Define and describe for lesbian, bisexual and transgender individuals.
Gender and sexuality concepts.
Social and political context.
Social determinants of health affecting lesbian, bisexual and transgender individuals.
Barriers to health care.
Health care disparities.
Gender Identity: A person's internal, deep-seated sense of being male, female, both, neither, or somewhere else along the gender spectrum.
Gender Expression: The external way a person shows their gender, such as through clothing, voice, and mannerisms. It may or may not align with gender identity.
Sex Assigned at Birth: The classification (typically male or female) given to an individual at birth based on physical characteristics.
Cisgender: A person whose gender identity aligns with the sex they were assigned at birth.
The lives of LBT individuals are heavily influenced by the societal acceptance and legal rights afforded to them.
Stigma and Discrimination: LBT individuals face systemic prejudice, including Homophobia (against homosexual people), Biphobia (against bisexual people), and Transphobia (against transgender people). This manifests as fear, dislike, or negative attitudes, often leading to harassment and violence.
Legal and Policy Challenges: Many LBT people live in areas without comprehensive legal protections. Key political battles revolve around:
Non-discrimination laws in employment, housing, and public accommodation.
Legal recognition of gender identity (e.g., being able to update identification documents).
Healthcare access, specifically for gender-affirming care.
Minority Stress: The cumulative stress experienced by LBT individuals due to their minority status, characterized by internalized negative societal attitudes, the expectation of rejection, and the need to conceal their identity. This chronic stress significantly impacts mental and physical health.
Intersectionality: LBT people who also belong to other marginalized groups (e.g., LBT people of color, LBT immigrants) experience compounded discrimination and vulnerability, often leading to worse outcomes across all life domains.
You've asked for a detailed breakdown of the definitions, concepts, and issues affecting lesbian, bisexual, and transgender (LBT) individuals, covering gender/sexuality, social/political context, social determinants of health, and healthcare barriers/disparities.
Here is a comprehensive overview:
Understanding LBT identities requires distinguishing between Sexual Orientation and Gender Identity.1
| Identity | Definition | Domain |
|---|---|---|
| Lesbian | A woman or non-binary person who is primarily attracted to other women. | Sexual Orientation |
| Bisexual | A person attracted to more than one gender. | Sexual Orientation |
| Transgender (Trans) | An umbrella term for people whose gender identity and/or gender expression differs from the sex they were assigned at birth. | Gender Identity |
Sexual Orientation: An individual's enduring emotional, romantic, and/or physical attraction (or non-attraction) to other people.2 It exists on a continuum (e.g., heterosexual, lesbian, gay, bisexual, asexual).3
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