Transcript WELCOME [www.empirestatephtc.org]

Lesbian, Gay, Bisexual
Issues in public health
Presentation objectives
 Participants will be able to define issues
unique to lesbian, gay and bisexual people
 Participants will be able to identify at
least two ways to incorporate lesbian, gay
and bisexual people in public health
interventions
 Participants will be able to describe
reasons for health disparities within the
lesbian, gay and bisexual population
Exploring sexual orientation
 Climate assessment activity
Demographics
 How many LGB people do you think there are?
 Why might this be hard to discern?
 Epidemiological challenges
LGB healthcare
 Group brainstorm:
– What are some health issues unique to
LGB adults?
LGB healthcare
 Hetero-centric healthcare
 Welcoming environments
Barriers to healthcare
 Invisibility
 Historic experiences of bias,
discrimination and stigmatization
 Limited insurance coverage
Other issues for LGB adults
 Marriage and partner rights
 LGB parents
 LGB aging issues
 Mental Health
 Substance abuse
 Domestic violence
 Hate crimes
Marriage and partner rights
 Forms of partner recognition
 Benefits linked to marriage
State issues marriage licenses to
same-sex couples
State recognizes marriages by
same-sex couples legally entered
into in another jurisdiction
Statewide law providing the
equivalent of state-level spousal
rights to same-sex couples within
the state
Statewide law providing some
statewide spousal rights to samesex couples within the state
LGB Parents
 Parenting options
 LGB parenting challenges
 Family outcomes
LGB aging issues
 Accessing aging services
 Social isolation
 Spousal benefits
 Care giving, care receiving
Mental Health
 Minority Stress
 Prevalence
 Suicidality
Substance abuse
 Alcoholism and drug abuse
 Cultural competency
 Incidence
 Bars as congregation spaces
 Coping mechanism
Violence
 Rates of intimate partner violence
 Access to family court
 Violence
 Hate crimes
Identifying barriers
 Discussion- applying what you have
learned
Acknowledgements
This presentation was designed in Spring 2011 by
Curran Saile, Program Director of the Pride Center of
the Capital Region done in partial completion of
Masters in Public Health requirements at the
University at Albany School of Public Health. The
project would not have been possible without the
support of Mary Applegate, Jennifer Manganello,
Cheryl Reeves and the Pride Center of the Capital
Region.
References
American Civil Liberties Union Lesbian & Gay Rights Project. “Too High A Price: The Case
against restricting gay parenting.” ACLU, 2006.
Badgett, M.V. Lee Lee and Ash, Michael, Separate and Unequal: The Effect of Unequal Access
to Employment-Based Health Insurance on Same-Sex and Unmarried Different-Sex Couples
(October 2006). Contemporary Economic Policy, Vol. 24, Issue 4, pp. 582-599, 2006. Available
at SSRN: http://ssrn.com/abstract=1095935 or doi:10.1093/cep/byl010
Baker, Kellan and Krehely, Jeff. Changing the Game. What Health Care Reform Means for Gay,
Lesbian, Bisexual, and Transgender Americans. Center for American Progress. March 2011.
Bockting WO, Robinson BE, Rosser BRS. Transgender HIV prevention: a qualitative
needs assessment. AIDS Care. 1998;10(4):505-526.
Bradford J, Ryan C. The National Lesbian Health Care Survey. National Lesbian
and Gay Health Foundation, Washington, DC, 1988:76-85.
Centers for Disease Control. Cigarette smoking among adults – United States, 1997. Morbidity
and Mortality Weekly Report 18(43):993-996, 1999.
Cochran, S.D., and Mays, V.M. Relation between psychiatric syndromes and behaviorally
defined sexual orientation in a sample of the US population. American Journal of Epidemiology
151(5):516-523, 2001.
References
Finlon, Charles. Health Care for All Lesbian, Gay, Bisexual and Transgender Populations.
Journal of Gay & Lesbian Social Services. 2002, Vol. 14 Issue 3, 109-116.
Gee, Royal. Primary Care Health Issues Among Men who Have Sex With Men. Journal of the
American Academy of Nurse Practitioners. April 2006, Vol. 18 Issue 4, 44-153.
Healthy People 2010 Companion Document for Lesbian, Gay, Bisexual and Transgender
(LGBT) Health published by the Gay and Lesbian Medical Association and the National Coalition
for LGBT Health in 2001: Fergusson, Hoorwood and Beautrais, 1999.
Kelleher, Cathy. Minority stress and health: Implications for lesbian, gay, bisexual, transgender,
and questioning (LGBTQ) young people. Counseling Psychology Quarterly; Dec2009, Vol. 22
Issue 4, p373-379, 7p, 2 Charts
Knauer, Nancy J. LGBT Elder Law: Toward Equity in Aging. Harvard Journal of Law & Gender.
Winter 2009, Vol. 32 Issue 1, 1-58.
Makadon, Harvey J. Improving Health Care for the Lesbian and Gay Communities. New England
Journal of Medicine. 3/2/2006, Vol. 354 Issue 9, 895-897.
Mansergh, G. PhD, Data on MSMs and Methamphetamine Use CDC Division of HIV/AIDS
Prevention, Conference on Methamphetamine, HIV, and Hepatitis, Salt Lake City, Utah, 2005.
References
Nealy, Eleanor C., Public Testimony to the New York State Legislature; Standing Committees on
Alcoholism and Drug Abuse and Health, New York City, January 7, 2005.
New York State OASAS Data, 2004.
Schatz B, O’Hanlan K. Anti-Gay Discrimination in Medicine: Results of a National Survey of
Lesbian, Gay and Bisexual Physicians. American Association of Physicians for Human
Rights/Gay Lesbian Medical Association, San Francisco, May 1994.
Stall, et. al. New York City Department of Health and Mental Hygiene, Community Health
Survey, 2004.