Page 249 - Cultural Competence in Health Education

Culture and Sexual Orientation 227

■ Health educators and health professionals should recognize and accept that there are
more differences among the individuals within a culture than there are between cul-
tures. For example, there is more diversity within the LGBT community than there
is difference between the LGBT community and other cultural identity groups.
■ When health educators and health care professionals deliver services to the LGBT
community, it is important for them to remember that LGBT individuals may have
experienced real or perceived homophobia and discrimination from others, includ-
ing people in the field of health.

■ Health educators and health professionals are encouraged to look for ways to pro-
vide a welcoming environment for the LGBT community. This includes, but is not
limited to, using culturally sensitive language, not making assumptions, and
respecting self - identity. For example, behavior does not always dictate identity.
Men who have sex with men may not identify as gay.
■ It is vital that health educators and health professionals explore their own
homophobia, transphobia, and heterosexism, and consider participating in train-
ings and workshops to increase their awareness and skills.

CASE STUDY
Jason is a 25 - year - old female - to - male transsexual. Jason came out as transgender and
began living as a male at age 22. For the past six months, Jason has been taking trans-
gender hormone therapy (THT). Jason ’ s insurance does not cover this hormone ther-
apy, and he is currently saving out of pocket for “ top ” surgery (many female - to - male
transgender individuals choose breast removal only, with no vaginal surgery). Jason
has continued needs for annual gynecological exams and is concerned about selecting
a health care provider because he needs someone who will be sensitive to his transi-
tioning needs. The hormones have successfully produced significant facial hair, and

Jason can now readily “ pass ” as a male. Please discuss the following questions (refer
to Table 12.2 as needed when considering Jason ’ s health care needs).
1. What are some real fears that Jason might have about making this appointment?

2. What major concerns should Jason address before making this appointment with
a gynecologist?

3. What could a gynecologist do to make his or her office a more physically wel-
coming environment for Jason?
4. What culturally sensitive language could the gynecologist and the offi ce staff use
to make Jason more comfortable?

5. What assumptions might Jason find that the professionals at this office are mak-

ing about him and his current or past health behaviors?

6. What resources or referrals might be appropriate for Jason?

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