Older women- Some women become isolated. Elderly women contend with ageism and sexism. • Problems faced by Mexican and Central American women include feeding their families, accessing formal health care. • Undocumented m
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Older women- Some women become isolated. Elderly women contend with ageism and sexism. • Problems faced by Mexican and Central American women include feeding their families, accessing formal health care. • Undocumented migrant women also face problems with obtaining assistance with food and health care due to the inability to seek assistance • Veterans have increased risk for having been sexually assaulted, have posttraumatic stress disorder and traumatic brain injury • People who are assigned female sex at birth are natal females, those who are assigned as males are considered natal males. • Transgender woman is a natal male who has a female gender identity. • A transgender man is a natal female who has a male gender identity • Cisgender refers to someone whose gender identity matches their natal sex
• LBQ women and TGNC (Transgender and gender non-confirming) experience interpersonal and institutional discrimination. • LBQ and TGNC people face rejection of their families, their communities and spiritual levels. • LBQ and TGNC face the risk of not being involved with their partners in times of health crises, or able to participate in medical decisions of their partners when incapacitated. • LBQ and TGNC people are less likely to have insurance or be able to afford healthcare. • TGNC persons are at higher risk for suicide and are 5 times at greater risk for depression • Clinicians must create environments that are welcoming and nonthreatening to patients of all gender identities and sexual orientations • EMR must be able to identify the patient with their physical sex as well as their identified sex • Use open-ended and gender-neutral language • Examinations must be based on anatomy and organs present, not the perceived gender of the patient • For Transgender men taking testosterone- provide a short course of vaginal estradiol prior to vaginal examinations, as well as topical anesthetic to reduce pain. • LBQ and TGNC youth are at an increased risk for violence, homelessness and substance abuse than others of their age. • Older adults of the LBQ and TGNC population are particularly vulnerable to abuse, neglect and poverty. • Some religions and restrictive family upbringings may alter a woman’s ideas about sexuality and their ability to enjoy their sexuality. • Black women experience menopause earlier than other women, an average age of approximately 50 years. • Caucasian and hispanic women have reported greatest number of psychosomatic symptoms of menopause (moodiness, headaches, palpitations), • African American women reported highest severity of vasomotor symptoms of menopause • Asian women reported problems with joint pain and stiffness, especially in the neck, shoulders and back. • Women who are migrant workers may not report IPV for fear of deportation. • Migrant workers commonly have the belief that the woman is subordinate to the man and not be aware of support services • Domestic Violence is the leading cause of homicide in women globally
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