Full Description
Get the comprehensive resource for LGBT public health issues!
Public health services for sexual minorities have suffered from practitioners' lack of knowledge about sexual or gender orientation, specific health concerns, and inherent system homophobia and heterosexism. The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health: A Practitioner's Guide to Service provides a unique focus on LGBT public health, offering positive direction for practitioners looking for guidance in methods to ensure a healthy community for all while taking into consideration the special needs of sexual minorities.
Ignorance and fear by both practitioners and LGBT clients leads to less-than-optimum public health services. The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health extensively discusses these issues clearly, working to foster cultural competency among public health professionals. This book lays the groundwork for better understanding of LGBT health issues and their relationship to overall public health, then delves into the research on how incorporating LGBT cultural competency can improve academic institutions and continuing education programs. The problem of providing health care access and the health issues burdening each segment of the LGBT community are discussed in detail, all with a focus on providing effective solutions to tough challenges. Clear strategies are also presented for improving city, county, state, and national public health infrastructures and policies. The issue of productive and safe work environments in business and the private sector for LGBT individuals is addressed, along with a close look at the advantagesand pitfallsof media and Internet resources. Many chapters are illustrated with tables and diagrams; each chapter is exhaustively referenced, includes useful lists of selected resources, and asks questions to spark thought on the issues as they pertain to the reader's circumstances.
The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health discusses:
the inequities in health care for LGBT people
overt prejudice, discrimination, disdain, or outright denial of services
assumption by health professionals of risk factors based on sexual or gender orientation rather than individual behaviors and health history
unwitting expression of biases of many public health practitioners
the effect of social stigma on public health care services
LGBT cultural competency framework for institutions of higher learning and professional organizations
LGBT awareness, sensitivity, and competency training
sexually transmitted diseases
reproductive cancers
intimate partner violence
noncommunicable diseases among gay and bisexual men
'down low' behavior (avowed straight men with spouses having sex with other men) as public health issue
AIDS-related malignancies
transsexuals and transphobia
hormonal therapy
sex reassignment surgery (SRS)
mental health needs of transsexuals, cross-dressers, and intersex individuals
barriers to health care access
insurance systems
confidentiality of medical records
substance use
health care issues for LGBT youth and young adults
health care needs of LGBT elders
recommendations for improvement of health and welfare services
The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health is a one-of-a-kind resource for LGBT public health issues, essential for public health professionals, practitioners, health services professionals, substance abuse counselors, disease intervention specialists, public health advisors, community health service administrators, community based agencies, and community health nurses. Educators in community hea
Contents
About the Editor
Contributors
Foreword (Claude Earl Fox)
Preface
Acknowledgments
PART I: INTRODUCTORY MATERIALS
Chapter 1. The Nomenclature of the Community: An Activist's Perspective (Joshua L. Ferris)
Introduction
Coming Out
Stereotypical Lifestyles
Gender Identity
Conclusion
Questions to Consider
Chapter 2. The Role of Public Health in Lesbian, Gay, Bisexual, and Transgender Health (Patricia D. Mail and Walter J. Lear)
Introduction
What Is Public Health?
Research and Public Health
The LGBT Health Movement Emerges and Thrives
The HIV Pandemic Challenges the LGBT Health Movement and Public Health
Community Health Programs and Services
The U.S. Public Health Service
LGBT Health Objectives for the Nation
Future Directions and Research Needs
Chapter 3. Lesbian, Gay, Bisexual, and Transgender Public Health Research (Randall L. Sell and Vincent M. B. Silenzio)
Introduction
Background
What Is Sexual Orientation and Gender and Why Are Definitions Important?
How Are LGBT People Identified for Public Health Research?
A Framework for the Investigation of LGBT Public Health
Limitations of Research Methods for Investigating LGBT Health
Discussion
Questions to Consider
PART II: ACADEMIA
Chapter 4. Lesbian, Gay, Bisexual, and Transgender Cultural Competency for Public Health Practitioners (Katherine L. Turner, Wayne L. Wilson, and M. Kate Shirah)
Introduction and Background
Context for Terminology and Definitions
Rationale
An LGBT Cultural Competency Framework
LGBT Awareness, Sensitivity, and Competency Training
Conclusion
Questions to Consider
PART III: THE COMMUNITY
Chapter 5. Lesbian and Bisexual Women's Public Health (Amy Baernstein, Wendy B. Bostwick, Kathleen R. Carrick, Patricia M. Dunn, Kim W. Goodman, Tonda L. Hughes, Nina Markovic, Jeanne M. Marrazzo, and Helen A. Smith)
Introduction
Sexually Transmitted Diseases and Infections
Alcohol Use and Abuse
Tobacco Use
Cardiovascular Disease
Reproductive Cancers
Intimate Partner Violence and Lesbians
Questions to Consider
Chapter 6. Public Health and Gay and Bisexual Men: A Primer for Practitioners, Clinicians, and Researchers (Scott D. Rhodes and Leland J. Yee)
Introduction
Who Are Gay and Bisexual Men?
The Health of Gay and Bisexual Men
Infectious Diseases Among Gay and Bisexual Men
Noncommunicable Diseases Among Gay and Bisexual men
Homophobia and Health
An Effective HIV-Prevention Strategy
Suggested Approaches and Considerations for Practitioners, Clinicians, and Researchers
Conclusion
Questions to Consider
Chapter 7. The Whole Person: A Paradigm for Integrating the Mental and Physical Health of Trans Clients (Sheila C. Kirk and Claudette Kulkarni)
Introduction
Relevant Terms
Mental and Emotional health
Mental Health Needs of Transsexuals
Physical Health
Male-to-Female Transsexuals
Female-to-Male Transsexuals
Conclusion
Selected Resources
Questions to Consider
Recommended Readings
PART IV: HEALTH CARE DELIVERY SYSTEM
Chapter 8. Barriers to Health Care Access (Manuel Hernandez and Shawn L. Fultz)
Introduction
Institutional Barriers to LGBT Health Care
Provider-Based Barriers to LGBT Health Care
Patient-Based Barriers to LGBT Health Care
Provid
