This document discusses the health needs and challenges facing the LGBTQ Latinx community. It notes that LGBTQ Latinx individuals often face greater barriers to healthcare access and worse health outcomes compared to heterosexual white individuals. They have higher rates of being uninsured, delaying or not seeking care, and delaying or not filling prescriptions. They also have higher rates of HIV diagnoses. The document attributes these disparities to social factors like discrimination, immigration status barriers, and lack of supportive environments. It emphasizes the importance of healthcare providers creating inclusive spaces for LGBTQ Latinx patients and considering their unique needs and experiences.
Understand why hospitals must take the lead in eliminating disparities in care
Learn about the various dimensions of health care disparities. This presentation provides a background on the factors contributing to health care disparities, the ways in which race, ethnicity and language (REaL) data may be applied to improve health equity, as well as strategies through which to enhance the collection of REaL data.
Authors: Bohr D, Bostick N
Understand why hospitals must take the lead in eliminating disparities in care
Learn about the various dimensions of health care disparities. This presentation provides a background on the factors contributing to health care disparities, the ways in which race, ethnicity and language (REaL) data may be applied to improve health equity, as well as strategies through which to enhance the collection of REaL data.
Authors: Bohr D, Bostick N
Disparities in Health Care: The Significance of Socioeconomic StatusAmanda Romano-Kwan
This research paper discusses the disparities in the health care system, with a specific focus on socioeconomic status and how it affects the access and availability of quality care.
Disparities in Health Care: The Significance of Socioeconomic StatusAmanda Romano-Kwan
This research paper discusses the disparities in the health care system, with a specific focus on socioeconomic status and how it affects the access and availability of quality care.
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.
M. Chris Gibbons - Health IT and Healthcare DisparitiesPlain Talk 2015
"Health IT and Healthcare Disparities" was presented at the Center for Health Literacy Conference 2011: Plain Talk in Complex Times by M. Chris Gibbons, MD, MPH, Associate Director, Johns Hopkins Urban Health Institute.
Description: This presenter will discuss the use of technology and consumer health information to improve healthcare disparities.
An overview of GLBT health promotion programs at ACON and QAHC: Work to-date and a forward agenda. This presentation was given at the 2008 AFAO HV Educators Conference.
On Friday, March 27, 2015, the nonpartisan Public Religion Research Institute (PRRI) released the 2015 Millennials, Sexuality, and Reproductive Health Survey. The survey takes an in-depth look at millennials’ views on public policies related to contraception and abortion, sex education, sexual identity and gender roles, relationships and marriage, and sexual assault on college campuses. The landmark survey draws on interviews with more than 2,300 young Americans, ages 18-35, including oversamples of African Americans, Hispanics, and Asian-Pacific Islanders, allowing for a detailed look at the attitudes of millennials of color. Additionally, the survey explores the impact that race and ethnicity, religion, and political affiliation have on these attitudes and behaviors.
It started with 25 young gay men who attended a digital storytelling workshop organized by Greater Than AIDS and partners in Washington, DC in September 2015. The result was 25 powerful personal videos that launched the #SpeakOutHIV movement. Now more than 70 strong, the #SpeakOutHIV ambassadors are between 18-25 from various geographic locations, educational backgrounds and careers. The videos document intensely personal, sometimes emotional moments, and shed light on how a generation grapples with the virus and what they are doing to protect their health, regardless of status. #SpeakOutHIV is the social media component of the broader Speak Out campaign from Greater Than AIDS, which seeks to re-engage the LGBTQ youth community in confronting the silence and stigma that still surrounds HIV. #SpeakOutHIV tackles the challenge with a simple concept: Empower LGBTQ youth with the knowledge and skills to speak out about HIV where they are: on social media.
America cares hiv-aids in black america#GOMOJO, INC.
Increase community awareness of HIV/AIDS and HIV prevention strategies.
Increase community understanding of the clinical research process.
Develop and strengthen relationships with community stakeholders, including (but not limited to) medical care providers, STD/HIV counseling and testing providers, faith leaders, Non Governmental Organizations and Community Based Organizations.
Increasingly, African Americans in general are recognizing that HIV is wreaking devastation across our communities. Those who have joined the fight against HIV and AIDS in Black communities are coming to understand that it is a difficult and multifaceted problem—but that it is also a winnable war. With this report, we aim to arm those people with the information they need to get there.
Terri Clark (ActionAIDS), Kate Clark (Philadelphia Corporation for Aging), and Katie Young (Philadelphia Corporation for Aging) presented on HIV and Aging at the January meeting of the Philadelphia Ryan White Part A Planning Council.
Presented by
Salim Chowdhury, MD - Community Care
Curtis Upsher, Jr. MS - Director Community Relations - Community Care
Medicine, Culture, and Spirituality Conference
September 9, 2011
Cultural Competence Resources for GLBT Health. Delivered at the Diverse Students' Leadership Conference, St Mary's College, Notre Dame, IN. March 2011.
HIV/AIDS and Infectious Diseases: Prevalence and Attitudes Among U.S. Latinos
Dr Li Loriz, PhD, ARNP, BC, Director, School of Nursing, University of North Florida
July 22, 2005 - UNF Hispanic Health Issues Seminar
This is part 6 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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!
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
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.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
7. Less Access to Health Care
0%
5%
10%
15%
20%
25%
30%
35%
40%
No Health
Insurance
Delay or Not
Seek
Healthcare
Delay or Not
Fill
Prescriptions
No Regular
Source for
Basic
Healthcare
Latino Heterosexual
Latino LGB
Black Heterosexual
Black LGB
White Heterosexual
White LGB
Center for American Progress
9. Diagnosis of HIV in Adults 2014
11201
9008
7552
4654
2108
1159 1115
0
2000
4000
6000
8000
10000
12000
Black
MSM
White
MSM
Latino
MSM
Black
Women,
Heterosex.
Black Men,
Heterosex.
Latina
Women,
Heterosex.
White
Women,
Heterosex.
CDC
10. Rate of HIV Diagnosis 2008-2013
0 5 10 15 20
Latinos
Non-Latino Whites
Per 100,000
US-Born MSM Foreign-Born MSM Unknown Birth MSM
Other Non-Latino Whites
CDC
19. Considerations for
LGBTQ Latinx
Patients in the Clinic Pregunte
y dígalo
Deje que su proveedor sepa
si usted es LGBT.
Su proveedor apreciará la
conversación.
¡Comience hoy!
COM 762
Defining this population
Discuss some of the health data.
Review disparities.
Propose ways to improve health and healthcare for this population
No financial disclosures.
Latino/a – person of origin or decent from a Latin American country
Broad group –wide range of races, cultures, & lang (Argnt/DR/Guate).
Latino –used for whole population, but biased for the masculine
Latinao –gender neutral, still emphasizes gender binary: masc/fem
Latinx –inclusive for all genders incl. those who may not identify a gender
During presentation, may go back/forth depend on source of data or context
Lesbian, Gay, Bisexual, Transgender, Queer/Questioning
Queer, less specific term that means anything other than a cisgender heterosexual. Some people use it as an umbrella term to include the spectrum of LGBT+, while others use it to define anything that is not included as part of the LGBT.
Queer has been historically and is used as a derogatory slur, and some are trying to reclaim it. Many LGBT people still consider it derogatory.
Overlapping and interdependent systems of discrimination or disadvantages experienced by an individual or social group as part of multiple social categories, incl., but not limited to race, class, gender, etc.
Consider all the disparities and challenges faced by Latinx people in the US, then LGBTQ people
A LGBTQ Latinx person may have to face disparities and challenges by both groups.
Both data are self-reported, usually check boxes on a form
Some data on Latinos: Race/Ethnicity confusing, Hispanic vs Latino
Less date on LGBTQ - SO/GI Data historically not collected. Person may not want to disclose SO/GI.
SO/GI identities –not always correlate with behaviors
Person may not identify LGBTQ, still have same sex encounters –communities of color
Recognize the need for data to identify health needs of specific communities. EHR generates data..
– HRSA (Health Resources & Serv Admin/HHS), UDS (Uniform Data System) – Collection of demog such as race, sex, age, &health measures like tobacco use, asthma, diabetes, cancer screens, etc.
New HRSA Requirements starting this year to collect SO/GI data.
Step in the right direction. Are people going to disclose?
LGBTQ Latinx people are most likely to not have health insurance and not have regular source of basic healthcare
LGBTQ, including Latinos, more likely to delay or not seek healthcare, or delay or not fill prescriptions
LGBTQ Latinx people have:
higher rates of STIs & HIV
Higher rates of Mental health disorders
Higher rates of substance abuse
Not a lot of data on other health outcomes for LGBTQ Latinx
MSM – Men who have sex with men
23% of new all HIV infections were in Latinos, but represent 17% of the population
Even though absolute number of new infections in White and Black MSM, HIV disproportionately affects Latino MSM because represent a smaller portion of US population
Rate of HIV per 100,000: Latinos 18.7, Whites, 6.6
MSM Latinos represent 2/3 of new HIV diagnoses in Latinos
½ of new diagnoses in MSM Latinos are foreign born, or unknown birth (may have additional challenges)
24.4% other – including heterosexual transmission and IVDU for both M&F
LGBTQ Latinx people high rates of risky behaviors when compared to other populations
More likely to abuse alcohol, use tobacco, be involved with intimate partner violence, and have unprotected sex with casual partner.
Higher rates of poverty (28% for trans* latinx, 15% for the gen trans* pop, & 7% for gen pop)
More likely to experience discrimination (racism, homophobia).
Less visibility in media – important to have someone to identify with, characters, celebrities, - not stereotyped
LGBTQ health resources may not be accessible due to language barriers, insurance, etc.
Immigration status is an independent barrier for access to health insurance, access to a medical provider, and underutilization of health services.
Remember intersectionality: undocumented, Latina, transgender women, who does not speak english – very difficult to access healthcare services that are cultural and medically competent.
Survey of Latinx in Community Health Centers in LA and New York
Experiences of social discrimination (racism and homophobia) increased risky behaviors , including binge drinking, unprotected receptive anal intercourse with a casual partner.
Suggestive of “maladaptive coping strategy” in response to stress of social discrimination.
Documented in other marginalized communities.
When compared to LGBT populations who experienced a supportive environment, LGBT populations who experienced rejection were:
8.4 times more likely to have attempted suicide
5.9 times more likely to have severe depression
3.4 times more likely to use drugs
3.4 times more likely to have risky sex
Reduce social stressors for marginalized patients, and provide accepting and welcoming environment – key to reducing behavioral risk factors
Providing culturally sensitive, inclusive, and competent care
Make all spaces inclusive: Health clinic, but our schools, work environments
Gender neutral single-stall restrooms . Symbols that denote inclusive space (clues).
Forms are gender neutral, options for legal/preferred name, pronouns
Non-discrimination policies that are inclusive & posted/accessible.
Staff training in cultural sensitivity
Going to doctor can be frightening. Patient vulnerable, may not want to disclose SO/GI for fear of judgment, but important info for health assess, make medical decisions for risk factors. Important clinics safe space.
LGBTQ patient may come across providers who:
-have outright have discriminatory views; open but not knowledgeable;
-open & knowledgeable but not experts (when/where to refer); experts.
Most providers have little to no formal training on LGBTQ health.
LGBT health: Trans* hormone therapies; Cancer screenings (Trans* and Lesbian patients); STI screening (diff recs for MSM)
International standard terminology and guidelines for LGBTQ health are published in US/Europe in English. Pronouns/terminology doesnt translate as easily. Difficulty in adapting to other ethnic/racial populations.
Language barrier and immigration status = decreased access to care
Intersectionality. Finding provider with LGBTQ health knowledge, access care from lack of insurance, providers who speak spanish.