Exam 3 Flashcards
(39 cards)
Historical myths of women’s healthcare
Hippocrates: uterus blamed for excessive emotions, cure is sex. women are mutilated males
-Histeria: uterus to describe and dismiss female illness, real diagnosis until 1980
-Women can’t be educated
-Lobotomies performed because women were not ideal domestic women
Consequences of men pushing women out and replacing women as healers
Care of women no longer from women, now from powerful men
women treated as lesser
3 most common gender disparities
Pregnancy and birth are women’s roles and so they sacrifice all else
clinical research exempts women from studies and clinical trials because their hormones fluctuate too much
Women’s pain is more likely to be seen as having an emotional or psychological reason rather than a bodily or biological one
Pregnancy and birth
-contraception responisbilites fall on women
- Traumatic experiences, but dismissed if you have a healthy baby
- maternal mortality rate is high in US, POC 3x more likely to die in child birth
Caregiving
Women provide the majority of caregiving at the cost of their health
66% of care givers are female
25% have health related issues
less likley to have preventitive visitis
Pain
More likely to be offered antidepressants
-50% more likely to receive pain medicine after heart surgery
-70% of those with chronic pain, 80% of medication studies done on men
-ED women have to wait about 16 mins longer than men to recieve pain medication
Key points of women’s health
-Women receive inequitable health care compared to men
-The lack of power women had throughout history has lead to modern women receiving low quality care
-Women are taken less seriously and believed less by providers, less research with women leading to delayed or misdiagnosis and treatment
Nurses can and should help minimize the inequity
LGBT Disparities
-youth are 2x more likely to attempt suicde
lesibians are less likely to receive preventitive cancer care
-gay men at higher risk for HIV
-elderly face isolation because they don’t have children/friends are passing, lack social services, and lack culturally competant providers
-LGBT have higher rates of tobacco, alcohol, and other drug use
LGBT Discrimination
9x more likely to attempt suicide
30% have 1 experience with homelessness
50% trans people experience mistreatment from medical providers
28% report avoiding or delaying healthcare due to fear of mistreatment
48% report health insurance denying gender affirming care
Sexualities
Lesbian
Gay
Bisexual
Gender identities
Transgender
Queer
Intersex
Asexual
Sex
based on apperance of external genitalia
-chromosomes, reporductive orangs
FAAB or AFAB
Intersex: differences of sexual development
Gender idenity
personal sense of self and being
gender expression
clothing, mannerisms, voice, communications
gender norms
social and cultural expectation of expression
tranistion
nonlinear process of moving from one gender to another
Sexuality
identity/orientation
-heterosexual, queer, homosexual, bisexual, lesbian, gay, pansexual, asexual, questioning
LGBT reminders
Sex does not = gender does not = sexuality
Not at automatically at higher risk for mental/physical illness or trauma
Help by using up to date and appropriate language
Gender idenity terms in other cultures
two spirit: distingush and distance native americans from non native people
third gender: in indian society, 3rd gender is not male or female, not transitioning
Mahu: hawaiian, 3rd gender, AMAB, different from early on in lives, key social and spirutual roles: guardians of cultural rituals/dances, care of children and elders
1948
Sexual behavior in the human male (alfred kinsey) published. Reports 37% of men interviewed participated in homosexual behavior.
1953
Executive Order 10450 is signed by Pres Dwight Eisenhower, ordering the dismissal of government workers who engage in sexual perversion and other immoral acts. Although the order does not explicitly mention homosexuality, hundreds of gays and lesbians lose their job as result
1956
At a meeting of the American Psychological Association, Evelyn Hooker presented research comparing the psychological health of homosexual and heterosexual men. No differences in the mental health of these 2 groups
1962
Illinois becomes the first state to decriminalize homosexual acts between 2 consenting adults in private
1969
Stonewall Riots, June 28 1969. Owned by the mafia, but arrested for being “in the bar while gay”. Marsha P Johnson, Sylvia Riveria (transwomen), and Storme Delarverie (trans man). Threw bricks and shoes and fought against the police. START- provided housing for transgender and LGBTQ in NYC.