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The Handbook of Lesbian, Gay, Bisexual, and Transgender Public Health
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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
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Table of Contents

About the Editor Contributors Foreword (Claude Earl Fox) Preface Acknowledgments PART I: INTRODUCTORY MATERIALS Chapter 1. The Nomenclature of the Community: An Activist's Perspective (Joshua L. Ferris) Introduction Coming Out Stereotypical Lifestyles Gender Identity Conclusion Questions to Consider Chapter 2. The Role of Public Health in Lesbian, Gay, Bisexual, and Transgender Health (Patricia D. Mail and Walter J. Lear) Introduction What Is "Public Health"? Research and Public Health The LGBT Health Movement Emerges and Thrives The HIV Pandemic Challenges the LGBT Health Movement and Public Health Community Health Programs and Services The U.S. Public Health Service LGBT Health Objectives for the Nation Future Directions and Research Needs Chapter 3. Lesbian, Gay, Bisexual, and Transgender Public Health Research (Randall L. Sell and Vincent M. B. Silenzio) Introduction Background What Is "Sexual Orientation" and "Gender" and Why Are Definitions Important? How Are LGBT People Identified for Public Health Research? A Framework for the Investigation of LGBT Public Health Limitations of Research Methods for Investigating LGBT Health Discussion Questions to Consider PART II: ACADEMIA Chapter 4. Lesbian, Gay, Bisexual, and Transgender Cultural Competency for Public Health Practitioners (Katherine L. Turner, Wayne L. Wilson, and M. Kate Shirah) Introduction and Background Context for Terminology and Definitions Rationale An LGBT Cultural Competency Framework LGBT Awareness, Sensitivity, and Competency Training Conclusion Questions to Consider PART III: THE COMMUNITY Chapter 5. Lesbian and Bisexual Women's Public Health (Amy Baernstein, Wendy B. Bostwick, Kathleen R. Carrick, Patricia M. Dunn, Kim W. Goodman, Tonda L. Hughes, Nina Markovic, Jeanne M. Marrazzo, and Helen A. Smith) Introduction Sexually Transmitted Diseases and Infections Alcohol Use and Abuse Tobacco Use Cardiovascular Disease Reproductive Cancers Intimate Partner Violence and Lesbians Questions to Consider Chapter 6. Public Health and Gay and Bisexual Men: A Primer for Practitioners, Clinicians, and Researchers (Scott D. Rhodes and Leland J. Yee) Introduction Who Are Gay and Bisexual Men? The Health of Gay and Bisexual Men Infectious Diseases Among Gay and Bisexual Men Noncommunicable Diseases Among Gay and Bisexual men Homophobia and Health An Effective HIV-Prevention Strategy Suggested Approaches and Considerations for Practitioners, Clinicians, and Researchers Conclusion Questions to Consider Chapter 7. The Whole Person: A Paradigm for Integrating the Mental and Physical Health of Trans Clients (Sheila C. Kirk and Claudette Kulkarni) Introduction Relevant Terms Mental and Emotional health Mental Health Needs of Transsexuals Physical Health Male-to-Female Transsexuals Female-to-Male Transsexuals Conclusion Selected Resources Questions to Consider Recommended Readings PART IV: HEALTH CARE DELIVERY SYSTEM Chapter 8. Barriers to Health Care Access (Manuel Hernandez and Shawn L. Fultz) Introduction Institutional Barriers to LGBT Health Care Provider-Based Barriers to LGBT Health Care Patient-Based Barriers to LGBT Health Care Provid

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