User:Nfaulk2/Healthcare and the LGBT community/Bibliography

You will be compiling your bibliography and creating an outline of the changes you will make in this sandbox.

Outline of proposed changes

 * 1) Lead section does not clearly define/introduce the topic of LGBT health. It currently says "Various topic in medicine relate to lesbian, gay, bisexual, and transgender people." then refers to the GLMA's website (retrieved in 2008) and lists 12 topics that are not all-inclusive or up-to-date. Plan to re-write this lead section including a more accurate and concise description that includes up-to-date and inclusive health issues for LGBT individuals. Will use the systemic review article from 2017
 * 2) Plan to change title to be more inclusive of current major sexual and gender minorities: "Healthcare and the LGBTQIA community" (maybe just add a plus?)
 * 3) Citation [3] link in article for GLMA guidelines is from 2006 and does not work. Will remove this, GLMA is an organization and the information pulled from here is from the website and articles that do not cite directly from research, not a reliable source. Will update with current healthcare issues related to LGBT health from systematic review, as well as discuss new terminology and definitions used (affectional and gender minority.)
 * 4) Plan to change first heading to "Issues affecting LGBTQIA people generally". Also will change paragraph under. Research is out dated (2009) and claims that there is not enough epidemiological studies to draw general conclusions. This does not reflect current data, will include information from current systematic reviews done in the US and the Netherlands
 * 5) Under this heading will also move list at the bottom of ways lesbian patients are discriminated against. Discusses inappropriately discusses health issues of specific groups such as listing lesbian patients's discriminations. This should go under "Issues affecting lesbians".
 * 6) Discuss queer/questioning community encompasses other non-heterosexual group such as lesbians, bisexuals and gay men. Research and data on the queer/questioning community is limited and included under these group sections.
 * 7) Will make heading "causes of LGBT health disparities" into subheading, it makes more sense organizationally. Also want to add current research on minority stress model as the cause of lack of access to healthcare among LGBTQIA patients as well as the sexual minority youth (SMY) which face unique challenges, as discussed in systematic review.
 * 8) Under heading "Issues affecting lesbians". Many of the claims are not properly sourced, the links do not work and research is out dated. Plan to update subsections "Breast Cancer", "depression and anxiety", "domestic violence", "obesity and fitness"  and "substance use disorder"
 * 9) For "breast cancer" subheading, Delete claim that "lesbians have the richest concentration of risk factors for breast cancer [of any] subset of women in the world. and that they do not get routine mammograms" - this is not cited. In a 2013 systematic review done in the UK and USA, found no difference in the incidence rates of lesbian/bisexual women compared to heterosexual women.
 * 10) For "Depression and Anxiety" subheading, improperly cited (link does not work and article is not secondary source). will include current data from 2023 systematic review on lesbian and bisexual women's mental health
 * 11) For "Obesity and Fitness: subheading, improperly cited with same link as above and a primary study done in 2010. Will update with a systematic review of literature done in 2015 on weight in sexual minority women (lesbian and bisexual).
 * 12) Plan to change heading of from "Issues effecting Transgender people" to "Issues effecting Transgender or gender minority"
 * 13) Plan to update subheading "Substance use" under heading "Issues affecting transgender people". The sources used for this section are predominately primary sources and all are more than eleven years old (2006 - 2013). Some of the claims are false or opinion. Ex: "It has been suggested that tobacco use is high among transgender people because many use it to maintain weight loss". Not only is this claim an opinion (the source cited  is a commentary article that cites another commentary), this opinion omits the more complex and nuanced understanding of why transgendered people have higher prevalence of tobacco use described in citations
 * 14) Plan to add a heading "Issues affecting asexual people" with current information from a review article and a prevalence article
 * 15) Plan to add a heading "Issues affecting intersex people" and find review articles to add information.