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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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social work’s contribution to tackling lesbian, gay, bisexual and trans health inequalities

(p.1) Introduction
Lesbian, gay, bisexual and trans health inequalities

Julie Fish

Kate Karban

Policy Press

Social work is explicitly committed to health as a fundamental human right and a matter of social justice. Mitigating the impact of social disadvantage is a core concern of social work around the globe; supporting people to manage the tasks of daily living and the maintenance of their support networks contributes to their social care outcomes and their health. But it is not only the material conditions of people’s lives which influence their health and well-being, the effects of discrimination and oppression arising from people’s social position, including their gender, ethnicity, age or disability is recognised as having a profound impact on their quality of life. Discrimination limits the lives of LGBT people and contributes to unequal health outcomes; the chapter explores how social work can address LGBT health inequalities and promote positive social care outcomes. The chapter considers six conceptual frameworks commonly used to theorise health inequalities. Taking each in turn, we examine the implications of the approach in understanding LGBT health inequalities. In conclusion, we discuss the nature, role and purpose of social work intervention with LGBT people and illustrate how social work contributes to the six Marmot policy objectives and to tackling LGBT health inequalities.

Keywords:   social determinants of health, eco-social approaches, minority stress, human rights

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