Sex and gender: modifiers of health, disease, and medicine

The Lancet, Volume 396, Issue 10250, 22–28 August 2020, Pages 565-582
Mauvais-Jarvis, F., et al

Clinicians can encounter sex and gender disparities in diagnostic and therapeutic responses. These disparities are noted in epidemiology, pathophysiology, clinical manifestations, disease progression, and response to treatment. This Review discusses the fundamental influences of sex and gender as modifiers of the major causes of death and morbidity. We articulate how the genetic, epigenetic, and hormonal influences of biological sex influence physiology and disease, and how the social constructs of gender affect the behaviour of the community, clinicians, and patients in the health-care system and interact with pathobiology. We aim to guide clinicians and researchers to consider sex and gender in their approach to diagnosis, prevention, and treatment of diseases as a necessary and fundamental step towards precision medicine, which will benefit men’s and women’s health.

 

People identifying as LGBTIQ and alcohol, tobacco & other drugs in Australia

Australian Institute of Health and Welfare, last updated

Key Findings:

  • People identifying as lesbian, gay or bisexual have relatively high rates of substance use. However, there is a lack of comprehensive data available on the associated harms for this population group.
  • Almost one in 5 (18.7%) people identifying as homosexual or bisexual reported daily tobacco smoking in 2016, comapred with 12% of heterosexual people.
  • Over a quarter (25.8%) of people identifying as homosexual or bisexual reported drinking at levels exceeding lifetime risk guidelines in 2016, compared with 17.2% of heterosexual people.
  • In 2016, 42% of people identifying as homosexual or bisexual reported drinking at levels exceeding single occasion risk guidelines, compared with 26% of heterosexual people.
  • In 2016, 41.7% of people identifying as homosexual or bisexual recently used any illicit drug, compared with 14.5% of heterosexual people.

More information is available in the People identifying as lesbian, gay, bisexual, transgender, intersex or queer (LGBTIQ) fact sheet (PDF)

Job vacancy at SHINE SA: Mental Health Clinician / Team Leader, Gender Wellbeing Service

SHINE SA, August 2020

Mental Health Clinician and Team Leader – Gender Wellbeing Service

  • PO3 Level (hourly rate of $44.29 – $46.97 based on experience), Part-time (0.5 FTE)
  • Fixed-term contract to 30 June 2021 with possibility of extension
  • Excellent Salary Sacrificing Scheme

SHINE SA is a leading not-for-profit provider of primary care services and education for sexual and relationship wellbeing. We work in partnership with government, health, education and community agencies, and communities to improve the sexual and reproductive health and relationship well-being of the community. We have an opportunity for a Mental Health Clinician (see Job and Person Specification for the appropriate qualifications) to lead the Gender Wellbeing Service, based in the CBD at our Hyde Street site.

In this role you will provide psychological therapies for gender questioning, trans and gender diverse people in the metropolitan area of Adelaide with mild to moderate mental health concerns.  You will work closely with the Intake and Peer Support Coordinator and Administrative Support worker in the team and have responsibility for overseeing a lived-experience peer support program for volunteers.

This is will be a challenging and rewarding role for the right person, offering a competitive salary and the ability to salary package under the generous conditions available only to not-for-profit organisations.

If you are interested in this role, you are required to address the essential minimum requirements as outlined in the Job and Person Specification available on our SHINE SA web site at the link below.

  • Find out more or apply here: 

Mental Health Clinician and Team Leader – Gender Wellbeing Service

Tickets to the LGBTI Family Violence Forum available now (free online events)

Thorne Harbour Health, 22nd July 2020

Effecting Change and Accountability: Family Violence Interventions for LGBTI Communities: Monday 10th to Friday 14th August 2020

Since the release of Victoria’s Royal Commission into Family Violence recommendations in 2016, LGBTI family violence service providers and mainstream family violence services who are attaining rainbow tick accreditation have worked more deliberately to develop and sustain inclusive and informed responses to LGBTI people using or experiencing family violence.

This annual community-led forum offers a platform to LGBTI community organisations and allied organisations to present their work, share knowledge, skills and look at service areas that need further development. This forum will provide information, presentations, interactive workshops and networking opportunities for service providers and other professionals about family violence in LGBTI communities.

We invite practitioners and community advocates from family violence sector and LGBTI community sectors, allied health sector practitioners, policy writers, victim survivor advocates, community organisers and people who are committed to the work to end family violence and break down LGBTI stigma and discrimination, increase community connectedness, improve community awareness of the needs of LGBTI communities, as well as striving to remove barriers to LGBTI inclusion, celebration, and embracing diversity.

Tickets available now: 

Breaking the Binary Code: Celebrating gender and sexuality diversity

The Sexual Assault & Family Violence Centre (Victoria), 2020

Breaking the Binary Code: Celebrating gender and sexuality diversity, challenging stereotypes and relationship expectations is a 18-month primary prevention of family violence project. 

The project has a strengths-based approach working with LGBTIQA+ young people, community and stakeholders.

It was led in partnership with The Sexual Assault & Family Violence Centre, Barwon Adolescent Taskforce (BATForce), City of Greater Geelong, and Creative Geelong Inc, funded by the Victorian State Government under the Free from Violence Fund.

Project Objectives:

  • support the community in increasing awareness and understanding of what a healthy, safe and respectful relationship looks like in a LGBTIQA+ relationship;
  • challenge images of gender, sexuality and expectations in relationships, that are portrayed through pornography and the online environment, and promote healthy, safe and respectful relationships that are free from violence;
  • develop key terms to include in a narrative that will support parents/carers in having conversations with young LGBTIQA+ people about the subject matter; and
  • challenge the binary constructs of women and men and provide supportive and inclusive language for young people exploring gender and sexuality.

The project will engage in activities including:

  • Consultation and engagement
  • Use of inclusive language about gender, sexuality and family violence.
  • Develop a creative resource to support discussion and conversation about gender and sexuality diversity and relationships that are free from violence.
  • Challenge society binary constructs of gender and sexuality through challenging images within social norms, stereotypes and media, and stereotypes and relationship expectations

Resources

 

 

 

 

LGBTIQA+ Affirming Religious Communities in South Australia

Centacare, July 2020

The Centacare Rainbow Quality Team would like to provide you with a list of affirming religious communities (please see attachment via link below) that may be helpful for some people from the LGBTIQA+ community that you work with. 

Spiritual wellbeing is a human right, but unfortunately people within the Rainbow community who hold particular Christian faiths are not always awarded this human right within their own faith denominations.  In response to this need, the Centacare Rainbow Quality Team have worked on identifying religious communities within South Australia who are not just welcoming of people from the LGBTIQA+ community, but are affirming of them.

They have contacted individually the communities listed and have secured permission from them to be added to the list.  They have also identified individuals within each community that can be used as an entry point for people who wish to connect with these affirming communities.

The Team acknowledge that this is not an exhaustive list of affirming communities, and there may be others that they do not know of.  If you have additional contacts that you feel would be beneficial for this list, please let them know.  Also, if you have someone in need whom does not have a denomination listed, please let them know and they will endeavour to source a suitable community if available.  At this stage they have only identified Christian faith communities, but they do recognise that spiritual need extends well beyond this faith.  However, to date the contacts on this list is all that they have been able to identify, and they will continue to source affirming communities from other faith traditions. They can be contacted via the www.centacare.org.au/contact  website for any feedback or additional information.

Whilst the Team have gone to significant lengths to ensure the groundwork has been done to create a warm and welcoming entry into these affirming communities, they would also like to point out that they have no formal links with these communities and therefore cannot guarantee that all people will receive the support that they are looking for.  They also cannot offer support to maintain connection within these communities.

It is envisaged that this list will act as a guide for those seeking a supportive and affirming connection with a religious community that aligns with their spiritual beliefs and needs. The Centacare Rainbow Quality Team hope this list will assist you to support those with this particular need.