Health Care Disparities and the LGBT Population


Book Description

This co-edited volume addresses a population of people whose lack of health care access, mistreatment in health care settings, and refusal of health care services are often omitted from discussions about health care disparities and insurance reform. The perspectives and needs of LGBT people should be routinely considered in public health efforts to improve the overall health of every person and eliminate health disparities. Previous research suggests that LGBT people experience worse health outcomes than their heterosexual counterparts. Differences in sexual behavior account for some of these disparities, but others are associated with social and structural inequities. Low rates of health insurance coverage, high rates of stress due to systematic harassment, stigma, and discrimination, and a lack of cultural competency in the health care system frequently manifest in negative health-related behaviors. The lack of data collection on sexual orientation and identity in state and federal health care surveys leads to inadequate information about LGBT populations and impedes the establishment of health programs and public policies that benefit them. This volume’s research will increase people’s understanding of the social and structural inequalities that LGBT populations experience. With its diverse perspectives, this book will not only benefit LGBT people, but will also more broadly improve the lives of entire communities, medical care, and prevention programs and services. Improvements to our country’s health care system should go beyond providing universal insurance and should ensure equitable health care for all.




The Health of Lesbian, Gay, Bisexual, and Transgender People


Book Description

At a time when lesbian, gay, bisexual, and transgender individuals-often referred to under the umbrella acronym LGBT-are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.




Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




Understanding the Well-Being of LGBTQI+ Populations


Book Description

The increase in prevalence and visibility of sexually gender diverse (SGD) populations illuminates the need for greater understanding of the ways in which current laws, systems, and programs affect their well-being. Individuals who identify as lesbian, gay, bisexual, asexual, transgender, non-binary, queer, or intersex, as well as those who express same-sex or -gender attractions or behaviors, will have experiences across their life course that differ from those of cisgender and heterosexual individuals. Characteristics such as age, race and ethnicity, and geographic location intersect to play a distinct role in the challenges and opportunities SGD people face. Understanding the Well-Being of LGBTQI+ Populations reviews the available evidence and identifies future research needs related to the well-being of SDG populations across the life course. This report focuses on eight domains of well-being; the effects of various laws and the legal system on SGD populations; the effects of various public policies and structural stigma; community and civic engagement; families and social relationships; education, including school climate and level of attainment; economic experiences (e.g., employment, compensation, and housing); physical and mental health; and health care access and gender-affirming interventions. The recommendations of Understanding the Well-Being of LGBTQI+ Populations aim to identify opportunities to advance understanding of how individuals experience sexuality and gender and how sexual orientation, gender identity, and intersex status affect SGD people over the life course.




Unequal Opportunity


Book Description

Most public health students, academicians, and practitioners recognize the association between racial/ethnic minority status and the disproportionate burden of preventable disease in the United States. Much less attention has been directed, however, toward health disparities that affect gay and bisexual men. These disparities affect the lives of an estimated 5.3-7.4 million American men, and are an important concern for public health. Until very recently, the relative invisibility of this group and a paucity of empirical data have hampered attempts to identify health disparities experienced by gay and bisexual men. This book proposes to review and synthesize evidence of health disparities among gay and bisexual men, identify individual and community factors that contribute to these disparities, and articulate strategies for public health efforts to eliminate disparities. To date, these disparities have been largely discussed in isolation in the research literature in a manner that does not permit a comprehensive examination of these problems, their underlying causes, and potential solutions. Thus, a primary emphasis of the book will be to document health disparities among gay and bisexual men while also describing public health solutions to these challenges.




LGBTQ Cultures


Book Description

Drawn from real-world experience and current research, the fully updated LGBTQ Cultures, 3rd Edition paves the way for healthcare professionals to provide well-informed, culturally sensitive healthcare to lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients. This vital guide fills the LGBTQ awareness gaps, including replacing myths and stereotypes with facts, and measuring the effects of social stigma on health. Vital for all nursing specialties, this is the seminal guide to actively providing appropriate, culturally sensitive care to persons of all sexual orientations and gender identities.




The Health of Sexual Minorities


Book Description

This is the first concise handbook on Lesbian, Gay, Bisexual and Transgender (LGBT) health in the past few years. It breaks the myths, breaks the silence, and breaks new ground on this subject. This resource offers a multidimensional picture of LGBT health across clinical and social disciplines to give readers a full and nuanced understanding of these diverse populations. It contains real-world matters of definition and self-definition, meticulous analyses of stressor and health outcomes, a extensive coverage of research methodology concerns, and critical insights into the sociopolitical context of LGBT individuals’ health and lives.




Black LGBT Health in the United States


Book Description

Black LGBT Health in the United States: The Intersection of Race, Gender, and Sexual Orientation focuses on the mental, physical, and spiritual aspects of health, and considers both risk and resiliency factors for the Black LGBT population. Contributors to this collection intimately understand the associations between health and intersectional anti-Black racism, heterosexism, homonegativity, biphobia, transphobia, and social class. This collection fills a gap in current scholarship by providing information about an array of health issues like cancer, juvenile incarceration, and depression that affect all subpopulations of Black LGBT people, especially Black bisexual-identified women, Black bisexual-identified men, and Black transgender men. This book is recommended for readers interested in psychology, health, gender studies, race studies, social work, and sociology.




Lesbian, Gay, Bisexual, and Transgender Healthcare


Book Description

Written by experienced clinicians and edited by Vanderbilt Program for LGBTI Health faculty, this book contains up-to-date expertise from physicians renowned for their work in LGBT health. This important text fills an informational void about the practical health needs of LGBT patients in both the primary care and specialty settings remains, and serves as a guide for LGBT preventive and specialty medicine that can be utilized within undergraduate medical education, residency training, and medical practice. Beginning with a short review of LGBT populations and health disparities, it largely focuses on the application and implementation of LGBT best practices within all realms of medical care. In addition, the book offers recommendations for the integration of LGBT health into systems-based practice by addressing intake forms and electronic health records, as well as evidence-based emerging concerns in LGBT health. This is a must-have volume for medical students, residents, and practicing physicians from all medical specialties.




LGBTQ Health Research


Book Description

The first book focused entirely on the growing field of LGBTQ health research, this volume provides the necessary public health tools to teach about and study LGBTQ populations effectively. Over the last 30 years, the health needs of lesbian, gay, bisexual, transgender, and queer Americans have become increasingly recognized, in particular for the ways in which they are distinct from those typically assessed and addressed in society. Universities and researchers are paying greater attention to LGBTQ public health issues and how they might adapt existing methods to research marginalized communities, but—until now—there has been no authoritative resource to guide their education or practice. Developed for graduate students in public health and health sciences—but perfect for anyone interested in this topic—this book will fill that gap and provide the necessary public health tools to teach about and study LGBTQ populations effectively. Divided into three sections and edited by top scholars, LGBTQ Health Research explains research methods important to descriptive epidemiology that are needed to document health disparities among LGBTQ populations. The book also examines research methods that help explain the driving forces of these disparities. Focusing on real-world experience in developing and testing interventions to mitigate health disparities in LGBTQ populations, it also breaks down issues that challenge the direct application of standard research methods with these communities, including those related to sampling, measurement, choice of theoretical variables to explain the distribution of health and illness, cultural competence in intervention design, and community participation. Promoting the creation and diffusion of effective interventions, the book takes a holistic approach to address longstanding research gaps regarding important marginalized communities. It also documents profound health disparities in many LBGTQ populations across a wide range of health conditions and explains why future development of the field must be based on inclusive science and rigorous research methods. LGBTQ Health Research is an essential textbook for any courses that deal with the intersection of marginalization, health, sexuality, and gender. Contributors: José A. Bauermeister, Chris Beyrer, Kerith Conron, Brian Dodge, Rita Dwan, Stephen L. Forssell, Peter Gamache, Gary W. Harper, Mark L. Hatzenbuehler, Colleen Hoff, Carl Latkin, Ilan H. Meyer, Robin Lin Miller, Angulique Y. Outlaw, Christopher Owens, Tonia Poteat, Erin Riley, Joshua Rosenberger, Ayden I. Scheim, Shauna Stahlman, Randall Sell, Ron Stall, Rob Stephenson, Rachel Strecher, Ryan C. Tingler, Karin E. Tobin, Ronald O. Valdiserri, and Richard J. Wolitski