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Lesbian, gay, bisexual and trans health inequalitiesInternational perspectives in social work$
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Julie Fish and Kate Karban

Print publication date: 2015

Print ISBN-13: 9781447309673

Published to Policy Press Scholarship Online: September 2015

DOI: 10.1332/policypress/9781447309673.001.0001

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Much to be desired

Much to be desired

LGBT health inequalities and inequities in Canada

(p.27) One Much to be desired
Lesbian, gay, bisexual and trans health inequalities

Nick J. Mulé

Policy Press

This chapter will provide an overview of the health care system in Canada and the degree to which lesbian, gay, bisexual, transgender and queer (LGBT) people are recognized therein. Utilizing a critical structural social work perspective, the internationally renowned health promotion, population health and the associated Sex and Gender-Based Analysis (SGBA) Canada employs as national health models will be excavated to reveal a non-commitment to the LGBT populations. The lack of LGBT presence at the infrastructural level symbolizes the lack of recognition extended to these communities. An illness-based focus on HIV/AIDS contradicts the population health approach ignoring broader LGBT health issues, needs and concerns. The ripple effect of this is the lack of LGBT-specific health policies, funding, programs and services. There has been a long history of programmatic funding that isn’t core leaving LGBT communities in a constant state of vulnerability. Specific to the Canadian social work discipline itself, there is an inconsistency of recognition of ‘sexual orientation’ within professional principles, ethics and standards of practice and complete absence of ‘gender identity’. The chapter will conclude by promoting the Social Determinants of Health as a model inclusive of LGBT people.

Keywords:   social determinants of health, human rights, social justice

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