Abstract

Approximately one million gay and lesbian Americans are veterans. Lesbian, gay, bisexual, and transgender (LGBT) veterans experience high rates of trauma, discrimination, and minority stress and show evidence of poorer physical and mental health. Societal histories of homophobia, stigma, discrimination, and past military policies have had a lasting impact on the health of LGBT veterans and have made many reluctant to engage with the healthcare system. Highlighting the case of one older lesbian veteran, this paper argues that if the needs of a patient are truly a priority, we must be better prepared to effectively address the relationship between intersecting identities and disparities to guide care. This case was taken from a sample of 31 in-depth interviews with lesbians in the Rocky Mountain Region.

摘要

大约一百万美国同性恋者是退伍军人。女同性恋，男同性恋，双性恋和变性者（LGBT）的退伍军人遭受创伤，歧视和少数群体压力的发生率很高，并显示出较弱的身心健康的迹象。同性恋恐惧症，污名，歧视和过去的军事政策的社会历史对LGBT退伍军人的健康产生了持久影响，并使许多人不愿参与医疗保健系统。本文着重强调一位资深的女同性恋退伍军人的情况，认为如果患者的需求确实是当务之急，我们必须做好更好的准备，以有效解决相交身份和悬殊差异之间的关系，以指导治疗。该案例来自落基山脉地区对女同性恋者进行的31次深度访谈的样本。