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  1. What is Sex?
    Assigned at birth based on a variety of physical and biological characteristics.
  2. Each person has what 3 separate foundations regarding sex?

    *unique as fingerprints
    sex, sexual orientation, gender
  3. Define "sexual orientation".
    behavior, identity, and emotional attraction to same OR opposite sex.
  4. What is the definition of "intersex"?
    Gonadal gender, internal organs, and external genitals are contradictory.
  5. What is the definition of "transgender"?
    Sexual anatomy is not consistent with gender identity.
  6. Gender Identity (established early in life)

    @ what age do children identify their gender?

    @ what age do they identify others' gender?

  7. Gender Conforming VS Gender Non-Conforming (Non-conforming aka variance)

    What do they mean?
    Identifying the gender you were BORN with.

    Non-conforming: NOT identifying what you were born with.
  8. Why is there a need for LGBT education for RNs?
    History contained LITTLE to NO information regarding LGBT.

    Although there is increasing social acceptance, LGBT community has a bias as well as do not receive access to healthcare as others.
  9. Why is there a need for LGBT education?

    ..regarding physicians

    What has the AMA done?
    In 2002, 6% of Physicians reported discomfort in providing care for LGBT.

    AMA pushed the need to have culturally appropriate HC to be included in ALL education.
  10. Men who have sex with Men (MSM) account for what fraction of people with HIV?
    half of all cases.

    However, they only make 2% of the population.
  11. Which races/ethnicities consist mostly of the MSM with HIV?

    What is the usual reason for this difference?
    • Blacks 28%
    • Hispanics 18%

    Whites: 16%

    Non-whites usually do not have access to anti-retro-viral medications.
  12. Facts:
    Among heterosexual & Lesbian women, which are more likely to be obese?

    Of hetero, bi, or gay men, which are likely to have eating disorders?
    Lesbian more likely to be obese.

    Gay and Bi men more likely to have eating disorders.

    HS ss who have same-sex partners are more likely to have eating disorders than hetero couples.
  13. Of transgender, heterosexual, gay, lesbian, or bisexual, which are more COMMONLY effected by intimate partner violence?
    Transgender individuals.
  14. How can RN’s begin to address the
    health needs of their LGBT patients?
    Self-reflection about their own prejudices and biases.
  15. Why do same-sex rships do not have health insurance usually?
    D/t decreased access for employee-sponsored health insurance.
  16. Which STIs are most common in MSM?
    Syphillis (63% of all cases)

    Gonorrhea (>1/3)

    HPV (17x more likely than heteros)
  17. The high rate of substance abuse and mental disorders in LGBT patients is now theorized to result from?
    • “minority stress,” in which real or expected prejudicial experiences result in internalized
    • homophobia, DEPRESSION & ANXIETY.
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