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* About the Editor * Contributors * Foreword (Claude Earl Fox) * Preface * Acknowledgments * PART I: INTRODUCTORY MATERIALS * Chapter 1. The Nomenclature of the Community: An Activist's Perspective (Joshua L. Ferris) * Introduction * Coming Out * Stereotypical Lifestyles * Identity * Conclusion * Questions to Consider * Chapter 2. The Role of Health in Lesbian, Gay, Bisexual, and Transgender Health (Patricia D. Mail and Walter J. Lear) * Introduction * What Is Public Health? * Research and Health * The LGBT Health Movement Emerges and Thrives * The HIV Pandemic Challenges the LGBT Health Movement and Health * Community Health Programs and Services * The U.S. Health Service * LGBT Health Objectives for the Nation * Future Directions and Research Needs * Chapter 3. Lesbian, Gay, Bisexual, and Transgender Health Research (Randall L. Sell and Vincent M. B. Silenzio) * Introduction * Background * What Is Sexual Orientation and Gender and Why Are Definitions Important? * How Are LGBT People Identified for Health Research? * A Framework for the Investigation of LGBT Health * Limitations of Research Methods for Investigating LGBT Health * Discussion * Questions to Consider * PART II: ACADEMIA * Chapter 4. Lesbian, Gay, Bisexual, and Transgender Cultural Competency for Health Practitioners (Katherine L. Turner, Wayne L. Wilson, and M. Kate Shirah) * Introduction and Background * Context for Terminology and Definitions * Rationale * An LGBT Cultural Competency Framework * LGBT Awareness, Sensitivity, and Competency Training * Conclusion * Questions to Consider * PART III: THE COMMUNITY * Chapter 5. Lesbian and Bisexual Women's Health (Amy Baernstein, Wendy B. Bostwick, Kathleen R. Carrick, Patricia M. Dunn, Kim W. Goodman, Tonda L. Hughes, Nina Markovic, Jeanne M. Marrazzo, and Helen A. Smith) * Introduction * Sexually Transmitted Diseases and Infections * Alcohol Use and Abuse * Tobacco Use * Cardiovascular Disease * Reproductive Cancers * Intimate Partner Violence and Lesbians * Questions to Consider * Chapter 6. Health and Gay and Bisexual Men: A Primer for Practitioners, Clinicians, and Researchers (Scott D. Rhodes and Leland J. Yee) * Introduction * Who Are Gay and Bisexual Men? * The Health of Gay and Bisexual Men * Infectious Diseases Among Gay and Bisexual Men * Noncommunicable Diseases Among Gay and Bisexual men * Homophobia and Health * An Effective HIV-Prevention Strategy * Suggested Approaches and Considerations for Practitioners, Clinicians, and Researchers * Conclusion Questions to Consider * Chapter 7. The Whole Person: A Paradigm for Integrating the Mental and Physical Health of Trans Clients (Sheila C. Kirk and Claudette Kulkarni) * Introduction * Relevant Terms * Mental and Emotional health * Mental Health Needs of Transsexuals * Physical Health * Male-to-Female Transsexuals * Female-to-Male Transsexuals * Conclusion * Selected Resources * Questions to Consider * Recommended Readings * PART IV: HEALTH CARE DELIVERY SYSTEM * Chapter 8. Barriers to Health Care Access (Manuel Hernandez and Shawn L. Fultz) * Introduction * Institutional Barriers to LGBT Health Care * Provider-Based Barriers to LGBT Health Care * Patient-Based Barriers to LGBT Health Care * Provid
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