● Cisgender : A person whose biological sex matches their gender identity. ● Gender expression : The way a person presents and behaves. ● Gender identity : How one perceives oneself (man, woman, or otherwise); this gender identity is internal and cannot be seen by others. ● Healthcare disparity : Inequitable differences in healthcare resulting from differences in insurance coverage, access and availability of care, and quality of care received, leading to disparities (differences) in health and/or outcomes. ● Healthcare provider : A person who is licensed, certified, registered, or otherwise authorized by the law of a state to provide healthcare in the ordinary course of business or practice of a profession. 83 ● Heteronormativity : The assumption that all individuals are heterosexual or that heterosexuality is superior. ● HIV+ (Human immunodeficiency virus positive) : Having tested positive for a viral infection that affects CD4 cells, transmitted by contact with blood and body fluids infected with HIV. 84 ● LGBTQ : Lesbian, gay, bisexual, transgender, queer (also may include additional Q for questioning). ● MSM : Men who have sex with men. ● Non-binary (“NB” or “enby”) : a person who does not identify with gender binary of male or female. 85 ● Pansexual : Person who is emotionally, physically, romantically, and/or sexually attracted to people regardless of those people’s gender identity. Resources Many online sites provide education and CME credit related to sexual minority healthcare. The following list represents just a few of the hundreds of available resources. You can search by state and even locally to determine what is in your area. ● The National LGBTQQ+ Health Education Center (https://www.lgbtqiahealtheducation.org/resources/) provides free publications, videos, webinars, and learning modules, many with continuing education credits, on multiple topics including providing inclusive healthcare, understanding disparities, and understanding health needs among others. ● The CDC (https://www.cdc.gov/stophivtogether/hiv- prevention/) provides a variety of healthcare provider trainings along with some clinical care protocols and resources for HIV prevention and treatment. ● The American College of Obstetricians and Gynecologists (https://www.acog.org/clinical/clinical- guidance/committee- opinion/articles/2012/05/ health-care-for-lesbians-and-bisexual-women) provides recommendations for the healthcare of lesbian and bisexual women. ● The Gay and Lesbian Medical Association: Health Professionals Advancing LGBTQ Equality (http:// www.glma.org/index.cfm? fuseaction=Page. viewPage&pageId=534), founded in 1988 for physicians and medical students, is now open to members of other health specialties including nurses. Their mission is to ensure health equality for all sexual minority individuals. On their resource page, there are links for both patients and providers. They also have free webinars and
● Queer : Individuals with non-normative gender identity, sexual orientation, or sexual anatomy (a term that has been used as a slur). ● Sex assigned at birth : Determined by physical genital anatomy. ● Sexual minority : “Those who identify as lesbian, gay, bisexual, or transgender or reported same-sex attraction. 50 " ● Transgender : Term for those whose gender identity does not match that assigned to their physical sex; may or may not use hormones or have had gender confirmation surgery. 86 ● Transman FtM/F2M : Transgender person who lives as a male but was assigned female gender at birth. 87 ● Transwoman MtF/M2F : Transgender person who lives today as a female but was assigned male gender at birth. 87 ● Transition : The period of time during which a person begins to live according to their gender identity. This time frame varies by individual and may or may not include changes in clothing, appearance, identification, hormone therapy, and gender confirmation surgery. 87 ● WSW : Women who have sex with women. ● Ze : Non-gender pronoun used instead of “she” or “he”; ze (subject), hir (object), hirs (possessive pronoun), hirself (reflexive). Pronounced zee. 88 continuing education related to quality healthcare for LGBTQ people and assorted publications. ● Familia es familia (https://www.familiaesfamilia.org/) provides information and links to topics such as family issues, immigration, school, community, discrimination, transgender, same-sex relationships, and student resources for LGBTQ individuals. Many of these are in Spanish and English. ● The Safe Zone Project (https://thesafezoneproject. com/resources/) provides training resources in creating LGBTQ/Ally training and many other links to a variety of topics related to sexual minorities. ● Campus Pride Index (https://www.campuspride index. org/contactus/index) launched in 2007 and provides an assessment of colleges on eight LGBTQ-friendly aspects including safety, housing support, academic and student life, counseling and health, institutional support and commitment, and recruitment. ● The Trevor Project (https://www.thetrevorproject.org/ about/), founded in 1988, provides crisis intervention and suicide prevention 24/7 to LGBTQQ people under the age of 25. In addition to online and telephone service, individuals can chat confidentially via instant messenger or text a counselor any day any time. Text ● HealthSherpa (https://blog.healthsherpa.com/lgbtq- healthcare-resources/) helps individuals find quality, affordable health coverage under the Affordable Care Act. There are also links for people to become involved in political activism. START to 678-678.
Book Code: CT24CME
Page 63
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