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Grand Rounds: Eliminating Disparities and Advancing Equity in LGBTQ+ Communities

11-11-2022

By Veenod Chulani, MD, MSEd, FAAP, FSAHM , Chief, Section of Adolescent Medicine, Phoenix Children’s Hospital and Clinical Associate Professor, Univ. of Arizona College of Medicine, Phoenix Department of Child Health


Objectives (Educational Content) :

1. Recognize prevalence of LGBTQ identification among U.S. adolescents and adults. 2. Explain gender and sexual stigma and chronic minority stress and its impact on the developmental trajectories, lived experiences and health of LGBTQ youth. 3. Describe an affirmative, trauma-informed and strength-based clinical approach to caring for and promoting health equity for LGBTQ youth.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

New advances in promoting health and wellbeing for the LGBTQ community.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:

11-10-2023

Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.

Disclosure:

The speaker, Veenod Chulani, MD, has returned the disclosure form indicating there are no relevant financial or other relationships with any commercial interests.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Bibliography:

Appleby, GA and Anastas, JW. Not just a passing phase: Social work with gay, lesbian, and bisexual people. New York: Columbia University Press; 199Austin A, Herrick H, Proescholdbell S.

Adverse childhood experiences related to poor adult health among lesbian, gay, and bisexual individuals. American Journal of Public Health. 2016;106(2):314-20

Betancourt, J. R., Green, A. R., & Carrillo, J. E. 2002. Cultural competence in health care: Emerging frameworks and practical approaches. New York: The Commonwealth Fund.

Chavez-Dueñas, N. Y., Adames, H. Y., Perez-Chavez, J. G., & Salas, S. P. (2019 Healing ethno-racial trauma in Latinx immigrant communities: Cultivating hope, resistance, and action.. Am Psychol. 74(1); 49–62

Chulani VL. Intersecting Identities and Racial and Ethnic Minority in Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth. In: Barkley L, Svetaz MV, Chulani, VL (eds).  Promoting Health Equity Among Racially and Ethnically Diverse Adolescents: A Practical Guide. Springer International Publishing: Switzerland. 2019, pp 149-168.

Jamil OB, Harper GW, Fernandez MI, Adolescent Trials Network for HIV/AIDS Interventions. Sexual and ethnic identity development among gay-bisexual-questioning (GBQ) male ethnic minority adolescents. Cultur Divers Ethnic Minor Psychol. 2009; 15(3):203-214.

Flores, A.R., Herman, J.L.,Gates, GJ, Brown, T.N.T., (2016). How Many Adults Identify as Transgender in the United States?. Los Angeles, CA: The Williams Institute Galtung J. Violence, peace, and peace research. J Peace Res 1969; 6: 167-91.) 

GLSEN (2016). Educational exclusion: Drop out, push out, and school-to-prison pipeline among LGBTQ youth. New York: GLSEN

GLSEN (2020). The 2015 National School Climate Survey: The experiences of lesbian, gay, bisexual, transgender, and queer youth in our nation’s schools. New York: GLSEN.

Hays, P. A. (2001). Addressing Cultural Complexities in Practice: A Framework for Clinicians and Counselors. Washington, D. C.: American Psychological Association

Hidalgo M, A, Ehrensaft D, Tishelman A, C, Clark L, F, Garofalo R, Rosenthal S, M, Spack N, P, Olson J: The Gender Affirmative Model: What We Know and What We Aim to Learn. Human Development 2013;56:285-290.

Meyer, I. H. 1995. Minority stress and mental health in gay men. Journal of Health & Social Behavior 36(1):38–56.

Meyer, I. H. 2003b. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin 129(5):674–697.

Olson K, Durwood, BA, DeMeules M, et al. Mental Health of Transgender Children Who Are Supported in Their Identities. Pediatrics. Pediatrics. 2016;137(3):e20153223.

Paradies Y, Ben J, Denson N, Elias A, Priest N, Pieterse A, et al. (2015) Racism as a Determinant of Health: A Systematic Review and Meta-Analysis. PLoS ONE 10(9): e0138511.doi:10.1371/journal.pone.0138511

Ryan, C. Supportive families, healthy children: Helping families with lesbian, gay, bisexual & transgender children. San Francisco, CA: Family Acceptance Project, Marian Wright Edelman Institute, San Francisco State University, 2009

Tervalon, M., Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Undeserved, 9(2),117-125

Workowski KA, Bachmann LH, Chan PA, Johnston CM, Muzny CA, Park I, Reno H, Zenilman JM, Bolan GA. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. 2021 Jul 23;70(4):1-187.

Gender Spectrum: www.genderspectrum.org

Gay, Lesbian & Straight Education Network: www.glsen.org

Transgender Law Center: www.transgenderlawcenter.org

Center of Excellence for Transgender Health: www.transhealth.ucsf.edu

National Center for Transgender Equality: www.transequality.org

TransYouth Family Allies: www.imatyfa.org

Achieving Health Equity

Communities in Action: Pathways to Health Equity: National Academies Press

https://www.nap.edu/catalog/24624/communities-in-action-pathways-to-health-equity

Achieving Health Equity: A Guide for Health Care Organizations; Institute for Healthcare Improvement

http://www.ihi.org/resources/Pages/IHIWhitePapers/Achieving-Health-Equity.aspx

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