Human Services: Racial and Health Equity Team LGBTQIA2S+ Healthy Equity Coordinator Introductions
• Ryan Maganini (he/him)
• LGBTQIA2S+ Health Equity Coordinator Current Scope of Work
• Long Beach Trans Wellness Workgroup
• Long Beach LGBTQIA2S+ Community Health Needs Assessment • Sexual Orientation and Gender Identity (SOGI) Data Collection • Community Event Support, Outreach and Engagement Terminology
LGBTQIA2S+ stands for:
Term Demographic Category Lesbian Sexual Orientation Gay Sexual Orientation Bisexual Sexual Orientation Transgender Gender Identity Queer Sexual Orientation / Gender Identity Intersex Sex Asexual/Aromantic Sexual Orientation Two Spirit (2S) Sexual Orientation / Gender Identity + Signifies inclusivity and the evolving / expansive language used in the community Terminology Statistical Impacts
Among transgender and nonbinary
youth: • More than half seriously considered attempting suicide in the past year • More than 2 in 3 reported symptoms of major depressive disorder in the past two weeks • More than 3 in 4 reported symptoms of generalized anxiety disorder in the past two weeks The Trevor Project. 2021 National Survey on LGBTQ Youth Mental Health. Reasons for Not Seeking Mental Health Services Housing Insecurity • In Los Angeles County in 2020, 4,775 youth were experiencing homelessness • 19% increase from 2019 • At higher risk: females, Black or Latinx, LGBTQIA2S+ Statistical Impacts
When youth experienced correct names
and pronouns: • Fewer symptoms of depression (5.36-unit decrease) • Less suicidal ideation (29% decrease) • Less suicidal behavior (56% decrease) • Symptoms are lowest when correct names and pronouns is used in all four contexts: home, work, school, and with friends Russel, S.T., Pollitt, A.M., Li G., & Grossman, A. H. (2018) Health Equity Considerations for the LGBTQIA2S+ Community
• Access to Care • Transportation • Cost of Services • Examples • Is there an LGBT affirming clinic in your town? In your county? In your state? • Do you have access to transportation to reach the clinic? • Does the affirming clinic accept your health insurance? • Does your insurance cover the majority of costs or will you be paying out of pocket? Health Equity Considerations for the LGBTQIA2S+ Community
• Quality of Care • Culturally Affirming Care • Gender Affirming Care • Implicit Bias/Discrimination
• Examples • Does the clinic staff use your correct name and pronouns? • Does the provider make assumptions about your sexual history or partner(s) based on your identity? Health Equity Considerations for the LGBTQIA2S+ Community • Social Determinants of Health • Social Environment • Neighborhood and Built Environment • Educational/Employment Opportunities • Income and Financial Stability • Examples • Are there LGBT community spaces in your town? • Are there LGBT community spaces that aren’t centered around alcohol or drugs? • Does an employer provide equal opportunity for transgender or gender non-conforming applicants? • If you work in the cash economy (e.g., sex work), is health insurance affordable on your own, independent of an employer? Testimonials
