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Week 14 Mind Map - Coggle Diagram
Week 14 Mind Map
Forgotten Minority Reading
Many LGBT people have negative experiences with their health care providers and the health care system
Important to provide "safe spaces" for LGBT+ patients. Much be aware of health disparities and listen to patients. Have to be sensitive to needs and understand stressors. Need awareness education
LGBT communities face undue health disparities and inequalities that should be addressed. Health care professionals should be made aware of these disparities in order to improve quality and cultural sensitivity in care
LGBT people bear chronic stress associated with systemic discrimination and barriers to access of necessary health services
Health inequalities, such as decreased access to quality preventative care, translate to major health disparities in the community. These disparities are associated with discrimination, social stigma, and negative stereotypes
True nature of these disparities are still in question due to limited data collection
For the purposes of research and advocacy, the LGBT populations have been combined into one entity. But groups w/in this umbrella term are distinct and have their own specific health care needs.
Data collection plans and better care for LGBT+ people were in the works as of the time of this article, but I doubt much of that is still standing or will be standing soon with what is happening in politics today
HIV Reading
HIV functions in four distinct ways for two-spirit and LGBTQ+ AIAN people
Shadow Presence
The virus functions as a source of identity from which to hide. To get tested for it or acknowledge you could have it would require one to acknowledge their sexual activities and therefore their identity
The virus is represented as a form of embodiment--to be gay is to embody and possess HIV. The nature of this embodiment is associated with the history of obscuring health promotion in Native country.
There is a lack of info and silencing around HIV in AIAN communities. Also a lack of resources which contributes to this silence of HIV and has mental/health impacts. It contributes to a
shadow presence
across generations w/in and outside Native communities
There is a lack of a shared language network to discuss both two-spirit persons and HIV. Two-spirit men are detached from non-Native gay men in their intimate relations because they lack a way to communicate and connect over HIV. At the same time, two-spirit men have disconnect in their own Native communities because of a double stigma of their sexualities and HIV
Professionalized Identity
HIV offers opportunities for Native, two-spirit men to connect with a professional world
To connect to the professional world via HIV, two-spirit men must choose which community to serve. To be an HIV professional means they focus attention on the LGBT+ community at large, aka a
non
-Native community
HIV is often personified in today's market/constituency, many of which are two-spirit people. Commodifying this personification for professional and scientific practice results in a synonymizing between AIAN people and non-normative (deviant) sexualities.
Essentializing AIAN people for public health practices potential eclipses the larger fourth world status that ties in with their lived disparities
Mental / Health Sub- / Priority
HIV is aligned with gay identity and health concern, whereas alcohol is seen as an immutable characteristic. There is a discursive bifurcation between "Native" and "gay"
This bifurcation happens when health is positioned as either a Native or gay issue. HIV discourse works to divide one's self and relationships into either/or identities.
Belonging, (Re)Claiming
HIV functions as a mechanism to connect w/ and re-/claim community and culture as well as to belong.
Stakes and negotiations involved with this are experienced differently depending on the culture and community
HIV can bridge AIAN people. Provides sense of meaningful belonging to two-spirit AIAN people. HIV facilitates a belonging to a claimed two-spirit and broader (non-Native) LGBT community
Diversity w/in diversity
Language is central component of world-making project of two-spirit people