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

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-06-24

Total Pages: 293

ISBN-13: 0309210658

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.

Caregiving with Pride

Author: Karen I. Frediksen-Goldsen

Publisher: Routledge

Published: 2014-09-19

Total Pages: 173

ISBN-13: 1136577408

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Groundbreaking information for caregivers—and those receiving care It is more common now than ever before for partners, family members, and friends to provide informal care, yet caregiving in the lesbian, gay, bisexual, and transgender (LGBT) communities has received little attention. Caregiving with Pride is the pioneering examination of caregiving experiences in the LGBT population. This important text also provides a frank discussion of the issues involved in needing and receiving care as well. Comprehensive and up-to-date, this both a timely account of an important field and practical information for implementing change. Unique in its focus and scope, Caregiving with Pride offers readers original research and new summaries and analyses of existing literature. With a wide-ranging approach that is both readable and enlightening, this essential collection recognizes the changing nature of families as central to the issues of caregiving and LGBT communities. It features articles that insist on and illustrate the importance of taking both identity issues and socio-cultural policy contexts of caregiving into account. While maintaining a multifaceted biopsychosocial perspective that is critical to understanding the varied aspects of this topic, contributors discuss: the prevalence of caregiving with LGBT communities health issues and the needs of those requiring care the unique risk and protective factors impacting HIV/AIDS caregivers the psychological effects - positive and negative - of caregiving family and personal - “chosen family” - relationships interactions with formal systems of health and long-term care effects of history and social stigma on those needing and giving care how current social policies impede LGBT people in their access to care the ways established medical guidelines hinder LGBT caregivers in their efforts to help existing interventions and opportunities to better sever these communities and much more! While Caregiving with Pride provides a detailed perspective of the current state of this often overlooked field, it also looks ahead and outlines a practical, useable blueprint for future research, services, and policies in marginalized communities. As an informative stand-alone resource, Caregiving with Pride is essential for gerontologists, sociologists, historians, social workers, psychologists, educators, researchers, and policy makers. In addition, this collection is ideal as a supplementary text for students of aging, women studies, GLBT studies, sociology, and health studies as well as the larger GLBT community.

Clinician's Guide to LGBTQIA+ Care

Author: Ronica Mukerjee, DNP, MSN, FNP-BC, MsA, LAc,

Publisher: Springer Publishing Company

Published: 2021-02-24

Total Pages: 220

ISBN-13: 082616921X

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Strive for health equity and surmount institutional oppression when treating marginalized populations with this distinct resource! This unique text provides a framework for delivering culturally safe clinical care to LGBTQIA+ populations filtered through the lens of racial, economic, and reproductive justice. It focuses strongly on the social context in which we live, one where multiple historical processes of oppression continue to manifest as injustices in the health care setting and beyond. Encompassing the shared experiences of a diverse group of expert health care practitioners, this book offers abundant examples, case studies, recommendations, and the most up-to-date guidelines available for treating LGBTQIA+ patient populations. Rich in clinical scenarios that describe best practices for safely treating patients, this text features varied healthcare frameworks encompassing patient-centered and community-centered care that considers the intersecting and ongoing processes of oppression that impact LGBTQIA+ people every day--particularly people of color. This text helps health providers incorporate safe and culturally appropriate language into their care, understand the roots and impact of stigma, address issues of health disparities, and recognize and avoid racial or LGBTQIA+ microaggressions. Specific approaches to care include chapters on sexual health care, perinatal care, and information about pregnancy and postpartum care for transgender and gender-expansive people. Key Features: Emphasizes patient-centered care incorporating an understanding of patient histories, safety needs, and power imbalances Provides tools for clinician self-reflection to understand and alleviate implicit bias Fosters culturally safe language and communication skills Presents abundant patient scenarios including specific dos and don'ts in patient treatment Includes concrete objectives, conclusions, terminology, and references in each chapter and discussion questions to promote critical thought Offers charts and information boxes to illuminate key information

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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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.

Social Isolation and Loneliness in Older Adults

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-05-14

Total Pages: 317

ISBN-13: 0309671035

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Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

The Lives of LGBT Older Adults

Author: Nancy A. Orel

Publisher: American Psychological Association (APA)

Published: 2014

Total Pages: 0

ISBN-13: 9781433817632

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Lesbian, gay, bisexual, and transgendered (LGBT) older adults have unique and varying physical and mental health needs. Yet their experiences have often been ignored in gerontological and LGBT studies. In this important and timely volume, Orel and Fruhauf bring together crucial research from leading experts in the field to shed light on the unique challenges facing this oft-overlooked but growing population. This book uses a life course perspective to investigate how LGBT older adults have been shaped by social stigma and systematic discrimination. Although many of their experiences are similar to those of younger LGBT individuals, LGBT elders grew up in a particularly oppressive time, which continues to impact their well-being. However, these individuals have also developed coping mechanisms to adapt to stigma, discrimination, and the challenges of aging. Thus, the book explores not only the challenges and needs of this population but also their strengths and resilience. The intersection of cultural factors and personal attributes is highlighted.

The Health of Sexual Minorities

Author: Ilan H. Meyer

Publisher: Springer Science & Business Media

Published: 2007-03-12

Total Pages: 740

ISBN-13: 0387313346

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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.

The Queer and Transgender Resilience Workbook

Author: Anneliese A. Singh

Publisher: New Harbinger Publications

Published: 2018-02-02

Total Pages: 224

ISBN-13: 1626259488

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How can you build unshakable confidence and resilience in a world still filled with ignorance, inequality, and discrimination? The Queer and Transgender Resilience Workbook will teach you how to challenge internalized negative messages, handle stress, build a community of support, and embrace your true self. Resilience is a key ingredient for psychological health and wellness. It’s what gives people the psychological strength to cope with everyday stress, as well as major setbacks. For many people, stressful events may include job loss, financial problems, illness, natural disasters, medical emergencies, divorce, or the death of a loved one. But if you are queer or gender non-conforming, life stresses may also include discrimination in housing and health care, employment barriers, homelessness, family rejection, physical attacks or threats, and general unfair treatment and oppression—all of which lead to overwhelming feelings of hopelessness and powerlessness. So, how can you gain resilience in a society that is so often toxic and unwelcoming? In this important workbook, you’ll discover how to cultivate the key components of resilience: holding a positive view of yourself and your abilities; knowing your worth and cultivating a strong sense of self-esteem; effectively utilizing resources; being assertive and creating a support community; fostering hope and growth within yourself, and finding the strength to help others. Once you know how to tap into your personal resilience, you’ll have an unlimited well you can draw from to navigate everyday challenges. By learning to challenge internalized negative messages and remove obstacles from your life, you can build the resilience you need to embrace your truest self in an imperfect world.