---- ---- 7 0.6%
Transfusion, Hemophilia)
Source: Healthy Chicago STI/HIV Surveillance Report, Chicago Department of Public Health, Fall 2011
16. Major Racial Disparities in HIV
2011 Behavioral Surveillance Data
% HIV Positive
All Ages Youth (18 -29)
Black MSM 35% 28%
White MSM 17% 10%
Hispanic MSM 13% 8%
Source: Healthy Chicago MSM Behavioral Surveillance Report, Chicago Department of Public Health, December 2012
17. HIV-related behaviors, past 12 months,
Chicago MSM, 2011
Unprotected male-male anal sex 59%
Used any illicit drug 53%
Tested for HIV infection 70%
Tested for STI 53%
Received free condoms 82%
Participated in an HIV behavioral 24%
intervention
Source: Healthy Chicago MSM Behavioral Surveillance Report, Chicago Department of Public Health, December 2012
18. Transmission of 2010 Syphilis Cases,
Chicago
Transmission Number Percent
Group
MSM 340 49.6%
Heterosexual Males 86 12.5%
Females 84 12.2%
Male Unknown 176 25.7%
Source: Healthy Chicago STI/HIV Surveillance Report, Chicago Department of Public Health, Fall 2011
19. Lesbians, Bisexuals and Breast Cancer
• Lesbians are at significantly higher risk for developing
breast cancer than heterosexual women, but rates are
inconsistent.
• Risk factors for breast cancer among lesbians include
fewer full-term pregnancies, fewer mammograms and/or
clinical breast exams, and being overweight.
• Bisexual women ages 50–79 years are more likely to self-
report higher rates of breast cancer.
-Risk factors for breast cancer include fewer pregnancies, and
consumption of alcohol
National Women’s Health Information Center. (Lesbian and bisexual health. From http://womenshealth.gov/f
aq/lesbian-health.cfm (accessed May 31, 2011); Dibble, S.L., Roberts, S.A., & Nussey, B. (2004). Comparing breast
cancer risk between lesbians and their heterosexual sisters. Women’s Health Issues, 14(2), 60–68.
20. Gay Men and Cancer
• Gay men are at an increased risk for several types of cancer—
including prostate, testicular, and colon cancers.
– Colorectal cancer tests by gay/bisexual African Americans were 12%–
14% lower than that of heterosexual African Americans
– Gay men have 1.9 greater odds of a cancer diagnosis compared with
heterosexual men
• Gay and bisexual men ~17x more likely to develop anal cancer than
heterosexual men.
• Men with weakened immune systems, including those who have HIV
– More likely than other men to develop anal cancer
– More likely to get severe cases of genital warts that are harder to treat
Cancer. 2011 Aug 15;117(16):3796-804. doi: 10.1002/cncr.25950. Epub 2011 May 9.Cancer survivorship and sexual
orientation; Boehmer U, Miao X, Ozonoff Asencio; Heslin, K.C., Gore, J.L., King, W.D., & Fox, S. (2008). Sexual
orientation and testing for prostate and colorectal cancers among men in California. Med Care, 46(12), 1240–1248;
CDC HPV and Men - Fact Sheet downloaded from www.cdc.gov/std/hpv/stdfact-hpv-and-men.htm
21. Heart Disease Disparities
• Factors that raise the risk for heart disease - including
physical inactivity, obesity, and smoking - are more
prevalent among lesbians than other women
• Tobacco use and alcohol use are prevalent among gay men
National Women’s Health Information Center. (n.d.) Lesbian and bisexual health. From http://womenshealth.gov/faq/
L esbian-health.cfm (accessed May 31, 2011); World Heart Federation. (2012). Cardiovascular disease risk factors.
From http://www.world-heart-federation.org/ cardiovascular-health/cardiovascular-disease-risk-factors/
22. Bisexuals and Heart Disease
• Bisexual women are more likely to report:
– Higher smoking rates than heterosexual women
– Higher blood pressure levels than heterosexual and lesbian women
– Higher body mass index (BMI) than heterosexual women
– Higher cholesterol levels than heterosexual and lesbian women
– Higher alcohol use than heterosexual women
• Some studies show that bisexual women are more likely to self-
report higher rates of heart disease than heterosexual women, but
still have lower rates than lesbians
Dobinson, C. (2007). Top ten bisexual health issues. As cited in Miller, M., André, A., Ebin, J., and Bessonova, L. (2007).
Bisexual health: An introduction and model practices for HIV/STI prevention programming. New York:
National Gay and Lesbian Task Force Policy Institute, the Fenway Institute at Fenway Community Health, and BiNet USA.
23. LGBT and Violence
• A significantly higher percentage of lesbian or gay adults
(56.4 percent) and bisexual adults (47.4 percent) report
experiencing intimate partner violence, as compared with
straight adults (17.5 percent)
• Lesbian women and gay men report experiencing harassment
or physical violence from family members due to their sexual
orientation
SAMSHA http://store.samhsa.gov/shin/content/SMA12-4684/SMA12-4684.pdf
25. Stigma, Discrimination, and
Health Care Access
• Discrimination shapes how
- LGBT persons interact with health system
- Health providers interact with LGBT community
- Health institutions address LGBT needs
26. System-Level Barriers to Health Care
• Institutional refusal to provide care
• Non-inclusive intake forms
– Gender ID
– Orientation relationship status
– Family structure
27. System-Level Barriers:
Health Insurance
• Percent of Adults with Health Insurance Coverage
-82% Heterosexual
-77% Lesbian, Gay, Bisexual
-57% Transgender
• Many insurance policies do not cover unmarried partners
• Policies do not include gender identity or gender expression
• ‘Gender doesn’t match diagnosis’
– Transwomen often not covered for prostate cancer screenings
– Transmen often not covered for cervical cancer screenings
28. System-Level Barriers:
Providers
• Provider / counselor assumption of
– Heterosexuality
– Traditional families
– Exclusion of partner/family of choice
• Provider ignorant of appropriate resources
29. Individual-Level Barriers to LGBT
Access to Care
• Prior negative experiences with providers/counselors
• Shame limiting openness
• Confidentiality concerns
30. Presentation Outline
1. Health Equity and LGBT
2. LGBTQ Health in Chicago
3. Healthy Chicago Public Health Agenda
4. Solutions: LGBT Community Action Plan
5. Solutions: Your Charge
31. HEALTHY CHICAGO
CHICAGO DEPARTMENT OF PUBLIC HEALTH
TRANSFORMING THE
HEALTH OF OUR CITY
CHICAGO ANSWERS THE CALL
32. Healthy Chicago’s Guiding Principles:
Health Equity
• Good health is based on multiple complex, inter-related
factors, e.g., social and environmental
• Improved public health requires a commitment to health
equity and the elimination of disparities
• Health improvement efforts require diverse partners
• A healthy city begins with a strong social fabric and sense of
community
34. Limitations of Healthy Chicago
• Focus is on overall population
• Initial strategies are developed, but more work is needed
• Not all potential implementers are identified
35. Presentation Outline
1. Health Equity and LGBT
2. LGBTQ Health in Chicago
3. Healthy Chicago Public Health Agenda
4. Solutions: LGBT Community Action Plan
5. Solutions: Your Charge
36. LGBT Community Action Plan
• LGBT workgroup
o Community organizations, health care providers, researchers and
other stakeholders
o Convened in September, 2011
• Charged with developing roadmap to address the health
needs of Chicago’s LGBT community
• Considered strategies that aligned with Healthy Chicago
priorities
37. LGBT Community Action Plan
• Released March 2012
• Supplement to the Healthy
Chicago agenda
• 22 new strategies to address
LGBT needs
HEALTHY CHICAGO
LGBT COMMUNITY
ACTION PLAN
March 2012
38. In Progress: LGBT Action Plan Strategies
• Increase tobacco cessation efforts in the LGBT community
• Tobacco Prevention Project Partnership with Howard Brown
Health Center
• Bitch to Quit Cessation Program
• Media, social media campaigns
• Provider reminder system
• Ongoing research
39. In Progress: LGBT Action Plan Strategies
• Include sexual orientation and gender identity indicators on
CDPH’s impending citywide community health survey
instruments to better identify health disparities
• Healthy Chicago Survey
– Population-based telephone survey
– Data will be used for assessing health-related needs in the City, for
program planning and policy development, and for program
evaluation
– Will collect sexual orientation and gender identity data
40. In Progress: LGBT Action Plan Strategies
• Partner with LGBT community providers to identify and treat
persons with sexually transmitted infections
– 20 city-wide CBOs funded with a total of 42 programs to provide
services to Men to have Sex with Men (MSM), Prevention with
Positives, and other community-level interventions targeting LGBT
• Partner with LGBT-serving organizations to provide enhanced HIV
prevention, screening & treatment linkage services targeted to the
LGBT community
– Community mobilization and enhanced strategies to raise awareness,
increase testing, and improve linkage to care are making a difference
– Increased HIV testing, partner services
41. In Progress: LGBT Action Plan Strategies
• Conduct HIV behavioral surveillance surveys on men who have sex
with men, and share findings
– Documenting full spectrum of HIV risk behavior through National HIV
Behavioral Surveillance System
– In the past year, CDPH conducted 140 research field visits and over
500 interviews
• Maintain community task force on LGBT substance abuse
issues
– Task Force web site up at www.chicagoLGBTsubstance.com
– 65 members from over 30 organizations
42. Looking Forward: Office of LGBT Health
• Hiring an Office of LGBT Health Director
• Establishing an LGBT Health Advisory Council
– Create an ongoing forum for input
– Expand capacity and expertise guiding CDPH work
– Application process to be announced on-line
43. Looking Forward:
LGBT Action Plan Strategies
• Promote collection of sexual orientation data in electronic
medical records prior to the ACA 2014 mandate and
encourage collection of gender identity data
• Work with the Chicago Commission on Human Relations and
the Chicago Police Department to improve transgender hate
crime tracking (Violence Prevention)
44. Looking Forward:
LGBT Action Plan Strategies
• Support LGBT organizations in the adoption of policies that
increase access to healthy foods, encourage physical activity,
and limit tobacco use
• Deliver targeted, culturally competent obesity risk and
preventive behavioral interventions to lesbians and bisexual
women
45. Looking Forward:
LGBT Action Plan Strategies
• Promote the adoption of breastfeeding among lesbian
mothers
• Provide education to parents on supporting healthy
environments for children with alternative sexual orientation
or gender expression
46. Looking Forward:
LGBT Action Plan Strategies
• Empower the LGBT community to address violence by publicizing
resources for reporting violence, holding seminars on strategies to
avoid violent situations, and informing community members of
sources of victim assistance
• Conduct bullying training for school staff and faculty with a focus
on how LGBT students are disproportionately impacted and on
appropriate interventions in schools to end bullying
47. Looking Forward:
LGBT Action Plan Strategies
• Convene researchers who focus on LGBT health to share
findings, inform service delivery, and prompt new LGBT
health research
• Dedicate resources to incorporate LGBT health into planning,
outreach, and public information activities
48. Looking Forward:
LGBT Action Plan Strategies
• Provide educational information to housing managers, apartment
landlords, and employers about living and working with persons
who are HIV positive
• Promote participation in LGBT health electives for Chicago area
medical students
• Develop and implement a strategy to provide cultural competency
training about the LGBT community to health care providers and
institutions
49. Looking Forward:
LGBT Action Plan Strategies
• Advocate for increased State funding to include support of
LGBT persons suffering from anxiety, suicidal ideation, or
other conditions
• Promote the inclusion of same-sex couples in programs
aimed at healthy pregnancies, childbirth, and early childhood
health
50. Presentation Outline
1. Health Equity and LGBT
2. LGBTQ Health in Chicago
3. Healthy Chicago Public Health Agenda
4. Solutions: LGBT Community Action Plan
5. Solutions: Your Charge
51. Call to Action
• Healthy Chicago & LGBT Action Plan address big issues requiring
efforts from many facets of the community
• More research is needed to
– Uncover disparities
– Identify vectors and co-morbidities
– Find solutions
– Analyze health outcomes by sexual orientation and gender identity
• More advocacy is needed to secure resources and promote social
justice
52. Final Charge
• Too often, continuing disparities lead to a perception that a
population is its pathology
• It is imperative that not happen
• Research must also look to the LGBT community’s successful
coping mechanisms
• Research must also look to the LGBT community’s strengths
53. Ongoing Research:
HIV Surveillance Report Release Today
• 1:30 pm immediately following conference luncheon
• Highlights trends in risk and prevention behaviors among gay
men in Chicago
• Many hopeful signs among the findings:
– HIV testing and prevention interventions
– Being aware of one’s infection
– HIV treatment