Discrimination against transgender people in public accommodations like restaurants and health centers in Massachusetts has negative health effects. A 2013 study found 65% of transgender people experienced such discrimination, linked to increased negative mental health symptoms and stress-related physical problems. While Massachusetts law prevents discrimination in employment, housing, and public accommodations based on sexual orientation, it does not include gender identity for public spaces. Passing bills S. 735 and H. 1577 would amend the law to include gender identity and help address health issues from discrimination.
This article co-written by Dr. Robert J. Winn which aims to quantify the number of lesbian, gay, bisexual, and transgender (LGBT) people in Philadelphia who report to be victims of domestic violence.
Get your quality homework help now and stand out.Our professional writers are committed to excellence. We have trained the best scholars in different fields of study.Contact us now at premiumessays.net and place your order at affordable price done within set deadlines.We always have someone online ready to answer all your queries and take your requests.
This article co-written by Dr. Robert J. Winn which aims to quantify the number of lesbian, gay, bisexual, and transgender (LGBT) people in Philadelphia who report to be victims of domestic violence.
Get your quality homework help now and stand out.Our professional writers are committed to excellence. We have trained the best scholars in different fields of study.Contact us now at premiumessays.net and place your order at affordable price done within set deadlines.We always have someone online ready to answer all your queries and take your requests.
Social integration and the mental health needs of lgbtq asylum seekers in nor...TÀI LIỆU NGÀNH MAY
Để xem full tài liệu Xin vui long liên hệ page để được hỗ trợ
: https://www.facebook.com/thuvienluanvan01
HOẶC
https://www.facebook.com/garmentspace/
https://www.facebook.com/thuvienluanvan01
https://www.facebook.com/thuvienluanvan01
tai lieu tong hop, thu vien luan van, luan van tong hop, do an chuyen nganh
Jim Crow and Premature Mortality Among the US Black and White Poulation, 1960...CookCountyPLACEMATTERS
"...the study results offer compelling evidence of the enduring impact of both Jim Crow and its abolition on premature mortality among the US black population, althought insufficient to eliminate the persistent 2-fold black excess risk evident in both the Jim Crow and non-Jim Crow states from 1960 to 2009." Epidemiology Volume 25, Number 4, July 2014 Digital Object Identifier 10.1097/EDE.
Toward a joint statement on "Conversion Methods"Guy Albert
A presentation to the Mental Health Liaison Group about so-called "conversion therapy," also known as sexual orientation or gender identity change efforts.
Social integration and the mental health needs of lgbtq asylum seekers in nor...TÀI LIỆU NGÀNH MAY
Để xem full tài liệu Xin vui long liên hệ page để được hỗ trợ
: https://www.facebook.com/thuvienluanvan01
HOẶC
https://www.facebook.com/garmentspace/
https://www.facebook.com/thuvienluanvan01
https://www.facebook.com/thuvienluanvan01
tai lieu tong hop, thu vien luan van, luan van tong hop, do an chuyen nganh
Jim Crow and Premature Mortality Among the US Black and White Poulation, 1960...CookCountyPLACEMATTERS
"...the study results offer compelling evidence of the enduring impact of both Jim Crow and its abolition on premature mortality among the US black population, althought insufficient to eliminate the persistent 2-fold black excess risk evident in both the Jim Crow and non-Jim Crow states from 1960 to 2009." Epidemiology Volume 25, Number 4, July 2014 Digital Object Identifier 10.1097/EDE.
Toward a joint statement on "Conversion Methods"Guy Albert
A presentation to the Mental Health Liaison Group about so-called "conversion therapy," also known as sexual orientation or gender identity change efforts.
i want a conclusion for 3 drafts my group wrote and please i want it.docxjewisonantone
i want a conclusion for 3 drafts my group wrote and please i want it in one hour i just need a conclusion for what they said and i want it one page and half and my opinion in the end is agains but my group two of them was with and two were against.
here is the first one and he is against :
It is clear that there are serious medical consequences to same-sex behavior by having too many diseases.
Male Homosexual Behavior
Men having sex with other men leads to greater health risks than men having sex with women19 not only because of promiscuity but also because of the nature of sex among men. A British researcher summarizes the danger as follows:
"Male homosexual behaviour is not simply either 'active' or 'passive,' since penile-anal, mouth-penile, and hand-anal sexual contact is usual for both partners, and mouth-anal contact is not infrequent. . . . Mouth-anal contact is the reason for the relatively high incidence of diseases caused by bowel pathogens in male homosexuals.
Anal intercourse
Yet human physiology makes it clear that the body was not designed to accommodate this activity. The rectum is significantly different from the vagina with regard to suitability for penetration by a penis. The vagina has natural lubricants and is supported by a network of muscles. It is composed of a mucus membrane with a multi-layer stratified squamous epithelium that allows it to endure friction without damage and to resist the immunological actions caused by semen and sperm.
Anal-genital consequences
-Anal Cancer
Chlamydia trachomatis
Cryptosporidium
Giardia lamblia
Herpes simplex virus
-Human immunodeficiency virus
-Human papilloma virus
Isospora belli
Microsporidia
Gonorrhea
Viral hepatitis types B & C
Syphilis
Female Homosexual Behavior
Lesbians are also at higher risk for health problems than heterosexuals. However, the health consequences of lesbianism are less well documented than for male homosexuals. This is partly because the devastation of AIDS has caused male homosexual activity to draw the lion's share of medical attention.
Shortened Life Span
The greater incidence of physical and mental health problems among gays and lesbians has serious consequences for length of life. While many are aware of the death toll from AIDS, there has been little public attention given to the magnitude of the lost years of life
AIDS and homosexuality
• 2% of U.S. population is gay yet it accounts for 61% of HIV infection: "Men who have sex with men remain the group most heavily affected by new HIV infections. While CDC estimates that MSM represent only 2 percent of the U.S. population, they accounted for the majority (61 percent; 29,300) of all new HIV infections in 2009. Young MSM (ages 13 to 29) were most severely affected, representing more than one quarter of all new HIV infections nationally (27 percent; 12,900 in 2009)." (Center for Disease Control,
cdc.gov/nchhstp/newsroom/HIVIncidencePressRelease.html
)
If homosexual activity does not harm .
Chamberlain College of Nursing NR 305 RN HEALTH ASSESSMENT .docxcravennichole326
Chamberlain College of Nursing NR 305 RN HEALTH ASSESSMENT
Week 5 Discussion Video Transcript
Video Audio
Anne at her
desk
reviewing a
patient
chart as she
expresses
her inner
thoughts
Anne: Let’s see… my next patient is Mary. She’s 53, Caucasian, and had a heart attack a
year ago. She is being seen today for an exacerbation of COPD. She also has controlled
Type II diabetes. She’s had depression that started when she lost her job a year ago.
She’s still is unemployed but receiving government checks. But that isn’t enough
income for her to live independently. She had to move in with her daughter and son-
in-law.
Today her chief complaint is a harsh productive cough and increased shortness of
breath. And she’s still smoking, which is upsetting her daughter who has a young child
who is bothered by the second-hand smoke.
Anne and
Mary in an
exam room
Anne: Hi, Mary. How are you feeling today?
Mary: Overall, I feel pretty healthy. I walk for about half an hour every single day. And
I’ve been following the diet that the dietician suggested, watching what I eat. I’m
proud of the fact that my diabetes has never been better controlled!
Anne: So far, so good. Is there anything that concerns you?
Mary: Yes. Lately I’ve been coughing so hard and having difficulty catching my breath
which is causing me to feel like I might be having some twinges in my chest, and I’m
scared to death I’m going to have another heart attack. I want to know what more I
can do to prevent that from happening again.
Anne: I’d be happy to explore healthy options. To start, I’d like to ask you a few follow-
up questions related to the history form you filled out in the waiting room. You’re still
smoking?
Mary: (Sigh…) Yes, cigarettes are my one remaining vice. I’ve been smoking over 40
years. My parents smoked and they taught me how to light their cigarettes when I was
12!
Anne: How much are you smoking?
Mary: About a pack a day. That’s 20 cigarettes. I light up first thing in the morning. If I
don’t, it’s all I think about. My body craves it. It is just so frustrating, especially since it
is upsetting my daughter and son in law so much. I don’t know where I will go if they
kick me out of their home.
Anne: I’m sure that is very upsetting to think about, Mary. Let me take a quick listen
to you and then we can discuss some options that may be available to you.
Mary: Sure, that would be fine.
Discriminatory Behavior toward the LGBTQ Community
Introduction
Discrimination against the LGBTQ or the lesbians, gay, bisexual and transgender community is presently on the world stage. Substantial gain has been conducted on the approval of this community. However, there is still a thirty percent increase in bias and discriminatory behavior towards the LGBTQ community. The LGBTQ community is ten times more likely to encounter discrimination grounded in their sexual orientation compared to the homosexual community. The ...
Take-Home Final Exam MPA-730- Health Disease, an.docxperryk1
Take-Home Final Exam
MPA-730- Health Disease, and Medical Care
Chaela Griffin
Professor Dr. Martin
1) According to the textbook, the homeless population is considered to be amongst the vulnerable and populations at risk (Shi & Singh, 2017). In relation to this, in the United States women and children as well as veterans and the severe mental ill comprise majority of the homeless population. Furthermore, in correlation to class notes, vulnerability is determined by the conjunction of three main characteristics: Predisposing, Enabling, and Need. Predisposing characteristics can be defined as attributes that lead to vulnerability that involve demographics—gender, age and race, social structure—geographic location, where a personal spends most of their time, and belief systems (Shi & Singh, pg. 270, 2017). Whereas the characteristic of need can be defined as an individual’s evaluated health status and quality-of-life factors. For example, a need factor could be if a person has HIV or chronic disease. Also, the vulnerable population is comprised of those who are underserved, medically underserved and disadvantaged, underprivileged, and American underclasses. In regards to the homeless population having access to health care is defective, due to the enabling characteristics. For example, enabling characteristics correlate to socio-economic status, individual assets—human capital, and mediating factors such as access to health care. In addition to this, due to the vulnerability and enabling factors the homeless population lack minimum requirements for health insurance (Shi & Singh, 2017). Thus, they are unable to obtain any treatment for their medical needs. Furthermore, this population lacks financial barriers, transportation to travel to and from the medical centers if required, a lack of address and primary care physicians, cannot pick up medication, unsanitary, and unable to be a productive member of society (Shi & Singh, pg. 272, 2017).
In relation to the chart in 11.2, certain populations are at risk for poor physical, psychological, and social health more than others. Some major factors that resonated with me most were: African Americans have 665% higher homicide rates in comparison to non-Hispanic whites, AIDS and Homicide are the two leading causes of death in Hispanics, as well as alcohol use is 43% in Hispanics (Shi & Singh, pg. 273, 2017). The fact presented about African Americans having a 665% homicide rate is eye opening because this is more than a majority so it is more likely some of color will die due to murder. In reference to AIDS and homicide being two leading causes of death was something I did not know prior to reading this textbook, and alcoholism was not much of a surprise but it was unbeknownst to me that 43% of this population is expected to drink (Shi & Singh, pg. 273, 2017). Moreover, Korean Americans have a fivefold incidence of having stomach cancer an.
Copyright 2017 American Medical Association. All rights reserv.docxmelvinjrobinson2199
Copyright 2017 American Medical Association. All rights reserved.
Difference-in-Differences Analysis of the Association
Between State Same-Sex Marriage Policies and Adolescent
Suicide Attempts
Julia Raifman, ScD; Ellen Moscoe, MA; S. Bryn Austin, ScD; Margaret McConnell, PhD
IMPORTANCE Suicide is the second leading cause of death among adolescents between the
ages of 15 and 24 years. Adolescents who are sexual minorities experience elevated rates of
suicide attempts.
OBJECTIVE To evaluate the association between state same-sex marriage policies and
adolescent suicide attempts.
DESIGN, SETTING, AND PARTICIPANTS This study used state-level Youth Risk Behavior
Surveillance System (YRBSS) data from January 1, 1999, to December 31, 2015, which are
weighted to be representative of each state that has participation in the survey greater than
60%. A difference-in-differences analysis compared changes in suicide attempts among all
public high school students before and after implementation of state policies in 32 states
permitting same-sex marriage with year-to-year changes in suicide attempts among high
school students in 15 states without policies permitting same-sex marriage. Linear regression
was used to control for state, age, sex, race/ethnicity, and year, with Taylor series linearized
standard errors clustered by state and classroom. In a secondary analysis among students
who are sexual minorities, we included an interaction between sexual minority identity and
living in a state that had implemented same-sex marriage policies.
INTERVENTIONS Implementation of state policies permitting same-sex marriage during the
full period of YRBSS data collection.
MAIN OUTCOMES AND MEASURES Self-report of 1 or more suicide attempts within the past 12
months.
RESULTS Among the 762 678 students (mean [SD] age, 16.0 [1.2] years; 366 063 males and
396 615 females) who participated in the YRBSS between 1999 and 2015, a weighted 8.6% of
all high school students and 28.5% of students who identified as sexual minorities reported
suicide attempts before implementation of same-sex marriage policies. Same-sex marriage
policies were associated with a 0.6–percentage point (95% CI, –1.2 to –0.01 percentage
points) reduction in suicide attempts, representing a 7% relative reduction in the proportion
of high school students attempting suicide owing to same-sex marriage implementation. The
association was concentrated among students who were sexual minorities.
CONCLUSIONS AND RELEVANCE State same-sex marriage policies were associated with a
reduction in the proportion of high school students reporting suicide attempts, providing
empirical evidence for an association between same-sex marriage policies and mental health
outcomes.
JAMA Pediatr. 2017;171(4):350-356. doi:10.1001/jamapediatrics.2016.4529
Published online February 20, 2017. Last corrected on April 24, 2017.
Editorial page 322
Author Audio Interview
JAMA Pediatrics Patient Page
page 404
Supplemental cont.
Copyright 2017 American Medical Association. All rights reserv.docxbobbywlane695641
Copyright 2017 American Medical Association. All rights reserved.
Difference-in-Differences Analysis of the Association
Between State Same-Sex Marriage Policies and Adolescent
Suicide Attempts
Julia Raifman, ScD; Ellen Moscoe, MA; S. Bryn Austin, ScD; Margaret McConnell, PhD
IMPORTANCE Suicide is the second leading cause of death among adolescents between the
ages of 15 and 24 years. Adolescents who are sexual minorities experience elevated rates of
suicide attempts.
OBJECTIVE To evaluate the association between state same-sex marriage policies and
adolescent suicide attempts.
DESIGN, SETTING, AND PARTICIPANTS This study used state-level Youth Risk Behavior
Surveillance System (YRBSS) data from January 1, 1999, to December 31, 2015, which are
weighted to be representative of each state that has participation in the survey greater than
60%. A difference-in-differences analysis compared changes in suicide attempts among all
public high school students before and after implementation of state policies in 32 states
permitting same-sex marriage with year-to-year changes in suicide attempts among high
school students in 15 states without policies permitting same-sex marriage. Linear regression
was used to control for state, age, sex, race/ethnicity, and year, with Taylor series linearized
standard errors clustered by state and classroom. In a secondary analysis among students
who are sexual minorities, we included an interaction between sexual minority identity and
living in a state that had implemented same-sex marriage policies.
INTERVENTIONS Implementation of state policies permitting same-sex marriage during the
full period of YRBSS data collection.
MAIN OUTCOMES AND MEASURES Self-report of 1 or more suicide attempts within the past 12
months.
RESULTS Among the 762 678 students (mean [SD] age, 16.0 [1.2] years; 366 063 males and
396 615 females) who participated in the YRBSS between 1999 and 2015, a weighted 8.6% of
all high school students and 28.5% of students who identified as sexual minorities reported
suicide attempts before implementation of same-sex marriage policies. Same-sex marriage
policies were associated with a 0.6–percentage point (95% CI, –1.2 to –0.01 percentage
points) reduction in suicide attempts, representing a 7% relative reduction in the proportion
of high school students attempting suicide owing to same-sex marriage implementation. The
association was concentrated among students who were sexual minorities.
CONCLUSIONS AND RELEVANCE State same-sex marriage policies were associated with a
reduction in the proportion of high school students reporting suicide attempts, providing
empirical evidence for an association between same-sex marriage policies and mental health
outcomes.
JAMA Pediatr. 2017;171(4):350-356. doi:10.1001/jamapediatrics.2016.4529
Published online February 20, 2017. Last corrected on April 24, 2017.
Editorial page 322
Author Audio Interview
JAMA Pediatrics Patient Page
page 404
Supplemental cont.
The U.S Healthcare System, African Americans and the Notion of Toughing It Ou...Chelsea Dade, MS
This project presentation will explore whether or not African American adults are less engaged patients, and whether the notion of toughing it out plays a significant role regarding how African Americans interact with their healthcare.
The Tuskegee Experiment was not the first time that African Americans were experimented on for scientific gain. One book that examines this history is titled Medical Apartheid (Washington, 2006). The novel dives into the dark history of medical experiments on Blacks, including, but not limited to inhumane slavery assessments and Marion Sims’ gynecologic obscenities on Black women (Wall, 2006). Though these debacles occurred decades ago, I propose that these events may continue to play a role in the way African Americans interact with the American healthcare system. Today, there are rules in place to prevent such issues with consent. However, after historically being placed in positions marked by humiliation and mistreatment based on skin color, I wanted to obtain a clearer understanding of whether or not African Americans have responded to the effects of these events by limiting their trust of other people, creating gender norms within their communities, and “toughing it out”.
The structure of this power point presentation for my final paper from HLTHCOMM440, Engaging Patients in Care, will begin by defining this demographic by its key cultural attributes. Second, the paper will highlight research on how one health belief, “toughing it out”, effects African American patient engagement levels. Third, the paper will summarize and discuss the methodology and results from a standardized patient engagement survey, and compare them to the existing literature. Finally, this paper will highlight a hypothetical federally funded health care program, titled “Mandating Mental Health First Aid in Chicago Businesses”, which will require all mid-size and large companies in Chicago to train human resources professionals in “Mental Health First Aid”. This intervention not only benefits African American employees in Chicago, but entire staffs in Chicago in general. In this way, the program does not target African Americans, but seeks to offer helpful resources on mental health that due to either a lack of access or stigmatization, some African Americans may or may not have be aware of. Therefore, the point of having this program is to help employees , especially newer employees, feel supported as the manage the many facets of their lives. Whether or not resources are utilized will depend on many individualistic factors that are including in this presentation. However, the first step towards health equity is to offer equal resources, to everyone.
For access to the standardized survey, please contact Chelsea Dade via email (chelseadade2018@u.northwestern.edu).
[October 23,2016]
Memo
Pg.03
Memo
Re
[Research Proposal The Political, social and Health Construction of Homosexuality]
Homosexuality is seen by most as a deviance to the social values and beliefs. This attitude has propagated the marginalization of this group in social, political and religious aspects. This research shall be exploring the religious, political and health care obstacles facing the homosexual community. This topic is of interest because society at any one time cannot be fit in to a one- size- fits- all. There will always be variations and for it to work as a well-oiled machine sensitive matters like homosexuality have to be addressed.
In Western Europe since 1989, there has been a spread of formalized same-sex couples when the institution of marriage has always been heterosexual.
This proposal will mainly focus on three secondary sources touching on these issues affecting homosexuals. It shall review the works of this research proposal will address two questions that will inform my preliminary research:
· How are religious groups working towards embracing the homosexuals with their principles being based on compassion for all?
· What are the political and health care stakeholders doing to protect the rights and lives of homosexuals who are part and parcel of our community?
The secondary sources I shall be using to answer the above questions are three books:
· First, a book by David R. Hodge titled “Epistemological Frameworks, Homosexuality, and Religion: How People of Faith Understand the Intersection between Homosexuality and Religion”, published July 2005.This book is a helpful tool in answering the question of how religious groups will extend support to homosexuals. In summary this book addresses how both people of faith and homosexuals both feel marginalized by the other and how it affects social works. It addresses how both these groups should embrace inclusivity for the good of society.
· The second book is by Achim Hildebrandt titled, “Christianity, Islam and Modernity: Explaining Prohibitions on Homosexuality in UN Member states.” It was published in 2014.It addresses the legality of same –sex groups and how 77 countries have banned them based on religious roots. This addresses the question of how the political frameworks of UN member states have affected how homosexuals lead their lives.
· The third book is by Andrew Moores, J.Craig Philips, Patrick O’Byrne and Paul McPherson titled “Anal Screening Knowledge, attitudes and experiences among men who have sex with men in Ottawa Ontario.”It was published in 2015. It addresses the health question of how homosexuals approach their health matters. It talks about anal cancer which is rare but has become prevalent among homosexuals and the challenges they face in addressing it due to lack of programs or standards of care informing primary care physicians.
People with same-sex orientation, more so, homosexuals should be given access to quality health care syst.
This is the Abstract Presentation of of Dr Saritha P Viswan. This presentation was part of the 14th session of #APCRSHR10 Virtual, on the theme of "Sexual orientation and gender identity and SRHR in Asia Pacific".
Chair: Dr Chivorn Var, Convener of APCRSHR10 and Executive Director of Reproductive Health Association of Cambodia (RHAC)
Plenary Speaker: CheyLeaphy Heng, Program Team Manager, Rainbow Community Kampuchea (RoCK) | "UPR as an advocacy strategy for SOGIE-SC issues in Cambodia"
ABSTRACT PRESENTERS:
* Saroj Tamang | Male-to-Female Transgender Community barrier and challenges in access of Sexual Health Services
* Saritha P Viswan | A review of transgender issues in India
* Sobo Malik | Limited Access to Health Rights Resulting in Increase Self Medication
* Ciptasari Prabhawanti | Sexual Identity, Sexual Orientation, Sexual Risk and Condom Use Behaviors of Clients of Transgender Sex Workers in Jakarta, Indonesia
For further information, visit www.bit.ly/apcrshr10virtual14
Conference website: www.apcrshr10cambodia.org or check out www.bit.ly/apcrshr10virtual
Thanks
Cultural Competence Resources for GLBT Health. Delivered at the Diverse Students' Leadership Conference, St Mary's College, Notre Dame, IN. March 2011.
LuciousDavis1-Research Methods for Health Sciences-01-Unit9_Assignment
Mass trans issue brief for Sept 17 2015 FINAL
1. Anti-transgender discrimination in public accommodations:
A critical public health issue for Massachusetts
How the current law falls short
Massachusetts’ nondiscrimination law prohibits discrimination on the basis of real or perceived
sexual orientation and gender identity in employment, education, credit, and housing.1 The law
also protects against discrimination in public accommodations on the basis of sexual orientation.
However, the gender identity provision does not cover public accommodations. Research
conducted by the Fenway Institute and the Massachusetts Transgender Political Coalition in
2013 found that nearly two thirds (65%) of transgender residents of Massachusetts reported
experiencing discrimination in public accommodations settings, including public transportation,
restaurants, retail establishments, and health centers, during the 12 months since the law was
implemented in July 2012. Experiencing discrimination had negative physical and mental health
effects on transgender people, and it was a barrier to accessing health care.
For these reasons, the Fenway Institute strongly supports the passage of S. 735, An Act Relative
to Transgender Anti-Discrimination, and H. 1577, An Act Relative to Gender Identity and Non-
Discrimination, in order to ban discrimination on the basis of gender identity in public
accommodations.
The negative health consequences of discrimination
In 2013 the Fenway Institute at Fenway Health and the Massachusetts Transgender Political
Coalition (MTPC) conducted a study, Project VOICE, to explore the health and wellbeing of
transgender people in Massachusetts. A key goal of the study was to better understand the
1
American Civil Liberties Union. Non-Discrimination Laws: State by State Information - Map. (n.d.). Retrieved August 19,
2015, from https://www.aclu.org/map/non-discrimination-laws-state-state-information-map
2. relationship between public accommodations discrimination and health consequences among
transgender and gender nonconforming adults in Massachusetts.2
The Project VOICE study found that 65% of 452 transgender Massachusetts residents surveyed
reported discrimination in one or more public accommodation settings in the past 12 months.
Twenty-four percent of subjects reported discrimination in healthcare settings. Discrimination
was defined as mistreatment on the basis of one’s transgender or gender nonconforming
identity/presentation and included verbal harassment and physical assault.
Discrimination in public accommodations correlated with poorer mental health symptoms and
outcomes. Transgender people who experienced discrimination in public accommodations within
the last 12 months were 30% more likely to report negative emotional symptoms, such as feeling
emotionally upset, sad, or frustrated in the past 30 days, when compared to those who did not
report discrimination.
The study also documented stress-related physical outcomes. Fifty-five percent of those who
were discriminated against reported physical symptoms such as headache, upset stomach, or
pounding heart in the last 30 days. Only 37% of those who were not discriminated against
reported these symptoms. Public accommodations discrimination was also associated with
diagnosis of asthma and gastrointestinal diseases. For example, 28% of those who had been
discriminated against in public accommodations were diagnosed with asthma, whereas only 16%
of those who had not been discriminated against were diagnosed with asthma. These findings
show that public accommodations discrimination was a statistically significant predictor of
increased risk for the stress-related physical health outcomes in question.
Public accommodations discrimination was especially detrimental to health outcomes when it
occurred in a healthcare setting. Five percent of respondents reported that a health care provider
refused to treat them in the past 12 months due to their transgender identity. Nineteen percent of
respondents indicated that they postponed or did not try to get medical care when they were sick
or injured in the past 12 months because of disrespect or mistreatment from health care providers
due to being transgender or gender nonconforming. Twenty four percent did not seek routine
health care due to previous experiences of discrimination.
Addressing objections to accessing public restrooms
Opponents of gender identity nondiscrimination legislation have claimed that allowing
transgender people to access restrooms consistent with their gender identity will violate other’s
privacy rights and lead to inappropriate behavior, such as sexual harassment or assault. Media
Matters studied 17 school districts throughout the United States that had gender identity
nondiscrimination policies in place to see if there was an increase in this type of inappropriate
2
Reisner, S., Hughto, J., Dunham, E., Heflin, K., Begenyi, J., Coffey-Esquivel, J., & Cahill, S. (2015). Legal Protections in
Public Accommodations Settings: A Critical Public Health Issuefor Transgender and Gender-Nonconforming People. Milbank
Quarterly, 0(0), 1-32. Retrieved August 11, 2015, from www.milbank.org
3. behavior. Of the 600,000 students in the school districts, none had reported harassment or
inappropriate behavior.3
Furthermore, in another research study, Media Matters conducted interviews with heads of state
police departments and human rights organizations in 12 states that have nondiscrimination laws
that protect transgender people in public accommodations.4 In these interviews, not a single
person indicated that there had been an increase in reported sexual harassment or abuse as a
result of passing the nondiscrimination laws. For example, Minnesota amended its Human Rights
Act to prohibit discrimination against transgender people in public accommodations in 1993.
Minneapolis police spokesman John Elder told Media Matters that sexual harassment and assault
as a result of the transgender nondiscrimination law have not been “even remotely” a problem.5
In fact, it is transgender people who are at risk for harassment and assault while simply trying to
use the restroom. The DC Trans Coalition did a citywide survey of 93 transgender and gender
nonconforming people and found that 70% of participants experienced denial of entrance, verbal
assault, physical assault, or some combination of the three in accessing public restrooms in
alignment with their gender identity.6 In order to reduce bathroom violence, transgender people
must be allowed to use the bathroom that aligns with their gender identity, and must also be
protected from discrimination under the law.
Ending anti-transgender discrimination in Massachusetts
The Project VOICE study showed that discrimination in public accommodations is significantly
associated with a wide array of poorer mental and physical health outcomes as well as healthcare
practices that seriously hinder the wellbeing of transgender people in Massachusetts.
Policymakers should pass legislation to protect people from discrimination in public
accommodations based on gender identity. Massachusetts has proven to be a leader when it
comes to the protection of human rights, including equal rights for LGBT people. We are the
first and only state in the nation to have an LGBT Youth Commission and an LGBT Aging
Commission. We led the country, and indeed the world, on marriage equality. Please pass the
this bill, in the tradition of this leadership, in order to make Massachusetts a better state in which
all can work, live, and prosper.
3
Percelay, R. (June 3, 2015). “17 School Districts Debunk Right-Wing Lies About Protections For Transgender Students.”
Media Matters. Accessed at: http://mediamatters.org/research/2015/06/03/17-school-districts-debunk-right-wing-lies-
abou/203867.
4
Brinker, L and Carlos, M. (March 20, 2014). “15 Experts Debunk Right-Wing Transgender Bathroom Myth.”MediaMatters.
Accessed at: http://mediamatters.org/research/2014/03/20/15-experts-debunk-right-wing-transgender-bathro/198533.
5 Ibid.
6
Herman, Jody. (2013). “Gendered Restrooms and Minority Stress:ThePublic Regulation of Gender and its Impact on
Transgender People’s Lives.” Journal of Public Management and Social Policy. Spring 2013. p. 65-80.
4. Acknowledgements
Authors: Leah Shaw and Timothy Wang
Editor: Sean Cahill
Reviewers: Sari Reisner and Carl Sciortino
For more information, please contact Timothy Wang, MPH, LGBT Health Policy Analyst with
the Fenway Institute, at 617-927-6112, or email him at twang@fenwayhealth.org.
Fenway Health is a federally qualified health center located in Boston, MA. Our mission is to
enhance the wellbeing of the lesbian, gay, bisexual, and transgender community and all people
in our neighborhoods and beyond through access to the highest quality health care, education,
research, and advocacy.