Public health services for sexual minorities have suffered from practitioners' lack of knowledge about sexual or gender orientation, specific health concerns and inherent system homophobia and heterosexism. "The Handbook of Lesbian, Gay, Bisexual and Transgender Public Health" provides a unique focus on LGBT public health, offering positive direction for practitioners looking for guidance in methods to ensure a healthy community for all while taking into consideration the special needs of sexual minorities. Each chapter is exhaustively referenced, includes useful lists of selected resources, is clearly illustrated with tables and diagrams, and asks questions to spark thought on the issue as they pertain to the reader's circumstances.
About the Editor Contributors Foreword (Claude Earl Fox) Preface Acknowledgments PART I: INTRODUCTORY MATERIALS Chapter 1. The Nomenclature of the Community: An Activist's Perspective (Joshua L. Ferris) Introduction Coming Out Stereotypical Lifestyles Gender Identity Conclusion Questions to Consider Chapter 2. The Role of Public Health in Lesbian, Gay, Bisexual, and Transgender Health (Patricia D. Mail and Walter J. Lear) Introduction What Is Public Health ? Research and Public Health The LGBT Health Movement Emerges and Thrives The HIV Pandemic Challenges the LGBT Health Movement and Public Health Community Health Programs and Services The U.S. Public Health Service LGBT Health Objectives for the Nation Future Directions and Research Needs Chapter 3. Lesbian, Gay, Bisexual, and Transgender Public Health Research (Randall L. Sell and Vincent M. B. Silenzio) Introduction Background What Is Sexual Orientation and Gender and Why Are Definitions Important? How Are LGBT People Identified for Public Health Research? A Framework for the Investigation of LGBT Public Health Limitations of Research Methods for Investigating LGBT Health Discussion Questions to Consider PART II: ACADEMIA Chapter 4. Lesbian, Gay, Bisexual, and Transgender Cultural Competency for Public Health Practitioners (Katherine L. Turner, Wayne L. Wilson, and M. Kate Shirah) Introduction and Background Context for Terminology and Definitions Rationale An LGBT Cultural Competency Framework LGBT Awareness, Sensitivity, and Competency Training Conclusion Questions to Consider PART III: THE COMMUNITY Chapter 5. Lesbian and Bisexual Women's Public Health (Amy Baernstein, Wendy B. Bostwick, Kathleen R. Carrick, Patricia M. Dunn, Kim W. Goodman, Tonda L. Hughes, Nina Markovic, Jeanne M. Marrazzo, and Helen A. Smith) Introduction Sexually Transmitted Diseases and Infections Alcohol Use and Abuse Tobacco Use Cardiovascular Disease Reproductive Cancers Intimate Partner Violence and Lesbians Questions to Consider Chapter 6. Public Health and Gay and Bisexual Men: A Primer for Practitioners, Clinicians, and Researchers (Scott D. Rhodes and Leland J. Yee) Introduction Who Are Gay and Bisexual Men? The Health of Gay and Bisexual Men Infectious Diseases Among Gay and Bisexual Men Noncommunicable Diseases Among Gay and Bisexual men Homophobia and Health An Effective HIV-Prevention Strategy Suggested Approaches and Considerations for Practitioners, Clinicians, and Researchers Conclusion Questions to Consider Chapter 7. The Whole Person: A Paradigm for Integrating the Mental and Physical Health of Trans Clients (Sheila C. Kirk and Claudette Kulkarni) Introduction Relevant Terms Mental and Emotional health Mental Health Needs of Transsexuals Physical Health Male-to-Female Transsexuals Female-to-Male Transsexuals Conclusion Selected Resources Questions to Consider Recommended Readings PART IV: HEALTH CARE DELIVERY SYSTEM Chapter 8. Barriers to Health Care Access (Manuel Hernandez and Shawn L. Fultz) Introduction Institutional Barriers to LGBT Health Care Provider-Based Barriers to LGBT Health Care Patient-Based Barriers to LGBT Health Care Provid