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Health Care Disparities And The Lgbt Population

Author: Vickie L. Harvey
Publisher: Lexington Books
ISBN: 0739187031
Size: 62.82 MB
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This co-edited volume addresses a population of people whose lack of health care access, mistreatment in health care settings, and refusal of health care services are often omitted from discussions about health care disparities and insurance reform. The perspectives and needs of LGBT people should be routinely considered in public health efforts to improve the overall health of every person and eliminate health disparities. Previous research suggests that LGBT people experience worse health outcomes than their heterosexual counterparts. Differences in sexual behavior account for some of these disparities, but others are associated with social and structural inequities. Low rates of health insurance coverage, high rates of stress due to systematic harassment, stigma, and discrimination, and a lack of cultural competency in the health care system frequently manifest in negative health-related behaviors. The lack of data collection on sexual orientation and identity in state and federal health care surveys leads to inadequate information about LGBT populations and impedes the establishment of health programs and public policies that benefit them. This volume’s research will increase people’s understanding of the social and structural inequalities that LGBT populations experience. With its diverse perspectives, this book will not only benefit LGBT people, but will also more broadly improve the lives of entire communities, medical care, and prevention programs and services. Improvements to our country’s health care system should go beyond providing universal insurance and should ensure equitable health care for all.

Lesbian Gay Bisexual And Transgender Healthcare

Author: Kristen Eckstrand
Publisher: Springer
ISBN: 3319197525
Size: 39.40 MB
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Written by experienced clinicians and edited by Vanderbilt Program for LGBTI Health faculty, this book contains up-to-date expertise from physicians renowned for their work in LGBT health. This important text fills an informational void about the practical health needs of LGBT patients in both the primary care and specialty settings remains, and serves as a guide for LGBT preventive and specialty medicine that can be utilized within undergraduate medical education, residency training, and medical practice. Beginning with a short review of LGBT populations and health disparities, it largely focuses on the application and implementation of LGBT best practices within all realms of medical care. In addition, the book offers recommendations for the integration of LGBT health into systems-based practice by addressing intake forms and electronic health records, as well as evidence-based emerging concerns in LGBT health. This is a must-have volume for medical students, residents, and practicing physicians from all medical specialties.

Primary Care

Author: Terry Mahan Buttaro
Publisher: Elsevier Health Sciences
ISBN: 0323075010
Size: 33.21 MB
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Written by and for Nurse Practitioners from a unique collaborative perspective, Primary Care: A Collaborative Practice, 4th Edition, prepares you to provide care for all of the major disorders of adults seen in the outpatient setting. Evidence-based content reflects the latest guidelines for primary care of hundreds of conditions, including hypertension, diabetes, and sexually transmitted infections. Now in full color, the 4th Edition includes chapters on emerging topics such as genetics, obesity, lifestyle management, and emergency preparedness. Combining a special blend of academic and clinical expertise, the author team provides a practical text/reference that promotes a truly collaborative primary care practice. Comprehensive, evidence-based content incorporates the latest standardized guidelines for primary care in today's fast-paced, collaborative environment. Unique! A collaborative perspective, reflecting the key roles of NPs, MDs, PAs, PharmDs, and others, promotes seamless continuity of care. A consistent format from chapter to chapters facilitates learning and clinical reference value. Diagnostics and Differential Diagnosis boxes provide a quick reference for diagnosing disorders and helping to develop effective management plans. Physician Consultation icons highlight situations or conditions in which consultation is either recommended or necessary. Emergency Referral icons identify signs and symptoms that indicate the need for immediate referral to an emergency facility. Co-management with Specialists discussions help you provide truly collaborative care in the outpatient setting. Complementary and alternative therapies are addressed where supported by solid research evidence. NEW Inclusion of evidence-based guidelines for such topics as hypertension, diabetes, advanced cardiac life support, coronary artery disease, and sexually transmitted infections equips you to provide state-of-the-science primary care in these key areas. An expanded emphasis on caring for the elderly, italicized for easy identification, equips you to provide high-quality care for our aging population. NEW Obesity and Weight Management chapter explores the causes of and risk factors for obesity, and provides in-depth strategies for its management and prevention. NEW Genetic Considerations in Primary Care chapter helps you look at primary care with a genetic perspective, focusing on risk assessment, family history-taking, and direct-to-consumer genetic testing. NEW Lifestyle Management chapter offers guidelines for helping patients to increase their quality and length of life through nutrition and diet, smoking cessation, avoidance of lifestyle-related illnesses, and curbing domestic violence. NEW Emergency Preparedness, Recognition, and Response in Primary Care chapter addresses the emerging role of primary care providers in responding to outbreaks, pandemics, and disasters. NEW Neuropsychological Evaluation chapter explains when to refer patients with cognitive difficulties for neuropsychological testing. NEW Environmental Allergies chapter addresses increasingly common allergy complaints. NEW full-color design makes the text easier to read and easier to use, with key assessment findings shown in true-to-life color photos. Expanded The Changing Landscape of Collaboratve Practice chapter covers new partners in collaborative practice (DPTs and PharmDs), new venues for collaborative practice (such as retail health), and the future of collaborative practice (including health care reform, the patient-centered medical home, telehealth, and electronic medical records). Expanded Health Literacy, Health Care Disparities, and Culturally Competent Care chapter includes a section on health care disparities in the treatment of patients with diabetes and LGBT patients. Expanded Principles of Geriatric Primary Care and Common Geriatric Syndromes chapter provides greater emphasis on the care of older adults, including additional information on advance directives.

Diversity And Cultural Competence In Health Care

Author: Janice L. Dreachslin
Publisher: John Wiley & Sons
ISBN: 1118282167
Size: 20.72 MB
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Major changes are occurring in the United States population and the nation's health care institutions and delivery systems. Significant disparities in health status exist across population groups. But the health care enterprise, with all its integrated and disparate parts, has been slow to respond. Written by three nationally known scholars and experts, Diversity and Cultural Competence in Health Care: A Systems Approach is designed to provide health care students and professionals with a clear understanding of foundations, philosophies, and processes that strengthen diversity management, inclusion, and culturally competent care delivery. Focusing on current practice and health care policy, including the recently passed Patient Protection and Affordable Care Act of 2010 (ACA), this textbook integrates strategic diversity management, self-reflective leadership, and the personal change process with culturally and linguistically appropriate care into a cohesive systems-oriented approach for health care professionals. The essentials of cultural competence and diversity management covered in this text will be helpful to a wide variety of students because they encompass principles and practices that can be realistically incorporated into the ongoing work of any health care field or organization. Each chapter contains learning objectives, summary, key terms, and review questions and activities designed to allow students to understand and explore concepts and practices identified throughout the text.

The Handbook Of Lesbian Gay Bisexual And Transgender Public Health

Author: Michael Shankle
Publisher: Routledge
ISBN: 1136573550
Size: 57.33 MB
Format: PDF, Kindle
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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 advantages—and pitfalls—of 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

The Health Of Lesbian Gay Bisexual And Transgender People

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309210658
Size: 70.72 MB
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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.

Current Issues In Lesbian Gay Bisexual And Transgender Health

Author: Jay Harcourt
Publisher: Routledge
ISBN: 1136576002
Size: 46.90 MB
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Learn what resources are needed for lesser-recognized LGBT health issues Most literature that explores LGBT health issues concentrates on HIV/AIDS while leaving research studies on other vital issues lacking. Current Issues in Lesbian, Gay, Bisexual, and Transgender Health addresses this inadequacy by presenting a broad range of LGBT health issues from an interdisciplinary and mixed-method perspective. Leading experts present both quantitative and qualitative descriptions of health issues among various population groups, focusing on those topics poorly represented in present-day literature. This book is a strong start to fill in the blanks about unrealized health issues of LGBT individuals and offers insights into the resources needed to address them. Methods to assess sexual orientation and gender identity are not normally found in most population-based research. Because of the diversity within the relatively small LGBT population, research has been forced to generalize, making it less likely to effectively contribute to quality health issue data for these individuals. The research presented in Current Issues in Lesbian, Gay, Bisexual, and Transgender Health takes particular care to specify how the orientation and sexual identity of study participants was measured. This book carefully mines previously unrevealed health disparities among LGBT populations across a broad spectrum of diseases—beyond the standard focus on HIV/AIDS. The most current and important studies are presented, including rare research on transgender health issues. The chapters are extensively referenced, and several include figures and tables to clarify and enhance understanding of the information. The wide range of topics in Current Issues in Lesbian, Gay, Bisexual, and Transgender Health include: the inclusion of sexual orientation questions in research studies comparison of mental health issues between women of different sexual orientations mental health issues among men of different sexual orientations and HIV status in Australia the impact of sexual identity distress and social support in GLBT youth issues transgender youth health issues female-to-male (FTM) transexuals’ experiences accessing health care research on LBT domestic violence survivors health needs of male-to-female (MTF) transgenders of color Current Issues in Lesbian, Gay, Bisexual, and Transgender Health is crucial, thought-provoking reading for researchers working in LGBT health, public health professionals working in community health and LGBT health, policymakers, advocates, public health and community health faculty, and students interested in LGBT health issues.

Toward Equity In Health

Author: Barbara C. Wallace, PhD
Publisher: Springer Publishing Company
ISBN: 9780826103680
Size: 35.10 MB
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This essential collection presents a state-of-the-art framework for how workers in public health and related disciplines should conceptualize health disparities and how they should be addressed worldwide. The contributors, who are leading public health professionals, educators, and practitioners in complimentary fields advance new evidence-based models designed to mobilize and educate the next generation of research and practice. The resulting chapters articulate new theory, procedures, and policies; the legacy of racism; community-based participatory research; new internet technology; training community workers and educators; closing the education and health gap; and addressing the needs of special populations. Toward Equity in Health is an essential book for all who are working toward global health equity-whether in health education, health promotion, disease prevention, public health, the health care delivery system, or patient- and population level health.

The Fenway Guide To Lesbian Gay Bisexual And Transgender Health

Author: Harvey J. Makadon
Publisher: ACP Press
ISBN: 9781930513952
Size: 49.77 MB
Format: PDF, ePub
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The Fenway Guide provides guidance, practical guidelines, and discussions of clinical issues pertinent to the LGBT patient and community. It also focuses on helping healthcare professionals gain a better understanding of the LGBT population, the LGBT life continuum, health promotion and disease prevention, transgender health, and patient communication and the office environment, The Fenway Guide is truly a one-of-a kind comprehensive resource!The healthcare issues surrounding sexual minorities is an area in which little research and few studies have been conducted. Written in conjunction with the world renowned Fenway Community Clinic, The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health is an invaluable resource for healthcare professionals seeking further knowledge and guidance on sexual minority health care.

Unequal Opportunity

Author: Richard J. Wolitski
Publisher: Oxford University Press, USA
ISBN: 0195301536
Size: 24.38 MB
Format: PDF, ePub
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Most public health students, academicians, and practitioners recognize the association between racial/ethnic minority status and the disproportionate burden of preventable disease in the United States. Much less attention has been directed, however, toward health disparities that affect gay and bisexual men. These disparities affect the lives of an estimated 5.3-7.4 million American men, and are an important concern for public health. Until very recently, the relative invisibility of this group and a paucity of empirical data have hampered attempts to identify health disparities experienced by gay and bisexual men. This book proposes to review and synthesize evidence of health disparities among gay and bisexual men, identify individual and community factors that contribute to these disparities, and articulate strategies for public health efforts to eliminate disparities. To date, these disparities have been largely discussed in isolation in the research literature in a manner that does not permit a comprehensive examination of these problems, their underlying causes, and potential solutions. Thus, a primary emphasis of the book will be to document health disparities among gay and bisexual men while also describing public health solutions to these challenges.