Around the world, gay, lesbian, bisexual, and transgender (LGBT) individuals face worse health outcomes than the general population. As a result, a large portion of the LGBT community faces mental health issues, injury, violence, suicide, substance abuse and more. We know the problem is in part due to the barriers they face to accessing health care and health professionals being educated in LGBT-related health issues. But because there is relatively little health research on this population globally, the true scope of the global burden is difficult to calculate. These barriers range from denial in care, to inadequate or substandard care, to unwillingness to go to a doctor because of discrimination. Sometimes serious penalties are involved. The most recent news involved the LGBT community in Chechnya (North Caucasus region of Russia), also known as Chechens.
Canada, a country where leaders of many-if not all- levels of government march alongside the LGBT community in Pride parades, it’s easy to forget that much of the world is still a scary place for LGBT individuals to openly live as such. Don’t get me wrong- not everything is ideal for sexual minorities in Canada either, as many people are victims of bullying or risk of violence and suicide. But these issues are recognized and the Canadian government, in the past few decades, has shown a will to address them. For example, with newly created protections geared towards the transgender community. In the last year a policy was approved that men who have sex with men are allowed to donate blood.
Since last March, Chechnya has been making headlines for its cruel treatment of homosexuals. It was reported that Chechnya’s authorities were detaining over 100 gay men. Eventually more information on this issue surfaced and the details are extremely bone-chilling. Most were arrested and detained from anywhere to a day and up to several weeks, beaten, verbally abused, starved tortured, and forced to reveal the names of others. Continue reading “Setting an Example for LGBT Rights”
The LGBT community is diverse. Although L, G, B, and T are often tied together as an acronym that suggests homogeneity, each letter represents a wide range of individuals of different races, ethnicities, ages, socioeconomic status and identities. Each letter deserves the same amount of care, attention and healthcare services. Sadly, what binds them together as social and gender minorities, especially in international countries, are the common experiences of stigma and discrimination that occur within healthcare, the struggle of living at the intersection of many cultural backgrounds and trying to be a part of each. With respect to healthcare, a long history of discrimination, overall lack of awareness, and simple education of health needs by health professionals. As a result, LGBT people face a common set of challenges in accessing culturally-competent health services and achieving the highest possible level of health. Continue reading “The Importance of LGBT Cultural-Competency: A Discussion Towards an Inclusive Approach”
I first became interested in the topic of lesbian, gay, bisexual, and transgender (LGBT) health care and health education while working as a country lead for the Presidential Emergency Plan for AIDS Relief (PEPFAR). During my time there I had the opportunity to travel to South Africa and understand their community and health care system a bit better, with an emphasis on their HIV/AIDS epidemic. This post focuses on the LGBT history in South Africa, recent developments, addressing that there is a gap between homophobia and non-judgmental care, and the importance of health care workers understanding LGBT health education.
More and more countries around the world are opening their arms to welcome and embrace LGBT pride. South Africa has one of the world’s more progressive constitutions which legally protects LGBT people from discrimination, although current research indicates that they continue to face discrimination and homophobia in many different facets of life. The most recent milestone occurred in 2006 when the country passed a law to recognize same-sex marriages. Nevertheless, LGBT South Africans particularly those outside of the major cities, continue to face some challenges including conservative attitudes, violence, and high rates of disease. As the country continues to grow there seems to be an increase in LGBT representation (with approximately 4,900,000 people identifying as LGBT) whether it is through activism, tourism, the media and society or support from religious groups. So, what about LGBT health education? Continue reading “Improving LGBT Health Education in South Africa: Addressing the Gap”