Bodies and Barriers

Description

LGBT people pervasively experience health disparities, affecting every part of their bodies and lives. Yet many are still grappling to understand the mutually reinforcing health care challenges that lead to worsened health outcomes. Bodies and Barriers informs health care professionals, students in health professions, policymakers, and fellow activists about these challenges, providing insights and a road map for action that could improve queer health.

Through artfully articulated, data-informed essays by twenty-six well-known and emerging queer activists—including Alisa Bowman, Jack Harrison-Quintana, Liz Margolies, Robyn Ochs, Sean Strub, Justin Sabia-Tanis, Ryan Thoreson, Imani Woody, and more—Bodies and Barriers illuminates the health challenges LGBT people experience throughout their lives and challenges conventional wisdom about health care delivery. It probes deeply into the roots of the disparities faced by those in the LGBT community and provides crucial information to fight for health equity and better health outcomes.

The contributors to;Bodies and Barriers look for tangible improvements, drawing from the history of HIV/AIDS in the U.S. and from struggles against health care bias and discrimination. At a galvanizing moment when LGBT people have experienced great strides in lived equality, but our health as a community still lags, here is an indispensable blueprint for change by some of the most passionate and important health activists in the LGBT movement today.

Sujets

• LGBT
• Activism
• Queer

Informations

• Publié par: PM Press
• Date de parution: 01 mars 2020
• Nombre de lectures: 0
• EAN13: 9781629638010
• Langue: English
• Poids de l'ouvrage: 22 Mo

Extrait

PRAISE FOR BODIES AND BARRIERS
Adrian Shanker and the contributing authors highlight the need for clinicians to up their game when it comes to caring for sexual and gender minority people. Bodies and Barriers serves as a guide, with concrete suggestions for developing knowledge, awareness, and skills to provide holistic care for LGBT people from the cradle to the grave. This book is a gem that centers LGBT people s voices, telling providers exactly how they want to be treated. It s time providers listen to and act on these recommendations.
-Jonathan Mathias Lassiter, PhD, coeditor of Black LGBT Health in the United States: The Intersection of Race, Gender, and Sexual Orientation
Now, more than ever, we need Bodies and Barriers to shine a spotlight on how and why good health care for LGBTQ people and our families is such a challenge. Bodies and Barriers provides a roadmap for all who are ready to fight for health equity-in the doctor s office, in the halls of government, or in the streets.
-Rea Carey, executive director, National LGBTQ Task Force
These patient and caregiver experiences ring so loudly in today s environment, when we have compelling evidence of a need for widespread practice change, yet the medical establishment remains slow to respond to the calls from those patients and their caregivers, who are asking so boldly-and rightfully-for those changes. Bodies and Barriers is a call to action for learners at all levels, in all health fields, to now start creating a future where health equity is the norm and no one is denied the opportunity to thrive.
-Scott Nass, MD, MPA, president of GLMA: Health Professionals Advancing LGBTQ Equality
Bodies and Barriers helps LGBT community members understand the way people in the U.S. health services market erect barriers to anyone who is not the source of easy and immediate profit and helps us all confront and break down these barriers. It helps families of LGBT people understand these obstacles and options for getting around them. And it helps health professionals hear the voices of all their patients, so that we learn to listen and how to care for everyone.
-Michael Fine, MD, former director of the Rhode Island Department of Health and author of Health Care Revolt: How to Organize, Build a Health Care System, and Resuscitate Democracy-All at the Same Time
Bodies and Barriers is truly a must-read for anyone working in medical care, social services, or public health. This book brings us closer to the goal of patient-centered care, not only for LGBT communities but for everyone.
-Kristen Emory, PhD, director and advisor at the Undergraduate Program at San Diego State University School of Public Health
In Bodies and Barriers , Adrian Shanker makes the case for culturally responsive care that meets the needs of the LGBT community. Through compelling essays by LGBT health care consumers, this book enables nurses and all health care professionals to understand the challenges of LGBT clients, families, and communities-and is a call to action for everyone involved in patient care to truly listen and learn.
-Sarah Hexem Hubbard, Esq., executive director of the National Nurse-Led Care Consortium
Bodies and Barriers is a must read for mental health clinicians who are providing care to LGBT community members. This book has depth, spirit, and a breadth of information that can transform LGBT health care.
-Sharon Esther Papo, LCSW, executive director of Diversity Center of Santa Cruz County

Bodies and Barriers: Queer Activists on Health
Adrian Shanker
Adrian Shanker 2020
This edition published by PM Press
All rights reserved. Except for brief quotations in critical publications or reviews, no part of this book may be reproduced, used, or stored in any information retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise in any manner without prior written permission from the publisher.
ISBN: 978-1-62963-784-6
Library of Congress Control Number: 2019945894
Section illustrations Jacinta Bunnell
Cover by John Yates / www.stealworks.com
Interior design by briandesign
10 9 8 7 6 5 4 3 2 1
PM Press
PO Box 23912
Oakland, CA 94623
www.pmpress.org
and
The Training Institute at Bradbury-Sullivan LGBT Community Center
522 W. Maple St. at Bayard Rustin Way
Allentown, PA 18101
www.bradburysullivancenter.org
Printed in the USA.
For my cousin Victor, may his memory be a blessing. And for queer people everywhere, whose bodies are prevented from experiencing health equity because of all the barriers in the way. This book is for you.
Contents
Foreword
Rachel L. Levine, MD
Introduction
Adrian Shanker
Acknowledgments
Youth
1 Human Rights and Health for LGBT Youth
Ryan Thoreson
2 Informed Consent for Intersex Children
Katharine B. Dalke
3 Navigating Pediatric Care for Transgender Youth
Alisa Bowman
4 Not Your Average Sex Talk
Emmett Patterson
5 Resiliency for Homeless Queer Youth
Arin Jayes
6 Beyond Duct Tape: Binding for Transmasculine Youth
Preston Heldibridle
7 Surviving Suicide
Tyler Titus
Young Adults
8 Sex and Safety in the Digital Age
Jack Harrison-Quintana
9 Living Proudly, Living Longer: Advocating for Queer Spaces to be Tobacco Free
Adrian Shanker and Annemarie Shankweiler
10 Queer Family Planning: A Remedy to Depression
Kate Luxion
11 Social Service Navigation for the LGBT Community
Anthony Crisci
12 That Ass Tho! Anal Health for the LGBT Community
Adrian Shanker
13 Addiction and Recovery in the Queer Community
Atticus Ranck
Middle-Age Adults
14 Without Wincing or Clenching: Bisexual People s Experiences with Health Care Professionals
Robyn Ochs
15 Gender, Cancer, and Me
Liz Margolies
16 Laura Is a Transgender. Didn t the Surgeons Do an Amazing Job?
Laura A. Jacobs
17 Tobacco-Free Queers: Prime Time to Quit
Scout
18 Challenging HIV Stigma
Sean Strub
Older Adults
19 Archiving AIDS: Intergenerational Education About an Epidemic
Chris Bartlett
20 Organizing against Social Isolation: Older Lesbians in Rural Communities
Kat Carrick and Ntlotleng Mabena
21 Caregiving Concerns for LGBT Older Adults
Liz Bradbury
22 Housing and Health for LGBT Older Adults
Imani Woody
23 Grieving Together: LGBT Bereavement Support Groups
Justin Sabia-Tanis
Conclusion
Adrian Shanker
Afterword
Kate Kendell
ABOUT THE EDITOR
Foreword
Rachel L. Levine, MD
As a physician, I ve seen the health consequences of neglecting a patient s needs; as a policy maker, I ve seen the cost of creating policies that are uninformed; and as a transgender woman, I ve felt the burden of other s ignorance. Too often, LGBT rights are overlooked and set aside as a personal issue for LGBT individuals to tolerate. LGBT rights are irrefutably human rights, and currently there is a significant discrepancy between the treatment of LGBT individuals compared to their heterosexual and cisgender counterparts. The damaging consequences of stripping LGBT individuals of their rights affects far more than just their safety and well-being. LGBT individuals are part of larger communities, families, teams, and social networks. It pains me that these points must be reiterated, however this conversation is clearly pressing and imperative.
As health disparities and social inequities become better understood, the response from health care providers and policy makers must too. LGBT individuals are far more likely to experience poor health outcomes, discrimination, and harassment than the majority population. The 2015 U.S. Transgender Survey indicated that 40 percent of transgender individuals have attempted suicide in their lifetime, nearly nine times the rate of the U.S. population (4.6 percent). 1 Sadly, this is unsurprising. LGBT people face higher rates of violence, including physical attacks, sexual assault, and intimate partner violence. On top of that, LGBT people are less likely to have a support system to confide in.
A quick glimpse of history reveals how these current inequities have manifested. Throughout the years, the criminal justice system has harshly discriminated against the LGBT community. The first documented death penalty for homosexual activity in the United States occurred in 1566, and this continued until the late 1700s. 2 Later, in 1952, the American Psychiatric Association (APA) listed homosexuality as a sociopathic personality disturbance in their diagnostic manual, which only enhanced the stigma surrounding the community and increased discrimination, including in workplaces like the federal government. A year after the APA s classification, President Eisenhower signed an executive order stating that LGBT individuals were a security risk and therefore could not work for the federal government (clearly that didn t last). In 1969, police raided the Stonewall Inn, a bar that was a local hub for the LGBT community in New York City. This raid sparked violent protests that lasted for six days, which ultimately marked a turning point for the LGBT civil rights movement. 3
The ongoing centuries of persecution and condemnation led to the social movements and pride that exists today. However, we have a long way to go. On June 12, 2016, there was a mass shooting at Pulse Nightclub, a popular gay club in Orlando, that killed forty-nine and injured fifty. This massacre is one of the worst in United States hist