L esbian G ay B isexual T ransgender Q ueer Q uestioning I ntersex A sexual A lly P ansexual P olysexual 7 Common Misconceptions Certain words or ideas are often used incorrectly and can may be viewed as offensive ID: 760873
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Slide1
Alphabet Soup
LGBTQQIAAPP
L
esbian
G
ay
B
isexual
T
ransgender
Q
ueer
Q
uestioning
I
ntersex
A
-sexual
A
lly
P
ansexual
P
olysexual
Slide27
Common Misconceptions
Certain words or ideas are often used incorrectly and can may be viewed as offensive.Sex v. GenderSexual Orientation v. ‘lifestyle’Sexual orientation vs. Gender Identity
Slide311
Sex vs. Gender
"Sex" refers to the biological and physiological characteristics that define human beings.*"Gender" refers to the socially constructed roles, behaviors, activities, and attributes that a given society considers appropriate for it’s members.*
*World Health Organization
Slide4What’s the Difference?
Gender Expression – The external display of one’s gender, through a combination of dress, demeanor, social behavior, and other factors, generally measured on scales of masculinity and femininity.We see what is considered traditional expression change over time and culture.
Slide5Slide6How Do We See Gender?
The concept of gender is everywhereIt’s how we carry ourselvesHow we interact with one anotherWhat we wear and how we wear it
Slide7Gender Stereotypes
“Gendering”– to decide what a child’s gender is and how they should express it, without the child’s input. *Generally starts before birthChildren begin to develop gender identity at age 2-3 **Of self & othersAwareness of “gender roles”Transgender children can develop varying levels of dysphoria as they begin to understand their own gender.
*stopgenderingchildren.tumblr.com
**kidshealth.org
Slide8Gender Identity
Gender Identity – A person’s perception of their gender, and how they label themselves, based on how much they identify with what they understand their options for gender to be.
In America,
we see options for gender as Man or Woman
Other cultures have terms to describe folks who identify as other than within the binary:
Indigenous American Tribes: Two-Spirit
India:
Hijra
Thailand:
Kathoeys
Slide913
Transgender
An umbrella term for anyone who identifies outside of the gender binary of male or female
Cisgender
:
An individual who has a biological sex that aligns with their felt and/or experienced gender.
Slide1011
Thought Piece
Slide11Sexual Orientation – The type of sexual, romantic, physical, and/or spiritual attraction one feels for others
For example…GayStraightBisexualLesbianQueerPansexualPolysexualAsexual
Sexual Orientation
Slide12Other Words To Know
MSM/WSW
FTM/MTF
TransMan
/
TransWoman
Gender-Queer/Gender-Fluid
Slide139
Itspronouncedmetrosexual.com
Slide1415
Numbers Matter
Estimates are approximately 9 million adults identify as LGB (3.5%) and T (0.3%)Collected from data of 11 surveysCertain factors affect reporting & numbersHow is the question asked?Where is the question asked?What is the question asking?
15
*Williams Institute
Slide15Youth
Slide16Coming Out involves Risks
2003 survey found that disclosing their sexual orientation or gender identity:33% of LGB students reported attempting suicide84% of LGBTQ students were called names or had their safety threatened45% of LGBTQ youth of color experienced verbal harassment and/or physical assault39% of LGB students and 55 percent of transgender students were shoved or pushed. Transgender youth were one-third more likely to endure physical harassment than LGB students.64% of LGBTQ students feel unsafe at school.25-40% of homeless youth may identify as LGBTQ. Parents or caregivers often throw them out of their homes
Slide17LGBT Youth & Justice
Though same-sex oriented and transgender youth represent only 5-7% of the overall youth population, they represent 13-15% of youth in the juvenile justice system.*
17
*Center for American Progress
Slide18Impact of Family Rejection
Youth who experience familial conflicts because of their sexual orientation or gender identity are at risk of entering the system for specific categories of charges:Status offensesDomestic disturbancesSurvival crimes.
18
*Center for American Progress
Slide19Impact of Family Rejection
Conversely, young adults who reported high levels of family acceptance scored higher on all three measures of positive adjustment and health: self-esteem, social support, and general health.
19
Ryan, Russell, Huebner, Diaz, & Sanchez, 2010
Slide20Mental Health & LGBT Youth
LGBT youth were more likely to report issues with depression, anxiety, suicidality, and body image disturbance (Hart & Heimberg, 2001). Sad or hopeless: 24.8% v. 41.3/56.3%*Suicide attempts: 6.4% v. 25.8/28%*
20
*Center for Disease Control, 2011
Slide21Happiness & Priorities
Non-LGBT youth are nearly twice as likely to report being happy than LGBT youth (HRC, 2013)When asked about their most important problems right now:LGBT Youth: 1. Non-accepting families (26%); 2. school/bullying problems (21%); 3. Fear of being out/open (18%)Non-LGBT Youth: 1. Classes/exams/grades (25%); college/career (14%); Financial pressure (11%)
21
Slide22Homeless LGBT youth
26% of surveyed, self-identified LGBT young people reported leaving their home by choice.*40% of homeless youth are same-sex oriented or transgender – all but 1% of these young people are involved in the juvenile justice system.*Increased likelihood for arrest & detainment – breaking curfew, drug sales, theft, “survival sex,” and sleeping in public spaces.
22
*Center for American Progress
Slide23LGBT TraffickingVideo--LA
https://www.youtube.com/watch?v=1t3vfQIJ-zk
23
Slide24Chemical Abuse in LGB Youth
(Prevention, 2011)
Heterosexual students
Lesbian & gay
students
Bisexual
students
Binge
drinking
(5+ drinks in a sitting) in the last 30 days
20.2%
26.1%
33.1%
Cocaine
use in last 30 days
1.8%
16.6%
11.1%
Heroin
use
during lifetime
1.8%
17.7%
9.6%
Methamphetamine
use during lifetime
3.4%
21.5%
13.2%
Slide25Impacts on Health
Slide26Chemical Abuse Within LGB Adults
It is estimated that between 20-30% of LGB people abuse substances, compared to about 9% of the general population.Chemical dependency among LGBT seniors is often neglected/ undetected
(American Progress, 2009; Green, 2012; Healthy People, 2010)
Slide27Mental Health & Substance Abuse: Higher Risks
Several studies suggest that LGBT people appear to have higher rates of some mental disorders compared than their non-LGBT peers, although not to the level of a serious pathology.
This is generally due to a lack of support and acceptance (in self and from others); a lack of resources (mental and medical), and issues of discrimination.
In line with the Minority Stress Theory, early victimization on the basis of sexual orientation and/or gender identity/expression has a relationship to later biopsychosocial development.
*American Psychological Association
Slide28Suggested Causes for Higher Dependency Rates
Youth
Internalized homophobiaExperiment & fit in with peersIncrease feelings of self-esteem and adequacySelf-medicate for underlying mental health issuesShame about sexual orientationLack of support networkHigher rate of family rejection
Adults
High level of stress due to social prejudice and discriminatory lawsCentrality of the bar and club scenes as source of socialization and supportLess access to quality health care
(Healthy People, 2010; Cochran, 2006)
Slide29Seniors
Slide3030
Slide31Senior
2.5
million gay
seniors:
Twice as
likely to live
alone
4x
times less likely to have adult children to help
them
Far
more fearful of discrimination from health care workers.
Slide32Key problems identified in study
Health/HealthcareCultural competency of healthcare providers 88% of trans respondents have experienced neglect by a primary caregiver because of their gender identity40% of respondents have a disability
Lack of Community SupportDesire for more social interaction opportunitiesNeed for services specifically targeted toward LGBT Elders
Financial Security 45% of single lesbians aged 65+ have an annual income of $20, 000 or lessLack of finances was reported as a barrier to adequate healthcare
SAGE Survey
Slide33Transgender
Slide34“Injustice at Every Turn”
2011 report completed by 6,450 transgender and gender non-conforming participants
First “360-degree” look at different instances of discriminationCompleted by the National Gay and Lesbian Task Force and the National Center for Transgender Equality
Slide35Highlights
*Injustice at Every Turn
Intersectionality
– African American transgender respondents fared “far worse than all others in most areas examined.”
15% of respondents reported living in extreme poverty (under $10k/year) – versus 4% of the general population
41% reported attempting suicide, with increasing rates when factoring in employment discrimination (55%), physical assault (61%), or sexual assault (64
%)
15% of respondents reported leaving school because harassment was so severe.
Slide36Employment Discrimination
Injustice at Every Turn, 2011
Transgender individuals experience double the rate of unemployment (14%) as their cisgender peers (7%)
47% reported “adverse job outcomes” because of their identity or gender non-conformity
16% of all respondents reported feeling compelled to work in the ‘underground economy’ (sex work, selling drugs, etc)
78% reported feeling more comfortable after being able to transition at work.
Slide37Discrimination in Public Accommodations
Injustice at Every Turn, 2011
Slide38Intersectionality
Intersectionality refers to the intersection of forms (or systems) of oppression and discrimination. (Crenshaw 1989)This type of exclusion is particularly difficult because they often support and reinforce one another.
Slide39Health Issues
Slide40Health Issues
Some medical professionals may assume heteronormativity and base their assessment on this.Studies show that LGBT individuals report a higher occurrence of ignoring regular screenings.*According to the ACLU, heterosexual and cisgender adults are more likely to have health insurance, seek appropriate healthcare, get prescriptions filled
*
AmericanProgress.org
Slide41Youth
Due to stigma and discrimination– stress associated with these experiences greater risk for: Negative health outcomes HomelessnessSchool victimizationSuicideDrug use
41
Slide42Pregnancy Rates
American
Journal of Public
Health
10,000
ethnically and racially diverse New York City high school students from 2005, 2007 and 2009.
Students
were identified as a sexual minority if they identified as lesbian, gay, bisexual, or had reported sex with someone of the same sex.
13
percent of heterosexual females and about 14 percent of females who only had male sexual partners had been
pregnant
23
percent of lesbian or bisexual females and about 20 percent of girls who had male and female sexual partners.
About 10 percent of heterosexual males and those who only had female sexual partners experienced a pregnancy, compared to about 29 percent of gay or bisexual males and about 38 percent of males with female and male sexual partners.
Slide43Transgender
HIV InfectionCardiovascular Health ProblemsIncreased rates of Cigarette smoking, obesity, high blood pressure, diabetesDepression
43
Slide44Lesbians
Heart DiseaseObesity and smokingCancerBreast Cancer due to fewer full-term pregnancies, mammograms, & obesityFewer screeningsObesityMental Health DisordersDepression, phobia, post-traumatic stress disorderStress/Suicidal Ideation/Suicide AttemptsSubstance Abuse--Smoking (2x), More heavy drinking,
44
Slide45Gay Men
Heart DiseaseAll men, but higher tobacco and alcohol CancerIncreased risk of prostate, testicular, and colon cancerAnal cancer (Higher rates of HPV—17x more likely to develop cancer)Body Image IssuesBulimia / Anorexia Mental HealthDepressionSubstance AbuseAlcohol and illicit drugsTobacco SuicideHigher rates of suicide attempts and completions
45
Slide46Gay Men (Cont)
HIV/AIDSMSM account for just 4 percent of the U.S. male population ages 13 and older, the rate of new HIV diagnoses among MSM in the United States is more than 44 times that of other men HepatitisHPVSyphilis
46
Slide47Suicide Rates
Because death certificates do not indicate sexual orientation and gender identity, rates of deaths by suicide in LGBT populations are unknown.Lifetime prevalence of suicide attempts LGB men & women are significantly higher than their heterosexual peers*36% of LGB adults age 50 and older & 71% of transgender adults age 50 and older have at some time had suicidal thoughts.**
*National Strategy on Suicide Prevention, Surgeon General
**2011 Aging & Health Report
Slide48Suicide Rates
36% of LGB adults age 50 and older and 71% of transgender adults age 50 and older have at some time had suicidal thoughts.28% of lesbian and gay students and 19% of bisexual students reported a suicide attempt vs. 15% of their heterosexual peers. Those rejected by their family are 9 times more likely.*Information provided by suicide.org, gayprideparade.com, CDC
Slide49Media and the Law
Slide50Laws ~ Where Are We?
Employment & Housing
It is legal in Ohio to be fired from your job, denied an apartment, or refused service at a movie theater, restaurant or hotel because of your sexual orientation or gender
identity--No
statewide
nondiscrimination
Conversion Therapy
Legislation has been introduced in Ohio to ban this harmful practice from being practiced on minors (
S.B. 74
&
H.B. 247
).
Birth Certificate—No gender marker changes
Bathroom Ordinances
Criminalization of HIV
Slide5113
Local News
Cleveland Plain Dealer 4/29/2013
Slide52Acquisition of Proper Identification
For Trans* folks, having documents reflect their identified gender can be a difficult processOhio Name Change LawsTo obtain a legal name change in Ohio, an applicant must submit a petition to the court.Ohio Drivers LicenseIn order to update name and/or gender on an Ohio ID, the applicant must submit (1) a court order and/or (2) a Declaration of Gender Change form signed by a physician or psychologist certifying the applicant's gender identity (through the BMV)Ohio Birth Certificate Laws the Ohio Office of Vital Statistics can issue an amended birth certificate upon receipt of a court order of gender change.
transequality.org
Slide53Rural LGBT
Slide54Rural LGBT
Findings from this report demonstrate that LGBT students across the country — particularly those in rural and small town areas — encounter hostile school environments. LGBT students in rural schools More likely to hear negative comments about gender expression and sexual orientation; Feel unsafe at their schools due to their sexual orientation, gender identity, or gender expression; Experience verbal and physical harassment and assault due to these characteristics.
54
Slide55Rural LGBT (Cont)
Further exacerbated by the lack LGBT-related resources relative to their suburban and urban counterparts, including a lower prevalence of GSAs, supportive staff, inclusive curricula, and comprehensive anti -bullying policies. Developing LGBT-related resources and supports may require additional support or alternative strategies in rural areas. Advocates should strive to expand use of the resources that already exist. For instance, for rural students who may be living in vast geographic areas, online resources may be useful to supplement or make up for a lack of resources
55
Slide56Creating the Space for Safety
Slide57To Treat Me, You Have to Know Who I Am
https://
www.youtube.com/watch?v=XqH6GU6TrzI
Putting into Practice
In working with LGBT people, consider the following conditions:What issues are they facing?Is there the potential for discrimination?What support systems are in place?What role does intersectionality play?What role does implicit bias play?
58
Slide59Mindfulness
Literacy
Language
Culture
SES
Children
Food/Housing Stability
Ability
Transportation
Safety
Slide60Helpful Ways to Challenge Bias
Consciously acknowledge group and individual differences Routinely check thought processes and decisions for possible bias Increase exposure to stereotyped group members Consider asking for assistance (specifically from diverse perspective) and/or feedbackActively work to seek out uniqueness in stigmatized groups
Adapted from the National Center for State Courts
Slide61Implicit Bias
“An implicit bias is a positive or negative mental attitude towards a person, thing, or group that a person holds at an unconscious level. In contrast, an explicit bias is an attitude that somebody is consciously aware of having.” (
Standford
School of Medicine)
These often diverge – we may say we hold specific beliefs, but unconsciously, we may hold another
Slide62The Basics of Being an Ally
Work towards understanding your privilege – and recognize when it’s appropriate to use it to support your LGBTQ+ community and friends
Realize that being an ally is 24/7
Learn about LGBT-specific issues
Actively combatting interpersonal and systemic discrimination
‘Speak up, not over’
Apologize for missteps
Educate yourself
Slide6323
Checking Your Thoughts & Biases
23
GLSEN, Safe Space Kit
Slide64Creating a Space for Acceptance
Be aware of language
Ask about pronoun preference
(takes practice, your pronoun generator is subconscious)
When in doubt, just use their
name
Use Partner / Significant Other / Friend
Be respectful, ask if its ok to ask questions
Avoid making assumptions / stereotyping
Stay abreast of issues and advancements
When addressing issues of discrimination and/or harassment, create teachable
moments
You can display your
allyship
in a number of ways
Printed materials
Attending LGBT-specific events
Volunteering and giving back
Speaking up and out
Slide65Gender Pronouns
Importance of allowing individuals to self identify
If all else fails, askRelying on expression can be useful for some and not others
Slide66Examples of Pronouns
Gender-neutral pronouns
are used to avoid referring to someone as "he/him" or "she/her." Some people explicitly ask for gender-neutral pronouns, as these are the most comfortable for them; other people will use them as generics. A short list of the most common gender-neutral pronouns:
They, them
They smiled • I called them • their cat purred • it's theirs • they like themselves
Sie
,
hir
(pron.
see/hear
)
Sie
smiled • I called
hir
•
hir
cat purred • it's
hirs
•
sie
likes
hirself
Zie
,
zim
(like
he/him
, but with a "z" at the front)
Zie
smiled • I called
zim
•
zir
cat purred • it's
zirs
•
zie
likes
zirself
Ey
,
em
(like
they/them
without the "
th
")
Ey
smiled • I called
em
•
eir
cat purred • it's
eirs
•
ey
likes
emself
Slide67“Report
analyzes experiences of 1253 survivors of hate violence…”
http://www.avp.org/storage/documents/ncavp_hvreport_2015_final.pdf
Slide68“The year 2015 began with unprecedented reports of deadly violence against LGBTQ communities…”
Slide69“The survivors identified as…”
Slide70Slide71Slide72What they survived:
15% harassment
14% discrimination
12% physical violence
11% threats and intimidation
Survivors between the ages 12-24 were 3x more likely to experience hate violence from a relative and 3x more likely to experience violence by an acquaintance compared with older LGBTQ survivors.
Slide73Police Attitudes and Response
Slide74What the Report Recommended
Slide75Maya Simek, ESQ, LISW, MSSA
[Gender Pronouns: She/Hers]
Director of ProgrammingThe Lesbian Gay Bisexual Transgender Community Center of Greater Cleveland6600 Detroit AvenueCleveland, Ohio, 44102T: 216.651.5428 x 113 F: 216.651.6439msimek@lgbtcleveland.orgwww.lgbtcleveland.org
Slide76Sue
Marasco, PhD
Director of EducationMay Dugan Center4115 Bridge Ave.Cleveland, OH 44103216-631-5800 Ext 122smarasco@maydugancenter.orgwww.maydugancenter.org