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NURS March 5

The document discusses the health disparities faced by the 2SLGBTQ+ community, highlighting issues such as stigma, discrimination, and barriers to healthcare access. It emphasizes the importance of intersectionality and proposes strategies for promoting health equity, including cultural competence, policy advocacy, and community engagement. Additionally, it outlines the social determinants of health that affect this population and suggests interventions to create inclusive healthcare environments.

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3 views5 pages

NURS March 5

The document discusses the health disparities faced by the 2SLGBTQ+ community, highlighting issues such as stigma, discrimination, and barriers to healthcare access. It emphasizes the importance of intersectionality and proposes strategies for promoting health equity, including cultural competence, policy advocacy, and community engagement. Additionally, it outlines the social determinants of health that affect this population and suggests interventions to create inclusive healthcare environments.

Uploaded by

femiawobajo05
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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March 5- 2SLGBTQ+ Health

Guest speaker:

SDOH
●​ Stigma and discrimination
●​ Economic inequalities
●​ Housing instability
●​ Access to healthcare

Health inequalities
●​ Mental health: elevated risk of depression, anxiety, suicidal ideation
●​ Chronic illness: increased risk of cardiovascular disease and diabetes
●​ Substance use: higher rates of alcohol, tobacco, and drug use
●​ Barriers to care: limited access to gender affirming care and inclusive health policies

Intersectionality
●​ Intersectionality: overlapping identities
●​ How multiple forms of oppression compound health inequities
●​ Example: experiences of racialized transgender individuals in healthcare settings

Strategies for promoting health equity


●​ Cultural competent care
○​ Train healthcare providers in 2SLGBTQ+ inclusion
○​ Use inclusive language and practices
●​ Policy Advocacy
○​ Support anti-discrimination policies in healthcare and employment
○​ Promote access to affordable, gender-affirming care
●​ Community engagement
○​ Collaborate with 2SLGBTQ+ organizations for tailored interventions
○​ Engage in participatory research and co-design programs

Addressing barriers to care


●​ Creating safe and affirming spaces in healthcare
●​ Enhancing access to mental health and substance use support
●​ Removing structural barriers: forms, EMR, bathrooms

Health promotion interventions


●​ Individual level interventions
○​ Counseling and peer support groups
○​ Sexual health education
■​ Ex. asking “are you having sex with someone who produces sperm or
eggs” instead of saying male or female
●​ Community level interventions
○​ Awareness campaigns to combat stigma
○​ Resources for housing and employment support
●​ System level interventions
○​ Research to inform policy and practice
○​ Integration of SDOH in healthcare delivery models

Rainbow health ontario


RNAO
Ontario caregiver organization

Lecture:

Sexual Orientation
●​ Sexual orientation can be defined as “a person’s sexual and emotional attraction to
another person and the behavior and/or social affiliation that may result from this
attraction” (APA, 2015a, p. 862)
●​ Dimensions of sexual orientation: self-labeling as heterosexual, gay, lesbian, bisexual,
pansexual, asexual, queer, questioning, etc.

Gender Identity
●​ Gender identity is a complex development of one’s sense of self as a gendered person and
is not the same as physiological sex
Societal Attitudes and Stressors
●​ Heterosexism/heteronormativity
○​ The assumption that you’re straight unless otherwise stated
●​ Cissexism
○​ The assumption that people are cisgender
●​ Homophobia, biphobia, transphobia
○​ Harassment/violence
○​ Discrimination
○​ Social exclusion
●​ Internalized homo/bi/transphobia
Can you think of an example of heterosexism in our healthcare system?
Reflect on whether you regularly use inclusive language when taking a history from a new client

Disclosing Sexual Orientation and gender identity


●​ Disclosure
●​ Transgender youth are especially vulnerable
●​ Disclosing can (at times) support good health and appropriate healthcare
●​ Healthcare provider “neutrality” – can be problematic

●​ For nurses^
●​ How can you implement this recommendation into your current/future practice? What
tangible steps will you take?
●​ What are some unique considerations regarding privacy and confidentiality when
working with 2SLGBTQIA+ people?

Minority Stress model


●​ How can you implement this recommendation into your current/future practice? What
tangible steps will you take?
●​ What are some unique considerations regarding privacy and confidentiality when
working with 2SLGBTQIA+ people?

Social Determinants of Health: Income


●​ Barriers to education and secure employment contribute to income inequality
●​ Myth of gay affluence = poverty issues invisible
●​ Income inequality or wage gap

Social Determinants of Health: Education


●​ Discrimination/harassment in schools is a risk for high school completion
●​ Social and familial support is crucial for positive educational outcomes
●​ GSA’s can greatly increase sense of support and belonging, contributing to overall
well-being
●​ Inclusive curriculum can contribute to sense of belonging and social support
●​ Comprehensive sexual health education contributes to positive health outcomes

Social Determinants of Health: Social Support


●​ Sources and availability of social support differs between locations (rural vs urban)
●​ Supportive families/communities build resilience
●​ Faith-based communities can act as a source of, or barrier to, support
●​ Disproportionate rates of 2SLGBTQIA+ identified youth among homeless and
street-involved youth

Social Determinants of Health: Employment


●​ Workplace harassment or discrimination – may prevent people from being themselves at
work
●​ Inclusive workplace culture/policies fosters safety and belonging
●​ Critical lack of job security for certain segments of the population (in particular those
who identify as trans or non-binary)

Health-Promoting Community Strengths


●​ Safety, acceptance, and support
○​ “I Can Go as Me and Not Be Judged”
●​ Interconnectedness and resource sharing
○​ “We Are Each Other’s Backbone”
●​ Advocacy, collective action, and community potential
○​ “We All Stand Up”

How can health care provider provide safe and inclusive care for 2SLGBTQ+ people?
●​ Reflect - values, beliefs, practices
●​ Inclusive language
●​ Educational material - images
●​ Confidentiality – be transparent
●​ Challenge discrimination

You are a Health Promoter with Public Health


1.​ Select one determinant of health (the “What”)
2.​ Select one “How”
3.​ Develop an intervention to target the 2SLGBTQIA+ community

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