Healthcare Disparities in LGBTQ Student's Name Institution Course Professor's Name Date Healthcare Disparities in LGBTQ: How to close the healthcare disparities gap in the LGBTQ community? The bias in health care toward LGBTQ people adds to overall poorer health for the community. Welcome to LGBT Health Matters. The majority of Ugandans are poor and have difficulty accessing health care. Lesbians and bisexual females are more likely to be overweight or obese. The Trump administration has taken several steps to roll back protections for LGBTQ people, including in health care. The Association of Faculties of Medicine of Canada and individual . Washington, DC: National Gay and Lesbian Taskforce; 2009 Nov. 31Cahill S, South K, Spade J. Outing age: Public policy issues affecting gay, lesbian, bisexual and transgender elders. Jami Contreras, whose daughter was refused service by a pediatrician because she had same-sex . The Florida Health Justice Project, a nonprofit organization, recognizes that access to quality and affordable health care is a human right and engages in comprehensive advocacy to expand healthcare access and promote health equity for vulnerable Floridians. U.S. Department of Health & Human Services Found insideVital 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 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. 2007;3:353-75. 19, 20, 21; Lesbians are less likely to get preventive services for cancer . LGBT individuals have higher rates of uninsurance than their heterosexual counterparts, experience worse health outcomes, and often face discrimination in health care settings.1 Additionally, . Access to Healthcare: Non-discrimination. 28Diaz RM, Ayala G, Bein E, et al. 2010;100(3):489-95. • Provide more targeted training as indicated. By working to identify, address, and mitigate the complex issues surrounding LGBTQ health care — both within and beyond a hospital’s or clinic’s doors — public health officials help ensure LGBTQ individuals have access to every opportunity to live healthy and fulfilling lives. Negative experiences with health care providers: Fear of having a negative experience with a health care provider can lead some people to delay or avoid medical care, especially routine care such as early detection tests. Virginia HIV Community Planning Committee and Virginia Department of Health. For instance, out of the LGBTQ youth we surveyed . Available from:В http://www.glma.org/_data/n_0001/resources/live/HealthyCompanionDoc3.pdf [PDF - 2.3 MB], 8Centers for Disease Control and Prevention [Internet]. One such organization is the APHA Center for School, Health and Education, which provides valuable examples of how public health professionals can effectively respond to the inequities faced by the LGBTQ community. LGBTQ+ Americans have long been denied access to health care and services. 12Steele LS, Tinmouth JM, Lu A. Transgender individuals have a high prevalence of HIV/STDs. The Fenway Guide provides guidance, practical guidelines, and discussions of clinical issues pertinent to the LGBT patient and community. Eight percent of LGBTQ respondents reported that within that year a healthcare provider had refused them a visit due to their sexual orientation. The Administration for Community Living (ACL) provided guidance to all grantees funded under the Older Americans Act and the Developmental Disabilities Act regarding federal recognition of same-sex marriages. The book also includes essays by health-care providers, activists and leaders with something to say about the challenges, politics, and opportunities surrounding LGBTQ health issues. Receive the latest updates from the Secretary, Blogs, and News Releases. The HHS Departmental Appeals Board (DAB) overturned a longstanding Medicare National Coverage Determination (NCD) that had provided that “transsexual surgery” would not be covered under Medicare because it was “experimental” and had a high rate of serious complications. Some strides have been made in the area of healthcare access, but many LGBTQ individuals continue to face discrimination, which compromises their health. Medical students’ ability to care for lesbian, gay, bisexual, and transgendered patients. Top Health Issues for LGBT Populations Information & Resource Kit informs health care providers and prevention specialists about the health experiences of LGBT populations. 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 ... 6US Department of Health and Human Services. The following paper under the title 'The Health and the Aspects behind the LGBT Community' presents an overall satisfaction that both the physical state and the emotional StudentShare Our website is a unique platform where students can share their papers in a matter of giving an example of the work to be done. These solutions, all involving improved health data collection, are steps toward better equity in LGBTQ health care access and service. Additionally, the Centers for Disease Control and Prevention (CDC) clarified that its National Breast and Cervical Cancer Early Detection Program is available to eligible transgender women and men. The guidance clarifies that in determining eligibility for these programs, same sex spouses and opposite sex spouses will be treated equally. Scarleteen provides inclusive, comprehensive, supportive sexuality and relationships info for teens and emerging adults. Following the Supreme Court decision finding section 3 of the Defense of Marriage Act (DOMA) unconstitutional, HHS worked with the Department of Justice to review all relevant federal programs to ensure that the decision was implemented swiftly and smoothly. However, 13 states do not have any centers like this. Folx. Atlanta: CDC; 2017. The many benefits of addressing health concerns and reducing disparities include: In order to effectively address LGBT health issues, we need to securely and consistently collect SOGI information in national surveys and health records. With a program focused on applying research to real-world environments, developing evidence-based policies, and working toward creating health systems that foster equity, graduates learn how to become powerful agents of change. Rates of mental health disorders, substance use disorders, and suicide are higher among LGBTQ populations, but . In addition, they have worked to create systemwide policies in school districts that explicitly protect students from discrimination based on sexual orientation and gender identity. Washington: National Gay and Lesbian Task Force; 2009 Nov. 32Lee GL, Griffin GK, Melvin CL. 2001;91(6):953-8.В, A Federal Government Web site managed by the, Office of Disease Prevention and Health Promotion, В» Lesbian, Gay, Bisexual, and Transgender Health. Meet the standards of practice in caring for LGBTQ patients. Tulane University’s School of Public Health and Tropical Medicine offers an Online Master of Public Health devoted to strengthening the health of every community, training graduates to innovate solutions to our nation’s greatest public health challenges. Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. "This report documents some of the obstacles that LGBT people face when seeking mental and physical healthcare services. Public health professionals fill a critical role in advocating for policy change that creates a more equitable healthcare system for all. In this book, Anthony R. D'Augelli and Charlotte J. Patterson bring together top experts to offer a comprehensive overview of what we have discovered--and what we still need to learn--about lesbian, gay, and bisexual identities. For example, LGBTQ individuals might have a greater need than others to receive preventive care, such as the drug PrEP, which significantly reduces the risks of HIV infection if taken daily. These and other challenges create barriers for LGBTQ patients who are seeking and expecting access to culturally competent care. Sexual minority adolescents report a greater incidence of mental health issues such as depression, anxiety, and increased suicidal behaviors than heterosexual adolescents [].In a school-based survey conducted in Boston, Massachusetts (n = 1320), 10% of participants identified themselves as LGBT and 58% of them were females. participants can access training programs at no charge, and the Gay and Lesbian Medical Association (GLMA) provides free access to a four-part webinar series on LGBT healthcare (see Resource List). This population, however, remains underserved and often ill-served in health care environments. • More than two thirds of health care organizations do not require that physicians attend cultural competency training that includes LGBT health issues .11 • The average medical student spends fewer than 5 hours learning about LGBT health issues, and the majority of that time is dedicated to HIV/AIDS .12 Chapter 9: Alcohol use and alcohol-related problems among lesbians and gay men. The solution, according to panelists at a session sponsored by the Harvard T.H. The Health Care Rights Law, as part of the Affordable Care Act (ACA) prohibits sex discrimination, including anti-transgender discrimination, by most health providers and insurance companies, as well as discrimination based on race, national origin, age, and disability.Under the ACA, it is illegal for most insurance companies to have exclusions of transition-related care . Media campaigns that raise awareness of LGBTQ healthcare crises and concerns can target a widespread audience. This would give insurance companies and healthcare providers far-reaching discretion to refuse care to patients based on their own religious or moral beliefs. Pervasive trauma exposure among US sexual orientation minority adults and risk of posttraumatic stress disorder. For example, many Lesbian, Gay, Bisexual and Transgender people are subjected to discrimination and outright violence, and this increases stress and can take a toll on mental health. While more states every year work to pass laws to protect LGBTQ people, we continue to see state legislatures advancing bills that target transgender people, limit local protections, and allow the use Found inside – Page iiThis book covers the scope of current knowledge of cancer in the LGBT community across the entire cancer continuum, from understanding risk and prevention strategies in LGBT groups, across issues of diagnosis and treatment of LGBT patients, ... The relationship between suicide risk and sexual orientation: Results of a population-based study. 25Struble CB, Lindley LL, Montgomery K, et al. National Health Law Program Senior Attorney Abigail Coursolle and former legal fellow Rachel Holtzman provide an-depth look at current protections, and their limitations, and they provide guidance for health care advocates and providers to stand up for LGBTQ people in need of access to quality behavior health care. Health Soc Work. Important Terms and Definitions. LGBT individuals have higher rates of uninsurance than their heterosexual counterparts, experience worse health outcomes, and often face discrimination in health care settings.1 Additionally, . This guarantee of coverage applies to Medicare Advantage beneficiaries in a legally recognized same-sex marriage, regardless of where they live. These officials understand that improving LGBTQ health requires a comprehensive approach. 1 A study published by the Center of American Progress in 2020 . LGBT youth are 2 to 3 times more likely to attempt suicide. LGBTQ youth programs at-a-glance; [updated 2017 Nov 28; cited 2018 Apr 12]. > Access to Healthcare: Non-discrimination. Independent 501(c)(3) FQHC Founded 1971 Integrated Primary Care Model, including Behavioral Health, HIV/STI prevention and care 35,000 patients Half LGBT 10% transgender The Fenway Institute The HHS rules make it easier for family members, including same-sex partners, to make informed care decisions for loved ones who have become incapacitated. Find out how to bridge the health care gap between cisgender heterosexual and queer, trans, and gender-nonconforming individuals. Available from: https://www.cdc.gov/lgbthealth/youth-programs.htm, 9Ward BW, Dahlhamer JM, Galinsky AM, Joesti SS. This training gap can make it difficult for gay and transgender people to receive important information about how to minimize their own health risks. Examples include: The physical environment that contributes to healthy LGBT individuals includes: LGBT health requires specific attention from health care and public health professionals to address a number of disparities, including: A number of issues will need to continue to be evaluated and addressed over the coming decade, including: 1McLaughlin KA, Hatzenbuehler ML, Keyes KM. AIDS Ed and Prev. Am J Public Health. The LGBT (lesbian, gay, bisexual, and transgender) community belongs to almost every race, ethnicity, religion, age, and socioeconomic group. This webinar will provide an overview of a NIMH-sponsored study that adapts an evidence-based mental health intervention for LGBTQ+ youth of color and their families. 14Suicide Prevention Resource Center. National transgender discrimination survey: Preliminary findings. Home Tob Control. The American Medical Association (AMA) ethics rules prohibit doctors from refusing to provide treatment based on sexual orientation or gender identity. Toll Free Call Center: 1-877-696-6775, Content created by Assistant Secretary for Health (ASH), U.S. Department of Health & Human Services, https://obamawhitehouse.archives.gov/the-press-office/presidential-memorandum-hospital-visitation. Compendium of HIV prevention interventions with evidence of effectiveness [Internet]. Public health professionals can be a critical component in advocating for policies to correct this inequity. Finally, LGBTQ populations have higher rates of alcohol, smoking, and other drug use. The Trump administration's Department of Health and Human Services has proposed a rule that would open the door to increased discrimination in health care against LGBTQ people and those who use reproductive health care services. Washington, D.C. 20201 Am J Public Health. Discrimination against LGBT persons has been associated with high rates of psychiatric disorders,1 substance abuse,2, 3 and suicide.4 Experiences of violence and victimization are frequent for LGBT individuals, and have long-lasting effects on the individual and the community.5 Personal, family, and social acceptance of sexual orientation and gender identity affects the mental health and personal safety of LGBT individuals.6, The LGBT companion document to Healthy People 20107 highlighted the need for more research to document, understand, and address the environmental factors that contribute to health disparities in the LGBT community. Med Stud Edu. The Human Rights Watch report “US: LGBT People Face Healthcare Barriers” found that LGBTQ individuals can struggle to find services such as HIV prevention and treatment, hormone replacement therapy, and even basic primary care where they live. Sexual orientation and health among U.S. adults: National Health Interview Survey, 2013 [Internet]. Access to healthcare is a challenge for many in rural communities, but for rural LGBTQ individuals, those challenges are multiplied. LGBT adults in U.S. less likely to have jobs, health insurance. As a result, they require care that sensitively responds to that reality. Many will experience prejudice based on their sexual and/or gender identity as well as the stigma associated with mental illness.” This double stigma can potentially discourage LGBTQ persons from seeking treatment for mental health issues. 20Kruks, G. Gay and lesbian homeless/street youth: Special issues and concerns. 3Herek GM, Garnets LD. Public health professionals must work to show lawmakers and community leaders the benefits of adopting evidence-based solutions, such as public education programs that have had a high success rate in other areas, or medical outreach programs proven to improve the livelihood of LGBTQ individuals. Responses to discrimination and psychiatric disorders among black, Hispanic, female, and lesbian, gay, and bisexual individuals. For instance, before they can enact positive change, lawmakers must fully understand both the human and financial costs to society that result from the LGBTQ community’s compromised access to health care. Michigan Medicine experts discuss how they provide equitable care to a diverse community. Found insideProviding advice on how professionals working with autistic trans youth and adults can tailor their practice to best serve their clients and how parents can support their trans autistic children, this book increases awareness of the large ... By Linda Carroll, Reuters Health. Tulane University’s Online Master of Public Health offers students the opportunity to study under the guidance of accomplished health innovators devoted to the public good. 26Herbst JH, Jacobs ED, Finlayson TJ, et al. They could hold educational outreach programs and events to give insight about these issues to people who may not be part of the LGBTQ community. Reduced access to high-quality health care has real and measurable effects on the health of LGBTQ people. Hyattsville (MD): National Center for Health Statistics; 2014 [cited 2018 Apr 12]. And while these individuals often have . LGBTQ Health They include people of all races and ethnicities, all ages, all socioeconomic statuses, and from all parts of the country. This book examines the health outcomes and risk factors that gender and sexual minority groups face while simultaneously providing evidence-based clinical recommendations and resources for meeting their health needs. All transgender women who have taken hormones may receive breast cancer screening under the program, subject to other eligibility standards. Available from: https://www.cdc.gov/hiv/research/interventionresearch/compendium/. HHS announced its first post-Windsor guidance clarifying that Medicare Advantage beneficiaries with a same-sex spouse have equal access to coverage for care in a skilled nursing facility in which a spouse is located. This policy states that hospitals receiving Medicare or Medicaid payments should allow patients to designate visitors, regardless of sexual orientation, gender identity, or any other non-clinical factor. 22Buchmueller T, Carpenter CS. There are more than 100 specialties in the field of medicine. . 2005;19(suppl 1):49-55. The […] Discover how earning an Online Master of Public Health from Tulane University can launch a career serving local communities and promoting a healthier life for everyone, including the LGBTQ community. For the last year and a half, Flemmer has worked in Seattle as a nurse practitioner . "An analysis of the destruction the Trump administration has waged on our institutions, the cultural norms we hoped would save us, and our very sense of identity"-- Queer Blues is the only guide to focus on the triggers of depression specific to the gay and lesbian community and to offer concrete strategies to overcome them. 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. The health, health-related needs, and lifecourse experiences of transgender Virginians. 3 Organizations Increasing Access To LGBTQ Healthcare. The general public might believe that these barriers are related to choices. Public health professionals can play a critical role in improving LGBTQ health access. They will work across the NHS to ensure that the needs of LGBT people are considered throughout the health system. Healthy People 2010. History & Development of Healthy People 2020, Lesbian Gay Bisexual and Transgender Health, Health Communication and Health Information Technology, Health-Related Quality of Life & Well-Being, Centers for Medicare & Medicaid Services: Final Rule on Changes to Hospital Conditions of Participation to Ensure Visitation Rights for All Patients, HealthCare.gov: Health Care Coverage Options for Same Sex Couples, U.S. Department of Health and Human Services: Health and Well-Being for Lesbian, Gay, Bisexual and Transgender Americans, National Clearinghouse on Family and Youth: Lesbian, Gay, Bisexual, Transgender, and Questioning Youth, CDC: Lesbian, Gay, Bisexual and Transgender Health, Institute of Medicine: The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding (2011), CDC National Health Statistics Report: Sexual Behavior, Sexual Attraction, and Sexual Identity in the United States: Data From the 2006-2008 National Survey of Family Growth (2011), CDC MMWR: Sexual Identity, Sex of Sexual Contacts, and Health-Risk Behaviors Among Students in Grades 9-12 - Youth Risk Behavior Surveillance, Selected Sites, United States, 2001-2009 (2011), CDC MMWR: CDC Health Disparities and Inequalities Report - United States (2011), A Provider's Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender Individuals, Top Health Issues for LGBT Populations Information and Resource Kit, Medline Plus – Gay, Lesbian, Bisexual and Transgender Health, Centers for Medicare & Medicaid Services: Sexual and Gender Minority Clearinghouse, http://www.glma.org/_data/n_0001/resources/live/HealthyCompanionDoc3.pdf [PDF - 2.3 MB], https://www.cdc.gov/lgbthealth/youth-programs.htm, https://www.cdc.gov/nchs/data/nhsr/nhsr077.pdf [PDF - 200 KB], https://www.samhsa.gov/data/sites/default/files/NSDUH-SexualOrientation-2015/NSDUH-SexualOrientation-2015/NSDUH-SexualOrientation-2015.pdf [PDF - 1.1 MB], http://www.sprc.org/sites/default/files/migrate/library/SPRC_LGBT_Youth.pdf, https://www.cdc.gov/hiv/research/interventionresearch/compendium/, https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/cdc-msm-508.pdf [PDF-78KB], http://www.vdh.virginia.gov/epidemiology/DiseasePrevention/documents/pdf/THISFINALREPORTVol1.pdf [PDF - 646 KB], U.S. Department of Health and Human Services, Behavioral Risk Factor Surveillance Survey (BRFSS), National Health and Nutrition and Examination Survey (NHANES), National Crime Victimization Survey (NCVS), National Health Interview Survey (NHIS) – added in 2013, National Survey of Drug Use and Health (NSDUH) – added in 2015, Reductions in disease transmission and progression, Collecting SOGI data in health-related surveys and health records in order to identify LGBT health disparities, Appropriately inquiring about and being supportive of a patient's sexual orientation and gender identity to enhance the patient-provider interaction and regular use of care, Providing medical students with training to increase provision of culturally competent care, Implementing antibullying policies in schools, Providing supportive social services to reduce suicide and homelessness among youth, Curbing human immunodeficiency virus (HIV)/sexually transmitted infections (STIs) with interventions that work, Legal discrimination in access to health insurance, employment, housing, marriage, adoption, and retirement benefits, Lack of laws protecting against bullying in schools, Lack of social programs targeted to and/or appropriate for LGBT youth, adults, and elders, Shortage of health care providers who are knowledgeable and culturally competent in LGBT health, Access to recreational facilities and activities.
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