Professor Encourages Providers and Patients: Do Ask, Do Tell

Patients would get better medical care if providers were aware of their biases towards assuming patients are straight, according to 海角直播 (SMU) Assistant Professor Ciara Cox.

鈥淭o treat me, you have to know who I am,鈥 said Cox, PhD, an occupational therapist. 鈥淧eople just assume you鈥檙e straight in this world.鈥

Cox spoke on 鈥淏eing Gay in Healthcare鈥 on the SMU Oakland campus Oct. 20 as part of the fall 2016 Community Learning Series. It was the second of three workshops on 鈥淚nclusive Practices in Healthcare,鈥 co-sponsored with the SMU Pride Committee. The third, 鈥淭rans Healthcare for Dummies,鈥 is set for Tuesday Oct. 25, 12 p.m. to 1 p.m. Room 4001 Peralta Medical Office Building in Oakland. 

SMU Assistant Professor Cox

 

Lesbian, gay, bisexual and transgender (LGBT) people experience worse health outcomes, Cox said, due both to difficulty in accessing culturally appropriate healthcare as well as chronic conditions such as substance abuse and cardiovascular disease that can accompany the stress of living with discrimination.

 

Cox noted that the Affordable Care Act provides greater protections and access for all minorities, and said a more diverse healthcare workforce will also be critical in reducing health disparities.

 

鈥淗arassment and refusal of care has a huge impact on people鈥檚 health,鈥 she said, as well as how accepting the social environment is where they live.

 

Cox offered some startling statistics:

 

鈥&苍产蝉辫;Gay people living in areas with a lot of prejudice against homosexuality die an average of 12 years earlier -- due largely to higher rates of suicide, violence and chronic diseases -- not even including deaths from HIV and AIDS.
鈥&苍产蝉辫;Gay and bisexual men are four times more likely to attempt suicide than straight men.

 

With an estimated 11.5 million LGBT people in the United States, Cox said aspiring healthcare practitioners should provide a safe environment that will encourage their patients to disclose their sexual orientation or gender identity.

 

鈥淐hances are you鈥檒l have patients who are gay,鈥 said Cox. 鈥淏eing an inclusive role model will have a huge impact on your patients.鈥

 

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