Thank you everyone. Extremely useful leads & information. I have compiled people's responses & created a short reference list for those who are interested. This material can be found at the end of the email.
Rationale for the Project in Northern Sydney Australia-
As a health promotion team we recognised that homophobia was apparent at a departmental level, within mainstream communities and inter and intra-sectorially - at times significantly effecting our the viability of our work.
As stated by Alice Miller in the American Journal of Public Health, "Health cannot be presumed to be a benign site for sexuality - especially homosexuality. [Not in light of] a history of medical and psychological interventions designed to oppress and pathologise GLBT people". (June 2001, Vol. 91, No 6 Uneasy Promises: Sexuality, Health and Human Rights A. Miller p863) Nor is 'promotion' an uncomplicated word in this context. Promotion of LGB+T health and life style needs is often wilfully misconstrued as a sophisticated recruitment strategy aimed at luring morally naïve heterosexuals into a world of unending and abhorrent promiscuity. How is it possible to promote 'healthy behaviours' when inequitable legislation at a Commonwealth and State level actively contributes to and perpetuates damaging stereotypes?
Our work in Northern Sydney involves a number of activities including facilitating queer youth social & support programs, workforce development training (Ready Or Not - challenging homophobia in an organisational context), policy implementation to affirm sexual & gender minorities in a population health context & a research initiative with the University of New England investigating the performance of heterosexism within a public health system - specifically exploring how discrimination (direct & indirect) is enacted by physicians and nurses. The research report will be ready early next year.
Cheers,
Michael
General List of References posted in response to sexuality as a SDH:
Krieger N, Sidney S. Prevalence and health implications of anti-gay
discrimination: a study of blackand white women and men in the CARDIA
cohort. Coronary Artery Risk Developmentin Young Adults.Int J Health
Serv. 1997;27(1):157-76. Mays, V. M. and S. D. Cochran (2001). "Mental
health correlates of perceived discrimination among lesbian, gay, and
bisexual adults in the United States." Am J Public Health 91(11):
1869-76.
Diaz, R. M., G. Ayala, et al. (2001). "The impact of homophobia,
poverty, and racism on the mental health of gay and bisexual Latino men:
findings from 3 US cities." Am J Public Health 91(6): 927-32.
1. national (Scotland) LGBT demonstration project funded by the
Scottish executive department of health. Link -
www.lgbthealthscotland.org.uk
2. LGBT health living centre covering Edinburgh and the Lothians
(surrounding local authority areas) Link - www.lgbthealth.org.uk
Michael West
Acting Manager & Health Access
HIV & Sexual Health Promotion Unit
Northern Sydney Health
37 Fourth Ave, Eastwood N.S.W 2122
pH 02 9858 7606 / 0402 892 058
Fax 02 9858 7987
[log in to unmask]
>>> [log in to unmask] 09/29/04 11:28pm >>>
An event and a few references relevant to sexuality as a determinant of
health:
Bent & Unbroken: A one-day event on queer youth poverty and migration
issues
Saturday October 2, 2004-09-20
9 am to 4 pm
Main Auditorium, 519 Community Centre
519 Church St, Toronto
See: http://www.egale.ca/index.asp?lang=E
<http://www.egale.ca/index.asp?lang=E&item=1083> &item=1083
Lynda Anderson, Theresa Healy, Barbara Herringer, Barbara Isaac and Ty
Perry (2001). Out in the Cold: Lesbian Health in Northern BC. British
Columbia Centre of Excellence for Women's Health and the Northern
Secretariat.
Aronson, J. (1998). Lesbians giving and receiving care: Stretching
conceptualizations of caring and community. Women's Studies
International Forum, 21, 509-519.
Daley, A. (2998) Lesbian Invisibility in Health Care Services.
Heterosexual Hegemony and Strategies for Change. Canadian Social Work
Review, 15, no.1, 1998, 57-71
Fish, J., & Wilkinson, S. (2003). Understanding lesbians' healthcare
behaviour: the case of breast self-examination. Social Science &
Medicine, 56(2), 235-245.
Mulé, N. (1999). Social work and the provision of health care and social
services to sexual minority populations. Canadian Social Work, 1(1),
39-55.
Ryan, B., Brotman, S., & Rowe, B. (2001?.). Access to care: Exploring
the health and well-being of gay, lesbian, bisexual and Two-spirit
people in Canada Montreal: McGill Centre for Applied Family Studies.
Sinding, C. (1999). Counting on Desire: Supporting a Lesbian with Breast
Cancer. In M.Denton, M. Hadjukowski-Ahmed, M. O'Connor, & I. U.
Zeytinoglu (Eds.), Women's Voices in Health Promotion (pp. 191-203).
Toronto: Canadian Scholars Press.
Coming Out about Lesbians and Cancer is the report of the Lesbians and
Breast Cancer Project, a community-based participatory study conducted
in Ontario, Canada in 2003. The report [in summary form, and as the
full 100+ page document] is available for download from the DAWN Ontario
website, http://dawn.thot.net/lbcp in HTML, PDF and/or word format).
Paper copies of the summary report are available free of charge from
Willow Breast Cancer Support & Resource Services. Toll-free:
1-888-778-3100; in Toronto: 416 778-5000; TTY: 416 778-4082; Email:
[log in to unmask]
Drop a Google on Dr. Ruth McNair from Melb. Uni General Practice on lesbian
health; also Philomena Horsley & others from the Australian Research Centre
on Health, Sex & Society, also in Melbourne. They're the 2 that come to mind
that I know about.
Julie Woodrow undertook a project in Greater Murray Area Health Service
(NSW, AUST) on same sex attracted youth - 'same but different' .The projects
focus was on the provision of services that were sensitive to the needs of
Same Sex Attracted youth.
This project acknowledged the issues of sexuality and sexual diversity as it
impacts on the lives of young people. I know that the Centre for Mental
Health( NSW) have utilised the projects research to support school based
programs suchas School Link, RAP etc.
Julie can be contacted through [log in to unmask]
As stated by Alice Miller in the American Journal of Public Health, "Health cannot be presumed to be a benign site for sexuality - especially homosexuality. [Not in light of] a history of medical and psychological interventions designed to oppress and pathologise GLBT people". (June 2001, Vol. 91, No 6 Uneasy Promises: Sexuality, Health and Human Rights A. Miller p863)
Forsyth B (2000) LGBT Youth & Social Inclusion - A Review of Existing Literature Stonewall Youth
Gay & Lesbian Medical Association (USA) (2001) Healthy People 2010 - Companion Document for LGB&T Health
http://www.gaymenshealthnetwork.org.uk/gmhn_report.pdf
Of course check out the American 2010 Health People docs for LGBT populations - goggle.
Bent & Unbroken: A one-day event on queer youth poverty and migration
issues
Saturday October 2, 2004-09-20
9 am to 4 pm
Main Auditorium, 519 Community Centre
519 Church St, Toronto
See: http://www.egale.ca/index.asp?lang=E
<http://www.egale.ca/index.asp?lang=E&item=1083> &item=1083
Lynda Anderson, Theresa Healy, Barbara Herringer, Barbara Isaac and Ty
Perry (2001). Out in the Cold: Lesbian Health in Northern BC. British
Columbia Centre of Excellence for Women's Health and the Northern
Secretariat.
Aronson, J. (1998). Lesbians giving and receiving care: Stretching
conceptualizations of caring and community. Women's Studies
International Forum, 21, 509-519.
Daley, A. (2998) Lesbian Invisibility in Health Care Services.
Heterosexual Hegemony and Strategies for Change. Canadian Social Work
Review, 15, no.1, 1998, 57-71
Fish, J., & Wilkinson, S. (2003). Understanding lesbians' healthcare
behaviour: the case of breast self-examination. Social Science &
Medicine, 56(2), 235-245.
Mulé, N. (1999). Social work and the provision of health care and social
services to sexual minority populations. Canadian Social Work, 1(1),
39-55.
Ryan, B., Brotman, S., & Rowe, B. (2001?.). Access to care: Exploring
the health and well-being of gay, lesbian, bisexual and Two-spirit
people in Canada Montreal: McGill Centre for Applied Family Studies.
Sinding, C. (1999). Counting on Desire: Supporting a Lesbian with Breast
Cancer. In M.Denton, M. Hadjukowski-Ahmed, M. O'Connor, & I. U.
Zeytinoglu (Eds.), Women's Voices in Health Promotion (pp. 191-203).
Toronto: Canadian Scholars Press.
Coming Out about Lesbians and Cancer is the report of the Lesbians and
Breast Cancer Project, a community-based participatory study conducted
in Ontario, Canada in 2003. The report [in summary form, and as the
full 100+ page document] is available for download from the DAWN Ontario
website, http://dawn.thot.net/lbcp in HTML, PDF and/or word format).
Paper copies of the summary report are available free of charge from
Willow Breast Cancer Support & Resource Services. Toll-free:
1-888-778-3100; in Toronto: 416 778-5000; TTY: 416 778-4082; Email:
[log in to unmask]
Disclaimer: This message is intended for the addressee named and may
contain confidential information. If you are not the intended
recipient, please delete it and notify the sender. Views
expressed in this message are those of the individual sender,
and are not necessarily the views of NSW Health or Cancer Institute
of NSW.
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