The Health of Lesbian, Gay, Bisexual, and Transgender People Building a Foundation for Better Understanding (2011) / Chapter Skim
Currently Skimming:
7 Recommendations
7 Recommendations
Pages 293-306
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 293... ...
NIH should implement a research agenda designed to advance knowledge and understanding of LGBT health. The committee believes that building the evidence base on LGBT health issues will not only benefit LGBT individuals but also provide new research on topics that affect heterosexual and non-gender-variant individuals as well.
|
From page 294... ...
The committee therefore recommends research that focuses on these populations. Cross-Cutting Perspectives Chapter 1 introduces four conceptual frameworks that are useful for understanding the health of LGBT people: the minority stress model, a lifecourse perspective, intersectionality, and social ecology.
|
From page 295... ...
Longitudinal cohort studies, which are largely absent from LGBT research, are an excellent way of gaining insight into health issues by following participants over a period of time. Such studies would be useful for understanding many health issues related to sexual and gender minorities, including the development of gender-variant youth in their social contexts, the effects of pathways to family formation on the health of sexual and gender minorities, men who have sex with men in the context of HIV, identity as an LGBT person (i.e., member of a sexual and/or gender minority)
|
From page 296... ...
Research Areas While recognizing that many areas in the field of LGBT health are in need of and deserve more attention, the committee also understands the importance of identifying priorities for research. Therefore, the committee identified the following areas as being especially important in taking an early step toward building a solid evidence base and as being likely to make the greatest contributions to the field at this point in time: demographic research, social influences on the lives of LGBT people, inequities in health care, intervention studies, and transgender-specific health needs.
|
From page 297... ...
Intervention Research Research is needed to develop and test the effectiveness of interventions designed to address health inequities experienced by LGBT populations. Studies focused on increasing access to care or addressing the mental or physical conditions that lead to impaired health among LGBT individuals would assist in reducing these inequities.
|
From page 298... ...
Some studies have used text messaging as a means of communicating preventive health information or interventions, while others have used geographic information systems to examine various risk factors and determine where to direct resources and interventions. The committee believes that as communication technology continues to evolve, it may hold potential for extending interventions to difficult-to-reach LGBT populations and that its use for this purpose warrants further research.
|
From page 299... ...
The need for demographic data is reflected in the above research agenda. Collecting data on sexual orientation and gender identity in federally funded surveys would generate these data.
|
From page 300... ...
• Patterns and and prevalence of • Experiences of grief experiences of "chosen families" and loss (including homelessness • Intrafamily and multiple losses) among LGBT youth domestic violence • Intrafamily and • Intrafamily and (e.g., interpersonal domestic violence domestic violence violence, including (e.g., caregiver/ (e.g., sexual abuse, intimate partner provider abuse, abuse by parents, violence)
|
From page 301... ...
and discrimination and discrimination • The experience of • Identity-related (particularly and preparations for issues unknown among late life among older • Eating disorders bisexual adults) LGBT persons • Eating disorders Physical Health • Substance use • Substance use • Cancer rates, risks, (including smoking (particularly and treatment and alcohol abuse)
|
From page 302... ...
These data collection efforts could be expected to generate national, populationlevel data that could be used to glean information on LGBT populations in general, as well as to explore characteristics of LGBT subpopulations. In addition, including variables to measure sexual orientation and gender identity in a variety of studies (e.g., through the addition of appropriate questions on gender identity and sexual orientation to the demographic section of questionnaires)
|
From page 303... ...
While recognizing that obstacles to the collection of meaningful data on sexual orientation and gender identity exist, the committee encourages the Office of the National Coordinator to begin planning for the collection of these data as part of the required set of demographic data for electronic health records. Detailed patient-level data such as those found in electronic health records could provide a rich source of information about LGBT populations and subpopulations.
|
From page 304... ...
NIH should support research that will assist in addressing the methodological challenges associated with conducting research on LGBT health. Particularly helpful would be studies aimed at developing innovative ways to conduct research with small and difficult-to-reach populations; overcoming challenges involved in combining multiple data sets to obtain a sample with sufficient numbers of sexual- and gender-minority respondents to permit analysis; and determining the best ways to collect information on sexual and gender minorities in research, health care, and other settings.
|
From page 305... ...
Using the NIH policy on the inclusion of women and minorities in clinical research as a model, NIH should encourage grant applicants to address explicitly the extent to which their proposed sample includes or excludes sexual and gender minorities. Researchers would thereby be prompted to consider the scientific implications of including or excluding sexual and gender minorities and whether these groups will be included in sufficient numbers to permit meaningful analyses.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.