Dialogo And Two Spirit Health Centers: A Literature Review

Healthcare Inequalities: Understanding the Disparities Lesbian, Gay, Bisexual and Transgender Patients Face Kelsey Patience Creighton University Abstract: Sexual and social stigmas largely affect the health of the lesbian, gay, bisexual and transgender (LGBT) population. While many reports from the Institute of Medicine, Healthy People 2020 and the Agency for Healthcare Research and Quality recognize

Lesbian, Gay, Bisexual, and Transgender (LGBT) falls within societal minority groups such as low income, people of color, and disables (AHRQ, 2011). Due to their gender identity, discrimination, violence, and even denial of human rights and healthcare services is a common challenge among LGBT population. LGBT still faces many health disparities primarily related to the historic bias of healthcare professionals anti-LGBT manners even though society acceptance has been favorable. According to Ard and Makadon (n.d), “until 1973, homosexuality was listed as a disorder…, and transgender still is.” This stigma prevents healthcare professionals to openly ask questions in a non-judgmental manner related to sexual identity. On the other hand, if the patient senses that the healthcare environment is discriminating they may be reluctant to disclose important information as their sexual orientation; thus, missing important opportunities of been educated about safety and health care risks.

The mental health of individuals in the LGBT (lesbian, gay, bisexual, transgendered) community is something that is a serious problem. For most of the history of the United States and many different parts of the world LGBT people faced much persecution and in some cases even death. This constant fear of discovery and the pressure that one feels on oneself when “in the closet” can lead to major mental distress. Research has shown that people who identify as LGBT are twice as likely to develop lifetime mood and anxiety disorders (Bostwick 468). This is extremely noticeable the past couple years in the suicides of bullied teens on the basis of sexual identity and expression. The stigma on simply being perceived as LGBT is strong enough to

Health disparities in the Lesbian, Gay, Bi-sexual and Transgender community that lack fair treatment. This population deals with many adversities due to their sexual orientation and gender identity. LGBT’s community consists of a diverse population of people who come from all walks of life ((Howard, 2016). Many LBGT’s will delay

Many LGBTQI Latinx lack appropriate mental health care due to the many external factors that include structural competency and the social determinants of health and clinical intervention. Structural competency is the medical education of understanding the stigma and inequities among marginalized diverse communities in order to reduce poor health outcomes of the specific community (Metzl, 2014). Specifically, structural competency focuses on the whole population, rather than, the

Cultural Competency and LGBT Health Tonya King, BSN, RN NURS652 College of Nursing The University of Arizona April 5, 2018 Cultural Competency and LGBT Health Lack of culturally competent (CC) healthcare within lesbian, gay, bisexual, and transgender (LGBT) communities, poses a severe threat to the health of LGBT individuals, due to the increase in negative health outcomes. These negative outcomes consist of an increased rate of depression, suicide, anxiety, smoking, alcohol use, and sexually transmitted infections (Garbers, Heck, Gold, Santelli, & Bersamin, 2017; Mayer, Bradford, Makadon, Stall, Goldhammer, & Landers, 2008). The lack of cultural knowledge is detrimental to the individual, with cases linked to improper diagnosis,

It has been two weeks since the world, especially the US, has been startled by the Orlando shooting that took 48 queer lives. Many hearts broken, many eyes weary and tired, yet for my LGBT communities this has been just another day with more than expected victims. Even in the time of crisis, we couldn’t help ourselves; thanks to the stigmatizing FDA ban that profiles us as diseased deviants, once left to die during the AIDS crisis. Much has changed since then. Treatment as prevention and PrEP are leading our health and lifestyle. Despite such progressive moves in the right direction, we are constantly faced with prejudice and ignorance regarding our sexual health as well as our unique medical needs at any physical examination. The cause of

When a person is treated as a disease rather than an actual human being, it exposes a symptom of an even bigger illness within our own society. The LGBTQ+ community has become more accepted in modern times, however, there’s is still hate, and stereotyping that dwells within. Often, when a

BRIDGING THE INFORMATION GAP LGBTQ people continue to face unique health and healthcare disparities that stem from discrimination and stigma, which results in sexual orientation and gender identity not being collected in most health

This study provides in depth look into the effect of coming out in a proud manner rather than limited and held-back. Using a Coming-Out Proud (COP) program, the study was able to evaluate the reactions and feelings of individuals with mental illness who are trying to come out to their friends and family. The study found that individuals who participated in the COP program tested more positively overall from their experience and, most interestingly, had more positive experiences with self-stigma, which is a serious problem in the LGBT+ community. This study also looked at the effects of the COP program on men and women, finding that women showed reduction in depression in their follow-up tests.

The study conducted by Peter A. Vanable et al. [192] examined the impact of stigma-related experiences with a broad spectrum of health seeking behavior among HIV positive men and women. The study findings confirmed that stigma is correlated with psychological adjustment and medication adherence difficulties. These experiences are more frequently among people who disclose their HIV positive status to a broad range of social networks. In some cases there were incidents of increased number of receiving psychiatric care due to the stigma associated with the illness. Some of the PLHIV who missed the regular appointments to ART centers more likely reported stigma related

Concept Artifact Paper Stigma is a part of everyday life for most people. Stigma refers to negative perception of beliefs or attitudes that a certain attributes make a certain group unacceptably different from others. the result of stigma is prejudice or discrimination as well as physical and mental health issues. Group that are usually stigmatized are people with disabilities, mental illness, HIV/Aids and LGBT community. It took a long time, but nearly all medical organizations now agree that being gay is not a “sociopathic personality disturbance,” but there are still medical organizations who prejudice against the LGBT community. The artifact is a journal article from TheAtlantic, titled, “When Doctors Refuse to Treat LGBT Patients” by Emma Green. The article is geared to the educated public and LGBT communities. The article is very lengthy and detailed with lots of information. The article discussed that being lesbian, gay, bisexual, or transgender is not a disease. There are a few organizations that still challenges this view as of 2016. This is happening in Mississippi, physicians and therapist have the right to choose not to provide treatments that conflict with their religious beliefs. “They can refuse treatments that might include sex-change operations, hormone-replacement therapy for transgender people, fertility treatments to same-sex couples, or counseling for patients who are in non-heterosexual relationships” (Green 2016). This is discriminatory against LBGT

Women in general, already experience more psychological distress when compared to men, but the extent to how severe the mental well-being of an individual with HIV or AIDS is experienced more intensely psychologically for males in some cases. This is because in general women tend to experience more depression and anxiety disorders already before they are infected with HIV. Aside from women experiencing higher psychological distress, more men than women report experiencing more suicidal thoughts than women after they have been diagnosed with HIV (Sherr et. al 2012). In one study, researchers found that men experienced higher rates of depression related to being diagnosed with and HIV infection (Gupta et. al 2010). Overall, though, women tend to experience the heavier and onset burdens of discrimination that can lead to high psychological distress. The experience of a perceived life-threatening disease can influence a person’s mental health and HIV is a life threatening disease that carries a stigma that affects the mental health of males and females

Individuals with serious mental illness are doubly affected by their disease; not only do they experience the often debilitating symptoms of their condition, but they must also endure mundane mental health stigmas and prejudices. Stigmatized attitudes are perceived to be one of the greatest impediments to living a complete and fulfilling life. Stigma has been defined as a combination of three related problems: ignorance, prejudice and discrimination (Rose, Thornicroft, Pinfold, & Kassam, 2007). Ignorance implies a lack of knowledge, prejudice entails negative attitudes, and discrimination involves exclusionary actions against people deemed to be different. Two forms of stigma are commonly distinguished in literature. Public stigma describes the attitudes of society towards people with mental illness, while self-stigma results from the internalization of prejudice by people who suffer from mental health conditions (Corrigan, Powell, & Rüsch, 2012). The World Health Organization announced that stigma was the most crucial obstacle to overcome for a community to functioning effectively and efficiently (Ontario Hospital Association, 2013).

Punitive laws and criminalization of same-sex relationships has fueled social stigmatization of gay men and MSM (Altman, et al. 2012). The potential for stigma and discrimination discourages these populations from seeking HIV/AIDS and health related services, which further increases their vulnerability to mental health issues and HIV/AIDS and STI infections, loss of livelihood, destitution, and poverty, and exposes them to an increased risk of loss of life. Previous studies reported a high level of stigma (Crowell, et al. 2017, Stahlman, et al. 2017) verbal abuse, and violence among MSM. Similarly, our study shows that gay men and MSM who disclose sexual orientation to family and friends were subjected to blackmail, physical and emotional violence. Our study findings indicate that it is essential that homosexual acts are decriminalized and progressive policies around access to HIV/AIDS and sexual health are championed in order to ensure that same-sex communities are empowered to utilize health services.