Nov 212016
 

On October 6, 2016 the National Institutes of Health in the United States designated gender and sexual minorities a disparity population for the purposes of research. This is tremendous news. The NIH is the health research arm of the US government. It gives grants. Scientists working there do crucial research. The NIH provides training and research opportunities for students and professionals alike.

Long time readers of Open Minded Health may remember the many times I’ve said “we need more research.” This is part of how we get that research. Through incentives that can now be provided by the NIH, and through the hard work of all connected with it.

Slowly but surely gender and sexual minority health is becoming better understood. And only through understanding it can we even begin to improve it. Ultimately so that we can all live healthier, longer, happier lives.

Read the full declaration below.

Sexual and Gender Minorities Formally Designated as a Health Disparity Population for Research Purposes

On behalf of many colleagues who have worked together to make today possible, I am proud to announce the formal designation of sexual and gender minorities (SGMs) as a health disparity population for NIH research. The term SGM encompasses lesbian, gay, bisexual, and transgender populations, as well as those whose sexual orientation, gender identity and expressions, or reproductive development varies from traditional, societal, cultural, or physiological norms.

Mounting evidence indicates that SGM populations have less access to health care and higher burdens of certain diseases, such as depression, cancer, and HIV/AIDS. But the extent and causes of health disparities are not fully understood, and research on how to close these gaps is lacking.

In addition, SGM populations have unique health challenges. More research is needed to understand these challenges, such as transgender people taking exogenous hormones.

Progress has been made in recent years, with gains in legal rights and changing social attitudes. However, stigmatization, hate-violence, and discrimination are still major barriers to the health and well-being of SGM populations. Research shows that sexual and gender minorities who live in communities with high levels of anti-SGM prejudice die sooner—12 years on average—than those living in more accepting communities.

The Minority Health and Health Disparities Research and Education Act of 2000 authorizes the Director of the National Institute on Minority Health and Health Disparities (NIMHD), in consultation with the director of the Agency for Healthcare Research and Quality (AHRQ) at the U.S. Department of Health and Human Services, to define health disparity populations. This month, with strong support from AHRQ Director Andrew Bindman, M.D., I formally designate sexual and gender minorities as a disparity population for research purposes.

The designation builds on previous steps by NIH to advance SGM health research. In 2011, the Institute of Medicine (now The National Academies of Sciences, Engineering, and Medicine) published an NIH-commissioned report on LGBT health issues. In response to the report recommendations, NIH extended its research portfolio and created the Sexual and Gender Minority Research Office (SGMRO). The SGMRO, within the Office of the Director, coordinates NIH-supported activities on SGM health issues and provides guidance to researchers within and outside of NIH.

I offer my gratitude to inaugural SGMRO Director Karen L. Parker, Ph.D., M.S.W., and NIH Principal Deputy Director Lawrence A. Tabak, D.D.S., Ph.D., who led the proposal for designation. I also offer my gratitude to colleagues across NIH who served on the NIH-established working group for their careful consideration on this matter.

This designation marks an important and necessary step in realizing NIH’s mission to advance the health of all Americans.

Source

Mar 072011
 

A report recently came out looking at trends in the medical literature regarding LGBT people. This is a meta-analysis (i.e., it is an article summarizing the original research of others – it is a secondary source) that looked at articles from 1950-2007.

Findings include:

  • Estimations of percentage of the population that is LGBT ranges from 2 to 10%, depending on the survey. In the United States, this should be between 6 and 30.4 million people.
  • Lesbians have a higher risk for breast and gynecological cancers. Gay men are at higher risk for anal cancer. We don’t know if these are because of genetics (homosexuality may have a genetic root), sexual practices, or culture.
  • You can continue reading to understand the biggest barrier to health care for LGBT patients is stigmatization by health care providers, because of poor education and training: “Providers as a whole need to better understand the distinct difference between LGBT status and persons with ‘high risk’ sexual behaviors.” (pg 166)
  • There is an overemphasis in the literature on sexual behavior-related topics. About 1/3rd of all papers published about LGBT people are about HIV, AIDS, STIs, and other related illnesses. This is by far the biggest group of papers. About 13% of papers are about mental health issues, and another 12% are stigmatizing articles about the causes and treatment of homosexuality. All other topics are covered by less than 9% of papers. For example, only 3.28% of papers deal with patient-health care provider interactions, and 2.66% deal with transsexual issues. This overemphasis means that we don’t have enough information about other illnesses that affect LGBT people.
  • Some research specifically excludes LGBT people with no clear explanation or reasoning behind it. This is actually against NIH research policy – populations canNOT be excluded without reason.

Citation:

Snyder, J. E. (2011). Trend Analysis of Medical Publications About LGBT Persons: 1950-2007. Journal of Homosexuality, 58: 164-188.