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LGBT Cultural Competency Workshop 1: Overview of LGBT Health Discussion. James Lehman, MD/MPH Candidate & Nick Anderson, MD Candidate Co-presidents, PRIDE in Healthcare January 23 rd and 24th, 2014. http://tinyurl.com/ PiHTalks. Reflections.
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James Lehman, MD/MPH Candidate & Nick Anderson, MD Candidate
Co-presidents, PRIDE in Healthcare
January 23rd and 24th, 2014
First, let’s reflect on a few statements. Let your mind take you wherever.
Now, let’s reflect on two questions.
The leading cause of death in gay men is __________________?
Then let’s talk about sex and ONLY sex!
Krehely J. How to Close the LGBT Health Disparities Gap. Center for American Progress: 2009.
In “Project Scum [Subculture Urban Marketing],” R. J. Reynolds tried to market Camel and Red Kamel cigarettes to San Francisco area “consumer subcultures” of “alternative life style.” R. J. Reynolds's special targets were gay people in the Castro district, where, as the company noted, “The opportunity exists for a cigarette manufacturer to dominate.”The gay Castro denizens were described as “rebellious, Generation X-ers,” and “street people.” Both the coded labeling of targets as “Generation X-ers” in the mid-1990s and as “rebellious” indicates their youth. Project Scum also planned to exploit the high rates of drug use in the “subculture” target group by saturating “ ‘head shops’ [tobacco/bong/legal psychoactives] and other nontraditional retail outlets with Camel brand.”
Washington HA. Am J Public Health. 2002 July; 92(7): 1086–1095.
A patient is referred to you for an asthma assessment. You read the referring physician’s notes, which refer to the patient as a “male”, but when you enter the room, the patient is wearing a dress and make-up. How do you begin?
A 16 year-old male comes to your clinic and he appears to be very nervous. After asking a few questions, he tells you he’s scared because he finds another boy in his class attractive.
An elderly lesbian patient you have been seeing for 15 years tells you her family is trying to convince her to move to an assisted living facility. She admits that she is no longer able to properly care for herself, but she is terrified of how she will be treated if she moves.
2x as likely to live alone as other seniors, half as likely to have a partner
4x more likely to have no children
50% more likely to have no close relatives to call for help when needed
Increased rates of smoking, obesity, alcohol abuse, and HIV infection
Delay and avoid health care.
A low SES transwoman is admitted to hospital. She is on Medicaid. The skin on her buttocks and legs is discolored. A lump of hardened silicone the size of a golf ball hangs behind her left knee (link).