Health Disparities In The LGBT Community

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.

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).

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.

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.

After reading chapter 3: "Prejudice and Discriminations" and as well the article "Transgender African-Americans' Open Wound: ‘We're considered a Joke’”, I have a better understanding of the challenges that certain group undergo due to prejudices and discrimination that exist within their own racial group and other groups of our society. Although the LBGT community has made its social conditions a little more better, there is still those within their group that are even more marginalize, this is the case of a African-American transgender. African Americans transgender face twice as much prejudice and discrimination. They battle prejudice and discrimination from their own racial group and from society because of their skin color and their gender

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

Oppression of minorities has had a detrimental aspect in the associated individual’s lives. History has demonstrated that as a western society, we devalue minorities’ rights and values through legislation and societal views. Today, this remains to be an issue for many individuals of many stigmatized groups. Although efforts to reach a more unified community have been taken, many minorities still fight oppression. Through activism, social and political movements, the LGBTQIA community have progressed immensely throughout the past few decades. History has demonstrated a slow, yet vast amount of success in this marginalized group. Activists endured a long journey toward gaining rights for the community which lead to a modern day civil rights movement for the LGBTQIA community. Although there has been a great amount of successes, non-heterosexual individuals still do not have full equal rights as their heterosexual counterparts. There are still adversities that are being faced in this population that hinder these individuals from thriving. The issue is even greater when the individual has an additional identity that is also marginalized. Specifically, individuals who identify as people of color (POC) and LGBTQIA still encounter prejudice from society.

Based on the discussion from the Williams Institute, it is evident that there continues to be a prevalence of discrimination among groups that are not viewed as culturally acceptable in our county. In this article, it is reported that people are more likely to experience hate crimes based on their sexual orientations. For instance, 44% of people reported experience physical violence (without a weapon) because of their sexual orientation, and 80% had been verbally harassed (Herek, 2009). Although the Hates Crimes Statistic Law became effective in 1990, the stigma surrounding the LGBTQ community continues to affect their everyday life. It may defer a person by identified their sexual orientation for the fear of being discriminating in the workplace,

According to the Center for Disease Control, lesbian, gay, bisexual and transgender people face health inequities that often lead to poorer health outcomes compared with heterosexual people. Some of these inequities include stigma, a lack of healthcare access and difficulty finding doctors well-educated in LGBTQ health issues. If you are a member of the LGBTQ community, you may have encountered some of these challenges in your healthcare journey and may be seeking a comprehensive education on LGBTQ health issues. There are several easy ways to learn more about common LGBTQ health issues.

There is a need for increased culturally meaningful mental health services specific to the LGBTQ community. Members of the LGBTQ community are at increased risk for a number of mental health problems and

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.

The LGBTQ community consists of people who are lesbian, gay, bisexual, transgendered and queer. This diverse group is united based on their shared history of discrimination based on their breaking the norm of heterosexuality. The groups within this community, while vary in experiences, are able to maintain some amount of solidarity by agreeing on the importance of advocating for rights to better the safety of the LGBTQ people. Throughout history prejudice people who look down upon those with differing sexual orientations have bullied, harassed, raped and murdered people from all the categories of the LGBTQ community. It was not until 2009 where President Barrack Obama signed a law that has made it a federal crime to assault someone based on

On the social level, prejudice and discrimination against lesbian, gay, and bisexual people are reflected in the everyday stereotypes of members of these groups. The widespread prejudice, discrimination and violence to which lesbians and gay men are often subjected to mental health concerns. Even though social support is crucial in coping with stress, antigay attitudes and discrimination may make it difficult for lesbian, gay and bisexual people to find such support (APA, 1975).