ACASI—Audio computer-assisted self-interviews (ACASIs) allow participants to view a survey on a computer and hear a recorded voice stating the questions. Participants enter their answers on the computer.
Autogynephilic—Being sexually aroused by the thought or image of oneself as a woman (Blanchard, 1989).
Behaviorally bisexual women—Women who have sex with both men and women.
Bisexual—One whose sexual or romantic attractions and behaviors are directed at members of both sexes to a significant degree.
Body mass index—A statistical measure of the weight of a person scaled according to height, used to estimate whether a person is underweight or overweight. BMI is weight in kilograms divided by the square of height in meters (kg/m2) (WHO, 2006).
Coming out—Coming out of the closet, or coming out, is a figure of speech for lesbian, gay, bisexual, and transgender (LGBT) people’s disclosure of their sexual orientation and/or gender identity (Riley, 2010).
Cross-dresser (or transvestite)—Refers to an individual who wears clothes and adopts behaviors associated with the other sex for emotional or sexual gratification, and who may live part time in the cross-gender role.
Discrimination—Differential treatment of a person because of group membership, such as sexual- or gender-minority status.
Disorders of sex development—Congenital conditions in which the development of chromosomal, gonadal, or anatomic sex is atypical (Lee et al., 2006).
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C Glossary ACASI—Audio computer-assisted self-interviews (ACASIs) allow partici- pants to view a survey on a computer and hear a recorded voice stating the questions. Participants enter their answers on the computer. Autogynephilic—Being sexually aroused by the thought or image of oneself as a woman (Blanchard, 1989). Behaviorally bisexual women—Women who have sex with both men and women. Bisexual—One whose sexual or romantic attractions and behaviors are directed at members of both sexes to a significant degree. Body mass index—A statistical measure of the weight of a person scaled according to height, used to estimate whether a person is underweight or overweight. BMI is weight in kilograms divided by the square of height in meters (kg/m2) (WHO, 2006). Coming out—Coming out of the closet, or coming out, is a figure of speech for lesbian, gay, bisexual, and transgender (LGBT) people’s disclosure of their sexual orientation and/or gender identity (Riley, 2010). Cross-dresser (or transvestite)—Refers to an individual who wears clothes and adopts behaviors associated with the other sex for emotional or sexual gratification, and who may live part time in the cross-gender role. Discrimination—Differential treatment of a person because of group mem- bership, such as sexual- or gender-minority status. Disorders of sex development—Congenital conditions in which the devel- opment of chromosomal, gonadal, or anatomic sex is atypical (Lee et al., 2006). 317
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318 THE HEALTH OF LGBT PEOPLE Drag queen or king—An individual who cross-dresses in women’s or men’s clothing, adopts a hyperfeminine or hypermasculine presentation, and appears part time in the cross-gender role. Gay—An attraction and/or behavior focused exclusively or mainly on mem- bers of the same sex or gender identity; a personal or social identity based on one’s same-sex attractions and membership in a sexual-minority community. Gender dysphoria—A term for distress resulting from conflicting gender identity and sex of assignment (Cohen-Kettenis and Gooren, 1999; Murad et al., 2010). Gender expression—Characteristics in appearance, personality, and behav- ior culturally defined as masculine or feminine. Gender identity—One’s basic sense of being a man, woman, or other gender (such as transgender) (Bockting, 1999). Gender role conformity—The extent to which an individual’s gender expres- sion adheres to the cultural norms prescribed for people of his or her sex. Gender role nonconformity—Nonconformity with prevailing norms of gen- der expression. Gender-variant children—Children who are gender role nonconforming. Heterosexual—Refers to individuals who identify as “heterosexual” or “straight” or whose sexual or romantic attractions and behaviors focus exclusively or mainly on members of the other sex or gender identity. Homophobia—A term used broadly to refer to various manifestations of sexual stigma, sexual prejudice, and self-stigma based on one’s homo- sexual or bisexual orientation. Homosexual—As an adjective, used to refer to same-sex attraction, sexual behavior, or sexual orientation identity; as a noun, used as an identity label by some persons whose sexual attractions and behaviors are exclu- sively or mainly directed to people of their same sex. Intersectionality—A theory used to analyze how social and cultural catego- ries intertwine (Knudsen, 2006). Intersex—A term used for people who are born with external and/or inter- nal genitalia that vary from typical male or female genitalia, or a chro- mosomal pattern that varies from XX (female) or XY (male). Intimate partner violence—Physical, sexual, or psychological harm inflicted by a current or former partner or spouse (CDC, 2006). Lesbian—As an adjective, used to refer to female same-sex attraction and sexual behavior; as a noun, used as a sexual orientation identity label by women whose sexual attractions and behaviors are exclusively or mainly directed to other women. Nulliparity—The condition of being nulliparous, or not bearing offspring. Queer—In contemporary usage, an inclusive, unifying sociopolitical, self- affirming umbrella term for people who are gay; lesbian; bisexual; pan-
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319 APPENDIX C sexual; transgender; transsexual; intersexual; genderqueer; or of any other nonheterosexual sexuality, sexual anatomy, or gender identity.1 Historically, a term of derision for gay, lesbian, and bisexual people. Real life experience—With respect to transgender persons, denotes living full time in the preferred gender role. Serostatus (or HIV serostatus)—Blood test results indicating the presence or absence of antibodies the immune system creates to fight HIV. A se- ropositive status indicates that a person has antibodies to fight HIV and is HIV-positive.2 Sex—(1) Generally understood as a biological construct, referring to the genetic, hormonal, anatomical, and physiological characteristics of males or females. Sex is typically assigned at birth based on the appearance of the external genitalia. Only when this appearance is ambiguous are other indicators of sex assessed to determine the most appropriate sex assignment. (2) All phenomena associated with erotic arousal or sensual stimulation of the genitalia or other erogenous zones, usually (but not always) leading to orgasm. Sexual orientation—Encompasses attraction, behavior, and identity. Most researchers studying sexual orientation have defined it operationally in terms of one or more of the following components. Defined in terms of behavior, sexual orientation refers to an enduring pattern of sexual or romantic activity with men, women, or both sexes. Defined in terms of attraction (or desire), it denotes an enduring pattern of experiencing sexual or romantic feelings for men, women, or both sexes. Identity encompasses both personal identity and social identity. Defined in terms of personal identity, sexual orientation refers to a conception of the self based on one’s enduring pattern of sexual and romantic attractions and behaviors toward men, women, or both sexes. Defined in terms of social (or collective) identity, it refers to a sense of membership in a social group based on a shared sexual orientation and a linkage of one’s self-esteem to that group. Stigma—The inferior status, negative regard, and relative powerlessness that society collectively assigns to individuals and groups that are associ- ated with various conditions, statuses, and attributes. Transgender—Refers to individuals who cross or transcend culturally de- fined categories of gender (Bockting, 1999). Transgenderist—An individual who lives full time in the cross-gender role and who may also take hormones, but does not desire sex reassignment surgery. 1 See http://www.algbtical.org/2A%20QUEER.htm. 2 See http://highered.mcgraw-hill.com/sites/0072972653/student_view0/chapter23/glossary. html.
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320 THE HEALTH OF LGBT PEOPLE Transsexual—An individual who strongly identifies with the other sex and seeks hormones and/or sex reassignment surgery to feminize or masculin- ize the body; may live full time in the cross-gender role. Two spirit—Adopted in 1990 at the third annual spiritual gathering of GLBT Natives, the term derives from the northern Algonquin word niizh manitoag, meaning “two spirits,” and refers to the inclusion of both fem- inine and masculine components in one individual (Anguksuar, 1997). Vaginoplasty—A surgical procedure to construct a vagina. REFERENCES Anguksuar, L. R. 1997. A postcolonial perspective on western [mis]conceptions of the cosmos and the restoration of indigenous taxonomies. In Two-spirit people: Native American gender identity, sexuality, and spirituality, edited by S.E. Jacobs, W. Thomas, and S. Lang. Chicago, IL: University of Illinois Press. Pp. 217–222. Blanchard, R. 1989. The concept of autogynephilia and the typology of male gender dyspho- ria. The Journal of Nervous and Mental Disease 177:616–623. Bockting, W. O. 1999. From construction to context: Gender through the eyes of the trans- gendered. SIECUS Report 1(Oct./Nov.):3–7. CDC (Centers for Disease Control and Prevention). 2006. Understanding intimate partner violence. http://www.cdc.gov/ncipc/dvp/ipv_factsheet.pdf (accessed October 13, 2010). Cohen-Kettenis, P. T., and L. J. G. Gooren. 1999. Transsexualism: A review of etiology, diag- nosis and treatment. Journal of Psychosomatic Research 46(4):315–333. Knudsen, S.V. 2006. Intersectionality—A theoretical inspiration in the analysis of minority cultures and identities in textbooks. Paper presented at Eighth International Conference on Learning and Educational Media, October 26–29, 2005, Caen, France. Lee, P. A., C. P. Houk, S. F. Ahmed, and I. A. Hughes. 2006. Consensus statement on manage- ment of intersex disorders. Pediatrics 118(2):e488–500. Murad, M. H., M. B. Elamin, M. Z. Garcia, R. J. Mullan, A. Murad, P. J. Erwin, and V. M. Montori. 2010. Hormonal therapy and sex reassignment: A systematic review and meta-analysis of quality of life and psychosocial outcomes. Clinical Endocrinology 72(2): 214–231. Riley, B. H. 2010. GLB adolescent’s “coming out.” Journal of Child & Adolescent Psychiatric Nursing 23(1):3–10. WHO (World Health Organization). 2006. BMI classification. http://apps.who.int/bmi/index. jsp?introPage=intro_3.html (accessed October 29, 2010).