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Rites of passage

Rites of passage. LGBTQ Health-related Issues. LGBTq Youth. Denied many adolescent “Rites of Passage” Fewer role models Lack of healthy outlets for sexual exploration Missing these experiences can stifle normal development. LGBTq in the classroom. What’s Happening?. Why it matters….

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Rites of passage

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  1. Rites of passage

  2. LGBTQ Health-related Issues

  3. LGBTq Youth • Denied many adolescent “Rites of Passage” • Fewer role models • Lack of healthy outlets for sexual exploration • Missing these experiences can stifle normal development

  4. LGBTq in the classroom

  5. What’s Happening?

  6. Why it matters…

  7. LGBTQ and Tobacco use LGB have significantly higher smoking rates compared to heterosexuals Why?? Coping with stress from stigma, discrimination Among youth – seeking social acceptance while coping with social isolation, loneliness Bars, clubs have historically been primary social outlets for LGBT Negative consequences Cancer C-V disease

  8. Targeting of LGBTQ by the tobacco industry

  9. LGBTQ - Substance use & abuse Lesbian/bisexual women More alcohol-related problems Heavier alcohol use Greater lifetime rates of marijuana, cocaine & other illicit drugs May not decrease with age African-Americans Heavy drinkers More problems Transgender women (male-to-female) Limited information

  10. LGBTQ -Substance use & abuse Gay/bisexual men Greater lifetime use of cocaine, MJ, ecstasy, methamphetamine, poppers Similar alcohol rates compared to heterosexual men Negative consequences C-V disease Risky sexual behavior

  11. Sexually transmitted infections – gay males • HIV/AIDS • Continues to have a profound effect both physically and psychologically on this community. • FDA bans gay men from participating in blood drives and sperm banks • CDC reports over 50% of all new MSM HIV infections are in youth ages 14-24. • HAART medications • Other STIs • Chlamydia/LGV • Viral hepatitis (A & B) • HSV • HPV (urethral, anal) • MRSA

  12. Sexually transmitted infections – lesbians • Limited information • Also had sex with men • May be at higher risk • WSW can transmit • Bacterial vaginosis • Chlamydia • HSV-1 • HPV • Trichomoniasis

  13. LGBTQ and Disordered eating/obesity Lesbians/bisexual women – mixed data Eating habits among lesbians may be less healthy Gay/bisexual men Higher prevalence disordered eating Higher body dissatisfaction Social pressure to conform to physical ideals is pervasive

  14. LGBTQ and cancer Lesbian/bisexual women Cervical cancer Less frequent Pap tests Cervical cancer Breast cancer Less frequent mammograms More risk factors Ovarian and endometrial cancer Decreased number of pregnancies Decreased use of oral contraceptives Gay/bisexual men Anal cancer Receptive anal intercourse = highest risk HIV-infection increases risk Transgender Hormones

  15. The dating game

  16. LGBTQand violence • Hate Crimes:Victims of more violent physical assaults • Domestic Violence:Similar rates of DV among same-sex couples • Sexual Assault

  17. May have increased risk for • Depression • Anxiety/panic attacks • Suicidal behavior • Why? • Stigma, negative societal views • Internalized homophobia • Unfavorable views of bisexuality • “Covering” • Victimization • Social isolation • Problems with self-acceptance LGBTQ Mental health concerns

  18. Stars

  19. American Medical Student Association’s LGBT Health Action Committee (www.amsa.org/gender) • GLMA – Gay & Lesbian Medical Association (www.glma.org) • Gay Health (www.gayhealth.com) • Lambda Legal (www.lambdalegal.org) • GLBT health Access Project (www.glbthealth.org) • Bisexual Health (www.biresource.org/health/) • Transgender Care (www.transgendercare.com/default.asp) • Intersex Society of North America (www.isna.org) • PFLAG – Parents, Family & Friends of Lesbians and Gays (www.pflag.org) • HRC - Human Rights Campaign (www.hrc.org) • GLAAD - Gay and Lesbian Alliance Against Defamation (www.glaad.org) • NGLTF - National Gay and Lesbian Task Force (www.ngltf.org) • Stall RD, Greenwood GL, Acree M,& Coates TJ Cigarette smoking among gay and bisexual men, Am J Public Health1994: 89:1875-1878. doj:10.2105/AJPH.89.12.1875 • Skinner WF. The prevalence and demographic predictors of illicit and licit drug use among lesbians and gay men. AM J Public Health 1994:84:1307-10. resources

  20. RESOURCES(CONTINUED) Cochran SD, Mays VM, Bowen D, et al. Cancer-related risk indicators and preventive screening behaviors among lesbians and bisexual women. Am J Public Health 2001:91:591-7 Skinner WF, Otis MD. Drug and alcohol use among lesbian and gay people in southern U.S. sample: epidemiological, comparative, and methodological findings from the Trilogy Project. J Homosex 1996:30:23-37. Ryan H, Wortley PM, Easton A, et al. Smoking among lesbians, gays, and bisexuals: a review of the literature. Am J Prev Med 2001:21:142-9. Lee JG, Griffin GK, Melvin CL. Tobacco use among sexual minorities in the USA, 1987-May 2007: a systematic review. Tobacco Control 2009:18:275-282. Tang H, Greenwood GL, Cowling DW, et al. Cigarette smoking among lesbians, gays, and bisexuals: how serious a problem? Cancer Causes Control 2004:15:797-803. Hughes TL, Eliason M. Substance use and abuse in lesbian, gay bisexual, and transgender populations. J of Prim Prev 2002:22(3):263-298.

  21. RESOURCES(CONTINUED) Rath JM, Villanti AC, Rubenstein RA, Vallone DM. Tobacco use by sexual identity among young adults in the United States. Nicotine and Tobacco Research 2013:15(11):1822-1831. Conron KJ, Mimiaga MJ, Landers SJ. A population-based study of sexual orientation identity and gender differences in adult health. Am J Pub H 2010:100:1953-1960. Healthy People 2020(2012). 2020 objectives: lesbian, gay, bisexual, and transgender health. Retrieved June 1, 2012 from www.healthpeople.gov/2012/topicsobectives2020/overview.asp?topic=25 http://www.lung.org/stop-smoking/tobacco-control-advocacy/reports- resources/tobacco-policy-trend-reports/lgbt-issue-brief-update.pdf http://www.cdc.gov/lgbthealth.com https://medschool.vanderbilt.edu/lgbti/health/heart http://www.ncbi.nlm.nih.gov/pubmed/13678808 Substance Abuse and Mental Health Services Administration, Top Health Issues for LGBT Populations Information & Resource Kit. HHS Publication No. (SMA) 12-4684. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2012. 31. GLESN 2009 National School Climate Survey

  22. Resources (continued) http://www.pflagnyc.org/safeschools/statistics http://data.lambdalegal.org/pdf/158.pdf 34. BlashillA. The Fenway Institute. 2013.

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