FPC: health disparities and gender Flashcards
(29 cards)
What is the DSM-5 criteria for gender dysphoria?
At least six months of distress or problems functioning due to at least 2 of the defined feelings/experiences.
The increase in the LGBTQ population is due to?
The younger population.
What is the largest LGBTQ population?
Bisexual (56%).
What are some determinants of healthcare disparities for the LGBTQ population?
Bias in healthcare, societal discrimination, social determinants of health.
What LGBTQ population is less likely to have health insurance?
Transgender.
As of 22, what percentage of transgender individuals did not see a provider due to fear of mistreatment?
25%.
What proportion of transgender people have had a family member be violent towards them?
1 in 10.
A large proportion of violence against the LGBTQ population is experienced by?
Black transgender women.
What is true of attempting suicide in LGBTQ youth in terms of social factors?
If they have a supportive family/school environment, they’re less likely to attempt.
What mental health issues are more common in lesbian women?
Depression, anxiety, eating disorders, suicide.
LGBTQ youth have higher use of?
Alcohol, drugs, and tobacco. Also more likely to start younger.
What do we ask in a sexual history?
Partners, practices, protection from STI, past history of STI, pregnancy intentions.
What is the general trend in HIV?
It has decreased in the past 6 years.
New HIV infections are commonly clustered in?
The south.
What population is more likely to contract HIV?
Men who have sex with men.
The rate of black males with HIV is ___ compared to white males?
6 times higher.
The rate of Hispanic males with HIV is ___ compared to white males?
2.9 times higher.
The rate of black females with HIV is ___ compared to white females?
10.6 times higher.
The rate of Hispanic females with HIV is ___ compared to white females?
3.6 times higher.
How can we approach the HIV epidemic?
Diagnose early, treat to obtain viral suppression, prevent new infection, respond to potential outbreaks.
What are examples of PrEP?
Truvada, Apretude, Descovy.
Who qualifies for PrEP?
Patients with unknown HIV status partners, partner with HIV who has unknown viral load, MSM with history of STI, MSW and WSM with gonorrhea or syphilis.
How does healthcare for trans or nonbinary people compare to that of cisgender people?
Generally, it’s pretty much the same!
What are goals of care for the physician when treating transgender patients?
Addressing general health concerns and those specific to transgender people in a way that facilitates affirmation and alleviates dysphoria.
