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Chapter 10 - LGBTQIA+ Care

Published online by Cambridge University Press:  20 July 2023

By
Nicholas Avitabile
Edited by
Mark Curato ,
Kaushal Shah  and
Christopher Reisig
Mark Curato
Affiliation:
Weill Cornell Medicine, New York
Kaushal Shah
Affiliation:
Weill Cornell Medicine, New York
Christopher Reisig
Affiliation:
Weill Cornell Medicine, New York
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Summary

LGBTQIA+ patients are an important patient population to highlight when discussing urban emergency medicine. There are a multitude of terms regarding gender expression and identity that emergency medicine providers should familiarize themselves with if they plan on taking care of this patient population. Within the LGBTQIA+ population, there are specific medical and psychological issues that are relevant to each subgroup. Providers are not expected to know everything about their patients, but they must remember to remain open-minded and non-judgmental as they take care of everyone with precision and dedication. If a provider feels that the patient needs help in ways they cannot be of service, then the provider should be able to point the patient in the right direction via resources and referrals.

Keywords

LGBTLGBTQ+LGBTQIA+gaylesbianbisexualintersexasexualgenderpronounstranscistransgenderonline datingappssexual assaultSTIsdrugs of abusealcoholpartner abusemental healthbullyingreligionself-harmmicroaggressionssex workersdiscretedown lowsportsexercisediscriminationcultural competencysex toyspelvic examshormone usePrEPPEPanabolic steroidsdisorderstransgender affirmation surgeryresources
Type
Chapter
Information
Urban Emergency Medicine , pp. 123 - 132
Publisher: Cambridge University Press
Print publication year: 2023

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References

Sue, DW. Microaggressions in Everyday Life: Race, Gender, and Sexual Orientation. John Wiley & Sons, 2010.Google Scholar
Dean, MA, Victor, E, Guidry-Grimes, L. Inhospitable healthcare spaces. Why diversity training on LGBTQIA patients is not enough. J Bioethical Inq, 2016;13:557–570.Google Scholar
Moll, J, Krieger, P, Heron, SL, Joyce, C, Moreno-Walton, L. Attitudes, behavior, and comfort of emergency medicine residents in caring for LGBT patients: what do we know? AEM Educ Train. 2019;(2):129–135.CrossRefGoogle ScholarPubMed
Govere, L, Govere, EM. How effective is cultural competence training of healthcare providers on improving patient satisfaction of minority groups? A systematic review of literature. Worldviews Evid-Based Nurs. 2016;13(6):402–410.Google Scholar
Center for Disease Control and Prevention. Gay and bisexual men’s health: sexually transmitted diseases. 2016. www.cdc.gov/msmhealth/STD.htmGoogle Scholar
Center for Disease Control and Prevention. Updated guidelines for antiretroviral postexposure prophylaxis after sexual, injection drug use, or other nonoccupational exposure to HIV – United States. 2016, updated 2018. https://stacks.cdc.gov/view/cdc/38856Google Scholar
Substance Abuse and Mental Health Services Administration. Sexual orientation and estimates of adult substance use and mental health: results from the 2015 National Survey on Drug Use and Health. 2015. www.samhsa.gov/data/sites/default/files/NSDUH-SexualOrientation-2015/NSDUH-SexualOrientation-2015/NSDUH-SexualOrientation-2015.htmGoogle Scholar
Maxwell, S, Shahmanesh, M, Gafos, M. Chemsex behaviours among men who have sex with men: a systematic review of the literature. Int J Drug Policy. 2019;63:74–89. doi: 10.1016/j.drugpo.2018.11.014. PMID: 30513473.Google Scholar
Ip, E, Doroudgar, S, Shah-Manek, B, Barnett, MJ, Tenerowicz, MJ, Ortanez, M, Pope Jr, HG. The CASTRO study: unsafe sexual behaviors and illicit drug use among gay and bisexual men who use anabolic steroids. Am J Addict. 2019;28(2):101.CrossRefGoogle ScholarPubMed
Liu, J-D, Wu, Y-Q. Anabolic-androgenic steroids and cardiovascular risk. Chinese Med J. 2019;132(18):2229–2236.Google Scholar
Albano, GD, Amico, F, Cocimano, G, Liberto, A, Maglietta, F, Esposito, M, Li Rosi, G, Di, Nunno N, Salerno, M, Montana, A. Adverse effects of anabolic-androgenic steroids: a literature review. Healthcare (Basel). 2021;9(1):97.Google Scholar
Frimpon, E, Rowan, GA, Williams, D, Li, M, Solano, L, Chaudhry, S, Radigan, M. Health disparities, inpatient stays, and emergency room visits among lesbian, gay, and bisexual people: evidence from a mental health system.Psychiatr Serv. 2020;71:128–135.Google Scholar
Anderson, TA, Schick, V, Herbenik, D, Dodge, B, Fortenberry, JD. A study of human papillomavirus on vaginally inserted sex toys, before and after cleaning, among women who have sex with women and men. Sex Transm Infect. 2014;90:529–531.CrossRefGoogle ScholarPubMed
Fethers, K, Marks, C, Mindel, A, Estcourt, CS. Sexually transmitted infections and risk behaviours in women who have sex with women. Sex Transm Infect. 2000;76:345–349.CrossRefGoogle ScholarPubMed
The Cleveland Clinic. Gender affirmation (confirmation) or sex reassignment surgery. 2021. https://my.clevelandclinic.org/health/treatments/21526-gender-affirmation-confirmation-or-sex-reassignment-surgeryGoogle Scholar
Center for Disease Control and Prevention. HIV infection, risk, prevention, and testing behaviors among transgender women: National HIV Behavioral Surveillance 7 U.S. Cities, 2019–2020. 2021. www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-special-report-number-27.pdfGoogle Scholar
Unger, CA. Hormone therapy for transgender patients. Transl Androl Urol. 2016;5(6):877–884.Google Scholar
Center for Disease Control and Prevention. Youth Risk Behavior Surveillance (YRBS). 2020. www.cdc.gov/healthyyouth/data/yrbs/index.htmGoogle Scholar
Center for Disease Control and Prevention. Youth Risk Behavior Surveillance – United States, 2019. MMWR. 2020;69(1). www.cdc.gov/mmwr/volumes/69/su/pdfs/su6901-H.pdfGoogle Scholar
King, M, Semlyen, J, Tai, SS, Killaspy, H, Osborn, D, Popelyuk, D, Nazareth, IA. Systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008;18;8:70.CrossRefGoogle Scholar
Bermea, AM, Slakoff, DC, Goldberg, AE. Intimate partner violence in the LGBTQ+ community: experiences, outcomes, and implications for primary care. Prim Care. 2021;48(2):329–337.Google Scholar

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