Health Disparities And Challenges Of The LGBT Community

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 or not seek health care due to stigma and lack of fair treatment. In other words, they believe that they are discriminated against.

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

Regarding access to healthcare, transgender individuals often face the most obstructive barriers when attempting to receive care. Whether they are seeking access to hormones, therapy, general health services, reproductive healthcare, or specialty healthcare, transgender patients typically cannot get what they need without jumping through many hoops or hiding their identities. This occurs especially so in cases of intersecting identities -- where an individual is not just transgender, but is transgender and a person of color, disabled, gay, indigenous, undocumented, poor, etc. These intersecting identities interact in multifaceted ways to produce even more barriers for trans individuals seeking healthcare due to healthcare provider bias, insurance requirements, and doctors’ general unwillingness to help coupled with inaccessibility founded on racism, transphobia, homophobia, mental illness stigmatization, etc.

was the use of telemedicine in order to reach patients who do not have access to

Relocating into a senior care facilities can be a frightening experience for the aging population. Getting familiar with new surroundings, new organization structure, and new people that can cause anxiety to rise. For a Lesbian, Gay, Bisexual, Transgender and Queer individual, this experience can be traumatic. The fear of harassment, hostility, and neglect by healthcare providers and caretakers can keep LGBTQ people from seeking care until their health begins to critically decline. LGBTQ cultural competency training is highly recommended for healthcare professionals and social service organizations. The greatest barrier that prevents quality health care for LGBTQ people is the lack of competence among the healthcare professionals.

The transgender population often have complicated medical needs and encounter numerous health disparities including discrimination, lack of access to quality health care and social stigma. Some health disparities include various chronic diseases, cancers, as well as mental health issues (Vanderbilt University, 2017). Transgender individuals are at increased risk of HIV infection with their rates being reported “over four times the national average of HIV infection, with higher rates among transgender people of color (Grant, Mottet, Tanis, 2011).” In addition, they usually do not have health insurance (Makadon, 2017) and have a lower probability of preventative cancer screenings in transgender men (AMSA, 2017).

This decision has affected people’s behavior as individuals and public institutions such as family, young, elderly, disabled, LGTB and those with pre-existing conditions. For example, Kates & Ranji (2014) report that health care access and coverage for the lesbian, gay, bisexual, and transgender (LGTB) community in the U.S. face opportunities and challenges when getting access to care. The authors report that LGBT individuals experience some discrimination because of their sexual orientation or gender identity, due to ongoing discrimination, access to health care have been limited to these people (Kaiser Family Foundation, 2014). LGBT individuals not only face discrimination when trying to receive care, but also face difficulties that limit them such as “barriers in obtaining insurance coverage, gaps in coverage, cost-related hurdles, and poor treatment by health care providers” (Kates & Ranji, 2014).

Throughout history, it is evident that inequalities and disparities are part of health systems and society. Even after all the success of activism, such as the work from the human rights movement and campaign, inequalities and disparities are still evident today. Especially within minority groups, such as LGBTQ* (lesbian, gay, bisexual, transgender and queer) individuals – this is not to say that LGBTQ are the only categories when it comes to sexual orientation and gender identities, thus it is followed by a * – and racial groups. Furthermore, it is evident that within minority groups there are specific micro-level groups that experience unique and sometimes even greater amount of inequalities and disparities. For example, the micro-level group of transgender individuals from the LGBTQ* community is one of the many minority groups that experience both medical and social disparities and inequalities.This paper will discuss both the medical and social inequalities and disparities that Transgender Individuals face, including structural violence and intentional violence.

Of the study’s 25 participants, 20 were female-to-male. The authors determined the main problem for the participants was the struggle to find transgender-sensitive health care. The subjects described discrimination by healthcare systems, lack of knowledge and hostility by providers, and lack of health insurance to cover transgender-specific healthcare needs. Some of the FtM participants who had problems with pelvic pain, abnormal uterine bleeding, and a history of abnormal Pap tests kept their gender as female on their insurance so they could still get the care they needed. Using a national cross-sectional survey data set, Shires and Jaffee (2015) reported similar findings. Of the 1,711 FtM participants included in this study, 41.8 percent reported verbal harassment, physical assault, or denial of equal treatment in a doctor’s office or

Sexuality and gender identity issues have had a long history in the fields of mental health and public policy. There has been much debate surrounding the inclusion of issues related to gender and sexual identity in the Diagnostic and Statistical Manual since its initial stages of development (Drescher, 2010). Debates in this field of interest have been fragmented between several stakeholders (Ehrbar, 2010). This fragmentation has created complications in the process of developing United States policies that are inclusive of individuals with gender identities that do not match the gender to which they were assigned at birth. Specifically, policies surrounding gender reassignment surgeries have been difficult to develop and

For many individuals in the LGBTQ+ community, finding healthcare professionals who understand their identities and are receptive to their needs can be difficult. Many in the community feel that they have difficulties finding a practice that will respect their identity and provide them with effective and reliable care. For those specifically in the transgender community, these difficulties can increase exponentially, as many doctors are not properly trained to address the specific health needs that transgender individuals can often require. By his senior year, recent Keene State College graduate Kennedy Redden had noticed that both the staff of his school’s health center and the nearby Planned Parenthood had a distinct lack of knowledge about the needs of transgender students. Because of this, Kennedy decided to write a Transgender Health Manual for the school to use in the general education of its healthcare professionals as his senior capstone piece in Community Health.

While waiting to be seen by your doctor have you ever experienced firsthand how Gay/Lesbian individuals are treated upon entering any healthcare facility? I have experienced myself with a family member and it was heart-breaking. Among having these individuals sometimes think twice about going to any healthcare facility they also worry about insurance coverage. Truthfully, everyone stresses about healthcare coverage. The Affordable Care Act (ACA) was the beginning and reduced rates of the uninsured and made the health system available for these individuals.

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 a need to improve the quality of health care, barriers still remain. LGBT patients face legal discrimination, especially with insurance, a lack of social programs, and limited access to providers competent in LGBT health care. Although the Affordable Care Act increased access to care for LGBT patients, unless these patients feel understood by providers and develop trust in the system, they are not likely to utilize care. Healthcare providers need to recognize how these vulnerabilities, as well as persistent racism and stigma linked to sexual orientation and gender identity, make the healthcare needs of LGBT patients more challenging than the general population. Healthcare providers also need to promote cultural competence within this population and broaden their clinical lens to include health promotion, in addition to addressing concerns mentioned above within the population. Additionally, medical and nursing schools need to ensure that future providers are adequately educated by including information about this population in the curriculum.

A social problem is normally a term used to describe problems with a particular area or group of people in the world. Social problems often involve problems that affect real life. It also affects how people react to certain situations. While differences in racial/ethnic prejudices have been explored extensively in past literature (e.g. Bobo and Zubrinksy’s 1996, study of differential prejudices directed toward Hispanic and Black individuals), little U.S. research has investigated how attitudes toward lesbians, gays, bisexual men, bisexual women, and male-to-female (MtF) and female-to-male (FtM) transgender (henceforth “LGBT”) may differ ( Marcus, 2015).

There are many minorities in the United States of America making it one of the largest melting pots in the world. Unfortunately, due to the vast variety of people, there are many minorities that lack the proper access to healthcare resources that cater to their healthcare needs both mentally and physically. The Lesbian, Gay, Bisexual, and Transgender community, also known as the LGBT community, face many hurdles when it comes to receiving the proper healthcare. They also encompass many different races, religions, ethnicities and social classes. According to a recent national and state-level population-based surveys, “8 million adults in the US are lesbian, gay, or bisexual, comprising 3.5% of the adult population” (Gates, 2011). Lesbian, gay, bisexual, and transgender people face many challenges and barriers accessing the proper health services. Many of the challenges the Lesbian, Gay, Bisexual, and Transgender community faces stems from