Chapter 7

non-binary

a way members of LGBTQ use to communicate their identity as being different from the majority.

gender diversity

- Umbrella term referring to a set of human variations that relate to biological sex, gender, gender identity, gender expression, and sexual orientation

queer

- an umbrella term used by some to describe people who think their sexual orientation or gender identify as outside of societal norms.

health disparities in LGBTQ children in adolescents

- risk for suicide - rate for identification is high in hs - use the 5 Ps for prevention (Partners, practices, past history of STI, protection, pregnant) - Dr caitlyn Ryan: family acceptable protection

individual characteristics

1. Self Awareness - To learn to embrace diversity in individuals 2. Communication - To develop communication skills that promote culturally diversity settings aware of diff communication styles, ask to demonsonstrate or say bac 3. New Learning - To attain cultural competence in individuals

cisgender

a persons whos gender identity and assigned sex at birth correspond (ie. Not transgender)

gender queer

describes a person whos gender identity falls outside the traditional gender binary structure.

minority stress

describes the adverse effects of social stigmia and prejudice on mental health

intersex

group of rare conditions where the reproductive organs and genitals do not develop as expected.

2.5

how much more likely are gender minorities to have depression, anxiety and substance abuse

concept model for healthy work environments for nursing

model that includes: external characteristics, organizational characteristics, group characteristics, individual characteristics

family caregiving for older adults

o 20% between 40-60 don't know who would take care of them if they became ill o 3-4 x more likely to have children, coordinating care, want you want for health o nurses need to encourage LGBT to aware that they have advanced directives o 30% don't have a will or 36% don't have POA o Toronto: LGBTQ long term care tool kit used with how to deal with positive times in LTC

health disparities and challenges in late adulthood

o 55 years and older o 40% have told told their health care provider their sexual orientation o lesbians and bisexuals have higher rates of breast cancer o HIV - mostly with men and transgender women o Issues with primary care in LTC

live apart together

o One member does not live in the household but is clearly involved in parenting and different roles in that family. o Ex. When a gay man is the sperm donor for a queer couple. The gay man does not live in the house but is clearly "family" as he is involved to various degress in parenting and different roles in the family

mixed orientation marriage (MOM)

o One partner identifies as heterosexual of one sex and the other partner is a homosexual or bisexual of the opposite sex.

pronouns

o how one prefers to be called and to note that the preferred pronoun may not necessarily match the individual's name or physical appearance o He/she

aging, old adults and LGBTQ families

o in Canada 335000 make up senior LGBTQ o Less likely to have spouse and children o Older women: face financial problems bc not seen to give pension to spouse

homosexual

persons who preferred to be called gay or lesbian, are attracted to those of the same sex

sex

refers to the genetic, presenting biology of a human in terms of anatomy and genotype ex. female, male or intersex

gender expression

refers to the outward behaviours and appearance choices people make which may or may not conform to either their biological sex or gender, queer, gender queer ro gender fluid

gender

the culturally held and transmitted beliefs, attitudes, and feelings that are associated with the biological sex, either gender confirming or gender nonconforming

biphobia

the fear of discrimination against or hatred of bisexual people or those who are perceived as such

intersectionality

the idea that identities are influences and shaped by race, class, ethnicity, sexuality, sexual orientation gender, gender identity, physical disability, national organ and so on.

gender identity

the individuals internal sense of self in respect to their sex, transgender or cisgender

sexual orientation

the romantic and sexual attractions people experience towards others biological sex or gender identity. heterosexual, homosexual or bisexual

14

what age do 80% of transgender people know that their bodies don't match their gender

gender dysphoria

what is it called medically when a transgender is diagnosed with a disorder - it categorizes symptoms

5-15%

what percent of canafian population identify as LGBTQ

health challenges and disparities in early and middle childhood

♣ cardiovascular disease, ♣ Asthma ♣ Allergies ♣ Osteoarthritis ♣ Migraines ♣ Chronic gastrointestinal problems cancer ♣ 2.5X more likely to have mental health disorders ♣ higher rates of drug, tobacco, alcohol and drug use Lesbians are more likely to be ♣ Over weight obese ♣ Less likely to have regular mammograms r pap tests ♣ HIV occurs in 28% Gay men are : ♣ More fit ♣ Account for more than half of those living with HIV or AIDS ♣ At risk for cancers and STIs Transgender women: ♣ Risk for venous thromboembolic disease and elevated levels of prolactin Transgender males: ♣ Elevation of liver enzymes, loss of bone mineral density and increased risk for ovarian cancer