Resolution 5

Introduced by: Jorge A. Ramallo, MS4/MPH; Orlando Sola, LMSA Policy Chair; Jessica Aviles, MS2; Joshua Valverde, MS2

Subject: Healthcare Equality for Sexual Minority and Gender Diverse Populations of Latino Origin

Referred to: Latino Medical Student Association – Congress of Delegates

­­­­­­­­­­

Whereas, diversity in sexual orientation and gender identity are normal variations in human sexuality (Crompton, 2003; Haggerty, 2000) and

Whereas, LGBTQ (Lesbian, Gay, Bisexual, Transgender, and Queer) individuals and populations have unique identities, cultural and psychosocial characteristics, health care vulnerabilities and needs that need to be addressed when providing health care (IOM, 2011; Eliason, Dibble & DeJoseph, 2010) and

Whereas, the LGBTQ population is marginalized due to stigma and discrimination, including documented widespread bias within healthcare systems (WHO 2011) and lack of access to high quality care by sufficiently trained and culturally competent healthcare providers (IOM 2011; Keepnews 2011; Mayer et al. 2008) all stemming from the lack of appropriate teaching of LGBTQ health topics in medical schools (Obedin-Maliver, 2011) and

Whereas, it is estimated that 4.3% of Latinos identify as LGBTQ, which is an estimated 1.4 million people in the U.S. alone (Kastanis & Gates, 2013) and

Whereas, the Latino LGBTQ community is greatly affected by health disparities, including lack of access to health insurance and delays in seeking timely care due to stigma and discrimination (Krehely 2009) and

Whereas, from 2008 to 2011 19.2% of all new HIV infections came from the Latino community in the United States (CDC 2011) and tailored programming for racial and sexual minority status can help reduce STD burden in Latino LGBTQ communities (Sanchez 2009) and

Whereas, research development for underrepresented Latino populations and enhancement of cultural competency programs are consistent with the LMSA constitution, section 1.4.3 (Latino Medical Student Association, 2014), therefore be it

RESOLVED, that our LMSA recognizes the plight of LGBTQ people, especially in the Latino community, within its policy platform and opposes any form of discrimination based on sexual orientation or gender identity, and therefore be it

RESOLVED, that our LMSA supports initiatives that address and work to alleviate the specific obstacles faced by the LGBTQ latino population, particularly as they relate to health disparities and medical education and training

________________________________________________________

APPENDIX

Note on Definitions: The LGBTQ acronym is meant to encompass populations that self identify as belonging to the Gay, Lesbian, Bisexual, Transgender, and Queer communities. It also serves to encompass those who do not necessarily identify with any of the above referenced groups but still engage in sexual practices with members of the same gender. This population is often referred in the literature as MSM (men who have sex with men) and WSW (women who have sex with women).

References

Centers for Disease Control and Prevention. HIV Surveillance Report, 2011; vol. 23.

Crompton, L. (2006). Homosexuality and civilization. Harvard University Press. http://www.cdc.gov/hiv/topics/surveillance/resources/reports/. Published February 2013. Accessed January 19th, 2014.

Eliason, M. J., Dibble, S., & DeJoseph, J. (2010). Nursing’s silence on lesbian, gay, bisexual, and transgender issues: The need for emancipatory efforts. Advances in Nursing Science, 33(3), 206-218.

Gay and Lesbian Medical Association (2002). MSM Clinician’s guide to incorporating sexual risk assessment in routine visits. Online at www.glma.org accessed Jan 20th, 2014.

Gee, R. (2006). Primary care health issues among men who have sex with men. Journal of the American Academy of Nurse Practitioners, 18(4), 144-153.

Haggerty, G. (Ed.). (2000). Gay histories and cultures: An encyclopedia (Vol. 2). Taylor & Francis.

Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding.

Kastanis A and Gates, G. “LGBT Latino/a Individuals and Latino/a Same-Sex Couples.” The Williams Institute. October 2013.

Keepnews, D. M. (2011). Lesbian, Gay, Bisexual, and Transgender Health Issues and Nursing: Moving Toward an Agenda. Advances in Nursing Science,34(2), 163-170.

Krehely, J., “How to Close the LGBT Health Disparities Gap: Disparities by Race and Ethnicity,” Center for American Progress, 2009.

Latino Medical Student Association 2014. Constitution of the Latino Medical Student Association, Accessed online Jan 20th, 2014. http://lmsa.net/resources/constitution

Mayer, K. H., Bradford, J. B., Makadon, H. J., Stall, R., Goldhammer, H., & Landers, S. (2008). Sexual and gender minority health: what we know and what needs to be done.

American Journal of Public Health, 98(6), 989-995.

Neville, S., & Henrickson, M. (2006). Perceptions of lesbian, gay and bisexual people of primary healthcare services. Journal of Advanced Nursing, 55(4), 407-415.

Obedin-Maliver, Juno, Elizabeth S. Goldsmith, Leslie Stewart, William White, Eric Tran, Stephanie Brenman, Maggie Wells, David M. Fetterman, Gabriel Garcia, and Mitchell R. Lunn. “Lesbian, gay, bisexual, and transgender–related content in undergraduate medical education.” JAMA: The Journal of the American Medical Association 306, no. 9 (2011): 971-977.

Ryan C, Huebner D, Diaz RM, Sanchez J. Family rejection as a predictor of negative health outcomes in White and Latino lesbian, gay, and bisexual young adults. Pediatrics. 2009; 123(1):346–352. [PubMed: 19117902]

Sánchez JP, Lowe C, Freeman M, Burton W, Sánchez NF, Beil R. A syphilis control intervention targeting black and Hispanic men who have sex with men.  J Health Care Poor Underserved. 2009 Feb;20(1):194-209.

Sanchez NF, Rabatin J, Sanchez JP, Hubbard S, Kalet A. Medical students’ ability to care for lesbian, gay, bisexual, and transgendered patients. Fam Med. 2006 Jan;38(1):21-7.

WHO, Department of HIV/AIDS, June 2011. Prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people. http://www.who.int/hiv/pub/guidelines/msm_guidelines2011/en/ Accessed online Jan 20th, 2014

Leave a Reply