1. LGBT intersections The challenges of multiple identities in Public Health

2. Multiple oppressions  Race/ethnicity  Geography/ rural populations  Ability  Mental illness/ recovery  Religion  Class

3. Race and Ethnicity LGBT people of color must contend with:  Racism  Sexism  Heterosexism  Internalized racism  Internalized homophobia

4. Geography  Rural health  Differences by state

5. Ability  Inclusion in the LGBT community  Inclusion in the disabled community

6. Mental illness/ substance abuse  Stigma of mental illness  Double stigma  Challenges of addiction

7. Religion  Range in values and beliefs  Source of great support  Source of homophobia

8. Class  Composition of SES of LGBT people  Invisibility of diverse experiences

9. Movie: La Mission

10. Public health implications  How may the intersection of identities affect public health interventions?  What considerations could you make in public health education to cater to the diversity within the community?

11. Acknolwedgements This presentation was designed in Spring 2011 by Curran Saile, Program Director of the Pride Center of the Capital Region done in partial completion of Masters in Public Health requirements at the University at Albany School of Public Health. The project would not have been possible without the support of Mary Applegate, Jennifer Manganello, Cheryl Reeves and the Pride Center of the Capital Region.

12. References Beard, Keith, W. Psy.D. Introduction to the Special Edition: Issues for Gay, Lesbian, Bisexual, and Transgender Rural Residents Accessed on March 10, 2011 at http://www.marshall.edu/jrcp/jrcp%20intro%20glbt/introduction.htm Finlon, Charles. Health Care for All Lesbian, Gay, Bisexual and Transgender Populations. Journal of Gay & Lesbian Social Services. 2002, Vol. 14 Issue 3, 109-116. Gee, Royal. Primary Care Health Issues Among Men who Have Sex With Men. Journal of the American Academy of Nurse Practitioners. April 2006, Vol. 18 Issue 4, 44-153. Healthy People 2010 Companion Document for Lesbian, Gay, Bisexual and Transgender (LGBT) Health published by the Gay and Lesbian Medical Association and the National Coalition for LGBT Health in 2001: Fergusson, Hoorwood and Beautrais, 1999. Kelleher, Cathy. Minority stress and health: Implications for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) young people. Counseling Psychology Quarterly; Dec2009, Vol. 22 Issue 4, p373-379, 7p, 2 Charts

13. References Knauer, Nancy J. LGBT Elder Law: Toward Equity in Aging. Harvard Journal of Law & Gender. Winter 2009, Vol. 32 Issue 1, 1-58. Makadon, Harvey J. Improving Health Care for the Lesbian and Gay Communities. New England Journal of Medicine. 3/2/2006, Vol. 354 Issue 9, 895-897. Mansergh, G. PhD, Data on MSMs and Methamphetamine Use CDC Division of HIV/AIDS Prevention, Conference on Methamphetamine, HIV, and Hepatitis, Salt Lake City, Utah, 2005. Pierre J. Tremblay, “The Additional Problems of Gay, Lesbian, and Bisexual Youth of Colour” in The Gay, Lesbian, and Bisexual Factor in the Youth Suicide Problem www.sws.soton.ac.uk/gay- youth-suicide/04-gay-youth-of-colour.htm Rosenberg, S., Rosenberg, J., Huygen, C., & Klein, E. No need to hide: Out of the closet and mentally ill. Best Practices in Mental Health, 1, 72-85.