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Health Care Disparities and the LGBT Population addresses a people whose lack of health care access, including mistreatment and refusal of services, are often omitted from discussions about health care and insurance reform. Research suggests that LGBT people experience worse health outcomes than their heterosexual counterparts. Low rates of health insurance coverage, high rates of stress due to systematic harassment, stigma, discrimination, and lack of cultural competency in the health care system frequently manifest in negative health-related behaviors. The dearth of data collection on sexual orientation and identity in state and federal health care surveys has led to inadequate information about LGBT populations, and has impeded the establishment of health programs and public policies that benefit them. With its diverse perspectives, this book will not only benefit LGBT people, but will also more broadly improve the lives of entire communities, medical care, and prevention programs and services. This research provides a better understanding of the social and structural inequalities that LGBT populations experience. Improvements to our country's health care system should go beyond just providing universal insurance and should ensure equitable health care for all.
Foreword Gary L. Kreps Foreword Allan D. Peterkin Part I: Constructing Identity by Coming Out to Your Physician 1.An Introduction to the Loosely Knit Patchwork of LGBT Health Care Teresa Heinz Housel and Vickie L. Harvey 2.The Importance of Sexual Orientation Disclosure to Physicians for Women Who Have Sex with Women Karina Willes and Mike Allen 3.Coming Out Conversations and Gay/Bisexual Men's Sexual Health: A Constitutive Model Study Jimmie Manning 4.Shaping Self with the Doctor: The Construction of Identity for Trans Patients Katy Ross, Juliann C. Scholl, and Gina Castle Bell Part II: Access, Disparities and Harassment Under the Guise of Policies 5.Health Insurance Coverage For Same-Sex Couples: Disparities and Trends under DOMA Gilbert Gonzales, Ryan Moltz, and Miriam King 6.Carving Triangles into Squares: The Effects of LGBTQ Stigma Related Stressors During Youth, Adulthood, and Aging Dawn L. Strongin, Marc J. Silva, and Fredrick Smiley 7.Reproductive Physicians' Treatment of Lesbian Patients in Germany and the United States Alicia VandeVusse Part III: Silencing, Violence, and Other Forms of Intimidation of LGBT People 8.Limiting Transgender Health: Administrative Violence and Microaggressions in Health Care Systems Sonny Nordmarken and Reese Kelly 9.Women's Health, Health Care Service Utilization, and Experience of Intimate Partner Violence in the United States Bethany Coston 10.Political Activism as a Health-Giving Activity: Transforming Silence into Language and Action Michael Warren Tumolo
