TY - CHAP M1 - Book, Section TI - Health Care for Sexual & Gender Minority Patients A1 - Obedin-Maliver, Juno A1 - Robertson, Patricia A. A1 - Ard, Kevin L. A1 - Mayer, Kenneth H. A1 - Deutsch, Madeline B. A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. Y1 - 2021 N1 - T2 - Current Medical Diagnosis & Treatment 2021 AB - The term sexual and gender minorities (SGM) refers to a broad group including lesbian women and gay men; bisexual, pansexual, and queer people; and transgender and gender non-binary people—also commonly referred to as “LGBTQ” or “LGBTQ+.” The plus sign is inclusive of individuals of other identities such as agender, genderqueer, and polysexual. Transgender people have a gender identity that differs from the sex which was assigned at birth, including those who identify as non-binary and have a gender identity that is neither male nor female. Cisgender refers to people who have a gender identity (a person’s internal sense of gender) and birth assigned sex that are the same (ie, they are not transgender). Transgender people may also be sexual minorities (ie, lesbian transgender women or gay transgender men). For the sake of expediency in this chapter, the sections on sexual minority men and women omit the term “cisgender”; however, readers of content in these sections should take into consideration that, for example, gay transgender men may have vaginal receptive sex with cisgender men as sexual partners, and therefore should be screened for contraception needs, and cisgender lesbian women may have transgender women partners who retain their penis. A growing number of people identify as pansexual, which describes an attraction to people of any gender, male, female, or on the spectrum between the two. The term queer, has been reclaimed by many SGM people to represent someone with a sexual orientation or gender identity or expression that differs from that of a cisgender, heterosexual person. Sexual orientation refers to a deep-seated sense of one’s sexuality that encompasses three dimensions: identity, behavior, and desire. Sexual identities include gay or homosexual (those who are predominantly attracted to and/or sexually active with members of the same gender), bisexual (those who are attracted to and/or sexually active with someone of the same gender and another gender (historically men and women), and heterosexual or straight (someone who is attracted to and/or sexually active with people of another gender, historically the “opposite” gender); however, several other terms may be used, and terminology changes over time. Studies have demonstrated that there is a broad diversity among those who identify as SGM and that many people have multiple gender identities and/or sexual orientations. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2021/01/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1175798601 ER -