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Week 6: HP and LGBTQ+ Communities - Coggle Diagram
Week 6: HP and LGBTQ+ Communities
Health Equity Promotion Model is a framework that aims to support LGBT people reaching their full mental and physical health potential
a) Heterogeneity & intersectionality, b) environmental context, c) health promoting and adverse pathways
Highlights environmental and structural factors as determinants of health as well as individual level factors (resources, resilience, agency, risks)
Considers how exclusion and resistance of LGBT people has played out over time in different historical and social contexts
Builds on the Minority stress theory and psychological mediation framework
Race, ethnicity and culture intersect with sexual and gender identities, though we don't know enough about LGBT people of colour
Critical Hope "centres optimism and possibilities for change in the midst of struggles for social justice" and is used in community-based HIV research
Community based research activities centring journeys of self love through creative activities
While HIV research largely focuses on individual risks, community connection is critical to wellbeing
self reflection and connection were seen to be critical
Gender and sexuality based discrimination leads LGBTQ+ communities to be disproportionately affected by various health concerns
Higher rates of disability, more physical limitations and poorer general health
Higher HIV rates in gay and bisexual men and transgender women.
higher levels of obesity and overweight in lesbian and bisexual women
Potentially higher risk of some cancers
higher risk of CVD
Issues with accessing healthcare (issues accessing gender affirming care, refusal of care, lack of education in medical professionals, etc)
LGBT issues have often been excluded from Canadian public health policy.
LGBT populations have not been recognised as an identifiable population within the health sector.
Gender identity absent from most human rights legislation.
Epidemiologic methods have historically looked for individual experiences rather than community sourced data.
It was only in 2020 that the NIH recognised LGBT individuals as an at-risk population
Homosexuality has been illegal and highly stigmatized throughout history
Conversion therapy and analogous practices remain prevalent in society today, facilitated by regulated and unregulated practitioners.
A key point of conversion therapy is an ideology that favours heteronormativity and cisgender identities.
By defining this tennet, medical practitioners, policy makers and other related actors can enact better policies that ban conversion therapies and promote LGBTQ+ equity