● 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” (Ceceras et al., 2017). ● 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 (Intersex Society of America, n.d.). ● Transman FtM/F2M : Transgender person who lives as a male but was assigned female gender at birth (National Center for Transgender Equality, 2016). References Aisner, A. J., Zappas, M., Marks, A. (2019). Primary care for lesbian, gay, bisexual, transgender and queer/ questioning (LGBTQQ) patients. The Journal for Nurse Practitioners, (16) 281-285. American College of Obstetricians and Gynecologists. (2016). 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American Journal of Preventive Medicine, 46 (4), 337-349. https://doi.org/10.1016/j.amepre.2013.11.010 Boehmer, U. (2018). LGBTQ population’s barrier to cancer care. Seminars in Oncology Nursing, 34(1): 21-29. Caceres, B. A., Brody, A., Luscombe, R. E., Primiano, J. E., Marusca, P., Sitts, E. M., & Chyuh, D. (2017). A systematic review of cardiovascular disease in sexual minorities. Am J Public Health, 107 (4): e13-e21. https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC5343694/ Caceres, B., Streed, C. G., Corliss, H. L., Lloyd-Jones, D. M., Matthews, P. A., Mukherjee, M., Poteat, T., Rosendale, N., & Ross, L. M. (2020). Assessing and addressing cardiovascular health in LGBTQQ adults: A scientific statement from the American Heart Association. Circulation, 142 (19) e321-e332. https://www. ahajournals.org/doi/full/10.1161/CIR.0000000000000914 Centers for Disease Control and Prevention. (n.d.). Lesbian, gay, bisexual, transgender persons and tobacco use. MMWR, 63 (47), 1108-1112. https://www.cdc.gov/tobacco/disparities/lgbt/ Centers for Disease Control and Prevention. (2019). HIV and transgender people. Division of HIV/AIDS Prevention. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB. https://www.cdc.gov/hiv/group/ gender/transgender /index.html Centers for Disease Control and Prevention. (2020a). About HIV. https://www.cdc.gov/hiv/basics/whatishiv. html Centers for Disease Control and Prevention. (2020b). HIV and gay and bisexual men. Division of HIV/AIDS Prevention National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. https://www.cdc.gov/hiv/ group/msm/index.html DeSalvo, K. (2015). Healthy People 2020 progress review: Social determinants of health and lesbian, gay, bisexual, and transgender health. https://pdf4pro.com/view/healthy-people-2020-progress-review-social- 7613f.html Dorsen, C. & van Devanter, N. (2016). Open arms, conflicting hearts: Nurse- practitioner’s attitudes towards working with lesbian, gay, and bisexual patients. J Clin Nurs., 25 (23-24): 3716-3727. https://doi.org/10.1111/ jocn.13464 GLMA. (2006). Guidelines for the care of lesbian, gay, bisexual, and transgender patients. http://www.glma. org/index.cfm? fuseaction=Page.viewPage&pageId=622&parentID=534 Gonzales, G. & Henning-Smith, C. (2017). Health disparities by sexual orientation: Results and implications from the behavioral risk factor surveillance system. Journal of Community Health 42 : 1163-1172. Health and Human Services. (2015). Access to healthcare: Affordable care act. U.S. Department of Health and Human Services. https://www.hhs.gov/programs/topic- sites/lgbt/accesstohealthcare/affordablecareact/ index.html Health Research & Educational Trust. (2013). Becoming a culturally competent healthcare organization. https://www.aha.org/system/files/hpoe/Reports- HPOE/becoming-culturally-competent-healthcare- organization.PDF Healthline. (n.d.). What does it mean to identify as nonbinary? https://www.healthline.com/health/ transgender/nonbinary Herman, J. L., Brown, T., & Haas A. P. (2019). Suicide thoughts and attempts among transgender adults. Williams Institute Law . https://williamsinstitute.law.ucla.edu/publications/suicidality-transgender-adults/ Holzberg, J. L., Ellis, R., Virgile, M., Nelsom, D. V., Edgar, J., Phipps, P., & Kaplan, R. (2018). Assessing feasibility of asking about gender identity in the current population survey: Results from focus groups and members of the transgender population . https://www.census.gov /content/dam/Census/library/working- papers/2018/adrm/rsm2018-05.pdf Intersex Society of America. (n.d.). FAQ: Transgender . https://isna.org/faq/transgender/ Kates, J., Ranji, U., Salganicoff, A., & Dawson, L. 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● Transwoman MtF/M2F : Transgender person who lives today as a female but was assigned male gender at birth (National Center for Transgender Equality, 2016). ● Transition : The period of time during which a person begins to live according to their gender identity. This varies by individual and may or may not include changes in clothing, appearance, identification, hormone therapy, and gender confirmation surgery (National Center for Transgender Equality, 2016). ● 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; Western Oregon University, n.d.). Martin, M. & Vaughn, B. (2021). Cultural competence: The nuts and bolts of diversity and inclusion. Diversity Officer Magazine. https://diversityofficermagazine.com/cultural- competence/cultural-competence-the-nuts- bolts-of-diversity-inclusion-2/ Martos, A. J., Wilson P. A., Gordon, A. R., Lightfoot, M., Meyer, I. H. (2018). “Like finding a unicorn”: Healthcare preferences among lesbian, gay, and bisexual people in the United States. Soc Sci Med 208 : 126- 133. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382457/pdf/nihms-1006315.pdf McElroy, J. A., Haynes, S. G., Eliason, M. J., Wood, S. F., Gilbert, T., Barker, L., & Minnis, A. M. (2016). Healthy weight in lesbian and bisexual women aged 40 and older: An effective intervention in 10 cities using tailored approaches. Women’s Health Issues, 26, s18-s35. https://doi.org/10.1016/j.whi.2016.05.002 McNair, R. P. & Hegart, K. (2010). Guidelines for primary care of lesbian, gay, and bisexual people: A systematic review. Annals of Family Medicine 8 (6): 533-541. Mead, D. R., Dana, R. C., & Carson, C. A. (2017). The primary care approach to lesbian, gay, bisexual, transgender, and queer/questioning populations. Consultant 57 (2). https://www.consultant360.com/articles/ primary-care-approach-lesbian-gay- bisexual-transgender-and-queerquestioning-populations?page=2 Medina, C. & Mahowald, L. (2020). Repealing the affordable care act would have devastating impacts on LGBTQQ people. Center for American Progress. https://www.americanprogress.org/issues/LGBTQq-rights/ news /2020/10/15/491582/repealing-affordable-care-act-devastating-impacts-LGBTQq-people/ Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychol Bull, 129 (5):674-697. https://dx.doi.org/10.1037% 2F0033-2909.129.5.674 Mirza, S. A. & Rooney, C. (2018). Discrimination prevents LGBTQQ people from accessing health care. Center for American Progress. https://www.americanprogress.org/issues/LGBTQ/news/2018/01/18/445130/ discrimination-prevents-LGBTQq-people-accessing-healthcare/ National LGBTQQIA+ Health Education Center (2016). Ten things: Providing an inclusive and affirmative health care environment for LGBTQ people. Fenway Institute. https://www.lgbthealtheducation.org/ publication/ten-things/ New Jersey Institute of Technology. (n.d.). LGBTQQ+ Terminology. https://www.njit.edu/diversityprograms/ lbgtq-terminology NPWH. (2018). Healthcare for transgender and gender non-conforming individuals. Women’s Healthcare: A clinical journal for NPs 6 (1): 16-19. https://www.npwomenshealthcare.com/transgender-gender-non- conforming/ Office of Disease Prevention and Health Promotion. (n.d.a). Access to health services. https://www. healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services Office of Disease Prevention and Health Promotion. (n.d.b). Healthy People 2030: LGBTQ. https://health. gov/healthypeople/search? query=lgbt&f%5B0%5D=aggregated_topic%3A84 Office of Disease Prevention and Health Promotion. (2020a). Healthy People 2030. About the objectives. U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/ about-objectives Office of Disease Prevention and Health Promotion. (2020b). Lesbian, gay, bisexual, and transgender health . U.S. Department of Health and Human Services. https://libanswers.usc.edu/faq/273132 Redding, B. (2014). LGBTQ substance use-beyond statistics. Social Work Today , 14 (4), 8. http://www. socialworktoday.com/archive/070714p8.shtml Sekoni, A., Gale, N., Magna-Atangana, B., Bhadhuri, A., & Jolly, K. (2017). The effects of educational curricula and training on LGBTQ-specific health issues for healthcare students and professionals: A mixed- method systematic review. Journal of the International AIDS Society, 20 (1): 21624. https://doi.org/10.7448/ IAS.20.1.21624 Smith, S. K. & Turell, S. C. (2017). Perceptions of healthcare experiences: Relational and communicative competencies to improve care for LGBTQ people. Journal of Social Issues , 72 (3): 637-657. https://doi. org/10.1111/josi.12235 Sprik, P. & Gentile, D. (2020). Cultural humility: A way to reduce LGBTQQ health disparities at the end of life. American Journal of Hospice and Palliative Medicine, 37 (6): 404-408. Substance Abuse and Mental Health Services Administration. (2020). 2019 national survey on drug use and health: Lesbian, gay, & bisexual (LGB) adults . https://www.samhsa.gov/data/report/2019-nsduh-lesbian-gay- bisexual-lgb-adults The AGREE Consortium. (2013). Appraisal of guidelines for research & evaluation II . https://www.agreetrust. org/wp-content/uploads/2013/10/AGREE-II-Users-Manual-and- 23-item-Instrument_2009_UPDATE_2013.pdf University of California Davis. (n.d.). LGBTQIA resource center glossary . https://lgbtqia.ucdavis.edu/educated/ glossary Veltman, A. & La Rose, T. (2019). LGBTQQ mental health: What every clinician needs to know. Psychiatric Times, 36 (12). https://www.psychiatrictimes.com/view/lgbtq-mental- health-what-every-clinician-needs-know Wang, H. L. (2018). 2020 census will ask about same-sex relationships . https://www.npr. org/2018/03/30/598192154/2020-census-will-ask-about-same-sex- relationships Western Oregon University. (n.d.). Safezone pronouns . https://transequality.org/issues/resources /frequently- asked-questions-about- transgender-people White, A., Thompson, T. D., White, M. C., Sabatino, S. A., de Moor, J., Doria-Rose, P. V., Geiger, A. M., & Richardson, L. C. (2017). Cancer screening test use-United States 2015. MMWR Morbidity Weekly Report, 66 (8): 201-206. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5657895/ Whitehead, J., Shaver, J., & Stephenson, R. (2016). Outness, stigma, and primary healthcare utilization among rural LGBTQ populations. PLoS ONE 11 (1): e0146139. https://doi.org/10.1371/journal. pone.0146139 World Health Organization. (2009). 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