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LGBT (Sex, sexuality, gender (gender - attitudes, feelings, behaviors that…
LGBT
Sex, sexuality, gender
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Kinsey - challenging binary view of sexuality - spectrum from purely heterosexual to purely homosexual
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sex - biological reproductive status, genetically determined (male, female, intersex)
gender - attitudes, feelings, behaviors that given culture associates w/ biological sex
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sexuality - identity, orientation, behavior
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Demographics
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identity, orientation, behavior may not align
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Gallup 2017: 4.5% of Americans ID as LGBT (3.9% men, 5.1% women) > 11 million people! Increase mostly due to millenials
0.6% of adults ID as transgender, 0.7% of youth
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Stigma/discrimination
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objective stigma can result in subjective felt stigma - internalizing negative attitudes (mental/physical health problems, decreased self-esteem)
50% describe some degree of internalized stigma
minority stress model
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leading to internal stressors - guilt shame
adverse health outcomes - substance abuse, suicide, etc.
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How to help
actively creating welcoming, inclusive environment
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DSM
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pros of keeping diagnosis: ensuring access to care, coverage for care