Closing the Health Disparity Gap for the LGBTQ Community
Purpose: Lesbian, gay, bisexual, transgender, queer (LGBTQ) individuals are progressively more open and acknowledged within the United States. However, there are significant health disparities that persist. This session aims to provide education on the terminology specific to this diverse community, explore current knowledge of LGBTQ health and provide recommendations for how to diminish the healthcare inequalities.Methods and/or Description of Project: This lecture based session will be conducted through use of PowerPoint and include clinical scenarios as well as a question/answer session to improve education and awareness regarding differences in sexual orientation, gender identity and communication strategies to improve healthcare for the LGBTQ community.Results/Outcomes: This session aims to provide education on the terminology specific to this diverse community, emphasize the importance of person centered care and provide communication strategies to diminish healthcare inequalities that exist.Conclusions/Relevance to the conference theme: Our Leadership Landscape: Perspectives from the Ground Level to 30,000 Feet: The overarching goal of this presentation is to equip PT leaders with increased knowledge and strategies for providing adequate healthcare services for the LGBTQ community within their own setting and equip them with the power to be positive change agents in improving multidisciplinary care beyond the walls of their facilities.References: REFERENCES: http://www.cnn.com/2015/06/19/us/lgbt-rights-milestones-fast-facts/index.html National Conference of State Legislatures: http://www.ncsl.org/research/human-services/same-sex-marriage.aspx Public Opinion on Gay Marriage, 2016: http://www.pewforum.org/fact-sheet/changing-attitudes-on-gay-marriage/ https://lgbtqia.ucdavis.edu/educated/glossary.html https://www.genderspectrum.org/explore-topics/medical/#more-329 http://transgenderlawcenter.org/wp-content/uploads/2011/12/01.28.2016-tips-healthcare.pdf https://s3.amazonaws.com/amo_hub_content/Association140/files/Standards%20of%20Care%20V7%20-%202011%20WPATH%20%282%29%281%29.pdf http://www.independent.co.uk/news/world/gay-lesbian-bisexual-relationships-illegal-in-74-countries-a7033666.html https://thewire.in/162074/lgbtq-gay-rights/ https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health?topicid=25 Centers for Disease Control and Prevention (CDC). HIV among Gay and Bisexual Men [Internet]. Atlanta: CDC; 2017 Feb [cited 2017 Aug 23].https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/cdc-msm-508.pdf Struble CB, Lindley LL, Montgomery K, et al. Overweight and obesity in lesbian and bisexual college women. J Am College Health. 2010;59(1):51-6. Diaz RM, Ayala G, Bein E, et al. The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from three US cities. Am J Public Health. 2001;91(6):141-6. Endocr Pract. 2017 Aug;23(8):897-906. doi: 10.4158/EP171758.OR. Epub 2017 May 23. Occupational Therapy Practitioners' Comfort Level and Preparedness in Working with Individuals Who Are Gay, Lesbian, or Bisexual (Javaharian, et al) Journal of Allied Health, Volume 37, Number 3, Fall 2008, pp. 150-155(6) “Lesbian, Gay, Bisexual, and Transgender Inclusion in Physical Therapy” Copti, et al. Journal of Physical Therapy Education: 2016 - Volume 30 - Issue 4 - p 11–16 “Speech-Language Pathologists' Knowledge and Attitudes Regarding Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) Populations”. Hancock A, Haskin G. Does your organization use gender inclusive forms? Nurses' confusion about trans* terminology. Carabez R, et al. J Clin Nurs. 2015. https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health Lee GL, Griffin GK, Melvin CL. Tobacco use among sexual minorities in the USA: 1987 to May 2007: A systematic review. Tob Control. 2009;18:275-82. Xavier J, Honnold J, Bradford J. The health, health-related needs, and lifecourse experiences of transgender Virginians. Virginia HIV Community Planning Committee and Virginia Department of Health. Richmond, VA: Virginia Department of Health; 2007. Whitbeck LB, Chen X, Hoyt DR, et al. Mental disorder, subsistence strategies, and victimization among gay, lesbian, and bisexual homeless and runaway adolescents. J Sex Research. 2004;41(4):329-42. Institute of Medicine (US) Committee on Lesbian, Gay, Bisexual, and Transgender Health Issues and Research Gaps and Opportunities. The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding. Washington (DC): National Academies Press (US); 2011. 1, Introduction. Available from: https://www.ncbi.nlm.nih.gov/books/NBK64810/Course Objectives: Objectives include the following: Identify the difference between sexual orientation and gender identity. List statistics unique to LGBTQ communities as they relate to healthcare practice. List tactics to improve communication with LGBTQ patients in the healthcare setting.Instructional Methods: Lecture based Powerpoint Presentation, clinical vignettes, short discussion, question/answer session.Tentative Outline/Schedule: Introduction and Speaker Background LGBTQ Terminology Identifying differences in Gender Identity and Sexual Orientation LGBTQ History and Legal Rights Population within the U.S. and Internationally Process for Gender Reassignment Statistics on Health Disparities for the LGBTQ community Current research for Nursing, PT/OT/SLPs and MDs working with this population Recommendations for strategies to improve LGBTQ Care Clinical Vignettes