1 00:00:05,000 --> 00:00:07,800 >>ON BEHALF OF THE NATIONAL 2 00:00:07,800 --> 00:00:09,000 INSTITUTE ON MINORITY HEALTH AND 3 00:00:09,000 --> 00:00:10,680 HEALTH DISPARITIES, I WOULD LIKE 4 00:00:10,680 --> 00:00:12,040 TO WELCOME YOU TO THE HEALTH 5 00:00:12,040 --> 00:00:14,040 DISPARITIES AMONG SEXUAL AND 6 00:00:14,040 --> 00:00:15,680 GENDER MINORITIES WORKSHOP. 7 00:00:15,680 --> 00:00:19,600 MY NAME IS RADA DAGHER AND I'M A 8 00:00:19,600 --> 00:00:22,000 SCIENTIFIC DIRECTOR AT THE 9 00:00:22,000 --> 00:00:24,920 NATIONAL INNSITUTE ON NIMHD, I 10 00:00:24,920 --> 00:00:31,640 WILL BE GIVING YOU AN OVERVIEW 11 00:00:31,640 --> 00:00:35,720 OF THIS WORKSHOP, NEXT SLIDE, 12 00:00:35,720 --> 00:00:39,400 THIS WAS PREPARED BY ME AND ANY 13 00:00:39,400 --> 00:00:40,240 OPINIONS EXPRESSED REFLECT MY 14 00:00:40,240 --> 00:00:43,280 OWN AND NOT THE NATIONAL 15 00:00:43,280 --> 00:00:44,240 INTUITYS OF HEALTH'S OPINIONS OR 16 00:00:44,240 --> 00:00:47,360 THE UNITED STATES OF GOVERNMENT 17 00:00:47,360 --> 00:00:48,360 NEXT SLIDE, PLEASE. 18 00:00:48,360 --> 00:00:50,240 TO GIVE YOU SOME BACKGROUND, 19 00:00:50,240 --> 00:00:51,920 ACCORDING TO THE NATIONAL 20 00:00:51,920 --> 00:00:54,520 ACADEMY OF SCIENCES REPORT OF 21 00:00:54,520 --> 00:00:59,920 2020, THERE ARE ABOUT 11 MILLION 22 00:00:59,920 --> 00:01:02,480 LESBIAN, GAY, BISEXUAL, ASEXUAL, 23 00:01:02,480 --> 00:01:03,560 TRANSGENDER IN THE UNITED 24 00:01:03,560 --> 00:01:04,960 STATES, THAT'S APPROXIMATELY THE 25 00:01:04,960 --> 00:01:07,280 POPULATION SIZE OF OHIO. 26 00:01:07,280 --> 00:01:09,600 THE NATIONAL INTUITYS OF HEALTH 27 00:01:09,600 --> 00:01:12,000 AND SEXUAL GENDER MINORITY 28 00:01:12,000 --> 00:01:13,640 RESEARCH OFFICE STATES THAT 29 00:01:13,640 --> 00:01:14,960 SEXUAL AND GENDER MINORITY 30 00:01:14,960 --> 00:01:17,800 POPULATIONS INCLUDE BUT ARE NOT 31 00:01:17,800 --> 00:01:23,240 LIMITED TO LESBIAN GAY, 32 00:01:23,240 --> 00:01:24,040 BISEXUAL, ASEXUAL, TRANSGENDER, 33 00:01:24,040 --> 00:01:27,480 2 SPIRIT, QUEER AND/OR INTERSEX. 34 00:01:27,480 --> 00:01:28,400 ALSO INDIVIDUALS WHO IDENTIFY AS 35 00:01:28,400 --> 00:01:30,200 SAME SEX OR GENDER ATTRACTIONS 36 00:01:30,200 --> 00:01:32,720 AND BEHAVIORS AND THOSE WITH 37 00:01:32,720 --> 00:01:34,880 BEHAVIORS IN SEX DEVELOPMENT ARE 38 00:01:34,880 --> 00:01:35,600 ALSO INCLUDED. 39 00:01:35,600 --> 00:01:38,200 ALSO INCLUDED ARE THOSE WHO DO 40 00:01:38,200 --> 00:01:39,480 NOT SELF-IDENTIFY WITH 1 OF THE 41 00:01:39,480 --> 00:01:41,680 TERMS BUT WHOSE SEXUAL ORIENT 42 00:01:41,680 --> 00:01:43,640 ANTICIPATION, GENDER E DENTITY 43 00:01:43,640 --> 00:01:45,760 OR EXPRESSION OR REPRODUCTIVE 44 00:01:45,760 --> 00:01:47,720 DEVELOPMENT IS CHARACTERIZED BY 45 00:01:47,720 --> 00:01:50,040 NONBINARY CONSTRUCTS OF SEXUAL 46 00:01:50,040 --> 00:01:53,840 ORIENTATION, GENDER AND/OR SEX. 47 00:01:53,840 --> 00:01:56,120 SGM POPULATIONS HAVE INCREASED 48 00:01:56,120 --> 00:01:58,600 RISK A RANGE OF HEALTH 49 00:01:58,600 --> 00:02:00,000 DISPARITIES, INCLUDING 50 00:02:00,000 --> 00:02:01,480 CARDIOVASCULAR DISEASE, 51 00:02:01,480 --> 00:02:03,760 DIABETES, CANCER, VIOLENCE, HIV, 52 00:02:03,760 --> 00:02:06,160 MENTAL HEALTH, SUBSTANCE USE AND 53 00:02:06,160 --> 00:02:08,000 BEHAVIORIAL HEALTH. 54 00:02:08,000 --> 00:02:10,400 THEY ALSO ENCOUNTER HEALTH 55 00:02:10,400 --> 00:02:14,800 DISPARITIES AND SLEEP 56 00:02:14,800 --> 00:02:15,280 DISTURBANCES. 57 00:02:15,280 --> 00:02:17,720 HOWEVER, HIV RESEARCH HAS TAKEN 58 00:02:17,720 --> 00:02:20,040 THE LION'S SHARE OF RESEARCH IN 59 00:02:20,040 --> 00:02:22,040 THIS AREA AND MANY OF THE OTHER 60 00:02:22,040 --> 00:02:24,960 HEALTH OUTCOMES I MENTIONED DID 61 00:02:24,960 --> 00:02:29,520 NOT RECEIVE ENOUGH RESEARCH. 62 00:02:29,520 --> 00:02:32,680 NEXT SLIDE, PLEASE. 63 00:02:32,680 --> 00:02:34,080 IN ADDITION AND NEW ARTICLE IN 64 00:02:34,080 --> 00:02:37,320 THE JOURNAL OF THE MEDICAL, 65 00:02:37,320 --> 00:02:39,080 AMERICAN MEDICAL ASSOCIATION, 66 00:02:39,080 --> 00:02:41,960 FOUND THAT COMPARED WITH 67 00:02:41,960 --> 00:02:43,240 HETEROSEXUAL ADULTS, A GREATER 68 00:02:43,240 --> 00:02:45,400 PROPORTION OF GAY AND LESBIAN 69 00:02:45,400 --> 00:02:46,800 ADULTS ARE REPORTED HAVING 70 00:02:46,800 --> 00:02:50,440 RECEIVED AT LEAST 1 DOSE OF 71 00:02:50,440 --> 00:02:51,880 COVID-19 VACCINE. 72 00:02:51,880 --> 00:02:54,600 HOWEVER, VACCINATION RATES WERE 73 00:02:54,600 --> 00:02:57,240 LOWEST AMONG BLACK LESBIAN GAY 74 00:02:57,240 --> 00:02:58,880 BISEXUAL AND TRANSGENDER 75 00:02:58,880 --> 00:02:59,600 INDIVIDUALS, PARTICULARLY WOMEN, 76 00:02:59,600 --> 00:03:03,680 SO YOU CAN SEE THAT HOW 77 00:03:03,680 --> 00:03:06,200 INTERSEXUALITY IS SO IMPORTANT. 78 00:03:06,200 --> 00:03:06,960 NEXT SLIDE, PLEASE. 79 00:03:06,960 --> 00:03:12,640 SO WHAT ARE SOME RECENT NIH 80 00:03:12,640 --> 00:03:15,080 CONTRIBUTIONS TO SGM RESEARCH? 81 00:03:15,080 --> 00:03:16,760 NIH HAS RECENTLY COMMISSIONED 2 82 00:03:16,760 --> 00:03:19,280 NATIONAL ACADEMY OF SCIENCE 83 00:03:19,280 --> 00:03:26,120 REPORTS, 1 IN 2020 THAT REVIEWED 84 00:03:26,120 --> 00:03:27,640 WITH THE POPULATION AND ANOTHER 85 00:03:27,640 --> 00:03:30,520 IN 2022, THAT MEASURED SEX, 86 00:03:30,520 --> 00:03:34,160 GENDER IDENTITY AND SEXUAL 87 00:03:34,160 --> 00:03:34,480 ORIENTATION. 88 00:03:34,480 --> 00:03:37,600 THERE HAVE BEEN ALSO SOME RECENT 89 00:03:37,600 --> 00:03:39,800 NIH FUNDING OPPORTUNITIES ON HIV 90 00:03:39,800 --> 00:03:43,320 PREVENTIONS AS WELL AS OTHER 91 00:03:43,320 --> 00:03:45,040 HEALTH OUTCOMES AFFECTING SEXUAL 92 00:03:45,040 --> 00:03:49,960 AND GENDER MINORITY POPULATIONS. 93 00:03:49,960 --> 00:03:53,800 IN ADDITION, THE NIMHD ADVICERY 94 00:03:53,800 --> 00:03:56,440 COUNCIL IN MAY 2022 APPROVED THE 95 00:03:56,440 --> 00:03:57,840 CONCEPT ON ADDRESSING HEALTH AND 96 00:03:57,840 --> 00:04:00,680 HEALTH DISPARITIES ON SEXUAL AND 97 00:04:00,680 --> 00:04:02,040 GENDER MINORITY POPULATION. 98 00:04:02,040 --> 00:04:06,720 AND THIS WILL INFORM FUTURE 99 00:04:06,720 --> 00:04:08,760 BASICALLY FUNDINGLY 100 00:04:08,760 --> 00:04:09,680 OPPORTUNITIES AT NIH. 101 00:04:09,680 --> 00:04:13,640 NEXT SLIDE, PLEASE. 102 00:04:13,640 --> 00:04:18,760 SO SOME RESEARCH GAPS THAT THE 103 00:04:18,760 --> 00:04:20,160 NATIONAL ACADEMY REPORT HAS 104 00:04:20,160 --> 00:04:21,920 INDICATED AS WELL AS RECENT 105 00:04:21,920 --> 00:04:24,760 LITERATURE, INCLUDE THE NEED FOR 106 00:04:24,760 --> 00:04:27,240 EVIDENCE BASED INTERVENTION AND 107 00:04:27,240 --> 00:04:29,400 LONGITUDINAL STUDIES IN SGM 108 00:04:29,400 --> 00:04:31,640 RESEARCH, STUDIES ON HOW 109 00:04:31,640 --> 00:04:33,760 STRUCTURAL STIGMA DEVELOPS AND 110 00:04:33,760 --> 00:04:36,040 EVOLVES ACROSS THE LIFE SPAN TO 111 00:04:36,040 --> 00:04:38,640 IMPACT HEALTH AND HEALTHCARE 112 00:04:38,640 --> 00:04:40,440 DISPARITIES, INTERVENTIONS 113 00:04:40,440 --> 00:04:41,200 ADDRESSING DISCIPLINARY 114 00:04:41,200 --> 00:04:41,600 INTERSECTIONALITY. 115 00:04:41,600 --> 00:04:42,600 INTERVENTIONS TO IMPROVE ACCESS 116 00:04:42,600 --> 00:04:46,720 TO AND QUALITY OF CARE, STUDIES 117 00:04:46,720 --> 00:04:47,720 EXAMINING SOCIAL DETERMINANTS OF 118 00:04:47,720 --> 00:04:49,080 HEALTH AND HOW DIFFERENTIAL 119 00:04:49,080 --> 00:04:52,320 ACCESS TO OPPORTUNITIES AND 120 00:04:52,320 --> 00:04:52,960 RESOURCES IMPACT DISPARITIES AND 121 00:04:52,960 --> 00:04:56,560 YOU LEARN A LOT MORE DURING THIS 122 00:04:56,560 --> 00:04:57,960 WORKSHOP ABOUT WHAT THE GAPS 123 00:04:57,960 --> 00:05:01,480 ARE. 124 00:05:01,480 --> 00:05:02,000 NEXT SLIDE, PLEASE. 125 00:05:02,000 --> 00:05:05,200 SO WHAT IS THE GOAL OF THIS 126 00:05:05,200 --> 00:05:05,440 WORKSHOP? 127 00:05:05,440 --> 00:05:08,080 WELL THE MAIN GOAL IS TO ADVANCE 128 00:05:08,080 --> 00:05:09,480 RESEARCH ON HEALTH DISPARITIES 129 00:05:09,480 --> 00:05:11,360 AMONG SEXUAL AND GENDER 130 00:05:11,360 --> 00:05:12,080 MINORITIES. 131 00:05:12,080 --> 00:05:14,360 WE HOPE TO IDENTIFY RESEARCH 132 00:05:14,360 --> 00:05:16,560 GAPS AND OPPORTUNITIES IN DATA 133 00:05:16,560 --> 00:05:19,240 SOURCES AND MEASURES THAT CAN BE 134 00:05:19,240 --> 00:05:22,320 USED TO ASSESS AND ADDRESS SGM 135 00:05:22,320 --> 00:05:22,960 HEALTH DISPARITIES AND 136 00:05:22,960 --> 00:05:24,440 MECHANISMS OR PATHWAYS THAT 137 00:05:24,440 --> 00:05:26,800 CAUSE AND DRIVE SGM HEALTH 138 00:05:26,800 --> 00:05:27,720 DISPARITIES AND INTERVENTIONS 139 00:05:27,720 --> 00:05:31,920 WITH THE POTENTIAL TO MITIGATE 140 00:05:31,920 --> 00:05:33,640 OR REDUCE SGH M HEJT 141 00:05:33,640 --> 00:05:33,960 DISPARITIES. 142 00:05:33,960 --> 00:05:34,400 NEXT SLIDE, PLEASE. 143 00:05:34,400 --> 00:05:35,520 I WOULD LIKE TO GIVE SPECIAL 144 00:05:35,520 --> 00:05:40,040 THANKS TO THE WORKSHOP PLANNING 145 00:05:40,040 --> 00:05:41,760 COMMITTEE AND MY COLLEAGUES WHO 146 00:05:41,760 --> 00:05:43,920 CAME FROM DIFFERENT INSTITUTES 147 00:05:43,920 --> 00:05:49,640 AND OFFICES AND BROUGHT THEIR 148 00:05:49,640 --> 00:05:50,480 IMPORTANT EXPERTISE TO THE 149 00:05:50,480 --> 00:05:51,200 PLANNING OF THIS WORKSHOP. 150 00:05:51,200 --> 00:05:53,920 I WOULD ALSO LIKE TO THANK MY 151 00:05:53,920 --> 00:05:55,600 SUPERVISOR FOR GIVING US 152 00:05:55,600 --> 00:05:56,640 VALUABLE FEEDBACK THROUGHOUT THE 153 00:05:56,640 --> 00:06:02,200 PLANNING OF THE WORKSHOP. 154 00:06:02,200 --> 00:06:03,120 NEXT SLIDE, PLEASE. 155 00:06:03,120 --> 00:06:05,560 IN TERMS OF SESSION MODERATING, 156 00:06:05,560 --> 00:06:07,240 MEMBERS OF THE PLANNING 157 00:06:07,240 --> 00:06:09,320 COMMITTEE ARE GOING TO HELP 158 00:06:09,320 --> 00:06:12,680 MODERATE THE DIFFERENT SESSIONS 159 00:06:12,680 --> 00:06:14,880 AND WE ARE ALSO FORTUNATE TO 160 00:06:14,880 --> 00:06:17,000 HAVE DR. KAREN PARKER WHO WILL 161 00:06:17,000 --> 00:06:18,160 ALSO MODERATE THE LAST SESSION 162 00:06:18,160 --> 00:06:21,000 OF TODAY AND WILL HELP US MAKE 163 00:06:21,000 --> 00:06:25,040 SENSE OF ALL THE THINGS THAT 164 00:06:25,040 --> 00:06:27,840 WERE DISCUSSED TODAY. 165 00:06:27,840 --> 00:06:28,920 NEXT SLIDE, PLEASE. 166 00:06:28,920 --> 00:06:32,160 OKAY, SO, JUST TO GIVE YOU 167 00:06:32,160 --> 00:06:36,360 BEFORE I CLOSE, A SENSE OF THE 168 00:06:36,360 --> 00:06:38,440 WORKSHOP AGENDA, BASICALLY, EACH 169 00:06:38,440 --> 00:06:40,400 SESSION WILL HAVE 3-4 SPEAKER 170 00:06:40,400 --> 00:06:43,640 AND WILL BE FOLLOWED BY Q&A, AND 171 00:06:43,640 --> 00:06:49,200 WE HOPE THAT THE SPEAKERS WILL 172 00:06:49,200 --> 00:06:51,520 GIVE US SOME OF THEIR THOUGHTS 173 00:06:51,520 --> 00:06:52,960 ABOUT WHERE THIS FIELD IS GOING 174 00:06:52,960 --> 00:06:57,240 AND WHAT ARE SOME IMPORTANT 175 00:06:57,240 --> 00:06:58,280 RESEARCH DIRECTIONS. 176 00:06:58,280 --> 00:07:00,240 DAY 1 WILL DISCUSS MAINLY METHOD 177 00:07:00,240 --> 00:07:03,120 LOGICAL ISSUES AND DRIVERS AND 178 00:07:03,120 --> 00:07:05,080 MECHANISMS OF HEALTH 179 00:07:05,080 --> 00:07:05,720 DISPARITIES. 180 00:07:05,720 --> 00:07:08,600 DAY 2 WILL DISCUSS INTERSECTION 181 00:07:08,600 --> 00:07:12,120 BETWEEN SGM AND OTHER 182 00:07:12,120 --> 00:07:13,760 POPULATIONS AND GAPS AND 183 00:07:13,760 --> 00:07:14,520 OPPORTUNITIES IN INTERVENTION 184 00:07:14,520 --> 00:07:17,680 RESEARCH AND AT THE END OF EACH 185 00:07:17,680 --> 00:07:21,240 DAY, WE WILL HAVE TIME TO 186 00:07:21,240 --> 00:07:22,160 BASICALLY DISCUSS AND MAKE SENSE 187 00:07:22,160 --> 00:07:25,720 OF WHAT WAS DISCUSSED DURING THE 188 00:07:25,720 --> 00:07:27,880 DAY. 189 00:07:27,880 --> 00:07:28,520 NEXT SLIDE, PLEASE. 190 00:07:28,520 --> 00:07:31,680 I WOULD LIKE TO END WITH A QUOTE 191 00:07:31,680 --> 00:07:35,080 BY THE GREAT POET LORCA, EVERY 192 00:07:35,080 --> 00:07:36,520 STEP WE TAKE ON EITHER BRINGS US 193 00:07:36,520 --> 00:07:37,680 TO A NEW WORLD. 194 00:07:37,680 --> 00:07:40,200 I DO HOPE THIS WORKSHIP WILL 195 00:07:40,200 --> 00:07:41,600 TAKE US 1 STEP FURTHER AND 196 00:07:41,600 --> 00:07:44,360 CLOSER TO A NEW WORLD THAT IS 197 00:07:44,360 --> 00:07:47,720 FREE OF HEALTH DISPARITIES. 198 00:07:47,720 --> 00:07:48,480 NEXT SLIDE, PLEASE. 199 00:07:48,480 --> 00:07:57,880 IT IS MY PLEASURE NOW TO 200 00:07:57,880 --> 00:08:00,960 INTRODUCE DR. ELISEO 201 00:08:00,960 --> 00:08:02,240 PEREZ-STABLE WHO HELPED US WITH 202 00:08:02,240 --> 00:08:03,560 THIS WORKSHOP AND PLANNED THE 203 00:08:03,560 --> 00:08:05,760 FUNDING FOR IT, HE WAS ALSO, IN 204 00:08:05,760 --> 00:08:10,720 HIS LEADERSHIP IN 20 SCEKS, SGM 205 00:08:10,720 --> 00:08:11,880 POPULATIONS WHERE DESIGNATED AS 206 00:08:11,880 --> 00:08:14,880 A HEALTH DISPARITY POPULATIONS 207 00:08:14,880 --> 00:08:16,720 FOR NIH RESEARCH. 208 00:08:16,720 --> 00:08:18,360 DR. PEREZ-STABLE, PLEASE GO 209 00:08:18,360 --> 00:08:18,560 AHEAD. 210 00:08:18,560 --> 00:08:21,000 >>THANK YOU SO MUCH RADA, AND 211 00:08:21,000 --> 00:08:27,120 YOU TURN MY HEAD THERE WITH THE 212 00:08:27,120 --> 00:08:28,400 QUOTE FROM LORCA. 213 00:08:28,400 --> 00:08:30,440 SO WELCOME, EVERYONE AND I WANT 214 00:08:30,440 --> 00:08:31,640 TO RITY RIGHT MY THANKS TO ALL 215 00:08:31,640 --> 00:08:35,600 THE STAFF WHO WORKED ON THIS 216 00:08:35,600 --> 00:08:38,280 WORKSHOP OVER THE LAST SEVERAL 217 00:08:38,280 --> 00:08:38,840 MONTHS. 218 00:08:38,840 --> 00:08:40,680 GREAT PLANNING COMMITTEE. 219 00:08:40,680 --> 00:08:42,920 GREAT EFFORT AND PASSION IN THE 220 00:08:42,920 --> 00:08:45,960 COLLABORATION FROM OTHER NIH 221 00:08:45,960 --> 00:08:47,320 UNITS, PARTICULARLY SGM AND THE 222 00:08:47,320 --> 00:08:50,400 OFFICE OF RESEARCH ON WOMEN'S 223 00:08:50,400 --> 00:08:50,680 HEALTH. 224 00:08:50,680 --> 00:08:54,600 I'M GOING TO DO A BRIEF 225 00:08:54,600 --> 00:08:56,480 PRESENTATION ON GENERAL NIMHD 226 00:08:56,480 --> 00:08:56,800 PERSPECTIVES. 227 00:08:56,800 --> 00:09:02,520 LET ME GET MY SCREEN SHARED. 228 00:09:02,520 --> 00:09:06,840 BEFORE YOU GET ON WITH THE REAL 229 00:09:06,840 --> 00:09:11,240 WORK, LET ME GET THIS SLIDE TO 230 00:09:11,240 --> 00:09:11,960 SHOW. 231 00:09:11,960 --> 00:09:13,320 HERE WE GO. 232 00:09:13,320 --> 00:09:15,360 HOPEFULLY EVERYONE CAN SEE THIS. 233 00:09:15,360 --> 00:09:17,280 LET ME GET THOSE THINGS OUT OF 234 00:09:17,280 --> 00:09:20,280 THE WAY. 235 00:09:20,280 --> 00:09:21,880 ALL RIGHT. 236 00:09:21,880 --> 00:09:27,880 AS RADA SAID IN 2016, WE 237 00:09:27,880 --> 00:09:29,400 DECLARED SEXUAL AND GENDER 238 00:09:29,400 --> 00:09:32,640 MINORITIES AS THE POPULATION 239 00:09:32,640 --> 00:09:33,480 WITH HEALTH DISPARITIES. 240 00:09:33,480 --> 00:09:35,200 THAT ACTUALLY WAS A PROCESS THAT 241 00:09:35,200 --> 00:09:39,960 HAD BEEN ONGOING AT NIH FOR 242 00:09:39,960 --> 00:09:41,480 SEVERAL YEARS AND IN FACT WITHIN 243 00:09:41,480 --> 00:09:44,400 THE FIRST WEEK OF MY ARRIVAL AT 244 00:09:44,400 --> 00:09:47,400 NIH, I RECEIVED A REQUEST FROM 245 00:09:47,400 --> 00:09:48,320 DR. TABAK ABOUT, YOU KNOW 246 00:09:48,320 --> 00:09:52,040 WHETHER I SUPPORTED THIS OR NOT 247 00:09:52,040 --> 00:09:53,920 AND IT HAD NOT BEEN SOMETHING I 248 00:09:53,920 --> 00:09:55,360 WAS AWARE OF BEFORE COMING HERE. 249 00:09:55,360 --> 00:09:57,240 BE THAT AS IT MAY, THE FOLLOW 250 00:09:57,240 --> 00:09:59,240 UP, THE FIRST 3 BULLETS ON THIS 251 00:09:59,240 --> 00:10:03,600 SLIDE IS WHAT'S INCLUDED IN OUR 252 00:10:03,600 --> 00:10:05,520 ORIGINAL LEGISLATION, ALL RACIAL 253 00:10:05,520 --> 00:10:08,600 AND ETHNIC MINORITY POPULATIONS 254 00:10:08,600 --> 00:10:12,480 IN CENSUS AND THEY MAY BE 255 00:10:12,480 --> 00:10:13,280 EVOLVING FOR 2030. 256 00:10:13,280 --> 00:10:15,480 ALL POOR PEOPLE OF ANY RACE 257 00:10:15,480 --> 00:10:17,680 ETHNICITY, HOWEVER WE DEFINED 258 00:10:17,680 --> 00:10:20,320 IT, AND THEN UNDERSERVED RURAL 259 00:10:20,320 --> 00:10:20,920 RESIDENTS. 260 00:10:20,920 --> 00:10:23,240 THE ADDITION OF SEXUAL AND 261 00:10:23,240 --> 00:10:25,960 GENDER MINORITIES TOOK A 262 00:10:25,960 --> 00:10:29,280 PROCESS, I THINK THE UPON--AT 263 00:10:29,280 --> 00:10:30,680 THE TIME IN DEALING WITH THE 264 00:10:30,680 --> 00:10:33,880 DEPARTMENT OF HEALTH AND HUMAN 265 00:10:33,880 --> 00:10:35,960 SERVICES, THIS PARTICULAR COPY 266 00:10:35,960 --> 00:10:36,800 EMPHASIZING SOCIAL DISADVANTAGE 267 00:10:36,800 --> 00:10:38,960 THAT RESILTS IN PART IF BEING 268 00:10:38,960 --> 00:10:41,680 SUBJECT TO DISCRIMINATION OR 269 00:10:41,680 --> 00:10:44,000 RACISM IN ADDITION BEING 270 00:10:44,000 --> 00:10:46,480 UNDERSERVED IN HEALTHCARE, WAS I 271 00:10:46,480 --> 00:10:48,040 THINK THE CLENCHER IN PERSUADING 272 00:10:48,040 --> 00:10:50,440 THE DEPARTMENT THAT THIS WAS A 273 00:10:50,440 --> 00:10:50,800 GOOD MOVE. 274 00:10:50,800 --> 00:10:54,360 IT IS QUALIFIED AS A--FOR NIH 275 00:10:54,360 --> 00:10:57,760 RESEARCH AND I EMPHASIZE IT 276 00:10:57,760 --> 00:10:59,360 NIMHD DOES DECLARE THE 277 00:10:59,360 --> 00:11:01,240 POPULATIONS ON THE PERSON 278 00:11:01,240 --> 00:11:03,760 DESIGNATED TO MAKE THAT 279 00:11:03,760 --> 00:11:04,800 DECLARATION OR DECISION BUT THIS 280 00:11:04,800 --> 00:11:10,560 IS FOR ALL OF NIH NOT JUST FOR 281 00:11:10,560 --> 00:11:12,840 NIMHD, WE FUND 15-20% OF ALL 282 00:11:12,840 --> 00:11:14,360 RESEARCH IN MINORITY HEALTH, 283 00:11:14,360 --> 00:11:16,120 HEALTH DISPARITIES SO THIS IS 284 00:11:16,120 --> 00:11:19,880 REALLY APPLICABLE TO EVERY 285 00:11:19,880 --> 00:11:24,360 INSTITUTE, CENTER AND OFFICE AT 286 00:11:24,360 --> 00:11:26,680 THE AGENCY ANDEN IT DEFINING 287 00:11:26,680 --> 00:11:27,680 DISPARITY, WE FOCUS ON HEALTH 288 00:11:27,680 --> 00:11:30,680 OUTCOMES THAT ARE WORSE IN 1 OF 289 00:11:30,680 --> 00:11:31,840 THESE POPULATIONS GROUPS, WE'VE 290 00:11:31,840 --> 00:11:34,800 ALMOST ALWAYS USED A COMPARISON 291 00:11:34,800 --> 00:11:37,040 GROUP FOR EXAMPLE IN THE RACIAL 292 00:11:37,040 --> 00:11:39,360 ETHNIC COMPARISONS, AND I THINK 293 00:11:39,360 --> 00:11:40,560 THIS IS A--TO DEFINE HEALTH 294 00:11:40,560 --> 00:11:43,720 DISPARITY AND THIS IS SOMETHING 295 00:11:43,720 --> 00:11:47,960 THAT WE ARE REVIEWING AGAIN THIS 296 00:11:47,960 --> 00:11:48,360 YEAR. 297 00:11:48,360 --> 00:11:51,800 WHAT CAN WE DO TO REDUCE THESE 298 00:11:51,800 --> 00:11:52,960 DISPARITIES OR INIQUITIES, THESE 299 00:11:52,960 --> 00:11:55,480 ARE JUST GENERAL PRINCIPLES FOR 300 00:11:55,480 --> 00:11:59,120 ALL THIS RESEARCH, STANDARDIZED 301 00:11:59,120 --> 00:12:01,040 MEASURES, EVER ALL THE SOCIAL 302 00:12:01,040 --> 00:12:02,760 AND DEMOGRAPHIC FACTORS THAT 303 00:12:02,760 --> 00:12:04,080 AFFECT HEALTH, I'LL COME BACK TO 304 00:12:04,080 --> 00:12:05,240 THAT IN A MINUTE. 305 00:12:05,240 --> 00:12:08,760 WE REALLY NEED TO DEVELOP MORE 306 00:12:08,760 --> 00:12:11,400 CAPACITY AND SKILLS AND BIG DATA 307 00:12:11,400 --> 00:12:14,160 AND IN DATA SCIENCE BECAUSE THIS 308 00:12:14,160 --> 00:12:18,360 IS NOT ONLY CONTINUING TO GROW, 309 00:12:18,360 --> 00:12:21,240 BUT WE ARE UNDERRESOURCED AS A 310 00:12:21,240 --> 00:12:24,320 POPULATION OF SCIENTISTS TO WORK 311 00:12:24,320 --> 00:12:26,040 WITH THESE DATA. 312 00:12:26,040 --> 00:12:27,440 SO WE ENCOURAGE ANY OF YOUR 313 00:12:27,440 --> 00:12:28,720 TRAINEES TO THINK AND CONSIDER 314 00:12:28,720 --> 00:12:28,920 THIS. 315 00:12:28,920 --> 00:12:31,920 WE ALSO NEED TO BE AN ENGINE FOR 316 00:12:31,920 --> 00:12:33,040 PROMOTING DIVERSITY OF THE 317 00:12:33,040 --> 00:12:34,520 SCIENTIFIC AND CLINICAL 318 00:12:34,520 --> 00:12:34,920 WORKFORCE. 319 00:12:34,920 --> 00:12:38,080 MOST OF THE TIME WE MEASURE THIS 320 00:12:38,080 --> 00:12:39,400 THROUGH UNDERREPRESENTED RACIAL 321 00:12:39,400 --> 00:12:41,400 AND ETHNIC GROUPS. 322 00:12:41,400 --> 00:12:43,120 WE HAVE MADE VERY LITTLE 323 00:12:43,120 --> 00:12:46,880 PROGRESS OVER THE LAST 40 YEARS 324 00:12:46,880 --> 00:12:49,480 OR SO, IT'S ABOUT 7% OF NIH 325 00:12:49,480 --> 00:12:50,840 PRINCIPLE INVESTIGATORS, ARE 326 00:12:50,840 --> 00:12:51,920 COME FROM UNDERREPRESENTED 327 00:12:51,920 --> 00:12:53,120 RACIAL AND ETHNIC GROUPS. 328 00:12:53,120 --> 00:12:55,080 YOU MAY WANT TO KNOW, WELL 329 00:12:55,080 --> 00:12:57,000 WHAT'S THE REPRESENTATION OF 330 00:12:57,000 --> 00:12:58,280 SEXUAL AND GENDER MINORITIES, WE 331 00:12:58,280 --> 00:13:00,040 DON'T KNOW BECAUSE IT'S 332 00:13:00,040 --> 00:13:02,680 STILL--WE'RE STILL TRYING TO GET 333 00:13:02,680 --> 00:13:05,080 PEOPLE TO ASK AS YOU WILL HEAR, 334 00:13:05,080 --> 00:13:07,000 I'M SURE LATER TODAY. 335 00:13:07,000 --> 00:13:10,440 I THINK THE PANDEMIC REALLY MADE 336 00:13:10,440 --> 00:13:13,080 IT CLEAR THAT HAVING A COMMUNITY 337 00:13:13,080 --> 00:13:16,240 ENGAGED APPROACH TO PROBLEMS IS 338 00:13:16,240 --> 00:13:20,200 A RESEARCH METHOD THAT NEEDS TO 339 00:13:20,200 --> 00:13:22,080 BE SUPPORTED AND SUSTAINED IN 340 00:13:22,080 --> 00:13:23,320 CULTIVATING THESE COMMUNITY 341 00:13:23,320 --> 00:13:26,000 ENGAGEMENT, IT'S A CENTRAL PART 342 00:13:26,000 --> 00:13:28,920 OF NIMHD SINCE ITS FOUNDING IN 343 00:13:28,920 --> 00:13:32,120 THE EARLY 2000S. 344 00:13:32,120 --> 00:13:33,760 AND I WOULD SAY THIS APPLIES TO 345 00:13:33,760 --> 00:13:35,600 MANY OF THE CHALLENGES WE FACE 346 00:13:35,600 --> 00:13:39,720 IN HELT CARE AND HEALTH. 347 00:13:39,720 --> 00:13:44,480 AND FINALLY WE NEED TO EMPHASIZE 348 00:13:44,480 --> 00:13:44,960 IMPLEMENTATION SCIENCE. 349 00:13:44,960 --> 00:13:46,800 IMPLEMENT WHAT WE KNOW WORKS 350 00:13:46,800 --> 00:13:48,040 BECAUSE FREQUENTLY, THE THINGS 351 00:13:48,040 --> 00:13:54,080 WE KNOW WORK ARE OFTEN UNDER 352 00:13:54,080 --> 00:13:55,560 DEPLOYED, UNDERIMPLEMENTED IN 353 00:13:55,560 --> 00:13:58,560 THE POPULATIONS THAT SUFFER THE 354 00:13:58,560 --> 00:13:59,080 MOST. 355 00:13:59,080 --> 00:14:00,640 SO LET ME SHOW YOU AN EXAMPLE OF 356 00:14:00,640 --> 00:14:04,520 WHAT I WOULD SAY 357 00:14:04,520 --> 00:14:05,120 INTERSECTIONALITY, THIS IS 358 00:14:05,120 --> 00:14:07,680 EXTRACTED FROM A REPORT IN MMWR 359 00:14:07,680 --> 00:14:10,560 A FEW YEARS AGO AND IT'S LOOKING 360 00:14:10,560 --> 00:14:12,200 AT YOUTH OBESITY AND IF YOU LOOK 361 00:14:12,200 --> 00:14:14,160 AT IT BY RACE ETHNICITY WITH 362 00:14:14,160 --> 00:14:16,480 THESE 4 GROUPS THAT WERE 363 00:14:16,480 --> 00:14:18,720 REPORTED IN MALES AND FEMALES, 364 00:14:18,720 --> 00:14:22,200 THE DIFFERENCES HERE IS HOW MUCH 365 00:14:22,200 --> 00:14:24,400 LESS YOUTH OBESITY THERE WAS BY 366 00:14:24,400 --> 00:14:28,160 THE EDUCATIONAL LEVEL OF THE 367 00:14:28,160 --> 00:14:29,480 HEAD OF HOUSEHOLD. 368 00:14:29,480 --> 00:14:30,800 COLLEGE IS I HIGH END AND LESS 369 00:14:30,800 --> 00:14:33,400 THAN HIGH SCHOOL ON THE LOW END 370 00:14:33,400 --> 00:14:34,920 THEY WERE IN BETWEEN CATEGORIES 371 00:14:34,920 --> 00:14:37,160 AS WELL BUT IT'S SIMPLIFIED TO 372 00:14:37,160 --> 00:14:37,760 MAKE A POINT. 373 00:14:37,760 --> 00:14:39,960 FIRST OF ALL OBESITY RATES AMONG 374 00:14:39,960 --> 00:14:43,600 YOUTH VARY WITH BLACKS AND 375 00:14:43,600 --> 00:14:45,120 LATINOS HAVING THE HIGHEST RATE 376 00:14:45,120 --> 00:14:46,960 PARTICULARLY BLACK FEMALES AND 377 00:14:46,960 --> 00:14:49,520 WE ALSO KNOW, AND THEN WHITES 378 00:14:49,520 --> 00:14:51,000 ARE CLOSE BEHIND, ASIANS BEING 379 00:14:51,000 --> 00:14:53,360 LOWER AND THIS IS HOW MUCH IT 380 00:14:53,360 --> 00:14:54,880 CHANGED WHEN YOU HAD A MORE 381 00:14:54,880 --> 00:14:57,400 EDUCATED HEAD OF HOUSEHOLD, A 382 00:14:57,400 --> 00:14:58,640 COLLEGE HEAD EDUCATED HOUSEHOLD 383 00:14:58,640 --> 00:15:01,000 VERSUS A LESS THAN HIGH SCHOOL. 384 00:15:01,000 --> 00:15:03,760 YOU CAN SEE DEFERENTIAL BENEFIT 385 00:15:03,760 --> 00:15:05,520 BY ETHNICITY AND THIS IS 386 00:15:05,520 --> 00:15:06,280 PRECISELY THE KIND OF RESEARCH 387 00:15:06,280 --> 00:15:10,680 THAT WE NEED TO DO MORE OF AS 388 00:15:10,680 --> 00:15:12,440 OPPOSE TO DISCRYPTIVE OF ONLY 1 389 00:15:12,440 --> 00:15:13,600 MINORITY GROUP WHICH CAN BE 390 00:15:13,600 --> 00:15:17,520 HELPFUL OR WHEN WE DON'T KNOW OR 391 00:15:17,520 --> 00:15:21,720 COMBINING AND ADJUSTING FOR THE 392 00:15:21,720 --> 00:15:22,720 OTHER FACTORS. 393 00:15:22,720 --> 00:15:24,440 HERE'S AN EXAMPLE OF COMMONLY 394 00:15:24,440 --> 00:15:27,440 NATIONAL RATES OF BEHAVIOR RISKS 395 00:15:27,440 --> 00:15:29,560 IN LESBIAN GAY AND BISEXUAL 396 00:15:29,560 --> 00:15:31,680 INDIVIDUALS REPORTED BY THIS CDC 397 00:15:31,680 --> 00:15:33,840 ON TOBACCO USE A NUMBER OF YEARS 398 00:15:33,840 --> 00:15:34,080 AGO. 399 00:15:34,080 --> 00:15:37,400 OF CONCERN, YOU CAN SEE THAT 400 00:15:37,400 --> 00:15:38,480 FORAYS ETHNICITY THERE'S SOME 401 00:15:38,480 --> 00:15:40,640 INTERESTING PATTERNS BUT NOTHING 402 00:15:40,640 --> 00:15:43,480 THAT STANDS OUT TREMENDOUSLY, 403 00:15:43,480 --> 00:15:45,640 HIGHER RATE FOR AMERICAN INDIAN 404 00:15:45,640 --> 00:15:47,880 AND ALASKA NATIVES, LOWER FOR 405 00:15:47,880 --> 00:15:49,840 LATINOS AND ASIANS BUT FOR 406 00:15:49,840 --> 00:15:52,280 LESBIAN GAY AND BISEXUAL, THE 407 00:15:52,280 --> 00:15:53,680 RATE OF COMBUSTIBLE TOBACCO USE 408 00:15:53,680 --> 00:15:55,440 WAS AS HIGH AS IT WAS FOR 409 00:15:55,440 --> 00:15:56,320 AMERICAN INDIAN AND ALASKA 410 00:15:56,320 --> 00:15:59,160 NATIVE AND WE SEE A STRONG 411 00:15:59,160 --> 00:15:59,640 EDUCATIONAL GRADIENT. 412 00:15:59,640 --> 00:16:01,080 THIS IS WORK WE ARE 413 00:16:01,080 --> 00:16:01,680 COLLABORATING WITH, THE 414 00:16:01,680 --> 00:16:04,400 INSTITUTE FOR HEALTH METRIC 415 00:16:04,400 --> 00:16:05,960 EVALUATION AT THE UNIVERSITY OF 416 00:16:05,960 --> 00:16:07,760 WASHINGTON, LOOKING AT 417 00:16:07,760 --> 00:16:09,920 DIFFERENCES IN LIFE EXPECTANCY 418 00:16:09,920 --> 00:16:12,480 BY COUNTY AND RACE ETHNICITY AND 419 00:16:12,480 --> 00:16:15,560 WE CONFIRM THAT FOR EXAMPLE, 420 00:16:15,560 --> 00:16:17,520 AMONG ASIAN AMERICANS, WE SEE 421 00:16:17,520 --> 00:16:19,520 BETTER OUTCOMES WITH LIFE 422 00:16:19,520 --> 00:16:22,280 EXPECTANCY ACROSS THE COUNTRY, 423 00:16:22,280 --> 00:16:24,880 AMONG LATINO HISPANICS, 424 00:16:24,880 --> 00:16:28,920 GENERALLY BETTER BUT THERE ARE 425 00:16:28,920 --> 00:16:30,480 AREAS, THE BORDER, HAWAII AND 426 00:16:30,480 --> 00:16:32,280 THE 4 CORNER AREAS AND PARTS OF 427 00:16:32,280 --> 00:16:35,360 ARIZONA WHERE LIFE EXPECTANCY IS 428 00:16:35,360 --> 00:16:36,640 SHORTER THAN FOR WHITES. 429 00:16:36,640 --> 00:16:38,720 I SHOULD HAVE SAID THE BROWN 430 00:16:38,720 --> 00:16:40,840 COLOR OR LESS THAN WHITE, THE 431 00:16:40,840 --> 00:16:43,360 PURPLISH COLORS ARE BETTER THAN 432 00:16:43,360 --> 00:16:43,800 WHITES. 433 00:16:43,800 --> 00:16:45,680 FOR AFRICAN AMERICANS WE SEE 434 00:16:45,680 --> 00:16:47,520 MOSTLY WORSE THAN WHITES, BUT 435 00:16:47,520 --> 00:16:49,720 THERE ARE AREAS OF BETTER 436 00:16:49,720 --> 00:16:51,600 OUTCOMES AND FOR AMERICAN INDIAN 437 00:16:51,600 --> 00:16:54,560 AND ALASKA NATIVE SIMILARLY, 438 00:16:54,560 --> 00:16:56,040 MOSTLY SHORTER LIFE EXPECTANCY 439 00:16:56,040 --> 00:16:57,480 WITH SOME AREAS WHERE RESULTS 440 00:16:57,480 --> 00:16:58,240 ARE BETTER. 441 00:16:58,240 --> 00:17:00,440 I MENTIONED BEFORE THE 442 00:17:00,440 --> 00:17:01,840 STANDARDIZED MEASUREMENT OF 443 00:17:01,840 --> 00:17:06,080 SOCIAL AND DEMOGRAPHIC FACTORS. 444 00:17:06,080 --> 00:17:07,640 NIMHD EMBARK OFFICE OF DIVERSITY 445 00:17:07,640 --> 00:17:10,840 THIS PROJECT BACK IN I GUESS 446 00:17:10,840 --> 00:17:14,240 2018, WE'VE GONE THROUGH 2 447 00:17:14,240 --> 00:17:15,680 PHASES, IT'SOT PHOENIX TOOL KIT 448 00:17:15,680 --> 00:17:18,000 WEBSITE, WE HAVE A SOCIAL 449 00:17:18,000 --> 00:17:22,080 DETERMINANTS OF HEALTH PAGE, WE 450 00:17:22,080 --> 00:17:22,800 COLLECTED THE DEMOGRAPHIC 451 00:17:22,800 --> 00:17:24,880 MEASURES THAT WERE ALREADY THERE 452 00:17:24,880 --> 00:17:27,000 AND IT IS NOW PROBABLY A GOOD 453 00:17:27,000 --> 00:17:31,200 TIME TO REVIEW THOSE AND REVISE 454 00:17:31,200 --> 00:17:34,360 THEM IN SOME PROCESS, GIVEN THE 455 00:17:34,360 --> 00:17:36,200 RECENT OMB REQUEST FOR CHANGES 456 00:17:36,200 --> 00:17:38,120 FOR ASKING ABOUT RACE ETHNICITY 457 00:17:38,120 --> 00:17:40,720 AS WELL AS DISCUSSIONS THAT YOU 458 00:17:40,720 --> 00:17:43,440 WILL HAVE ABOUT MEASUREMENT OF 459 00:17:43,440 --> 00:17:45,760 SEXUAL ORIENTATION AND GENDER 460 00:17:45,760 --> 00:17:46,760 IDENTITY. 461 00:17:46,760 --> 00:17:47,880 BUT THE DEMOGRAPHICS INCLUDE A 462 00:17:47,880 --> 00:17:51,800 VARIETY OF FACTORS AND THEN 463 00:17:51,800 --> 00:17:52,640 STRUCTURAL DETERMINANTS AS I 464 00:17:52,640 --> 00:17:55,200 LIKE TO CALL THEM RELATED TO 465 00:17:55,200 --> 00:17:56,640 HOUSING, TECHNOLOGY, ACCESS TO 466 00:17:56,640 --> 00:17:59,560 BROAD BAND, GREEN SPACE, ET 467 00:17:59,560 --> 00:18:00,880 CETERA, HAVE BEEN MOST OF THE 468 00:18:00,880 --> 00:18:05,400 FOCUS OF THE PROCESSES WE'VE HAD 469 00:18:05,400 --> 00:18:11,480 IN THESE LAST 4 YEARS. 470 00:18:11,480 --> 00:18:13,120 AND WE'RE AT A POINT WHERE WE 471 00:18:13,120 --> 00:18:14,560 CAN PAUSE AND REFLECT ON WHERE 472 00:18:14,560 --> 00:18:15,000 THIS IS. 473 00:18:15,000 --> 00:18:15,840 WE WILL ENCOURAGE ALL OUR 474 00:18:15,840 --> 00:18:17,160 INVESTIGATORS TO GO TO THIS 475 00:18:17,160 --> 00:18:21,280 WEBSITE AND USE THESE MEASURES 476 00:18:21,280 --> 00:18:28,240 IN THEIR RESEARCH AND WE 477 00:18:28,240 --> 00:18:29,560 CERTAINLY WORKED UNDER THAT 478 00:18:29,560 --> 00:18:31,040 OPERATIONAL ASPECT IN THE COVID 479 00:18:31,040 --> 00:18:34,360 RESPONSE USING THE RAD-X UP AS 480 00:18:34,360 --> 00:18:35,680 OUR MODEL. 481 00:18:35,680 --> 00:18:36,840 WE CO CHAIRED THAT WITH OUR 482 00:18:36,840 --> 00:18:38,880 MODEL AND THE INSTITUTE ON AGING 483 00:18:38,880 --> 00:18:41,720 AND THE REALITY IS THERE'S A LOT 484 00:18:41,720 --> 00:18:43,240 OF--THERE'S A LOT OF WORK TO BE 485 00:18:43,240 --> 00:18:45,560 DONE IN USING THESE COMMON DATA 486 00:18:45,560 --> 00:18:47,200 ELEMENTS, BOTH IN BUY IN AND 487 00:18:47,200 --> 00:18:49,560 PRIMARILY FROM THE INVESTIGATOR 488 00:18:49,560 --> 00:18:51,440 COMMUNITY, BUT ALSO THE GENERAL 489 00:18:51,440 --> 00:18:52,640 COMMUNITIES, AND THERE ARE 490 00:18:52,640 --> 00:18:53,920 PARTICULARLY ISSUES THAT NEED TO 491 00:18:53,920 --> 00:18:58,400 BE ADDRESSED WITH SOME 492 00:18:58,400 --> 00:19:00,720 POPULATIONS ABOUT ASKING CERTAIN 493 00:19:00,720 --> 00:19:03,560 TYPES OF QUESTIONS. 494 00:19:03,560 --> 00:19:04,800 BUT THIS THE DIRECTION WE NEED 495 00:19:04,800 --> 00:19:08,280 TO MOVE IN THIS ORDER TO MAKE 496 00:19:08,280 --> 00:19:09,720 BIG DATA BETTER. 497 00:19:09,720 --> 00:19:12,520 IF WE ASK QUESTION 5 DIFFERENT 498 00:19:12,520 --> 00:19:13,760 WAYS, THE COMPARABLE AND ABILITY 499 00:19:13,760 --> 00:19:19,040 TO LINK THEM ARE GOING TO BE 500 00:19:19,040 --> 00:19:19,960 LIMITED. 501 00:19:19,960 --> 00:19:21,680 NIMHD STAFF DEVELOPED THIS 502 00:19:21,680 --> 00:19:23,520 RESEARCH FRAMEWORK AS A GUIDE, 503 00:19:23,520 --> 00:19:26,400 AS A ROADMAP IF YOU WISH TO 504 00:19:26,400 --> 00:19:28,360 REALLY OUTLINE THE DIFFERENT 505 00:19:28,360 --> 00:19:32,080 ASPECTS OF RESEARCH THAT 506 00:19:32,080 --> 00:19:33,480 ENCOMPASS THE SCIENCE THAT WE 507 00:19:33,480 --> 00:19:35,600 EMBRACE LOOKING AT BOTH 508 00:19:35,600 --> 00:19:37,400 INDIVIDUAL AND PERSONAL, 509 00:19:37,400 --> 00:19:38,920 COMMUNITY AND SOCIETAL POLICY 510 00:19:38,920 --> 00:19:48,120 LEVEL ISSUES AS WELL AS THE 511 00:19:48,120 --> 00:19:50,840 DIFFERENT DOMAINS OF INFLUENCE 512 00:19:50,840 --> 00:19:52,640 HERE, EMPHASIZE THE HEALTH 513 00:19:52,640 --> 00:19:53,760 SYSTEM THAT PEOPLE WITH CHRONIC 514 00:19:53,760 --> 00:19:55,880 DISEASE ARE GOING TO DEPEND ON 515 00:19:55,880 --> 00:19:58,440 AND USE EVEN THOUGH OVER 50% OF 516 00:19:58,440 --> 00:20:00,400 THE ADULT POPULATION FREQUENTLY 517 00:20:00,400 --> 00:20:02,200 NEEDS OR USES THE HELT CARE 518 00:20:02,200 --> 00:20:06,440 SYSTEM FOR ANY CHRONIC PROBLEMS 519 00:20:06,440 --> 00:20:07,040 FOR SURE. 520 00:20:07,040 --> 00:20:08,880 THINK OF THE PHYSICAL BUILT-IN 521 00:20:08,880 --> 00:20:10,320 ENVIRONMENT AS A NEWER 522 00:20:10,320 --> 00:20:11,720 DEVELOPMENT LIKE THE BIOLOGICAL 523 00:20:11,720 --> 00:20:13,400 EXPLOSION OF INFORMATION THE 524 00:20:13,400 --> 00:20:15,160 LAST 25 YEARS, THIS IS AN AREA 525 00:20:15,160 --> 00:20:17,400 OF RESEARCH THAT IT REALLY 526 00:20:17,400 --> 00:20:20,200 EXPANDED IN THE LAST 20 YEARS. 527 00:20:20,200 --> 00:20:28,160 SORRY, I KEEP HITTING THE WRONG 528 00:20:28,160 --> 00:20:28,520 BUTTON. 529 00:20:28,520 --> 00:20:30,480 AND THEN THE SOCIAL CULTURAL 530 00:20:30,480 --> 00:20:31,800 ENVIRONMENT RELATED TO 531 00:20:31,800 --> 00:20:33,200 ACTIVITIES HAS BEEN WELL STOABED 532 00:20:33,200 --> 00:20:34,320 FOR MANY YEARS. 533 00:20:34,320 --> 00:20:36,320 SO I MENTIONED THE CHALLENGE OF 534 00:20:36,320 --> 00:20:40,080 RACISM, NOT A NEW PROBLEM, THESE 535 00:20:40,080 --> 00:20:42,840 ARE DATA FROM 2015 THAT THE 536 00:20:42,840 --> 00:20:45,080 KAISER FAMILY FOUNDATION SURVEY 537 00:20:45,080 --> 00:20:46,760 REPORTED ON AND IN THE PAST 30 538 00:20:46,760 --> 00:20:48,720 DAYS MORE THAN HALF OF AFRICAN 539 00:20:48,720 --> 00:20:50,720 AMERICANS AND MORE THAN A THIRD 540 00:20:50,720 --> 00:20:52,280 OF LATINOS, THESE ARE THE 3 541 00:20:52,280 --> 00:20:55,560 GROUPS THAT WERE SAMPLED 542 00:20:55,560 --> 00:20:57,120 REPORTED BEING TREATED UNFAIRLY 543 00:20:57,120 --> 00:21:01,840 BECAUSE OF THEIR RACIAL OR 544 00:21:01,840 --> 00:21:02,840 ETHNIC BACKGROUND IN A VARIETY 545 00:21:02,840 --> 00:21:03,640 OF SETTINGS. 546 00:21:03,640 --> 00:21:04,560 THIS REALLY HIGHLIGHTS A 547 00:21:04,560 --> 00:21:05,040 PROBLEM. 548 00:21:05,040 --> 00:21:06,240 IT'S SOMETHING WE HAVE BEEN 549 00:21:06,240 --> 00:21:12,320 FOCUSED ON AND AWARE OF SINCE 550 00:21:12,320 --> 00:21:13,480 OUR FOUNDING AND CERTAINLY THE 551 00:21:13,480 --> 00:21:16,560 PANDEMIC IN 2020 AND THE EVENTS 552 00:21:16,560 --> 00:21:18,920 SURROUNDING THE MURDER OF GEORGE 553 00:21:18,920 --> 00:21:21,480 FLOYD RAISE THE AWARENESS OF 554 00:21:21,480 --> 00:21:24,080 THIS AMONGST INSTITUTIONS AND 555 00:21:24,080 --> 00:21:25,080 INDIVIDUALS. 556 00:21:25,080 --> 00:21:27,520 THAT HAS WANED SOME BUT THE 557 00:21:27,520 --> 00:21:29,280 PROBLEM HASN'T AND ON THE 558 00:21:29,280 --> 00:21:30,320 INTERPERSONAL LEVEL, WE CAN DEAL 559 00:21:30,320 --> 00:21:31,880 WITH IT IN DIFFERENT WAYS BUT 560 00:21:31,880 --> 00:21:33,600 THE STRUCTURAL 1S ARE REALLY 561 00:21:33,600 --> 00:21:33,920 DAUNTING. 562 00:21:33,920 --> 00:21:36,560 THIS IS A MAP OF WASHINGTON D. 563 00:21:36,560 --> 00:21:39,920 C. TO HIGHLIGHT THE POLICY OF 564 00:21:39,920 --> 00:21:44,120 RED LINES OR WHAT CREATED 565 00:21:44,120 --> 00:21:45,080 RESIDENTIAL SEGREGATION IN THE 566 00:21:45,080 --> 00:21:48,640 UNITED STATES IN THE MAJORITY OF 567 00:21:48,640 --> 00:21:51,120 URBAN CENTERS WHERE BANKS WOULD 568 00:21:51,120 --> 00:21:54,200 NOT PROVIDE LOANS FOR PURCHASING 569 00:21:54,200 --> 00:22:01,720 HOME TO THIS TYPE H 570 00:22:01,720 --> 00:22:02,440 NEGRO-DEVELOPMENTS AND LOWEST 571 00:22:02,440 --> 00:22:04,360 GRADE, THIS IS ACROSS THE RIVER 572 00:22:04,360 --> 00:22:09,200 COMPARED TO HIGHEST GRADE 573 00:22:09,200 --> 00:22:11,280 RESIDENTIAL POPULARITY THAT WAS 574 00:22:11,280 --> 00:22:12,360 DOMINATED PRIMARILY BY WHITE 575 00:22:12,360 --> 00:22:12,640 INDIVIDUALS. 576 00:22:12,640 --> 00:22:14,040 YOU CAN SEE IN WASHINGTON D. C., 577 00:22:14,040 --> 00:22:17,600 YOU CAN SEE IT BY MAJORITY RACE 578 00:22:17,600 --> 00:22:20,080 AREA, DIVISION, AND BY LIFE 579 00:22:20,080 --> 00:22:20,520 EXPECTANCY. 580 00:22:20,520 --> 00:22:22,640 AND THESE DATA HAD BEEN LOOKED 581 00:22:22,640 --> 00:22:25,280 AT AND REPORTED IN MULTIPLE YEAR 582 00:22:25,280 --> 00:22:25,520 SETTING. 583 00:22:25,520 --> 00:22:27,880 YOUR ZIP CODE IS MORE IMPORTANT 584 00:22:27,880 --> 00:22:29,200 FOR YOUR HEALTH THAN YOUR 585 00:22:29,200 --> 00:22:32,560 GENETIC CODE AND SOME OF IS REAL 586 00:22:32,560 --> 00:22:36,360 LOW BORNE OUT BY THESE 587 00:22:36,360 --> 00:22:38,200 SOCIOECONOMIC CONDITIONS CREATED 588 00:22:38,200 --> 00:22:39,800 BY REZONING DEBTIAL SEGREGATION. 589 00:22:39,800 --> 00:22:41,400 I THINK IT'S IMPORTANT REALLY 590 00:22:41,400 --> 00:22:43,360 THIS GROUP EMPHASIZE AGAIN, WHAT 591 00:22:43,360 --> 00:22:46,360 IMPORTANCE IT IS TO DEVELOP A 592 00:22:46,360 --> 00:22:47,080 DIVERSE CLINICAL WORKFORCE THAT 593 00:22:47,080 --> 00:22:49,640 WILL CARE FOR OUR PATIENTS, WE 594 00:22:49,640 --> 00:22:52,680 ALREADY SEE IMPERICALLY DATA 595 00:22:52,680 --> 00:22:55,680 THAT THIS HAPPENS, THAT PATIENTS 596 00:22:55,680 --> 00:23:00,000 ARE MORE LIKELY TO SEE MINORITY 597 00:23:00,000 --> 00:23:02,880 CLINICIANS AND AGAIN, WE DON'T 598 00:23:02,880 --> 00:23:04,200 HAVE DATA ON SGM STATUS OF 599 00:23:04,200 --> 00:23:06,360 WHETHER OR NOT THAT WOULD BE THE 600 00:23:06,360 --> 00:23:09,280 CASE AND MY SENSE, HAVING 601 00:23:09,280 --> 00:23:11,280 PRACTICED MEDICINE FOR 37 YEARS 602 00:23:11,280 --> 00:23:13,480 IN SAN FRANCISCO STHAT THERE IS 603 00:23:13,480 --> 00:23:17,000 A COMPONENT OF THAT PRESENCE AS 604 00:23:17,000 --> 00:23:17,400 WELL. 605 00:23:17,400 --> 00:23:22,800 BUT WITHOUT HAVING DATA WE CAN'T 606 00:23:22,800 --> 00:23:23,720 MAKE THESE OBSERVATIONS. 607 00:23:23,720 --> 00:23:26,680 AND THERE IS LACK OF DATA ON 608 00:23:26,680 --> 00:23:27,880 WHETHER DIVERSE SCIENTIFICS ARE 609 00:23:27,880 --> 00:23:31,240 ACTUALLY BETTER AT RECRUITING 610 00:23:31,240 --> 00:23:31,840 UNDERREPRESENTED POPULATIONS, 611 00:23:31,840 --> 00:23:32,840 FOCUSING ON HEGHT DISPARITIES, 612 00:23:32,840 --> 00:23:37,280 THERE IS SOME SELECTION BIOS 613 00:23:37,280 --> 00:23:38,800 INVOLVED AND I THINK THIS IS AN 614 00:23:38,800 --> 00:23:41,360 AREA FOR ONGOING WORK THAT NEEDS 615 00:23:41,360 --> 00:23:41,840 TO BE COMPLETED. 616 00:23:41,840 --> 00:23:44,400 I WANT TO PUT IN A PLUG FOR THE 617 00:23:44,400 --> 00:23:51,360 HEALTH DISPARITIES RESEARCH 618 00:23:51,360 --> 00:23:53,120 INSTITUTE THE APPLICATIONS ARE 619 00:23:53,120 --> 00:23:55,800 OPEN UNTIL 2 WEEKS FROM 620 00:23:55,800 --> 00:23:56,960 YESTERDAY MARCH 13th, WE'VE 621 00:23:56,960 --> 00:24:00,040 BEEN DOING THIS SINCE 2016, 622 00:24:00,040 --> 00:24:01,640 WE'VE HAD OVER 400 SCHOLARS 623 00:24:01,640 --> 00:24:02,200 ATTEND. 624 00:24:02,200 --> 00:24:07,000 WE'VE HAD SUPPORT FROM SGM RO, 625 00:24:07,000 --> 00:24:08,960 AND INCLUDED A VARIETY OF 626 00:24:08,960 --> 00:24:12,800 DISCIPLINES AND SPECIALTIES, SO 627 00:24:12,800 --> 00:24:14,480 REALLY ENCOURAGE YOUR POST 628 00:24:14,480 --> 00:24:15,760 DOCTORAL FELLOWS, USUALLY ON THE 629 00:24:15,760 --> 00:24:18,480 SENIOR SIDE OR EARLY ASSISTANT 630 00:24:18,480 --> 00:24:19,360 PROFESSORS TO APPLY. 631 00:24:19,360 --> 00:24:22,960 WE ARE GOING BACK TO IN-PERSON 632 00:24:22,960 --> 00:24:24,480 THIS YEAR, IN AUGUST SO LOOK 633 00:24:24,480 --> 00:24:29,680 FORWARD TO A GREAT PROGRAM AT 634 00:24:29,680 --> 00:24:29,960 THAT TIME. 635 00:24:29,960 --> 00:24:32,440 LET ME SPEND THE LAST FEW 636 00:24:32,440 --> 00:24:34,440 MINUTES TALKING ABOUT OUR 637 00:24:34,440 --> 00:24:34,640 FUNDING. 638 00:24:34,640 --> 00:24:37,560 FOR THE LAST 2 FISCAL YEAR, THIS 639 00:24:37,560 --> 00:24:41,600 IS NIMHD ONLY, WE FUNDED 67 640 00:24:41,600 --> 00:24:43,680 AWARDS OVER 2 YEARS THAT WERE 641 00:24:43,680 --> 00:24:46,240 FOLK UTIONED ON SEXUAL AND 642 00:24:46,240 --> 00:24:48,800 GENDER MINORITY RESEARCH WITHIN 643 00:24:48,800 --> 00:24:50,320 NIMHD, WE ALSO HAD AWARDS THAT 644 00:24:50,320 --> 00:24:52,360 WERE DONE WITH OTHER 645 00:24:52,360 --> 00:24:52,960 EN--STRATEGIESITUTES, HEARTH 646 00:24:52,960 --> 00:24:55,240 LUNG AND BLOOD, CHILD HEALTH AND 647 00:24:55,240 --> 00:24:55,920 MENTAL HEALTH SPECIFICALLY. 648 00:24:55,920 --> 00:24:57,640 YOU CAN SEE THE TOTAL THERE 649 00:24:57,640 --> 00:24:59,680 AMOUNT THERE IS ABOUT 650 00:24:59,680 --> 00:25:02,480 $44 MILLION OVER THESE 2 YEARS. 651 00:25:02,480 --> 00:25:06,720 MOST OF THESE ARE RO-1S OR R21S, 652 00:25:06,720 --> 00:25:10,280 THERE SOME Ks AND A SPRINKLE 653 00:25:10,280 --> 00:25:12,360 OF F-GRANTS IN THERE AS WELL. 654 00:25:12,360 --> 00:25:14,440 WE WORKED WITH THE HISPANIC 655 00:25:14,440 --> 00:25:18,160 COMMUNITY HEALTH STUDY PIs, 656 00:25:18,160 --> 00:25:24,760 BACK IN 2019 TO ADD THE 657 00:25:24,760 --> 00:25:26,160 MEASURES, SOGI AND OTHER 658 00:25:26,160 --> 00:25:30,160 MEASURES TO THEIR VISIT 3 659 00:25:30,160 --> 00:25:31,560 QUESTIONNAIRE. 660 00:25:31,560 --> 00:25:33,800 AND THAT WAS I THINK A VERY GOOD 661 00:25:33,800 --> 00:25:35,800 PROCESS, IT WAS A TEAM OF US 662 00:25:35,800 --> 00:25:41,600 FROM INTRAMURAL THAT WORKED ON 663 00:25:41,600 --> 00:25:43,000 THIS WITH THEIR LEADERS. 664 00:25:43,000 --> 00:25:44,440 THEY PRETESTED THE QUESTIONS. 665 00:25:44,440 --> 00:25:46,280 THE MODULES WE'RE ADDED IN, SO 666 00:25:46,280 --> 00:25:48,480 THEY'RE ON THE ONGOING DATA 667 00:25:48,480 --> 00:25:50,800 COLLECTION NOW. 668 00:25:50,800 --> 00:25:56,200 ANOTHER NHLBI COHORT MESA ALSO 669 00:25:56,200 --> 00:25:57,520 ADDED SOGI QUESTIONS AND THERE'S 670 00:25:57,520 --> 00:25:58,760 A GROUP OF AT LEAST 3 671 00:25:58,760 --> 00:26:01,080 INVESTIGATOR WHO IS ARE FUNDED 672 00:26:01,080 --> 00:26:02,400 IN ANCILLARY STUDIES TO THESE 673 00:26:02,400 --> 00:26:06,800 COHORTS THAT ARE ACTIVELY WORKS 674 00:26:06,800 --> 00:26:10,640 IN THIS ERIC RODRIGUEZ, AS THE 675 00:26:10,640 --> 00:26:11,240 PLANNING COMMITTEE IS A 676 00:26:11,240 --> 00:26:12,800 SCIENTIST IN MY LAB AND WE HAVE 677 00:26:12,800 --> 00:26:19,440 A NUMBER OF PROPOSALS ONCE THE 678 00:26:19,440 --> 00:26:21,200 STUDY IS COMPLETED IN THE 679 00:26:21,200 --> 00:26:23,760 Q-RATING SO WE REALLY NEED TO 680 00:26:23,760 --> 00:26:25,680 ASCERTAIN THE POPULATION IN 681 00:26:25,680 --> 00:26:27,680 ORDER TO HAVE, REASONABLE 682 00:26:27,680 --> 00:26:28,960 INCLUSION AND DIVERSITY GOALS. 683 00:26:28,960 --> 00:26:31,800 WE DON'T KNOW THE DIMENSION OF 684 00:26:31,800 --> 00:26:33,320 THE PROBLEM OR HOW VARIABLE IT 685 00:26:33,320 --> 00:26:36,200 IS BECAUSE THERE HAS NOT BEEN 686 00:26:36,200 --> 00:26:37,960 SYSTEMATIC ADMINISTRATION OF 687 00:26:37,960 --> 00:26:38,200 QUESTIONS. 688 00:26:38,200 --> 00:26:41,240 COUPLE OF QUICK EXAMPLES OF SOME 689 00:26:41,240 --> 00:26:42,680 OF OUR FUNDED WORK THAT I'VE 690 00:26:42,680 --> 00:26:44,720 SHOWN SHOULD COUNCIL, THIS IS 691 00:26:44,720 --> 00:26:45,920 HOW DISCRIMINATION AND MEDICAL 692 00:26:45,920 --> 00:26:50,000 MISTRUST CONTRIBUTE TO HIV AND 693 00:26:50,000 --> 00:26:52,040 EQUITIES AMONG BLACKS. 694 00:26:52,040 --> 00:26:55,920 HIV IS A STRONG COMPONENT OF THE 695 00:26:55,920 --> 00:26:58,000 RESEARCH THAT CIRCULATES AROUND 696 00:26:58,000 --> 00:26:59,640 SGM POPULATIONS, BUT 1 OF THE 697 00:26:59,640 --> 00:27:01,160 PURPOSES OF DOING THIS WORKSHOP 698 00:27:01,160 --> 00:27:03,680 AND WHEN WE WENT THROUGH THE 699 00:27:03,680 --> 00:27:05,720 COUNCIL CONCEPT REVIEW IS REALLY 700 00:27:05,720 --> 00:27:08,680 TO EXPAND TO OTHER AREAS BECAUSE 701 00:27:08,680 --> 00:27:10,320 IT SEEMS THAT HIV HAS BEEN THE 702 00:27:10,320 --> 00:27:14,800 FOCUS AND HAS BEEN THE 703 00:27:14,800 --> 00:27:16,760 PREDOMINANT TOPIC, OF EITHER 704 00:27:16,760 --> 00:27:18,960 RISK BEHAVIORS RELATED TO OR SEX 705 00:27:18,960 --> 00:27:22,360 RELATED TO RISK OF ACQUIRING HIV 706 00:27:22,360 --> 00:27:25,240 OR NOW, YOU KNOW TREATMENT AND 707 00:27:25,240 --> 00:27:26,240 MAINTENANCE OR THERAPY. 708 00:27:26,240 --> 00:27:27,240 THAT'S 1 OF THE GOALS. 709 00:27:27,240 --> 00:27:31,000 THIS IS ANOTHER HIV RELATED 710 00:27:31,000 --> 00:27:33,440 ARTICLE THAT RELATES TO 711 00:27:33,440 --> 00:27:39,880 PREEXPOSURE PROPHYLAXIS USED BY 712 00:27:39,880 --> 00:27:40,800 YOUTH, ADOLESCENTS WHO, MALES 713 00:27:40,800 --> 00:27:42,000 WHO HAVE SEX WITH OTHER MALES 714 00:27:42,000 --> 00:27:45,200 AND YOU CAN SEE THE ISSUE THERE 715 00:27:45,200 --> 00:27:47,040 OF PARENTING AND FAMILY WAS 716 00:27:47,040 --> 00:27:52,760 IMPORTANT AND FINALLY, THIS 717 00:27:52,760 --> 00:27:58,240 OTHER STUDY THAT LOOKS AT THE 718 00:27:58,240 --> 00:28:00,200 NATIONAL EPIDEMIOLOGY SURVEY ON 719 00:28:00,200 --> 00:28:03,280 ALCOHOL AND RELATED CONCISIONS 720 00:28:03,280 --> 00:28:05,480 SHOWING STRATIFIED REPORTING BY 721 00:28:05,480 --> 00:28:07,920 RACE AND ETHNICITY BY ALCOHOL 722 00:28:07,920 --> 00:28:10,080 USE DISORDER, TOBACCO USE 723 00:28:10,080 --> 00:28:16,640 DISORDER AND KAN--KANA CANNABIE 724 00:28:16,640 --> 00:28:19,600 DISORDER, AND I THINK A TREND IN 725 00:28:19,600 --> 00:28:21,040 THE DATA I'VE SEEN AND THE DATA 726 00:28:21,040 --> 00:28:24,200 I'VE SEEN THAT COMES THROUGH MY 727 00:28:24,200 --> 00:28:25,320 COMPUTER WHERE DISCIPLINARY 728 00:28:25,320 --> 00:28:26,160 SEXUAL INDIVIDUALS APPEAR TO 729 00:28:26,160 --> 00:28:30,240 HAVE A HIGHER RISKS OF 730 00:28:30,240 --> 00:28:31,560 BEHAVIORIAL RISK FACTORS IN THE 731 00:28:31,560 --> 00:28:39,280 DATA WHERE THAT HAS BEEN LOOKED 732 00:28:39,280 --> 00:28:39,680 AT. 733 00:28:39,680 --> 00:28:40,920 MOST OF OUR FUNDED STUDY SAYS, 734 00:28:40,920 --> 00:28:42,800 THERE'S BEEN A LOT. 735 00:28:42,800 --> 00:28:45,560 THERE'S BEEN EMPHASIS ON 736 00:28:45,560 --> 00:28:46,120 TRANSGENDER, WOMEN'S HEALTH, 737 00:28:46,120 --> 00:28:47,480 PARTICULARLY AROUND THE RISK OF 738 00:28:47,480 --> 00:28:48,880 VIOLENCE, SEX WORK AND SUBSTANCE 739 00:28:48,880 --> 00:28:52,840 USE, AND FROM A CLINICAL 740 00:28:52,840 --> 00:28:54,160 PERSPECTIVE, BOTH IN THE D. C. 741 00:28:54,160 --> 00:28:56,400 AREA AS WELL AS IN THE 742 00:28:56,400 --> 00:28:59,200 SAN FRANCISCO BAY AREA, VISIT 743 00:28:59,200 --> 00:29:02,840 PARTICULARLY HIGH RISK GROUP IN 744 00:29:02,840 --> 00:29:04,760 TERMS OF EXPLOITATION AND 745 00:29:04,760 --> 00:29:07,080 BEHAVIOR AND HELT RISK BOTH FOR 746 00:29:07,080 --> 00:29:08,720 ACQUIRING HIV AND OTHER 747 00:29:08,720 --> 00:29:09,080 SUBSTANCES. 748 00:29:09,080 --> 00:29:12,120 MENTAL HEALTH AND SUBSTANCE USE 749 00:29:12,120 --> 00:29:15,520 HAVE BEEN FOCUSED ON HEAVILY IN 750 00:29:15,520 --> 00:29:17,120 THIS RESEARCH, INTERPERSONAL 751 00:29:17,120 --> 00:29:18,280 VIOLENCE, RELATED AGAIN TO SOME 752 00:29:18,280 --> 00:29:22,160 TYPES OF SEX WORK, INTIMATE 753 00:29:22,160 --> 00:29:23,360 PARTNER VIOLENCE, ASSAULT, YOU 754 00:29:23,360 --> 00:29:25,120 KNOW JUST TARGETED FOR 755 00:29:25,120 --> 00:29:29,600 DISCRIMINATION, SO AGAIN, THIS 756 00:29:29,600 --> 00:29:31,680 IS WHERE WE'VE SEEN A NUMBER OF 757 00:29:31,680 --> 00:29:32,440 RESEARCH PROJECT. 758 00:29:32,440 --> 00:29:33,880 YOUTH BEHAVIOR IN THE DINL THAL 759 00:29:33,880 --> 00:29:35,760 WORLD HAS BEEN BIG, PARTICULARLY 760 00:29:35,760 --> 00:29:37,480 OF OUR KEY NOTE SPEAKER THIS 761 00:29:37,480 --> 00:29:38,560 MORNING. 762 00:29:38,560 --> 00:29:40,160 THE EFFECTS OF THE 763 00:29:40,160 --> 00:29:43,440 DISCRIMINATION, LOTS OF HIV RISK 764 00:29:43,440 --> 00:29:45,200 AND INFECTION MANAGEMENT AND 765 00:29:45,200 --> 00:29:46,520 SOME POLICY STUDIES FOCUSED ON 766 00:29:46,520 --> 00:29:49,920 INSURANCE, ACCESS OR NOT, A LACK 767 00:29:49,920 --> 00:29:53,120 OF ACCESS, AND PARTICULARLY IN 768 00:29:53,120 --> 00:29:54,760 IMMIGRANTS, THE AUTHORIZED OR 769 00:29:54,760 --> 00:29:56,960 DOCUMENTED STATUS OF IMMIGRANTS. 770 00:29:56,960 --> 00:29:59,040 THERE WAS COVID-19 STUDIES, A 771 00:29:59,040 --> 00:30:03,000 NUMBER OF THEM, MOSTLY REGIONAL 772 00:30:03,000 --> 00:30:07,000 OR LOCAL, VERY LITTLE ON THE 773 00:30:07,000 --> 00:30:09,640 NATIONAL SCALE AND I THINK IN 774 00:30:09,640 --> 00:30:10,760 GENERAL RADA SUMMARIZED 1 OF THE 775 00:30:10,760 --> 00:30:11,120 PAPERS. 776 00:30:11,120 --> 00:30:13,200 LET ME FINISH WITH JUST A 777 00:30:13,200 --> 00:30:15,520 SUMMARY OF WHERE NIMHD IS IN 778 00:30:15,520 --> 00:30:18,880 TERMS OF OUR BUDGET, OUR FISCAL 779 00:30:18,880 --> 00:30:21,800 23 APPROPRIATIONS SHOWN HERE ON 780 00:30:21,800 --> 00:30:23,160 THE RIGHT, 524 MILLION, WE'VE 781 00:30:23,160 --> 00:30:27,160 GROWN, EACH OF THE LAST 2 YEARS 782 00:30:27,160 --> 00:30:29,480 WITH DISCRETIONARY INCREASES, 783 00:30:29,480 --> 00:30:31,960 THAT THE CONGRESS ALLOCATED TO 784 00:30:31,960 --> 00:30:33,280 NIMHD ON REQUEST OF THE 785 00:30:33,280 --> 00:30:34,720 PRESIDENT, NOT NEARLY AS MUCH AS 786 00:30:34,720 --> 00:30:36,600 THE PRESIDENT ASKED FOR, BUT 787 00:30:36,600 --> 00:30:39,360 WE'RE DELIGHTED TO HAVE A HIGHER 788 00:30:39,360 --> 00:30:39,800 PROPORTION, HIGHER 789 00:30:39,800 --> 00:30:42,600 APPROPRIATIONS THAT WE CAN DO 790 00:30:42,600 --> 00:30:42,920 MORE RESEARCH. 791 00:30:42,920 --> 00:30:45,120 THIS IS A BREAK DOWN OF OUR 792 00:30:45,120 --> 00:30:47,560 BUNLET SUG95 CANT AMOUNT OF OUR 793 00:30:47,560 --> 00:30:50,880 BUDGET IS COMMITTED TO CENTERS 794 00:30:50,880 --> 00:30:54,240 AND THEN WE DO HAVE RESEARCH IN 795 00:30:54,240 --> 00:30:57,000 THE R&D CONTRACTS, THIS IS WHERE 796 00:30:57,000 --> 00:30:58,880 OUR SUPPORT FOR THE HISPANIC 797 00:30:58,880 --> 00:31:01,880 COMMUNITY HEALTH STUDY, LOAN 798 00:31:01,880 --> 00:31:05,280 REPAYMENT AND THE JACKSON 799 00:31:05,280 --> 00:31:06,720 [INDISCERNIBLE] STUDY IS, AS 800 00:31:06,720 --> 00:31:08,480 WELL AS ECONOMIC ANALYSIS BURDEN 801 00:31:08,480 --> 00:31:10,000 OF HEALTH DISPARITIES BUT WE'RE 802 00:31:10,000 --> 00:31:12,760 NOT QUITE 50% OF OUR BUDGET IS 803 00:31:12,760 --> 00:31:14,440 THE RESEARCH PROJECT, MOSTLY 804 00:31:14,440 --> 00:31:17,800 RO-1S, I WAS HAPPY TO SEE THESE 805 00:31:17,800 --> 00:31:19,160 FIGURES RECENTLY, SHOWED THEM AT 806 00:31:19,160 --> 00:31:24,280 OUR COUNCIL IN EARLY FEBRUARY WE 807 00:31:24,280 --> 00:31:26,320 FOUNDED MORE RO-1S WITH INCREASE 808 00:31:26,320 --> 00:31:28,440 IN BUDGET IN FISCAL YEAR 22 AND 809 00:31:28,440 --> 00:31:34,000 OUR SUCCESS RIGHT NOW IS 18% 810 00:31:34,000 --> 00:31:37,120 NIMHD DOES NOT USE A PAY LINE. 811 00:31:37,120 --> 00:31:38,320 WE EVALUATE GRANTS AT EVERY 812 00:31:38,320 --> 00:31:39,440 LEVEL OF SCORE. 813 00:31:39,440 --> 00:31:40,840 WE WILL FUND GRANTS INTO THE 814 00:31:40,840 --> 00:31:43,360 IMPACT SCORE INTO THE HIGH 30S 815 00:31:43,360 --> 00:31:46,880 IF WE BELIEVE IT IS A GOOD 816 00:31:46,880 --> 00:31:49,560 GRANT, COVERING AN IMPORTANT 817 00:31:49,560 --> 00:31:49,760 TOPIC. 818 00:31:49,760 --> 00:31:51,960 THIS ALLOWS US TO DO MORE OF 819 00:31:51,960 --> 00:31:55,040 THAT RISK TAKING, GETTING CLOSER 820 00:31:55,040 --> 00:31:57,320 TO AT LEAST 20% SUCCESS RATE, 821 00:31:57,320 --> 00:31:59,240 THE HIGHEST SUCCESS RATE AT NIH 822 00:31:59,240 --> 00:32:02,360 TEND TO BE AROUND 25% FOR A 823 00:32:02,360 --> 00:32:02,840 COUPLE OF INSTITUTES. 824 00:32:02,840 --> 00:32:05,040 WE'RE ALSO DELIGHTED TO SEE MORE 825 00:32:05,040 --> 00:32:06,320 K-AWARDS WHERE WE GENERALLY WILL 826 00:32:06,320 --> 00:32:09,640 USE MORE OF A CUT OFF OF PAY 827 00:32:09,640 --> 00:32:14,120 LINE WHERE AGAIN, HIGHER BUDGETS 828 00:32:14,120 --> 00:32:17,480 MEANT MORE K-AWARDS FUNDED KO1S, 829 00:32:17,480 --> 00:32:19,720 K28S AND K23S WERE NEWS 830 00:32:19,720 --> 00:32:21,840 BEGINNING IN FISCAL--NOT QUITE 831 00:32:21,840 --> 00:32:23,400 17, BUT 18. 832 00:32:23,400 --> 00:32:24,680 AND K99s WE'VE BEEN FUNDING 833 00:32:24,680 --> 00:32:25,720 THOSE FOR SOMETIME. 834 00:32:25,720 --> 00:32:31,040 SO LET ME FINISH JUST WITH 835 00:32:31,040 --> 00:32:31,880 GENERAL PRINCIPLES ABOUT 836 00:32:31,880 --> 00:32:33,600 RESEARCH DIRECTIONS. 837 00:32:33,600 --> 00:32:36,440 WE REALLY NEED MULTILEVEL 838 00:32:36,440 --> 00:32:37,320 INTERVENTIONS WHENEVER POSSIBLE 839 00:32:37,320 --> 00:32:40,000 AND NO MATTER WHAT WE DON'T DO 840 00:32:40,000 --> 00:32:40,600 ENOUGH INTERVENTION RESEARCH. 841 00:32:40,600 --> 00:32:42,560 I FEEL LIKE EVERY TIME I LOOK, 842 00:32:42,560 --> 00:32:45,160 WHAT ARE THE BEST FUNDED STUDIES 843 00:32:45,160 --> 00:32:49,400 EACH CYCLE FOR EACH COUNCIL. 844 00:32:49,400 --> 00:32:52,800 MAJORITY OF THE REPORTS I GET 845 00:32:52,800 --> 00:32:54,840 FROM PROGRAM RELATE TO 846 00:32:54,840 --> 00:32:57,360 OBSERVATIONAL STUDIES AND I 847 00:32:57,360 --> 00:32:58,440 THINK EMPHASIZING INTERVENTIONS 848 00:32:58,440 --> 00:32:59,600 IS IMPORTANT. 849 00:32:59,600 --> 00:33:03,240 IN THIS PARTICULAR WORKSHOP, THE 850 00:33:03,240 --> 00:33:05,680 EMPHASIS ON INTERSECTIONALITY. 851 00:33:05,680 --> 00:33:07,840 NIMHD'S PRINCIPLES REALLY ARE 852 00:33:07,840 --> 00:33:10,040 DRIVEN BY AND IT'S FOUNDING 853 00:33:10,040 --> 00:33:12,880 ORIGINS OF RACE ETHNICITY AND 854 00:33:12,880 --> 00:33:18,040 SOCIAL CLASS AND RURAL 855 00:33:18,040 --> 00:33:19,480 POPULATIONS AND POPULATIONS OF 856 00:33:19,480 --> 00:33:21,200 SEXUAL AND GENDER MINORITY 857 00:33:21,200 --> 00:33:22,480 STATUS, LOOKING AT THE 858 00:33:22,480 --> 00:33:24,920 INTERSECTIONS OF THOSE IS THE 859 00:33:24,920 --> 00:33:25,760 INSTITUTES EMPHASIS, KEEP IN 860 00:33:25,760 --> 00:33:28,200 MIND THAT AGAIN, THESE 861 00:33:28,200 --> 00:33:29,240 POPULATIONS WITH HEALTH 862 00:33:29,240 --> 00:33:32,000 DISPARITIES APPLY TO THE ENTIRE 863 00:33:32,000 --> 00:33:32,320 AGENCY. 864 00:33:32,320 --> 00:33:36,040 WE ARE ALSO INTERESTED IN 865 00:33:36,040 --> 00:33:37,520 MECHANISMS, BIOLOGICAL, SOCIAL, 866 00:33:37,520 --> 00:33:38,240 INDIVIDUAL, BEHAVIOR, 867 00:33:38,240 --> 00:33:39,560 ENVIRONMENT AND WITHIN THE 868 00:33:39,560 --> 00:33:41,880 HEALTH SYSTEM. 869 00:33:41,880 --> 00:33:44,960 AND THEN ALSO I REALLY EMPHASIZE 870 00:33:44,960 --> 00:33:45,560 THIS COMMUNICATION STRATEGIES 871 00:33:45,560 --> 00:33:49,560 BETWEEN PATIENTS AND CLINICIANS 872 00:33:49,560 --> 00:33:52,480 DEVELOPING TRUST I THINK AS A 873 00:33:52,480 --> 00:33:54,360 PRINCIPLE THIS WOULD APPLY A 874 00:33:54,360 --> 00:33:57,440 HUNDRED% TO SGM POPULATIONS 875 00:33:57,440 --> 00:34:00,440 INDEPENDENT OF 876 00:34:00,440 --> 00:34:01,440 INTERSECTIONALITY, FEELING 877 00:34:01,440 --> 00:34:02,600 COMFORTABLE IN TRUSTING A 878 00:34:02,600 --> 00:34:05,640 CLINICIAN WILL NOT BE EITHER 879 00:34:05,640 --> 00:34:08,280 JUDGMENTAL OR OPEN, AND ABLE TO 880 00:34:08,280 --> 00:34:10,760 TALK ABOUT ALL THE DIFFERENT 881 00:34:10,760 --> 00:34:12,600 CONCERNS FROM A HEALTH 882 00:34:12,600 --> 00:34:13,640 PROFESSIONAL PERSPECTIVE AND THE 883 00:34:13,640 --> 00:34:16,040 TRUST THAT IS REALLY NEEDED FOR 884 00:34:16,040 --> 00:34:19,560 THAT RELATIONSHIP TO BE 885 00:34:19,560 --> 00:34:20,960 THERAPEUTIC AND ACTUALLY AN 886 00:34:20,960 --> 00:34:22,240 INTERVENTION TO IMPROVE HEALTH. 887 00:34:22,240 --> 00:34:24,440 AND THEN STRUCTURAL CHANGE TO 888 00:34:24,440 --> 00:34:25,760 MODIFY GROUP BEHAVIORS OR 889 00:34:25,760 --> 00:34:28,000 INDIVIDUAL BEHAVIORS, I THINK IS 890 00:34:28,000 --> 00:34:34,800 IMPORTANT SO I'LL STOP THERE AND 891 00:34:34,800 --> 00:34:37,120 GO RIGHT TO IT AND STOP SHARING. 892 00:34:37,120 --> 00:34:38,000 THANK YOU. 893 00:34:38,000 --> 00:34:40,280 I RAN A LITTLE OVER SO I WILL GO 894 00:34:40,280 --> 00:34:43,800 RIGHT IN AND PRESENT BY 895 00:34:43,800 --> 00:34:46,600 COLLEAGUE AND FRIEND BRIAN 896 00:34:46,600 --> 00:34:51,040 MUSTANSKI, HE IS THE DIRECTOR OF 897 00:34:51,040 --> 00:34:52,880 INSTITUTE FOR SEXUAL AND GENDER 898 00:34:52,880 --> 00:34:58,360 MINORITY HEALTH AND WELL BEING, 899 00:34:58,360 --> 00:34:59,400 AT NORTHWESTERN AND A FORMER 900 00:34:59,400 --> 00:35:01,800 MEMBER OF OUR COUNCIL, I DID NOT 901 00:35:01,800 --> 00:35:03,680 REALLY KNOW BRIAN PERSONALLY 902 00:35:03,680 --> 00:35:07,400 UNTIL I ASKED HIM TO JOIN OUR 903 00:35:07,400 --> 00:35:08,600 COUNCIL. 904 00:35:08,600 --> 00:35:10,360 HE'S A TERRIFIC SCIENTIST AND 905 00:35:10,360 --> 00:35:12,640 I--IT WAS REALLY A PLEASURE AND 906 00:35:12,640 --> 00:35:14,520 A PRIVILEGE TO HAVE HIM BE AN 907 00:35:14,520 --> 00:35:16,760 ADVISOR TO US FOR 4 YEARS. 908 00:35:16,760 --> 00:35:19,600 SO, BRIAN, IT'S ALL YOURS. 909 00:35:19,600 --> 00:35:20,520 >>THANK YOU ELISEO, FOR 910 00:35:20,520 --> 00:35:22,120 INCLUDING ME IN THIS AND I'LL 911 00:35:22,120 --> 00:35:25,960 SAY I DO MISS- YOU SAY I GO TO 912 00:35:25,960 --> 00:35:27,600 TOO MANY MEETINGS, THAT'S 1 I 913 00:35:27,600 --> 00:35:30,040 MISS GOING TO IS THE COUNCIL 914 00:35:30,040 --> 00:35:31,440 MEETING, SO ANYWAY, I WANT TO 915 00:35:31,440 --> 00:35:33,280 START BY SAYING THANK YOU TO 916 00:35:33,280 --> 00:35:35,720 ELISEO AND THE FOLKS AT NIMHD 917 00:35:35,720 --> 00:35:38,240 FOR ORGANIZING THIS WORKSHOP. 918 00:35:38,240 --> 00:35:41,240 I THINK - IT'S JUST AN 919 00:35:41,240 --> 00:35:42,160 INCREDIBLE LOAMACYY IMPRESSIVE 920 00:35:42,160 --> 00:35:44,640 LINE UP OF SPEAKERS, I'M HONORED 921 00:35:44,640 --> 00:35:46,440 TO GIVE THE KEY NOTE ADDRESS 922 00:35:46,440 --> 00:35:50,160 TODAY ALONG WITH SO MANY 923 00:35:50,160 --> 00:35:50,800 FABULOUS LGBT SGM HEALTH 924 00:35:50,800 --> 00:35:53,440 RESEARCHERS AND I WILL JUST 925 00:35:53,440 --> 00:35:54,920 POINT OUT, I WELCOME QUESTIONS. 926 00:35:54,920 --> 00:35:56,840 WE HAVE A LITTLE BIT OF TIME FOR 927 00:35:56,840 --> 00:35:57,680 QUESTIONS TOWARDS THE END, DO 928 00:35:57,680 --> 00:36:01,240 YOU WANT TO FOLLOW UP WITH MORE 929 00:36:01,240 --> 00:36:02,280 QUESTIONS, FEEL FREE TO REACH 930 00:36:02,280 --> 00:36:05,960 OUT TO ME ON TWITTER, --I PUT MY 931 00:36:05,960 --> 00:36:06,600 TWITTER HANDLE ON THERE AND 932 00:36:06,600 --> 00:36:09,240 TODAY I WILL BE TRYING TO LAY A 933 00:36:09,240 --> 00:36:10,280 BROAD FRAMEWORK FOR WHAT I SEE 934 00:36:10,280 --> 00:36:12,840 AS SOME OF THE BIG TAKE AWAYS 935 00:36:12,840 --> 00:36:15,680 FROM THE STATE OF SCIENCE FOR 936 00:36:15,680 --> 00:36:17,240 RESEARCH ON HELT DISPARITIES 937 00:36:17,240 --> 00:36:18,840 AMONG SEXUAL GENDER AND MINORITY 938 00:36:18,840 --> 00:36:19,960 POPULATION SAYS, I WILL NOT BE 939 00:36:19,960 --> 00:36:22,280 ABLE TO GO INTO DEPTH OF ANY 940 00:36:22,280 --> 00:36:23,240 PARTICULAR FINDING OR ANY 941 00:36:23,240 --> 00:36:24,520 PARTICULAR AREA, AND TRY TO GIVE 942 00:36:24,520 --> 00:36:26,400 A FEW TAKE AWAYS OF WHAT I THINK 943 00:36:26,400 --> 00:36:27,480 WE'VE ESTABLISHED IN THE FIELD 944 00:36:27,480 --> 00:36:30,920 AND WHERE I THINK THINGS SHOULD 945 00:36:30,920 --> 00:36:31,720 GO. 946 00:36:31,720 --> 00:36:34,200 SO THE FIRST IS THAT WE'VE KNOWN 947 00:36:34,200 --> 00:36:38,360 FOR A WHILE A FAIR BIT ABOUT 948 00:36:38,360 --> 00:36:41,800 EXISTENCE OF DISPARITIES--HEALTH 949 00:36:41,800 --> 00:36:42,760 DISPARITIES, HEALTH INEQUITS 950 00:36:42,760 --> 00:36:44,920 AMONG SEXUAL AND GENDER 951 00:36:44,920 --> 00:36:45,680 POPULATION, HEALTHY PEOPLE 2020 952 00:36:45,680 --> 00:36:47,560 WHICH WAS PUBLISHED IN 2010 WAS 953 00:36:47,560 --> 00:36:50,200 THE FIRST HEALTHY PEOPLE REPORT 954 00:36:50,200 --> 00:36:52,840 TO INCLUDE SEXUAL AND GENDER 955 00:36:52,840 --> 00:36:54,280 MINORITY OR LGBT POPULATIONS AS 956 00:36:54,280 --> 00:36:55,520 THEY WERE DESCRIBED IN THE 957 00:36:55,520 --> 00:36:57,680 REPORT AND IN THAT REPORT THEY 958 00:36:57,680 --> 00:37:00,800 IDENTIFIED A NUMBER OF VERY WELL 959 00:37:00,800 --> 00:37:04,000 DOCUMENTED DISPARS AROUND 960 00:37:04,000 --> 00:37:07,200 LGBT YOUTH BEING ABLE TO ATTEMPT 961 00:37:07,200 --> 00:37:08,760 SUICIDE, LGBT YOUTH MORE LIKELY 962 00:37:08,760 --> 00:37:15,000 TO BE HOMELESS, MORE LIKELY TO 963 00:37:15,000 --> 00:37:18,280 GET PREVENTIVES FOR CANCER, 964 00:37:18,280 --> 00:37:19,680 LESBIAN AND BISEXUAL WOMEN MORE 965 00:37:19,680 --> 00:37:21,640 LIKELY TO BE OVERWEIGHT OR 966 00:37:21,640 --> 00:37:23,160 OBESE, AND AMONGST THE 967 00:37:23,160 --> 00:37:24,440 TRANSGENDER COMMUNITY HIGHER 968 00:37:24,440 --> 00:37:26,560 REFULENCE OF HIV, VICTIMIZATION, 969 00:37:26,560 --> 00:37:28,520 MENTAL HEALTH, SUICIDE AND LESS 970 00:37:28,520 --> 00:37:31,840 LIKELY TO HAVE ACCESS TO HIGH 971 00:37:31,840 --> 00:37:33,400 QUALITY HEALTHCARE. 972 00:37:33,400 --> 00:37:34,960 ALSO SOME DISPARITIES THAT ARE 973 00:37:34,960 --> 00:37:35,840 QUITE WELL DOCUMENTS AROUND 974 00:37:35,840 --> 00:37:37,240 SUBSTANCE USE AND I WOULD SAY MY 975 00:37:37,240 --> 00:37:38,520 FIRST TAKE AWAY FROM MY 976 00:37:38,520 --> 00:37:39,800 PRESENTATION TODAY IS THAT OUR 977 00:37:39,800 --> 00:37:41,880 FIELD, OVER THE LAST 30 YEARS 978 00:37:41,880 --> 00:37:45,080 HAS DONE AN EXCEPTIONAL JOB OF 979 00:37:45,080 --> 00:37:47,600 DOCUMENTING THE EXISTENCE OF SGM 980 00:37:47,600 --> 00:37:50,600 DISPARITIES ACROSS A RANGE OF 981 00:37:50,600 --> 00:37:51,000 HEALTH DOMAINS. 982 00:37:51,000 --> 00:37:52,840 AND I THINK WE'RE AT THE POINT 983 00:37:52,840 --> 00:37:55,680 WHERE THESE DISPARITIES ARE SO 984 00:37:55,680 --> 00:37:57,760 WELL DOCUMENTS THAT WE MIGHT 985 00:37:57,760 --> 00:37:59,400 PIVOT OUR ATTENTION MORE TO 986 00:37:59,400 --> 00:38:00,480 UNDERSTANDING THE MECHANISMS AND 987 00:38:00,480 --> 00:38:02,480 INTERVENTIONS THAT WILL ADDRESS 988 00:38:02,480 --> 00:38:05,080 THESE EXISTING DISPARITIES. 989 00:38:05,080 --> 00:38:07,280 THE OTHER THING I WANT TO POINT 990 00:38:07,280 --> 00:38:13,920 OUT, I THINK ELISEO SHOWED THIS 991 00:38:13,920 --> 00:38:15,600 WITH THE NIMHD PORT FOAL DWROA 992 00:38:15,600 --> 00:38:17,560 BUT THERE HAS BEEN TREMENDOUS 993 00:38:17,560 --> 00:38:20,600 GROWTH IN FUNDING FOR SGM HEGHT 994 00:38:20,600 --> 00:38:22,000 RESEARCH FROM 2015-2020, THIS IS 995 00:38:22,000 --> 00:38:25,440 THE PORTFOLIO ANALYSIS SHOWING A 996 00:38:25,440 --> 00:38:27,480 LARGE INCREASE OF 61% INCREASE 997 00:38:27,480 --> 00:38:30,560 IN THE NUMBER OF SGM FOCUSED 998 00:38:30,560 --> 00:38:31,480 PROJECTS DURING THAT 5 YEAR 999 00:38:31,480 --> 00:38:33,040 PERIOD COMPARED TO AN OVERALL 1000 00:38:33,040 --> 00:38:34,640 INCREASE AT NIH IN THE NUMBER OF 1001 00:38:34,640 --> 00:38:39,600 PROJECTS BY A LITTLE SHY OF 22%. 1002 00:38:39,600 --> 00:38:40,920 AND ELISEO ALSO PREVIEWED THIS 1003 00:38:40,920 --> 00:38:42,640 THAT THE NUMBER OF PROJECTS THAT 1004 00:38:42,640 --> 00:38:44,840 ARE FOCUSED ON HEALTH ISSUES 1005 00:38:44,840 --> 00:38:49,800 BESIDES HIV HAS ALSO GROWN. 1006 00:38:49,800 --> 00:38:52,280 SO, IN 2015, 73% OF NIH FUNDED 1007 00:38:52,280 --> 00:38:55,200 PROJECTS IN THE SGM DOMAIN WERE 1008 00:38:55,200 --> 00:38:56,800 FOCUSED ON HIV AND THAT'S DOWN 1009 00:38:56,800 --> 00:38:58,840 TO A LITTLE SHY OF 60% IN 2020 1010 00:38:58,840 --> 00:39:00,600 AND THAT'S NOT BECAUSE THERE'S 1011 00:39:00,600 --> 00:39:02,000 LESS HIV RESEARCH HAPPENING, 1012 00:39:02,000 --> 00:39:04,160 IT'S BECAUSE THERE'S BEEN GROWTH 1013 00:39:04,160 --> 00:39:06,400 IN OTHER AREAS SUCH AS MENTAL 1014 00:39:06,400 --> 00:39:08,840 HEALTH, SUBSTANCE USE DISORDERS, 1015 00:39:08,840 --> 00:39:09,080 VIOLENCE. 1016 00:39:09,080 --> 00:39:10,120 AND ALONG WITH THE SHIFT WE'VE 1017 00:39:10,120 --> 00:39:11,760 SEEN MORE RESEARCH ON 1018 00:39:11,760 --> 00:39:13,480 POPULATIONS OTHER THAN MEN WHO 1019 00:39:13,480 --> 00:39:17,200 HAVE SEX WITH MEN TO INCLUDE 22% 1020 00:39:17,200 --> 00:39:23,160 OF THE PROJECTS FOCUSED ON 1021 00:39:23,160 --> 00:39:24,360 TRANSGENDER DIFFERENCESSER AND 1022 00:39:24,360 --> 00:39:25,920 BISEXUAL HEALTH, THERE ARE STILL 1023 00:39:25,920 --> 00:39:27,960 A FAW PROJECTS FOCUSED ON 1024 00:39:27,960 --> 00:39:30,520 WOMEN'S HEALTH AND VIEW FEW OF 1025 00:39:30,520 --> 00:39:31,640 THESE PROJECTS ARE CLINICAL 1026 00:39:31,640 --> 00:39:33,080 TRIALS MOST OF THEM ARE 1027 00:39:33,080 --> 00:39:34,680 OBSERVATIONAL STUDIES SO LESS 1028 00:39:34,680 --> 00:39:36,560 THAN 9% WERE CLINICAL TRIALS. 1029 00:39:36,560 --> 00:39:38,840 SO MY TAKE AWAY FROM IS THAT SGM 1030 00:39:38,840 --> 00:39:40,240 HEALTH RESEARCH IS GROWING BUT 1031 00:39:40,240 --> 00:39:43,960 SOME GROUPS ARE STILL VERY 1032 00:39:43,960 --> 00:39:45,440 UNDERREPRESENTED PARTICULARLY 1033 00:39:45,440 --> 00:39:48,520 ARE CIS GENDER WOMEN AND MUCH OF 1034 00:39:48,520 --> 00:39:50,720 THE RESEARCH IS OBSERVATIONAL 1035 00:39:50,720 --> 00:39:51,840 RATHER THAN TEACHTING ATTENTION 1036 00:39:51,840 --> 00:39:53,760 WITH THE HEALTH AND EQUITS THAT 1037 00:39:53,760 --> 00:39:54,160 ARE DOCUMENTED. 1038 00:39:54,160 --> 00:39:56,000 I WILL SAY THERE ARE SOME HEALTH 1039 00:39:56,000 --> 00:39:58,400 DOMAINS THAT STILL IN MY OPINION 1040 00:39:58,400 --> 00:39:59,480 VERY UNDERSTUDIED PARTICULARLY 1041 00:39:59,480 --> 00:40:01,160 RELATIVE TO THE SIZE OF THE 1042 00:40:01,160 --> 00:40:04,400 DISPARITY. 1043 00:40:04,400 --> 00:40:05,800 ISSUES LIKE SUICIDE, SMOKING, 1044 00:40:05,800 --> 00:40:07,640 CANCER ARE STILL FAIRLY WELL 1045 00:40:07,640 --> 00:40:11,040 UNDERSTUDIED WITHIN OUR 1046 00:40:11,040 --> 00:40:11,360 COMMUNITY. 1047 00:40:11,360 --> 00:40:12,880 SO GIVEN ALL THIS GROWTH AND 1048 00:40:12,880 --> 00:40:13,960 RESEARCH FOCUSED ON THE HEALTH 1049 00:40:13,960 --> 00:40:16,600 OF THE SEXUAL AND GENDER 1050 00:40:16,600 --> 00:40:17,760 MINORITY COMMUNITY, I THINK THE 1051 00:40:17,760 --> 00:40:20,840 NEXT QUESTION IS, HAVE WE SEEN 1052 00:40:20,840 --> 00:40:22,560 THESE RESEARCH PROJECTS, THIS 1053 00:40:22,560 --> 00:40:24,880 GROWTH AND RESEARCH PARTICULARLY 1054 00:40:24,880 --> 00:40:26,360 SINCE 2015 TRANSLATE INTO AN 1055 00:40:26,360 --> 00:40:28,160 IMPROVEMENT IN THE HEALTH OF THE 1056 00:40:28,160 --> 00:40:29,760 HEALTH AND SEXUAL GENDER 1057 00:40:29,760 --> 00:40:31,280 COMMUNITY OR THE HELT SYSTEM OF 1058 00:40:31,280 --> 00:40:32,560 THE HEALTH DISPARITIES AND I 1059 00:40:32,560 --> 00:40:38,200 JUST WANT TO SHOW, 2 HEALTH 1060 00:40:38,200 --> 00:40:42,280 DOMAINS THAT I PERSONALLY DO 1061 00:40:42,280 --> 00:40:43,560 WORK IN ANDLET FIRST IS HIV, AND 1062 00:40:43,560 --> 00:40:45,240 YOU CAN SEE THAT SINCE THE 1063 00:40:45,240 --> 00:40:46,840 BEGINNING OF THE EPIDEMIC 1064 00:40:46,840 --> 00:40:49,320 THROUGH 2191 OF THE MOST RECENT 1065 00:40:49,320 --> 00:40:50,120 DATA IN WHICH IT'S AVAILABLE AND 1066 00:40:50,120 --> 00:40:52,840 I WANT TO THANK MY COLLEAGUE FOR 1067 00:40:52,840 --> 00:40:54,440 MAKING THE SLIDE FOR ME USING 1068 00:40:54,440 --> 00:40:59,560 DATA FROM THE CDC. 1069 00:40:59,560 --> 00:41:02,520 OF COURSE WE KNOW THIS VERY WELL 1070 00:41:02,520 --> 00:41:05,400 DOCUMENTED HIGH LEVEL OF HIV 1071 00:41:05,400 --> 00:41:06,720 DIAGNOSIS OF MEN WHO HAVE SEX 1072 00:41:06,720 --> 00:41:09,480 WITH MEN EARLY ON IN THE EARLY 1073 00:41:09,480 --> 00:41:11,560 EPIDEMIC, IN THE EARLY 80S AND 1074 00:41:11,560 --> 00:41:13,200 WITH BEHAVIOR CHANGE, WITH 1075 00:41:13,200 --> 00:41:14,640 CONDOM USE, COMMUNITY 1076 00:41:14,640 --> 00:41:17,720 MOBILIZATION WE SAW LARGE 1077 00:41:17,720 --> 00:41:19,320 DECLINE IN HIV EVEN WHEN WE HAD 1078 00:41:19,320 --> 00:41:24,280 NO OTHER SOLUTIONS LIKE 1079 00:41:24,280 --> 00:41:26,280 TREATMENT AND THEN IN THE MID90S 1080 00:41:26,280 --> 00:41:27,760 WE SAW EFFECTIVE HIV TREATMENT 1081 00:41:27,760 --> 00:41:28,720 BECOME AVAILABLE AND WHAT YOU 1082 00:41:28,720 --> 00:41:31,640 SEE IS OVER THE PROCEEDING YEARS 1083 00:41:31,640 --> 00:41:36,880 THE SIZE OF THE SEXUAL 1084 00:41:36,880 --> 00:41:38,680 ORIENTATION IN HIV, ACTUALLY 1085 00:41:38,680 --> 00:41:38,960 GREW. 1086 00:41:38,960 --> 00:41:42,160 CASES HAVE DECLEANED SINCE THE 1087 00:41:42,160 --> 00:41:46,680 MID90S AND THE RATE WAS 1088 00:41:46,680 --> 00:41:48,240 INCREASING AMONGST MEN WHO HAVE 1089 00:41:48,240 --> 00:41:51,440 SEX WITH MEN SINCE 2000 AND IT'S 1090 00:41:51,440 --> 00:41:53,080 BEEN RELATIVELY STABLE SINCE 1091 00:41:53,080 --> 00:41:53,960 THAT TIME DESPITE THE 1092 00:41:53,960 --> 00:41:55,120 INTRODUCTION OF TREATMENT AND 1093 00:41:55,120 --> 00:41:56,080 THE INTRODUCTION OF PROPHYLAXIS 1094 00:41:56,080 --> 00:41:59,480 AS A MEAN OF HIV PREVENTION. 1095 00:41:59,480 --> 00:42:00,840 AND SO WE'RE ACTUALLY NOT SEEING 1096 00:42:00,840 --> 00:42:02,400 A DECLINE IN THE DISPARITY. 1097 00:42:02,400 --> 00:42:04,640 WE'RE ACTUALLY SEEING A GROWTH 1098 00:42:04,640 --> 00:42:07,560 IN HIV DISPARITIES OVER TIME. 1099 00:42:07,560 --> 00:42:09,080 ANOTHER HEALTH ISSUE WITH ETHNIC 1100 00:42:09,080 --> 00:42:11,160 GROUPSAL HEALTH, THIS IS DATA 1101 00:42:11,160 --> 00:42:17,280 REPORTED IN THE JOURNAL 1102 00:42:17,280 --> 00:42:18,320 DEMOGRAPHY BY LEO AND 1103 00:42:18,320 --> 00:42:20,120 [INDISCERNIBLE] AND USING DATA 1104 00:42:20,120 --> 00:42:21,880 FROM THE 2018 NATIONAL HEALTH 1105 00:42:21,880 --> 00:42:23,360 AND INTERVIEW SURVEY THEY 1106 00:42:23,360 --> 00:42:28,800 ANALYZE 5 MENTAL AND PHYSICAL 1107 00:42:28,800 --> 00:42:30,160 OUTCOMES, PSYCHOLOGICAL 1108 00:42:30,160 --> 00:42:32,080 DISTRESS, ACTIVITY, PHYSICAL 1109 00:42:32,080 --> 00:42:34,120 HEALTH, ACTIVITY, AND 1110 00:42:34,120 --> 00:42:37,360 LIMITATIONS ACROSS 3 COHORTS, 1111 00:42:37,360 --> 00:42:40,560 KNOWN AS MILLENNIALS, GENERATION 1112 00:42:40,560 --> 00:42:41,880 XERS, BABY BOOMERS AND THEY 1113 00:42:41,880 --> 00:42:43,720 FOUND THE DIFFERENCE IN MENTAL 1114 00:42:43,720 --> 00:42:45,480 HEALTH ORIENTATION GROUPS WERE 1115 00:42:45,480 --> 00:42:47,680 SIGNIFICANTLY LARGER AMONG 1116 00:42:47,680 --> 00:42:49,640 GENERATION XERS AND MILLENNIALS, 1117 00:42:49,640 --> 00:42:52,600 THE MORE RECENT GENERATION THAN 1118 00:42:52,600 --> 00:42:54,400 AMONG BABY BOOMERS AND 1119 00:42:54,400 --> 00:42:56,560 PREBOOMERS AND THEY FOUND IN 1120 00:42:56,560 --> 00:42:57,520 SIMILAR PATTERN FOR OTHER 1121 00:42:57,520 --> 00:42:58,960 MEASURES OF MENTAL AND PHYSICAL 1122 00:42:58,960 --> 00:42:59,400 HEALTH. 1123 00:42:59,400 --> 00:43:03,600 SO THESE 2 STUDIES AND 1124 00:43:03,600 --> 00:43:03,960 OTHERS I 1125 00:43:03,960 --> 00:43:05,280 COULD SAY ARE SHOWING INCREASES 1126 00:43:05,280 --> 00:43:07,040 IN THE SIZE OF HEALTH 1127 00:43:07,040 --> 00:43:08,320 DISPARITIES BASED ON SEXUAL 1128 00:43:08,320 --> 00:43:08,640 ORYEBTATION. 1129 00:43:08,640 --> 00:43:10,960 SO IF WE'RE SEEING SOCIAL 1130 00:43:10,960 --> 00:43:14,960 PROGRESS, WE'VE SEEN SAME SEX 1131 00:43:14,960 --> 00:43:17,080 MARRIAGE, LEGALIZED WE HAVE 1132 00:43:17,080 --> 00:43:17,800 EMPLOYMENT NONDESCRIMINATION, 1133 00:43:17,800 --> 00:43:18,840 POLICIES HAVE PASSED, WE ARE 1134 00:43:18,840 --> 00:43:22,400 SEEING A GROWTH IN RESEARCH, WHY 1135 00:43:22,400 --> 00:43:23,600 HASN'T THIS TRANSLATED INTO 1136 00:43:23,600 --> 00:43:25,680 SHRINKING OF THE SGM HEALTH 1137 00:43:25,680 --> 00:43:26,600 DISPARITIES AND IN THAT ARTICLE 1138 00:43:26,600 --> 00:43:31,240 THAT I JUST MENTIONED BY LEO AND 1139 00:43:31,240 --> 00:43:33,640 [INDISCERNIBLE], THEY CONCLUDED 1140 00:43:33,640 --> 00:43:35,400 THAT LGBT HEALTH DISPARITIES ARE 1141 00:43:35,400 --> 00:43:37,480 PROBABLY A RESULT OF MORE 1142 00:43:37,480 --> 00:43:38,840 INSIDIOUS AND DEEPLY EMBEDDED 1143 00:43:38,840 --> 00:43:42,120 FACTORS IN U.S. SOCIETY THAT ARE 1144 00:43:42,120 --> 00:43:44,720 NOT ERADICATED IN CHANGES LIKE 1145 00:43:44,720 --> 00:43:46,360 MARRIAGE EQUALITY OR 1146 00:43:46,360 --> 00:43:48,720 DISCRAMINATION LAWS, INSTEAD 1147 00:43:48,720 --> 00:43:49,920 MORE DRASTIC SOCIAL CHANGE AT 1148 00:43:49,920 --> 00:43:51,360 MULTILE LEVEL SYSTEM REQUIRED TO 1149 00:43:51,360 --> 00:43:52,600 ADDRESS THESE DISPARITIES SO I 1150 00:43:52,600 --> 00:43:55,640 WANT TO DIG IN ON ON THE 1151 00:43:55,640 --> 00:43:56,680 MULTILEVEL AND MECHANISTIC 1152 00:43:56,680 --> 00:43:57,080 PERSPECTIVE. 1153 00:43:57,080 --> 00:43:59,400 NOW I'VE BEEN DOING SGM HEALTH 1154 00:43:59,400 --> 00:44:04,680 RESEARCH FOR OVER 20 YEARS AND 1155 00:44:04,680 --> 00:44:06,400 WHEN I STARPTED MY CAREER, I 1156 00:44:06,400 --> 00:44:09,000 THINK THIS IDEA OF INTERNALIZED 1157 00:44:09,000 --> 00:44:11,280 HOMOPHOBIA OF THE DRIVER OF 1158 00:44:11,280 --> 00:44:15,920 MENTAL AND BEHAVIOR HEALTH 1159 00:44:15,920 --> 00:44:17,800 PROBLEMS, DEPRESSION, SUICIDE, 1160 00:44:17,800 --> 00:44:21,800 RISK BEHAVIORS, AND MENTAL AND 1161 00:44:21,800 --> 00:44:26,040 BEHAVIORIAL WERE A PARADIGM. 1162 00:44:26,040 --> 00:44:26,880 THIS PARADIGM POSITIONED SGM 1163 00:44:26,880 --> 00:44:28,320 DISPARITIES OR HEALTH ISSUE, AS 1164 00:44:28,320 --> 00:44:30,400 AN INTERNAL ISSUE AND 1 THAT'S 1165 00:44:30,400 --> 00:44:31,920 PROBABLY BEST RESOLVED THROUGH 1166 00:44:31,920 --> 00:44:34,680 SOMETHING LIKE PSYCHOTHERAPY OR 1167 00:44:34,680 --> 00:44:35,720 DEVELOPMENTAL PROCESS THAT WOULD 1168 00:44:35,720 --> 00:44:38,680 LEAD TO GREATER SELF-ACCEPTANCE. 1169 00:44:38,680 --> 00:44:40,160 THIS WAS REALLY A DOMINANT 1170 00:44:40,160 --> 00:44:42,760 PARADIGM AS I WAS STARTING MY 1171 00:44:42,760 --> 00:44:43,000 CAREER. 1172 00:44:43,000 --> 00:44:47,080 AND AS I STARTED STUDYING LGBT 1173 00:44:47,080 --> 00:44:48,720 YOUTH BOTH QUANTITATIVELY AND 1174 00:44:48,720 --> 00:44:49,360 QUALITATIVELY, 1 OF THE THINGS 1175 00:44:49,360 --> 00:44:52,480 THAT I FOUND IS THAT WE ACTUALLY 1176 00:44:52,480 --> 00:44:54,760 RARELY FOUND MAJOR OR 1177 00:44:54,760 --> 00:44:56,640 SIGNIFICANT EFFECTS OF 1178 00:44:56,640 --> 00:44:57,520 INTURNOVERRALLIZED HOMOPHOBIA ON 1179 00:44:57,520 --> 00:44:59,080 MANY OF THE HEALTH OUTCOMES THAT 1180 00:44:59,080 --> 00:45:01,160 I WAS INTERESTED IN STUDYING. 1181 00:45:01,160 --> 00:45:04,040 INSTEAD WHAT WE FOUND WAS 1182 00:45:04,040 --> 00:45:05,880 SIGNIFICANT EFFECTS OF EXTERNAL 1183 00:45:05,880 --> 00:45:07,440 STIGMAS LIKE BULLYING AND 1184 00:45:07,440 --> 00:45:10,000 VICTIMIZATION AND OFTEN IN OUR 1185 00:45:10,000 --> 00:45:11,160 MULTIVARIANT ANALYSIS, ANALYSIS 1186 00:45:11,160 --> 00:45:13,040 WE FOUND THAT HOMOPHOBIA WAS NO 1187 00:45:13,040 --> 00:45:14,480 LONGER SIGNIFICANT ONCE WE 1188 00:45:14,480 --> 00:45:16,280 ACCOUNTED FOR THESE EXTERNAL 1189 00:45:16,280 --> 00:45:17,800 FACTORS LIKE BULLYING. 1190 00:45:17,800 --> 00:45:20,160 SO IS IT REALLY, YOU KNOW ARE 1191 00:45:20,160 --> 00:45:22,000 THESE DISPARITIES REALLY DRIVEN 1192 00:45:22,000 --> 00:45:23,080 BY INTERNAL FEELINGS OR IS IT 1193 00:45:23,080 --> 00:45:25,960 MORE ABOUT SOCIAL STRUCTUREs 1194 00:45:25,960 --> 00:45:28,240 AND EXTERNAL EXPERIENCES, AND IN 1195 00:45:28,240 --> 00:45:31,720 FACT, MY COLLEAGUE, MICHAEL 1196 00:45:31,720 --> 00:45:33,640 NUWCOMB AND I PUBLISHED A 1197 00:45:33,640 --> 00:45:34,920 META-ANALYSIS LOOKING AT DAT ON 1198 00:45:34,920 --> 00:45:36,480 THE RELATIONSHIP BETWEEN 1199 00:45:36,480 --> 00:45:38,000 INTERNALIZED HOMOPHOBIA AND 1200 00:45:38,000 --> 00:45:39,480 MENTAL HEALTH PROBLEMS. 1201 00:45:39,480 --> 00:45:40,520 THIRTY-ONE STUDIES OVER 5000 1202 00:45:40,520 --> 00:45:43,160 PARTICIPANTS AND IN THOSE 1203 00:45:43,160 --> 00:45:46,960 STUDIES, THEY FOUND A SMALL, WE 1204 00:45:46,960 --> 00:45:47,920 FOUND A SMALL OVERALL 1205 00:45:47,920 --> 00:45:50,640 ASSOCIATION WHICH SUGGEST THERE 1206 00:45:50,640 --> 00:45:52,040 IS IS SOMETHING THERE HAVING 1207 00:45:52,040 --> 00:45:54,880 CHALLENGES ACCEPTING THE SEXUAL 1208 00:45:54,880 --> 00:45:56,040 ORIENTATION IS RELATED TO MENTAL 1209 00:45:56,040 --> 00:45:57,360 HEALTH BUT NOT THE OVERALL 1210 00:45:57,360 --> 00:46:01,320 DRIVER OF THE DISPARITIES. 1211 00:46:01,320 --> 00:46:03,160 SO MY TAKE AWAY IS THAT RESEARCH 1212 00:46:03,160 --> 00:46:05,960 REALLY NEEDS TO MOVE BEYOND 1213 00:46:05,960 --> 00:46:06,960 DOCUMENTS DISPARITIES AND 1214 00:46:06,960 --> 00:46:10,000 LOOKING AT SORT OF INDIVIDUAL 1215 00:46:10,000 --> 00:46:11,280 LEVEL FACTORS TO STUDYING 1216 00:46:11,280 --> 00:46:13,000 INTERVENTIONS THAT ARE ON THE 1217 00:46:13,000 --> 00:46:15,800 MULTILEVEL MECHANISMS THAT ARE 1218 00:46:15,800 --> 00:46:16,560 DRIVING THESE DISPARITIES. 1219 00:46:16,560 --> 00:46:17,680 AND I'LL GIVE YOU JUST A FEW 1220 00:46:17,680 --> 00:46:20,680 EXAMPLES OF SOME OF THOSE 1221 00:46:20,680 --> 00:46:21,960 MULTILEVEL FACTORS AND OF SOME 1222 00:46:21,960 --> 00:46:24,640 EXAMPLES OF WHAT I SEE IS 1223 00:46:24,640 --> 00:46:25,280 EXCITING GEPMENTS IS 1224 00:46:25,280 --> 00:46:26,920 INTERVENTION RESEARCH JUST A FEW 1225 00:46:26,920 --> 00:46:27,680 EXAMPLES BECAUSE THERE REALLY 1226 00:46:27,680 --> 00:46:29,720 ARE SO MANY I COULD GO INTO. 1227 00:46:29,720 --> 00:46:33,520 SO THE FIRST IS THE IDEA OF 1228 00:46:33,520 --> 00:46:34,000 ROMANTIC RELATIONSHIPS. 1229 00:46:34,000 --> 00:46:35,440 WE KNOW THAT MARRIED 1230 00:46:35,440 --> 00:46:38,560 HETEROSEXUALS WHO ARE SATISFIED 1231 00:46:38,560 --> 00:46:39,880 IN THEIR RELATIONSHIPS REAP 1232 00:46:39,880 --> 00:46:41,080 NUMEROUS HEALTH BENIT IFS. 1233 00:46:41,080 --> 00:46:43,760 WE ALSO KNOW THAT 1 OF THE KEY 1234 00:46:43,760 --> 00:46:45,240 TASKS OF ADOLESCENTS IS 1235 00:46:45,240 --> 00:46:47,000 DEVELOPING SOCIAL SKILLS AND 1236 00:46:47,000 --> 00:46:48,560 SELF-AWARENESS FOR HEALTHY 1237 00:46:48,560 --> 00:46:49,440 ROMANTIC RELATIONSHIPS ISSUES 1238 00:46:49,440 --> 00:46:50,520 UNDERSTANDING WHAT KIND OF 1239 00:46:50,520 --> 00:46:51,480 PEOPLE YOU'RE ARK TRACTED TOO, 1240 00:46:51,480 --> 00:46:54,240 WHAT KIND OF RELATIONSHIPS 1241 00:46:54,240 --> 00:46:55,840 YOU'RE LOOKING FOR, AND BUT YET 1242 00:46:55,840 --> 00:46:57,120 THERE'S BEEN VERY LITTLE 1243 00:46:57,120 --> 00:47:00,080 RESEARCH ON HEALTHY ROMANTIC 1244 00:47:00,080 --> 00:47:00,920 RELATIONSHIPS AND SGM YOUNG 1245 00:47:00,920 --> 00:47:03,360 PEOPLE AND EVEN IN ADULTS IN 1246 00:47:03,360 --> 00:47:06,760 FACT, AND THIS IS A PAPER LED BY 1247 00:47:06,760 --> 00:47:09,560 MY COLLEAGUE SARAH WITTEN IN 1248 00:47:09,560 --> 00:47:10,360 JOURNAL OF ABNORMAL PSYCHOLOGY 1249 00:47:10,360 --> 00:47:15,040 AND IN THAT STUDY, WE LOOKED 1250 00:47:15,040 --> 00:47:16,520 LONGITUDINALLY AT THE PROTECTIVE 1251 00:47:16,520 --> 00:47:19,320 EFFECT OF BEING IN A ROMANTIC 1252 00:47:19,320 --> 00:47:21,440 RELATIONSHIP AGAINST LGBT 1253 00:47:21,440 --> 00:47:22,440 VICTIMIZATION, REALLY BULLYING 1254 00:47:22,440 --> 00:47:24,640 KINDS OF EXPERIENCES ON 1255 00:47:24,640 --> 00:47:25,240 EXPERIENCES OF PSYCHOLOGICAL 1256 00:47:25,240 --> 00:47:28,000 DISSTRUSES AND WHAT WE FOUND WAS 1257 00:47:28,000 --> 00:47:30,480 THAT VICTIMIZATION HAD A MAJOR 1258 00:47:30,480 --> 00:47:31,480 EFFECT ON PSYCHOLOGICAL DISTRESS 1259 00:47:31,480 --> 00:47:32,720 WHEN PEOPLE WERE NOT IN THE 1260 00:47:32,720 --> 00:47:34,360 RELATIONSHIP BUT WHEN THEY WERE 1261 00:47:34,360 --> 00:47:35,560 IN A ROMANTIC RELATIONSHIP, OR 1262 00:47:35,560 --> 00:47:37,480 AT TIMES WHEN THEY WERE IN A 1263 00:47:37,480 --> 00:47:38,720 ROMANTIC RELATIONSHIP, THEY WERE 1264 00:47:38,720 --> 00:47:41,760 MORE BUFFERED BY THOSE EFFECTS 1265 00:47:41,760 --> 00:47:44,360 OF VICTIMIZATION AGAINST 1266 00:47:44,360 --> 00:47:45,080 PSYCHOLOGICAL DISTRESS OUTCOMES 1267 00:47:45,080 --> 00:47:46,680 AND I HAVE TO SAY IN MY CAREER, 1268 00:47:46,680 --> 00:47:48,360 MY 20 YEAR CAREER, I HAVE DONE A 1269 00:47:48,360 --> 00:47:49,560 LOT TO LOOK FOR PROTECTIVE 1270 00:47:49,560 --> 00:47:52,560 EFFECT ANDS THIS IS 1 OF THE FEW 1271 00:47:52,560 --> 00:47:53,200 PROTECTIVE CENTER FOR EXCELLENCE 1272 00:47:53,200 --> 00:47:54,040 ON AGINGS WE'VE ACTUALLY FOUND 1273 00:47:54,040 --> 00:47:56,360 IN ANY OF OUR WORK. 1274 00:47:56,360 --> 00:47:59,600 AND MY COLLEAGUE, MIKE AT 1275 00:47:59,600 --> 00:48:01,080 NEWCOMB, WHO I MENTIONED EARLIER 1276 00:48:01,080 --> 00:48:02,560 HAS DRIVEN THIS WORK FORWARD IN 1277 00:48:02,560 --> 00:48:05,320 TERMS OF LOOKING AT HOW WE CAN 1278 00:48:05,320 --> 00:48:06,360 HARNESS HEALTHY ROMANTIC 1279 00:48:06,360 --> 00:48:08,480 RELATIONSHIPS AS A HEALTH 1280 00:48:08,480 --> 00:48:12,920 PROMOTION CHARACTERISTIC FOR THE 1281 00:48:12,920 --> 00:48:13,440 SGM COMMUNITY. 1282 00:48:13,440 --> 00:48:15,280 AND HE ALONG WITH SEVERAL 1283 00:48:15,280 --> 00:48:20,720 COLLEAGUES AN INTERVENTION 1284 00:48:20,720 --> 00:48:22,920 CALLED 2 GETHER, WHICH FOCUSES 1285 00:48:22,920 --> 00:48:24,600 ON TEACHING ROMANTIC SKILL AND 1286 00:48:24,600 --> 00:48:27,240 IT IS INTEGRATING THAT INTO A 1287 00:48:27,240 --> 00:48:28,280 HEALTH INTERVENTION AND FOUND 1288 00:48:28,280 --> 00:48:29,160 FETAL COMPARTMENT 1289 00:48:29,160 --> 00:48:30,160 NAMES--NAMESINAL EFFECTS REPORT 1290 00:48:30,160 --> 00:48:32,040 INDEED THE PILOT STUDY INCLUDING 1291 00:48:32,040 --> 00:48:33,280 EXCEL EPT RETENTION, THE YOUNG 1292 00:48:33,280 --> 00:48:34,680 MEN IN THIS STUDY ACTUALLY 1293 00:48:34,680 --> 00:48:38,240 REALLY WERE SEEKING THIS KIND OF 1294 00:48:38,240 --> 00:48:39,640 INTERVENTION AND OVER 99% OF 1295 00:48:39,640 --> 00:48:40,920 THEM WERE RETAINED THROUGH THE 1296 00:48:40,920 --> 00:48:42,560 INTERVENTION, THE FOLLOW UP AND 1297 00:48:42,560 --> 00:48:45,240 HE FOUND SIGNIFICANT EFFECT IT 1298 00:48:45,240 --> 00:48:47,120 IS ON CONDOMLESS ANALL SEX AS 1299 00:48:47,120 --> 00:48:48,360 WELL AS RELATIONSHIP OUTCOME 1300 00:48:48,360 --> 00:48:50,360 ANDS THIS IS NOW STUDIED IN 2 1301 00:48:50,360 --> 00:48:51,320 EFFECTIVENESS TRIALS THAT ARE 1302 00:48:51,320 --> 00:48:52,800 JUST WRAPPED UP AND THE RESULTS 1303 00:48:52,800 --> 00:48:55,840 WILL BE COMING SOON FROM THOSE, 1304 00:48:55,840 --> 00:48:58,960 AS WELL AS A NEW HYBRID 1305 00:48:58,960 --> 00:49:00,880 IMPLEMENTATION STUDY, I ALSO 1306 00:49:00,880 --> 00:49:02,160 THINK A VERY UNDER STUDIED AREA 1307 00:49:02,160 --> 00:49:08,760 IS THE ROLE OF PARENTS AND 1308 00:49:08,760 --> 00:49:11,400 PARENTS WE KNOW--PARENT SOCIAL 1309 00:49:11,400 --> 00:49:12,480 SUPPORT, PARENTAL PARENTING 1310 00:49:12,480 --> 00:49:13,440 PRACTICES LIKE MONITORING WHERE 1311 00:49:13,440 --> 00:49:14,920 YOUR KIDS ARE AT AND WHAT 1312 00:49:14,920 --> 00:49:16,920 THEY'RE UP TO AND HAVE 1313 00:49:16,920 --> 00:49:18,200 BENEFICIAL EFFECTS ACROSS 1314 00:49:18,200 --> 00:49:19,800 NUMEROUS OUTCOMES, BUT THERE 1315 00:49:19,800 --> 00:49:21,320 HAVE BEEN VERY FEW STUDIES 1316 00:49:21,320 --> 00:49:23,520 LOOKING AT PARENTING AS IT 1317 00:49:23,520 --> 00:49:25,240 RELATES TO SGM YOUNG PEOPLE, AND 1318 00:49:25,240 --> 00:49:27,720 MOST OF THOSE RELY ON THE 1319 00:49:27,720 --> 00:49:30,600 REPORTS OF PARENTS, THE REPORTS 1320 00:49:30,600 --> 00:49:32,080 OF YOUNG PEOPLE ABOUT THEIR 1321 00:49:32,080 --> 00:49:33,520 PARENTS RATHER THAN ACTUALLY 1322 00:49:33,520 --> 00:49:34,200 SPEAKING TO PARENTS. 1323 00:49:34,200 --> 00:49:36,080 IN 1 OF OUR STUDIES PUBLISHED 1324 00:49:36,080 --> 00:49:39,720 SEVERAL YEARS AGO, WE LOOKED AT 1325 00:49:39,720 --> 00:49:41,920 HOW PARENTAL SUPPORT WITH THE 1326 00:49:41,920 --> 00:49:42,680 FACILITATOR OF MENTAL HEALTH AND 1327 00:49:42,680 --> 00:49:44,080 WHAT WE FOUND IS THAT YOUNG 1328 00:49:44,080 --> 00:49:46,920 PEOPLE WHO HAD HIGHER LEVELS OF 1329 00:49:46,920 --> 00:49:48,280 PARENTAL SUPPORT HAD LOWER 1330 00:49:48,280 --> 00:49:50,000 LEVELS OF DEPRESSION AND THERE 1331 00:49:50,000 --> 00:49:50,400 WAS DEVELOPMENTAL 1332 00:49:50,400 --> 00:49:52,120 CHARACTERISTICS THAT THIS WAS 1333 00:49:52,120 --> 00:49:56,560 MOAF IMPORTANT AT THE YOUNGEST 1334 00:49:56,560 --> 00:49:57,000 AGES. 1335 00:49:57,000 --> 00:49:59,960 MY COLLEAGUE, DAVID HEDENER IS 1336 00:49:59,960 --> 00:50:02,320 ACTUALLY DOING SOME PHENOMENAL 1337 00:50:02,320 --> 00:50:05,200 WORK LOOKING AT PARENTING 1338 00:50:05,200 --> 00:50:06,600 INTERVENTIONS FOR SGM YOUNG 1339 00:50:06,600 --> 00:50:07,880 PEOPLE AND FOCUSING ON TEENS AND 1340 00:50:07,880 --> 00:50:09,040 NOT YOUNG ADULTS ABOUT YOU 1341 00:50:09,040 --> 00:50:10,600 ACTUALLY PATIENTS OF TEENAGERS 1342 00:50:10,600 --> 00:50:12,080 AND HAVE DEVELOPED THIS 1343 00:50:12,080 --> 00:50:13,680 INTERVENTION CALLED PARENTS AND 1344 00:50:13,680 --> 00:50:15,880 ADOLESCENTS TALKING ABOUT 1345 00:50:15,880 --> 00:50:19,880 HEALTHY SEXUALITY OR THE PAPS 1346 00:50:19,880 --> 00:50:21,840 PROGRAM WHICH IS AN ONLINE 1347 00:50:21,840 --> 00:50:23,680 PROGRAM DESIGNED FOR PARENTS TO 1348 00:50:23,680 --> 00:50:24,520 IMPROVE COMMUNICATION ABOUT HIV 1349 00:50:24,520 --> 00:50:27,080 AS WELL AS INCREASING BEHAVIOR 1350 00:50:27,080 --> 00:50:28,920 OF TEEN MSM SEXUAL HEALTH AND 1351 00:50:28,920 --> 00:50:30,560 WHAT THEY FOUND IN THIS STUDY 1352 00:50:30,560 --> 00:50:32,400 WAS THAT FAMILIES WHO WENT 1353 00:50:32,400 --> 00:50:33,680 THROUGH THIS INTERVENTION, BASED 1354 00:50:33,680 --> 00:50:37,520 ON BOTH PARENT AND SON REPORT 1355 00:50:37,520 --> 00:50:39,600 APPROXIMATE 3 MOPPINGS FOLLOWING 1356 00:50:39,600 --> 00:50:40,400 THE INTERVENTION, PATIENTS 1357 00:50:40,400 --> 00:50:42,320 ASSIGNED TO THE PATH AND THE 1358 00:50:42,320 --> 00:50:43,680 PROGRAM, WITH MORE DISCUSSIONS 1359 00:50:43,680 --> 00:50:46,560 WITH THE TEENS, MORE 1360 00:50:46,560 --> 00:50:48,080 DESCRIPTIONS ABOUT CONDOM USE, 1361 00:50:48,080 --> 00:50:49,360 MORE FACILITATION OF HIV TESTING 1362 00:50:49,360 --> 00:50:51,360 AND PARENTS ALSO REPORTED 1363 00:50:51,360 --> 00:50:53,120 PREPOST CHANGES IN THINGS LIKE 1364 00:50:53,120 --> 00:50:54,840 THEIR ATTITUDES AND SKILLS 1365 00:50:54,840 --> 00:50:56,640 RELATED TO PARENTING THEIR KIDS 1366 00:50:56,640 --> 00:50:57,320 AROUND SEXUAL HEALTH. 1367 00:50:57,320 --> 00:50:59,520 SO, I THINK THIS IS A REALLY 1368 00:50:59,520 --> 00:51:06,160 GREAT AREA OF DEVELOPMENT AROUND 1369 00:51:06,160 --> 00:51:06,760 DIADIC INTERVENTIONS, PARENTS 1370 00:51:06,760 --> 00:51:07,360 INTERVENTIONS, ANOTHER AREA I 1371 00:51:07,360 --> 00:51:09,240 THINK THAT I THINK IS EXCITING 1372 00:51:09,240 --> 00:51:13,320 IS GROWTH IN LOOKING AT THE 1373 00:51:13,320 --> 00:51:17,080 BIOLOGICAL MECHANISM THAT LINK 1374 00:51:17,080 --> 00:51:19,280 SGM, EXPERIENCES OF ADVERSITY TO 1375 00:51:19,280 --> 00:51:22,040 MEDICAL OUTCOMES, THIS IS A 1376 00:51:22,040 --> 00:51:29,000 PHENOMENAL PAPER BY 1377 00:51:29,000 --> 00:51:31,320 ANESSA FLENTJE, WHO LOOKEDDA THE 1378 00:51:31,320 --> 00:51:34,080 ASSOCIATION BETWEEN MINORITY 1379 00:51:34,080 --> 00:51:35,960 STRESS AS A PREDICTOR OF MEDICAL 1380 00:51:35,960 --> 00:51:36,560 OUTCOMES. 1381 00:51:36,560 --> 00:51:37,960 THEY DID FIND THAT ONLY 42% OF 1382 00:51:37,960 --> 00:51:39,400 THE STUDIES FOUNDS A SIGNIFICANT 1383 00:51:39,400 --> 00:51:40,760 ASSOCIATION WHICH MEANS THERE IS 1384 00:51:40,760 --> 00:51:43,120 SUPPORT FOR A RELATIONSHIP BUT I 1385 00:51:43,120 --> 00:51:47,600 THINK REALLY CALLS FOR MORE WORK 1386 00:51:47,600 --> 00:51:49,480 ON--MORE RESEARCH ON MEDICAL 1387 00:51:49,480 --> 00:51:55,120 OUTCOMES AND STUDIES THAT LINK 1388 00:51:55,120 --> 00:51:56,520 THE--OR IDENTIFY BIOLOGICAL 1389 00:51:56,520 --> 00:51:58,000 MECHANISMS THAT LINK MINORITY 1390 00:51:58,000 --> 00:51:59,240 STRESS TO THESE OUTCOMES SO 1391 00:51:59,240 --> 00:52:01,320 THAT'S MY FIFTH TAKE AWAY IS 1392 00:52:01,320 --> 00:52:02,200 MORE RESEARCH ON MEDICAL 1393 00:52:02,200 --> 00:52:04,760 OUTCOMES IN OUR COMMUNITY AS 1394 00:52:04,760 --> 00:52:06,760 WELL AS STUDIES THAT LINK THE 1395 00:52:06,760 --> 00:52:10,680 MECHANISMS BETWEEN ADVERSITY AND 1396 00:52:10,680 --> 00:52:11,120 THESE OUTCOMES. 1397 00:52:11,120 --> 00:52:12,840 THE NEXT THING I WANT TO SAY IS 1398 00:52:12,840 --> 00:52:15,040 IT'S A WELL KNOWN PHENOMENON 1399 00:52:15,040 --> 00:52:17,200 THAT IT TAKES 17 YEARS FOR ONLY 1400 00:52:17,200 --> 00:52:18,960 14% OF NEW SCIENTIFIC 1401 00:52:18,960 --> 00:52:22,640 DISCOVERIES TO ENTER DAY-TO-DAY 1402 00:52:22,640 --> 00:52:23,040 CLINICAL PRACTICE. 1403 00:52:23,040 --> 00:52:24,240 AND THAT IS CERTAINLY TRUE IN 1404 00:52:24,240 --> 00:52:25,760 OUR FIELD OF SGM HEALTH RESEARCH 1405 00:52:25,760 --> 00:52:29,880 AND I THINK THE SIXTH TAKE AWAY 1406 00:52:29,880 --> 00:52:31,360 WOULD SAY IS THAT WE NEED TO 1407 00:52:31,360 --> 00:52:33,120 THINK ABOUT HOW TO INTEGRATE 1408 00:52:33,120 --> 00:52:34,280 IMPLEMENTATION SCIENCE INTO OUR 1409 00:52:34,280 --> 00:52:36,720 CLINICAL RESEARCH TO HELP 1410 00:52:36,720 --> 00:52:37,720 ACCELERATE INTERVENTIONS 1411 00:52:37,720 --> 00:52:42,720 NIEWFING INTO PRACTICE TO 1412 00:52:42,720 --> 00:52:43,600 IMPROVE SGM HEALTH RESEARCH AND 1413 00:52:43,600 --> 00:52:50,640 YOU KNOW I WILL SAY WHEN I WAS 1414 00:52:50,640 --> 00:52:52,600 TRAINED IN MY GRADUATE CAREER, I 1415 00:52:52,600 --> 00:52:53,960 WAS BASICALLY TRAIN OFFICE OF 1416 00:52:53,960 --> 00:52:55,840 DIVERSITY THIS IDEA THAT IF YOU 1417 00:52:55,840 --> 00:52:57,440 STUDY BASIC MECHANISM, SOMEONE 1418 00:52:57,440 --> 00:52:58,640 ELSE WILL PICK UP THOSE IDEAS 1419 00:52:58,640 --> 00:52:59,920 AND APPLY THEM TO AN 1420 00:52:59,920 --> 00:53:02,640 INTERVENTION AND IF YOU DEVELOP 1421 00:53:02,640 --> 00:53:03,440 AN EFFECTIVE INTERVENTION AND 1422 00:53:03,440 --> 00:53:04,480 REPORT IT'S EFFECTIVE AND 1423 00:53:04,480 --> 00:53:05,880 SOMEONE ELSE WILL PICK IT UP AND 1424 00:53:05,880 --> 00:53:07,520 THINK ABOUT HOW TO GET IT 1425 00:53:07,520 --> 00:53:09,160 IMPLEMENTED IN PRACTICE AND I'M 1426 00:53:09,160 --> 00:53:10,120 CONVINCED THAT DOES NOT HAPPEN, 1427 00:53:10,120 --> 00:53:11,440 IF YOU'RE DOING THE WORK IT'S 1428 00:53:11,440 --> 00:53:13,920 REALLY IMPORTANT FOR YOU TO MOVE 1429 00:53:13,920 --> 00:53:15,760 IF ALONG THIS TRANSLATIONAL 1430 00:53:15,760 --> 00:53:17,280 SPECTRUM WHETHER QUIEWR DOING 1431 00:53:17,280 --> 00:53:19,960 THOSE STUDIES ACROSS MECHANISMS, 1432 00:53:19,960 --> 00:53:20,600 INTERVENTIONS TO IMPLEMENTATION 1433 00:53:20,600 --> 00:53:22,400 WHICH IS THE MODEL THAT I 1434 00:53:22,400 --> 00:53:23,960 SUBSCRIBE TO OR ACTIVELY WORKING 1435 00:53:23,960 --> 00:53:26,160 WITH PARTNERS AT THE NEXT STAGE 1436 00:53:26,160 --> 00:53:28,800 OF TRANSLATION TO MOVE THE WORK 1437 00:53:28,800 --> 00:53:29,720 ALONG THE TRANSLATIONAL 1438 00:53:29,720 --> 00:53:30,560 SPECTRUM. 1439 00:53:30,560 --> 00:53:33,200 THERE ARE SOME REALLY EXCITING 1440 00:53:33,200 --> 00:53:33,920 DEVELOPMENTS IN IMPLEMENTATION 1441 00:53:33,920 --> 00:53:34,880 SCIENCE THEY THINK PEOPLE NEED 1442 00:53:34,880 --> 00:53:37,920 TO BE AWARE OF, TO ADVANCE THE 1443 00:53:37,920 --> 00:53:40,360 MOVEMENT OF WORK FROM 1444 00:53:40,360 --> 00:53:40,840 EFFECTIVENESS INTO 1445 00:53:40,840 --> 00:53:41,680 IMPLEMENTATION, FOR EXAMPLE, 1446 00:53:41,680 --> 00:53:43,960 THERE ARE HYBRID TRIALS, I HAVE 1447 00:53:43,960 --> 00:53:47,680 LED 2 HYBRID TRIALS, A TYPE 1 1448 00:53:47,680 --> 00:53:50,800 TRIAL, FOR TEEN HIV PREVENTION 1449 00:53:50,800 --> 00:53:53,680 CALLED SMART WHERE IT'S REALLY 1450 00:53:53,680 --> 00:53:55,560 FOCUSED ON EFFECTIVENESS BUT 1451 00:53:55,560 --> 00:53:57,200 COLLECTING INFORMATION ON IMP 1452 00:53:57,200 --> 00:53:58,000 LEMMATION AND I'M NOW IN THE 1453 00:53:58,000 --> 00:54:00,040 FIELD WITH THE TYPE 3 HYBRID 1454 00:54:00,040 --> 00:54:01,640 TRIAL, WHERE WE STUDY 1455 00:54:01,640 --> 00:54:02,440 IMPLEMENTATION BUT WE'RE 1456 00:54:02,440 --> 00:54:03,560 CONTINUING TO MONITOR 1457 00:54:03,560 --> 00:54:04,960 EFFECTIVENESS SO I HOPE PEOPLE 1458 00:54:04,960 --> 00:54:06,200 FAMILIARIZE THEMSELVES WITH THIS 1459 00:54:06,200 --> 00:54:10,680 OF THESE HYBRID TRIALs AS WE 1460 00:54:10,680 --> 00:54:11,960 THINK ABOUT HOW TO ACCELERATE 1461 00:54:11,960 --> 00:54:12,480 THIS WORK. 1462 00:54:12,480 --> 00:54:20,960 I WILL POINT YOU TO OUR WEB SITE 1463 00:54:20,960 --> 00:54:21,600 HIVIMPSCI.NORTHWESTERN.EDU, WE 1464 00:54:21,600 --> 00:54:23,880 HAVE MORE TO LEARN ABOUT 1465 00:54:23,880 --> 00:54:25,760 IMPLEMENTATION SCIENCE, IDENTIFY 1466 00:54:25,760 --> 00:54:27,240 OUTCOMES, MAP, DETERMINANTS OF 1467 00:54:27,240 --> 00:54:28,000 STRATEGIES, SO PLEASE CHECK THAT 1468 00:54:28,000 --> 00:54:32,080 OUT IF YOU ARE INTERESTED IN 1469 00:54:32,080 --> 00:54:33,400 LEARNING MORE ABOUT 1470 00:54:33,400 --> 00:54:34,160 IMPLEMENTATION SCIENCE, FINALLY 1471 00:54:34,160 --> 00:54:35,480 I WANT TO SWITCH WITH GEARS AND 1472 00:54:35,480 --> 00:54:37,120 TALK A LITTLE BIT ABOUT THE 1473 00:54:37,120 --> 00:54:40,240 CAREER PIPELINE FOR SGM 1474 00:54:40,240 --> 00:54:41,680 SCIENTISTS, AS ELISEO MENTIONED 1475 00:54:41,680 --> 00:54:43,640 EARLIER, WE KNOW THAT DIVERSE 1476 00:54:43,640 --> 00:54:47,280 TEAMS PRODUCE MORE INNOVATIVE 1477 00:54:47,280 --> 00:54:48,120 PRODUCTS THAN HOMOGENIUS TEAMS 1478 00:54:48,120 --> 00:54:50,440 AND I THINK THAT'S VERY MUCH 1479 00:54:50,440 --> 00:54:51,880 TRUE ABOUT SGM SCIENTISTS IN THE 1480 00:54:51,880 --> 00:54:52,680 SCIENTIFIC ENTERPRISE AND I 1481 00:54:52,680 --> 00:54:53,880 THINK WE ALSO CARE ABOUT THE 1482 00:54:53,880 --> 00:54:55,000 WELL BEING OF SCIENTISTS IF WE 1483 00:54:55,000 --> 00:54:58,640 WANT TO SUSTAIN OUR WORKFORCE. 1484 00:54:58,640 --> 00:55:01,000 AND I WANT TO KIND OF TALK ABOUT 1485 00:55:01,000 --> 00:55:02,240 A LITTLE BIT THE PIPELINE OF 1486 00:55:02,240 --> 00:55:05,560 WHAT IT TAKES TO GET FROM 1487 00:55:05,560 --> 00:55:07,040 ELEMENTARY SCHOOL, THROUGH HIGH 1488 00:55:07,040 --> 00:55:08,800 SCHOOL, COLLEGE, GRADUATE 1489 00:55:08,800 --> 00:55:10,320 SCHOOL, POST DOC, FACULTY 1490 00:55:10,320 --> 00:55:12,040 POSITION, GETTING YOUR FIRST NIH 1491 00:55:12,040 --> 00:55:13,320 GRANT AND SUSTAINING YOUR 1492 00:55:13,320 --> 00:55:14,160 FUNDING AND THINKING ABOUT SOME 1493 00:55:14,160 --> 00:55:16,360 OF THE BARRIERS THAT SGM 1494 00:55:16,360 --> 00:55:17,400 SCIENTISTS STUDY ALONG THE WAY 1495 00:55:17,400 --> 00:55:18,960 AND AS I'VE BEEN DIGGING INTO 1496 00:55:18,960 --> 00:55:20,480 THIS, I'VE BEEN REALLY AMAZED BY 1497 00:55:20,480 --> 00:55:24,320 ACTUALLY HOW MUCH WE KNOW ABOUT 1498 00:55:24,320 --> 00:55:27,280 LEAKS IN THE STEM PIPELINE FOR 1499 00:55:27,280 --> 00:55:27,680 SGM SCIENTISTS. 1500 00:55:27,680 --> 00:55:28,720 SO THE FIRST IS HIGH SCHOOL AND 1501 00:55:28,720 --> 00:55:31,360 WE KNOW FROM THE CDC NATIONAL 1502 00:55:31,360 --> 00:55:34,560 DATA THAT SGM TEENS ARE MORE 1503 00:55:34,560 --> 00:55:37,000 LIKELY TO BE BULLIED IN SCHOOL, 1504 00:55:37,000 --> 00:55:38,520 ON SCHOOL PROPERTY, NOT GOING TO 1505 00:55:38,520 --> 00:55:40,800 SCHOOL BECAUSE THEY FEEL IT'S 1506 00:55:40,800 --> 00:55:41,040 UNSAFE. 1507 00:55:41,040 --> 00:55:42,240 THIS IS PARTICULARLY THE CASE 1508 00:55:42,240 --> 00:55:43,520 AMONGST YOUNG MEN AND SO, YOU 1509 00:55:43,520 --> 00:55:48,080 CAN IMAGINE OR WE KNOW HOW 1510 00:55:48,080 --> 00:55:49,600 BULLYING AFFECTS STUDENTS, 1511 00:55:49,600 --> 00:55:51,240 ATTENDANCE, ABLE TO CONCENTRATE 1512 00:55:51,240 --> 00:55:52,440 IN SCHOOL AND MY COLLEAGUES AND 1513 00:55:52,440 --> 00:55:55,120 I ACTUALLY DID A LARGE SURVEY OF 1514 00:55:55,120 --> 00:55:56,600 SGM TEENS TO LOOK AT HOW 1515 00:55:56,600 --> 00:55:58,680 BULLYING IN SCHOOL WAS RELATED 1516 00:55:58,680 --> 00:56:01,000 TO INTEREST IN A STEM CAREER AND 1517 00:56:01,000 --> 00:56:03,400 WHAT WE FOUND IS THAT SENSE OF 1518 00:56:03,400 --> 00:56:05,720 BELONGING, IN A STEM LEARNING 1519 00:56:05,720 --> 00:56:07,000 ENVIRONMENT WAS ACTUALLY 1520 00:56:07,000 --> 00:56:09,840 AFFECTED BY BULLYING, AND SO, 1521 00:56:09,840 --> 00:56:14,400 WHEN WE LOOK AT THE SCALE OF 1522 00:56:14,400 --> 00:56:17,120 STEM BELONGING, WE FOUND THAT 1523 00:56:17,120 --> 00:56:18,280 TEENS WHO EXPERIENCE MORE 1524 00:56:18,280 --> 00:56:19,440 BULLYING IN SCHOOL WERE LESS 1525 00:56:19,440 --> 00:56:21,680 LIKELY TO SAY THEY FELT LIKE 1526 00:56:21,680 --> 00:56:24,880 THEY HAD BELONGING IN A MATH 1527 00:56:24,880 --> 00:56:26,480 CLASS OR SCIENCE CLASS. 1528 00:56:26,480 --> 00:56:27,520 AND THERE'S SEVERAL OTHER 1529 00:56:27,520 --> 00:56:28,400 FINDINGS IN THIS PAPER THAT YOU 1530 00:56:28,400 --> 00:56:30,960 CAN LOOK AT AND WE FOUND THAT A 1531 00:56:30,960 --> 00:56:32,680 SENSE OF BELONGING IN A SCIENCE 1532 00:56:32,680 --> 00:56:33,840 CLASS WAS CORRELATED WITH 1533 00:56:33,840 --> 00:56:35,800 INTENTIONS TO ENROLL IN A STEM 1534 00:56:35,800 --> 00:56:36,720 FIELD IN COLLEGE. 1535 00:56:36,720 --> 00:56:38,000 SO WE SEE EVIDENCE OF BULLYING 1536 00:56:38,000 --> 00:56:40,760 AND WE SEE THAT THOSE 1537 00:56:40,760 --> 00:56:41,840 EXPERIENCES OF BULLYING EFFECT 1538 00:56:41,840 --> 00:56:44,800 INTEREST IN A STEM CAREER. 1539 00:56:44,800 --> 00:56:47,200 THE NIH WORKFORCE ENVIRONMENT 1540 00:56:47,200 --> 00:56:50,440 DATA SHOWS VERY ALARMING LEVELS 1541 00:56:50,440 --> 00:56:55,280 OF HARASSMENT BY SGM SCIENTISTS, 1542 00:56:55,280 --> 00:56:55,720 WORKING AT NIH. 1543 00:56:55,720 --> 00:56:58,200 SO WE SEE AT THE HIGH LEVEL OF 1544 00:56:58,200 --> 00:57:01,280 REACHING A CAREER, 1 OF OUR 1545 00:57:01,280 --> 00:57:02,800 PINNACLE ORGANIZATIONS AT THE 1546 00:57:02,800 --> 00:57:04,920 NIH THAT ARE HIGH LEVELS OF 1547 00:57:04,920 --> 00:57:06,880 HARASSMENT OF SGM SCIENTISTS IN 1548 00:57:06,880 --> 00:57:07,320 THAT ENVIRONMENT. 1549 00:57:07,320 --> 00:57:08,520 WE WOULD KNOW ABOUT 1550 00:57:08,520 --> 00:57:10,960 INTERSECTIONS AS WELL, THE 1551 00:57:10,960 --> 00:57:12,000 INTERSECTIONS OF PRIVILEGE BASED 1552 00:57:12,000 --> 00:57:14,360 ON RACE, BASED ON ABLE-BODIED 1553 00:57:14,360 --> 00:57:15,600 STATUS, BASED ON SEXUAL 1554 00:57:15,600 --> 00:57:18,960 ORIENTATION AND THIS IS TELENT 1555 00:57:18,960 --> 00:57:23,240 DATA FROM CATCH, LOOKING AT 1556 00:57:23,240 --> 00:57:27,840 THINGS LIKE INCOM, SHOWING 1557 00:57:27,840 --> 00:57:30,000 THERE'S A NEARLY 25,000 SO MY 1558 00:57:30,000 --> 00:57:33,320 FINAL TAKE AWAY IS THAT SGM 1559 00:57:33,320 --> 00:57:35,920 PEOPLE SHOULD BE CONSISTENTLY 1560 00:57:35,920 --> 00:57:37,880 AND EXPLICITLY INCLUDED IN 1561 00:57:37,880 --> 00:57:39,120 FEDERAL SCIENTIFIC WORKFORCE 1562 00:57:39,120 --> 00:57:40,600 DIVERSITY INITIATIVES, WE NEED 1563 00:57:40,600 --> 00:57:44,840 TO COLLECT DATA ON SGM SCIENCE, 1564 00:57:44,840 --> 00:57:46,960 SCIENTIST IDIDN'TITIES AND 1565 00:57:46,960 --> 00:57:47,880 SCIENTIFIC WORKFORCE STUDIES AND 1566 00:57:47,880 --> 00:57:49,640 PIPELINE SURVEYS AND WILL BE 1567 00:57:49,640 --> 00:57:51,000 CONVENING A WORKSHOP ON THIS IN 1568 00:57:51,000 --> 00:57:52,440 D. C. IN THE SPRING AND CHECK 1569 00:57:52,440 --> 00:57:53,520 OUR WEBBING SITE TO LEARN MORE 1570 00:57:53,520 --> 00:57:56,240 ABOUT IT SO JUST WANT TO 1571 00:57:56,240 --> 00:57:57,240 CONCLUDE BY THANKING MY FUNDERS 1572 00:57:57,240 --> 00:57:58,720 AND OUR STAFF THAT HAVE MADE ALL 1573 00:57:58,720 --> 00:58:00,840 THIS WORK POSSIBLE AND THAT I 1574 00:58:00,840 --> 00:58:11,320 WILL STOP AND TAKE QUESTIONS. 1575 00:58:21,800 --> 00:58:24,800 >>THANK YOU DR. MUSTANSKI, 1576 00:58:24,800 --> 00:58:25,960 GREAT SPEECH AND I WILL LOOK AT 1577 00:58:25,960 --> 00:58:36,480 THE CHA AND SEE IF ANY PEOPLE 1578 00:58:39,560 --> 00:58:41,000 HAVE QUESTIONS. 1579 00:58:41,000 --> 00:58:42,480 KARINA, CAN YOU SAY YOUR 1580 00:58:42,480 --> 00:58:42,840 QUESTION. 1581 00:58:42,840 --> 00:58:44,920 >>THANK YOU BRIAN FUR YOUR 1582 00:58:44,920 --> 00:58:46,040 PRESENTATION, IT WAS 1583 00:58:46,040 --> 00:58:47,880 COMPREHENSIVE AND GREAT, THANK 1584 00:58:47,880 --> 00:58:48,080 YOU. 1585 00:58:48,080 --> 00:58:49,160 QUICK QUESTION, YOU WENT THROUGH 1586 00:58:49,160 --> 00:58:50,880 IT QUICKLY BUT COULD YOU SAY 1587 00:58:50,880 --> 00:58:53,760 MORE ABOUT THE HARASSMENT SLIDE, 1588 00:58:53,760 --> 00:58:55,680 THE KIND OF HARASSMENT THAT 1589 00:58:55,680 --> 00:58:56,120 PEOPLE GO THROUGH. 1590 00:58:56,120 --> 00:58:57,480 >>THANKS I WAS GETTING TOWARDS 1591 00:58:57,480 --> 00:58:59,400 THE END SO I'M SPEEDING THROUGH 1592 00:58:59,400 --> 00:59:02,000 IT SO THANKS FOR THE QUESTION, 1593 00:59:02,000 --> 00:59:06,360 SO 1 OF THE--2 SLIDES THAT I 1594 00:59:06,360 --> 00:59:10,160 PRESENTED RELATED, THE FIRST WAS 1595 00:59:10,160 --> 00:59:11,800 FROM THE NIH STUDY OF HAD 1596 00:59:11,800 --> 00:59:13,280 RASESMENT SO FOLK WHO IS WORK AT 1597 00:59:13,280 --> 00:59:14,720 NIH AND THEY FOUND THAT SOME OF 1598 00:59:14,720 --> 00:59:20,160 THE HIGHEST RATES OF 1599 00:59:20,160 --> 00:59:22,480 EXPERIENCING SEXUAL HARASSMENT 1600 00:59:22,480 --> 00:59:23,680 WERE AMONG INDIVIDUALS 1601 00:59:23,680 --> 00:59:25,560 IDENTIFYING AS TRANSGENDER, 1602 00:59:25,560 --> 00:59:28,440 GENDER QUEER OR OTHER IDENTITY, 1603 00:59:28,440 --> 00:59:30,200 NEARLY 45% OF SCIENTISTS WITH 1604 00:59:30,200 --> 00:59:31,800 THOSE IDENTITYS REPORTED 1605 00:59:31,800 --> 00:59:32,880 EXPERIENCING SEXUAL HARASSMENT 1606 00:59:32,880 --> 00:59:38,000 AND 41% OF BISEXUAL INDIVIDUALS 1607 00:59:38,000 --> 00:59:40,640 REPORTED EXPERIENCING SEXUAL 1608 00:59:40,640 --> 00:59:42,000 HARASSMENT, FOR LESBIAN GAY, 1609 00:59:42,000 --> 00:59:42,960 HOMOSEXUALLY IDENTIFIED PEOPLE, 1610 00:59:42,960 --> 00:59:45,800 IT WAS 29%, AND THAT COMPARES TO 1611 00:59:45,800 --> 00:59:48,160 20% OF STRAIGHT OR HETEROSEXUAL 1612 00:59:48,160 --> 00:59:49,920 INDIVIDUALS LOOKER WORKING AT 1613 00:59:49,920 --> 00:59:54,320 THE NIH AND YOU KNOW THE ARTICLE 1614 00:59:54,320 --> 01:00:02,400 I MENTIONED BY CATCH PUBLISHED 1615 01:00:02,400 --> 01:00:03,840 IN SCIENCE ADVANCES REALLY 1616 01:00:03,840 --> 01:00:07,040 LOOKED AT THE INTERSECTION OF 1617 01:00:07,040 --> 01:00:10,600 HARASSMENT, BUT IT LOOKED AT 1618 01:00:10,600 --> 01:00:13,240 THINGS LIKE INCOME, FINDING BIG 1619 01:00:13,240 --> 01:00:14,840 DIFFERENCES AND IN EVEN THINGS 1620 01:00:14,840 --> 01:00:16,160 LIKE INCOME AND THOSE 1621 01:00:16,160 --> 01:00:17,000 DIFFERENCES EXISTED WHEN YOU 1622 01:00:17,000 --> 01:00:20,480 CONTROLLED FOR A LOT OF THE 1623 01:00:20,480 --> 01:00:22,480 FACTORS LIKE JOB 1624 01:00:22,480 --> 01:00:27,680 CHARACTERISTICS, WORK EFFORT, 1625 01:00:27,680 --> 01:00:28,120 BACKGROUND, FAMILY 1626 01:00:28,120 --> 01:00:29,440 RESPONSIBILITIES THOSE INCOME 1627 01:00:29,440 --> 01:00:30,200 DISPARITIES EXISTED EVEN AFTER 1628 01:00:30,200 --> 01:00:32,240 YOU CONTROL FOR THOSE 1629 01:00:32,240 --> 01:00:32,600 DIFFERENCES. 1630 01:00:32,600 --> 01:00:35,160 AND YOU KNOW THE LAST THING I 1631 01:00:35,160 --> 01:00:37,840 HAD TO SPEED THROUGH WAS VERY 1632 01:00:37,840 --> 01:00:39,600 RECENTLY, THERE WAS A SIMILAR 1633 01:00:39,600 --> 01:00:46,640 ARLIN SCIENCE AND IN NATURE ARE 1634 01:00:46,640 --> 01:00:48,880 SORT OF CAREER PATH THAT 1635 01:00:48,880 --> 01:00:50,280 SCIENTISTS SIGNED ON TO ASKING 1636 01:00:50,280 --> 01:00:54,080 NSF TO COLLECT DAT ON THE SEXUAL 1637 01:00:54,080 --> 01:00:55,480 ORIENTATION AND GENDER IDENTITY 1638 01:00:55,480 --> 01:00:56,440 OF GRADUATE STUDENTS THIS IS THE 1639 01:00:56,440 --> 01:00:58,720 DATA THIS IS THE FEDERAL DATA ON 1640 01:00:58,720 --> 01:01:01,600 REPRESENTATION IN THE SCIENTIFIC 1641 01:01:01,600 --> 01:01:03,440 PIPELINE AND IT'S UNCLEAR 1642 01:01:03,440 --> 01:01:04,560 WHETHER NSF WILL COLLECT THIS 1643 01:01:04,560 --> 01:01:05,360 DATA OR NOT. 1644 01:01:05,360 --> 01:01:07,320 I BELIEVE IT'S UNDER REVIEW WITH 1645 01:01:07,320 --> 01:01:07,600 OMB. 1646 01:01:07,600 --> 01:01:08,640 I BELIEVE THAT THE COLLECTION OF 1647 01:01:08,640 --> 01:01:11,960 THIS DATA IS ABSOLUTELY 1648 01:01:11,960 --> 01:01:12,200 ESSENTIAL. 1649 01:01:12,200 --> 01:01:13,960 THE EXAMPLES THAT I PROVIDED ARE 1650 01:01:13,960 --> 01:01:16,480 JUST A DROP IN THE BUCKET OF THE 1651 01:01:16,480 --> 01:01:18,600 EVIDENCE THAT SHOWS PINE LINE 1652 01:01:18,600 --> 01:01:19,800 ISSUES FOR SGM SCIENTISTS, WE 1653 01:01:19,800 --> 01:01:21,200 NEED TO COLLECT THIS DATA, WE 1654 01:01:21,200 --> 01:01:23,920 NEED TO UNDERSTAND THE SIZE OF 1655 01:01:23,920 --> 01:01:25,000 THIS PROBLEM AND WE HAVE THE 1656 01:01:25,000 --> 01:01:27,000 OPPORTUNITY TO DO IT, THE ITEMS 1657 01:01:27,000 --> 01:01:28,720 ARE AVAILABLE AND VALIDATED, 1658 01:01:28,720 --> 01:01:36,360 THEY JUST NEED TO BE COLLECTED. 1659 01:01:36,360 --> 01:01:36,760 NTHANK YOU. 1660 01:01:36,760 --> 01:01:39,080 I GUESS WE HAVE A COMMENT FROM 1661 01:01:39,080 --> 01:01:40,720 DR. KAREN BARKER, PLEASE GO 1662 01:01:40,720 --> 01:01:41,360 AHEAD. 1663 01:01:41,360 --> 01:01:45,080 >>YEAH, I WANT TO CLARIFY THAT 1664 01:01:45,080 --> 01:01:46,920 THE NIH SURVEY THAT BRIAN 1665 01:01:46,920 --> 01:01:48,840 MENTIONED WAS ALL ALL FOLKSA THE 1666 01:01:48,840 --> 01:01:52,800 NIH, NOT JUST FOLKS WHO WERE 1667 01:01:52,800 --> 01:01:53,760 SCIENTISTS ALTHOUGH I WOULD 1668 01:01:53,760 --> 01:01:55,240 POSIT THAT AS A SCIENTIFIC 1669 01:01:55,240 --> 01:01:56,360 INSTITUTION, RIGHT, THIS IS 1670 01:01:56,360 --> 01:01:58,000 PROBLEMATIC ACROSS THE BOARD AND 1671 01:01:58,000 --> 01:02:00,640 SO, I JUST WANT TO SAY THAT 1672 01:02:00,640 --> 01:02:02,280 IT'S--THIS IS YOU KNOW IN MANY 1673 01:02:02,280 --> 01:02:06,560 WAYS EVEN A BIGGER PROBLEM IF 1674 01:02:06,560 --> 01:02:08,080 YOU'RE TALKING ABOUT FOLKS WHO 1675 01:02:08,080 --> 01:02:09,960 ARE ALSO IN ADMINISTRATION FOR 1676 01:02:09,960 --> 01:02:10,200 EXAMPLE. 1677 01:02:10,200 --> 01:02:13,360 >>YEAH, THANKS FOR THAT 1678 01:02:13,360 --> 01:02:23,720 CLARIFICATION, KAREN. 1679 01:02:23,720 --> 01:02:24,520 >>ANY OTHER QUESTIONS? 1680 01:02:24,520 --> 01:02:26,880 I GUESS WE HAVE NO MORE 1681 01:02:26,880 --> 01:02:29,600 QUESTIONS SO THANK YOU VERY MUCH 1682 01:02:29,600 --> 01:02:33,080 DR. MUSTANSKI AND I WOULD LIKE 1683 01:02:33,080 --> 01:02:36,120 TO INTRODUCE DR. DEBBIE LENARES 1684 01:02:36,120 --> 01:02:37,320 WHO WILL BE MODERATING THE NKSZ 1685 01:02:37,320 --> 01:02:38,040 SESSION. 1686 01:02:38,040 --> 01:02:40,480 >>THANK YOU SO MUCH RADA, AND 1687 01:02:40,480 --> 01:02:42,240 WHAT A WONDERFUL WAY TO OPEN UP 1688 01:02:42,240 --> 01:02:47,080 THIS AFTERNOON IF YOU'RE HERE ON 1689 01:02:47,080 --> 01:02:47,840 THE EAST COAST. 1690 01:02:47,840 --> 01:02:49,480 SO OUR NEXT SESSION, EXCUSE ME 1691 01:02:49,480 --> 01:02:50,680 MY VOICE, I'M GETTING OVER A 1692 01:02:50,680 --> 01:02:52,560 COLD RIGHT NOW IS LEADING CAUSES 1693 01:02:52,560 --> 01:02:56,760 OF DEATH AND DISABILITY IN SGM 1694 01:02:56,760 --> 01:02:59,240 POPULATIONS SO FOR THIS SESSION 1695 01:02:59,240 --> 01:03:00,240 WE WILL BE DESCRIBING THE 1696 01:03:00,240 --> 01:03:02,480 LEADING CAUSES OF DEATH AND 1697 01:03:02,480 --> 01:03:05,000 DISABILITY IN SGM POPULATIONS IN 1698 01:03:05,000 --> 01:03:06,760 UNMET HEALTHCARE NEEDS INCLUDING 1699 01:03:06,760 --> 01:03:08,080 NATIONAL OR REGIONAL TRENDS. 1700 01:03:08,080 --> 01:03:12,880 OUR FIRST SPEAKER IS DR. BILLY 1701 01:03:12,880 --> 01:03:13,720 CACERES FROM COLUMBIA UNIVERSITY 1702 01:03:13,720 --> 01:03:15,720 SCHOOL OF NURSING AND HE WILL BE 1703 01:03:15,720 --> 01:03:17,360 SPEAKING ON THE STATE OF 1704 01:03:17,360 --> 01:03:18,560 CARDIOVASCULAR HEALTH AMONG 1705 01:03:18,560 --> 01:03:20,560 SEXUAL AND GENDER MINORITY 1706 01:03:20,560 --> 01:03:23,400 POPULATIONS, GAPS IN 1707 01:03:23,400 --> 01:03:23,800 OPPORTUNITIES. 1708 01:03:23,800 --> 01:03:28,400 I WILL NOW HAND THE FLOOR OVER 1709 01:03:28,400 --> 01:03:36,680 TO DR. CACERES FOR HIS TALK. 1710 01:03:36,680 --> 01:03:37,000 DID EMPLOY. 1711 01:03:37,000 --> 01:03:37,880 >>THANK YOU. 1712 01:03:37,880 --> 01:03:40,280 IT'S A PLEASURE BEING HERE FOR 1713 01:03:40,280 --> 01:03:41,560 THIS WORKSHOP AND TALKING TO ALL 1714 01:03:41,560 --> 01:03:44,120 OF YOU, I AM GOING TO TRY TO 1715 01:03:44,120 --> 01:03:45,320 CONDENSE THIS INTO 15 MINUTES, 1716 01:03:45,320 --> 01:03:47,840 BUT I CAN GO ON AND ON ABOUT IT 1717 01:03:47,840 --> 01:03:50,120 SO CARD QUO VASCULAR DISEASE AS 1718 01:03:50,120 --> 01:03:52,320 MANY YOU KNOW IS A LEADING CAUSE 1719 01:03:52,320 --> 01:03:53,680 OF DEATH AND DISABILITY WORLD 1720 01:03:53,680 --> 01:03:55,200 WIDE AND 19 MILL YOIN PEOPLE 1721 01:03:55,200 --> 01:03:58,240 WORLD WIDE DIED OF 1722 01:03:58,240 --> 01:03:58,760 CARDIOVASCULAR DISEASE. 1723 01:03:58,760 --> 01:03:59,480 THE THING THAT SOMETIMES IT'S 1724 01:03:59,480 --> 01:04:01,400 SURPRISING TO ME IS THE FACT 1725 01:04:01,400 --> 01:04:04,240 THAT PEOPLE DON'T OFTEN THINK OF 1726 01:04:04,240 --> 01:04:06,160 CARDIOVASCULAR DISEASE RISK AS 1727 01:04:06,160 --> 01:04:09,080 MODIFIABLE BUT SEIVET% OF 1728 01:04:09,080 --> 01:04:13,080 CARDIOVASCULAR DISEASE RISK IS 1729 01:04:13,080 --> 01:04:14,160 ATTRIBUTAL TO CARDIOVASCULAR 1730 01:04:14,160 --> 01:04:14,960 FACTORS APPROXIMATE AND YOU CAN 1731 01:04:14,960 --> 01:04:17,120 SEE THIS ON THE RIGHT, WHICH IS 1732 01:04:17,120 --> 01:04:18,400 THE LIFE'S ESSENTIAL 8 WHICH IS 1733 01:04:18,400 --> 01:04:20,600 THE IDEA OF CARDIOVASCULAR HELT 1734 01:04:20,600 --> 01:04:21,760 THAT IDENTIFYING 8 MODIFIABLE 1735 01:04:21,760 --> 01:04:23,240 RISK FACTORS THAT PEOPLE CAN 1736 01:04:23,240 --> 01:04:25,800 SORT OF GET UNDER CONTROL OR 1737 01:04:25,800 --> 01:04:27,360 REDUCE TO IMPROVE THEIR 1738 01:04:27,360 --> 01:04:28,360 CARDIOVASCULAR HEALTH AND I WILL 1739 01:04:28,360 --> 01:04:30,160 TALK ABOUT MOST OF THESE RISK 1740 01:04:30,160 --> 01:04:31,400 FACTORS HERE TODAY AND THE 1741 01:04:31,400 --> 01:04:32,600 INTERESTING THING IS THAT 1742 01:04:32,600 --> 01:04:35,680 ALTHOUGH WE KNOW THERE ARE SEX, 1743 01:04:35,680 --> 01:04:37,200 RACIAL AND SOCIOECONOMIC 1744 01:04:37,200 --> 01:04:39,720 DISPARITIES IN CDC PREVALENCE 1745 01:04:39,720 --> 01:04:42,480 AND TREATMENT, THERE HAS BEEN 1746 01:04:42,480 --> 01:04:43,760 CONSIDERABLY LESS ON SGM 1747 01:04:43,760 --> 01:04:45,680 POPULATIONS AND THIS IS 1 OF THE 1748 01:04:45,680 --> 01:04:47,080 THINGS THAT INSPIRED TO START 1749 01:04:47,080 --> 01:04:49,160 DOING RESEARCH IN THIS AREA WAS 1750 01:04:49,160 --> 01:04:50,320 THE 2011 REPORT FROM THE 1751 01:04:50,320 --> 01:04:51,520 INSTITUTE OF MEDICINE WHICH 1752 01:04:51,520 --> 01:04:53,960 REALLY IDENTIFIED THE LACK OF 1753 01:04:53,960 --> 01:04:54,800 RESEARCH AROUND CART 1754 01:04:54,800 --> 01:04:55,920 CARDIOVASCULAR DISEASE IN SGM 1755 01:04:55,920 --> 01:04:57,600 INDIVIDUALS AND THAT'S SORT OF 1756 01:04:57,600 --> 01:04:58,560 BEEN VERY INFORMATIVE SORT OF IN 1757 01:04:58,560 --> 01:04:59,960 A LOT OF WORK THEY WILL PRESENT 1758 01:04:59,960 --> 01:05:02,760 TODAY AND I WILL CALL OUT THE 1759 01:05:02,760 --> 01:05:04,560 FOLLOW UP REPORT IN 2020 YEAR ON 1760 01:05:04,560 --> 01:05:08,040 THE RIGHT WHICH NOW INCLUDES AN 1761 01:05:08,040 --> 01:05:10,040 ENTIRE SELECTION RELATED TO 1762 01:05:10,040 --> 01:05:11,040 CARDIOVASCULAR DISEASE,'S SO A 1763 01:05:11,040 --> 01:05:12,840 LOT OF WHAT I WILL TALK ABOUT 1764 01:05:12,840 --> 01:05:13,800 TODAY IS SUMMARIZED IN THAT 1765 01:05:13,800 --> 01:05:15,800 REPORT BUT IF YOU WANT TO LEARN 1766 01:05:15,800 --> 01:05:16,800 MORE, I ENCOURAGE TO YOU GO 1767 01:05:16,800 --> 01:05:17,640 THERE. 1768 01:05:17,640 --> 01:05:22,600 SO WE KNOW THAT SOCIAL 1769 01:05:22,600 --> 01:05:23,120 DETERMINANTS CONTRIBUTE TO 1770 01:05:23,120 --> 01:05:24,400 NEGATIVE OUTCOMES IN SGM PEOPLE. 1771 01:05:24,400 --> 01:05:26,240 THIS IS JUST SOME OF THEM, THIS 1772 01:05:26,240 --> 01:05:28,000 IS NOT AN EXHAUSTIVE LIST IN ANY 1773 01:05:28,000 --> 01:05:29,280 WAY BUT THE INTERESTING THING IS 1774 01:05:29,280 --> 01:05:31,720 THAT WE KNOW VERY LITTLE ABOUT 1775 01:05:31,720 --> 01:05:33,360 SOCIAL AND STRUCTURAL 1776 01:05:33,360 --> 01:05:34,200 DETERMINANTS THAT INFLUENCE 1777 01:05:34,200 --> 01:05:34,840 CARDIOVASCULAR HEALTH AND SOME 1778 01:05:34,840 --> 01:05:36,320 OF THE WORK WE'VE DONE RECENTLY 1779 01:05:36,320 --> 01:05:38,600 HAS REALLY TRIED TO SORT OF 1780 01:05:38,600 --> 01:05:39,760 UNDERSTAND THESE MECHANISMS AND 1781 01:05:39,760 --> 01:05:42,800 RISK FACTORS A LITTLE BIT 1782 01:05:42,800 --> 01:05:43,040 BETTER. 1783 01:05:43,040 --> 01:05:44,640 SO IN 2020 I HAD THE PLEASURE OF 1784 01:05:44,640 --> 01:05:45,920 LEADING THE AMERICAN HEART 1785 01:05:45,920 --> 01:05:47,400 ASSOCIATIONS FOR SCIENTIFIC 1786 01:05:47,400 --> 01:05:48,480 STATEMENTOT HEALTH OF SGM 1787 01:05:48,480 --> 01:05:51,880 INDIVIDUALS AND AS PART OF THAT 1788 01:05:51,880 --> 01:05:54,840 WRITING GROUP, WE PUBLISH IN 1789 01:05:54,840 --> 01:05:56,680 CONCEPTUAL MODEL THAT IDENTIFIES 1790 01:05:56,680 --> 01:05:58,360 HOW DIFFERENT STRESSORS AND 1791 01:05:58,360 --> 01:06:01,720 GENERAL LIKE MINORITY STRESSORS 1792 01:06:01,720 --> 01:06:02,480 INFLUENCE DIFFERENT RISK FACTORS 1793 01:06:02,480 --> 01:06:04,960 THAT ARE KNOWN TO INFLUENZ 1794 01:06:04,960 --> 01:06:06,840 CARDIOVASCULAR RISK BUT HAVE NOT 1795 01:06:06,840 --> 01:06:09,040 BEEN STUDIED WITHIN THE CONTEXT 1796 01:06:09,040 --> 01:06:10,840 OF CARDIO VASCLER HEALTH AMONG 1797 01:06:10,840 --> 01:06:13,000 THE RISK TO SGM INDIVIDUALS. 1798 01:06:13,000 --> 01:06:15,040 AND WE THINK SGM RESEARCH 1799 01:06:15,040 --> 01:06:16,360 FOCUSES ON SUBSTANCE USE HIV, 1800 01:06:16,360 --> 01:06:20,120 MENTAL HEALTH AND A LOT OF THOSE 1801 01:06:20,120 --> 01:06:22,360 HEALTH OUTCOMES ARE ACTUAL 1802 01:06:22,360 --> 01:06:22,880 ACTUALLY RISK OUTSTANDING 1803 01:06:22,880 --> 01:06:23,680 DEDICATION COMES AND WE DON'T 1804 01:06:23,680 --> 01:06:25,200 THINK ABOUT IT THAT WAALSO 1 OF 1805 01:06:25,200 --> 01:06:26,400 THE THINGS WE CALLED OUT IN THE 1806 01:06:26,400 --> 01:06:28,760 STATEMENT IS THE NEED MOO TO 1807 01:06:28,760 --> 01:06:29,360 LOOK AT PHYSIOLOGICAL 1808 01:06:29,360 --> 01:06:30,520 MECHANISMS, WHICH HAVE REALLY 1809 01:06:30,520 --> 01:06:32,600 BEEN UNDERSTUDIED WITHIN THE 1810 01:06:32,600 --> 01:06:37,040 CONTEXT OF CARDIOVASCULAR HEALTH 1811 01:06:37,040 --> 01:06:38,160 AMONG SGM PEOPLE. 1812 01:06:38,160 --> 01:06:39,680 WE THEN, I WAS FORTUNATE ENOUGH 1813 01:06:39,680 --> 01:06:43,080 TO BE A CO AUTHOR ON THE 1814 01:06:43,080 --> 01:06:44,920 AMERICAN HEART ASSOCIATION THAT 1815 01:06:44,920 --> 01:06:46,160 FOCUSED ON TRANSGENDER AND 1816 01:06:46,160 --> 01:06:46,800 GEPPEDDER DIVERSE INDIVIDUALS 1817 01:06:46,800 --> 01:06:49,160 AND AGAIN, I SHOWED THIS AS SORT 1818 01:06:49,160 --> 01:06:50,720 OF A RESEARCH TO LRCH MORE ABOUT 1819 01:06:50,720 --> 01:06:51,640 THIS TOPIC BUT 1 OF THE BIG 1820 01:06:51,640 --> 01:06:53,840 THINGS THAT CAME OUT OF THIS 1821 01:06:53,840 --> 01:06:58,600 SCIENTIFIC SPHAIMENT IS MANY OF 1822 01:06:58,600 --> 01:07:02,160 THE METHOD LOGICAL ISSUES THAT 1823 01:07:02,160 --> 01:07:04,720 EXAMINED THE CARDIOVASCULAR 1824 01:07:04,720 --> 01:07:05,760 HEALTH OF MINORITY INDIVIDUALS 1825 01:07:05,760 --> 01:07:07,200 AND I GALLONY INTO IT IN A FEW 1826 01:07:07,200 --> 01:07:09,760 SLIDES BUT A LOT OF WHAT WE KNOW 1827 01:07:09,760 --> 01:07:11,280 IS ABOUT CARDIOVASCULAR HEALTH 1828 01:07:11,280 --> 01:07:12,400 IN GENDER AND TRANSINDIVIDUALS 1829 01:07:12,400 --> 01:07:13,400 IS REALLY MIXED AND I THINK IT 1830 01:07:13,400 --> 01:07:16,120 HAS TO DO WITH METHOD LOGICAL 1831 01:07:16,120 --> 01:07:16,600 LIMITATIONS. 1832 01:07:16,600 --> 01:07:21,200 SO IN TERMS OF WHAT WE KNOW 1833 01:07:21,200 --> 01:07:24,800 ABOUT MINORITY STRESS AND CVD 1834 01:07:24,800 --> 01:07:25,840 RISK, THERE'S STRESSORS, UNIQUE 1835 01:07:25,840 --> 01:07:27,240 STRESSORS THAT INDIVIDUALS OR 1836 01:07:27,240 --> 01:07:29,080 GROUPS INDIVIDUALS EXPERIENCE 1837 01:07:29,080 --> 01:07:30,680 BECAUSE OF THEIR STIGMATIZED 1838 01:07:30,680 --> 01:07:32,560 IESHES DENTITIES AND WE KNOW 1839 01:07:32,560 --> 01:07:33,480 VERY LITTLE ABOUT CARDIOVASCULAR 1840 01:07:33,480 --> 01:07:34,720 HEALTH AND SGM INDIVIDUALS. 1841 01:07:34,720 --> 01:07:36,760 THERE HAVE BEEN SOME STUDIES 1842 01:07:36,760 --> 01:07:38,480 THAT SHOW THE MINORITY 1843 01:07:38,480 --> 01:07:39,160 STRESSORS, THINGS OF 1844 01:07:39,160 --> 01:07:40,160 DISCRIMINATION ARE ASSOCIATED 1845 01:07:40,160 --> 01:07:42,640 WITH THE HIGH PREVALENCE USE OF 1846 01:07:42,640 --> 01:07:45,760 TOBACCO USE AND INDIVIDUALS BUT 1847 01:07:45,760 --> 01:07:47,880 FOR OTHER CARDIOVASCULAR 1848 01:07:47,880 --> 01:07:50,080 OUTCOMES IT'S A NASCENT AREA OF 1849 01:07:50,080 --> 01:07:51,520 RESEARCH AND I WILL HIGHLIGHT 1850 01:07:51,520 --> 01:07:53,120 THE 1 EXAMPLE WHERE OUR TEAM IS 1851 01:07:53,120 --> 01:07:55,440 ABOUT TO PUBLISH, WE USE 1852 01:07:55,440 --> 01:07:56,400 LONGITUDINAL DATA FROM THE 1853 01:07:56,400 --> 01:07:57,240 CHICAGO AND HEGHT LIFE 1854 01:07:57,240 --> 01:08:01,200 EXPERIENCES OF WOMEN STUDY, IT 1855 01:08:01,200 --> 01:08:03,960 IS 23 YEAR LONG STUDY OF SEXUAL 1856 01:08:03,960 --> 01:08:05,560 MINORITY WOMEN'S HEALTH AND 1857 01:08:05,560 --> 01:08:11,520 FOUND THAT WOMEN WHO REPORTED 1858 01:08:11,520 --> 01:08:13,200 HAD HIGHER HYPER ATTENTION AND 1859 01:08:13,200 --> 01:08:15,560 THESE ARE WOMEN IN MIDLIFE SO 1860 01:08:15,560 --> 01:08:17,760 THE RATES OF HYPERTENSION ARE 1861 01:08:17,760 --> 01:08:19,160 HIGHER IN INDIVIDUALS OF MIDDLE 1862 01:08:19,160 --> 01:08:22,640 AGE AND OLDER AGE BUT IT'S STILL 1863 01:08:22,640 --> 01:08:25,800 1 OF THE FIRST TO USE TO LOOK AT 1864 01:08:25,800 --> 01:08:28,640 INFLUENCE OF MINORITY STRESSORS 1865 01:08:28,640 --> 01:08:30,040 IN RELATIONSHIP TO 1866 01:08:30,040 --> 01:08:30,560 CARDIOVASCULAR HEALTH. 1867 01:08:30,560 --> 01:08:31,640 I THINK IT'S IMPORTANT TO TALK 1868 01:08:31,640 --> 01:08:32,920 ABOUT ADDITION AMILLIO FACTORS, 1869 01:08:32,920 --> 01:08:36,440 SO WE KNOW THAT SGM INDIVIDUALS 1870 01:08:36,440 --> 01:08:37,760 REPORT HIGH RATES OF 1871 01:08:37,760 --> 01:08:38,680 EXPERIENCING VIOLENCE AND SOME 1872 01:08:38,680 --> 01:08:40,880 GROUPS EXPERIENCE HIGHER RATES 1873 01:08:40,880 --> 01:08:42,160 OF POVERTY THAN THE GENERATION 1874 01:08:42,160 --> 01:08:43,920 AND VIOLENCE AND POVERTY ARE 1875 01:08:43,920 --> 01:08:45,920 WELL DOCUMENTED RISK FACTORS FOR 1876 01:08:45,920 --> 01:08:47,320 CARDIOVASCULAR DISEASE IN THE 1877 01:08:47,320 --> 01:08:47,760 GENERAL POPULATION. 1878 01:08:47,760 --> 01:08:49,000 ONE OF THE THINGS I GET ASKED 1879 01:08:49,000 --> 01:08:51,920 ABOUT A LOT IS ABOUT GENDER 1880 01:08:51,920 --> 01:08:54,440 AFFIRMING HORMONE THERAPY AND 1881 01:08:54,440 --> 01:08:54,960 CARDIOVASCULAR RISK AMONG 1882 01:08:54,960 --> 01:08:56,120 TRANSGENDER PEOPLE BUT AS I 1883 01:08:56,120 --> 01:08:57,200 STATED BEFORE, THE EVIDENT IS 1884 01:08:57,200 --> 01:08:58,160 MIXED FOR A NUMBER OF REASONS 1885 01:08:58,160 --> 01:09:01,040 AND I CAN GET INTO IN A LITTLE 1886 01:09:01,040 --> 01:09:02,680 BIT AND ALSO WE KNOW THAT 1887 01:09:02,680 --> 01:09:03,960 CERTAIN GROUPS OF SGM 1888 01:09:03,960 --> 01:09:04,800 INDIVIDUALS EXPERIENCE MUCH 1889 01:09:04,800 --> 01:09:08,120 HIGHER RATES OF HIV AND AIDS AND 1890 01:09:08,120 --> 01:09:10,760 HIV AS BEEN AS A PRO 1891 01:09:10,760 --> 01:09:12,280 INFLAMMATORY CONDITION IT HAS 1892 01:09:12,280 --> 01:09:13,600 BEEN ASSOCIATED IN PEOPLE WHO 1893 01:09:13,600 --> 01:09:14,720 HAVE THE CONDITION. 1894 01:09:14,720 --> 01:09:18,320 THE OTHER ISSUE IS THAT MIGHT 1895 01:09:18,320 --> 01:09:18,920 EFFECT CARDIOVASCULAR DISEASE 1896 01:09:18,920 --> 01:09:19,600 PREVENTION AND TREATMENT IS 1897 01:09:19,600 --> 01:09:22,520 REALLY THE LACK OF ACCESS TO 1898 01:09:22,520 --> 01:09:23,160 CULTURALLY APPROPRIATE 1899 01:09:23,160 --> 01:09:24,320 HEALTHCARE THAT MANY SGM 1900 01:09:24,320 --> 01:09:25,120 INDIVIDUALS EXPERIENCE AS WELL 1901 01:09:25,120 --> 01:09:27,560 AS FEAR OF POTENTIALLY 1902 01:09:27,560 --> 01:09:29,280 EXPERIENCES DISCRIMINATION FROM 1903 01:09:29,280 --> 01:09:31,400 HEALTHCARE PROVIDERS, CAN CAUSE 1904 01:09:31,400 --> 01:09:35,640 MANY LGBT Q PEOPLE TO DELAY 1905 01:09:35,640 --> 01:09:37,040 SEEKING CARE ACTUALLY AVOID 1906 01:09:37,040 --> 01:09:38,160 SEEKING CARE UNTIL THEY 1907 01:09:38,160 --> 01:09:38,840 ABSOLUTELY NEED TO. 1908 01:09:38,840 --> 01:09:40,680 SO I WILL TALK ABOUT A FEW OF 1909 01:09:40,680 --> 01:09:44,120 THE RISK FACTORS, THERE'S 10 1910 01:09:44,120 --> 01:09:45,960 DIFFERENT RISK FACTORS, THERE 1911 01:09:45,960 --> 01:09:47,880 ARE TAKEN FOR CVD. 1912 01:09:47,880 --> 01:09:49,400 IERM ONLY GOING TO TALK ABOUT A 1913 01:09:49,400 --> 01:09:50,440 FEW OF THEM. 1914 01:09:50,440 --> 01:09:52,440 SO FOR TOBACCO USE, WE KNOW 1915 01:09:52,440 --> 01:09:54,480 PRETTY CONSISTENTLY THAT SEXUAL 1916 01:09:54,480 --> 01:09:56,120 MINORITY ADULTS ARE MORE LIKELY 1917 01:09:56,120 --> 01:09:58,120 TO REPORT CURRENT AND LIFETIME 1918 01:09:58,120 --> 01:09:59,600 USE THAN HETEROSEXUAL ADULTS, 1919 01:09:59,600 --> 01:10:00,720 FINDINGS FOR INDIVIDUALS ARE 1920 01:10:00,720 --> 01:10:02,440 CONFLICTING BUT WE DO KNOW THAT 1921 01:10:02,440 --> 01:10:04,200 DATA FROM THE U.S. TRANSGENDER 1922 01:10:04,200 --> 01:10:06,080 SURVEY HAS SHOWN THAT GREATER 1923 01:10:06,080 --> 01:10:08,040 EXPOSE TOWER DISCRIMINATION IS 1924 01:10:08,040 --> 01:10:10,040 ASSOCIATED WITH BOTH INCREASED 1925 01:10:10,040 --> 01:10:11,640 CIGARETTE USE AND DUAL CIGARETTE 1926 01:10:11,640 --> 01:10:15,520 USE WHICH IS THE USE OF 1927 01:10:15,520 --> 01:10:19,920 COMBUTTIVIBLE AND ELECTRONIC 1928 01:10:19,920 --> 01:10:23,120 CIGARETTES AT THE SAME TIME. 1929 01:10:23,120 --> 01:10:24,880 THIS STUDY MYSELF AND COLLEAGUES 1930 01:10:24,880 --> 01:10:27,160 FOCUSED ON A FEW YEARS AGO ON 1931 01:10:27,160 --> 01:10:29,160 DIET AND FOOD INSURVEYS CURITY 1932 01:10:29,160 --> 01:10:31,560 AND CVD RISK IN SEXUAL AND 1933 01:10:31,560 --> 01:10:32,360 GENDER MINORITY, THIS DIET IS 1934 01:10:32,360 --> 01:10:33,880 NOT SOMETHING THAT I STUDY OFTEN 1935 01:10:33,880 --> 01:10:38,200 BUT THERE WAS A LOT OF 1936 01:10:38,200 --> 01:10:39,640 INCONSISTENCIES IN FINDINGS 1937 01:10:39,640 --> 01:10:41,720 REGARDING QUALITY AND SGM AND 1938 01:10:41,720 --> 01:10:43,160 NONSGM INDIVIDUALS AND I THINK 1939 01:10:43,160 --> 01:10:44,920 THAT HAS TO DO WITH IS ISSUES 1940 01:10:44,920 --> 01:10:46,680 WITH THE MEASUREMENT OF DIET AND 1941 01:10:46,680 --> 01:10:48,240 DIET QUALITY WHERE SOMETIMES 1942 01:10:48,240 --> 01:10:49,520 PEOPLE USE VALIDATED MEASURE, 1943 01:10:49,520 --> 01:10:51,880 OFTEN TIMES THEY DON'T. 1944 01:10:51,880 --> 01:10:54,800 WE ENDED UP LOOKING AT FOOD 1945 01:10:54,800 --> 01:10:57,480 INSECURITY BECAUSE IT'S ROBUST 1946 01:10:57,480 --> 01:10:58,400 PREDICTOR OF CARDIOVASCULAR 1947 01:10:58,400 --> 01:10:59,920 OUTCOMES AND HAS BEEN 1948 01:10:59,920 --> 01:11:00,880 UNDERSTUDIED IN SGM PEOPLE AND 1949 01:11:00,880 --> 01:11:02,920 WHAT WE FOWBD WAS THAT PRETTY 1950 01:11:02,920 --> 01:11:05,200 CONSISTENTLY THE TRANSGENDER 1951 01:11:05,200 --> 01:11:06,280 INDIVIDUALS IN SEXUAL MINORITY 1952 01:11:06,280 --> 01:11:08,560 WOMEN HAVE MUCH HIGHER RATES OF 1953 01:11:08,560 --> 01:11:14,040 FOOD INSECURITY BUT THE RESEARCH 1954 01:11:14,040 --> 01:11:18,160 IN TERMS OF DIET AND CVD WAS 1955 01:11:18,160 --> 01:11:20,040 MINIMAL SO THERE'S A BIG GAP IN 1956 01:11:20,040 --> 01:11:22,360 THESE AREAS OF THESE FACTORS TO 1957 01:11:22,360 --> 01:11:23,240 1'S OVERALL CARDIOVASCULAR 1958 01:11:23,240 --> 01:11:23,480 HEALTH. 1959 01:11:23,480 --> 01:11:28,720 I'M GOING TO HIGHLIGHT THIS 1960 01:11:28,720 --> 01:11:32,720 NARRATIVE REVIEW THAT ROB AND 1961 01:11:32,720 --> 01:11:33,680 COLLEAGUES PUBLISHED 2 OR 3 1962 01:11:33,680 --> 01:11:35,600 YEARS AGO THAT FOCUS ON SLEEP 1963 01:11:35,600 --> 01:11:37,280 HEALTH AMONG SEX AND GENDER 1964 01:11:37,280 --> 01:11:38,080 MINORITY INDIVIDUALS AND AMONG 1965 01:11:38,080 --> 01:11:41,760 THE MAIN THINGS THAT THEY FOUND 1966 01:11:41,760 --> 01:11:44,400 WAS THAT PRETTY CONSISTENTLY 1967 01:11:44,400 --> 01:11:45,240 MINORITY AND TRANSGENDER 1968 01:11:45,240 --> 01:11:47,840 INDIVIDUALS HAD HIGHER RATES OF 1969 01:11:47,840 --> 01:11:49,480 SHORT SLEEVE DURATION COMPARED 1970 01:11:49,480 --> 01:11:51,640 TO NONSGM INDIVIDUALS AND THERE 1971 01:11:51,640 --> 01:11:52,760 WAS AN INTERESTING FINDINGS IN 1972 01:11:52,760 --> 01:11:54,400 TERMS OF MOST OF THE RESEARCH 1973 01:11:54,400 --> 01:11:56,000 HAS BEEN DESCRIPTIVE, VERY FEW 1974 01:11:56,000 --> 01:11:57,640 STUDIES HAVE LOOKED AT SOCIAL 1975 01:11:57,640 --> 01:11:58,920 AND STRUCTURALLY YOUAL 1976 01:11:58,920 --> 01:11:59,960 DENARMINANTS OF SLEEP HEALTH IN 1977 01:11:59,960 --> 01:12:01,480 THIS POPULATION AND MOST 1978 01:12:01,480 --> 01:12:03,200 STRIKINGLY, THERE IS A LACK OF 1979 01:12:03,200 --> 01:12:06,520 EXAM NATION OF RACIAL AND ETHNIC 1980 01:12:06,520 --> 01:12:08,040 DIFFERENCES IN SLEEP AMONG 1981 01:12:08,040 --> 01:12:12,360 SEXUAL AND GENDER MINORITY 1982 01:12:12,360 --> 01:12:13,160 PEOPLE. 1983 01:12:13,160 --> 01:12:16,720 AND IESM GOING HIGHLIGHT 1 OF 1984 01:12:16,720 --> 01:12:18,400 THE STUDIES WE LOOKEDDA WHERE WE 1985 01:12:18,400 --> 01:12:22,720 LOOK AT SLEEP DURATION 1986 01:12:22,720 --> 01:12:24,480 DIFFERENCES BETWEEN SEXUAL 1987 01:12:24,480 --> 01:12:26,200 MINORITY AND HETEROSEXUAL ADULTS 1988 01:12:26,200 --> 01:12:27,760 BUT THEN STRATIFY THESE BASED ON 1989 01:12:27,760 --> 01:12:29,520 RACE AND ETHNICITY AND UNCOVERED 1990 01:12:29,520 --> 01:12:30,800 INTERESTING THINGS SO I WILL 1991 01:12:30,800 --> 01:12:32,200 SUMMARIZE THAT IN THE NEXT 1992 01:12:32,200 --> 01:12:32,640 SLIDE. 1993 01:12:32,640 --> 01:12:34,480 SO CONSISTENT WITH THE SLEEP 1994 01:12:34,480 --> 01:12:37,080 NARRATIVE REVIEW THEY JUST 1995 01:12:37,080 --> 01:12:40,280 DISCUSSED, WE FOUND THAT SEXUAL 1996 01:12:40,280 --> 01:12:42,560 MINORITY WOMEN WERE 80% MORE 1997 01:12:42,560 --> 01:12:44,760 LIKELY THAN TO REPORT SLEEP 1998 01:12:44,760 --> 01:12:47,200 DURATION, WHICH IS ON AVERAGE 1999 01:12:47,200 --> 01:12:48,000 SLEEPING LESS THAN 4 HOURS PER 2000 01:12:48,000 --> 01:12:50,680 NIGHT BUT WHEN WEAC AT RACIAL 2001 01:12:50,680 --> 01:12:51,600 AND ETHNIC DIFFERENCES WE FOUND 2002 01:12:51,600 --> 01:12:54,720 THAT THIS DISPARITY WAS GREATER 2003 01:12:54,720 --> 01:12:57,960 FOR BLACK, LESBIAN AND BISEXUAL 2004 01:12:57,960 --> 01:12:58,160 WOMEN. 2005 01:12:58,160 --> 01:13:00,520 FOR SEXUAL MINORITY MEN AND GAY 2006 01:13:00,520 --> 01:13:02,680 AND BISEXUAL MEN WE FOUND NO 2007 01:13:02,680 --> 01:13:04,760 DIFFERENCES IN SLEEP DURATION 2008 01:13:04,760 --> 01:13:06,320 WHEN WE COMPARE THEM TO 2009 01:13:06,320 --> 01:13:08,080 HETEROSEXUAL MEN AND THEN THE 2010 01:13:08,080 --> 01:13:11,520 LARGER GROUP, BUT THEN WHEN WE 2011 01:13:11,520 --> 01:13:12,800 STRATIFIED THE SLEEP DURATION, 2012 01:13:12,800 --> 01:13:14,560 WE FOUND THAT BLACK GAY MEN AND 2013 01:13:14,560 --> 01:13:16,680 BLACK BISEXUAL MEN OF COLOR, AND 2014 01:13:16,680 --> 01:13:18,560 BISEXUAL MEN OF COLOR WERE MORE 2015 01:13:18,560 --> 01:13:21,400 LIKELY TO REPORT BOTH SHORT AND 2016 01:13:21,400 --> 01:13:23,520 LONG SLEEP DURATION. 2017 01:13:23,520 --> 01:13:24,480 AND SLEEP IS AN IMPORTANT THING 2018 01:13:24,480 --> 01:13:26,240 BECAUSE WE ALL SLEEP, SOME OF US 2019 01:13:26,240 --> 01:13:28,000 MIGHT WANT TO SLEEP MORE OR LESS 2020 01:13:28,000 --> 01:13:29,240 THAN WE CURRENTLY DO BUT SLEEP 2021 01:13:29,240 --> 01:13:34,680 IS A NOTED RISK FACTOR FOR 2022 01:13:34,680 --> 01:13:38,680 CHRONIC CONDITIONS IN CANCER AND 2023 01:13:38,680 --> 01:13:39,240 CARDIOVASCULAR CONDITIONS. 2024 01:13:39,240 --> 01:13:40,600 IN TERMS OF DIAGNOSES, THERE'S 2025 01:13:40,600 --> 01:13:42,000 LITTLE RESEARCH ON THESE 2026 01:13:42,000 --> 01:13:42,920 CARDIOVASCULAR DIAGNOSIS AND 2027 01:13:42,920 --> 01:13:44,560 THAT'S BECAUSE WE HAVE LIMITED 2028 01:13:44,560 --> 01:13:45,920 AVAILABILITY OF CLINICAL DAT 2029 01:13:45,920 --> 01:13:47,000 FROM ELECTRONIC HEALTH RECORDS 2030 01:13:47,000 --> 01:13:48,120 TO OTHER TYPES OF DATA TO 2031 01:13:48,120 --> 01:13:49,560 EXAMINE THIS, BUT THERE IS 2032 01:13:49,560 --> 01:13:51,360 EVIDENCE FROM THE ELECTRONIC 2033 01:13:51,360 --> 01:13:52,280 HEALTH RECORD DATA THAT 2034 01:13:52,280 --> 01:13:53,360 TRANSGENDER WOMEN ON ESTRO 2035 01:13:53,360 --> 01:13:55,320 GENERATED THERAPY HAVE A HIGHER 2036 01:13:55,320 --> 01:13:56,400 EN--STRATEGIES DENSE OF ESCHEMIC 2037 01:13:56,400 --> 01:13:58,000 STROKE BUT OVER ALL THERE'S 2038 01:13:58,000 --> 01:14:00,000 BEFORE VERY STUDIES THAT HAVE 2039 01:14:00,000 --> 01:14:04,840 BEEN CONDUCTED ON THIS TOPIC. 2040 01:14:04,840 --> 01:14:07,440 SO IN SUMMARY, WE SEE 2041 01:14:07,440 --> 01:14:08,120 CONSISTENTLY HIGH PREVALENCE 2042 01:14:08,120 --> 01:14:09,480 EVER TOBACCO USE, THERE'S 2043 01:14:09,480 --> 01:14:11,080 EVIDENCE OF DISPARITIES IN DIET 2044 01:14:11,080 --> 01:14:11,720 QUALITY AND PHYSICAL ACTIVITY 2045 01:14:11,720 --> 01:14:15,400 BUT THAT IS MIXED, LESBIAN AND 2046 01:14:15,400 --> 01:14:16,800 BISEXUAL WOMEN ARE AT HIGHER 2047 01:14:16,800 --> 01:14:19,240 RISK FOR HEAVY DRINKING, SLEEP 2048 01:14:19,240 --> 01:14:20,720 DURATION AND OBESITY AND 2049 01:14:20,720 --> 01:14:22,440 DIABETES, ALTHOUGH EVIDENCE FOR 2050 01:14:22,440 --> 01:14:23,160 DIABETES IS MIXED DEPENDING ON 2051 01:14:23,160 --> 01:14:25,040 WHETHER OR NOT IT'S A 2052 01:14:25,040 --> 01:14:26,840 SELF-REPORTED DIABETES OR WE'RE 2053 01:14:26,840 --> 01:14:29,720 ACTUALLY EXAMINING BIOMARKERS OF 2054 01:14:29,720 --> 01:14:31,200 DPLI SEEMIC STATUS, BISEXUAL MEN 2055 01:14:31,200 --> 01:14:33,440 SEEM TO BE AT RISK FOR OBESITY 2056 01:14:33,440 --> 01:14:35,400 AND HYPERTENSION AND GAY MEN 2057 01:14:35,400 --> 01:14:37,680 GENERALLY HAVE MORE FAVORABLE 2058 01:14:37,680 --> 01:14:38,880 CARDIOVASCULAR HEALTH PROFILES 2059 01:14:38,880 --> 01:14:41,480 THAN HETEROGENEOUSERY SEXUAL 2060 01:14:41,480 --> 01:14:41,640 MEN. 2061 01:14:41,640 --> 01:14:43,680 OVERALL WE SEE THAT 2062 01:14:43,680 --> 01:14:44,760 CARDIOVASCULAR HEALTH 2063 01:14:44,760 --> 01:14:45,880 DISPARITIES AMONG SEXUAL 2064 01:14:45,880 --> 01:14:47,640 MINORITY INDIVIDUALS ARE MORE 2065 01:14:47,640 --> 01:14:49,160 PRONOUNCED BY BLACK AND OTHER 2066 01:14:49,160 --> 01:14:50,560 INDIVIDUALS AND THERE'S GROWING 2067 01:14:50,560 --> 01:14:51,800 EVIDENCE THAT THE DISPARITIES 2068 01:14:51,800 --> 01:14:54,760 WE'VE SEEN AMONG SEXUAL ADULTS 2069 01:14:54,760 --> 01:14:56,760 EMERGES EARLY IN ADOLESCENCE, 2070 01:14:56,760 --> 01:14:57,920 OUR TEAM ANALYZED THIS SURVEY 2071 01:14:57,920 --> 01:15:00,360 AND THEY FOUND CONSISTENT 2072 01:15:00,360 --> 01:15:03,200 FINDINGS WE'VE DONE WITH THE 2073 01:15:03,200 --> 01:15:03,720 GROUPS. 2074 01:15:03,720 --> 01:15:05,400 AMONG GENDER MINORITY 2075 01:15:05,400 --> 01:15:08,000 POPULATIONS, MOST HAVE BEEN ON 2076 01:15:08,000 --> 01:15:08,760 THE GENDER-AFFIRMING HORMONE 2077 01:15:08,760 --> 01:15:09,640 THERAPY WHICH I UNDERSTAND WHY 2078 01:15:09,640 --> 01:15:10,360 PEOPLE ARE INTERESTED AND 2079 01:15:10,360 --> 01:15:13,880 CONCERNED ABOUT THAT BUT I THINK 2080 01:15:13,880 --> 01:15:17,480 THAT OFTEN TIMES, WE--DIMINISHES 2081 01:15:17,480 --> 01:15:23,480 THE IMPACT OF SOCIAL AND AND 2082 01:15:23,480 --> 01:15:25,200 OTHER DETERMINANTS, SO MOST OF 2083 01:15:25,200 --> 01:15:26,520 THESE CARDIOVASCULAR RISK 2084 01:15:26,520 --> 01:15:28,120 FOCTORS, FINDINGS ARE LARGELY 2085 01:15:28,120 --> 01:15:29,760 CONFLICTING, MOST OF THESE 2086 01:15:29,760 --> 01:15:31,480 STUDIES HAVE BEEN KROTIONZ 2087 01:15:31,480 --> 01:15:33,960 SECTIONAL WITH SMALL SAMPLES OF 2088 01:15:33,960 --> 01:15:35,360 TRANSGENDER ADULTS ON HORMONE 2089 01:15:35,360 --> 01:15:36,800 THERAPY AND AWNCH TIMES THEY 2090 01:15:36,800 --> 01:15:38,560 INCLUDE SAMPLES OF INDIVIDUALS 2091 01:15:38,560 --> 01:15:40,240 THAT ARE PRIMARILY WHITE, THEY 2092 01:15:40,240 --> 01:15:43,720 HAVE SORT OF LIKE METHOD LOGICAL 2093 01:15:43,720 --> 01:15:46,400 ISSUES, IN TERMS OF BOTH 2094 01:15:46,400 --> 01:15:47,240 RECRUITMENT AND DESIGN AND DATA 2095 01:15:47,240 --> 01:15:47,520 COLLECTION. 2096 01:15:47,520 --> 01:15:48,520 AND 1 THING THEY THINK IS 2097 01:15:48,520 --> 01:15:50,880 INTERESTING IS THAT AS MORE AND 2098 01:15:50,880 --> 01:15:53,360 MORE INDIVIDUALS IDENTIFY AS 2099 01:15:53,360 --> 01:15:55,000 GENDER CLEAR, GENDER NONBINARY, 2100 01:15:55,000 --> 01:15:56,680 WE HAVE FEW STUDIES THAT HAVE 2101 01:15:56,680 --> 01:15:57,920 EXAMINED THE RISK IN THOSE 2102 01:15:57,920 --> 01:16:01,400 GROUPS SO IT'S UNXOAN WHAT THE 2103 01:16:01,400 --> 01:16:02,600 CARDIOVASCULAR HEALTH OF THOSE 2104 01:16:02,600 --> 01:16:03,080 POPULATIONS MIGHT BE. 2105 01:16:03,080 --> 01:16:04,600 SO IN EMERGING ITS OF RESEARCH 2106 01:16:04,600 --> 01:16:06,360 GAPS, MOST OF THE EVIDENCE I 2107 01:16:06,360 --> 01:16:08,200 DESCRIBED TODAY WAS CROSS 2108 01:16:08,200 --> 01:16:09,960 SECTIONAL AND PRIMARILY HAS 2109 01:16:09,960 --> 01:16:12,240 EXAMINED AND BEEN DESCRIPTIVE 2110 01:16:12,240 --> 01:16:13,880 EXAMINING DIFFERENCES BETWEEN 2111 01:16:13,880 --> 01:16:15,280 SGM AND NONSGM PEOPLE, THERE'S 2112 01:16:15,280 --> 01:16:17,640 BEEN A LACK OF ATTENTION TO 2113 01:16:17,640 --> 01:16:18,280 INTERSECTIONALITY, OFTEN TIMES I 2114 01:16:18,280 --> 01:16:20,560 THINK THIS IS TRUE FOR MOST SGM 2115 01:16:20,560 --> 01:16:22,320 HEALTH RESEARCH, WE FOCUS ON 2116 01:16:22,320 --> 01:16:24,000 SEXUAL AND GENDER MINORITY 2117 01:16:24,000 --> 01:16:25,560 STRESSORS, RATHER THAN THINKING 2118 01:16:25,560 --> 01:16:28,480 ABOUT THE FACT THAT FOR MANY SGM 2119 01:16:28,480 --> 01:16:30,440 PEOPLE THEY OFTEN TIMES HOLD 2120 01:16:30,440 --> 01:16:31,760 MANY DIFFERENT IDENTITYS THEY 2121 01:16:31,760 --> 01:16:33,800 MIGHT CONSIDER TO BE STIGMATIZED 2122 01:16:33,800 --> 01:16:35,920 BY, THERE'S BEEN LIMITED TESTING 2123 01:16:35,920 --> 01:16:38,960 OF THE THE BIOSOCIAL MECHANISMS, 2124 01:16:38,960 --> 01:16:40,000 AS BIOBEHAVIORIAL RESEARCH, 1 OF 2125 01:16:40,000 --> 01:16:42,680 THE MAIN THINGS I LOOK AT IN 2126 01:16:42,680 --> 01:16:43,200 NIGH WORK. 2127 01:16:43,200 --> 01:16:44,560 LIMITED INVESTIGATION OF SOCIAL 2128 01:16:44,560 --> 01:16:46,320 AND STRUCTURAL DETARMINANTS AND 2129 01:16:46,320 --> 01:16:48,200 FOR ME, IT'S NOT JUST ABOUT 2130 01:16:48,200 --> 01:16:49,000 IDENTIFYING THESE DETERMINANTS 2131 01:16:49,000 --> 01:16:50,920 TO DESCRIBE THEM BUT IF WE 2132 01:16:50,920 --> 01:16:51,600 UNDERSTAND THESE DETERMINANTS, 2133 01:16:51,600 --> 01:16:54,400 WE'RE ABLE TO CREATE 2134 01:16:54,400 --> 01:16:55,120 INTERVENTIONS, POTENTIALLY 2135 01:16:55,120 --> 01:16:56,360 MULTILEVEL INTERVENTIONS THAT 2136 01:16:56,360 --> 01:16:59,040 CAN TARGET THE SOCIAL STRUCTURAL 2137 01:16:59,040 --> 01:17:00,320 DETERMINANTS OR IMPROVE THE 2138 01:17:00,320 --> 01:17:01,480 CARDIO VASCULARY HELT OF THESE 2139 01:17:01,480 --> 01:17:03,120 GROUPS AND ALONG THESE LINES WE 2140 01:17:03,120 --> 01:17:06,240 HAVE FEW EVIDENT BASED 2141 01:17:06,240 --> 01:17:07,240 INTERVENTIONS TO ADDRESS 2142 01:17:07,240 --> 01:17:08,840 NONCOMMUNICABLE DISEASE RISK 2143 01:17:08,840 --> 01:17:10,360 AMONG SGP PEOPLE FOR 2144 01:17:10,360 --> 01:17:11,560 CARDIOVASCULAR DISEASE RISK, I 2145 01:17:11,560 --> 01:17:15,120 CAN THINK OF 1 BUT IT WASN'T 2146 01:17:15,120 --> 01:17:17,080 REALLY NECESSARILY CREATED OR 2147 01:17:17,080 --> 01:17:18,360 DEVELOPED SPECIFICALLY FOR 2148 01:17:18,360 --> 01:17:19,080 CARDIOVASCULAR DISEASE RISK AND 2149 01:17:19,080 --> 01:17:19,880 ANOTHER THAT I THINK IS 2150 01:17:19,880 --> 01:17:21,960 IMPORTANT IS THAT MOST OF THESE 2151 01:17:21,960 --> 01:17:23,640 HAVE FOCUSED ON ADULTHOOD RATHER 2152 01:17:23,640 --> 01:17:26,200 THAN LOOKING AT YOUTH THAT ARE 2153 01:17:26,200 --> 01:17:26,560 OLDER ADULTS. 2154 01:17:26,560 --> 01:17:27,960 SO MY RECOMMENDATIONS ARE WE 2155 01:17:27,960 --> 01:17:29,120 NEED MORE LONGITUDE DWHRAL 2156 01:17:29,120 --> 01:17:31,120 RESEARCH THAT EXAMINES THESE 2157 01:17:31,120 --> 01:17:32,440 DETERMINANTS OF CARDIOVASCULAR 2158 01:17:32,440 --> 01:17:35,160 HEALTH AND DIVERSE SASMILES OF 2159 01:17:35,160 --> 01:17:38,520 SGM PEOPLE WE NEED TO DESIGN AND 2160 01:17:38,520 --> 01:17:40,600 TEST CDC RISK REDUCTION IN THESE 2161 01:17:40,600 --> 01:17:42,000 POPULATIONS AND AS ALWAYS IF WE 2162 01:17:42,000 --> 01:17:43,000 NEED TO PARTNER WITH COMMUNITIES 2163 01:17:43,000 --> 01:17:44,160 TO BEST UNDERSTAND HOW TO 2164 01:17:44,160 --> 01:17:45,560 CONDUCT THIS RESEARCH AND WHAT'S 2165 01:17:45,560 --> 01:17:46,880 MOST IMPORTANT TO SGM 2166 01:17:46,880 --> 01:17:48,000 INDIVIDUALS, AND WE REALLY NEED 2167 01:17:48,000 --> 01:17:50,000 TO DO MORE TO INVESTIGATE THE 2168 01:17:50,000 --> 01:17:52,760 NEEDS AND EXPERIENCES OF SGM 2169 01:17:52,760 --> 01:17:54,280 PEOPLE LIVING WITH CVD. 2170 01:17:54,280 --> 01:17:58,200 SO WHAT HAPPENS TO AN SGM OR A 2171 01:17:58,200 --> 01:17:59,880 TRANSPERSON AFTER THEY HAD A 2172 01:17:59,880 --> 01:18:00,840 HEART ATTACK OR STROKE. 2173 01:18:00,840 --> 01:18:02,440 WHAT DOES THAT LOOK LIKE FOR 2174 01:18:02,440 --> 01:18:03,400 THEM? 2175 01:18:03,400 --> 01:18:05,280 SO I WANT HIGHLIGHT AGAIN 2176 01:18:05,280 --> 01:18:06,880 THERE'S BEEN SIGNIFICANT 2177 01:18:06,880 --> 01:18:10,720 IMPROVES IN SGM RESEARCH AT THE 2178 01:18:10,720 --> 01:18:13,840 N 2179 01:18:13,840 --> 01:18:16,280 NIH BUT A SMALL PROPORTION 2180 01:18:16,280 --> 01:18:17,600 FOCUSED ON CVD, BUT THAT'S AN 2181 01:18:17,600 --> 01:18:19,120 AREA I WOULD LIKE TO SEE MORE 2182 01:18:19,120 --> 01:18:21,040 DONE IS EXPHA I'M FINDING NOW IS 2183 01:18:21,040 --> 01:18:22,680 THATY WE SLEEP APNEA AND OBESITY 2184 01:18:22,680 --> 01:18:25,360 A LOT OF CARDIOVASCULAR EXPERTS 2185 01:18:25,360 --> 01:18:27,120 DOING SGM WORK WITH VERY LITTLE 2186 01:18:27,120 --> 01:18:28,640 TRAINING IN SGM HEALTH AND WE 2187 01:18:28,640 --> 01:18:30,960 SEE HEALTH EXPERTS NOW DOING 2188 01:18:30,960 --> 01:18:31,720 CARDIOVASCULAR DISEASE RESEARCH 2189 01:18:31,720 --> 01:18:32,960 RESEARCH WITHOUT A LOT OF 2190 01:18:32,960 --> 01:18:36,360 TRAINING SORT OF ON CHRONIC 2191 01:18:36,360 --> 01:18:37,440 DISEASE. 2192 01:18:37,440 --> 01:18:39,720 SO IN CONCLUSION, THERE'S BEEN 2193 01:18:39,720 --> 01:18:42,040 CONSIDERABLE PROGRESS IN SGM 2194 01:18:42,040 --> 01:18:42,880 CARDIOVASCULAR HEALTH RESEARCH 2195 01:18:42,880 --> 01:18:44,720 AND SIGNIFICANT GAPS WERE MADE 2196 01:18:44,720 --> 01:18:46,720 RELATED TO SOCIAL DETERMINANTS 2197 01:18:46,720 --> 01:18:48,040 AND INTERVENTIONS AND THERE'S A 2198 01:18:48,040 --> 01:18:50,320 NEED FOR ADDITION RESEARCH THAT 2199 01:18:50,320 --> 01:18:53,520 ADDRESSES AND GROUP CAUSES OF 2200 01:18:53,520 --> 01:18:55,520 CARDIOVASCULAR DISPARITIES AND 2201 01:18:55,520 --> 01:18:56,600 AMONG SGM INFLUENCERS, THANK YOU 2202 01:18:56,600 --> 01:19:00,760 FOR YOUR TIME. 2203 01:19:00,760 --> 01:19:03,320 >>THANK YOU SO MUCH 2204 01:19:03,320 --> 01:19:05,440 DR. CACERES, I WANT TO SHARE 2205 01:19:05,440 --> 01:19:07,320 THAT BIOS FOR ALL THE SPEAKERS 2206 01:19:07,320 --> 01:19:09,520 ARE ON OUR WEBSITE, WE ARE 2207 01:19:09,520 --> 01:19:10,440 KEEPING OUR INTRODUCTIONS BRIEF 2208 01:19:10,440 --> 01:19:14,560 SO PEE --WE HAVE ENOUGH TIME TOE 2209 01:19:14,560 --> 01:19:15,680 WORK THAT'S TAKING PLACE AND WE 2210 01:19:15,680 --> 01:19:18,240 WILL HAVE A Q&A SESSION AFTER 2211 01:19:18,240 --> 01:19:19,440 THIS PANEL CONCLUDES SO IF YOU 2212 01:19:19,440 --> 01:19:21,600 DO HAVE QUESTIONS FEEL FREE TO 2213 01:19:21,600 --> 01:19:25,160 PUT THEM IN THE VIDEOCAST 2214 01:19:25,160 --> 01:19:30,640 SUBMISSION IN THE MEAN TIME. 2215 01:19:30,640 --> 01:19:35,720 OUR NEXT SPEAKER IS DR. MANDI 2216 01:19:35,720 --> 01:19:37,320 PRATT-CHAPMAN, FROM THE GEORGE 2217 01:19:37,320 --> 01:19:39,880 WASH UNIVERSITY CANCER CENTER 2218 01:19:39,880 --> 01:19:41,040 AND DR. PRATT-CHAPMAN WILL GIVE 2219 01:19:41,040 --> 01:19:42,480 US A PRESENTATION ONED WELLING 2220 01:19:42,480 --> 01:19:44,080 CAUSES OF DEATH AND DISABILITY 2221 01:19:44,080 --> 01:19:50,160 IN SEXUAL AND GENDER MINORITY 2222 01:19:50,160 --> 01:19:50,920 POPULATIONS. 2223 01:19:50,920 --> 01:19:52,880 HIGHLIGHTING ON CANCER. 2224 01:19:52,880 --> 01:20:00,960 DR. PRATT-CHAPMAN, YOU HAVE THE 2225 01:20:00,960 --> 01:20:01,280 FLOOR. 2226 01:20:01,280 --> 01:20:02,960 >>CAN YOU HEAR ME NOW? 2227 01:20:02,960 --> 01:20:03,400 >>YES. 2228 01:20:03,400 --> 01:20:03,880 >>OKAY. 2229 01:20:03,880 --> 01:20:04,160 GRIT. 2230 01:20:04,160 --> 01:20:05,600 THANK YOU SO MUCH. 2231 01:20:05,600 --> 01:20:07,240 I'M SO HONORED TO BE HERE. 2232 01:20:07,240 --> 01:20:08,760 THANK YOU FOR THE KIND 2233 01:20:08,760 --> 01:20:11,720 INTRODUCTION, MY NAME IS MANDY, 2234 01:20:11,720 --> 01:20:12,840 THESE ARE MY PRONOUNS, I ALWAYS 2235 01:20:12,840 --> 01:20:15,360 LIKE TO START WITH OBJECTIVES TO 2236 01:20:15,360 --> 01:20:16,320 ANCHOR WHAT I'M TALKING ABOUT SO 2237 01:20:16,320 --> 01:20:21,120 I WILL TALK ABOUT A FRAMEWORK 2238 01:20:21,120 --> 01:20:21,640 FOR UNDERSTANDING, SGM 2239 01:20:21,640 --> 01:20:24,200 DISPARITIES AND A LOT OF IT WILL 2240 01:20:24,200 --> 01:20:25,520 SOUND FAMILIAR FROM WHAT YOU'VE 2241 01:20:25,520 --> 01:20:27,720 HEARD SO I WILL TRY TO BE BRIEF 2242 01:20:27,720 --> 01:20:29,680 AND THEN FROM MY PERSPECTIVE 2243 01:20:29,680 --> 01:20:31,800 WHAT'S NEEDED TO ADDRESS CANCER 2244 01:20:31,800 --> 01:20:32,360 DISPARITIES AND RESOURCES 2245 01:20:32,360 --> 01:20:33,440 AVAILABLE AND I WOULD LIKE TO 2246 01:20:33,440 --> 01:20:34,800 TRY TO END WITH AT LEAST SOME 2247 01:20:34,800 --> 01:20:37,000 RESOURCES SO IT'S NOT JUST ALL 2248 01:20:37,000 --> 01:20:39,040 ABOUT THE PROBLEM WITH NOWHERE 2249 01:20:39,040 --> 01:20:39,600 TO GO. 2250 01:20:39,600 --> 01:20:47,640 SO THIS SHOULD NOT LOOK 2251 01:20:47,640 --> 01:20:49,880 SURPRISING BUT WHEN WE TALK 2252 01:20:49,880 --> 01:20:51,200 ABOUT DISPARITIES, AND EVEN THEN 2253 01:20:51,200 --> 01:20:53,720 IN THE SGM POPULATION, THAT'S 2254 01:20:53,720 --> 01:20:55,680 REEL KEEPSAKES TAIFLY NEW. 2255 01:20:55,680 --> 01:20:58,320 SO THESE THINGS ARE IMPORTANT 2256 01:20:58,320 --> 01:21:00,720 BUT IT'S ALSO MORE IMPORTANT TO 2257 01:21:00,720 --> 01:21:02,840 BE LOOKING AT OR IN COMBINATION 2258 01:21:02,840 --> 01:21:04,360 BE LOOKING AT THE SOCIAL 2259 01:21:04,360 --> 01:21:10,880 PROCESSES AND SOCIAL STRUCTURAL 2260 01:21:10,880 --> 01:21:12,800 CONSEQUENCES OF THE KINDS OF 2261 01:21:12,800 --> 01:21:13,960 EXPERIENCES OR DRIVE THE 2262 01:21:13,960 --> 01:21:15,400 EXPERIENCES THAT LEAD TO THOSE 2263 01:21:15,400 --> 01:21:16,680 DISPARITIES SO YOU HEARD THAT 2264 01:21:16,680 --> 01:21:18,120 FROM THE PRIOR 3 SPEAKERS 2265 01:21:18,120 --> 01:21:19,520 ALREADY, 1 POINT TO JUST KIND OF 2266 01:21:19,520 --> 01:21:21,240 EMPHASIZE THAT I'M NOT SURE, I 2267 01:21:21,240 --> 01:21:23,720 GUESS WAS ACTUALLY BROUGHT UP, A 2268 01:21:23,720 --> 01:21:25,280 LITTLE BIT IN TERMS OF THE 2269 01:21:25,280 --> 01:21:29,720 DISCUSSION ABOUT RED LINING BUT 2270 01:21:29,720 --> 01:21:30,920 THESE STRUCTURAL PROCESSES ARE 2271 01:21:30,920 --> 01:21:32,760 REALLY TIED TO OUR LEG 2272 01:21:32,760 --> 01:21:33,600 ASTERISKSY OF CREATING AN 2273 01:21:33,600 --> 01:21:35,400 ECONOMY THAT WAS BASED ON 2274 01:21:35,400 --> 01:21:37,760 SLAVERY IN THIS COUNTRY AND THE 2275 01:21:37,760 --> 01:21:39,560 DIRECT TIE OF THAT ECONOMY TO 2276 01:21:39,560 --> 01:21:41,960 THE STOCK MARKET AND TO 2277 01:21:41,960 --> 01:21:43,800 CAPITALISM WHICH I'M SURE SOME 2278 01:21:43,800 --> 01:21:44,600 PEOPLE MIGHT DISAGREE WITH ME 2279 01:21:44,600 --> 01:21:48,880 AND IT'S A LOT TO UNPACK BUT 2280 01:21:48,880 --> 01:21:51,360 SUCCINCTLY ENSLAVED PERSONS WERE 2281 01:21:51,360 --> 01:21:53,920 USED AS COLLATERAL FOR BANKING 2282 01:21:53,920 --> 01:21:55,720 LOANS AND BODIES OF AFRICANS AS 2283 01:21:55,720 --> 01:21:58,120 WELL AS NATIVE AMERICANS WERE 2284 01:21:58,120 --> 01:21:59,960 EXCHANGED NEAR WALL STREET SO 2285 01:21:59,960 --> 01:22:02,120 THERE ARE SEVERE IMPLICATIONS 2286 01:22:02,120 --> 01:22:03,520 AND DIRECT CONNECTIONS BETWEEN 2287 01:22:03,520 --> 01:22:07,360 THE DISPARITIES THAT WE SEE THAT 2288 01:22:07,360 --> 01:22:07,640 ARE GROW. 2289 01:22:07,640 --> 01:22:09,600 THE WEALTH GAP IN THE LAST 2 2290 01:22:09,600 --> 01:22:16,160 YEARS THAT ARE IN PART BASED ON 2291 01:22:16,160 --> 01:22:18,200 BOTH GENERATIONAL WEALTH 2292 01:22:18,200 --> 01:22:20,960 DIFFERENCES AS A RESULT OF THE 2293 01:22:20,960 --> 01:22:22,720 HISTORY OF ENSLAVEMENT, 2294 01:22:22,720 --> 01:22:24,320 SEGREGATION, RED LINING AND 2295 01:22:24,320 --> 01:22:26,600 DISCRIMINATION AND THE STOCK 2296 01:22:26,600 --> 01:22:28,960 MARKET, HAVE LED TO GROWING 2297 01:22:28,960 --> 01:22:31,360 DISPARITIES AT THE TOP 1% I 2298 01:22:31,360 --> 01:22:32,880 THINK DOUBLED THE AMOUNT OF 2299 01:22:32,880 --> 01:22:36,280 WEALTH THAT THEY GAINED COMPARED 2300 01:22:36,280 --> 01:22:38,320 TO THE REST OF THE NATION IN THE 2301 01:22:38,320 --> 01:22:41,480 LAST 2 YEARS DURING THE PANDEMIC 2302 01:22:41,480 --> 01:22:44,120 SO, IT'S A--IT'S A REAL DIRECT 2303 01:22:44,120 --> 01:22:45,760 CAUSE OF THE DISPARITIES THAT 2304 01:22:45,760 --> 01:22:47,000 WE'RE SEEING, IF YOU CAN'T TAKE 2305 01:22:47,000 --> 01:22:49,920 CARE OF YOUR BASIC SAFETY, AND 2306 01:22:49,920 --> 01:22:52,240 NEEDS, THEN OF COURSE, YOU WILL 2307 01:22:52,240 --> 01:22:53,040 EXPERIENCE SIGNIFICANT HEALTH 2308 01:22:53,040 --> 01:22:55,800 OUTCOMES AS A RESULT. 2309 01:22:55,800 --> 01:22:57,320 SO SAID ANOTHER WAY, THE WAY IN 2310 01:22:57,320 --> 01:22:58,640 WHICH WE EXPERIENCE THE WORLD, 2311 01:22:58,640 --> 01:22:59,600 HOW WE INTERACT WITH OTHERS AND 2312 01:22:59,600 --> 01:23:02,320 THE WAY IN WHICH WE ACT WITH 2313 01:23:02,320 --> 01:23:06,760 SYSTEMS, DO AFFECT US AND ARE 2314 01:23:06,760 --> 01:23:08,600 VARIOUS WAYS OF LIVING IN THIS 2315 01:23:08,600 --> 01:23:12,120 WORLD IN TERMS OF HOW PEOPLE 2316 01:23:12,120 --> 01:23:15,080 CATEGORIZE US AND HOW WE 2317 01:23:15,080 --> 01:23:16,120 IDENTIFY DEFINITELY EFFECT OUR 2318 01:23:16,120 --> 01:23:17,560 EXPERIENCES OF POWER AND 2319 01:23:17,560 --> 01:23:18,600 VULNERABILITY AND THIS ISN'T A 2320 01:23:18,600 --> 01:23:19,920 WORKSHOP WHERE I GET TO 2321 01:23:19,920 --> 01:23:21,880 EXCHAIRVELG A LOT OF IDEAS WITH 2322 01:23:21,880 --> 01:23:23,520 YOU AND HEAR A LOT BUT I WOULD 2323 01:23:23,520 --> 01:23:27,440 LOVE TO HEAR FROM YOU IF YOU ARE 2324 01:23:27,440 --> 01:23:31,240 UP FOR IT IN WAYS YOU EXPERIENCE 2325 01:23:31,240 --> 01:23:32,560 POWER VERSUS VULNERABILITY, WE 2326 01:23:32,560 --> 01:23:34,840 ALL EXPERIENCE BOTH BUT HOW THAT 2327 01:23:34,840 --> 01:23:36,440 POSITIONALLITY MIGHT AFFECT YOUR 2328 01:23:36,440 --> 01:23:36,680 HEALTH. 2329 01:23:36,680 --> 01:23:39,640 AND I WOULD KIND OF CHALLENGE US 2330 01:23:39,640 --> 01:23:41,280 TO THINK ABOUT POSITIONALLITY 2331 01:23:41,280 --> 01:23:43,480 AND 4 WHEN WE'RE HAPPENING ABOUT 2332 01:23:43,480 --> 01:23:44,840 MEANINGFUL HEALTH RESEARCH AND 2333 01:23:44,840 --> 01:23:46,600 HOW IT AFFECTS SEXUAL AND 2334 01:23:46,600 --> 01:23:47,760 GEPPEDDER MINORITY COMMUNITIES 2335 01:23:47,760 --> 01:23:49,520 AND ANOTHER .. IS THAT SEXUAL 2336 01:23:49,520 --> 01:23:53,920 AND GENDER MINORITY PEOPLE 2337 01:23:53,920 --> 01:23:54,960 EXPERIENCE STRESS KIND OF 2338 01:23:54,960 --> 01:23:55,800 THROUGH THE TRAJECTORY OF 2339 01:23:55,800 --> 01:23:58,880 ENTERING THE HEALTH SYSTEM, FROM 2340 01:23:58,880 --> 01:24:00,760 MAKING THE APPOINTMENT, GETTING 2341 01:24:00,760 --> 01:24:03,200 TO THE APPOINTMENT, TO WELCOMING 2342 01:24:03,200 --> 01:24:05,080 AT THE CLINIC, TO THE CLINICAL 2343 01:24:05,080 --> 01:24:07,120 INTERACTION AND THIS KIND OF 2344 01:24:07,120 --> 01:24:08,520 POTENTIAL TRAUMATIC EXPERIENCES 2345 01:24:08,520 --> 01:24:09,320 THAT HAPPEN THROUGHOUT THE 2346 01:24:09,320 --> 01:24:11,280 COURSE OF JUST TRYING TO ACCESS 2347 01:24:11,280 --> 01:24:15,280 CARE ARE ON TOP OF LIVED 2348 01:24:15,280 --> 01:24:21,080 EXPERIENCES WHERE THERE CAN BE 2349 01:24:21,080 --> 01:24:22,120 CHARGED DISCRIMINATION AND 2350 01:24:22,120 --> 01:24:23,960 TRAUMA WHERE BEING HUMAN CAUSES 2351 01:24:23,960 --> 01:24:25,760 STRESS AND IN THE LAST COUPLE OF 2352 01:24:25,760 --> 01:24:27,440 YEARS I WOULD SAY WE HAVE A 2353 01:24:27,440 --> 01:24:29,560 CERTAIN ERA OF TRAUMA FROM THE 2354 01:24:29,560 --> 01:24:29,880 PANDEMIC. 2355 01:24:29,880 --> 01:24:32,160 SO IT'S A LOT ON TOP OF A LOT ON 2356 01:24:32,160 --> 01:24:36,160 TOP OF A LOT ON TOP OF A LOT 2357 01:24:36,160 --> 01:24:39,040 THAT CAN DIRECTLY EFFECT OUR 2358 01:24:39,040 --> 01:24:39,240 HEALTH. 2359 01:24:39,240 --> 01:24:40,640 I THOUGHT WAS INTERESTING, THIS 2360 01:24:40,640 --> 01:24:42,480 WAS A RECENT STUDY ONOXIDATIVE 2361 01:24:42,480 --> 01:24:44,640 STRESS AND SURVIFFORSHIP AMONG 2362 01:24:44,640 --> 01:24:46,320 CANCER SURVIVORS AND THAT 2363 01:24:46,320 --> 01:24:52,920 RELAPSE WAS MORE COMOON AMONG 2364 01:24:52,920 --> 01:24:54,480 THOSE WITH SIGNIFICANT--WITH 2365 01:24:54,480 --> 01:24:55,920 THOSE WITH SIGNIFICANT STRESS SO 2366 01:24:55,920 --> 01:24:57,960 I THOUGHT THAT WAS AN IMPORTANT 2367 01:24:57,960 --> 01:24:58,400 COMPONENT. 2368 01:24:58,400 --> 01:25:00,080 THIS SUPPORT JUST LIMITED, BUT 2369 01:25:00,080 --> 01:25:05,160 IT'S NOT LIMITED TO HELP 2370 01:25:05,160 --> 01:25:05,760 SERVICES RESEARCH OR 2371 01:25:05,760 --> 01:25:07,400 INTERVENTIONAL RESEARCH IN THE 2372 01:25:07,400 --> 01:25:09,000 SYSTEMS ARENA, WE ALSO HAVE WORK 2373 01:25:09,000 --> 01:25:10,880 WE CAN DO IN THE BASIC SCIENCE 2374 01:25:10,880 --> 01:25:12,400 ARENA TO HELP US BETTER 2375 01:25:12,400 --> 01:25:14,280 UNDERSTAND IN OF THESE DRIVERS. 2376 01:25:14,280 --> 01:25:18,000 AND SO, PUT KIND OF MORE 2377 01:25:18,000 --> 01:25:19,480 DIRECTLY AND SUCCINCTLY WHERE 2378 01:25:19,480 --> 01:25:21,680 COMMUNITIES HAVE A HIGHER 2379 01:25:21,680 --> 01:25:22,720 TOBACCO AND ALCOHOL USE RATE AND 2380 01:25:22,720 --> 01:25:26,240 MANY OF US KNOW THAT'S A RESULT 2381 01:25:26,240 --> 01:25:29,400 OF DIRECT MARKETING FROM TOBACCO 2382 01:25:29,400 --> 01:25:32,240 AND ALCOHOL VENDORS OVER TIME 2383 01:25:32,240 --> 01:25:34,640 AND GAY BARS BEING A SANCTUARY 2384 01:25:34,640 --> 01:25:36,040 OF SAFETY FOR, YOU KNOW A GOOD 2385 01:25:36,040 --> 01:25:40,400 PERIOD OF TIME SO THAT 20%, 2386 01:25:40,400 --> 01:25:43,400 20-21% OF LGBT PEOPLE COMPARED 2387 01:25:43,400 --> 01:25:44,440 TO 15% OF THE HETEROSEXUAL 2388 01:25:44,440 --> 01:25:49,640 PEOPLE WERE FOUND TO HAVE 2389 01:25:49,640 --> 01:25:53,040 ALCOHOL AND TOBACCO USE 2390 01:25:53,040 --> 01:25:54,720 DISORDERS IN ADDITION SCREENING 2391 01:25:54,720 --> 01:25:56,320 GUIDELINES HAVE NOT REALLY 2392 01:25:56,320 --> 01:25:59,800 CAUGHT UP SO WE DON'T REALLY 2393 01:25:59,800 --> 01:26:01,000 HAVE GUIDELINES TO RESPOND TO 2394 01:26:01,000 --> 01:26:05,160 THE TRANSPOPPULATION AND THE 2395 01:26:05,160 --> 01:26:06,240 NONBINARY POPULATION AND SO 2396 01:26:06,240 --> 01:26:08,160 ALTHOUGH THE AMERICAN COLLEGE OF 2397 01:26:08,160 --> 01:26:09,480 RADIOLOGY HAS BEEN WORKING ON 2398 01:26:09,480 --> 01:26:13,800 THAT, AND IN SURVIVORSHIP, WE'RE 2399 01:26:13,800 --> 01:26:15,000 KIND OF, THIS ARTICLE THAT I DID 2400 01:26:15,000 --> 01:26:17,800 NOT WRITE BUT IT WAS RECENTLY 2401 01:26:17,800 --> 01:26:18,440 PUBLISHED SURVIVING 2402 01:26:18,440 --> 01:26:19,200 DISCRIMINATION PULLING IT 2403 01:26:19,200 --> 01:26:22,160 TOGETHER SOUNDED RIGHT TO ME IN 2404 01:26:22,160 --> 01:26:23,600 EMERGING ITS OF KIND OF 2405 01:26:23,600 --> 01:26:25,640 SURVIVORSHIP AND QUALITY OF LIFE 2406 01:26:25,640 --> 01:26:28,280 DIFFERENCES WHICH AGAIN ARE 2407 01:26:28,280 --> 01:26:31,120 LINKED TO SOCIAL SUPPORT THAT 2408 01:26:31,120 --> 01:26:32,280 WAS PREVENTIVUOUSLY MENTIONED 2409 01:26:32,280 --> 01:26:32,840 TODAY AS WELL. 2410 01:26:32,840 --> 01:26:34,520 SO WHERE DO WE GO FROM HERE, 2411 01:26:34,520 --> 01:26:36,560 THINGS WE CAN PROBABLY AGREE ON, 2412 01:26:36,560 --> 01:26:37,960 WE NEED EVIDENCE TO GUIDE 2413 01:26:37,960 --> 01:26:38,960 CLINICAL CARE, PATIENTS SHOULD 2414 01:26:38,960 --> 01:26:40,480 BE ABLE TO ACCESS CARE AT THE 2415 01:26:40,480 --> 01:26:42,760 RIGHT TIME BY THE RIGHT PROVIDER 2416 01:26:42,760 --> 01:26:44,160 AND CLINICTIONS AND RESEARCHERS 2417 01:26:44,160 --> 01:26:47,520 NEED PREPARATION TO MAKE SURE 2418 01:26:47,520 --> 01:26:48,720 PATES HAVE ACCESS TO 2419 01:26:48,720 --> 01:26:49,800 EVIDENCE-BASED CARE AT THE RIGHT 2420 01:26:49,800 --> 01:26:50,360 TIME AND PLACE. 2421 01:26:50,360 --> 01:26:51,880 SO THIS WAS WHAT I WAS THINKING 2422 01:26:51,880 --> 01:26:53,640 ABOUT WHEN WHERE DO WE NEED TO 2423 01:26:53,640 --> 01:26:56,520 GO, AND OF COURSE THIS 2424 01:26:56,520 --> 01:26:57,720 IS--ALIGNED WITH THE RESEARCH 2425 01:26:57,720 --> 01:26:58,440 PORTFOLIO THAT I HAVE BECAUSE 2426 01:26:58,440 --> 01:26:59,960 IT'S HOW I THINK ABOUT THIS 2427 01:26:59,960 --> 01:27:05,160 WORK, BUT WE NEED TO UNDERSTAND 2428 01:27:05,160 --> 01:27:06,480 SEXUAL ORIENTATION, GENDER 2429 01:27:06,480 --> 01:27:07,600 IDENTITY AND USE INCLUDING 2430 01:27:07,600 --> 01:27:09,320 HAVING A WILL TO ASK AND BELIEF 2431 01:27:09,320 --> 01:27:11,160 IN IMPORTANCE AND KNOWING HOW TO 2432 01:27:11,160 --> 01:27:13,000 ASK, WHERE TO STORE AND HOW TO 2433 01:27:13,000 --> 01:27:15,960 USE THAT DATA, WE NEED CULTURAL 2434 01:27:15,960 --> 01:27:18,960 AND CLINICAL TRAINING TO PROVIDE 2435 01:27:18,960 --> 01:27:20,800 FOR STAFF AND THE CARE AND 2436 01:27:20,800 --> 01:27:21,240 CONTEXT. 2437 01:27:21,240 --> 01:27:23,000 THIS IS AN ARTICLE I CAME OUT 2438 01:27:23,000 --> 01:27:25,040 WITH LAST YEAR WITH A NUMBER OF 2439 01:27:25,040 --> 01:27:29,000 COLLEAGUES ADVOCATING FOR SEXUAL 2440 01:27:29,000 --> 01:27:31,200 GENDER AND DATA TO BE RETEENLY 2441 01:27:31,200 --> 01:27:32,480 ASKED IN STUDIES AND I'M MAKING 2442 01:27:32,480 --> 01:27:34,920 A SERIES OF TAKE AWAY POINTS SO 2443 01:27:34,920 --> 01:27:37,280 WE DON'T ROUTINELY ASK ABOUT 2444 01:27:37,280 --> 01:27:38,280 SEXUAL ORIENTATION, GENDER 2445 01:27:38,280 --> 01:27:39,680 IDENTITY SO WE HAVE A LOT OF 2446 01:27:39,680 --> 01:27:43,120 DATA ON DISPARITIES BUT WE DON'T 2447 01:27:43,120 --> 01:27:44,320 HAVE SYSTEMATIC DATA AT A 2448 01:27:44,320 --> 01:27:45,520 POPULATION LEVEL AND THE WAY WE 2449 01:27:45,520 --> 01:27:46,760 NEED ALTHOUGH IT'S CHANGING 2450 01:27:46,760 --> 01:27:46,960 RIGHT? 2451 01:27:46,960 --> 01:27:48,720 WE DON'T KNOW HOW TO ASK ABOUT 2452 01:27:48,720 --> 01:27:50,800 SOGI, SO THIS IS RECENT ADVICE 2453 01:27:50,800 --> 01:27:52,800 FROM THE NATIONAL ACADEMIES AND 2454 01:27:52,800 --> 01:27:55,360 HOPEFULLY I WON'T GET INTO MANY 2455 01:27:55,360 --> 01:27:57,600 PEOPLE MAD AT ME BUT SOME OF US 2456 01:27:57,600 --> 01:28:00,000 DIDN'T LOVE THESE 2457 01:28:00,000 --> 01:28:01,760 RECOMMENDATIONS SO A GROUP OF US 2458 01:28:01,760 --> 01:28:03,160 LED BY DR. JAIR SAN FRANCISCO 2459 01:28:03,160 --> 01:28:07,160 JACKSON AT NCI ARE WORKING ON 2460 01:28:07,160 --> 01:28:10,880 DATA STANDARDS FOR THE SOGI 2461 01:28:10,880 --> 01:28:12,360 RECOMMENDATIONS ON IDENTITY, 2462 01:28:12,360 --> 01:28:14,880 GENDER COLLECTION, AND THESE ARE 2463 01:28:14,880 --> 01:28:17,480 THE POINTS WE ARE GOING TO 2464 01:28:17,480 --> 01:28:19,360 MEASURE, I'M LEADING A STUDY 2465 01:28:19,360 --> 01:28:21,000 ABOUT REVIEWING ITEMS AND 2466 01:28:21,000 --> 01:28:23,200 RESPONSE OPTIONS TO TRY TO ADD 2467 01:28:23,200 --> 01:28:26,320 TO THE DATA, ROUND HOW TO ASK 2468 01:28:26,320 --> 01:28:26,680 THESE QUESTIONS. 2469 01:28:26,680 --> 01:28:30,360 AND I JUST WANTED TO ALSO 2470 01:28:30,360 --> 01:28:31,240 REVIEW, JUST SOME RECENT DATA 2471 01:28:31,240 --> 01:28:33,080 THAT CAME OUT OF A STUDY, I JUST 2472 01:28:33,080 --> 01:28:34,640 WRAPPED UP AND THAT WAS JUST 2473 01:28:34,640 --> 01:28:37,680 PUBLISHED A FEW WEEKS AGO WHERE 2474 01:28:37,680 --> 01:28:39,440 WE INTERVIEWED RADIATION 2475 01:28:39,440 --> 01:28:40,200 ONCOLOGISTS AND RADIOLOGISTS 2476 01:28:40,200 --> 01:28:42,200 ABOUT THEIR EXPERIENCES WITH 2477 01:28:42,200 --> 01:28:42,840 TRANSGENDER AND INTERSEX 2478 01:28:42,840 --> 01:28:45,360 PATIENTS AND THIS STUDY REALLY 2479 01:28:45,360 --> 01:28:47,280 CAME OUT REALLY ORGANICALLY FOR 2480 01:28:47,280 --> 01:28:48,560 A COLLEAGUE'S REQUEST FOR A 2481 01:28:48,560 --> 01:28:51,320 SUBMISSION ON THIS TOPIC AND I 2482 01:28:51,320 --> 01:28:53,360 KNEW NOTHING ABOUT WHETHER 2483 01:28:53,360 --> 01:28:54,320 RADIATION ONCOLOGY OR RADIOLOGY 2484 01:28:54,320 --> 01:28:57,840 FOR SCREENING FOR SURE, BUT RAID 2485 01:28:57,840 --> 01:29:00,200 YIGZ ONCOLOGY IN PARTICULAR 2486 01:29:00,200 --> 01:29:01,600 WOULD HAVE ANY DIFFERENT 2487 01:29:01,600 --> 01:29:07,360 IMPLICATIONS OTHER THAN KIND OF 2488 01:29:07,360 --> 01:29:08,720 CULTURAL AND COMMUNICATION 2489 01:29:08,720 --> 01:29:09,840 CONFIDENCE OR SKILLS IN 2490 01:29:09,840 --> 01:29:10,680 INTERACTING WITH PEOPLE JUST AS 2491 01:29:10,680 --> 01:29:12,720 YOU WOULD WANT IN ANY OTHER 2492 01:29:12,720 --> 01:29:13,400 CLINICAL ENVIRONMENT AND THESE 2493 01:29:13,400 --> 01:29:16,320 ARE SOME OF THE DATA THAT CAME 2494 01:29:16,320 --> 01:29:18,600 OUT OF THAT QUALITATIVE STUDY 2495 01:29:18,600 --> 01:29:19,240 THAT WAS RECEIPTLY PUBLISHED, 1 2496 01:29:19,240 --> 01:29:22,120 IS WE DON'T HAVE A RELIABLE WAY 2497 01:29:22,120 --> 01:29:24,160 TO DOCUMENT SOGI DATA ASK AND 2498 01:29:24,160 --> 01:29:25,160 CLINICAL CARE CONTACTS SO 1 2499 01:29:25,160 --> 01:29:27,160 PHYSICIAN SAID YOU HAVE TO DO IT 2500 01:29:27,160 --> 01:29:29,200 ON THE PROGRAM WHERE YOU TYPE 2501 01:29:29,200 --> 01:29:30,080 YOUR NAME, CUM TO THE HOSPITAL 2502 01:29:30,080 --> 01:29:31,400 AND THEN IT TALKS TO OTHER 2503 01:29:31,400 --> 01:29:33,000 PROGRAM AND THEN IT HAS TO TALK 2504 01:29:33,000 --> 01:29:34,400 TO THIS OTHER PROGRAM SO 2505 01:29:34,400 --> 01:29:36,280 IT'S--THEY DON'T ALL HAVE THE 2506 01:29:36,280 --> 01:29:39,720 SAME CODING, YOU CAN HAVE MALE, 2507 01:29:39,720 --> 01:29:41,160 FEMALE AND NONBIENAR EXPE IT 2508 01:29:41,160 --> 01:29:42,960 MIGHT NOT COME UP AS THE SAME 2509 01:29:42,960 --> 01:29:44,120 VARIABLE SO MAKING SURE THAT OUR 2510 01:29:44,120 --> 01:29:44,880 SYSTEMS ARE TALKING TO EACH 2511 01:29:44,880 --> 01:29:47,040 OTHER AND PEOPLE ARE CLEAR ABOUT 2512 01:29:47,040 --> 01:29:50,280 WHERE YOU CAN EVEN RECORD THESE 2513 01:29:50,280 --> 01:29:50,480 DATA. 2514 01:29:50,480 --> 01:29:53,240 TO MY POINT I WAS MAKING EARLIER 2515 01:29:53,240 --> 01:29:55,640 ABOUT THE CONTINUUM OF POINTS IN 2516 01:29:55,640 --> 01:29:58,400 CARE WHERE PEOPLE COULD 2517 01:29:58,400 --> 01:29:59,560 EXPERIENCE REASONS TO LEAVE THE 2518 01:29:59,560 --> 01:30:02,960 HEALTHCARE SYSTEM OR NOT COME 2519 01:30:02,960 --> 01:30:06,120 BACK OR HAVE DISAFFIRMING 2520 01:30:06,120 --> 01:30:07,320 INTERACTIONS REALLY FROM 2521 01:30:07,320 --> 01:30:08,760 SCHEDULING AND REGISTRATION 2522 01:30:08,760 --> 01:30:11,120 THROUGH THE CLINIC ENVIRONMENT, 2523 01:30:11,120 --> 01:30:12,040 CONSULTATION PROCESS, BILLING 2524 01:30:12,040 --> 01:30:13,240 AND INSURANCE AND SUPPORTIVE 2525 01:30:13,240 --> 01:30:16,120 CARE, WE FOUND THERE WERE GAPS. 2526 01:30:16,120 --> 01:30:17,280 SO THIS 1 PHYSICIAN SAID, YOU 2527 01:30:17,280 --> 01:30:19,880 KNOW WE ONLY HAVE 2 BOXES, MALE 2528 01:30:19,880 --> 01:30:23,880 OR FEMALE SO RIGHT FROM THE 2529 01:30:23,880 --> 01:30:24,520 GET-GO, SCHEDULING, 2530 01:30:24,520 --> 01:30:25,160 REGISTRATION, TRANSGENDER PEOPLE 2531 01:30:25,160 --> 01:30:27,880 WOULD NONAPOPTOTIC THE HAVE AN 2532 01:30:27,880 --> 01:30:28,720 AFFIRMING EXPERIENCE. 2533 01:30:28,720 --> 01:30:30,360 IN TERMS OF ENVIRONMENT, ANOTHER 2534 01:30:30,360 --> 01:30:33,360 PERSON SAID WE GENDER IT SO MUCH 2535 01:30:33,360 --> 01:30:38,160 THAT IT'S ALL PINK AND HAS THE 2536 01:30:38,160 --> 01:30:40,600 WORD WOMEN EVERYWHERE AND WE 2537 01:30:40,600 --> 01:30:42,000 KNOW DISPORRIA AROUND SCREENING 2538 01:30:42,000 --> 01:30:44,760 FOR BODY PARTS FOR CANCER CAN BE 2539 01:30:44,760 --> 01:30:47,240 A DETERRENT TO CERVICAL 2540 01:30:47,240 --> 01:30:47,840 SCREENING OR BREAST SCREENING 2541 01:30:47,840 --> 01:30:49,640 FOR EXAMPLE SO WE NEED TO DO 2542 01:30:49,640 --> 01:30:50,240 BETTER THERE, TOO. 2543 01:30:50,240 --> 01:30:53,480 IN TERMS OF CULTURAL HUMILITY 2544 01:30:53,480 --> 01:30:55,120 AND COMMUNICATION TRAINING, 1 2545 01:30:55,120 --> 01:30:57,040 PERSON SAID I FEEL MILDLY 2546 01:30:57,040 --> 01:30:59,880 UNCOMFORTABLE BECAUSE I'M NOT 2547 01:30:59,880 --> 01:31:01,720 TRANSMYSELF, IT'S PARADOXABLE 2548 01:31:01,720 --> 01:31:03,800 BECAUSE I'MA A MINORITY 2549 01:31:03,800 --> 01:31:05,760 SEXUALITY AND I'M VERY OUT AT 2550 01:31:05,760 --> 01:31:07,520 WORK, I FEEL LIKE THE 2551 01:31:07,520 --> 01:31:08,680 EXPECTATION WOULD BE ALL OVER 2552 01:31:08,680 --> 01:31:11,320 ABOUT HOW TO CARE FOR A 2553 01:31:11,320 --> 01:31:11,640 TRANSPERSON. 2554 01:31:11,640 --> 01:31:13,400 SO SELF-REFLECTION ON NOT BEING 2555 01:31:13,400 --> 01:31:15,240 TRAINED OR EQUIPPED TO PROVIDE 2556 01:31:15,240 --> 01:31:16,840 TO PEOPLE OR GENDER AFFIRMING 2557 01:31:16,840 --> 01:31:18,960 CARE EVEN AMONG THOSE WHO ARE 2558 01:31:18,960 --> 01:31:20,080 KIND OF ANTICIPATED OR EXPECTED 2559 01:31:20,080 --> 01:31:25,240 TO KNOW BECAUSE THEY ARE UNDER 2560 01:31:25,240 --> 01:31:26,520 THE SGM UMBRELLA THEMSELVES. 2561 01:31:26,520 --> 01:31:28,800 IN TERMS OF CLINICAL TRAINING 2562 01:31:28,800 --> 01:31:30,720 FOLKS SAID THINGS LIKE I DON'T 2563 01:31:30,720 --> 01:31:32,920 THINK I HAD 1 TUTORIAL OR 2564 01:31:32,920 --> 01:31:33,880 GUIDELINE ON MANAGING PATIENT 2565 01:31:33,880 --> 01:31:37,080 WHO IS ARE TRANSGENDER. 2566 01:31:37,080 --> 01:31:37,960 ONE RADIATION ONCOLOGIST SAID 2567 01:31:37,960 --> 01:31:39,840 THE ABILITY TO HAVE LONG-TERM 2568 01:31:39,840 --> 01:31:41,040 GNARL LE LUBRICATION CAN BE 2569 01:31:41,040 --> 01:31:43,320 SEVERELY CHAIMPLED IN THINGS 2570 01:31:43,320 --> 01:31:44,880 LIKE MICROFISSURES UP THE 2571 01:31:44,880 --> 01:31:45,600 MUCOSAL SURFACES, 2572 01:31:45,600 --> 01:31:47,400 SECURITIZATION.UAL ACTIVITY CAN 2573 01:31:47,400 --> 01:31:48,560 BE MUCH WORSE AFTER RADIATION 2574 01:31:48,560 --> 01:31:50,240 DUE TO THE FRIABILITY OF 2575 01:31:50,240 --> 01:31:52,080 TISSUES, SO TO THE IMPACT OF 2576 01:31:52,080 --> 01:31:55,480 GENDER AFFIRMING CARE ON THE 2577 01:31:55,480 --> 01:31:56,800 POTENTIAL FOR TREATMENT 2578 01:31:56,800 --> 01:32:00,680 MODALITIES AND VICE VERSA, THE 2579 01:32:00,680 --> 01:32:03,000 IMPACT OF RADIATION ON PELVIC 2580 01:32:03,000 --> 01:32:13,560 TISSUE AND WHAT THAT MIGHT MEAN 2581 01:32:24,960 --> 01:32:26,040 IN TERMS OF--WHAT THOSE 2582 01:32:26,040 --> 01:32:27,320 COVERAGES MIGHT LOOK LIKE THAT 2583 01:32:27,320 --> 01:32:30,880 ARE RELEVANT TO CANCER KREENING 2584 01:32:30,880 --> 01:32:41,360 AND CANCER CARE THAT MIGHT BE 2585 01:32:42,720 --> 01:32:44,840 MANY PEOPLE SAID, AND LIKE THAT 2586 01:32:44,840 --> 01:32:46,560 REALLY HAVE AN IMPACT THAT YOU 2587 01:32:46,560 --> 01:32:48,440 WOULD LIKE TO KNOW SO ACROSS THE 2588 01:32:48,440 --> 01:32:51,080 BOARD, WE HAVE WORK TO DO, AND I 2589 01:32:51,080 --> 01:32:53,000 WANT TO LEAVE YOU WITH A FEW 2590 01:32:53,000 --> 01:32:54,320 RESOURCES, THERE ARE DEFINITELY 2591 01:32:54,320 --> 01:32:55,960 LOTS MORE WE CAN TALK ABOUT, I 2592 01:32:55,960 --> 01:32:57,560 KNOW THAT WAS SUPER FAST BUT 2593 01:32:57,560 --> 01:33:03,000 THINGS THAT WE CAN KIND OF DO 2594 01:33:03,000 --> 01:33:04,960 NOW THESE ARE SOME THINGS MY 2595 01:33:04,960 --> 01:33:06,480 TEAM HAS PUT TOGETHER IN THE 2596 01:33:06,480 --> 01:33:08,360 LAST FEW YEARS TO WELCOME SEXUAL 2597 01:33:08,360 --> 01:33:10,120 GENDER AND MINORITY PATIENTS SO 2598 01:33:10,120 --> 01:33:12,960 1 IS A--JUST A PATIENT WELCOME 2599 01:33:12,960 --> 01:33:15,520 CARD WHERE PEOPLE CAN INDICATE 2600 01:33:15,520 --> 01:33:16,320 WHAT SOCIOLOGICAL DEMOGRAPHIC 2601 01:33:16,320 --> 01:33:17,560 FACTORS THEY WANT TO REPORT TO 2602 01:33:17,560 --> 01:33:19,000 YOU WHO THEY WANT INVOLVED IN 2603 01:33:19,000 --> 01:33:20,400 THEIR CARE, WHAT THEY MIGHT WANT 2604 01:33:20,400 --> 01:33:22,360 TO TALK ABOUT, POSTERS TO 2605 01:33:22,360 --> 01:33:24,640 WELCOME PATIENTS THAT SPEAK 2606 01:33:24,640 --> 01:33:26,280 VARIOUS LANGUAGES AND ARE NOT 2607 01:33:26,280 --> 01:33:28,920 UNDER THE SGM UMBRELLA, TIPS FOR 2608 01:33:28,920 --> 01:33:30,560 KIND OF HAVING CONVERSATIONS 2609 01:33:30,560 --> 01:33:32,760 THAT OUR PATIENTS ARE SGM AND 2610 01:33:32,760 --> 01:33:36,080 ALL OF THESE ARE FREELY 2611 01:33:36,080 --> 01:33:36,960 DOWNLOADABLE AND ARE ON THE 2612 01:33:36,960 --> 01:33:37,440 SCREEN. 2613 01:33:37,440 --> 01:33:42,160 THIS WAS A REVIEW ARTICLE I 2614 01:33:42,160 --> 01:33:44,600 WROTE IN 2019 WITH DR. JENNIFER 2615 01:33:44,600 --> 01:33:47,240 POTTER AROUND CONSIDERINGS FOR 2616 01:33:47,240 --> 01:33:48,320 SEXUAL AND GENDER MINORITIES, 2617 01:33:48,320 --> 01:33:50,840 AND THIS WAS AROUND CANCER 2618 01:33:50,840 --> 01:33:51,480 SCREENING CONSIDERATIONS, THERE 2619 01:33:51,480 --> 01:33:53,560 HAS AS A MENTIONED BEEN 2620 01:33:53,560 --> 01:33:55,360 ADDITIONAL WORK IN 2021, THE 2621 01:33:55,360 --> 01:33:57,920 AMERICAN COLLEGE OF RADIOLOGY 2622 01:33:57,920 --> 01:34:03,840 PUBLISHED A HELPFUL UPDATED 2623 01:34:03,840 --> 01:34:04,920 RECOMMENDATION FOR TRANSGENDER 2624 01:34:04,920 --> 01:34:05,880 PEOPLE FOR DIFFERENT SCENARIOS 2625 01:34:05,880 --> 01:34:07,520 THAT I THINK IS A STEP IN THE 2626 01:34:07,520 --> 01:34:08,560 RIGHT DIRECTION AND I KNOW THAT 2627 01:34:08,560 --> 01:34:10,880 THE AMERICAN COLLEGE OF 2628 01:34:10,880 --> 01:34:12,080 OBSTETRICS GYNECOLOGY ARE 2629 01:34:12,080 --> 01:34:18,680 THINKING ABOUT THIS, RIGHT NOW 2630 01:34:18,680 --> 01:34:20,400 THAT MEASURES ARE TALK ABOUT 2631 01:34:20,400 --> 01:34:26,080 THIS RIGHT NOW I'VE TALKED TO 2632 01:34:26,080 --> 01:34:28,120 FOLKS FROM THE [INDISCERNIBLE] 2633 01:34:28,120 --> 01:34:30,160 GROUP AND CAPTURING ORGAN 2634 01:34:30,160 --> 01:34:32,280 SCREENING AS OPPOSE TO GENDER 2635 01:34:32,280 --> 01:34:33,960 MARKERS FOR SCREENING, SO THAT'S 2636 01:34:33,960 --> 01:34:36,720 JUST A SNAPSHOT, STANDARDS FOR 2637 01:34:36,720 --> 01:34:38,600 CULTURAL COMPETENCY TRAINING TO 2638 01:34:38,600 --> 01:34:40,200 ADDRESS THE CULTURAL COMPETENCY 2639 01:34:40,200 --> 01:34:41,840 PIECE, THIS IS NOT KIND OF THE 2640 01:34:41,840 --> 01:34:44,920 END ALL BE ALL BUT THESE ARE 2641 01:34:44,920 --> 01:34:45,480 STANDARDS FOR CULTURAL 2642 01:34:45,480 --> 01:34:47,360 COMPETENCY THAT CAME OUT OF A 2643 01:34:47,360 --> 01:34:49,320 WORKING GROUP OF ABOUT 20 PEOPLE 2644 01:34:49,320 --> 01:34:51,880 OVER A COUPLE OF YEARS SPONSORED 2645 01:34:51,880 --> 01:34:53,920 BY THE NATIONAL LGBT CANCER 2646 01:34:53,920 --> 01:34:58,040 NETWORK AND WOMEN WALKER HEALTH 2647 01:34:58,040 --> 01:34:59,760 AND WE IDENTIFIED ANCHORING MECH 2648 01:34:59,760 --> 01:35:00,920 MENDATIONS IN TERPS OF WHEN 2649 01:35:00,920 --> 01:35:02,400 YOU'RE THINKING ABOUT CULTURAL 2650 01:35:02,400 --> 01:35:05,640 COMPETENCY TRAINING AND I WILL 2651 01:35:05,640 --> 01:35:07,480 JUST THROW IN THE WORD 2652 01:35:07,480 --> 01:35:09,120 COMPETENCY IS AN ISSUE. 2653 01:35:09,120 --> 01:35:11,520 WE DECIDED TO TURN TERM THE 2654 01:35:11,520 --> 01:35:13,680 PAPER THAT BECAUSE OF HOW WE 2655 01:35:13,680 --> 01:35:14,960 THOUGHT PEOPLE WOULD SEARCH FOR 2656 01:35:14,960 --> 01:35:15,960 INFORMATION, NOT BECAUSE WE 2657 01:35:15,960 --> 01:35:16,960 THINK THAT COMPETENCY IS 2658 01:35:16,960 --> 01:35:18,680 SOMETHING THAT CAN BE ACQUIRED 2659 01:35:18,680 --> 01:35:25,720 AND IT'S DONE AND OVER. 2660 01:35:25,720 --> 01:35:29,920 TEAM SGM STANDS FOR EQUITABLE 2661 01:35:29,920 --> 01:35:32,760 ACCESSIBLE MEANINGFUL TRAINING 2662 01:35:32,760 --> 01:35:36,560 TO IMPROVE CANCER CARE FOR SGM, 2663 01:35:36,560 --> 01:35:41,560 THIS S&P A PILOT I WORKED WITH 2664 01:35:41,560 --> 01:35:43,040 AND WE HAD STATISTICALLY 2665 01:35:43,040 --> 01:35:43,840 SIGNIFICANT FINDINGS FOR THE 2666 01:35:43,840 --> 01:35:45,560 COHORT THAT WENT THROUGH THE 2667 01:35:45,560 --> 01:35:47,320 TRAIPING, I CURRENTLY HAVE AN 2668 01:35:47,320 --> 01:35:49,920 R25 THAT IT HAS BEEN SCORED AND 2669 01:35:49,920 --> 01:35:54,680 WE'LL SEE IF IT'S FUNDED. 2670 01:35:54,680 --> 01:35:55,680 AND REGARDLESS, I'M WORKING ON 2671 01:35:55,680 --> 01:35:58,200 TRYING TO MAKE SOME OF THIS 2672 01:35:58,200 --> 01:35:58,960 INFORMATION MORE PUBLICLY 2673 01:35:58,960 --> 01:36:00,880 AVAILABLE THROUGH OUR LEARNING 2674 01:36:00,880 --> 01:36:02,080 MANAGEMENT SYSTEM, AS I HAVE 2675 01:36:02,080 --> 01:36:04,160 CAPACITY TO DO SO, BUT THIS IS 2676 01:36:04,160 --> 01:36:06,880 ABOUT 20 HOURS OF CURRICULA ON 2677 01:36:06,880 --> 01:36:09,760 SOME OF THE TOPICS YOU SEE HERE 2678 01:36:09,760 --> 01:36:11,080 THAT ARE SPECIFICALLY ANCHORS 2679 01:36:11,080 --> 01:36:12,040 AND ALIGNED WITH CANCER 2680 01:36:12,040 --> 01:36:13,760 CONTINUUM OF CARE ISSUES FROM 2681 01:36:13,760 --> 01:36:17,280 RISK REDUCTION TO SCREENING TO 2682 01:36:17,280 --> 01:36:18,800 HORMONE CONSIDERATIONS, TO 2683 01:36:18,800 --> 01:36:19,280 RADIATION ONCOLOGY 2684 01:36:19,280 --> 01:36:21,240 CONSIDERATIONS TO BILLING 2685 01:36:21,240 --> 01:36:23,520 CONSIDERATIONS, POLICY 2686 01:36:23,520 --> 01:36:25,600 DIFFERENCES, BY STATE, 2687 01:36:25,600 --> 01:36:26,560 SURVIVORSHIP CONSIDERATIONS, SO 2688 01:36:26,560 --> 01:36:28,280 REALLY THINKING ABOUT THE 2689 01:36:28,280 --> 01:36:29,080 CLINICAL COMPONENT OF 2690 01:36:29,080 --> 01:36:30,040 CONSIDERATIONS WHEN WE'RE 2691 01:36:30,040 --> 01:36:31,720 THINKING ABOUT SEXUAL AND GENDER 2692 01:36:31,720 --> 01:36:32,080 MINORITY HEALTH. 2693 01:36:32,080 --> 01:36:34,560 AND THEN I JUST WANT TO END WITH 2694 01:36:34,560 --> 01:36:35,520 A CALL TO ACTION. 2695 01:36:35,520 --> 01:36:38,760 THIS WAS A QUOTATION FROM 1 OF 2696 01:36:38,760 --> 01:36:39,920 OUR PARTICIPANTS IN OUR QUAL 2697 01:36:39,920 --> 01:36:42,440 FATIVE STUDY I MENTIONED. 2698 01:36:42,440 --> 01:36:43,720 BUT THIS GYNECOLOGIST SAID MY 2699 01:36:43,720 --> 01:36:44,920 ROLE AS A DOCTOR ON THE TEAM 2700 01:36:44,920 --> 01:36:46,520 WOULD BE TO SET THE EXAMPLE FOR 2701 01:36:46,520 --> 01:36:47,720 OTHER STAFF TO CHAMP YEN SHOULD 2702 01:36:47,720 --> 01:36:48,960 TYPE OF PRACTICE IN YOUR 2703 01:36:48,960 --> 01:36:49,200 SETTING. 2704 01:36:49,200 --> 01:36:51,240 AND SO, I WOULD JUST SAY USE THE 2705 01:36:51,240 --> 01:36:52,880 POWER YOU HAVE WHERE YOU HAVE IT 2706 01:36:52,880 --> 01:36:54,080 TO ADVANCE CHANGE WHERE YOU CAN, 2707 01:36:54,080 --> 01:36:55,400 THESE ARE SOME OF MY 2708 01:36:55,400 --> 01:36:56,160 COLLABORATORS ON SOME OF THE 2709 01:36:56,160 --> 01:36:59,920 STUDIES THAT I MENTIONED THROUGH 2710 01:36:59,920 --> 01:37:02,680 THE PRESENTATION, AND SOME OF MY 2711 01:37:02,680 --> 01:37:03,920 MAJOR FUNDERS ON WORK THAT IS 2712 01:37:03,920 --> 01:37:05,320 RELATED TO WHAT I MENTIONED AS 2713 01:37:05,320 --> 01:37:08,640 WELL AS OTHER WORK THAT IS NOT 2714 01:37:08,640 --> 01:37:09,000 MENTIONED HERE. 2715 01:37:09,000 --> 01:37:10,320 AND THIS IS MY CONTACT 2716 01:37:10,320 --> 01:37:10,600 INFORMATION. 2717 01:37:10,600 --> 01:37:12,320 SO WITH THAT I WILL STOP SHARING 2718 01:37:12,320 --> 01:37:13,720 AND HAPPY TO TAKE QUESTIONS AT 2719 01:37:13,720 --> 01:37:14,760 THE END OF THE PANEL. 2720 01:37:14,760 --> 01:37:20,640 THANK YOU SO MUCH. 2721 01:37:20,640 --> 01:37:23,400 >>THANK YOU SO MUCH 2722 01:37:23,400 --> 01:37:23,880 DR. PRATT-CHAPMAN. 2723 01:37:23,880 --> 01:37:26,440 THAT WAS A WONDARERFUL 2724 01:37:26,440 --> 01:37:27,000 PRESENTATION. 2725 01:37:27,000 --> 01:37:28,560 OUR NEXT PRESENTATION IS 2726 01:37:28,560 --> 01:37:29,640 ENTITLED LESSONS NOT LEARNED 2727 01:37:29,640 --> 01:37:32,560 FROM THE HIV PANDEMIC: 2728 01:37:32,560 --> 01:37:35,040 DISPROPORTIONATE IMPACTS OF 2729 01:37:35,040 --> 01:37:39,120 CONVALESCENT 19 AND MONKEYPOX ON 2730 01:37:39,120 --> 01:37:43,240 SGM POP EULOGIES, DR. GEGRY 2731 01:37:43,240 --> 01:37:44,680 PHILLIPS FROM NORTHWESTERN 2732 01:37:44,680 --> 01:37:45,760 UNIVERSITY FEINBERG SCHOOL OF 2733 01:37:45,760 --> 01:37:47,560 MEDICINE WILL PRESENT OUR NEXT 2734 01:37:47,560 --> 01:37:48,520 SESSION, DR. PHIL EPIGENETICS, 2735 01:37:48,520 --> 01:37:51,400 HAVE YOU THE FLOOR. 2736 01:37:51,400 --> 01:38:01,440 --YOU HAVE THE FLOOR. 2737 01:38:01,440 --> 01:38:10,760 >>THANK YOU SO MUCH FOR HAVING 2738 01:38:10,760 --> 01:38:12,280 ME, TALKING ABOUT HIV AND MOVE 2739 01:38:12,280 --> 01:38:15,400 INTO MORE CURRENT TOPICS THAT 2740 01:38:15,400 --> 01:38:18,520 PEOPLE ARE LESS EXPERIENCED 2741 01:38:18,520 --> 01:38:20,720 WITH, SO FOR SGM POPULATIONS WE 2742 01:38:20,720 --> 01:38:22,920 TYPICALLY CONSIDER HIV AS A 2743 01:38:22,920 --> 01:38:29,440 FIRST PANDEMIC THAT REALLY 2744 01:38:29,440 --> 01:38:33,040 DEFINED THE RESEARCH, AND HOW 2745 01:38:33,040 --> 01:38:33,640 DISPROPORTIONATELY SGM 2746 01:38:33,640 --> 01:38:40,720 POPULATIONS WERE UNTIL HIV CAME 2747 01:38:40,720 --> 01:38:40,960 AROUND. 2748 01:38:40,960 --> 01:38:42,960 HIV WAS THE LAUNCHING POINT FOR 2749 01:38:42,960 --> 01:38:44,960 A LOT OF NEW ANTISGM STIGMA, 2750 01:38:44,960 --> 01:38:54,160 THIS RANGE FROM THE INITIAL 2751 01:38:54,160 --> 01:38:57,960 NAMING OF AIDS AS GAY RELATED 2752 01:38:57,960 --> 01:39:01,360 IMMUNE DEFICIENCIES, VILLISK OF 2753 01:39:01,360 --> 01:39:04,080 MSM, BATH HOUSES, A LOT OF 2754 01:39:04,080 --> 01:39:05,200 NEGATIVE STUFF, MY POST DOC HAS 2755 01:39:05,200 --> 01:39:08,840 DONE A LOT OF WORK LOOKING AT 2756 01:39:08,840 --> 01:39:11,160 CONNECTIONS BETWEEN SGM AND 2757 01:39:11,160 --> 01:39:11,680 ANTISGM SIGNATURES STATE 2758 01:39:11,680 --> 01:39:13,560 REGULATOR THAT STEMS FROM THIS 2759 01:39:13,560 --> 01:39:14,640 EARLY TIME PERIOD BUT NOT 2760 01:39:14,640 --> 01:39:20,040 EVERYTHING FROM HIV WAS NEG5 HIV 2761 01:39:20,040 --> 01:39:24,720 BROUGHT AROUND A NEW MODEL OF 2762 01:39:24,720 --> 01:39:28,280 COMMUNITY ACTIVISM AND POLITICAL 2763 01:39:28,280 --> 01:39:30,360 ENGAGEMENT, MAIN STREAM 2764 01:39:30,360 --> 01:39:31,280 ACKNOWLEDGMENT OF SGM 2765 01:39:31,280 --> 01:39:40,600 POPULATIONS AS PEOPLE WHO 2766 01:39:40,600 --> 01:39:43,280 ARE--WHO HAVE LIFE AND WORTH 2767 01:39:43,280 --> 01:39:44,960 HAVE ARE WORTH INVESTING IN. 2768 01:39:44,960 --> 01:39:46,640 WE HAVE BETTER SOGI MEASUREMENT, 2769 01:39:46,640 --> 01:39:47,520 WE DIDN'T HAVE GOOD MEASUREMENT 2770 01:39:47,520 --> 01:39:49,880 BEFORE ISSUES THIS WAS BETTER 2771 01:39:49,880 --> 01:39:52,480 AND THERE WAS THIS NEW INCREASED 2772 01:39:52,480 --> 01:39:53,760 FUNDING FOR SGM HEALTH RESEARCH 2773 01:39:53,760 --> 01:39:56,080 AS HAS BEEN MENTIONED SEVERAL 2774 01:39:56,080 --> 01:39:57,360 TIMES, MOST OF IT STILL IN HIV, 2775 01:39:57,360 --> 01:39:59,480 THIS IS WHERE A LOT OF THE 2776 01:39:59,480 --> 01:40:07,000 FUNDING STARTED TO COME FROM, 2777 01:40:07,000 --> 01:40:07,240 THOUGH. 2778 01:40:07,240 --> 01:40:08,800 SO DESPITE DECADES OF 2779 01:40:08,800 --> 01:40:10,880 EXPERIENCES WITH HIV THERE WAS 2780 01:40:10,880 --> 01:40:13,240 LOTS OF RESEARCH CHANGES, 2781 01:40:13,240 --> 01:40:15,200 ADVOCACY CHANGES, POLICY 2782 01:40:15,200 --> 01:40:17,400 CHANGES, REGARDLESS OF WHAT WAS 2783 01:40:17,400 --> 01:40:18,840 OCCURRING OVER THOSE DECADES, 2784 01:40:18,840 --> 01:40:21,800 THINGS DIDN'T CHANGE FOR THE 2785 01:40:21,800 --> 01:40:25,120 NEWEST PANDEMICS THAT WE HAVE 2786 01:40:25,120 --> 01:40:25,760 BEEN EXPERIENCING. 2787 01:40:25,760 --> 01:40:29,720 SO DESPITE ALL OF THIS LEARNED 2788 01:40:29,720 --> 01:40:31,840 LESSONS, WE SAW REFUSAL TO 2789 01:40:31,840 --> 01:40:33,800 COLLECT SOGI DATA ESPECIALLY 2790 01:40:33,800 --> 01:40:36,520 DURING COVID-19, REFUSAL TO 2791 01:40:36,520 --> 01:40:37,120 ACKNOWLEDGE DISPROPORTIONATE 2792 01:40:37,120 --> 01:40:38,720 IMPACTS ESPECIALLY DURING 2793 01:40:38,720 --> 01:40:44,280 COVID-19 AND THE SGM INDIVIDUALS 2794 01:40:44,280 --> 01:40:47,480 WERE DISPROPORTIONATELY IMPACTS, 2795 01:40:47,480 --> 01:40:52,800 USE OF STIGMATIZING AND 2796 01:40:52,800 --> 01:40:55,240 INACCURATE CAMPAIGNS, USE OF 2797 01:40:55,240 --> 01:40:56,880 FEARMONGERING TO STIMMULE 2798 01:40:56,880 --> 01:40:58,400 PREVENTIVE BEHAVIORS, AND 2799 01:40:58,400 --> 01:41:02,360 LIMITED FOCUS ON BISEXUAL AND 2800 01:41:02,360 --> 01:41:03,240 TRANSGEPPEDDER POPULATIONS. 2801 01:41:03,240 --> 01:41:06,640 SO STARTING WITH COVID-19, 2802 01:41:06,640 --> 01:41:09,640 MOVING INTO MPOX LATER, RESEARCH 2803 01:41:09,640 --> 01:41:11,920 FOUND A LOT OF THIS, I'M SURE 2804 01:41:11,920 --> 01:41:15,880 MANY OF THE PEOPLE HERE KNOW 2805 01:41:15,880 --> 01:41:19,640 COVID-19 IS VERY CLOSELY TIED TO 2806 01:41:19,640 --> 01:41:21,840 INEXPECTATIONS QUITY SO LONG 2807 01:41:21,840 --> 01:41:24,120 TIME DISCRIMINATION ARE REALLY 2808 01:41:24,120 --> 01:41:25,000 DRIVING DISPROPORTIONATE 2809 01:41:25,000 --> 01:41:26,520 COVID-19 RATES, A LOT OF THE 2810 01:41:26,520 --> 01:41:28,560 STRUCTURAL FACTORS WE KNOW THAT 2811 01:41:28,560 --> 01:41:32,520 EXIST, SO HEALTH, SERVICE 2812 01:41:32,520 --> 01:41:34,120 ACCESS, SOCIAL DETERMINE NABTS 2813 01:41:34,120 --> 01:41:36,920 ESPECIALLY PEOPLE WHO HAVE 2814 01:41:36,920 --> 01:41:37,920 MINORITIZED IDENTITIES SO SGM 2815 01:41:37,920 --> 01:41:39,200 PEOPLE OF COLOR AND THEN THE 2816 01:41:39,200 --> 01:41:41,240 FACT THAT THERE'S BEEN SO LITTLE 2817 01:41:41,240 --> 01:41:50,240 DATA COLLECTION ON COVID-19 2818 01:41:50,240 --> 01:41:51,040 OUTCOMES. 2819 01:41:51,040 --> 01:41:52,440 VERY FEW STUDIES FOUND 2820 01:41:52,440 --> 01:41:53,640 INFORMATION ON THIS, STUDIES 2821 01:41:53,640 --> 01:41:54,800 THAT WERE CONDUCTED ONLY LOOKED 2822 01:41:54,800 --> 01:41:56,440 AT MALES AND FEMALES, DIDN'T 2823 01:41:56,440 --> 01:41:59,080 LOOK AT ANYTHING BEYOND THE 2824 01:41:59,080 --> 01:42:00,480 BINARY CONSTRUCT AND THAT REALLY 2825 01:42:00,480 --> 01:42:03,080 LIMITED WHAT WE WERE ABLE TO SAY 2826 01:42:03,080 --> 01:42:06,320 ABOUT HOW THE COVID-19 PANDEMIC 2827 01:42:06,320 --> 01:42:07,040 IMPACTED PEOPLE. 2828 01:42:07,040 --> 01:42:10,640 SO, WITH ALL THESE GAPS, OUR 2829 01:42:10,640 --> 01:42:13,080 TEAM PRIORITIZED LOOKING HOW DO 2830 01:42:13,080 --> 01:42:13,920 DISPARITIES MANIFEST WITHIN 2831 01:42:13,920 --> 01:42:15,880 THESE POP EULOGIES, SO WHAT ARE 2832 01:42:15,880 --> 01:42:18,520 THE COMPLEX CAUSES AND 2833 01:42:18,520 --> 01:42:20,560 CONSEQUENCES AND WHAT CAN BE 2834 01:42:20,560 --> 01:42:23,080 DONE TO SUPPORT HEALTH AND WELL 2835 01:42:23,080 --> 01:42:25,280 BEING OF INDIVIDUALS DURING 2836 01:42:25,280 --> 01:42:32,280 COVID-19 AND FUTURE PANDEMICS 2837 01:42:32,280 --> 01:42:36,520 ASIDE FROM THE OBVIOUS BUT NOT 2838 01:42:36,520 --> 01:42:37,720 IMPOSSIBLE BARRIERS OF, ALL OF 2839 01:42:37,720 --> 01:42:38,320 THOSE. 2840 01:42:38,320 --> 01:42:39,400 SO WE PUBLISHED 1 OF THE FIRST 2841 01:42:39,400 --> 01:42:41,920 PAPERS THAT WAS REALLY A CALL TO 2842 01:42:41,920 --> 01:42:45,520 ACTION THAT OUTLINED WHAT PEOPLE 2843 01:42:45,520 --> 01:42:47,720 SHOULD BE DOING TO HELP ACHIEVE 2844 01:42:47,720 --> 01:42:49,160 HEALTH EQUITY DURING THE 2845 01:42:49,160 --> 01:42:49,880 COVID-19 PANDEMIC AND MOST OF 2846 01:42:49,880 --> 01:42:51,000 THE PEOPLE IN HERE, NONE OF 2847 01:42:51,000 --> 01:42:58,640 THESE SHOULD BE A SURPRISE AND 2848 01:42:58,640 --> 01:43:00,840 IT'S VERY MUCH IN ALIGNMENT WITH 2849 01:43:00,840 --> 01:43:01,960 WHAT'S BEEN DISCUSSED ALREADY. 2850 01:43:01,960 --> 01:43:04,600 SO HAVE BETTER TRAINED STAFF, 2851 01:43:04,600 --> 01:43:10,760 BETTER DATA COLLECTION, MORE 2852 01:43:10,760 --> 01:43:15,200 RESEARCH UPDATE DEMOGRAPHIC ON 2853 01:43:15,200 --> 01:43:17,960 LGBTQ+ PEOPLE, HAVE A PLAN SO 2854 01:43:17,960 --> 01:43:19,480 THAT WE'RE PROACTIVE RATHER THAN 2855 01:43:19,480 --> 01:43:22,480 BEING REACTIVE AND USING YOUR 2856 01:43:22,480 --> 01:43:23,560 VOICE FOR LGBTQ HEALTH. 2857 01:43:23,560 --> 01:43:25,560 SO, MOVING ON FROM THIS, WE 2858 01:43:25,560 --> 01:43:29,160 COLLECTED SOME DATA, SOME OF THE 2859 01:43:29,160 --> 01:43:32,800 FIRST DATA ON SEXUAL AND GENDER 2860 01:43:32,800 --> 01:43:33,160 MINORITY ADULTS. 2861 01:43:33,160 --> 01:43:35,240 WE WERE JUST LOOKING AT OVERALL 2862 01:43:35,240 --> 01:43:36,760 DISPARITIES WE HAD A REALLY 2863 01:43:36,760 --> 01:43:41,480 DIVERSE GROUP OF PEOPLE, WE 2864 01:43:41,480 --> 01:43:43,120 LOOKED AT INTEREST IN 2865 01:43:43,120 --> 01:43:46,320 VACCINATION, SAW INTERESTING 2866 01:43:46,320 --> 01:43:48,480 FINDINGS SO, TRANSGENDER 2867 01:43:48,480 --> 01:43:50,200 NONBINARY AND BISEXUAL, PAN 2868 01:43:50,200 --> 01:43:51,400 SEXUAL INDIVIDUALS WERE ALL MORE 2869 01:43:51,400 --> 01:43:53,560 INTERESTED IN GETTING A 2870 01:43:53,560 --> 01:43:54,440 VACCINATION, THIS WAS 2871 01:43:54,440 --> 01:43:57,280 PREVACCINATION, SO THIS WAS ALL 2872 01:43:57,280 --> 01:43:58,400 THEORETICAL, AND WHEN WE WERE 2873 01:43:58,400 --> 01:44:00,200 THINKING ABOUT TESTING AT HOME 2874 01:44:00,200 --> 01:44:02,200 FOR THOSE WHO WERE READILY 2875 01:44:02,200 --> 01:44:10,840 AVAILABLE WE SAW INTERESTING 2876 01:44:10,840 --> 01:44:11,720 THINGS WHERE WHERE INTERSECTS 2877 01:44:11,720 --> 01:44:13,480 AND INDIVIDUALS ARE GOING TO 2878 01:44:13,480 --> 01:44:15,080 TEST AT HOME SO POPULATION WE 2879 01:44:15,080 --> 01:44:18,960 KNOW ARE OFTEN OVERLOOKED AND 2880 01:44:18,960 --> 01:44:20,360 DISPROPORGATELY IMPACTED BY ALL 2881 01:44:20,360 --> 01:44:21,600 THESE FACTORS WERE MORE WILLING 2882 01:44:21,600 --> 01:44:23,680 TO ENGAGE IN NEEZ PREVENTIVE 2883 01:44:23,680 --> 01:44:23,920 BEHAVIORS. 2884 01:44:23,920 --> 01:44:26,440 AND THEN THIS PAPER WHICH WAS 2885 01:44:26,440 --> 01:44:28,760 LED BY DYLAN [INDISCERNIBLE] 2886 01:44:28,760 --> 01:44:29,960 TEAM, REALLY HELPED OUTLINE WHAT 2887 01:44:29,960 --> 01:44:32,320 THE FACTORS ARE WERE THAT LED TO 2888 01:44:32,320 --> 01:44:34,440 THE DISPROPORTIONATE OUTCOMES WE 2889 01:44:34,440 --> 01:44:36,840 WERE SEEING AMONG TRANSAND 2890 01:44:36,840 --> 01:44:38,920 GENDER DIVERSE POPULATIONS AND 2891 01:44:38,920 --> 01:44:40,680 HERE'S A REALLY GREAT CONCEPTUAL 2892 01:44:40,680 --> 01:44:43,040 MODEL THAT'S IN HERE PAPER, WE 2893 01:44:43,040 --> 01:44:45,240 SAW LOTS OF DIFFERENCES HERE IN 2894 01:44:45,240 --> 01:44:47,520 TERMS OF HOWESING INSTABILITY, 2895 01:44:47,520 --> 01:44:48,480 MEDICAL CARE INTERRUPTIONS, ALL 2896 01:44:48,480 --> 01:44:50,080 THESE FACTORS THAT ARE REALLY 2897 01:44:50,080 --> 01:44:52,320 TIED INTO THE STRUCTURAL FACTORS 2898 01:44:52,320 --> 01:45:02,760 THAT JUST DRIVE ALL OF THE 2899 01:45:03,280 --> 01:45:03,560 DISPARITIES. 2900 01:45:03,560 --> 01:45:04,600 ACE BASE ON ALL THAT WORK WE 2901 01:45:04,600 --> 01:45:07,960 WERE 1 OF THE FIRST GROUPS TO 2902 01:45:07,960 --> 01:45:10,960 FOCUS ON THE RADX-UP POPULATION 2903 01:45:10,960 --> 01:45:13,200 AND FOCUS ON THE POPULATIONS, WE 2904 01:45:13,200 --> 01:45:14,600 WERE FOCUSING ON YOUTH AND 2905 01:45:14,600 --> 01:45:16,360 ADULTS, I WON'T READ ALL THE 2906 01:45:16,360 --> 01:45:21,080 DATA HERE BUT WE RECRUITED ARK 2907 01:45:21,080 --> 01:45:23,160 DULTS BETWEEN 18-24 TO 2908 01:45:23,160 --> 01:45:25,480 PARTICIPATE IN QUANTITATIVE AND 2909 01:45:25,480 --> 01:45:27,480 QUALITATIVE INTERVIEWS WITH THE 2910 01:45:27,480 --> 01:45:28,720 HOPES OF DEVELOPING AN 2911 01:45:28,720 --> 01:45:34,600 INTERVENTION TO HELP IMPROVE 2912 01:45:34,600 --> 01:45:35,360 VACCINATION AND TESTING. 2913 01:45:35,360 --> 01:45:38,080 WE FOUND A LOT OF QUANTITATIVE 2914 01:45:38,080 --> 01:45:42,320 THINGS SO A LOT OF THIS ISN'T 2915 01:45:42,320 --> 01:45:42,800 SURPRISE. 2916 01:45:42,800 --> 01:45:44,560 THE BIG THINGS WE FOCUS ON ARE 2917 01:45:44,560 --> 01:45:48,040 THE MAINLIOR LIFE CHANGES SO, 2918 01:45:48,040 --> 01:45:49,600 11.5% HAD MAJOR CHANGES IN 2919 01:45:49,600 --> 01:45:52,000 INCOME OR EMPLOYMENT AND 9% HAD 2920 01:45:52,000 --> 01:45:53,600 SEVERE STRESS OR DISCORD WITHIN 2921 01:45:53,600 --> 01:45:56,680 THEIR FAMILY, AND THE THIRD HAD 2922 01:45:56,680 --> 01:45:58,480 TO SEVERE STRESS RELATED TO THE 2923 01:45:58,480 --> 01:46:00,000 PANDEMIC AND THESE ARE 2 OF THE 2924 01:46:00,000 --> 01:46:01,920 QUOTES FROM THE INTERVIEWS THAT 2925 01:46:01,920 --> 01:46:10,680 I HIGHLIGHTED THE STRESS THAT 2926 01:46:10,680 --> 01:46:13,200 PEOPLE EXPERIENCE WE ALSO 2927 01:46:13,200 --> 01:46:15,320 LOOKEDDA AT HOW STIGMATIZATION 2928 01:46:15,320 --> 01:46:18,840 IMPACTED PEOPLE WHICH WAS A 2929 01:46:18,840 --> 01:46:21,160 DROWN STREAM DISPROPORTIONATE 2930 01:46:21,160 --> 01:46:21,400 IMPACTS. 2931 01:46:21,400 --> 01:46:25,600 SO UNSURPRISINGLY WE FOUND LOTS 2932 01:46:25,600 --> 01:46:26,800 OF STIGMATIZATION ISSUES WITH 2933 01:46:26,800 --> 01:46:27,280 THESE YOUTH. 2934 01:46:27,280 --> 01:46:29,040 SO HAVING TO GO HOME TO 2935 01:46:29,040 --> 01:46:29,720 UNSUPPORTIVE ENVIRONMENTS, 2936 01:46:29,720 --> 01:46:30,880 HAVING TO BE AROUND PARENT WHO 2937 01:46:30,880 --> 01:46:31,880 IS DIDN'T SUPPORT THEM, HAVING 2938 01:46:31,880 --> 01:46:34,200 TO GO BACK IN THE CLOSET, NOT 2939 01:46:34,200 --> 01:46:36,280 BEING AROUND PEOPLE WHO USE 2940 01:46:36,280 --> 01:46:38,480 THEIR CORRECT NAMES WHO USE 2941 01:46:38,480 --> 01:46:39,920 THEIR CORRECT PRONOUNS WERE 2942 01:46:39,920 --> 01:46:40,600 REALLY STRESSFUL AND REALLY 2943 01:46:40,600 --> 01:46:42,720 CAUSED A LOT OF MENTAL HEALTH 2944 01:46:42,720 --> 01:46:45,040 IMPACTS AMONG THESE YOUTH. 2945 01:46:45,040 --> 01:46:55,560 BUT WE DID SEE A FEW POSITIVES 2946 01:46:55,560 --> 01:46:57,280 ABOUT THE PANDEMIC IS THAT THERE 2947 01:46:57,280 --> 01:46:58,840 WAS TIME TO FOCUSED ON FOCUS ON 2948 01:46:58,840 --> 01:47:01,480 SOME OF THESE, SO NOT HAVING TO 2949 01:47:01,480 --> 01:47:02,480 FOCUS OR STRESS OVER SCHOOL, 2950 01:47:02,480 --> 01:47:04,120 THEY HAD TIME TO THINK ABOUT 2951 01:47:04,120 --> 01:47:05,520 WHAT'S MYI DEBTITY, WHAT DO I 2952 01:47:05,520 --> 01:47:06,440 THINK ABOUT TRANSITIONING, ALL 2953 01:47:06,440 --> 01:47:09,000 THESE THINGS SO THERE'S A BIT OF 2954 01:47:09,000 --> 01:47:11,200 A POSITIVE BUT OVERALL LOTS OF 2955 01:47:11,200 --> 01:47:13,640 NEGATIVE IMPACTS ON YOUTH, 2956 01:47:13,640 --> 01:47:17,480 NEGATIVE IMPACTS ON SGM, THIS 2957 01:47:17,480 --> 01:47:18,800 ALL THEN LEADS INTO SOME OF THE 2958 01:47:18,800 --> 01:47:22,000 SAME THINGS WE WERE SEEING 2959 01:47:22,000 --> 01:47:23,840 WITHIN THE MPOX OUTBREAK THAT 2960 01:47:23,840 --> 01:47:26,760 STARTED LAST YEAR. 2961 01:47:26,760 --> 01:47:28,400 SO, THERE'S BEEN OVER 30,000 2962 01:47:28,400 --> 01:47:32,120 CASES IN THE UNITED STATES AS OF 2963 01:47:32,120 --> 01:47:34,640 EARLIER OR LATE FEBRUARY, NOT 2964 01:47:34,640 --> 01:47:36,960 VERY MANY DEATHS BUT IT STILL 2965 01:47:36,960 --> 01:47:38,440 HAD A HUGE IMPACT. 2966 01:47:38,440 --> 01:47:41,200 AS MANY PEOPLE KNOW, CASES 2967 01:47:41,200 --> 01:47:42,720 PEAKED DURING LATE SUMMER, EARLY 2968 01:47:42,720 --> 01:47:45,360 FALL, SOME OF THE CASES WERE 2969 01:47:45,360 --> 01:47:46,360 WITHIN SEXUAL NETWORKS AND MEN 2970 01:47:46,360 --> 01:47:47,760 WHO HAVE SEX WITH MEN. 2971 01:47:47,760 --> 01:47:53,160 SO WE PARTNER WIDE SOME 2972 01:47:53,160 --> 01:47:55,440 INVESTIGATORS HERE, IN CHICAGO 2973 01:47:55,440 --> 01:47:56,280 DRS. AUDRIE FRENCH AND 2974 01:47:56,280 --> 01:47:57,600 [INDISCERNIBLE] TO DO A 2975 01:47:57,600 --> 01:47:58,240 SUBSTUDY. 2976 01:47:58,240 --> 01:48:00,800 WE'VE BEEN VERY INVOLVED IN THE 2977 01:48:00,800 --> 01:48:03,640 CHICAGO'S RESPONSE TO THE MPOX 2978 01:48:03,640 --> 01:48:05,680 OUTBREAK AND WE'RE INTERESTED IN 2979 01:48:05,680 --> 01:48:07,680 HOW PEOPLE ARE EXPERIENCING NOT 2980 01:48:07,680 --> 01:48:10,840 JUST MPOX OUTBREAK BUT MESSAGES 2981 01:48:10,840 --> 01:48:14,640 AROUND IT AND WHAT THAT MEANT TO 2982 01:48:14,640 --> 01:48:15,320 THEM MOVING FORWARD. 2983 01:48:15,320 --> 01:48:17,400 WE'VE BEEN HEARING A LOT OF 2984 01:48:17,400 --> 01:48:19,040 ANECDOTA THINGS ABOUT STIGMA AND 2985 01:48:19,040 --> 01:48:20,880 BAD MESSAGES AND WE WANTED TO 2986 01:48:20,880 --> 01:48:22,200 REALLY EXPLORE THIS. 2987 01:48:22,200 --> 01:48:23,760 SO WE COLLECTED DATA FROM A 2988 01:48:23,760 --> 01:48:25,720 LITTLE OVER A FEW HUNDRED PEOPLE 2989 01:48:25,720 --> 01:48:36,240 AND WE WERE REALLY LOOKING AT A 2990 01:48:39,160 --> 01:48:39,960 NUMBER OF OUTCOMES. 2991 01:48:39,960 --> 01:48:41,720 SO THIS PAPER IS CURRENTLY 2992 01:48:41,720 --> 01:48:44,800 UNDERWAY, WE WERE LOOKINGA AT 2993 01:48:44,800 --> 01:48:46,520 NUMBER OF QUESTIONS REGARDING 2994 01:48:46,520 --> 01:48:47,920 STIGMA AND NOT SURPRISINGLY WE 2995 01:48:47,920 --> 01:48:50,360 SAW A LOT OF STIGMATIZING AND 2996 01:48:50,360 --> 01:48:51,720 NEGATIVE EXPERIENCES PEOPLE HAD 2997 01:48:51,720 --> 01:48:52,360 WITHIN THE SAMPLE. 2998 01:48:52,360 --> 01:48:54,120 SO THESE ARE 2 QUOTES THAT COME 2999 01:48:54,120 --> 01:48:57,560 FROM QUESTIONS THAT WE ASKED. 3000 01:48:57,560 --> 01:48:59,720 ARE THINGS YOU FEEL PUBLIC 3001 01:48:59,720 --> 01:49:01,000 HEALTH HAS DONE POORLY? 3002 01:49:01,000 --> 01:49:02,320 ONE WE HEARD A LOT IS 3003 01:49:02,320 --> 01:49:05,960 ASSOCIATION WITH GAY SEX, 3004 01:49:05,960 --> 01:49:06,640 SIGMAITIZATION AND 3005 01:49:06,640 --> 01:49:08,280 POLITICIZATION OF THE OUTBREAK, 3006 01:49:08,280 --> 01:49:10,240 PEOPLE FELT STRONGLY ABOUT HOW 3007 01:49:10,240 --> 01:49:12,480 CLOSELY TIED MPOX WAS TO GAY 3008 01:49:12,480 --> 01:49:12,680 SEX. 3009 01:49:12,680 --> 01:49:16,960 AND HOW DO WE AVOID DISCUSSING 3010 01:49:16,960 --> 01:49:19,000 MONKEYPOX IN A WAY THAT DOESN'T 3011 01:49:19,000 --> 01:49:20,320 CAUSE MORE STIGMA. 3012 01:49:20,320 --> 01:49:22,600 SOMEBODY SAID A VERY VALID QUOTE 3013 01:49:22,600 --> 01:49:24,360 THAT EVERYTHING ABOUT OUR 3014 01:49:24,360 --> 01:49:26,160 COMMITTEE IS STIGMATIZED WHY IS 3015 01:49:26,160 --> 01:49:28,440 THIS ANY DIFFERENT, JUST KNOW 3016 01:49:28,440 --> 01:49:30,880 THAT THINGS DON'T CHANGE. 3017 01:49:30,880 --> 01:49:32,440 SO UNSURPRISINGLY LOTS OF STIGMA 3018 01:49:32,440 --> 01:49:32,640 AGAIN. 3019 01:49:32,640 --> 01:49:34,800 WE ALSO LOOKED TO SEE HOW STIGMA 3020 01:49:34,800 --> 01:49:38,000 WAS ASSOCIATED WITH TRAUMATIC 3021 01:49:38,000 --> 01:49:39,440 STRESS. 3022 01:49:39,440 --> 01:49:42,800 WE FOUND LOTS OF PROXIMITY TO 3023 01:49:42,800 --> 01:49:45,960 MONKEYPOX, SO NOT JUST BEING 3024 01:49:45,960 --> 01:49:47,600 IMPACTED BY MONKEYPOX AND HAVING 3025 01:49:47,600 --> 01:49:49,320 PEOPLE IN YOUR LIFE WHO WERE 3026 01:49:49,320 --> 01:49:50,440 AFFECTED WITH MPOX WERE SOABT 3027 01:49:50,440 --> 01:49:53,880 ARE WIDE NEGATIVE OUTCOMES SO 3028 01:49:53,880 --> 01:49:56,040 PSYCHOLOGICAL DISTRESS, STIGMA 3029 01:49:56,040 --> 01:49:58,520 AGAINST THE PHYSICAL SIGNS OF IT 3030 01:49:58,520 --> 01:50:01,800 OR POTENTIAL SIGNS OF MPOX, FEAR 3031 01:50:01,800 --> 01:50:04,280 OF SOCIAL REJECTION, IDENTITY 3032 01:50:04,280 --> 01:50:05,520 BASED DISCRIMINATION, AND EVEN 3033 01:50:05,520 --> 01:50:07,120 THOUGH WE KNOW THAT MORBIDITY 3034 01:50:07,120 --> 01:50:08,480 AND MORTALITY WAS LOW, THE 3035 01:50:08,480 --> 01:50:10,320 IMPACT CAN BEENTIOUS SPECIALLY 3036 01:50:10,320 --> 01:50:12,040 HIGH WHEN PEOPLE MIGHT ASSUME 3037 01:50:12,040 --> 01:50:17,080 THAT YOU ARE IMPACTED OR 3038 01:50:17,080 --> 01:50:18,840 INFECTED WITH MP.O. BOX. 3039 01:50:18,840 --> 01:50:27,720 WE ALSO DID A BIT MORE 3040 01:50:27,720 --> 01:50:28,840 QUANTITATIVE WORK WE TURNED ALL 3041 01:50:28,840 --> 01:50:31,840 THE MEASURES THAT THE CDC USED 3042 01:50:31,840 --> 01:50:34,240 TO PREVENT FROM GETTING MPOX 3043 01:50:34,240 --> 01:50:35,680 INTO A SERIES OF QUESTIONS, NOT 3044 01:50:35,680 --> 01:50:37,760 ALL OF THE QUESTIONS WERE GREAT, 3045 01:50:37,760 --> 01:50:40,920 BUT WE USED EXACTLY WHAT CDC 3046 01:50:40,920 --> 01:50:41,440 HAD. 3047 01:50:41,440 --> 01:50:43,360 WE FOUND THAT PEOPLE BROKE OUT 3048 01:50:43,360 --> 01:50:48,040 INTO 2 DIFFERENT GROUPS, SO 3049 01:50:48,040 --> 01:50:49,840 PEOPLE WERE DEFINED BY DECREASES 3050 01:50:49,840 --> 01:50:52,840 IN SEX AND INCREASES IN 3051 01:50:52,840 --> 01:50:55,720 PREVENTIVE BEHAVIORS, WE SAW A 3052 01:50:55,720 --> 01:50:58,520 HUGE CHANGE IN A NUMBER OF SEX 3053 01:50:58,520 --> 01:51:01,840 PARTNERS, SO EVEN COMPARED TO 3054 01:51:01,840 --> 01:51:03,920 OTHER STUDIES, WE FOUND ABOUT 3055 01:51:03,920 --> 01:51:05,440 3-QUARTERS OF A SAMPLE HAD 3056 01:51:05,440 --> 01:51:07,560 REDUCED SEX OR STOPPED HAVING 3057 01:51:07,560 --> 01:51:10,360 SEX FROM WHEN THE PANDEMIC 3058 01:51:10,360 --> 01:51:11,080 STARTED, WHICH WAS MUCH LESS 3059 01:51:11,080 --> 01:51:13,640 THAN WE SAW IN OTHER STUDIES 3060 01:51:13,640 --> 01:51:16,000 LIKE THE AMOS STUDY, LIKE I SAID 3061 01:51:16,000 --> 01:51:18,160 WE HAVE THESE 2 FACTORS, THESE 3062 01:51:18,160 --> 01:51:19,920 ARE BOTH ASSOCIATE WIDE MPOX 3063 01:51:19,920 --> 01:51:22,000 VACCINATION SO WE SAW THE 3064 01:51:22,000 --> 01:51:26,400 DIFFERENT ENGAGEMENT AND 3065 01:51:26,400 --> 01:51:27,920 BEHAVIORS WERE RELATED AND NOT 3066 01:51:27,920 --> 01:51:29,680 IN THE WAYS WE EXPECTED MEANING 3067 01:51:29,680 --> 01:51:32,640 THERE IS VERY COMPLICATED AND 3068 01:51:32,640 --> 01:51:33,280 COMPLEX ASSOCIATIONS. 3069 01:51:33,280 --> 01:51:41,200 OUR TAKE AWAY FROM ALL OF THIS 3070 01:51:41,200 --> 01:51:42,760 WHICH I TALKED ON A BIT LAST 3071 01:51:42,760 --> 01:51:45,600 WEEK IS THAT WE DON'T WANT 3072 01:51:45,600 --> 01:51:49,440 PUBLIC HEALTH MESSAGES THAT'S 3073 01:51:49,440 --> 01:51:50,120 ANTIPLEASURE. 3074 01:51:50,120 --> 01:51:52,320 WE WANT PLEASURABLE AND HEALTHY 3075 01:51:52,320 --> 01:51:55,160 SEX MESSAGING TO BE COMPATIBLE 3076 01:51:55,160 --> 01:51:56,200 WITH PUBLIC HEALTH GOALS. 3077 01:51:56,200 --> 01:51:56,840 SOPHISTICATEDY TRYING TO MARRY 3078 01:51:56,840 --> 01:52:01,320 THE WORK OF PEOPLE WHO ARE 3079 01:52:01,320 --> 01:52:02,840 FOCUSED ON NONABSTINENCE ONLY 3080 01:52:02,840 --> 01:52:04,440 BUT HAVING SAFER AND HARM 3081 01:52:04,440 --> 01:52:06,080 REDUCTION IN YOUR SEXUAL 3082 01:52:06,080 --> 01:52:08,080 BEHAVIORS IS REALLY WHAT WE WANT 3083 01:52:08,080 --> 01:52:09,840 TO FOCUS ON, ESPECIALLY MODELING 3084 01:52:09,840 --> 01:52:11,560 AFTER A SUCCESSFUL CAMPAIGNS 3085 01:52:11,560 --> 01:52:15,520 LIKE PREP FOR LOVE THAT USES 3086 01:52:15,520 --> 01:52:17,760 LESS STIGMATIZING MESSAGES. 3087 01:52:17,760 --> 01:52:21,000 SO, LOTS OF QUICK DATA, NOT--A 3088 01:52:21,000 --> 01:52:23,400 LOT OF TIME TO GO OVER ALL OF 3089 01:52:23,400 --> 01:52:26,040 THIS, BUT MY TAKE AWAYS REALLY 3090 01:52:26,040 --> 01:52:28,360 THAT WE CAN, WE MUST DO BETTER, 3091 01:52:28,360 --> 01:52:29,920 WE KNOW THAT PANDEMICS WILL 3092 01:52:29,920 --> 01:52:33,440 CONTINUE TO OCCUR, SO, COVID-19 3093 01:52:33,440 --> 01:52:34,640 HAPPENED, WE DIDN'T LEARN FROM 3094 01:52:34,640 --> 01:52:36,480 THAT WE MOVE RIGHT INTO MPOX, WE 3095 01:52:36,480 --> 01:52:37,680 DIDN'T LEARN FROM THAT WE WILL 3096 01:52:37,680 --> 01:52:41,080 MOVE INTO WHATEVER THE NEXT 3097 01:52:41,080 --> 01:52:42,720 PANDEMIC IS, WE NEED TO HAVE A 3098 01:52:42,720 --> 01:52:44,640 BETTER FOCUS AND WE NEED TO BE 3099 01:52:44,640 --> 01:52:46,040 BETTER PREPARED FOR IT SO THAT 3100 01:52:46,040 --> 01:52:49,160 WE'RE ABLE TO WORK DIRECTLY WITH 3101 01:52:49,160 --> 01:52:50,920 SEXUAL AND GENDER MINORITY 3102 01:52:50,920 --> 01:52:52,800 POPULATIONS ESPECIALLY RACIAL 3103 01:52:52,800 --> 01:52:54,920 ETHNIC MINORITY, SEXUAL GENDER 3104 01:52:54,920 --> 01:52:55,400 MINORITY POPULATIONS. 3105 01:52:55,400 --> 01:52:56,600 AS I SAID EARLIER, RESEARCH 3106 01:52:56,600 --> 01:52:58,720 NEEDS TO BE PROACTIVE, NOT 3107 01:52:58,720 --> 01:53:01,400 REACTIVE, SO MUCH OF WHAT WE DO 3108 01:53:01,400 --> 01:53:03,280 IS VERY REACTIVE, BUT, IF WE'RE 3109 01:53:03,280 --> 01:53:05,360 PROACTIVE, WE WILL BE BETTER 3110 01:53:05,360 --> 01:53:06,280 PRACTICESY PAIRED SO THAT WE 3111 01:53:06,280 --> 01:53:09,680 DON'T GET INTO THE MIDDLE OF A 3112 01:53:09,680 --> 01:53:11,720 PANDEMIC AND REALIZE SHOULD HAVE 3113 01:53:11,720 --> 01:53:12,920 BEEN DOING SOMETHING 3114 01:53:12,920 --> 01:53:13,320 DIFFERENTLY. 3115 01:53:13,320 --> 01:53:16,120 COLLECTION OF SODPRKS I DATA 3116 01:53:16,120 --> 01:53:16,920 USING STANDARDIZED METHODS. 3117 01:53:16,920 --> 01:53:18,880 THIS NEEDS TO BE REQUIRED FOR 3118 01:53:18,880 --> 01:53:20,320 SURVEILLANCE ACTIVITIES. 3119 01:53:20,320 --> 01:53:21,360 I KNOW CERTAIN PLACES ARE DOING 3120 01:53:21,360 --> 01:53:23,360 A GREAT JOB WITH THIS, STILL IT 3121 01:53:23,360 --> 01:53:26,040 NEEDS TO BE STANDARDIZED AND IT 3122 01:53:26,040 --> 01:53:28,080 NEEDS TO BE DONE PROPERLY IN A 3123 01:53:28,080 --> 01:53:38,640 WAY THAT'S REFLECTIVE WHAT HAVE 3124 01:53:39,680 --> 01:53:44,080 COMMUNITY AGENCIES WANT OR MORE 3125 01:53:44,080 --> 01:53:48,960 OF TRANSGENDER, MORE OPTIONS FOR 3126 01:53:48,960 --> 01:53:49,680 GAY STRAIGHT TRANSFUNCTIONS, I 3127 01:53:49,680 --> 01:53:51,120 KNOW THESE ARE HARD TORE DO BUT 3128 01:53:51,120 --> 01:53:53,440 THESE HAVE A BIGGER IMPACT, SO 3129 01:53:53,440 --> 01:53:57,400 FOCUSING MORE ON STRUCTURAL 3130 01:53:57,400 --> 01:53:58,480 CHANGE, MULTILEVEL CHANGE, AND 3131 01:53:58,480 --> 01:54:02,520 HAS BEEN MENTIONED EARLIER, 3132 01:54:02,520 --> 01:54:03,080 COMMUNITY-LED APPROACHES ARE 3133 01:54:03,080 --> 01:54:06,920 NECESSARY TO MAKE SURE WE HAVE 3134 01:54:06,920 --> 01:54:07,520 ACCEPTABLE AND NONSTIGMATIZING 3135 01:54:07,520 --> 01:54:07,920 RESPONSES. 3136 01:54:07,920 --> 01:54:10,880 A LOT OF THE WORK IN CHICAGO 3137 01:54:10,880 --> 01:54:14,120 THAT HELPED STEM THE TIDE OF THE 3138 01:54:14,120 --> 01:54:14,760 MPOX OUTBREAK WAS COMMUNITY-LED 3139 01:54:14,760 --> 01:54:18,280 AND A LOT OF MESSAGING WE'VE 3140 01:54:18,280 --> 01:54:20,120 SEEN WASN'T COMMUNITY LED BUT 3141 01:54:20,120 --> 01:54:22,320 WAS RIGHTLY CALLED OUT BY XIEWNT 3142 01:54:22,320 --> 01:54:23,160 AS BEING STIGMATIZING. 3143 01:54:23,160 --> 01:54:24,840 SO THAT'S MY OVERVIEW, I WANT TO 3144 01:54:24,840 --> 01:54:27,560 THANK ALL MY TEAM WHO HELPED ME 3145 01:54:27,560 --> 01:54:38,000 PULL THIS TOGETHER, AND THERE'S 3146 01:54:38,000 --> 01:54:38,640 MY CONTACT INFORMATION. 3147 01:54:38,640 --> 01:54:39,800 >>THANK YOU SOPHISTICATEDY MUCH 3148 01:54:39,800 --> 01:54:40,920 DR. PHIL EPIGENETICS. 3149 01:54:40,920 --> 01:54:44,960 OUR LAST SPEAKER AND DR. MEGAN 3150 01:54:44,960 --> 01:54:45,800 SCHULER FROM THE RANDOMIZED 3151 01:54:45,800 --> 01:54:47,520 TRIAL KORCHERATION AND HER 3152 01:54:47,520 --> 01:54:48,840 PRESENTATION IS ENTITLED AN 3153 01:54:48,840 --> 01:54:51,240 OVERVIEW OF MENTAL AND 3154 01:54:51,240 --> 01:54:53,440 BEHAVIORIAL HEALTH INIQUITIES 3155 01:54:53,440 --> 01:54:54,040 AMONG LGBTQ+ INDIVIDUALS AND 3156 01:54:54,040 --> 01:55:04,520 AFTER THIS WE WILL HAVE Q&A 3157 01:55:37,840 --> 01:55:38,040 PANEL. 3158 01:55:38,040 --> 01:55:39,080 >>OKAY, SORRY ABOUT THAT. 3159 01:55:39,080 --> 01:55:40,760 DOES THAT WORK NOW? 3160 01:55:40,760 --> 01:55:41,000 >>YES. 3161 01:55:41,000 --> 01:55:42,400 >>OKAY, I HAVE A LOT TO COVER 3162 01:55:42,400 --> 01:55:44,160 AND I WILL TRY TO HIT THE 3163 01:55:44,160 --> 01:55:44,440 HIGHLIGHTS. 3164 01:55:44,440 --> 01:55:50,240 SO I WILL TALK ABOUT MENTAL AND 3165 01:55:50,240 --> 01:55:50,840 BEHAVIORIAL HEALTH INIQUITIES. 3166 01:55:50,840 --> 01:55:53,480 JUST TO START OFF WITH, YOU KNOW 3167 01:55:53,480 --> 01:55:56,480 SOME VERY, NOT SURPRISING TAKE 3168 01:55:56,480 --> 01:56:00,320 AWAY POINTS, MENTAL HEALTH 3169 01:56:00,320 --> 01:56:01,240 CONDITIONS AND SUBSTANCE USE 3170 01:56:01,240 --> 01:56:03,520 HAVE BEEN SHOWN TIME AND TIME 3171 01:56:03,520 --> 01:56:07,360 AGAIN TO BE SIGNIFICANTLY 3172 01:56:07,360 --> 01:56:08,480 ELEVATED AMONG LBGTQ+ 3173 01:56:08,480 --> 01:56:09,680 INDIVIDUALS BUT WITH REALLY 3174 01:56:09,680 --> 01:56:11,280 IMPORTANT VARIATION IN THE 3175 01:56:11,280 --> 01:56:12,720 MAGNITUDE OF THESE DISPARITIES 3176 01:56:12,720 --> 01:56:15,400 BY FACTORS SUCH AS GENDER, 3177 01:56:15,400 --> 01:56:16,400 SEXUAL IDENTITY, RACE ETHNICITY 3178 01:56:16,400 --> 01:56:18,520 AND AGE AMONG RPGHTS SO I WILL 3179 01:56:18,520 --> 01:56:21,080 TRY TO HIGHLIGHT THAT 3180 01:56:21,080 --> 01:56:23,120 HETEROGENERATED AITY, DURING MY 3181 01:56:23,120 --> 01:56:26,560 TIME TODAY, AND ALSO AS 3182 01:56:26,560 --> 01:56:29,160 UNDERSCORED IN THE KEY NOTE, WE 3183 01:56:29,160 --> 01:56:30,560 KNOW MUCH LESS ABOUT THE 3184 01:56:30,560 --> 01:56:32,920 ETIOLOGY AND RISK FACTORS 3185 01:56:32,920 --> 01:56:34,960 UNDERLYING THESE DISPARITIES BUT 3186 01:56:34,960 --> 01:56:37,520 THEY LIKELY DIFFER, AMONG SGM 3187 01:56:37,520 --> 01:56:41,480 SUBGROUPS WHICH HAS IMPORTANT 3188 01:56:41,480 --> 01:56:43,560 IMPLICATIONS FOR THINKING ABOUT 3189 01:56:43,560 --> 01:56:46,760 IMPLEMENTING PREVENTION AND 3190 01:56:46,760 --> 01:56:50,720 TREATMENT EFFORTS. 3191 01:56:50,720 --> 01:56:53,440 SO, OF COURSE MINORITY STRESS, 3192 01:56:53,440 --> 01:56:57,880 FEAR IS A CONTRIBUTOR, 1 OF 3193 01:56:57,880 --> 01:56:59,160 PERHAPS MANY MULTIFACETED 3194 01:56:59,160 --> 01:57:01,680 DRIVERS OF THESE DISPARITIES SO 3195 01:57:01,680 --> 01:57:03,800 THAT INCLUDES OF COURSE 3196 01:57:03,800 --> 01:57:05,000 INDIVIDUAL DISCRIMINATION AND 3197 01:57:05,000 --> 01:57:09,440 HARASSMENT AS WELL AS SOCIETAL 3198 01:57:09,440 --> 01:57:10,480 AND STRUCTURAL INEQUALITIES, AND 3199 01:57:10,480 --> 01:57:13,280 YOU KNOW, WE KNOW THAT THERE'S 3200 01:57:13,280 --> 01:57:16,800 REALLY A PROFOUND DIVERSITY OF 3201 01:57:16,800 --> 01:57:18,760 EXPERIENCES AMONG LGBTQ+ 3202 01:57:18,760 --> 01:57:21,960 INDIVIDUALS, BOTH WITH REGARD TO 3203 01:57:21,960 --> 01:57:23,800 INDIVIDUALS HOLDING DISTINCT AND 3204 01:57:23,800 --> 01:57:27,200 INTERSECTING IDENTITIES AS WELL 3205 01:57:27,200 --> 01:57:31,080 AS DISTINCT SOCIAL EXPERIENCES 3206 01:57:31,080 --> 01:57:33,520 IN THE FAMILY, SCHOOL, 3207 01:57:33,520 --> 01:57:42,920 COMMUNITY, STATE ENVIRONMENTS. 3208 01:57:42,920 --> 01:57:49,280 AND I WOULD BE REMISS IF ARE THE 3209 01:57:49,280 --> 01:57:57,200 STATE ASHES NOUNSMENT WE HAVE 3210 01:57:57,200 --> 01:57:58,240 THE ANTIBGTQ BILLS IN THE UNITED 3211 01:57:58,240 --> 01:58:02,880 STATES, TRYING TO MOVE THROUGH 3212 01:58:02,880 --> 01:58:05,080 STATE CONGRESS LEGISLATURES AND 3213 01:58:05,080 --> 01:58:09,400 ALTHOUGH THESE ARE--THESE ARE 3214 01:58:09,400 --> 01:58:10,240 PRIMARILY ANTITRANSBILLS, SO 3215 01:58:10,240 --> 01:58:20,680 THAT'S IMPORTANT TO NOTE. 3216 01:58:21,600 --> 01:58:23,960 I WANT TO TAKE A MOMENT TO 3217 01:58:23,960 --> 01:58:25,400 REVIEW THE PSYCHIATRY FAME WORK, 3218 01:58:25,400 --> 01:58:28,000 I LABEL THOSE HISTORICICAL, AND 3219 01:58:28,000 --> 01:58:32,040 NOT SO HISTORICAL CONTEXT. 3220 01:58:32,040 --> 01:58:35,840 SO, IN 1973, THE AMERICAN 3221 01:58:35,840 --> 01:58:36,920 PSYCHIATRIC ASSOCIATION REMOVED 3222 01:58:36,920 --> 01:58:40,080 HOMOSEXUALITY HAS A FORMAL 3223 01:58:40,080 --> 01:58:42,680 MENTAL DIAGINOSEIS FROM THE 3224 01:58:42,680 --> 01:58:44,960 SECOND ADDITION OF THE 3225 01:58:44,960 --> 01:58:46,560 DIAGNOSTIC AND STATISTICAL 3226 01:58:46,560 --> 01:58:49,680 MANUEL DSM AND THAT IN ITS PLACE 3227 01:58:49,680 --> 01:58:55,200 WAS ADDED SEXUAL ORIENTATION 3228 01:58:55,200 --> 01:58:57,520 DISTURBANCE AND SO THIS MEANT 3229 01:58:57,520 --> 01:59:00,720 THAT HOMOSEXUALITY PER SE WAS NO 3230 01:59:00,720 --> 01:59:03,920 LONGER A DIAGNOSED MENTAL 3231 01:59:03,920 --> 01:59:06,440 ILLNESS, BUT THE DISTURBANCE 3232 01:59:06,440 --> 01:59:10,280 DIAGNOSIS REFERRED TO 3233 01:59:10,280 --> 01:59:12,240 INDIVIDUALS WHO EXPERIENCED KIND 3234 01:59:12,240 --> 01:59:13,640 OF DISTRESS OR DISCORDANCE 3235 01:59:13,640 --> 01:59:15,680 RELATED TO THEIR SEXUAL 3236 01:59:15,680 --> 01:59:17,080 ORIENTATION AND IN THE 3237 01:59:17,080 --> 01:59:20,000 RAMIFICATIONS OF THIS BEING A 3238 01:59:20,000 --> 01:59:26,960 FORMAL PSYCHIATRIC DIAGNOSIS WAS 3239 01:59:26,960 --> 01:59:28,960 THAT PRIOR TO 1973, COULD BE 3240 01:59:28,960 --> 01:59:30,880 INSTITUTIONALIZED FROM THEIR 3241 01:59:30,880 --> 01:59:35,800 JOB, DIDN'T FIND A MORTGAGE, A 3242 01:59:35,800 --> 01:59:38,600 VARIETY OF OF CONSEQUENCES, AND 3243 01:59:38,600 --> 01:59:43,000 ALSO JUST A REMINDER THAT IT 3244 01:59:43,000 --> 01:59:44,800 WASN'T UNTIL 1995 THAT PRESIDENT 3245 01:59:44,800 --> 01:59:47,840 CLINTON ENDED THE FEDERAL POLICY 3246 01:59:47,840 --> 01:59:49,440 DENYING SECURITY CLEARANCES 3247 01:59:49,440 --> 01:59:53,280 BASED ON SEXUAL ORIENTATION. 3248 01:59:53,280 --> 02:00:03,800 SO, SEVERAL DECADES LATER, WITH 3249 02:00:04,280 --> 02:00:06,200 REGARD TO GENDER DISORDER, SO IT 3250 02:00:06,200 --> 02:00:08,600 WAS 2013 THAT GENDER IDENTITY 3251 02:00:08,600 --> 02:00:12,440 DISORDER WAS DROPPED FROM THE 3252 02:00:12,440 --> 02:00:14,280 DSM-5 WITH GENDER DYSPHORIA 3253 02:00:14,280 --> 02:00:16,680 ADDED IN ITS PLACE AND THIS 3254 02:00:16,680 --> 02:00:23,680 REQUIRED KIND OF COMPONENT OF 3255 02:00:23,680 --> 02:00:25,640 DYSPHORIA POINT, AT ONCE, NOT 3256 02:00:25,640 --> 02:00:27,560 JUST MERELY THE IDENTITY AND W. 3257 02:00:27,560 --> 02:00:30,760 H. O. FOLLOWED SUIT JUST IN 3258 02:00:30,760 --> 02:00:32,280 TWEBT 19, DROPPING GENDER 3259 02:00:32,280 --> 02:00:39,440 IDENTITY DISORDER FROM THE ICD 3260 02:00:39,440 --> 02:00:42,240 11 AND ADDING GENDER 3261 02:00:42,240 --> 02:00:43,160 INCONGRUENCE. 3262 02:00:43,160 --> 02:00:44,600 AND IT IS ALSO WORTH 3263 02:00:44,600 --> 02:00:45,640 HIGHLIGHTING THAT EVEN THOUGH IN 3264 02:00:45,640 --> 02:00:48,200 RECENT YEARS A NUMBER OF 3265 02:00:48,200 --> 02:00:50,720 JURISDICTIONS HAVE PASSED 3266 02:00:50,720 --> 02:00:52,320 LEGISLATION BANNING QUOTE 3267 02:00:52,320 --> 02:00:55,080 REPARAATIVE OR CONVERSION 3268 02:00:55,080 --> 02:00:57,800 THERAPIES WHICH ARE KIND OF 3269 02:00:57,800 --> 02:00:59,760 DISPROVEN INTERVENTIONS AIMED AT 3270 02:00:59,760 --> 02:01:06,960 CHANGING SEXUAL ORIENTATION OR 3271 02:01:06,960 --> 02:01:09,560 GENDER IDENTITY. 3272 02:01:09,560 --> 02:01:11,920 LGBTQ+ INDIVIDUALS TO THIS DAY 3273 02:01:11,920 --> 02:01:16,680 ARE SUBJECTED TO THESE 3274 02:01:16,680 --> 02:01:17,480 QUOTE-UNQUOTE THERAPIES. 3275 02:01:17,480 --> 02:01:23,480 SO TURNING NOW TO GIVE YOU AN 3276 02:01:23,480 --> 02:01:27,240 OVERVIEW OF THE STATUS OF MENTAL 3277 02:01:27,240 --> 02:01:28,880 HEALTH, SO MENTAL HEALTH WELL 3278 02:01:28,880 --> 02:01:32,120 DOCUMENTED, I WILL FOCUS ON 3279 02:01:32,120 --> 02:01:34,720 NATIONAL DATA, SO, THE NATIONAL 3280 02:01:34,720 --> 02:01:37,480 SURVEY ON DRUG USE AND HEALTH IS 3281 02:01:37,480 --> 02:01:46,040 KIND OF A LEADING SOURCE WITH 3282 02:01:46,040 --> 02:01:48,040 THE CLEAR LIMITATION THAT THIS 3283 02:01:48,040 --> 02:01:49,320 ONLY ASSESSES SEXUAL IDENTITY 3284 02:01:49,320 --> 02:01:51,760 AND WITH THE RESPONSE OPTIONS OF 3285 02:01:51,760 --> 02:01:55,080 LESBIAN GAY OR BISEXUAL AND 3286 02:01:55,080 --> 02:01:56,960 HETEROSEXUAL AND IT'S ONLY 3287 02:01:56,960 --> 02:01:58,880 ASSESSED AMONG ADULTS, SO THESE 3288 02:01:58,880 --> 02:02:01,440 RESULTS WILL BE FOCUSING ON 3289 02:02:01,440 --> 02:02:04,400 LGB ARK DULTS ONLY. 3290 02:02:04,400 --> 02:02:06,600 AND SO, THIS DATA INDICATES THAT 3291 02:02:06,600 --> 02:02:09,160 LGB ADULT VS MORE THAN TWICE THE 3292 02:02:09,160 --> 02:02:11,880 RATE OF MENTAL ILLNESS, COMPARED 3293 02:02:11,880 --> 02:02:13,600 TO HETEROSEXUAL ADULTS, IN TERMS 3294 02:02:13,600 --> 02:02:18,400 OF PAST YEAR PREVALENCE, THAT'S 3295 02:02:18,400 --> 02:02:25,520 37% COMPARED TO 17% OF 3296 02:02:25,520 --> 02:02:26,920 HETEROSEXUAL ADULTS AND OTHER 3297 02:02:26,920 --> 02:02:29,360 NATIONAL DATA INDICATES THAT 3298 02:02:29,360 --> 02:02:30,160 TRANSGENDER INDIVIDUALS ARE 3299 02:02:30,160 --> 02:02:35,400 NORMAL 4 TIMES AS LIKELY AS 3300 02:02:35,400 --> 02:02:36,280 CISGENDER INDIVIDUALS TO 3301 02:02:36,280 --> 02:02:37,280 EXPERIENCE MENTAL HEALTH 3302 02:02:37,280 --> 02:02:41,720 CONDITION, THE BULK OF THE WORK 3303 02:02:41,720 --> 02:02:49,120 HAS FOCUSED ON EATING DISORDERS, 3304 02:02:49,120 --> 02:02:50,880 SUICIDALLITY, AND PTSD, AND 3305 02:02:50,880 --> 02:02:55,040 AUTISM SPECTRUM DISORDERS AND 3306 02:02:55,040 --> 02:02:56,080 OTHER CONDITIONS. 3307 02:02:56,080 --> 02:03:00,040 SPECIFICALLY, ON DEPRESSION AND 3308 02:03:00,040 --> 02:03:02,520 ANXIETY, I'LL NOTE THAT 3309 02:03:02,520 --> 02:03:04,240 INDIVIDUALS IDENTIFY AS BISEXUAL 3310 02:03:04,240 --> 02:03:08,880 OR QUEER HAVE BEEN SHOWN TO HAVE 3311 02:03:08,880 --> 02:03:10,520 SIGNIFICANTLY HIGHER RATES OF 3312 02:03:10,520 --> 02:03:11,520 DEPRESSION THAN INDIVIDUALS 3313 02:03:11,520 --> 02:03:14,480 IDENTIFYING AS GAY OR LESBIAN. 3314 02:03:14,480 --> 02:03:15,840 THERE'S INTERESTING THINGS GOING 3315 02:03:15,840 --> 02:03:19,800 ON WITH AGE, WHERE IN THE 3316 02:03:19,800 --> 02:03:20,960 GENERAL POPULATION, RATES OF 3317 02:03:20,960 --> 02:03:22,840 DEPRESSION TEND TO BE HIGHEST IN 3318 02:03:22,840 --> 02:03:24,000 ADOLESCENCE AND EARLY ADULTHOOD 3319 02:03:24,000 --> 02:03:26,440 AND THEN AGAIN IN OLDER 3320 02:03:26,440 --> 02:03:28,760 ADULTHOOD, AND PRETTY NOTABLILY 3321 02:03:28,760 --> 02:03:31,960 DECLINING DURING MIDDLE 3322 02:03:31,960 --> 02:03:35,640 ADULTHOOD, WHEREAS AMONG LGBTQ+ 3323 02:03:35,640 --> 02:03:37,400 FOLKS THAT DECLINE IN MIDDLE 3324 02:03:37,400 --> 02:03:38,920 ADULTHOOD IS NOT NEARLY AS 3325 02:03:38,920 --> 02:03:43,480 PRONOUNCED SO WE SEE KIND OF 3326 02:03:43,480 --> 02:03:45,240 SUSTAINED ELEVATED RATES OF 3327 02:03:45,240 --> 02:03:49,680 DEPRESSION IN MIDDLE ADULTHOOD 3328 02:03:49,680 --> 02:03:50,920 IN PARTICULAR. 3329 02:03:50,920 --> 02:03:55,520 SOME INTERESTING RESULTS FROM 3330 02:03:55,520 --> 02:03:56,600 THE RECENT CENSUS HOUSEHOLD 3331 02:03:56,600 --> 02:03:58,560 PULSE SURVEY DURING COVID 3332 02:03:58,560 --> 02:04:00,760 SHOWING STATE VARIABILITY WITH 3333 02:04:00,760 --> 02:04:01,640 REALLY STRIKING DIFFERENCES 3334 02:04:01,640 --> 02:04:03,760 STATE BY STATE IN TERMS OF RATE 3335 02:04:03,760 --> 02:04:11,560 OF DEPRESSION AMONG LGBTQ+ 3336 02:04:11,560 --> 02:04:12,280 RESPONDENTS. 3337 02:04:12,280 --> 02:04:17,680 SO LOOKING AT AMONG HIGH SCHOOL 3338 02:04:17,680 --> 02:04:20,360 STUDENTS THE YRBS DATA WHICH IS 3339 02:04:20,360 --> 02:04:22,920 NIEMGHT THROUGH 12 GRADERS FOUND 3340 02:04:22,920 --> 02:04:24,080 THAT HIGH SCHOOL UNSUPPORTED 3341 02:04:24,080 --> 02:04:25,960 STUDENTS PREPORT THEY ARE MORE 3342 02:04:25,960 --> 02:04:29,720 THAN TWICE AS LIKELY TO PREPORT 3343 02:04:29,720 --> 02:04:31,640 PERSISTENT SADNESS AND 3344 02:04:31,640 --> 02:04:34,200 HOPEFULLESS SO 60% OF THE LGB 3345 02:04:34,200 --> 02:04:41,200 YOUTH COMPARED TO 32% OF 3346 02:04:41,200 --> 02:04:41,640 HETEROSEXUAL YOUTH. 3347 02:04:41,640 --> 02:04:43,240 TREVOR PROJECT HAD A RECENT 3348 02:04:43,240 --> 02:04:45,360 NATIONAL SURVEY ON YOUTH MENTAL 3349 02:04:45,360 --> 02:04:48,880 HEALTH FINDING THAT 3-QUARTERS 3350 02:04:48,880 --> 02:04:51,880 OF TRANSAND NONBINARY YOUTH 3351 02:04:51,880 --> 02:04:53,920 REPORTED SYMPTOMS OF ANXIETY AND 3352 02:04:53,920 --> 02:04:56,000 2/3RDS REPORTED SYMPTOMS OF 3353 02:04:56,000 --> 02:04:58,280 DEPRESSION, 2015 U.S. 3354 02:04:58,280 --> 02:05:00,360 TRANSGENDER SURVEY, HIGHLIGHTED 3355 02:05:00,360 --> 02:05:01,600 THAT NONBINARY INDIVIDUALS 3356 02:05:01,600 --> 02:05:06,520 REPORTED HIGHER RATES OF SERIOUS 3357 02:05:06,520 --> 02:05:08,880 PSYCHOLOGICAL DISTRESS SYMPTOMS 3358 02:05:08,880 --> 02:05:10,080 OF DEPRESSION AND ANXIETY 3359 02:05:10,080 --> 02:05:15,240 COMPARED TO TRANSGENDER WOMEN 3360 02:05:15,240 --> 02:05:18,280 AND MEN. 3361 02:05:18,280 --> 02:05:19,840 TURNING TO SUICIDALLITY, LGB 3362 02:05:19,840 --> 02:05:22,280 ASULTS WE SEE RATES OF 3363 02:05:22,280 --> 02:05:24,960 SUICIDALLITY THAT ARE 3-5 TIMES 3364 02:05:24,960 --> 02:05:26,840 HIGHER THAN HETEROSEXUAL ADULTS 3365 02:05:26,840 --> 02:05:30,440 AND AGAIN WE SEE THAT BI 3366 02:05:30,440 --> 02:05:33,960 BISEXUAL, CLEAR AND PAN SEXUAL 3367 02:05:33,960 --> 02:05:35,800 INDIVIDUALS HAVE ELEVATED RISK 3368 02:05:35,800 --> 02:05:37,920 EVEN ABOVE AND BEYOND GAY AND 3369 02:05:37,920 --> 02:05:39,800 LESBIAN INDIVIDUALS AND JUST 3370 02:05:39,800 --> 02:05:41,840 REALLY STRIKING DISPARITIES 3371 02:05:41,840 --> 02:05:44,800 AMONG TRANSFOLKS WITH SUICIDE 3372 02:05:44,800 --> 02:05:47,880 ATTEMPTS BEING 7 TIMES HIGHER 3373 02:05:47,880 --> 02:05:53,240 THAN THAN CISGENDER PEERS. 3374 02:05:53,240 --> 02:05:56,680 AND WE SEE AGAIN THESE 3375 02:05:56,680 --> 02:05:59,520 DISPARITIES EMERGE IN 3376 02:05:59,520 --> 02:06:02,240 ADOLESCENCE WITH LGBTQ PLUS 3377 02:06:02,240 --> 02:06:06,040 YOUTH ARE 4 TIMES AS LIKELY TO 3378 02:06:06,040 --> 02:06:07,720 REPORT CONTEMPLATING SUICIDE 3379 02:06:07,720 --> 02:06:11,440 COMPARES TO THEIR NONLGBTQ + 3380 02:06:11,440 --> 02:06:13,080 PEERS. 3381 02:06:13,080 --> 02:06:18,320 AND AGAIN FROM THE TREVOR 3382 02:06:18,320 --> 02:06:22,080 PROJECTS RECENT SURVEY, 45% OF 3383 02:06:22,080 --> 02:06:26,880 THE LGBTQ REPORTED HIGHER RATES 3384 02:06:26,880 --> 02:06:27,520 OF SUICIDALLITY OUTSTANDING 3385 02:06:27,520 --> 02:06:29,480 DEDICATION COME AND MEMBER 3386 02:06:29,480 --> 02:06:31,240 HEALTH SERVICE UTILIZATION AND 3387 02:06:31,240 --> 02:06:34,120 THAT OVER JUST THE LAST 3 YEARS 3388 02:06:34,120 --> 02:06:36,640 EVEN SUICIDAL THOUGHTS HAVE 3389 02:06:36,640 --> 02:06:39,400 SIGNIFICANTLY TRENDED UPWARDS 3390 02:06:39,400 --> 02:06:42,680 AMONG LGBTQ+ YOUNG PEOPLE. 3391 02:06:42,680 --> 02:06:44,360 RECENT REPORT FROM THE WILLIAMS 3392 02:06:44,360 --> 02:06:47,000 INNSITUTE FOUND THAT MORE THAN 3393 02:06:47,000 --> 02:06:49,600 60% OF SUICIDE ATTEMPTS AMONG 3394 02:06:49,600 --> 02:06:50,800 SEXUAL MINORITY INDIVIDUALS 3395 02:06:50,800 --> 02:06:54,400 OCCUR WITHIN THE FIRST 5 YEARS 3396 02:06:54,400 --> 02:06:56,920 OF INDIVIDUALS IESHES DENTIFYING 3397 02:06:56,920 --> 02:06:58,560 OR COMING OUT. 3398 02:06:58,560 --> 02:07:01,080 --IDENTIFYING OR COMING OUT. 3399 02:07:01,080 --> 02:07:07,200 SO TURNING TO SUBSTANCE USE, LGB 3400 02:07:07,200 --> 02:07:10,320 INDIVIDUALS AGAIN, WELL 3401 02:07:10,320 --> 02:07:11,760 DOCUMENTED EVIDENCE THAT THEY 3402 02:07:11,760 --> 02:07:13,160 EXPERIENCE ELEVATED RATES OF 3403 02:07:13,160 --> 02:07:15,160 MULTIPLE DIFFERENT SUBSTANCE USE 3404 02:07:15,160 --> 02:07:17,000 BEHAVIORS AND DISORDERS, THIS 3405 02:07:17,000 --> 02:07:23,120 INCLUDES ALCOHOL, AND TOBACCO. 3406 02:07:23,120 --> 02:07:26,640 THE 2015 U.S. TRANSGENDER SURVEY 3407 02:07:26,640 --> 02:07:30,080 ALSO SHOWS ELEVATED RATES OF 3408 02:07:30,080 --> 02:07:31,640 ILLICIT DRUG USE AMONG 3409 02:07:31,640 --> 02:07:32,280 TRANSGENDER RESPONDENTS COMPARED 3410 02:07:32,280 --> 02:07:35,160 TO THE GENERAL POPULATION. 3411 02:07:35,160 --> 02:07:38,320 THERE IS A FAIR AMOUNT OF 3412 02:07:38,320 --> 02:07:43,120 QUALITATIVE WORK THAT FINDS 3413 02:07:43,120 --> 02:07:43,720 LGBTQ+ INDIVIDUALS REPORTING 3414 02:07:43,720 --> 02:07:46,600 THAT SOME OF THE MOTIVATIONS FOR 3415 02:07:46,600 --> 02:07:47,680 SUBSTANCE USE INCLUDING TOBACCO 3416 02:07:47,680 --> 02:07:50,160 AND VOWEL USE IS TO COPE WITH 3417 02:07:50,160 --> 02:07:51,600 STRESS, BUT I JUST WANT TO 3418 02:07:51,600 --> 02:07:54,440 UNDERSCORE, YOU KNOW THAT 3419 02:07:54,440 --> 02:07:57,320 SUBSTANCE USE IS MOTIVATED BY A 3420 02:07:57,320 --> 02:08:01,160 WHOLE VARIETY OF FACTORS 3421 02:08:01,160 --> 02:08:02,880 INCLUDING SOCIAL FACTORS, 3422 02:08:02,880 --> 02:08:06,080 RECREATIONAL FACTORS, SEXUAL 3423 02:08:06,080 --> 02:08:14,120 PURPOSES, ET CETERA. 3424 02:08:14,120 --> 02:08:15,960 SO THIS CHART IS TRYING TO 3425 02:08:15,960 --> 02:08:19,760 UNDERSCORE THAT WE SEE 3426 02:08:19,760 --> 02:08:22,400 DIFFERENCES IN DISPARITIES, 3427 02:08:22,400 --> 02:08:24,360 AMONG LGB AACTUALITYS BY 3428 02:08:24,360 --> 02:08:28,680 SPECIFIC SUBSTANCE USE BEHAVIOR 3429 02:08:28,680 --> 02:08:29,040 AND SUBGROUPS. 3430 02:08:29,040 --> 02:08:33,800 SO GENERATED THIS IS COMES FROM 3431 02:08:33,800 --> 02:08:36,320 THE [INDISCERNIBLE] DATA, WE'RE 3432 02:08:36,320 --> 02:08:37,480 COMPARING THE DISPARITIES ARE 3433 02:08:37,480 --> 02:08:40,040 AMONG GAY AND BISEXUAL MEN ARE 3434 02:08:40,040 --> 02:08:43,800 DEFINED WITH RESPECT TO 3435 02:08:43,800 --> 02:08:47,120 HETEROSEXUAL MALE PEERS, 3436 02:08:47,120 --> 02:08:49,440 SIMILARLY FOR LGB WOMEN COMPARED 3437 02:08:49,440 --> 02:08:51,280 TO HETEROSEXUAL WOMEN PEERS. 3438 02:08:51,280 --> 02:08:53,800 AND 1 OF THE THINGS THAT WE SEE 3439 02:08:53,800 --> 02:08:57,280 HERE AND IS PRETTY CONSISTENT IN 3440 02:08:57,280 --> 02:09:00,800 THE LITERATURE IS WE SEE REALLY 3441 02:09:00,800 --> 02:09:01,280 PRONOUNCED DISPARS AMONG 3442 02:09:01,280 --> 02:09:04,120 BISEXUAL WOMEN WITH SOME OF THE 3443 02:09:04,120 --> 02:09:06,000 LARGEST DISPARITY MAGNITUDES AND 3444 02:09:06,000 --> 02:09:13,360 KIND OF--AND KIND OF 3445 02:09:13,360 --> 02:09:14,880 CONVERSIONLY, LESBIAN AND GAY 3446 02:09:14,880 --> 02:09:16,680 WOMEN SHOW MARKEDLY FEWER 3447 02:09:16,680 --> 02:09:19,120 DISPARITIES BUT WE SEE IMPORTANT 3448 02:09:19,120 --> 02:09:22,720 DIFFERENCES AGAIN CROSS 3449 02:09:22,720 --> 02:09:26,960 SUBGROUPS AND ACROSS SPECIFIC 3450 02:09:26,960 --> 02:09:27,560 SUBSTANCES. 3451 02:09:27,560 --> 02:09:31,800 ALSO, LOOKING BY RACE ETHNICITY 3452 02:09:31,800 --> 02:09:36,320 AND AGE, AGAIN IN THE DATA WE 3453 02:09:36,320 --> 02:09:37,960 SAW THAT SMOKING, BINGE DRINKING 3454 02:09:37,960 --> 02:09:39,240 AND CANNABIS USE DISPARITY WERE 3455 02:09:39,240 --> 02:09:42,320 GREATER FOR BLACK AND HISPANIC 3456 02:09:42,320 --> 02:09:43,720 LGB WOMEN COMPARED TO WHITE 3457 02:09:43,720 --> 02:09:45,400 WOMEN. 3458 02:09:45,400 --> 02:09:46,600 WE DIDN'T SEE SIMILAR 3459 02:09:46,600 --> 02:09:49,600 DIFFERENCES IN TERMS OF RACE 3460 02:09:49,600 --> 02:09:51,400 ETHNICITY AMONG MEN. 3461 02:09:51,400 --> 02:09:54,400 AND WE SEE QUITE A BIT OF 3462 02:09:54,400 --> 02:09:55,920 DIFFERENCES AMONG AGE IN TERMS 3463 02:09:55,920 --> 02:09:56,520 OF DISPARITIES. 3464 02:09:56,520 --> 02:10:00,960 WE DID NOT SEE EVIDENCE THAT, 3465 02:10:00,960 --> 02:10:02,560 YOU KNOW DISPARITIES ARE 3466 02:10:02,560 --> 02:10:06,560 CONSISTENTLY LARGER OR SMALLER 3467 02:10:06,560 --> 02:10:08,880 FOR OLDER OR YOUNGER LGB FOLKS 3468 02:10:08,880 --> 02:10:11,520 IT VARIES AGAIN BASED ON 3469 02:10:11,520 --> 02:10:13,160 SUBSTANCE AND SUBGROUP, BUT THIS 3470 02:10:13,160 --> 02:10:14,480 HAS ALREADY BEEN MENTIONED BUT I 3471 02:10:14,480 --> 02:10:17,280 WANT TO HIGHLIGHT AGAIN THAT 3472 02:10:17,280 --> 02:10:19,760 SMOKING AMONG YOUNG LGB ADULTS 3473 02:10:19,760 --> 02:10:21,040 AND ERESPONSIBLELY YOUNG 3474 02:10:21,040 --> 02:10:22,280 EMPLOYMENT PROGRAMS REMAIN 3475 02:10:22,280 --> 02:10:23,680 PROFOUNDLY ELEVATED DESPITE 3476 02:10:23,680 --> 02:10:29,520 GENERAL DECLINES IN SMOKING. 3477 02:10:29,520 --> 02:10:34,680 AGAIN, WE SEE THIS--THESE 3478 02:10:34,680 --> 02:10:40,160 DIFFERENCES EMERGING IN YOUNG 3479 02:10:40,160 --> 02:10:44,200 ADULTS, YRBS DATA FINDS THAT 3480 02:10:44,200 --> 02:10:45,320 TRANSGENDER DATA YOUTH, OF ALL 3481 02:10:45,320 --> 02:10:47,080 SUBSTANCES THAT ARE ASSESSED, 3482 02:10:47,080 --> 02:10:47,800 SOME EVIDENCE SUGGESTS THAT 3483 02:10:47,800 --> 02:10:50,600 SUBSTANCE USE IS MORE ELEVATED 3484 02:10:50,600 --> 02:10:53,480 AMONG TRANSWOMEN, COMPARED TO 3485 02:10:53,480 --> 02:10:54,160 TRANSMEN, FOR NONBINARY 3486 02:10:54,160 --> 02:10:57,240 INDIVIDUALS BUT THERE'S REALLY 3487 02:10:57,240 --> 02:10:58,880 BEEN VERY LIMITED RESEARCH 3488 02:10:58,880 --> 02:11:01,600 LOOKING AT HETEROGENERATED AITY 3489 02:11:01,600 --> 02:11:09,760 AMONG TRANSAND GENDER DIVERSE 3490 02:11:09,760 --> 02:11:10,760 INDIVIDUALS. 3491 02:11:10,760 --> 02:11:12,600 AND STUDIES AGAIN HAVE LINKED 3492 02:11:12,600 --> 02:11:14,200 EXPERIENCES OF VICTIMIZATION AND 3493 02:11:14,200 --> 02:11:15,400 DISCRIMINATION SPECIFICALLY TO 3494 02:11:15,400 --> 02:11:17,320 HIGHER LEVELS OF SUBSTANCE USE 3495 02:11:17,320 --> 02:11:23,840 AND ALSO FOUND ACCESS TO GENDER 3496 02:11:23,840 --> 02:11:24,520 AFFIRMING HEALTHCARE HAVE BEEN 3497 02:11:24,520 --> 02:11:28,080 FOUND TO BE ASSOCIATE WIDE 3498 02:11:28,080 --> 02:11:28,520 SMOAGING. 3499 02:11:28,520 --> 02:11:30,640 >>DR. SCHULER, COULD YOU WRAP 3500 02:11:30,640 --> 02:11:31,640 UP BRIEFLY? 3501 02:11:31,640 --> 02:11:32,040 THANK YOU. 3502 02:11:32,040 --> 02:11:33,200 >>YEAH, COUPLE CONCLUSIONS 3503 02:11:33,200 --> 02:11:34,720 HERE, THEY'VE KNOW ALL BEEN 3504 02:11:34,720 --> 02:11:41,480 REITERATED BEFORE, I WANT TO 3505 02:11:41,480 --> 02:11:44,240 UNDERSCORE THAT IT'S IMPORTANT 3506 02:11:44,240 --> 02:11:48,200 AGAIN TO ATTEND TO VARIATION IN 3507 02:11:48,200 --> 02:11:49,200 LGBTQ+ YOUNG ADULTS. 3508 02:11:49,200 --> 02:11:50,600 ADOLESCENTS AND YOUNG ADULTS ARE 3509 02:11:50,600 --> 02:11:52,720 A KEY GROUP AS ARE GENDER 3510 02:11:52,720 --> 02:11:54,600 DIFFERENCESSER AND TRANSGENDER 3511 02:11:54,600 --> 02:11:57,560 DIVERSE INDIVIDUALS, 3512 02:11:57,560 --> 02:11:58,480 EXPERIENCING PARTICULARLY 3513 02:11:58,480 --> 02:11:59,680 HEIGHTENED RISK, CLINICAL NEEDS 3514 02:11:59,680 --> 02:12:04,560 HAVE BEEN TOUCHED ON BEFORE, 3515 02:12:04,560 --> 02:12:09,040 JUST WANT TO END BY SAYING THAT 3516 02:12:09,040 --> 02:12:10,560 TO ADVANCE LGBT HEALTH, WE NEED 3517 02:12:10,560 --> 02:12:13,120 TO REALLY THINK ABOUT WAYS TO 3518 02:12:13,120 --> 02:12:14,960 CULTRATE SUPPORTIVE FAMILY 3519 02:12:14,960 --> 02:12:18,680 SCHOOL COMMUNITY ENVIRONMENTS, 3520 02:12:18,680 --> 02:12:19,480 PROMOTE SOCIAL BELONGING AND 3521 02:12:19,480 --> 02:12:24,640 STEM TIDE OF CURRENT LGBTQ+ 3522 02:12:24,640 --> 02:12:25,000 BILLS. 3523 02:12:25,000 --> 02:12:25,280 THANK YOU. 3524 02:12:25,280 --> 02:12:27,800 >>THANK YOU SO MUCH 3525 02:12:27,800 --> 02:12:29,680 DR. SCHULER, WE WILL GO INTO OUR 3526 02:12:29,680 --> 02:12:30,280 QUESTION ANDA SESSION. 3527 02:12:30,280 --> 02:12:32,600 WE HAVE SOME QUESTIONS THAT WE 3528 02:12:32,600 --> 02:12:34,880 RECEIVED EARLIER ON THE FIRST 1 3529 02:12:34,880 --> 02:12:37,480 IS FOR DR. PRATT-CHAPMAN, 3530 02:12:37,480 --> 02:12:38,280 BASICALLY IF YOU COULD SPEAK 3531 02:12:38,280 --> 02:12:43,800 MORE TO THE CONCERNS YOU HAD 3532 02:12:43,800 --> 02:12:45,440 REGARDING THE NASEM REPORT ON 3533 02:12:45,440 --> 02:12:46,760 MEASURING SOGI AND MEN AND WOMEN 3534 02:12:46,760 --> 02:12:47,920 KINDS OF ISSUES THE WORKING 3535 02:12:47,920 --> 02:12:54,000 GROUP YOU ARE WORKING WITH PLANS 3536 02:12:54,000 --> 02:12:54,720 TO ADDRESS? 3537 02:12:54,720 --> 02:12:55,200 >>SURE. 3538 02:12:55,200 --> 02:12:55,800 YEAH, THANK YOU FOR THE 3539 02:12:55,800 --> 02:12:59,840 QUESTION, SO I THINK THE FIRST 3540 02:12:59,840 --> 02:13:01,360 THING THAT CAME UP FOR US WAS 3541 02:13:01,360 --> 02:13:05,320 THE ISSUE OF THE GENDER IDENTITY 3542 02:13:05,320 --> 02:13:08,080 QUESTION HAVING MALE FEMALE 3543 02:13:08,080 --> 02:13:11,520 TRANSGENDER SELECT 1. 3544 02:13:11,520 --> 02:13:12,880 SO, NOT BEING ABLE TO SELECT 3545 02:13:12,880 --> 02:13:14,680 MORE THAN 1 IS BOTH--THERE'S A 3546 02:13:14,680 --> 02:13:15,720 COUPLE OF PROBLEMS WITH THAT 3547 02:13:15,720 --> 02:13:17,800 QUESTION, THE FIRST IS THAT MALE 3548 02:13:17,800 --> 02:13:19,280 AND FEMALE OR TYPICALLY 3549 02:13:19,280 --> 02:13:21,440 CONSTRUCTS OF SEX AND NOT GENDER 3550 02:13:21,440 --> 02:13:22,640 WHICH MAKES THINGS CONFUSING AND 3551 02:13:22,640 --> 02:13:26,040 THEN THE OTHER IS THAT SELECTING 3552 02:13:26,040 --> 02:13:28,480 JUST 1, IF YOU ARE TRANSGENDER, 3553 02:13:28,480 --> 02:13:30,760 YOU ACTUALLY CAN'T DO THAT, 3554 02:13:30,760 --> 02:13:33,240 UNLESS YOU'RE NEITHER MALE MORE 3555 02:13:33,240 --> 02:13:38,840 FEMALE AND ONLY IDENTIFY AS 3556 02:13:38,840 --> 02:13:39,240 TRANSGENDER. 3557 02:13:39,240 --> 02:13:40,440 ANOTHER LIMITATION THAT HAS ONLY 3558 02:13:40,440 --> 02:13:41,960 RECENTLY COME UP AND I HAVEN'T 3559 02:13:41,960 --> 02:13:43,680 EACH BEEN ABLE TO TALK TO THE 3560 02:13:43,680 --> 02:13:44,520 WORKING GROUP ABOUT THIS YET IS 3561 02:13:44,520 --> 02:13:46,600 I WAS TALKING WITH A CLEG WHO 3562 02:13:46,600 --> 02:13:48,240 HAS DONE QUITE A BIT OF RESEARCH 3563 02:13:48,240 --> 02:13:52,120 IN THE SGM SPACE AND 1 OF THE 3564 02:13:52,120 --> 02:13:55,880 THINGS WE RECENTLY FOUND WHEN 3565 02:13:55,880 --> 02:13:57,320 TRYING TO RECRUIT PARTICIPANTS 3566 02:13:57,320 --> 02:13:59,040 FOR A STUDY, THAT EVEN ASKING 1 3567 02:13:59,040 --> 02:14:00,360 FOR THE SEXUAL ORIENTATION 3568 02:14:00,360 --> 02:14:04,200 QUESTION LED TO PARTICIPANT 3569 02:14:04,200 --> 02:14:05,080 AVOIDANCE IN RESEARCH BECAUSE OF 3570 02:14:05,080 --> 02:14:06,280 THE SENSE OF FEELING THE 3571 02:14:06,280 --> 02:14:07,840 RESEARCHER WAS NOT SAFE IF THEY 3572 02:14:07,840 --> 02:14:11,680 HAD TO ONLY SELECT 1. 3573 02:14:11,680 --> 02:14:14,880 WE ALSO ARE TRYING TO CRAFT SOME 3574 02:14:14,880 --> 02:14:16,680 ORGAN INVENTORY QUESTIONS, AND 3575 02:14:16,680 --> 02:14:18,840 THERE WAS ANOTHER QUESTION ABOUT 3576 02:14:18,840 --> 02:14:19,920 INTERSEX TRADES AND IN TERMS OF 3577 02:14:19,920 --> 02:14:21,320 THE WORKING GROUP THAT WAS IN 3578 02:14:21,320 --> 02:14:22,640 THE CHAT AND WE MOSTLY TOOK THE 3579 02:14:22,640 --> 02:14:25,520 QUESTION THAT WAS IN THE NASEM 3580 02:14:25,520 --> 02:14:27,160 REPORT FOR THE INNER SEX 3581 02:14:27,160 --> 02:14:28,560 QUESTION EXCEPT THAT WE TRIED TO 3582 02:14:28,560 --> 02:14:30,000 SIMPLIFY IT AND JUST TAKE THE 3583 02:14:30,000 --> 02:14:30,560 HALF OF THE FIRST QUESTION 3584 02:14:30,560 --> 02:14:31,880 BECAUSE IT WAS VERY LONG SO WE 3585 02:14:31,880 --> 02:14:34,200 WERE TRYING TO RISM SIMPLIFY 3586 02:14:34,200 --> 02:14:36,080 WORDING TO REDUCE THE COGNITIVE 3587 02:14:36,080 --> 02:14:36,320 LOAD. 3588 02:14:36,320 --> 02:14:38,400 SO REALLY OUR NEXT STEPS ARE 3589 02:14:38,400 --> 02:14:40,040 PUTTING ALL OF THE ISSUES OUT 3590 02:14:40,040 --> 02:14:41,480 THERE, OH ANOTHER LIMITATION IS 3591 02:14:41,480 --> 02:14:43,320 THAT ASEXUAL IS NOT REPRESENTED, 3592 02:14:43,320 --> 02:14:45,000 WHICH I THINK WAS A RESULT OF 3593 02:14:45,000 --> 02:14:50,080 JUST NOT HAVING THAT CONSTRUCT 3594 02:14:50,080 --> 02:14:51,120 STUDIED WHICH WILL PERPETUATE 3595 02:14:51,120 --> 02:14:52,640 THE PROBLEM NOT BEING ADENTIFIED 3596 02:14:52,640 --> 02:14:56,240 SO OUR HOPE IS TO PROVIDE MORE 3597 02:14:56,240 --> 02:14:57,120 COMPREHENSIVE RESPONSE OPTIONS, 3598 02:14:57,120 --> 02:14:59,520 AND SIMPLER WORDING FOR SOME OF 3599 02:14:59,520 --> 02:15:01,240 THE ITEMS AND THEN TEST THAT 3600 02:15:01,240 --> 02:15:02,560 AMONG A DIVERSE GROUP OF PEOPLE 3601 02:15:02,560 --> 02:15:05,200 BASED ON A RANGE OF SOCIOLOGICAL 3602 02:15:05,200 --> 02:15:06,480 DEMOGRAPHIC FACTORS, AND THEN 1 3603 02:15:06,480 --> 02:15:08,200 LAST THING, IESM NOT IN LOVE 3604 02:15:08,200 --> 02:15:09,800 WITH, WE HAVE A DISAGREEMENT 3605 02:15:09,800 --> 02:15:12,880 WITH THIS BUT I'VE ALSO GOTTEN 3606 02:15:12,880 --> 02:15:15,200 PUSH BACK WITH PEOPLE THAT I'VE 3607 02:15:15,200 --> 02:15:17,720 TRIED TO USE THE SEXUAL 3608 02:15:17,720 --> 02:15:19,560 ORIENTATION QUESTION IN CLINICAL 3609 02:15:19,560 --> 02:15:21,520 PRACTICE, IT HAS, THE ITEM 3610 02:15:21,520 --> 02:15:23,800 RESPONSE STRAIGHT THAT IS NOT 3611 02:15:23,800 --> 02:15:26,840 LESBIAN OR GAY, I DON'T LOVE THE 3612 02:15:26,840 --> 02:15:28,120 NAIS NOT LESBIAN OR GAY, 3613 02:15:28,120 --> 02:15:29,320 ALTHOUGH I KNOW IT'S NOT 3614 02:15:29,320 --> 02:15:31,880 CLARIFYING BUT IT ALSO REDUCES 3615 02:15:31,880 --> 02:15:33,280 THINGS DOESN'T INCLUDE 3616 02:15:33,280 --> 02:15:34,280 BISEXUALS, AND STRAIGHT PEOPLE 3617 02:15:34,280 --> 02:15:35,360 KNOW IF THEY'RE STRAIGHT. 3618 02:15:35,360 --> 02:15:38,000 SO THERE'S JUST A LOT OF THINGS 3619 02:15:38,000 --> 02:15:39,600 THAT I'M NOT SAYING THAT THE 3620 02:15:39,600 --> 02:15:40,840 WORK--THE WORKING GROUP, IT WAS 3621 02:15:40,840 --> 02:15:42,960 A HARD TASK THEY WERE GIVEN AND 3622 02:15:42,960 --> 02:15:43,880 THIS A STARTING POINT AND WE 3623 02:15:43,880 --> 02:15:44,400 STARTED THERE. 3624 02:15:44,400 --> 02:15:45,920 THIS IS WHERE WE STARTED BUT 3625 02:15:45,920 --> 02:15:49,120 WE'RE HOPING THAT THE ADDITIONAL 3626 02:15:49,120 --> 02:15:50,840 WORK WILL PROVIDE ADDITIONAL 3627 02:15:50,840 --> 02:15:53,640 DATA TO CONTINUE TO REFINE ITEMS 3628 02:15:53,640 --> 02:15:56,480 WITHOUT TELLING PEOPLE DON'T ASK 3629 02:15:56,480 --> 02:15:57,400 ANYTHING, DON'T STOP, DON'T 3630 02:15:57,400 --> 02:15:59,200 PAUSE, DON'T WAIT FOR WHAT WE'RE 3631 02:15:59,200 --> 02:16:00,920 DOINGS ARE, JUST KNOW THAT WE'RE 3632 02:16:00,920 --> 02:16:03,120 NOT THERE YET, IN TERMS OF KIND 3633 02:16:03,120 --> 02:16:04,400 OF BEING INCLUSIVE OR BEING 3634 02:16:04,400 --> 02:16:08,160 ACCURATE, I DON'T THINK. 3635 02:16:08,160 --> 02:16:08,440 >>OKAY. 3636 02:16:08,440 --> 02:16:11,000 >>YEAH, THANK YOU SO MUCH FOR 3637 02:16:11,000 --> 02:16:11,680 THE INSIGHTS. 3638 02:16:11,680 --> 02:16:15,840 WE HAVE 1 MORE QUESTION, FOR DR. 3639 02:16:15,840 --> 02:16:17,560 PHIL EPIGENETICS: WHY DO YOU 3640 02:16:17,560 --> 02:16:19,760 THINK BISEXUAL OR PAN SEXUAL AND 3641 02:16:19,760 --> 02:16:20,840 TRANSGENDER PEOPLE WERE MORE 3642 02:16:20,840 --> 02:16:21,960 WILLING TO GET VACCINATED AND 3643 02:16:21,960 --> 02:16:25,480 MORE WILLING TO TEST FOR 3644 02:16:25,480 --> 02:16:26,880 COVID-19 AT HOME COMPARED TO 3645 02:16:26,880 --> 02:16:30,280 OTHER POPULATIONS IN YOUR STUDY? 3646 02:16:30,280 --> 02:16:32,120 >>THAT'S A GOOD QUESTION AND 1 3647 02:16:32,120 --> 02:16:35,680 THAT WE STRUGGLE A BIT WITH JUST 3648 02:16:35,680 --> 02:16:38,400 KNOWING THE GROUPS, I THINK THE 3649 02:16:38,400 --> 02:16:42,720 FACT IS SINCE WE WERE USING OUR 3650 02:16:42,720 --> 02:16:44,800 SAMPLE IS ALL SEXUAL AND GENDER 3651 02:16:44,800 --> 02:16:46,080 MINORITY POPULATIONS SO WE 3652 02:16:46,080 --> 02:16:48,400 ASSUMED EVERYONE WAS AT SOME 3653 02:16:48,400 --> 02:16:51,320 DEGREE OF MEDICAL MISTRUST TO 3654 02:16:51,320 --> 02:16:55,080 BEGIN WITH SO WE DON'T KNOW IF 3655 02:16:55,080 --> 02:16:56,600 IT'S SOMETHING DUE TO WHO WE 3656 02:16:56,600 --> 02:16:58,560 RECRUITED OR SOMETHING DUE TO 3657 02:16:58,560 --> 02:17:00,720 RACIAL ETHNIC DIFFERENCES OR IF 3658 02:17:00,720 --> 02:17:02,480 IT'S JUST PEOPLE WHO AGREE TO 3659 02:17:02,480 --> 02:17:04,480 PARTICIPATE IN OUR SURVEY WERE 3660 02:17:04,480 --> 02:17:08,040 JUST MORE AWARE OF THE BENEFITS 3661 02:17:08,040 --> 02:17:08,760 OF THESE ACTIVITIES. 3662 02:17:08,760 --> 02:17:11,840 I THINK ALSO IN TERMS OF, AT 3663 02:17:11,840 --> 02:17:13,040 LEAST THE AT-HOME TESTING, I 3664 02:17:13,040 --> 02:17:18,680 THINK THE HIGHER RATES THERE 3665 02:17:18,680 --> 02:17:20,680 REFLECTED A WILLINGNESS TO HAVE 3666 02:17:20,680 --> 02:17:21,400 THINGS IN-HOUSE RATHER THAN 3667 02:17:21,400 --> 02:17:27,680 GOING TO A MEDICAL PROVIDER FOR 3668 02:17:27,680 --> 02:17:28,120 THE SERVICES. 3669 02:17:28,120 --> 02:17:36,640 I HAVE LOTS OF IDEAS BUT NO 3670 02:17:36,640 --> 02:17:37,920 PROOF FOR ANY OF QUESTIONS ABOUT 3671 02:17:37,920 --> 02:17:42,360 THE WILLINGNESS TO BE 3672 02:17:42,360 --> 02:17:42,680 VACCINATED. 3673 02:17:42,680 --> 02:17:43,840 >>THAT'S REALLY INTERESTING. 3674 02:17:43,840 --> 02:17:45,320 YEAH, VERY INTERESTING FINDING. 3675 02:17:45,320 --> 02:17:48,000 YOU KNOW THANK YOU SO MUCH FOR 3676 02:17:48,000 --> 02:17:48,720 SHARING YOUR INSIGHTS. 3677 02:17:48,720 --> 02:17:51,800 I DID WANT TO THANK ALL THE 3678 02:17:51,800 --> 02:17:54,680 PANELISTS FOR THEIR 3679 02:17:54,680 --> 02:17:55,400 PRESENTATIONS. 3680 02:17:55,400 --> 02:17:57,400 THEY WERE WONDERFUL, IT WAS 3681 02:17:57,400 --> 02:17:58,840 GREAT TO HEAR ABOUT THESE 3682 02:17:58,840 --> 02:17:59,480 DIFFERENT AREAS AND I WANT TO 3683 02:17:59,480 --> 02:18:03,080 THANK YOU IF ARE YOUR TIME 3684 02:18:03,080 --> 02:18:03,560 TODAY. 3685 02:18:03,560 --> 02:18:06,360 WE ARE GOING TO GO INTO OUR 3686 02:18:06,360 --> 02:18:07,880 LUNCH BREAK VERY SHORTLY BUT I 3687 02:18:07,880 --> 02:18:09,640 DID WANT TO SHARE THAT THE 3688 02:18:09,640 --> 02:18:11,680 PRESENTATION SLIDES WILL BE MADE 3689 02:18:11,680 --> 02:18:14,720 AVAILABLE ON THE EVENT WEBSITE 3690 02:18:14,720 --> 02:18:16,560 APPROXIMATELY 2 WEEKS AFTER THE 3691 02:18:16,560 --> 02:18:22,560 WORKSHOP CONCLUDES IN ABOUT 2 3692 02:18:22,560 --> 02:18:24,160 WEEKS, WE WILL COME BACK FROM 3693 02:18:24,160 --> 02:18:27,760 OUR LUNCH BREAK AT 1:45 P.M. TO 3694 02:18:27,760 --> 02:18:29,240 START SESSION 1:00 P.M., I HOPE 3695 02:18:29,240 --> 02:18:30,600 YOU DO STAY TUNED BECAUSE WE 3696 02:18:30,600 --> 02:18:31,840 HAVE A LOT MORE GROUND TO COVER 3697 02:18:31,840 --> 02:18:33,800 AND A LOT OF CONVERSATIONS TO BE 3698 02:18:33,800 --> 02:18:34,000 HAD. 3699 02:18:34,000 --> 02:18:36,440 THANK YOU SO MUCH. 3700 02:18:36,440 --> 02:18:38,040 >>I WANT TO WELCOME EVERYBODY 3701 02:18:38,040 --> 02:18:39,200 BACK FROM OUR LUNCH BREAK. 3702 02:18:39,200 --> 02:18:42,320 I'M SURE PEOPLE ARE JUST COMING 3703 02:18:42,320 --> 02:18:42,520 BACK. 3704 02:18:42,520 --> 02:18:44,560 AND WE'RE GOING TO ARE STARTING 3705 02:18:44,560 --> 02:18:48,520 OUR SESSION 1 B WHICH IS ON 3706 02:18:48,520 --> 02:18:54,040 METHOLOGICAL ISSUES AND SGM 3707 02:18:54,040 --> 02:18:54,400 RESEARCH. 3708 02:18:54,400 --> 02:18:58,480 THIS SESSION WILL FOCUS ON 3709 02:18:58,480 --> 02:19:01,280 METHOLOGICAL CHALLENGES IN 3710 02:19:01,280 --> 02:19:05,960 CONDUCTING SGM RESEARCH 3711 02:19:05,960 --> 02:19:08,520 INCLUDING DATA, ANALYTICAL 3712 02:19:08,520 --> 02:19:11,760 SAMPLING AND INTERSECTIONALITY 3713 02:19:11,760 --> 02:19:13,640 CHALLENGES--EXCUSE ME--SO OUR 3714 02:19:13,640 --> 02:19:17,640 FIRST SPEAKER WILL BE 3715 02:19:17,640 --> 02:19:20,080 DR. BLOSNICH, EXCUSE ME, FROM 3716 02:19:20,080 --> 02:19:21,480 UNIVERSITY OF SOUTHERN 3717 02:19:21,480 --> 02:19:23,240 CALIFORNIA AND HIS TALK IS 3718 02:19:23,240 --> 02:19:24,640 ENTITLED UNMET DATA NEEDS, 3719 02:19:24,640 --> 02:19:25,960 CONSIDERATIONS ON INCLUDING 3720 02:19:25,960 --> 02:19:27,960 SEXUAL ORIENTATION AND GENDER 3721 02:19:27,960 --> 02:19:32,320 IDENTITY AND ADMINISTRATIVE 3722 02:19:32,320 --> 02:19:32,560 SYSTEMS. 3723 02:19:32,560 --> 02:19:34,560 WE WILL ARE A Q&A PANEL AT THE 3724 02:19:34,560 --> 02:19:36,800 END OF THE PRESENTATIONS BUT CAN 3725 02:19:36,800 --> 02:19:39,640 YOU SUBMIT YOUR QUESTIONS IN THE 3726 02:19:39,640 --> 02:19:41,520 MEAN TIME THROUGH THE CHAT 3727 02:19:41,520 --> 02:19:44,840 BUTTON ON THE VIDEOCAST. 3728 02:19:44,840 --> 02:19:46,720 DR. BLOSNICH, AND I'M SORRY IF I 3729 02:19:46,720 --> 02:19:48,480 BUTCHERED YOUR LAST NAME. 3730 02:19:48,480 --> 02:19:50,200 >>NO THAT IS FINE, IT DOESN'T 3731 02:19:50,200 --> 02:19:52,560 ROLL OFF THE TONGUE AS MUCH AS 3732 02:19:52,560 --> 02:19:53,640 IT JUST FALLS OUT OF THE MOUTH 3733 02:19:53,640 --> 02:19:58,800 SO YOU DID A GREAT EXPWROB. 3734 02:19:58,800 --> 02:20:00,680 LET ME GET MY SLIDES UP TO 3735 02:20:00,680 --> 02:20:00,880 SHARE. 3736 02:20:00,880 --> 02:20:02,360 THANKS EVERYBODY FOR MAKING THE 3737 02:20:02,360 --> 02:20:02,720 TIME. 3738 02:20:02,720 --> 02:20:06,320 I WILL JUST JUMP RIGHT INTO THIS 3739 02:20:06,320 --> 02:20:07,520 TAWBLG BEING THIS ISSUE I'VE 3740 02:20:07,520 --> 02:20:10,880 BEEN MULLING OVER FOR A WHILE SO 3741 02:20:10,880 --> 02:20:13,040 HOW SOGI GENDER DATA ARE 3742 02:20:13,040 --> 02:20:13,960 REPRESENTATIVE IN ADMINISTRATIVE 3743 02:20:13,960 --> 02:20:15,240 SYSTEMS WHICH IS DIFFERENT THAN 3744 02:20:15,240 --> 02:20:17,680 WHAT WE HAVE TRADITIONALLY BEEN 3745 02:20:17,680 --> 02:20:19,760 THINKING ABOUT IN TERMS OF 3746 02:20:19,760 --> 02:20:25,360 SELF-REPORTED DATA THAT'S OFTEN 3747 02:20:25,360 --> 02:20:26,000 COLLECTED FROM SURVEYS. 3748 02:20:26,000 --> 02:20:27,200 SO HERE'S SOME OF THE STUFF I 3749 02:20:27,200 --> 02:20:28,240 WANT TO COVER TODAY. 3750 02:20:28,240 --> 02:20:30,240 I DO WANT TO MAKE SURE THAT ALL 3751 02:20:30,240 --> 02:20:31,960 THESE OPINIONS ARE MY OWN AND 3752 02:20:31,960 --> 02:20:38,520 NOT MY INSTITUTION OR FUNDERS. 3753 02:20:38,520 --> 02:20:41,520 I'M SURE THEY WOULD LOVE TO TAKE 3754 02:20:41,520 --> 02:20:44,080 CREDIT FOR THE SMART WORK BUT 3755 02:20:44,080 --> 02:20:46,040 CAN'T TAKE CREDIT FOR IT TODAY. 3756 02:20:46,040 --> 02:20:52,560 I WILL ALSO SHOW EXAMPLES OF 3757 02:20:52,560 --> 02:20:53,880 PHOTOS GATHERED PUBLICLY FROM 3758 02:20:53,880 --> 02:20:56,080 NEWS STORIES, SO I JUST WANT TO 3759 02:20:56,080 --> 02:20:57,680 MAKE SURE THIS THE PHOTOS AND 3760 02:20:57,680 --> 02:20:59,040 INDIVIDUALS HAVE BEEN IN THE 3761 02:20:59,040 --> 02:20:59,400 PUBLIC DOMAIN. 3762 02:20:59,400 --> 02:21:01,440 SO I WANT TO START BY ORIENTING 3763 02:21:01,440 --> 02:21:03,640 US WHEN WE THINK ABOUT THE A LOT 3764 02:21:03,640 --> 02:21:05,800 OF THE DATA THAT PROPELLED US 3765 02:21:05,800 --> 02:21:08,080 FORWARD IN THE LGBTQ RESEARCH 3766 02:21:08,080 --> 02:21:09,200 AND THAT'S PRACTICES THE 3767 02:21:09,200 --> 02:21:10,960 PREVIOUS SPEAKERS WE TAKE BODY 3768 02:21:10,960 --> 02:21:14,400 OF SOGI MEASURES IN VARIABLE 3769 02:21:14,400 --> 02:21:15,720 FORMS ACROSS FEDERAL HEALTH 3770 02:21:15,720 --> 02:21:16,800 SURVEILLANCE SURVEYS AND YOU CAN 3771 02:21:16,800 --> 02:21:18,680 SEE HERE, THIS MAY NOT BE ALL OF 3772 02:21:18,680 --> 02:21:20,200 THEM BUT THE BIGGER 1S I'VE 3773 02:21:20,200 --> 02:21:22,600 PICKED OUT AND HOPEFULLY 3774 02:21:22,600 --> 02:21:25,680 CORRECTLY GOT THE RIGHT OR 3775 02:21:25,680 --> 02:21:26,600 CORRECT YEAR, WHENEVER THESE 3776 02:21:26,600 --> 02:21:28,640 MEASURES WERE INTRODUCED AND 3777 02:21:28,640 --> 02:21:30,320 THIS IS FOR SEXUAL IDENTITY 3778 02:21:30,320 --> 02:21:33,320 MEASURES AND THEN THE NEXT SLIDE 3779 02:21:33,320 --> 02:21:35,840 HERE, OOPS, SORRY, YOU CAN SEE 3780 02:21:35,840 --> 02:21:37,480 FOR GENDER IDENTITY IT'S MUCH 3781 02:21:37,480 --> 02:21:39,560 SPARSER, THE DATA ARE MUCH 3782 02:21:39,560 --> 02:21:40,240 SPARSER. 3783 02:21:40,240 --> 02:21:41,400 AND FROM THESE SURVEY DATA 3784 02:21:41,400 --> 02:21:42,440 THEY'VE REALLY HELPED TO ELIM 3785 02:21:42,440 --> 02:21:44,400 NAT A LOT OF THE HEALTH 3786 02:21:44,400 --> 02:21:46,120 DISPARITIES WE HEARD ABOUT 3787 02:21:46,120 --> 02:21:47,680 ALREADY FROM SMOKING TO STRESS, 3788 02:21:47,680 --> 02:21:49,520 TO VIOLENCE TO, YOU KNOW 3789 02:21:49,520 --> 02:21:50,840 SUICIDALLITY WHICH YOU KNOW I'M 3790 02:21:50,840 --> 02:21:54,440 USING A SHORT HAND FOR SURVEYS 3791 02:21:54,440 --> 02:21:56,160 SIGH IDEATION, SUICIDE ATTEMPTS 3792 02:21:56,160 --> 02:21:56,800 THOUGHTS AND BEHAVIORS. 3793 02:21:56,800 --> 02:22:03,480 THIS IS SORT OF LINK INTO SO WE 3794 02:22:03,480 --> 02:22:07,560 THINK ABOUT THESE--WHICH IS 3795 02:22:07,560 --> 02:22:08,800 TYPICAL FROM [INDISCERNIBLE] 3796 02:22:08,800 --> 02:22:12,480 WORK, IF YOU ABOUT DETECTING 3797 02:22:12,480 --> 02:22:14,360 THIS DATA HAS BEEN INSTRUMENTAL 3798 02:22:14,360 --> 02:22:15,880 IN THIS DATA HAPPENING, WE HAVE 3799 02:22:15,880 --> 02:22:17,480 SOME WORK GOING FOR HOW DO WE 3800 02:22:17,480 --> 02:22:18,320 UNDERSTAND WHY ARE THESE 3801 02:22:18,320 --> 02:22:19,160 HAPPENING AND WE THINK THAT A 3802 02:22:19,160 --> 02:22:21,440 LOT OF IT HAS TO DO WITH 3803 02:22:21,440 --> 02:22:22,800 MINORITY STRESS AND ALTHOUGH WE 3804 02:22:22,800 --> 02:22:23,720 HEARD HEARD THAT MIGHT NOT BE 3805 02:22:23,720 --> 02:22:25,200 THE FULL IF I CANNURE, RIGHT? 3806 02:22:25,200 --> 02:22:28,600 THE PART OF THIS STORY. 3807 02:22:28,600 --> 02:22:31,360 BUT I WANT TO FECUS THIS, THIRD 3808 02:22:31,360 --> 02:22:36,480 GENERATION OF HEALTH DISPARITIES 3809 02:22:36,480 --> 02:22:37,720 RESEARCH WHAT ARE WE DOING TO 3810 02:22:37,720 --> 02:22:39,160 ADDRESS THEM AND IT GETS INTO 3811 02:22:39,160 --> 02:22:41,040 INTERVENTION BUT I WANT TO FOCUS 3812 02:22:41,040 --> 02:22:44,800 ON EVALUATION AND IMPLEMENTATION 3813 02:22:44,800 --> 02:22:46,320 WORK AND HOW ADMINISTRATIVE DATA 3814 02:22:46,320 --> 02:22:47,880 GIVE US A INTERESTED SPRING 3815 02:22:47,880 --> 02:22:51,800 BOARD FOR THINKING ABOUT THIS 3816 02:22:51,800 --> 02:22:53,480 NEXT STEP IN THE AREA WHERE WE 3817 02:22:53,480 --> 02:22:53,680 WORK. 3818 02:22:53,680 --> 02:22:55,560 A LOT OF YOU MIGHT BE FAMILIAR 3819 02:22:55,560 --> 02:22:57,920 WITH THIS PAPER, IT ILLUSTRATES 3820 02:22:57,920 --> 02:23:00,120 IT THERE IS A RARITY OF THIS 3821 02:23:00,120 --> 02:23:02,120 INTERVENTION STUDY, SO THIS IS 3822 02:23:02,120 --> 02:23:02,960 SGM POPULATIONS THERE ARE NOT 3823 02:23:02,960 --> 02:23:07,040 MANY AND THE EVERYDAYS IS 3824 02:23:07,040 --> 02:23:07,640 CURRENTLY PRETTY WEAK. 3825 02:23:07,640 --> 02:23:09,400 AND THAT'S WHERE I THINK 3826 02:23:09,400 --> 02:23:10,840 ADMINISTRATIVE DATA CAN HELP US 3827 02:23:10,840 --> 02:23:12,800 BUT THERE'S--I WILL TALK MORE 3828 02:23:12,800 --> 02:23:14,760 ABOUT WHY THIS IS NEW GROUND AND 3829 02:23:14,760 --> 02:23:17,520 IF IT HAS A BIT OF FRAUGHT 3830 02:23:17,520 --> 02:23:19,920 DETAILS THAT WE NEED TO IRON 3831 02:23:19,920 --> 02:23:20,160 OUT. 3832 02:23:20,160 --> 02:23:27,640 SO TO ORIENT PIEM TO THE 3833 02:23:27,640 --> 02:23:29,160 ADMINISTRATIVE RESEARCH THIS IS 3834 02:23:29,160 --> 02:23:31,560 TYPICALLY A UNIVERSE OF USERS 3835 02:23:31,560 --> 02:23:33,200 AND IT'S NOT SAMPLE OF RESEARCH 3836 02:23:33,200 --> 02:23:35,520 WHERE WE RELY ON SAMPLING, THESE 3837 02:23:35,520 --> 02:23:37,280 ARE USED FOR PRACTICES ESES ISS 3838 02:23:37,280 --> 02:23:38,720 WHERE THESE ARE ABOUT 3839 02:23:38,720 --> 02:23:39,520 GENERALIZABLE KNOWLEDGE, 3840 02:23:39,520 --> 02:23:40,440 MEASUREMENT WITH AN 3841 02:23:40,440 --> 02:23:41,320 ADMINISTRATIVE DATA ARE OFTEN 3842 02:23:41,320 --> 02:23:43,200 SORT OF LIMITED TO WHAT SORT OF 3843 02:23:43,200 --> 02:23:45,440 BUSINESS OR AGENCY OPERATIONS 3844 02:23:45,440 --> 02:23:46,960 ARE FUNCTIONS ARE WHEREAS 3845 02:23:46,960 --> 02:23:49,080 RESEARCHER REALLY CAN CHOOSE 3846 02:23:49,080 --> 02:23:50,040 WHAT INSTRUMENTS OR WHAT ITEMS 3847 02:23:50,040 --> 02:23:54,080 WE WANT TO PUT INTO A SURVEY. 3848 02:23:54,080 --> 02:23:55,480 ADMINISTRATIVE DATA, THE 3849 02:23:55,480 --> 02:23:56,680 INFORMATION IS OFTEN POPULATED 3850 02:23:56,680 --> 02:23:59,360 PRETTY MUCH IN NEAR REALTIME, 3851 02:23:59,360 --> 02:24:00,640 SOME ADMINISTRATIVE DATA SETS 3852 02:24:00,640 --> 02:24:02,040 TAKE LONGER SUCH AS MORTALITY. 3853 02:24:02,040 --> 02:24:05,120 WE HAVE A PRETTY BIG LAG ON 3854 02:24:05,120 --> 02:24:05,480 THAT. 3855 02:24:05,480 --> 02:24:06,680 AND FOR RESEARCH SOME SURVEY 3856 02:24:06,680 --> 02:24:08,080 STUDIES CAN TAKE YEARS FOR DATA 3857 02:24:08,080 --> 02:24:11,600 COLLECTION AND THEN THE DATA TO 3858 02:24:11,600 --> 02:24:13,920 BE AVAILABLE FOR PEOPLE TO 3859 02:24:13,920 --> 02:24:15,400 ANALYZE AND LASTLY 3860 02:24:15,400 --> 02:24:17,320 ADMINISTRATIVE DATA, THESE DATA 3861 02:24:17,320 --> 02:24:18,280 OFTEN REPRESENT SOME DELIVERABLE 3862 02:24:18,280 --> 02:24:19,280 OR SOME SERVICE. 3863 02:24:19,280 --> 02:24:20,640 SO THERE'S SOME TRANSACTION 3864 02:24:20,640 --> 02:24:22,080 THAT'S TYPICALLY HAPPENING WITH 3865 02:24:22,080 --> 02:24:23,280 THESE SERVICE SYSTEMS WHERE IN 3866 02:24:23,280 --> 02:24:24,680 RESEARCH IT'S REALLY NOT THE 3867 02:24:24,680 --> 02:24:25,000 CASE. 3868 02:24:25,000 --> 02:24:27,240 SOME PEOPLE MIGHT GET INCENTIVES 3869 02:24:27,240 --> 02:24:28,560 AND RANDOMIZED CONTROL TRIALS, 3870 02:24:28,560 --> 02:24:29,880 YOU MIGHT HAVE PEOPLE GETTING 3871 02:24:29,880 --> 02:24:30,920 TREATMENT BUT USUALLY RESEARCH 3872 02:24:30,920 --> 02:24:33,160 IS NOT AS TRANSACTIONAL AS ADMEN 3873 02:24:33,160 --> 02:24:36,600 ADMINISTRATIVE DATA PROCESSES 3874 02:24:36,600 --> 02:24:37,200 ARE. 3875 02:24:37,200 --> 02:24:37,960 AND ADMINISTRATIVE DATA SURROUND 3876 02:24:37,960 --> 02:24:38,720 US, RIGHT? 3877 02:24:38,720 --> 02:24:41,040 WE HAVE EDUCATIONAL SYSTEMS, 3878 02:24:41,040 --> 02:24:42,560 LEGAL JUDICIAL SYSTEMS ISSUES 3879 02:24:42,560 --> 02:24:46,040 HEALTHCARE SYSTEMS, YOU KNOW 3880 02:24:46,040 --> 02:24:47,120 FAMILY, FOOD SERVICE, HOUSING, 3881 02:24:47,120 --> 02:24:48,360 ALL SORTS OF ADMINISTRATIVE DATA 3882 02:24:48,360 --> 02:24:52,000 THAT ARE GETTING BETTER AT 3883 02:24:52,000 --> 02:24:53,320 COLLECTING DATA, YOU KNOW 3884 02:24:53,320 --> 02:24:53,600 SURROUND US. 3885 02:24:53,600 --> 02:24:56,440 BUT I WANT TO FOCUS ON THE 3886 02:24:56,440 --> 02:24:57,800 BOTTOM BUBBLE HERE ON THE 3887 02:24:57,800 --> 02:24:58,760 MORTALITY DATA AND THE WORK 3888 02:24:58,760 --> 02:25:00,520 WE'VE DONE IN MORTALITY SYSTEMS, 3889 02:25:00,520 --> 02:25:02,160 I WANT TO PREVENTIVE FASTHIS BY 3890 02:25:02,160 --> 02:25:04,120 THINKING ABOUT AN EXAMPLE, 3891 02:25:04,120 --> 02:25:07,840 HERE'S A PICTURE OF 3892 02:25:07,840 --> 02:25:08,800 CHANIECE WALLACE, AND SHE DIED 3893 02:25:08,800 --> 02:25:10,560 AT THE AGE OF 30 AFTER GIVING 3894 02:25:10,560 --> 02:25:13,720 BIRTH, SHE WAS NOT ALONE. 3895 02:25:13,720 --> 02:25:15,520 IN THAT THERE WAS ACTUALLY, YOU 3896 02:25:15,520 --> 02:25:19,560 KNOW A LOT OF BLACK AND AFRICAN 3897 02:25:19,560 --> 02:25:20,840 AMERICAN WOMEN DYING EITHER 3898 02:25:20,840 --> 02:25:23,360 DURING OR RIGHT AFTER PREGNANTY 3899 02:25:23,360 --> 02:25:24,880 AND THAT WITHOUT DATA ABOUT 3900 02:25:24,880 --> 02:25:26,480 RACE, WE WOULD NEVER HAVE KNOWN 3901 02:25:26,480 --> 02:25:28,320 THIS, WE WOULD HAVE TO STRING 3902 02:25:28,320 --> 02:25:32,400 TOGETHER WHAT WE COULD PULL LIKE 3903 02:25:32,400 --> 02:25:36,080 I DID FROM INTERNET NEWS STORIES 3904 02:25:36,080 --> 02:25:37,200 RIGHT VERSUS HAVING ACTUAL DATA 3905 02:25:37,200 --> 02:25:38,160 TO SHOW US THIS. 3906 02:25:38,160 --> 02:25:39,680 SO CAN YOU SEE HERE BECAUSE WE 3907 02:25:39,680 --> 02:25:41,640 COLLECT RACE AT THE TIME OF 3908 02:25:41,640 --> 02:25:44,080 DEATH, WE CAN ACTUALLY SEE JUST 3909 02:25:44,080 --> 02:25:46,360 HOW PRONOUNCED THIS DISPARITY IN 3910 02:25:46,360 --> 02:25:48,160 MATERNAL AND MORTALITY IS NEAR 3911 02:25:48,160 --> 02:25:49,280 BLACK AND AFRICAN AMERICAN 3912 02:25:49,280 --> 02:25:49,520 WOMEN. 3913 02:25:49,520 --> 02:25:52,080 WE DO NOT HAVE THAT CAPABILITY 3914 02:25:52,080 --> 02:25:53,640 FOR LGBT PEOPLE, WE DON'T KNOW 3915 02:25:53,640 --> 02:25:55,320 THE TOP 10 CAUSES OF DEATH. 3916 02:25:55,320 --> 02:25:59,240 WE DO NOT KNOW HAVING A TON OF 3917 02:25:59,240 --> 02:26:00,200 LITERATURE THAT IDEATION, 3918 02:26:00,200 --> 02:26:01,120 SUICIDE AATTEMPT IS OFF THE 3919 02:26:01,120 --> 02:26:02,120 CHARTS IF ARE THIS GROUP. 3920 02:26:02,120 --> 02:26:07,280 WE DON'T KNOW IF SUICIDE FOR 3921 02:26:07,280 --> 02:26:09,080 SURE, FOR SURE WE DON'T KNOW IF 3922 02:26:09,080 --> 02:26:10,240 SUICIDE DEATH IS HIGHER. 3923 02:26:10,240 --> 02:26:12,160 THAT'S WHERE WE NEED TO CATCH 3924 02:26:12,160 --> 02:26:12,960 UP. 3925 02:26:12,960 --> 02:26:13,680 SO WE ESTIMATE 3 MILLION 3926 02:26:13,680 --> 02:26:14,800 AMERICANS DIE EACH YEAR, NONE OF 3927 02:26:14,800 --> 02:26:16,880 THAT INFORMATION CAN BE USED TO 3928 02:26:16,880 --> 02:26:18,520 ANSWER QUESTIONS ABOUT LGBT 3929 02:26:18,520 --> 02:26:19,200 HEALTH. 3930 02:26:19,200 --> 02:26:20,960 SO IF YOU WOULD SUPPOSED THAT 3931 02:26:20,960 --> 02:26:24,280 MAYBE 5% OF THOSE PEOPLE ARE 3932 02:26:24,280 --> 02:26:27,040 LGB, AND ONLY 1.2% ARE 3933 02:26:27,040 --> 02:26:28,080 TRANSGENDER OR GENDER DIVERSE, 3934 02:26:28,080 --> 02:26:29,920 THAT'S A LOT OF DATA, A LOT OF 3935 02:26:29,920 --> 02:26:31,200 FOLKS WHOSE INFORMATION WE ARE 3936 02:26:31,200 --> 02:26:33,640 MISSING AND NOT CAPITALIZING ON 3937 02:26:33,640 --> 02:26:37,320 COME I HAVE THIS QUOTE HERE, 3938 02:26:37,320 --> 02:26:38,560 FROM JUDY BRADFORD, THAT IF 3939 02:26:38,560 --> 02:26:39,880 YOU'RE NOT COULD YOU WANTED, YOU 3940 02:26:39,880 --> 02:26:41,520 DON'T COUNT EMPLOY SO HOW DO WE 3941 02:26:41,520 --> 02:26:42,880 CATCH UP, I WILL GO QUICKLY 3942 02:26:42,880 --> 02:26:44,720 THROUGH EMPLOY ANDS WE TRIED TO 3943 02:26:44,720 --> 02:26:45,600 PULL TOGETHER FROM ADMINISTRATE 3944 02:26:45,600 --> 02:26:47,280 OF DATA, THIS IS AN EXAMPLE FROM 3945 02:26:47,280 --> 02:26:51,760 THE VA, DATA SYSTEM, SO HERE YOU 3946 02:26:51,760 --> 02:26:53,800 CAN SEE THAT WE'RE LOOKING AT 3947 02:26:53,800 --> 02:26:57,960 TRY TO GENERATE THE LEADING 3948 02:26:57,960 --> 02:27:01,240 CAUSE OF DEATH FOR TRANSAND 3949 02:27:01,240 --> 02:27:01,800 CISGENDER VETERANS. 3950 02:27:01,800 --> 02:27:03,040 SO HERE WE HAVE INFORMATION FROM 3951 02:27:03,040 --> 02:27:04,400 THE PATIENTS WHO ARE GETTING 3952 02:27:04,400 --> 02:27:06,560 CARE FROM THE VA SYSTEM, WHICH 3953 02:27:06,560 --> 02:27:08,480 IS 6-8 MILLION DEPENDING ON 3954 02:27:08,480 --> 02:27:11,280 DEFINITIONS OF UTILIZATION 3955 02:27:11,280 --> 02:27:11,680 VERSUS ENROLLEES. 3956 02:27:11,680 --> 02:27:14,040 YOU CAN SEE HERE THAT SUICIDE IS 3957 02:27:14,040 --> 02:27:15,680 A FORCED LEADING CAUSE OF DEATH 3958 02:27:15,680 --> 02:27:17,200 FOR VETERANS WHERE IT WAS THE 3959 02:27:17,200 --> 02:27:19,040 TENTH LEADING CAUSE OF DEATH FOR 3960 02:27:19,040 --> 02:27:19,800 THE GENERAL POPULATION WHICH IS 3961 02:27:19,800 --> 02:27:21,640 HERE IN THE GRAY LINE THAT GOES 3962 02:27:21,640 --> 02:27:25,880 DIVING DOWN THE GRAPH. 3963 02:27:25,880 --> 02:27:27,840 AND/OR CIS GENDER VETERANS WAS 3964 02:27:27,840 --> 02:27:29,000 THE TENTH LEADING CAUSE OF 3965 02:27:29,000 --> 02:27:30,040 DEATH. 3966 02:27:30,040 --> 02:27:32,960 WE SAW A SIMILAR PATTERN FOR LGB 3967 02:27:32,960 --> 02:27:36,280 VETERANS, AND THE WAY WE WERE 3968 02:27:36,280 --> 02:27:38,560 ABLE TO IDENTIFY PEOPLE FOR 3969 02:27:38,560 --> 02:27:42,200 TRANSGENDER WE HAD TO RELY ON 3970 02:27:42,200 --> 02:27:45,280 ICD CODES FOR LGB VETS WE LOOKED 3971 02:27:45,280 --> 02:27:46,560 AT NATURAL LANGUAGE PROCESSING 3972 02:27:46,560 --> 02:27:48,280 AND RELIED ON FOLKS BUT YOU CAN 3973 02:27:48,280 --> 02:27:49,520 SEE HERE THAT AUTOTHE FIFTH 3974 02:27:49,520 --> 02:27:54,520 LEADING CAUSE OF DEATH FOR LBB 3975 02:27:54,520 --> 02:27:54,760 VETERANS. 3976 02:27:54,760 --> 02:27:56,160 SO GIVEN THE IMPERFECTIONS OF 3977 02:27:56,160 --> 02:27:59,520 HOW WE'RE NEEDS TO CAPITALIZE ON 3978 02:27:59,520 --> 02:28:00,360 THE ADMINISTRATIVE DATA WE TRIED 3979 02:28:00,360 --> 02:28:01,680 TO GET AT THE SOURCE OF DAILY 3980 02:28:01,680 --> 02:28:03,760 BASIS THEA ESPECIALLY FOR 3981 02:28:03,760 --> 02:28:04,880 MORTALITY SYSTEMS, SO THIS 3982 02:28:04,880 --> 02:28:06,960 EFFORT REALLY TARTED BACK IN 3983 02:28:06,960 --> 02:28:08,200 2014 BY ANN [INDISCERNIBLE] WHO 3984 02:28:08,200 --> 02:28:11,240 USED TO BE WITH THE AMERICAN 3985 02:28:11,240 --> 02:28:12,600 ASSOCIATION FOR SUICIDE 3986 02:28:12,600 --> 02:28:14,160 PREVENTION AND ANDY LANE AT THE 3987 02:28:14,160 --> 02:28:14,840 JOHNSON FOUNDATION ABOUT HOW 3988 02:28:14,840 --> 02:28:18,480 COULD WE DEVELOP AT THE GROUND 3989 02:28:18,480 --> 02:28:19,520 LEVEL, GETTING DEATH 3990 02:28:19,520 --> 02:28:22,720 INVESTIGATORS TO GET INFORMATION 3991 02:28:22,720 --> 02:28:23,320 ABOUT SEXUAL ORIENTATION 3992 02:28:23,320 --> 02:28:24,720 IDENTITY THAT WOULD BE PUT INTO 3993 02:28:24,720 --> 02:28:35,160 A PIPELINE TO THE NATIONAL 3994 02:28:36,000 --> 02:28:36,680 TRAINING DEATH INVESTIGATION. 3995 02:28:36,680 --> 02:28:37,640 DEATH INVESTIGATORS MAYBE HAVE 1 3996 02:28:37,640 --> 02:28:39,120 OF THE WORST JOBS ON EARTH BUT 3997 02:28:39,120 --> 02:28:41,880 YOU CAN SEE HERE, SMOAOF THE OF 3998 02:28:41,880 --> 02:28:44,520 THEM SAID THEY HAVE HAD IRPT 3999 02:28:44,520 --> 02:28:46,520 ACTIONS WHERE THEY THOUGHT THE 4000 02:28:46,520 --> 02:28:47,840 DECEDENT WAS LGBT BUT MOST OF 4001 02:28:47,840 --> 02:28:49,320 THEM DON'T ASK ABOUT IT AND NONE 4002 02:28:49,320 --> 02:28:51,040 OF THEM HAD ANY TRAINING ABOUT 4003 02:28:51,040 --> 02:28:52,440 HOW TO GATHER SOGI DATA. 4004 02:28:52,440 --> 02:28:55,520 SO THIS IS HOW WE SORT OF 4005 02:28:55,520 --> 02:28:57,080 ENVISION OUR PIPELINE OF YOU 4006 02:28:57,080 --> 02:28:58,320 KNOW DEVELOPING THIS PROTOCOL, 4007 02:28:58,320 --> 02:29:00,760 TRAINING FOLKS IN THE MEDICAL 4008 02:29:00,760 --> 02:29:02,200 LEGAL DEATH INVESTIGATION 4009 02:29:02,200 --> 02:29:03,720 SPHERE, TO THEN GET THIS 4010 02:29:03,720 --> 02:29:05,240 INFORMATION IN THE ACTUAL 4011 02:29:05,240 --> 02:29:08,880 NARRATIVES THAT BECOMES ABSTRACT 4012 02:29:08,880 --> 02:29:14,160 AND PART OF MBDRS, NVDRS HAS 4013 02:29:14,160 --> 02:29:17,200 FIELDS BUT THIS BUT THERE'S 80% 4014 02:29:17,200 --> 02:29:19,400 MISSING IT'S A FIELD OF DREAMS 4015 02:29:19,400 --> 02:29:21,440 EFFECT WHERE THEY THOUGHT THEY 4016 02:29:21,440 --> 02:29:23,160 WOULD BUILD IT AND PEOPLE WOULD 4017 02:29:23,160 --> 02:29:24,520 COME AND THAT'S NOT EXACTLY WHAT 4018 02:29:24,520 --> 02:29:25,200 HAPPENED. 4019 02:29:25,200 --> 02:29:27,280 I WILL GIVE ANOTHER EXAMPLE FROM 4020 02:29:27,280 --> 02:29:28,120 ADMINISTRATIVE DATA, PROBABLY 4021 02:29:28,120 --> 02:29:29,920 NOT SURPRISING TO PEOPLE IN THIS 4022 02:29:29,920 --> 02:29:31,200 MEETING THAT HOUSING INSTABILITY 4023 02:29:31,200 --> 02:29:36,440 IS A MAGGOR PROBLEM FOR 4024 02:29:36,440 --> 02:29:37,360 TRANSGENDER INDIVIDUALS, YOU CAN 4025 02:29:37,360 --> 02:29:40,040 SEE HERE THAT VETERANS MUCH MORE 4026 02:29:40,040 --> 02:29:41,920 LIKELY TO SCREEN POSITIVE FOR 4027 02:29:41,920 --> 02:29:42,840 HOUSING INSTABILITY IN THE VA 4028 02:29:42,840 --> 02:29:45,360 BUT THIS IS WHERE THE PROMISE OF 4029 02:29:45,360 --> 02:29:46,240 ADMINISTRATIVE DATA REALLY COME 4030 02:29:46,240 --> 02:29:47,800 THROUGH, WHICH IS THE ALPHABET 4031 02:29:47,800 --> 02:29:50,520 SOUP AT THE BOTTOM, A DAY 4032 02:29:50,520 --> 02:29:52,240 WITHOUT THE ACRONYM IN THE VA IS 4033 02:29:52,240 --> 02:29:53,640 LIKE A DAY WITHOUT BREATHING, 4034 02:29:53,640 --> 02:29:55,520 THE POINT OF THIS IS TO SHOW 4035 02:29:55,520 --> 02:29:58,240 THAT THERE'S ALSO A DISPOETIC 4036 02:29:58,240 --> 02:29:59,360 PORTIONATELY HIGH UTILIZE OF 4037 02:29:59,360 --> 02:30:01,680 SUPPORT OF HOUSING SERVICES BY 4038 02:30:01,680 --> 02:30:02,640 TRANSGENDER SERVICE VETERANS IN 4039 02:30:02,640 --> 02:30:04,000 THE VA SO WE SEE THERE'S A 4040 02:30:04,000 --> 02:30:05,080 DISPARITY IN THE PROBLEM, THERE 4041 02:30:05,080 --> 02:30:09,120 SHOULD ALSO BE AT LEAST A 4042 02:30:09,120 --> 02:30:10,080 DISPARITY IN THE SOLUTION AND 4043 02:30:10,080 --> 02:30:11,720 IT'S SORT OF THE SIGNAL GETTING 4044 02:30:11,720 --> 02:30:13,360 HERE AND PUTTING US MORE TOWARDS 4045 02:30:13,360 --> 02:30:17,120 THAT THIRD GENERATION TYPE OF 4046 02:30:17,120 --> 02:30:17,320 STUDY. 4047 02:30:17,320 --> 02:30:20,600 SO ULTIMATE GOAL MITTLY A LACK 4048 02:30:20,600 --> 02:30:22,720 OF REPRESENTATION--ULTIMATELY A 4049 02:30:22,720 --> 02:30:24,000 LACK OF REPRESENTATION MEANSA I 4050 02:30:24,000 --> 02:30:26,200 LOT FOR US, WE CAN'T MEASURE OUR 4051 02:30:26,200 --> 02:30:28,880 BURDENS, IN MY CASE FOCUSING ON 4052 02:30:28,880 --> 02:30:30,640 MORTALITY, WE ESTIMATE SERVICE 4053 02:30:30,640 --> 02:30:32,400 UTILIZATION, WE CAN'T DIRECT 4054 02:30:32,400 --> 02:30:33,840 RESOURCES, WE CAN'T EVALUATE 4055 02:30:33,840 --> 02:30:34,640 INTERVENTIONS AT SCALE AND 4056 02:30:34,640 --> 02:30:35,560 THAT'S PROBABLY THE BIGGEST 4057 02:30:35,560 --> 02:30:37,480 ISSUE THAT KEEPS ME UP AT NIGHT. 4058 02:30:37,480 --> 02:30:41,120 IF I HAD TOMORROW, SOME SORT OF 4059 02:30:41,120 --> 02:30:42,280 PUBLIC HEALTH ORIENTED 4060 02:30:42,280 --> 02:30:44,160 PREVENTION, SUE SID PREVENTION 4061 02:30:44,160 --> 02:30:45,320 FOR LGBT PEOPLE I COULD NEVER 4062 02:30:45,320 --> 02:30:49,040 TELL YOU IF IT WORKS, I CAN'T 4063 02:30:49,040 --> 02:30:52,080 TELL YOU IF IT DROPS FOR SUICIDE 4064 02:30:52,080 --> 02:30:53,040 LGBT Q PEOPLE BECAUSE THEY DON'T 4065 02:30:53,040 --> 02:30:56,920 HAVE A PER RATE OF DEATH FOR 4066 02:30:56,920 --> 02:30:57,880 SUICIDE FOR LGBT PEOPLE. 4067 02:30:57,880 --> 02:30:59,640 WE'VE DONE THE BEST WE CAN 4068 02:30:59,640 --> 02:31:00,960 TRYING TO CAPITALIZE ON EXISTING 4069 02:31:00,960 --> 02:31:04,200 DATA BUT WE'RE LOSING TIME BY 4070 02:31:04,200 --> 02:31:05,920 WAITING FOR SURVEY DATA AND WE 4071 02:31:05,920 --> 02:31:07,920 KEEP FALLING FURTHER BEHIND. 4072 02:31:07,920 --> 02:31:10,120 SO I'M REALLY SORT OF HOPING 4073 02:31:10,120 --> 02:31:11,640 THAT THE QUESTIONS AND SORT OF 4074 02:31:11,640 --> 02:31:13,440 INTEREST IN HOW WE THINK ABOUT 4075 02:31:13,440 --> 02:31:14,280 THE ADMINISTRATIVE SYSTEMS, BUT 4076 02:31:14,280 --> 02:31:15,120 THERE ARE VERSE SERIOUS 4077 02:31:15,120 --> 02:31:16,720 QUESTIONS WE NEED TO WEIGH THAT 4078 02:31:16,720 --> 02:31:17,600 ARE VERY DIFFERENT THAN WHAT WE 4079 02:31:17,600 --> 02:31:22,960 THINK ABOUT FROM THE SURVEY. 4080 02:31:22,960 --> 02:31:25,160 PART OF OUR THINKING THAT'S BEEN 4081 02:31:25,160 --> 02:31:26,360 BEVOTED TO THIS. 4082 02:31:26,360 --> 02:31:27,600 THERE'S A CHILLING EFFECT THAT 4083 02:31:27,600 --> 02:31:29,240 WE HAVE TO WORRY ABOUT BECAUSE 4084 02:31:29,240 --> 02:31:30,560 LIKE I SAID ADMINISTRATE OF 4085 02:31:30,560 --> 02:31:32,000 DAILY BASIS THEA ARE TIED TO A 4086 02:31:32,000 --> 02:31:33,160 DELIVERABLE OR A SERVICE. 4087 02:31:33,160 --> 02:31:35,440 SO WOULD PUTTING THESE MEASURES 4088 02:31:35,440 --> 02:31:38,360 INTO ADMINISTRATIVE DATA SYSTEMS 4089 02:31:38,360 --> 02:31:39,640 INCREASE USE OF DISCRIMINATION 4090 02:31:39,640 --> 02:31:44,400 AND INCREASE COST AND 4091 02:31:44,400 --> 02:31:44,680 VISIBILITY. 4092 02:31:44,680 --> 02:31:46,600 LIKE I MENTIONED FOR THE FIELD 4093 02:31:46,600 --> 02:31:48,240 OF DREAMS EFFECT, IT WAS 1 OF 4094 02:31:48,240 --> 02:31:57,560 THOSE THEY BUILT IT BEFORE THEY 4095 02:31:57,560 --> 02:31:57,920 CAME. 4096 02:31:57,920 --> 02:31:59,480 MAKING SURE WE HAVE QUALITY 4097 02:31:59,480 --> 02:32:01,800 ASSURANCE AND EVALUATION OF 4098 02:32:01,800 --> 02:32:02,600 INPUTS, THE QUESTIONS ABOUT 4099 02:32:02,600 --> 02:32:04,120 WHETHER PUTTING THESE MEASURES 4100 02:32:04,120 --> 02:32:11,760 INTO THE SYSTEMS ACTUALLY JUST 4101 02:32:11,760 --> 02:32:13,320 CAME ON AND THEN SORT OF LIKE 4102 02:32:13,320 --> 02:32:14,800 THE WHO'S ON FIRST EFFECT. 4103 02:32:14,800 --> 02:32:16,120 WE CAN'T ASSUME PEOPLE MISSING 4104 02:32:16,120 --> 02:32:19,680 THESE DATA ARE CISGENDER OR 4105 02:32:19,680 --> 02:32:20,920 HETEROSEXUAL OR JUST NONSGM AND 4106 02:32:20,920 --> 02:32:23,320 WE HAVE TO MAKE SURE THE 4107 02:32:23,320 --> 02:32:24,600 RESPONSE ACTION WE ARE ARE 4108 02:32:24,600 --> 02:32:26,040 ACCEPTABLE TO FOLKS AND THIS IS 4109 02:32:26,040 --> 02:32:28,320 ONLY GOING TO COME FROM GETTING 4110 02:32:28,320 --> 02:32:31,720 IN THE TRENCHES WITH THE AGENCY 4111 02:32:31,720 --> 02:32:32,920 WORKFORCE TO SEE WHAT FOLKS WILL 4112 02:32:32,920 --> 02:32:34,560 BEAR BECAUSE IF WE JUST HAVE 4113 02:32:34,560 --> 02:32:36,320 THEM THERE, FOLKS WILL IGNORE 4114 02:32:36,320 --> 02:32:37,920 THEM, FOLKS WILL NOT FEEL SAFE 4115 02:32:37,920 --> 02:32:39,560 ANSWERING THEM AND WE CAN BUILD 4116 02:32:39,560 --> 02:32:41,200 THE BEST INSTRUMENT EVER, IF 4117 02:32:41,200 --> 02:32:43,320 THEY DON'T FEEL LIKE THEIR GOING 4118 02:32:43,320 --> 02:32:45,080 TO SAFE OR SERVICES WILL BE KEPT 4119 02:32:45,080 --> 02:32:46,480 FROM THEM, THEY WILL SKIP THAT 4120 02:32:46,480 --> 02:32:46,760 QUESTION. 4121 02:32:46,760 --> 02:32:49,720 I FLEW THRU IT, I WANT TO LEAVE 4122 02:32:49,720 --> 02:32:51,920 MORE TIME FOR Q&A AND FOR THE 4123 02:32:51,920 --> 02:32:52,400 NEXT SPEAKER. 4124 02:32:52,400 --> 02:32:55,760 SO THANK YOU. 4125 02:32:55,760 --> 02:32:58,360 >>THANK SO MUCH DR. BLOSNICH 4126 02:32:58,360 --> 02:32:59,920 ISSUES THAT WAS A REALLY GREAT 4127 02:32:59,920 --> 02:33:01,320 OVERVIEW AND I THINK IT WILL 4128 02:33:01,320 --> 02:33:04,160 COMPLEMENT OUR NEXT 2 TALKS FOR 4129 02:33:04,160 --> 02:33:06,360 THIS PANEL, OUR NEXT 4130 02:33:06,360 --> 02:33:10,000 PRESENTATION IS FROM DR. SUSAN 4131 02:33:10,000 --> 02:33:11,160 COCHRAN, FROM UCLA, FIELDING 4132 02:33:11,160 --> 02:33:14,560 SCHOOL OF PUBLIC HEALTH. 4133 02:33:14,560 --> 02:33:16,480 HER TALK IS ENTITLED: 4134 02:33:16,480 --> 02:33:17,480 METHOLOGICAL CHALLENGES IN 4135 02:33:17,480 --> 02:33:19,800 CLASSIFYING SEX XRUL AND GENDER 4136 02:33:19,800 --> 02:33:22,000 ORIENTATION IN VIOLENT DEATHS. 4137 02:33:22,000 --> 02:33:23,600 DR. COCHRAN, YOU HAVE THE FLOOR. 4138 02:33:23,600 --> 02:33:32,720 >>SO LET ME SHARE MY SCREEN. 4139 02:33:32,720 --> 02:33:33,520 HERE WE GO. 4140 02:33:33,520 --> 02:33:35,320 I WILL TALK A LITTLE BIT IN A 4141 02:33:35,320 --> 02:33:38,760 LITTLE BIT MORE DETAIL ABOUT THE 4142 02:33:38,760 --> 02:33:40,640 MBDRS, JOHN TOUCH OFFICE OF 4143 02:33:40,640 --> 02:33:41,600 DIVERSITY IT A LITTLE BIT BUT 4144 02:33:41,600 --> 02:33:42,960 THIS IS THE DATA SET WE'RE USING 4145 02:33:42,960 --> 02:33:47,360 IN OUR WORK CURRENTLY. 4146 02:33:47,360 --> 02:33:54,720 AND I'M GOING TO TRY AND FOCUS 4147 02:33:54,720 --> 02:33:56,120 ON THE NVDRA, THE STRENGTHS AND 4148 02:33:56,120 --> 02:33:57,080 WEAKNESSES AND SOME OF THE 4149 02:33:57,080 --> 02:33:58,480 SPECIAL CHAL ERVELGS IN THE 4150 02:33:58,480 --> 02:34:00,240 CLASSISK OF SECURITIZATION.UAL 4151 02:34:00,240 --> 02:34:03,120 AND GENDER ORIENTATION 4152 02:34:03,120 --> 02:34:03,480 POSTMORTEM. 4153 02:34:03,480 --> 02:34:04,760 AND FINALLY SHARE WITH YOU SOME 4154 02:34:04,760 --> 02:34:06,200 OF OUR PRELIMINARY RESULTS. 4155 02:34:06,200 --> 02:34:08,040 WE'RE STILL WORKING ON TRYING TO 4156 02:34:08,040 --> 02:34:11,760 GET THE MACHINE LEARNING 4157 02:34:11,760 --> 02:34:12,840 ALGORITHMS TO WORK 4158 02:34:12,840 --> 02:34:14,160 APPROPRIATELY. 4159 02:34:14,160 --> 02:34:17,520 SO THE NVDRS, BEGAN IN 2 THNTD 4160 02:34:17,520 --> 02:34:18,160 3. 4161 02:34:18,160 --> 02:34:21,120 IT IS EXPANDED OVER THE YEARS TO 4162 02:34:21,120 --> 02:34:22,800 NOW INCLUDE ALL 50 STATES, AND 4163 02:34:22,800 --> 02:34:26,880 PUERTO RICO AND SOME OF THE 4164 02:34:26,880 --> 02:34:27,200 TERRITORIES. 4165 02:34:27,200 --> 02:34:30,880 LAST YEAR, AN ARK DITIONAL 69, 4166 02:34:30,880 --> 02:34:32,600 ALMOST 67,000 VIOLENT DEATHS 4167 02:34:32,600 --> 02:34:36,280 WERE INCLUDED BO THIS DATABASE 4168 02:34:36,280 --> 02:34:39,440 AND THE DATA SET ITSELF, TRIES 4169 02:34:39,440 --> 02:34:41,560 TO TRACK ALL VIOLENT DEATHS IN 4170 02:34:41,560 --> 02:34:45,040 THE UNITED STATES AND VIOLENT 4171 02:34:45,040 --> 02:34:46,480 DEATHS ARE DEFINED AS A DEATH 4172 02:34:46,480 --> 02:34:48,880 THAT RESULTS FROM AN INTENTIONAL 4173 02:34:48,880 --> 02:34:52,120 USE OF FORCE OR POWER, 4174 02:34:52,120 --> 02:34:54,080 THREATENED OR ACTUAL AGAINST 1'S 4175 02:34:54,080 --> 02:34:54,800 SELF-OR ANOTHER PERSON. 4176 02:34:54,800 --> 02:34:57,320 SO THE DEATHS THAT ARE IN THE 4177 02:34:57,320 --> 02:34:59,640 DATABASE OF THE NVDRS, THERE'S 4178 02:34:59,640 --> 02:35:01,920 NOW ABOUT HALF A MILLION DEATHS 4179 02:35:01,920 --> 02:35:05,040 IN THIS VERY LARGE DATA SET ARE 4180 02:35:05,040 --> 02:35:10,640 ALL ABOUT SUICIDE, HOMICIDE, 4181 02:35:10,640 --> 02:35:13,520 SUICIDE-HOMICIDES, MASS 4182 02:35:13,520 --> 02:35:14,640 SHOOTINGS, AND SOME OTHER DEATHS 4183 02:35:14,640 --> 02:35:17,520 THAT ARE THOUGHT TO BE VIOLENT 4184 02:35:17,520 --> 02:35:17,880 DEATHS. 4185 02:35:17,880 --> 02:35:21,440 THE DATA SET INCLUDES BOTH 4186 02:35:21,440 --> 02:35:23,320 PRECODED VARIABLES AND SOME TEXT 4187 02:35:23,320 --> 02:35:25,800 DATA THAT'S GENERATED BY STATE 4188 02:35:25,800 --> 02:35:27,640 PUBLIC HEALTH WORKERS AS JOHN 4189 02:35:27,640 --> 02:35:29,000 INDICATED THESE PUBLIC HEALTH 4190 02:35:29,000 --> 02:35:31,800 WORKERS, AT THE STATE LEVEL GO 4191 02:35:31,800 --> 02:35:33,840 THROUGH ALL OF THE INFORMATION 4192 02:35:33,840 --> 02:35:36,160 THAT EXISTS ON A VIOLENT DEATH 4193 02:35:36,160 --> 02:35:39,760 AND THEN THEY FILL OUT A VERY 4194 02:35:39,760 --> 02:35:41,640 EXTENSIVE FORM THAT IS 4195 02:35:41,640 --> 02:35:44,920 TRANSMITTED TO THE CENTERS FOR 4196 02:35:44,920 --> 02:35:46,120 DISEASE CONTROL WHO ACTUALLY 4197 02:35:46,120 --> 02:35:50,400 CURATE THIS PARTICULAR DATA SET. 4198 02:35:50,400 --> 02:35:53,160 IN 4199 02:35:53,160 --> 02:35:55,120 IN TRYING TO THINK ABOUT HOW YOU 4200 02:35:55,120 --> 02:35:55,760 WOULD CLASSIFY VIOLENCE 4201 02:35:55,760 --> 02:35:57,240 WESTBOUND THIS DATA SET FOR 4202 02:35:57,240 --> 02:36:00,760 SEXUAL AND GENDER ORIENT AIGDZ 4203 02:36:00,760 --> 02:36:01,840 POSTMORTEM, YOU IMMEDIATELY COME 4204 02:36:01,840 --> 02:36:04,800 ACROSS 3 KEY ISSUES, AND BEFORE 4205 02:36:04,800 --> 02:36:07,680 I TALK IN MORE DETAIL ABOUT THE 4206 02:36:07,680 --> 02:36:09,800 NVDRS, I WANT TO ISSUE A WARNING 4207 02:36:09,800 --> 02:36:14,960 THAT I'M GOING TO BE PRESENTING 4208 02:36:14,960 --> 02:36:16,800 TEXT LEVEL DATA FROM THE DATA 4209 02:36:16,800 --> 02:36:18,120 SET, IT'S NOT ACTUALLY FROM THE 4210 02:36:18,120 --> 02:36:19,280 DATA SET BECAUSE THIS IS A 4211 02:36:19,280 --> 02:36:21,240 RESTRICTED DAILY BASIS AT SET AT 4212 02:36:21,240 --> 02:36:23,560 THE CDC, SO THESE ARE NARRATIVES 4213 02:36:23,560 --> 02:36:26,880 THAT I HAVE MADE UP BUT THEY'RE 4214 02:36:26,880 --> 02:36:28,600 VERY CLOSE TO WHAT YOU MIGHT SEE 4215 02:36:28,600 --> 02:36:29,800 IN AN ACTUAL NARRATIVE. 4216 02:36:29,800 --> 02:36:32,880 SO I JUST WANTED TO WARN FOLKS 4217 02:36:32,880 --> 02:36:35,640 THAT THIS IS A VIOLENT DEATH 4218 02:36:35,640 --> 02:36:39,400 DATABASE AND SO THEY THINKS I 4219 02:36:39,400 --> 02:36:40,760 DON'T THINK IT'S THAT INTENSE 4220 02:36:40,760 --> 02:36:42,800 BUT FOR THOSE OF YOU WHO MIGHT 4221 02:36:42,800 --> 02:36:44,400 THINK IT'S INTENSE YOU MIGHT NOT 4222 02:36:44,400 --> 02:36:48,600 WANT TO LOOK AT IT. 4223 02:36:48,600 --> 02:36:51,200 SO, TYPICALLY WHEN WE MEASURE 4224 02:36:51,200 --> 02:36:53,840 SEXUAL ORIENTATION SUCH AS IN 4225 02:36:53,840 --> 02:36:55,800 SURVEYS, WHERE WE'RE ASKING 4226 02:36:55,800 --> 02:36:58,000 PEOPLE TO TELL US THEIR OWN 4227 02:36:58,000 --> 02:37:00,400 SENSE OF IDENTITY, OF WHAT THEIR 4228 02:37:00,400 --> 02:37:02,600 SEXUAL ORIENTATION IS OR WHAT 4229 02:37:02,600 --> 02:37:03,640 THEIR GENDER IDENTITY IS, THIS 4230 02:37:03,640 --> 02:37:06,960 IS DONE BY SELF-REPORT AND I'VE 4231 02:37:06,960 --> 02:37:08,400 GIVEN AN EXAMPLE HERE FROM THE 4232 02:37:08,400 --> 02:37:09,840 NHANES OF A QUESTION THAT MIGHT 4233 02:37:09,840 --> 02:37:14,040 BE ASKED OF THEM. 4234 02:37:14,040 --> 02:37:17,280 IN THE NVDRS, THIS IS POSTMORTEM 4235 02:37:17,280 --> 02:37:20,720 DETERMINE NATION, SO IT'S NOT 4236 02:37:20,720 --> 02:37:26,520 REALLY AN INTERNAL IDENTITY THAT 4237 02:37:26,520 --> 02:37:29,720 A PERSON POSSESSES, IT'S A 4238 02:37:29,720 --> 02:37:30,600 PHENOTYPIC ASSESS OF AN 4239 02:37:30,600 --> 02:37:33,000 INDIVIDUAL OR AN ENVIRONMENTALAC 4240 02:37:33,000 --> 02:37:33,680 ASSESSES OF THE EVENT THAT 4241 02:37:33,680 --> 02:37:35,200 OCCURS SO I GIVE A COUPLE 4242 02:37:35,200 --> 02:37:37,520 EXAMPLES HERE THAT MIGHT BE IN 4243 02:37:37,520 --> 02:37:39,040 THE NVDRS WHERE THE VICTIM IS 4244 02:37:39,040 --> 02:37:42,360 DESCROIBED AS A YOUNG WHITE MALE 4245 02:37:42,360 --> 02:37:44,040 WHO HIS FAMILY THOUGHT HE MIGHT 4246 02:37:44,040 --> 02:37:47,120 BE GAY, WE DON'T KNOW WHETHER OR 4247 02:37:47,120 --> 02:37:48,640 NOT HE WOULD HAVE A SELF-IESHES 4248 02:37:48,640 --> 02:37:50,480 DENTITY OF BEING GAY, BUT THE 4249 02:37:50,480 --> 02:37:54,160 FAMILY IS REPORTING THAT. 4250 02:37:54,160 --> 02:37:56,840 IN THE SECOND EXAMPLE I GIVE YOU 4251 02:37:56,840 --> 02:38:00,440 HOMOSEXUALITY IS IN THE DEATH 4252 02:38:00,440 --> 02:38:01,720 NARRATIVE THAT SOMETHING WAS 4253 02:38:01,720 --> 02:38:08,240 GOING ON PROXIMAL TO THE DEATH 4254 02:38:08,240 --> 02:38:11,080 WHERE HOMOSEXUALITY WAS RELEVANT 4255 02:38:11,080 --> 02:38:12,720 BUT NOT THE IDENT OF THE VICTIM 4256 02:38:12,720 --> 02:38:15,240 WHO DIED IT IS IN FACT A FAMILY 4257 02:38:15,240 --> 02:38:16,440 MATTER WHO'S AFTER THE ACCIDENT 4258 02:38:16,440 --> 02:38:19,120 DENTIFIED AS BEING GAY. 4259 02:38:19,120 --> 02:38:23,360 SO THAT'S 1 ISSUE, THAT THE 4260 02:38:23,360 --> 02:38:25,280 MEASUREMENT OF SEXUAL 4261 02:38:25,280 --> 02:38:29,080 ORIENTATION IN THE NVDRS IS NOT 4262 02:38:29,080 --> 02:38:29,440 BY SELF-REPORT. 4263 02:38:29,440 --> 02:38:33,160 A SECOND ISSUE THAT COMES UP IS 4264 02:38:33,160 --> 02:38:35,960 THE CODING RULES THAT EXIST 4265 02:38:35,960 --> 02:38:37,960 WITHIN THE NVDRS CODE BOOK FOR 4266 02:38:37,960 --> 02:38:41,680 CODING OF SEXUAL ORIENTATION. 4267 02:38:41,680 --> 02:38:46,160 THE NVDRS BEGAN IN 2003. 4268 02:38:46,160 --> 02:38:51,040 IN 2013, THEY INCLUDED SOME 4269 02:38:51,040 --> 02:38:53,120 VARIABLES ALLOWING THE PUBLIC 4270 02:38:53,120 --> 02:38:55,800 HEALTH WORKERS TO ACTUALLY CODE 4271 02:38:55,800 --> 02:38:57,320 FOR SEXUAL ORIENTATION, THE 4272 02:38:57,320 --> 02:38:58,120 INSTRUCTIONS HAVE VARIED OVER 4273 02:38:58,120 --> 02:39:01,560 THE YEARS BUT THIS IS THE 4274 02:39:01,560 --> 02:39:02,880 CURRENT INSTRUCTIONS THAT THE 4275 02:39:02,880 --> 02:39:06,840 STATE PUBLIC HEALTH WORKERS GET. 4276 02:39:06,840 --> 02:39:08,600 THEY ARE ADVICED THAT THEY ONLY 4277 02:39:08,600 --> 02:39:10,440 CODE THIS VARIABLE, IF THE 4278 02:39:10,440 --> 02:39:13,200 INFORMATION IS REPORTED IN THE 4279 02:39:13,200 --> 02:39:15,840 LAW ENFORCEMENT OR CORONER 4280 02:39:15,840 --> 02:39:17,320 MEDICAL EXAMINER REPORT. 4281 02:39:17,320 --> 02:39:20,000 SEXUAL ORIENTATION SHOULD NOT BE 4282 02:39:20,000 --> 02:39:21,200 INFERRED FROM MARITAL STATUS, IF 4283 02:39:21,200 --> 02:39:23,840 THE INFORMATION IS NOT 4284 02:39:23,840 --> 02:39:27,000 EXPLICITLY REPORTED SELECT 4285 02:39:27,000 --> 02:39:27,440 UNKNOWN. 4286 02:39:27,440 --> 02:39:28,920 AND SO THE CONSEQUENCE OF THESE 4287 02:39:28,920 --> 02:39:31,520 ENSTRUKSS TO THE PUBLIC HEALTH 4288 02:39:31,520 --> 02:39:34,120 WORKERS IS THAT SEXUAL 4289 02:39:34,120 --> 02:39:36,520 ORIENTATION IS EXTREMELY RARELY 4290 02:39:36,520 --> 02:39:39,240 CODED WITHIN THE NVDRS, IN FACT, 4291 02:39:39,240 --> 02:39:42,240 ONLY 9% OF DEATHS HAVE A CODE 4292 02:39:42,240 --> 02:39:45,160 ASSIGNED TO THEM FOR SEXUAL 4293 02:39:45,160 --> 02:39:45,480 ORIENTATION. 4294 02:39:45,480 --> 02:39:49,200 AS YOU CAN SEE HERE IN THIS 4295 02:39:49,200 --> 02:39:50,800 SLIDE, THE INSERTION OF THE 4296 02:39:50,800 --> 02:39:55,880 SEXUAL ORIENTATION CODE IN 2013 4297 02:39:55,880 --> 02:39:58,680 ENDED UP HAVING STATE PUBLIC 4298 02:39:58,680 --> 02:40:00,560 HEALTH WORKERS ASSIGN A CODE TO 4299 02:40:00,560 --> 02:40:02,520 MOST DEATHS BUT THE MOST COMMON 4300 02:40:02,520 --> 02:40:04,840 CODE THAT IS ASSIGNED TO DEATHS 4301 02:40:04,840 --> 02:40:07,880 IS UNKNOWN, VERY, VERY FEW 4302 02:40:07,880 --> 02:40:09,800 DEATHS HAVE SEXUAL ORIENTATION 4303 02:40:09,800 --> 02:40:11,040 ASSIGNED TO THEM. 4304 02:40:11,040 --> 02:40:14,400 SO THAT'S A DIFFICULTY IN USING 4305 02:40:14,400 --> 02:40:15,160 THIS PARTICULAR DATABASE. 4306 02:40:15,160 --> 02:40:17,160 CAN THEN THE THIRD ISSUE I WANT 4307 02:40:17,160 --> 02:40:18,640 TO RAISE, AND HAD IS SOMETHING 4308 02:40:18,640 --> 02:40:20,600 THAT I THINK THAT MANY OF US WHO 4309 02:40:20,600 --> 02:40:24,440 WORK IN THIS FIELD ARE NOT 4310 02:40:24,440 --> 02:40:26,080 ALWAYS AWARE OF AND THAT IS THAT 4311 02:40:26,080 --> 02:40:28,840 THE BASE RATE OF THE SMALL 4312 02:40:28,840 --> 02:40:30,880 POPULATION YOU MIGHT BE TRYING 4313 02:40:30,880 --> 02:40:32,960 TO CLASSIFY HAS AN IMPACT ON 4314 02:40:32,960 --> 02:40:36,040 YOUR ABILITY TO DO SO. 4315 02:40:36,040 --> 02:40:39,480 SO HERE I SHOW A POPULATION OF 4316 02:40:39,480 --> 02:40:41,480 5000 INDIVIDUALS, I HAVE AN 4317 02:40:41,480 --> 02:40:42,440 ALGORITHM I SAY FROM MACHINE 4318 02:40:42,440 --> 02:40:45,680 LEARNING THAT,A LOWS ME TO 4319 02:40:45,680 --> 02:40:47,440 CLASSIFY THESE--ARK LOWS ME TO 4320 02:40:47,440 --> 02:40:48,440 CLASSIFY THESE INDIVIDUALS 4321 02:40:48,440 --> 02:40:49,520 PRETTY ACCURATELY. 4322 02:40:49,520 --> 02:40:51,040 I ONLY HAVE A 2% ERROR RATE 4323 02:40:51,040 --> 02:40:55,120 WHICH IS NOT SO BAD. 4324 02:40:55,120 --> 02:40:56,840 AND YOU CAN SEE THE IMPACT ON 4325 02:40:56,840 --> 02:40:58,680 THE MEASUREMENTS THAT I MIGHT 4326 02:40:58,680 --> 02:41:01,200 HAVE WHETHER OR NOT THERE IS A 4327 02:41:01,200 --> 02:41:04,320 GOOD ALGOGHT RHYTHM REALLY 4328 02:41:04,320 --> 02:41:05,720 VARIES BY THE BASE RATE OF THE 4329 02:41:05,720 --> 02:41:07,240 SIZE OF THE MINORITY POPULATION. 4330 02:41:07,240 --> 02:41:09,480 SO IN THE TOP POPULATION HERE, 4331 02:41:09,480 --> 02:41:11,680 5000 PEOPLE, WHERE YOU'RE TRYING 4332 02:41:11,680 --> 02:41:14,760 TO CLASSIFY THEM FOR MAJORITY OR 4333 02:41:14,760 --> 02:41:17,440 MINORITY STATUS, AND 33% OF THE 4334 02:41:17,440 --> 02:41:19,080 POPULATION HAS THIS MINORITY 4335 02:41:19,080 --> 02:41:21,040 STATUS, ALL OF THE MEASURES THAT 4336 02:41:21,040 --> 02:41:22,720 YOU MIGHT USE TO DETERMINE 4337 02:41:22,720 --> 02:41:25,240 WHETHER OR NOT YOU HAVE A GOOD 4338 02:41:25,240 --> 02:41:26,880 ALGORITHM ARE REALLY SOLID. 4339 02:41:26,880 --> 02:41:29,160 THIS REALLY SAYS, YOU KNOW 4340 02:41:29,160 --> 02:41:30,200 THERE'S VERY LITTLE 4341 02:41:30,200 --> 02:41:30,800 MISCLASSIFICATION OF PEOPLE 4342 02:41:30,800 --> 02:41:32,080 THIS, IS REALLY A GOOD TECHNIQUE 4343 02:41:32,080 --> 02:41:34,480 THAT YOU ARE USING. 4344 02:41:34,480 --> 02:41:37,480 IF WE CHANGE THAT POPULATION AND 4345 02:41:37,480 --> 02:41:40,120 WE HAVE IT BE THAT IT'S ONLY 2% 4346 02:41:40,120 --> 02:41:43,680 OF PEOPLE IN THIS POPULATION OF 4347 02:41:43,680 --> 02:41:45,240 5000, ACTUALLY HAVE THE MINORITY 4348 02:41:45,240 --> 02:41:47,720 STATUS WE'RE TRYING TO PREDICT, 4349 02:41:47,720 --> 02:41:52,920 YOU CAN SEE IN THE 2 RIGHT HAND 4350 02:41:52,920 --> 02:41:56,360 CELLS HERE THAT HALF OF THE 4351 02:41:56,360 --> 02:41:58,480 INDIVIDUALS WHO THIS ALGORITHM 4352 02:41:58,480 --> 02:41:59,960 CLASSIFIES AS MINORITY REALLY 4353 02:41:59,960 --> 02:42:02,080 BELONG TO THE MAJORITY 4354 02:42:02,080 --> 02:42:02,480 POPULATION. 4355 02:42:02,480 --> 02:42:04,200 AND SO YOUR POSITIVE PREDICTED 4356 02:42:04,200 --> 02:42:07,200 VALUE IS REALLY TERRIBLE. 4357 02:42:07,200 --> 02:42:08,840 AND THIS HAS NOTHING TO DO WITH 4358 02:42:08,840 --> 02:42:10,040 HOW GOOD YOUR TECHNIQUES ARE, 4359 02:42:10,040 --> 02:42:14,160 THIS JUST HAS TO DO WITH HOW 4360 02:42:14,160 --> 02:42:16,240 LARGE THE RARE GROUP IS THAT 4361 02:42:16,240 --> 02:42:19,760 YOU'RE TRYING TO ASSIGN TO A 4362 02:42:19,760 --> 02:42:22,240 PARTICULAR STATUS. 4363 02:42:22,240 --> 02:42:24,720 IT'S VERY DIFFICULT TO GET GOOD 4364 02:42:24,720 --> 02:42:27,040 CLASS IRVEGZ OF SMALL RARE 4365 02:42:27,040 --> 02:42:28,000 SUBPOPULATIONS. 4366 02:42:28,000 --> 02:42:29,240 AND THAT'S TYPICALLY WHAT WE'RE 4367 02:42:29,240 --> 02:42:31,960 TRYING TO DO WHEN WE'RE 4368 02:42:31,960 --> 02:42:38,040 CLASSIFYING FOR SEXUAL AND 4369 02:42:38,040 --> 02:42:39,000 GENDER ORIENTATION. 4370 02:42:39,000 --> 02:42:40,000 AND THEN TIENALLY I WILL LIKE TO 4371 02:42:40,000 --> 02:42:41,640 SHARE WITH YOU THE WORK WE'VE 4372 02:42:41,640 --> 02:42:44,440 BEEN DOING WITH THE NVKRS, WE 4373 02:42:44,440 --> 02:42:47,920 WERE INTERESTED IN WHETHER WE 4374 02:42:47,920 --> 02:42:50,360 COULD RECOVER FROM THE 2 4375 02:42:50,360 --> 02:42:51,680 NARRATIVES THAT THESE PUBLIC 4376 02:42:51,680 --> 02:42:53,040 HEALTH WORKERS RIGHT ABOUT THE 4377 02:42:53,040 --> 02:42:55,280 DEATH, WHETHER OR NOT WE COULD 4378 02:42:55,280 --> 02:42:58,320 RECOVER ADDITIONAL INFORMATION 4379 02:42:58,320 --> 02:42:59,360 ABOUT SEXUAL ORIENTATION, OTHER 4380 02:42:59,360 --> 02:43:07,120 THAN THE CLOSE ENDED CODING THAT 4381 02:43:07,120 --> 02:43:08,400 THEY'RE DOING FROM 2013 ON AND 4382 02:43:08,400 --> 02:43:10,400 SO THESE ARE THE SAME 2 DEATH 4383 02:43:10,400 --> 02:43:11,520 NARRATIVES THAT I SHOWED YOU 4384 02:43:11,520 --> 02:43:14,040 BEFORE AND YOU CAN SEE THERE'S 4385 02:43:14,040 --> 02:43:17,480 INFORMATION INSIDE THESE 4386 02:43:17,480 --> 02:43:19,520 NARRATIVES THAT MIGHT ALLOW US 4387 02:43:19,520 --> 02:43:21,720 TO CLASSIFY FOR SEXUAL 4388 02:43:21,720 --> 02:43:22,680 ORIENTATION WHETHER IT'S TRYING 4389 02:43:22,680 --> 02:43:24,600 TO CLASSIFY THE SEXUAL 4390 02:43:24,600 --> 02:43:27,320 ORIENTATION OF THE VICTIM, OR WE 4391 02:43:27,320 --> 02:43:29,960 MIGHT ALSO HAVE QUESTIONS ABOUT 4392 02:43:29,960 --> 02:43:32,160 IS SEXUAL ORIENTATION OR GENDER 4393 02:43:32,160 --> 02:43:39,200 ORIENTATION RELEVANT INSIDE OF 4394 02:43:39,200 --> 02:43:40,400 THIS PARTICULAR SUICIDE EMPLOY 4395 02:43:40,400 --> 02:43:42,400 SO WE HAD TO THINK ABOUT WHAT 4396 02:43:42,400 --> 02:43:44,800 KINDS OF INFORMATION DID WE HAVE 4397 02:43:44,800 --> 02:43:45,880 IN THE NVDRS FILE THAT WOULD ARK 4398 02:43:45,880 --> 02:43:49,800 LOW US TO USE THESE ALGORITHMIC 4399 02:43:49,800 --> 02:43:54,680 TECHNIQUES FROM MACHINE LEARNING 4400 02:43:54,680 --> 02:43:57,080 TO TRY AND FIND DIFFERENT CASES 4401 02:43:57,080 --> 02:43:58,040 WITHIN THE NVDRS DATABASE. 4402 02:43:58,040 --> 02:43:59,320 WE HAVE A GOLD STANDARD. 4403 02:43:59,320 --> 02:44:04,680 SOME OF THE CASES ARE CLASSIFIED 4404 02:44:04,680 --> 02:44:05,960 FOR LGBT STATUS, NOT MANY, BUT 4405 02:44:05,960 --> 02:44:08,400 WE HAVE ENOUGH NOW, THERE'S MORE 4406 02:44:08,400 --> 02:44:10,920 THAN 40,000 CASES. 4407 02:44:10,920 --> 02:44:11,960 AND THEN WE HAD TO THINK ABOUT 4408 02:44:11,960 --> 02:44:15,720 WHAT WOULD BE THE MARKERS OF 4409 02:44:15,720 --> 02:44:20,440 POTENTIAL LGBT STATUS WITHIN THE 4410 02:44:20,440 --> 02:44:21,200 DEATH RECORD. 4411 02:44:21,200 --> 02:44:22,800 ONE POTENTIAL FACTOR WOULD BE 4412 02:44:22,800 --> 02:44:23,840 RELATIONSHIP STATUS, EVEN 4413 02:44:23,840 --> 02:44:27,200 THOUGH, THAT'S NOT USED BY THE 4414 02:44:27,200 --> 02:44:28,880 PUBLIC HEALTH WORKERS TO 4415 02:44:28,880 --> 02:44:31,560 CLASSIFY FOR SEXUAL ORIENTATION 4416 02:44:31,560 --> 02:44:33,760 IS CLEARLY, CLEARLY HIGHLY 4417 02:44:33,760 --> 02:44:34,720 CORRELATED WITH SEXUAL 4418 02:44:34,720 --> 02:44:35,160 ORIENTATION. 4419 02:44:35,160 --> 02:44:37,040 AND THEN THERE'S ALSO A MENTION 4420 02:44:37,040 --> 02:44:38,520 IN THE NARRATIVES OF PARTICULAR 4421 02:44:38,520 --> 02:44:42,320 TERMS THAT WE CAN SEE OR CLEARLY 4422 02:44:42,320 --> 02:44:46,560 ASSOCIATED WITH BEING GAY, 4423 02:44:46,560 --> 02:44:47,200 LESBIAN OR TRANSGENDER. 4424 02:44:47,200 --> 02:44:48,640 THERE ARE PARTNERS MENTIONED 4425 02:44:48,640 --> 02:44:49,600 THROUGHOUT THESE NARRATIVES AND 4426 02:44:49,600 --> 02:44:50,640 SOMETIMES WE CAN DETECT WHETHER 4427 02:44:50,640 --> 02:44:54,080 OR NOT THE PARTNER IS SAME SEX 4428 02:44:54,080 --> 02:44:57,680 OR DIFFERENT SEX AND THEN, WE 4429 02:44:57,680 --> 02:44:59,960 HAVE SITUATIONS WHERE PARTNERS 4430 02:44:59,960 --> 02:45:00,920 ARE MENTIONED. 4431 02:45:00,920 --> 02:45:02,600 WE DON'T REALLY KNOW--WE KNOW 4432 02:45:02,600 --> 02:45:04,480 THE GENDER OF THE PARTNER FROM 4433 02:45:04,480 --> 02:45:05,760 THE TERM THAT IS USED AND WE 4434 02:45:05,760 --> 02:45:07,640 KNOW THAT IT'S A MALE VICTIM AND 4435 02:45:07,640 --> 02:45:11,920 THERE'S NOBODY ELSE BEING TALKED 4436 02:45:11,920 --> 02:45:13,000 ABOUT INSIDE THE PARTICULAR 4437 02:45:13,000 --> 02:45:14,920 DEATH THAT HAPPENED IN THIS 4438 02:45:14,920 --> 02:45:17,200 NARRATIVE. 4439 02:45:17,200 --> 02:45:20,560 AND WE MENTIONS OF HIV AND AIDS. 4440 02:45:20,560 --> 02:45:22,000 WHEN WE USE THIS INFORMATION 4441 02:45:22,000 --> 02:45:24,560 WITHIN OUR MACHINE LEARNING 4442 02:45:24,560 --> 02:45:26,040 APPROACH WE'RE GETTING PRETTY 4443 02:45:26,040 --> 02:45:28,160 GOOD AT BEING ABLE TO CLASSIFY 4444 02:45:28,160 --> 02:45:30,720 THESE DEATHS WE'RE STILL NOT AT 4445 02:45:30,720 --> 02:45:32,040 A LEVEL WHERE WE WOULD LIKE TO 4446 02:45:32,040 --> 02:45:35,760 BE, WE HAVE A FEW MORE MODELS UP 4447 02:45:35,760 --> 02:45:36,720 OUR SLEEVE AND WE WILL BE 4448 02:45:36,720 --> 02:45:37,840 CONTINUING TO DO THIS WORK TO 4449 02:45:37,840 --> 02:45:39,520 TRY AND CUM UP WITH VERY 4450 02:45:39,520 --> 02:45:47,320 ACCURATE CLASSIFICATION OF 4451 02:45:47,320 --> 02:45:48,120 SEXUAL ORIENTATION. 4452 02:45:48,120 --> 02:45:50,160 --SO THIS IS WORK THAT'S IN 4453 02:45:50,160 --> 02:45:52,520 PROPROGRESS AND WE WANTED TO 4454 02:45:52,520 --> 02:45:54,080 SHARE IT WITH YOU AT THIS MOMENT 4455 02:45:54,080 --> 02:46:02,680 AND THAT CONCLUDES MY 4456 02:46:02,680 --> 02:46:03,520 PRESENTATION AND DR. MAYS WILL 4457 02:46:03,520 --> 02:46:04,720 BE NEXT. 4458 02:46:04,720 --> 02:46:05,280 I WILL STOP SHARING. 4459 02:46:05,280 --> 02:46:07,880 >>THANK YOU SO MUCH 4460 02:46:07,880 --> 02:46:09,480 DR. COCHRAN. 4461 02:46:09,480 --> 02:46:10,720 DR. VIERK CKIE MAYS WILL BE 4462 02:46:10,720 --> 02:46:12,480 SPEAKING NEXT WITH THE UCLA 4463 02:46:12,480 --> 02:46:13,880 COLLEGE OF LETTERS AND SCIENCES 4464 02:46:13,880 --> 02:46:17,520 AND HER TALK IS ENTITLED: 4465 02:46:17,520 --> 02:46:19,920 METHOLOGICAL CHALLENGES IN 4466 02:46:19,920 --> 02:46:20,480 STUDYING INTERSECTIONALITY. 4467 02:46:20,480 --> 02:46:22,880 AFTER HER SESSION WE WILL HAVE A 4468 02:46:22,880 --> 02:46:24,600 Q&A SESSION FOR THE PANELISTS. 4469 02:46:24,600 --> 02:46:25,400 PLEASE PUT ANY QUESTIONS HAVE 4470 02:46:25,400 --> 02:46:26,840 YOU IN THE VIEDMANIOY CAST 4471 02:46:26,840 --> 02:46:28,160 MESSAGE SYSTEM AND WE WILL MAKE 4472 02:46:28,160 --> 02:46:32,240 SURE TO ADDRESS THOSE DURING THE 4473 02:46:32,240 --> 02:46:33,200 REQUEST, ANDA SESSION. 4474 02:46:33,200 --> 02:46:36,320 DR. MAYS YOU HAVE THE FLOOR. 4475 02:46:36,320 --> 02:46:39,280 OKAY, SO LET ME GET BACK ON 4476 02:46:39,280 --> 02:46:40,440 TRACK HERE AND THIS IS YOU KNOW 4477 02:46:40,440 --> 02:46:42,440 WHERE I WOULD START WITH 4478 02:46:42,440 --> 02:46:43,720 REMINDING US, RATHER THAN GOING 4479 02:46:43,720 --> 02:46:45,960 THROUGH A WHOLE DEFINITION OF 4480 02:46:45,960 --> 02:46:49,000 WHAT INTERSECTIONALITY IS, TO 4481 02:46:49,000 --> 02:46:50,160 REALLY TALK ABOUT IRPT 4482 02:46:50,160 --> 02:46:52,160 SECTIONALLITY IS ABOUT THIS 4483 02:46:52,160 --> 02:47:00,400 CONCEPT OF DES DISCRIMINATION WN 4484 02:47:00,400 --> 02:47:02,120 DESKRIM NATION, AND PROTECTING 4485 02:47:02,120 --> 02:47:04,080 MINORITIES THAT ARE WITHIN 4486 02:47:04,080 --> 02:47:04,480 MINORITIES. 4487 02:47:04,480 --> 02:47:05,760 SO PART OF WHAT'S IMPORTANT AND 4488 02:47:05,760 --> 02:47:07,360 I THINK IT'S 1 OF THE CRITICAL 4489 02:47:07,360 --> 02:47:11,800 THING SYSTEM THAT WHEN WE START 4490 02:47:11,800 --> 02:47:20,960 THINKING ABOUT PUBLICITY, 4491 02:47:20,960 --> 02:47:21,840 INTERSECTIONALITY DIFFERS FROM 4492 02:47:21,840 --> 02:47:22,640 DIVERSITY. 4493 02:47:22,640 --> 02:47:23,520 THERE ARE MODELS IN WHICH WE 4494 02:47:23,520 --> 02:47:25,640 KIND OF DO THIS, 1 OF THEM IS 4495 02:47:25,640 --> 02:47:29,840 LIKE THE ADDRESSING MODEL BUT AN 4496 02:47:29,840 --> 02:47:31,480 INNER SECTIONALLITY WHAT YOUR 4497 02:47:31,480 --> 02:47:33,680 MUCH MORE INTERESTED IN IS HOW 4498 02:47:33,680 --> 02:47:35,080 THESE INTERSECT AND IN THAT IRPT 4499 02:47:35,080 --> 02:47:36,360 SECTIONAL ANALYSIS, WHAT YOU ARE 4500 02:47:36,360 --> 02:47:38,840 ALSO INTERESTED IN IS BOTH RIFF 4501 02:47:38,840 --> 02:47:41,280 LEDGE AS WELL AS OPPRESSION, SO 4502 02:47:41,280 --> 02:47:43,000 IT OFTEN DEAL WITH THE 4503 02:47:43,000 --> 02:47:44,080 OPPRESSION PART AND LESS IN 4504 02:47:44,080 --> 02:47:45,800 TERMS OF THE PRIVILEGE AND YOU 4505 02:47:45,800 --> 02:47:46,560 WILL SEE THAT'S IMPORTANT WHEN 4506 02:47:46,560 --> 02:47:49,640 WE START TO TALK ABOUT THIS 4507 02:47:49,640 --> 02:47:50,480 ISSUE OF TRAVELING 4508 02:47:50,480 --> 02:47:51,000 INTERSECTIONALITY. 4509 02:47:51,000 --> 02:47:52,600 THE OTHER THING THAT'S IMPORTANT 4510 02:47:52,600 --> 02:47:55,400 HERE, IS THE CONTEXT IN WHICH 4511 02:47:55,400 --> 02:47:58,040 THE INTERSECTION OCCURS, AS WELL 4512 02:47:58,040 --> 02:48:00,120 AS THINKING ABOUT THE NOTION OF 4513 02:48:00,120 --> 02:48:01,840 RANK AND RANK IS A MEASUREMENT 4514 02:48:01,840 --> 02:48:04,160 TOOL THAT CAN BE USED WHEN 4515 02:48:04,160 --> 02:48:05,680 YOU'RE THINKING ABOUT THIS. 4516 02:48:05,680 --> 02:48:08,640 SO, IN THIS, WHAT I TALK ABOUT 4517 02:48:08,640 --> 02:48:12,640 IS THAT THERE IS CONFLICTING 4518 02:48:12,640 --> 02:48:14,120 IDENTITIES, SOMETHING FROM A 4519 02:48:14,120 --> 02:48:16,680 SUBJECTIVE POINT OF VIEW, MAYBE 4520 02:48:16,680 --> 02:48:19,440 AN ADVANTAGE OR A DISADVANTAGE 4521 02:48:19,440 --> 02:48:21,280 AND ALSO THIS ISSUE OF 4522 02:48:21,280 --> 02:48:22,800 PRIVILEGES IS IMPORTANT TO 4523 02:48:22,800 --> 02:48:24,000 EXPLORE IN THINKING ABOUT, YOU 4524 02:48:24,000 --> 02:48:25,320 KNOW HOW WE DO THIS. 4525 02:48:25,320 --> 02:48:26,720 THOU I'M GOING TO KIND OF USE 4526 02:48:26,720 --> 02:48:29,760 MYSELF HERE TO TALK ABOUT THE 4527 02:48:29,760 --> 02:48:30,960 DIFFERENCE BETWEEN 4528 02:48:30,960 --> 02:48:34,600 CLASSIFICATION VERSUS IDENTITY, 4529 02:48:34,600 --> 02:48:35,040 VERSUS POSITIONALLITY. 4530 02:48:35,040 --> 02:48:38,520 SO MY CLASS SKS WHEN YOU ASK ME 4531 02:48:38,520 --> 02:48:39,760 TO PARTICIPATE SOMETHING, YOU 4532 02:48:39,760 --> 02:48:41,520 TAKE MY RACE AS AFRICAN 4533 02:48:41,520 --> 02:48:43,160 AMERICAN, YOU TAKE MY AGES AND 4534 02:48:43,160 --> 02:48:44,760 YEARS AND MY GEOGRAPHICAL 4535 02:48:44,760 --> 02:48:47,280 CONTEXT TO BE LA, WELL IF YOU 4536 02:48:47,280 --> 02:48:48,920 ASK ME ABOUT MY IDENTITY, MY 4537 02:48:48,920 --> 02:48:50,920 IDENTITY IS I'M A SOUTHERN 4538 02:48:50,920 --> 02:48:51,640 AFRICAN AMERICAN WOMAN BECAUSE 4539 02:48:51,640 --> 02:48:52,960 MY FAMILY DID THE MIGRATION, MY 4540 02:48:52,960 --> 02:48:55,160 AGE IS MUCH MORE THINKING ABOUT 4541 02:48:55,160 --> 02:48:57,960 BEING A CHILD OF THE CIVIL 4542 02:48:57,960 --> 02:49:00,480 RIGHTS MOVEMENT, GEOGRAPHICALLY, 4543 02:49:00,480 --> 02:49:02,400 MY HEART MY THINKING, MY SHAPING 4544 02:49:02,400 --> 02:49:05,200 IS IN CHICAGO BEING PART OF A 4545 02:49:05,200 --> 02:49:05,960 GREAT MIGRATION NORTH. 4546 02:49:05,960 --> 02:49:07,960 SO, YOU CAN SEE THAT IF YOU WANT 4547 02:49:07,960 --> 02:49:09,720 TO CHANGE MY BEHAVIOR, IT HAS A 4548 02:49:09,720 --> 02:49:17,600 LOT MORE TO DO WITH NOT THE 4549 02:49:17,600 --> 02:49:19,560 CLASSIFICATION PART BUT HAS TO 4550 02:49:19,560 --> 02:49:21,880 DO WITH MY IDENTITY AS WELL AS 4551 02:49:21,880 --> 02:49:23,120 SOCIAL STRUCTURE IN WHICH I'M 4552 02:49:23,120 --> 02:49:24,600 OPERATING WHICH IS IN THE 4553 02:49:24,600 --> 02:49:25,560 CONTEXT OF PRIVILEGE AND 4554 02:49:25,560 --> 02:49:26,960 OPPRESSION WITHIN. 4555 02:49:26,960 --> 02:49:30,840 SO IN ACADEMIA WHERE I AMsA A 4556 02:49:30,840 --> 02:49:31,600 PREDOMINANTLY WHITE INSTITUTION, 4557 02:49:31,600 --> 02:49:32,960 I'M A BLACK WOMEN IN THAT 4558 02:49:32,960 --> 02:49:34,120 CONTEXT, THERE ARE POINTS AT 4559 02:49:34,120 --> 02:49:36,560 WHICH MY STATUS IS VERY LOW 4560 02:49:36,560 --> 02:49:39,440 DESPITE IF YOU PUT ME IN MY 4561 02:49:39,440 --> 02:49:42,040 PROFESSOR SERIES, I'M A 4562 02:49:42,040 --> 02:49:42,560 DISTINGUISHED PROFESSOR. 4563 02:49:42,560 --> 02:49:44,880 SO THIS IS HOW YOU SPEAK ABOUT 1 4564 02:49:44,880 --> 02:49:49,960 OF THIS 1 OF MY STUDENTS, I 4565 02:49:49,960 --> 02:49:51,840 THOUGHT I WOULD QUOTE HIM HERE, 4566 02:49:51,840 --> 02:49:54,480 HE SAYS WE REALLY CONFLATE THIS 4567 02:49:54,480 --> 02:49:56,120 NOTION OF INTERSECTIONALITY WITH 4568 02:49:56,120 --> 02:49:56,960 SOCIAL E DENTITY AND INSTEAD 4569 02:49:56,960 --> 02:50:02,360 WHAT WE NEED TO DO AND MANY YOU 4570 02:50:02,360 --> 02:50:04,800 YOU REALIZE THAT KIM CRENSHAW IS 4571 02:50:04,800 --> 02:50:06,360 AT UCLA AND I'VE PUBLISHED WITH 4572 02:50:06,360 --> 02:50:07,640 HER AND HAD THE OPPORTUNITY TO 4573 02:50:07,640 --> 02:50:09,200 BE ON MANY THINGS WITH HER AND 4574 02:50:09,200 --> 02:50:15,840 WE SHOULD LOOK AT THIS AS A 4575 02:50:15,840 --> 02:50:17,680 LENS, FOR SEEING THE WAYS IN 4576 02:50:17,680 --> 02:50:20,040 WHICH VARIOUS FORMS OF 4577 02:50:20,040 --> 02:50:22,680 INEQUALITY EXACERBATE EACH 4578 02:50:22,680 --> 02:50:22,880 OTHER. 4579 02:50:22,880 --> 02:50:25,160 SO LET'S TALK ABOUT WHAT SOME OF 4580 02:50:25,160 --> 02:50:27,560 THE CHALLENGES ARE TO THIS. 4581 02:50:27,560 --> 02:50:30,040 MANY OF YOU IF YOU'VE BEEN AN 4582 02:50:30,040 --> 02:50:32,240 HIV RESEARCHER OR IF YOU ARE IN 4583 02:50:32,240 --> 02:50:36,400 SOCIOLOGY, YOU WILL KNOW MY 4584 02:50:36,400 --> 02:50:37,640 COLLEAGUE JUDY ORAPP A S, THIS 4585 02:50:37,640 --> 02:50:39,520 LIST THAT YOU'RE LOOKING AT, 4586 02:50:39,520 --> 02:50:41,240 JUDY WENT TO GET A MASSAGE UP IN 4587 02:50:41,240 --> 02:50:43,360 THE BAY AREA AND 1 OF THE THINGS 4588 02:50:43,360 --> 02:50:46,320 THEY ASK PEOPLE TO DO IS TO 4589 02:50:46,320 --> 02:50:47,760 CHECK WHO THEY WERE, NOW WHAT I 4590 02:50:47,760 --> 02:50:50,640 WANT YOU TO THINK ABOUT IS, 4591 02:50:50,640 --> 02:50:55,320 THERE'S LIKE 16 DIFFERENT THINGS 4592 02:50:55,320 --> 02:50:56,880 HERE, AND IN THINKING ABOUT ALL 4593 02:50:56,880 --> 02:50:59,120 THESE THINGS IS HOW DO WE DEAL 4594 02:50:59,120 --> 02:50:59,560 WITH DATA QUALITY? 4595 02:50:59,560 --> 02:51:02,120 HOW DO WE DEAL WITH FLUIDITY? 4596 02:51:02,120 --> 02:51:05,600 WHEN WE'RE DOING LGBTQI + POP 4597 02:51:05,600 --> 02:51:07,160 EULOGIES, FLUIDITY IS SOMETHING 4598 02:51:07,160 --> 02:51:08,560 THAT REALLY LEADS US TO A 4599 02:51:08,560 --> 02:51:09,760 COMPLEXITY THAT I DON'T THINK 4600 02:51:09,760 --> 02:51:10,600 WE'RE ADDRESSING WELL ENOUGH, 4601 02:51:10,600 --> 02:51:14,680 WHEN WE'RE TRYING TO THINK ABOUT 4602 02:51:14,680 --> 02:51:15,080 INTERSECTIONALITY. 4603 02:51:15,080 --> 02:51:18,680 HERE WHAT YOU CAN SEE IS THAT, 4604 02:51:18,680 --> 02:51:20,960 YOU KNOW INTERSECTIONALITY IS 4605 02:51:20,960 --> 02:51:23,160 ABOUT MORE THAN JUST THINKING 4606 02:51:23,160 --> 02:51:25,440 ABOUT THAT STATUS AND THINKING 4607 02:51:25,440 --> 02:51:28,400 ABOUT THAT IDENTITY BUT IT 4608 02:51:28,400 --> 02:51:30,880 REALLY IS THINKING MUCH, MUCH, 4609 02:51:30,880 --> 02:51:32,800 MORE ABOUT THE CONTEXTURAL 4610 02:51:32,800 --> 02:51:34,800 THINGS THAT POSIT AND HERE WHAT 4611 02:51:34,800 --> 02:51:39,760 YOU'RE SEEING IS, YOU KNOW 4612 02:51:39,760 --> 02:51:41,760 RATIONALITY, I LOVE USING 4613 02:51:41,760 --> 02:51:43,240 HOPKINS WORK HERE BECAUSE WE 4614 02:51:43,240 --> 02:51:45,040 COLLECT INFORMATION BUT THE 4615 02:51:45,040 --> 02:51:46,800 QUESTION IS HOW TO MEANINGFULLY 4616 02:51:46,800 --> 02:51:51,040 UNDERSTAND IT USING AN 4617 02:51:51,040 --> 02:51:51,640 INTERSECTIONALITY THEORETICAL 4618 02:51:51,640 --> 02:51:52,040 FRAMEWORK. 4619 02:51:52,040 --> 02:51:54,200 THE THEORY SAYS THAT WE SHOULD 4620 02:51:54,200 --> 02:51:54,840 UNDERSTAND THE INTERSECTIONALITY 4621 02:51:54,840 --> 02:51:56,120 IS ABOUT THESE THINGS AND AGAIN 4622 02:51:56,120 --> 02:51:58,560 AS YOU CAN SEE, I HIGHLIGHT 4623 02:51:58,560 --> 02:52:01,680 COMPLEXITY AND IT GETS US BACK 4624 02:52:01,680 --> 02:52:02,880 TO FLUIDITY, BACK TO THE WAYS IN 4625 02:52:02,880 --> 02:52:06,440 WHICH WE KEEP SEEING THIS 4626 02:52:06,440 --> 02:52:08,040 CHANGING NOTION OF YOU KNOW HATE 4627 02:52:08,040 --> 02:52:09,920 AND OTHER TIMES OF PRIVILEGING, 4628 02:52:09,920 --> 02:52:15,280 THAT GOES ON IN TERMS OF THE 4629 02:52:15,280 --> 02:52:15,840 LBGTQ AYES + POPULATION, THE 4630 02:52:15,840 --> 02:52:16,920 OTHER THINK THIS I WANT TO POINT 4631 02:52:16,920 --> 02:52:21,160 OUT IS THAT THE RESEARCH ON AN 4632 02:52:21,160 --> 02:52:21,880 INTERSECTIONALITY REALLY TRIES 4633 02:52:21,880 --> 02:52:23,160 TO LEARN WHAT THE PRIVILEGES ARE 4634 02:52:23,160 --> 02:52:24,720 AND I THINK WE WERE PARTICULARLY 4635 02:52:24,720 --> 02:52:26,000 USEFUL IN DOING THIS WHEN WE'RE 4636 02:52:26,000 --> 02:52:29,000 DOING OUR WORK WITH 4637 02:52:29,000 --> 02:52:29,600 TRANSPOPPULATIONS. 4638 02:52:29,600 --> 02:52:30,200 TRANSITIONING, YOU KNOW BEING 4639 02:52:30,200 --> 02:52:34,560 VERY CLEAR ON THE WAYS WITHIN 4640 02:52:34,560 --> 02:52:36,040 THESE VARIOUS COMMUNITIES, THE 4641 02:52:36,040 --> 02:52:41,640 RACE, THE MALE FEMALE, 4642 02:52:41,640 --> 02:52:42,480 MASCULINITY, FELPSINITY, AND 4643 02:52:42,480 --> 02:52:43,520 TALK ABOUT COMPLEXITY, WE CAN 4644 02:52:43,520 --> 02:52:45,720 SEE IT. 4645 02:52:45,720 --> 02:52:47,120 SO, FOR KIM, AND OFTEN WHEN 4646 02:52:47,120 --> 02:52:48,840 PEOPLE ARE DOING THIS WORK, I 4647 02:52:48,840 --> 02:52:51,320 DON'T SEE THESE DIFFERENTIATION. 4648 02:52:51,320 --> 02:52:53,000 WHEN KIM TALKED ABOUT 4649 02:52:53,000 --> 02:52:54,160 INTERSECTIONALITY, SHE IS 4650 02:52:54,160 --> 02:52:55,120 ACTUALLY TALKING ABOUT DIFFERENT 4651 02:52:55,120 --> 02:52:56,000 FORMS OF IT. 4652 02:52:56,000 --> 02:52:58,600 SO FOR HER, THIS STRUCTURAL 4653 02:52:58,600 --> 02:52:59,840 INTERSECTIONALITY WHICH IS 4654 02:52:59,840 --> 02:53:02,600 REALLY ABOUT SOCIAL SYSTEMS, AND 4655 02:53:02,600 --> 02:53:06,800 HOW OUR SOCIAL CATEGORIES, YOU 4656 02:53:06,800 --> 02:53:08,560 KNOW TO INTERSECT AND INFLUENCE 4657 02:53:08,560 --> 02:53:10,760 OUR LIFE, SHE TALKED ABOUT 4658 02:53:10,760 --> 02:53:12,920 POLITICAL INTERSECTIONALITY 4659 02:53:12,920 --> 02:53:15,480 WHICH IS REALLY THE SILENCING OF 4660 02:53:15,480 --> 02:53:16,600 INDIVIDUALS AT THE INTERSECTION 4661 02:53:16,600 --> 02:53:18,240 OF THESE VARIOUS CATEGORIES TO 4662 02:53:18,240 --> 02:53:19,560 ACTUALLY KEEP THEM FROM 4663 02:53:19,560 --> 02:53:20,720 EXPRESSING THEIR VIEWS, AND 4664 02:53:20,720 --> 02:53:22,360 WE'RE SEEING THIS NOW AND DON'T 4665 02:53:22,360 --> 02:53:24,400 SAY GAY, WE SEE THIS IN TERMS OF 4666 02:53:24,400 --> 02:53:26,960 CRT, WE ARE SEEING IT IN TERMS 4667 02:53:26,960 --> 02:53:27,800 OF THE AFRICAN AMERICAN HISTORY 4668 02:53:27,800 --> 02:53:30,120 IN TERMS OF BEING ATTACKED, 4669 02:53:30,120 --> 02:53:34,440 THAT'S KIND OF POLITICAL 4670 02:53:34,440 --> 02:53:35,160 INTERSECTIONALITY AND 4671 02:53:35,160 --> 02:53:36,200 REPRESENTATION SHE REFERS TO THE 4672 02:53:36,200 --> 02:53:40,440 PRESENCE OF THE MULTIPLE 4673 02:53:40,440 --> 02:53:42,880 STEREOTYPES TO CULTURAL 4674 02:53:42,880 --> 02:53:43,760 PRESENTATION, CARE, MUSIC, 4675 02:53:43,760 --> 02:53:47,360 IDENTITY THAT ARE THESE KIND OF 4676 02:53:47,360 --> 02:53:48,200 DUAL ISSUE TRIPLE, ALL THESE 4677 02:53:48,200 --> 02:53:50,280 DIFFERENT THINGS THAT YOU KNOW 4678 02:53:50,280 --> 02:53:52,280 ARE BROUGHT TOGETHER. 4679 02:53:52,280 --> 02:53:54,440 SO, WE NEED TO KIND OF THINK 4680 02:53:54,440 --> 02:53:55,960 ABOUT CAN WE LABEL BETTER SOME 4681 02:53:55,960 --> 02:53:57,600 OF THE ASPECTS OF 4682 02:53:57,600 --> 02:53:59,760 INTERSECTIONALITY SO THAT WE 4683 02:53:59,760 --> 02:54:03,040 CAN, YOU KNOW GET AT WHAT I 4684 02:54:03,040 --> 02:54:06,080 THINK IS IMPORTANT TO BOTH 4685 02:54:06,080 --> 02:54:09,840 EXAMINE OPPRESSION BUT ALSO 4686 02:54:09,840 --> 02:54:10,240 EXAMINE PRIVILEGE. 4687 02:54:10,240 --> 02:54:11,960 THIS IS PROBABLY THE PART OF 4688 02:54:11,960 --> 02:54:14,080 INTERSECTIONALITY THAT I THINK 4689 02:54:14,080 --> 02:54:16,520 WE ALSO NEED TO THINK A LITTLE 4690 02:54:16,520 --> 02:54:18,400 MORE DEEPLY ABOUT AND I REALLY 4691 02:54:18,400 --> 02:54:19,360 WANT THESE QUOTES, THOUGH I'M 4692 02:54:19,360 --> 02:54:22,520 GOING TO TALK US THROUGH IT. 4693 02:54:22,520 --> 02:54:25,440 SO HERE WHAT YOU SEE IS THERE'S 4694 02:54:25,440 --> 02:54:27,840 AN ESSAY, VERY FAMOUS ESSAY IF 4695 02:54:27,840 --> 02:54:30,360 YOU DO ISHT SECTIONALLITY CALLED 4696 02:54:30,360 --> 02:54:31,920 TRAVELING THEORY AND WHAT IT IS 4697 02:54:31,920 --> 02:54:33,640 ENCOURAGING US TO THINK ABOUT IS 4698 02:54:33,640 --> 02:54:36,280 AS A THEORY TRAVELS, AS IT GOES 4699 02:54:36,280 --> 02:54:38,040 FROM 1 POPULATION TO ANOTHER, 4700 02:54:38,040 --> 02:54:42,200 FROM 1 COUNTRY TO ANOTHER, YOU 4701 02:54:42,200 --> 02:54:43,600 MIGHT ACTUALLY SEE THAT WHAT 4702 02:54:43,600 --> 02:54:44,800 YOU'RE DOING IS TRANSFERRING TO 4703 02:54:44,800 --> 02:54:46,640 SOME PLACE ELSE BUT IT'S NOT THE 4704 02:54:46,640 --> 02:54:50,480 REALITY OF THAT PARTICULAR 4705 02:54:50,480 --> 02:54:50,680 PLACE. 4706 02:54:50,680 --> 02:54:51,880 SO WHAT YOU HAVE TO REALIZE IS 4707 02:54:51,880 --> 02:54:55,400 WHEN KIM STARTED THIS, THIS IS 4708 02:54:55,400 --> 02:54:57,080 REALLY ENTRINCHED IN BLACK 4709 02:54:57,080 --> 02:54:57,480 FEMININITY. 4710 02:54:57,480 --> 02:55:00,160 AND SO, AS WE TRY AND DO OUR 4711 02:55:00,160 --> 02:55:04,360 WORK, THE QUESTION IS WHAT IS 4712 02:55:04,360 --> 02:55:07,480 THE CULTURAL CONTEXT FOR LGBTQI 4713 02:55:07,480 --> 02:55:09,120 POPULATION AND AGAIN IT GETS US 4714 02:55:09,120 --> 02:55:11,440 BACK TO THIS ISSUE OF KIND OF 4715 02:55:11,440 --> 02:55:12,600 THIS TRAVELING THEORY OF WHERE 4716 02:55:12,600 --> 02:55:15,040 THERE IS PRIVILEGE AND WHERE 4717 02:55:15,040 --> 02:55:15,480 THERE IS OPPRESSION. 4718 02:55:15,480 --> 02:55:18,240 IT GETS US INTO THINKING ABOUT 4719 02:55:18,240 --> 02:55:20,240 WHEN YOU'RE TRYING TO ADOPT 4720 02:55:20,240 --> 02:55:22,880 THIS, LIKE THINK ABOUT THIS IN 4721 02:55:22,880 --> 02:55:24,600 INDIA OR IN ANOTHER COUNTRY 4722 02:55:24,600 --> 02:55:28,800 WHERE WE DO RANK AND CLASS IN A 4723 02:55:28,800 --> 02:55:30,200 VERY PARTICULAR WAY, AND IN 4724 02:55:30,200 --> 02:55:33,680 ANOTHER PLACE IT MAY BE CAST AND 4725 02:55:33,680 --> 02:55:34,640 PRIVILEGE THAT MAY BE DIFFERENT 4726 02:55:34,640 --> 02:55:37,320 SO WE HAVE A LOT OF WORK TO DO 4727 02:55:37,320 --> 02:55:38,760 TO THINK HOW TO REALLY DO THIS 4728 02:55:38,760 --> 02:55:42,720 ISSUE OF RANK AND CONTEXT. 4729 02:55:42,720 --> 02:55:44,400 SO THAT WE'RE REALLY PROVIDING 4730 02:55:44,400 --> 02:55:46,840 PEOPLE WITH REALLY INSIGHTS INTO 4731 02:55:46,840 --> 02:55:48,320 HOW PRIVILEGE AND OPPRESSION 4732 02:55:48,320 --> 02:55:50,720 TRAVEL AROUND WITH THIS. 4733 02:55:50,720 --> 02:55:52,480 COMING TO MY LAST SLIDE I WANT 4734 02:55:52,480 --> 02:55:53,880 TO DO, AND I DON'T HAVE TIME TO 4735 02:55:53,880 --> 02:55:55,800 GO THROUGH ALL OF IT, BUT TO 4736 02:55:55,800 --> 02:55:56,600 REALLY THINK ABOUT, YOU KNOW 4737 02:55:56,600 --> 02:55:59,840 WHAT ARE SOME OF THE RESEARCH 4738 02:55:59,840 --> 02:56:02,320 APPROACHES HERE, AND AGAIN, IT'S 4739 02:56:02,320 --> 02:56:05,320 KIND OF LIKE, YOU KNOW THE 4740 02:56:05,320 --> 02:56:06,280 CANADIAN LEARNING NETWORK DOES A 4741 02:56:06,280 --> 02:56:08,680 GREAT JOB OF THIS IN TERMS OF 4742 02:56:08,680 --> 02:56:12,560 IT, SO WE HAVE TO REMEMBER THAT 4743 02:56:12,560 --> 02:56:14,120 WHAT WE WANT TO STAD, WE NEED TO 4744 02:56:14,120 --> 02:56:16,720 MAKE SURE THAT WE MATCH IT WITH 4745 02:56:16,720 --> 02:56:18,720 THE KIND OF LANGUAGE AS WELL AS 4746 02:56:18,720 --> 02:56:21,640 THE OUTCOME THAT WE'RE SEEKING 4747 02:56:21,640 --> 02:56:21,880 TO STUDY. 4748 02:56:21,880 --> 02:56:25,560 SO DON'T ASK YOUR QUESTIONS FOR 4749 02:56:25,560 --> 02:56:27,240 WAYS IN WHICH IDENTITY IS THE 4750 02:56:27,240 --> 02:56:28,520 SEPARATE CATEGORY EVEN THOUGH I 4751 02:56:28,520 --> 02:56:29,880 TROO TO STATISTICALLY TO GET IT 4752 02:56:29,880 --> 02:56:32,400 TO TELL YOU KIND OF HOW IT'S 4753 02:56:32,400 --> 02:56:34,920 WORKING, IT'S WORKING WITHIN 4754 02:56:34,920 --> 02:56:35,480 SOMETHING, YOU KNOW? 4755 02:56:35,480 --> 02:56:39,360 WHAT ARE THE FORMS OF OPPRESSION 4756 02:56:39,360 --> 02:56:40,560 RELATIONSHIP TO POWER INEQUALITY 4757 02:56:40,560 --> 02:56:42,160 RATHER THAN JUST SAY, WELL THAT 4758 02:56:42,160 --> 02:56:44,320 IS WHAT I FOUND IN TERMS OF THE 4759 02:56:44,320 --> 02:56:49,360 DIFFERENCES, BUT PUT IT BACK 4760 02:56:49,360 --> 02:56:49,840 INTO THE RELATIONALLITY, 4761 02:56:49,840 --> 02:56:51,240 POSITIONALLITY, ALL THE THINGS I 4762 02:56:51,240 --> 02:56:53,000 HAD IN SOME BROADER SLIDES. 4763 02:56:53,000 --> 02:56:56,600 YOU KNOW AVOID THESE LARGE GROUP 4764 02:56:56,600 --> 02:56:58,360 CATEGORIZATIONS, AND 4765 02:56:58,360 --> 02:57:02,440 UNFORTUNATELY, THIS IS THE KIND 4766 02:57:02,440 --> 02:57:03,960 OF THE GENDER WE OFTEN SEE WHEN 4767 02:57:03,960 --> 02:57:05,800 WE'RE FUNDED BY AGENCIES BECAUSE 4768 02:57:05,800 --> 02:57:07,320 THEY WANT CERTAIN SIZE NUMBERS, 4769 02:57:07,320 --> 02:57:10,400 THEY WANT US TO DO AS MUCH 4770 02:57:10,400 --> 02:57:11,360 WITHIN DIVERSITY AND IF WE'RE 4771 02:57:11,360 --> 02:57:12,800 GOING TO TRY AND DO NUMBERS, WE 4772 02:57:12,800 --> 02:57:15,680 ARE TRYING TO DO IT WITH LARGER 4773 02:57:15,680 --> 02:57:16,960 GROUPS OF PEOPLE, BUT YOU KNOW 4774 02:57:16,960 --> 02:57:18,920 AND AGAIN BECAUSE TIME WAS 4775 02:57:18,920 --> 02:57:20,320 SHORT, I COULD HAVE GONE 4776 02:57:20,320 --> 02:57:21,640 THROUGH, THERE'S DIFFERENT 4777 02:57:21,640 --> 02:57:23,800 RESEARCH APPROACHES, NARRATIVES 4778 02:57:23,800 --> 02:57:26,720 WHICH YOU SEE AS MY COLLEAGUE 4779 02:57:26,720 --> 02:57:28,320 SUSAN COCHRAN TALKED ABOUT THAT 4780 02:57:28,320 --> 02:57:29,720 WE'RE TRYING TO UTILIZE SO THERE 4781 02:57:29,720 --> 02:57:31,040 ARE A LOT OF OTHER DIFFERENT 4782 02:57:31,040 --> 02:57:33,040 WAYS, IT'S JUST PAY MATTER OF 4783 02:57:33,040 --> 02:57:35,000 CAN WE WITH FUNDED TO DO THOSE 4784 02:57:35,000 --> 02:57:38,080 OTHER KIND OF NONEXPERIMENTAL 4785 02:57:38,080 --> 02:57:38,280 WAYS. 4786 02:57:38,280 --> 02:57:40,160 FINAL COMMENT I WILL MAKE IS, 4787 02:57:40,160 --> 02:57:43,720 THERE IS A NEED, I THINK FOR A 4788 02:57:43,720 --> 02:57:45,040 SCIENCE OF SMALL GROUP DATA THAT 4789 02:57:45,040 --> 02:57:48,680 WOULD HELP US IN TERMS OF 4790 02:57:48,680 --> 02:57:49,360 INTERSECTIONALITY. 4791 02:57:49,360 --> 02:57:50,760 SO I'M GOING TO STOP SHARING 4792 02:57:50,760 --> 02:57:52,040 HERE, IT'S THE END OF MY SLIDES 4793 02:57:52,040 --> 02:58:00,440 AND THANK YOU VERY MUCH FOR THE 4794 02:58:00,440 --> 02:58:00,640 TIME. 4795 02:58:00,640 --> 02:58:01,920 >>THANK YOU VERY MUCH DR. MAYS, 4796 02:58:01,920 --> 02:58:03,560 FIELD FUNCTIONS COULD HAVE ALL 4797 02:58:03,560 --> 02:58:06,000 THE PANELISTS TURN ON THEIR CAM 4798 02:58:06,000 --> 02:58:06,280 ARE RAS. 4799 02:58:06,280 --> 02:58:07,880 WE RECEIVED A FEW QUESTIONS IF 4800 02:58:07,880 --> 02:58:09,160 ARE DR. COCHRAN AND I KNOW YOU 4801 02:58:09,160 --> 02:58:10,720 ADDRESSED THEM IN THE CHAT BUT I 4802 02:58:10,720 --> 02:58:14,320 KNOW OUR VIEWERS ON VIDEOCAST 4803 02:58:14,320 --> 02:58:16,320 CAN'T READ THE CHAT NECESSARILY, 4804 02:58:16,320 --> 02:58:17,560 SO JUST BRIEFLY 1 OF THE 4805 02:58:17,560 --> 02:58:19,600 QUESTIONS WE RECEIVED WAS ABOUT 4806 02:58:19,600 --> 02:58:20,560 THE KINDS OF SAFE GUARDS THAT 4807 02:58:20,560 --> 02:58:25,760 ARE IN PLACE TO KEEP THE 4808 02:58:25,760 --> 02:58:28,000 CLASSIFICATION FINDINGS 4809 02:58:28,000 --> 02:58:32,520 ANONYMIZED AND LGBT+ 4810 02:58:32,520 --> 02:58:33,160 CLASSIFICATION METHODOLOGIES IN 4811 02:58:33,160 --> 02:58:34,200 SETTINGS AND WHAT MACHINE 4812 02:58:34,200 --> 02:58:35,680 LEARNING MODELS WERE USED AND 4813 02:58:35,680 --> 02:58:39,680 THERE'S A QUESTION ABOUT THE 4814 02:58:39,680 --> 02:58:41,680 ACCURACY AS WELL AS 1 OF THE 4815 02:58:41,680 --> 02:58:42,040 DATA POINTS. 4816 02:58:42,040 --> 02:58:45,520 SO DR. COCHRAN IF YOU WANT TO 4817 02:58:45,520 --> 02:58:46,080 ANSWER THOSE? 4818 02:58:46,080 --> 02:58:46,320 >>SURE. 4819 02:58:46,320 --> 02:58:49,360 SO 1 OF THE QUESTIONS WAS THE 4820 02:58:49,360 --> 02:58:52,680 SLIDE WHERE I SHOWED HOW MANY 4821 02:58:52,680 --> 02:58:57,640 DEATHS WERE CLASSIFIED FOR 4822 02:58:57,640 --> 02:58:58,720 SEXUAL ORIENTATION IT MIGHT LOOK 4823 02:58:58,720 --> 02:59:00,280 TO PEOPLE LIKE THERE WAS THIS 4824 02:59:00,280 --> 02:59:01,600 INCREDIBLE INCREASE IN THE 4825 02:59:01,600 --> 02:59:03,600 NUMBER OF VIOLENT DEATHS PER 4826 02:59:03,600 --> 02:59:04,840 YEAR AND THAT'S NOT REALLY TRUE. 4827 02:59:04,840 --> 02:59:07,840 WHAT'S HAPPENED WITH THE NVDRS 4828 02:59:07,840 --> 02:59:09,040 IS THEY BEGAN WITH A SMALL 4829 02:59:09,040 --> 02:59:09,960 NUMBER OF STATES AND OVERTIME 4830 02:59:09,960 --> 02:59:13,800 AND I THINK IT WAS FINALLY BY 4831 02:59:13,800 --> 02:59:15,920 2020 THEY HAD ALL 50 STATES 4832 02:59:15,920 --> 02:59:18,000 REPRESENTED WITHIN THE DATABASE. 4833 02:59:18,000 --> 02:59:19,800 SO AS YOU BRING ON MORE STATES 4834 02:59:19,800 --> 02:59:21,520 EACH YEAR, OF COURSE THE NUMBER 4835 02:59:21,520 --> 02:59:24,040 OF VIOLENT DEATHS INCREASE AND 4836 02:59:24,040 --> 02:59:25,680 THAT'S THE REASON WHY YOU SAW 4837 02:59:25,680 --> 02:59:27,960 THAT ESCALATION AND A NUMBER OF 4838 02:59:27,960 --> 02:59:28,360 VIOLENT DEATHS. 4839 02:59:28,360 --> 02:59:31,240 IT'S JUST DATABASE IS GETTING 4840 02:59:31,240 --> 02:59:31,480 BIGGER. 4841 02:59:31,480 --> 02:59:36,160 ANOTHER QUESTION HAD TO DO WITH 4842 02:59:36,160 --> 02:59:39,960 IDENTIFYING INDIVIDUALS WITHIN 4843 02:59:39,960 --> 02:59:41,160 THE DATABASE BY USING MACHINE 4844 02:59:41,160 --> 02:59:45,000 LEARNING, SO THIS IS A 4845 02:59:45,000 --> 02:59:45,440 RESTRICTED DATABASE. 4846 02:59:45,440 --> 02:59:47,280 YOU HAVE TO EXECUTE AN AGREEMENT 4847 02:59:47,280 --> 02:59:48,320 WITH THE CENTERS FOR DISEAZ 4848 02:59:48,320 --> 02:59:51,920 CONTROL TO USE THE DATABASE. 4849 02:59:51,920 --> 02:59:53,280 AND 1 AGREEMENT YOU MAKE AS A 4850 02:59:53,280 --> 02:59:55,520 RESEARCHER IS THAT YOU WILL NOT 4851 02:59:55,520 --> 02:59:56,480 LOOK OUTSIDE THE DAILY BASIS AT 4852 02:59:56,480 --> 03:00:01,360 BASE TO TRY TO IDENTIFY THE 4853 03:00:01,360 --> 03:00:02,960 VICTIMS INSIDE THE DATABASE. 4854 03:00:02,960 --> 03:00:05,080 THEN YOU WON'T LINK ANY OTHER 4855 03:00:05,080 --> 03:00:07,720 DATABASE TO THIS DATABASE UNLESS 4856 03:00:07,720 --> 03:00:10,000 YOU HAVE PERMISSION FROM THE 4857 03:00:10,000 --> 03:00:13,960 CENTERS FOR DISEASE CONTROL. 4858 03:00:13,960 --> 03:00:17,040 AND YOU KNOW OCCASIONALLY, YOU 4859 03:00:17,040 --> 03:00:22,640 MIGHT COME ACROSS A CASE WITHIN 4860 03:00:22,640 --> 03:00:25,080 THE DATABASE WHERE IT NEEDS TO 4861 03:00:25,080 --> 03:00:26,360 BE ANONYMIZED A LITTLE MORE BY 4862 03:00:26,360 --> 03:00:27,760 THE CENTERS FOR DEC CONTROL AND 4863 03:00:27,760 --> 03:00:29,400 IN THAT CASE, YOU ALWAYS RIGHT 4864 03:00:29,400 --> 03:00:31,400 BACK TO THE CDC AND YOU SAY I 4865 03:00:31,400 --> 03:00:33,760 THINK YOU WANT TO LOOK AT THIS 4866 03:00:33,760 --> 03:00:35,040 DATABASE AND ANON MYSELF IT A 4867 03:00:35,040 --> 03:00:36,760 BIT MORE, BUT PARTICULAR 4868 03:00:36,760 --> 03:00:39,880 ALGORITHMS THAT WE'RE CREATING, 4869 03:00:39,880 --> 03:00:41,320 WELL, NOT IDENTIFY ANYONE WITHIN 4870 03:00:41,320 --> 03:00:42,240 THIS DATABASE UNLESS YOU HAPPEN 4871 03:00:42,240 --> 03:00:44,600 TO HAVE THAT DATABASE AND HAVE 4872 03:00:44,600 --> 03:00:49,640 PERMISSION TO USE IT. 4873 03:00:49,640 --> 03:00:56,280 SO, THE ALGORITHM IS NOT GOING 4874 03:00:56,280 --> 03:00:57,360 TO DEANON MYSELF ANYBODY. 4875 03:00:57,360 --> 03:01:02,280 AND THEN, THE QUESTION--ANOTHER 4876 03:01:02,280 --> 03:01:03,720 QUESTION WAS HOW WERE WE ABLE TO 4877 03:01:03,720 --> 03:01:07,080 TEST THE ACCURACY OF THESE 4878 03:01:07,080 --> 03:01:07,560 ALGORITHMS? 4879 03:01:07,560 --> 03:01:10,400 BECAUSE ABOUT 9% OF THE CASES DO 4880 03:01:10,400 --> 03:01:11,160 HAVE SEXUAL ORIENTATION CODED SO 4881 03:01:11,160 --> 03:01:15,360 WE'RE TRYING TO PREDICT TO THE 4882 03:01:15,360 --> 03:01:19,200 CODED SEXUAL ORIENTATION IN THE 4883 03:01:19,200 --> 03:01:19,600 DATABASE. 4884 03:01:19,600 --> 03:01:27,600 WE HAVE OTHER TECHNIQUES WHERE 4885 03:01:27,600 --> 03:01:29,280 WE GO BACK AND CASES WHERE WE 4886 03:01:29,280 --> 03:01:31,800 ARE PREDICTING THAT THEY ARE A 4887 03:01:31,800 --> 03:01:34,320 SEXUAL OR GENDER MINORITY TO SEE 4888 03:01:34,320 --> 03:01:37,760 HOW ACCURATE OUR ALGORITHMS ARE. 4889 03:01:37,760 --> 03:01:41,080 SO WHY DON'T I STOP THERE. 4890 03:01:41,080 --> 03:01:42,960 THIS, THANK YOU DR. COCHRAN, WE 4891 03:01:42,960 --> 03:01:44,240 HAD ANOTHER MESSAGE IS THIS IS 4892 03:01:44,240 --> 03:01:46,760 FOR ALL THE PANELISTS, HOW CAN 4893 03:01:46,760 --> 03:01:52,040 WE BE MORE INCLUSIVE OF 2 SPIRIT 4894 03:01:52,040 --> 03:01:58,240 AND INDIgE QUEER PEOPLE IN 4895 03:01:58,240 --> 03:02:00,320 THIS DATA? 4896 03:02:00,320 --> 03:02:03,400 >>IN THE NVDRS, THE ONLY WAY 4897 03:02:03,400 --> 03:02:05,360 YOU COULD BE ENCLUESIVE IS IF 4898 03:02:05,360 --> 03:02:07,320 IT'S TALKED ABOUT INSIDE THE 4899 03:02:07,320 --> 03:02:13,360 NARRATIVES. 4900 03:02:13,360 --> 03:02:20,000 SO THIS IS NOT--YOU KNOW, I 4901 03:02:20,000 --> 03:02:21,200 DON'T I DON'T THINK THIS WOULD 4902 03:02:21,200 --> 03:02:25,400 BE THE RIGHT DATABASE TO TODAY 4903 03:02:25,400 --> 03:02:26,280 THIS PARTICULAR ISSUE. 4904 03:02:26,280 --> 03:02:27,920 >>LET ME JUST ALSO COMMENT IF I 4905 03:02:27,920 --> 03:02:34,280 CAN BECAUSE I WOULD AGREE, THIS 4906 03:02:34,280 --> 03:02:35,680 IS WITHOUT ADDITIONAL THINGS 4907 03:02:35,680 --> 03:02:36,880 WITH THIS DATABASE, THIS WOULD 4908 03:02:36,880 --> 03:02:41,520 BE A HARD 1 TO DO IT I MEAN 4909 03:02:41,520 --> 03:02:42,480 THERE ARE OTHER DATABASES IN 4910 03:02:42,480 --> 03:02:43,680 WHICH WE CAN PROBABLY DO BETTER 4911 03:02:43,680 --> 03:02:45,400 BUT WHAT IT IS IS THAT EVEN IF 4912 03:02:45,400 --> 03:02:47,360 WE WERE USING AI, WE WOULD HAVE 4913 03:02:47,360 --> 03:02:50,160 TO BE ABLE TO DETERMINE SOME 4914 03:02:50,160 --> 03:02:52,760 UNIQUE WAYS OF TALKING ABOUT IN 4915 03:02:52,760 --> 03:02:55,600 TERMS OF THE LANGUAGE, IN TERMS 4916 03:02:55,600 --> 03:02:56,920 OF THE RELATIONSHIP, BUILD KINDS 4917 03:02:56,920 --> 03:02:58,640 OF THINGS, SO IF THOSE WERE 4918 03:02:58,640 --> 03:03:01,440 THERE, AND YOU NEED UNIQUE TO 4919 03:03:01,440 --> 03:03:04,040 THE POPULATION, WE COULD USE 4920 03:03:04,040 --> 03:03:05,240 ALGORITHMS TO FIND IT BUT OUR 4921 03:03:05,240 --> 03:03:06,920 WORK THAT WE'VE DONE, YOU IF YOU 4922 03:03:06,920 --> 03:03:11,240 DON'T KNOW I'M WORKING WITH THE 4923 03:03:11,240 --> 03:03:13,920 DR. ON THIS PARTICULAR 4924 03:03:13,920 --> 03:03:15,440 [INDISCERNIBLE], WE HAVEN'T 4925 03:03:15,440 --> 03:03:20,640 FOUND A UNIQUENESS, TO BE ABLE 4926 03:03:20,640 --> 03:03:21,280 TO DO THAT. 4927 03:03:21,280 --> 03:03:22,760 >>LET ME JUST ADD QUICKLY IN 4928 03:03:22,760 --> 03:03:24,400 TERMS OF HOW WE COVER THIS WITH 4929 03:03:24,400 --> 03:03:25,600 THE DEATH INVESTIGATORS TRYING 4930 03:03:25,600 --> 03:03:26,760 TO GET THEM TO ASK THESE 4931 03:03:26,760 --> 03:03:28,040 QUESTIONS AND THEN JUST REFLECT 4932 03:03:28,040 --> 03:03:32,120 WHAT THEY HEAR FROM FOLKS IN THE 4933 03:03:32,120 --> 03:03:33,480 FIELD, DEATH INVESTIGATION IS 4934 03:03:33,480 --> 03:03:35,040 REALLY AN UNIEWSH AND REALLY 4935 03:03:35,040 --> 03:03:37,160 HARD JOB, I THINK I SAID THAT 4936 03:03:37,160 --> 03:03:38,200 BEFORE, IT DESERVING 4937 03:03:38,200 --> 03:03:39,280 HIGHLIGHTING SOME MORE, YOU 4938 03:03:39,280 --> 03:03:40,880 KNOW, THERE ARE TALKING TO 4939 03:03:40,880 --> 03:03:42,960 SOMEBODY AND OFTEN THEY ARE THE 4940 03:03:42,960 --> 03:03:44,800 FIRST PERSON TO TALK TO THE NEXT 4941 03:03:44,800 --> 03:03:46,760 OF KEN KIN TO LET THEM KNOW THAT 4942 03:03:46,760 --> 03:03:48,880 THEIR LOVED 1 IS DEAD. 4943 03:03:48,880 --> 03:03:49,360 SO THEY'RE GETTING THE 4944 03:03:49,360 --> 03:03:54,040 INFORMATION THEY HAVE TO GET FOR 4945 03:03:54,040 --> 03:03:55,160 THE CORONER AND MEDICAL EXAMINER 4946 03:03:55,160 --> 03:03:57,040 SO HAVING THEM SORT OF BEING 4947 03:03:57,040 --> 03:03:59,600 ABLE TO I THINK DR. COCHRAN'S 4948 03:03:59,600 --> 03:04:02,200 POINT IS SPOT ON, IT'S A GAME OF 4949 03:04:02,200 --> 03:04:02,440 TELEPHONE. 4950 03:04:02,440 --> 03:04:04,280 IT GETS FURTHER AND FURTHER AWAY 4951 03:04:04,280 --> 03:04:06,480 THAT WE'RE GETTING THE DEATH 4952 03:04:06,480 --> 03:04:07,080 INVESTIGATOR HEARING FROM THE 4953 03:04:07,080 --> 03:04:08,120 FAMILY MEMBER ABOUT THE PERSON 4954 03:04:08,120 --> 03:04:09,760 THAT THEN GOES TO A NARRATIVE 4955 03:04:09,760 --> 03:04:11,440 THAT GOES TO AN ABSTRACTOR THAT 4956 03:04:11,440 --> 03:04:17,040 GOES TO A SYSTEM. 4957 03:04:17,040 --> 03:04:19,160 SO, A SELECTION OF VERY SPECIFIC 4958 03:04:19,160 --> 03:04:20,920 IDENTITIES, I AGREE I DON'T KNOW 4959 03:04:20,920 --> 03:04:22,120 THAT THIS SIZE OR THESE DATA 4960 03:04:22,120 --> 03:04:23,920 WOULD BE ABLE TO CAPTURE THAT 4961 03:04:23,920 --> 03:04:25,760 JUST GIVEN MY OWN EXPERIENCE IN 4962 03:04:25,760 --> 03:04:28,920 TRYING TO GET DEATH 4963 03:04:28,920 --> 03:04:32,080 INVESTIGATORS TO JUST ASK YOU 4964 03:04:32,080 --> 03:04:36,120 KNOW, PARTNERSHIP INFORMATION 4965 03:04:36,120 --> 03:04:37,280 AND GENDER IDENTITY INFORMATION 4966 03:04:37,280 --> 03:04:38,360 IT IS A CHALLENGE. 4967 03:04:38,360 --> 03:04:40,360 I DON'T THINK IT'S 4968 03:04:40,360 --> 03:04:41,840 INSURSURMOUNTABLE BUT I THINK 4969 03:04:41,840 --> 03:04:43,800 THAT WE'RE JUST AT THE BEGINNING 4970 03:04:43,800 --> 03:04:45,080 OF UNDERSTANDING HOW THESE 4971 03:04:45,080 --> 03:04:47,840 SYSTEMS MIGHT WORK AND WE 4972 03:04:47,840 --> 03:04:48,520 PROBABLY NEED--THERE'S NO 1 4973 03:04:48,520 --> 03:04:49,920 SOLUTION FOR THIS, AND THERE ARE 4974 03:04:49,920 --> 03:04:54,400 GOING TO BE MULTIPLE APPROACHES. 4975 03:04:54,400 --> 03:04:55,000 >>THANK YOU. 4976 03:04:55,000 --> 03:04:57,600 OUR NEXT QUESTION, FROM THE 4977 03:04:57,600 --> 03:04:59,480 AUDIENCE IS ABOUT HOW CAN LARGE 4978 03:04:59,480 --> 03:05:01,880 HEALTH SURVEY DAILY BASIS THEAS 4979 03:05:01,880 --> 03:05:04,120 BETTER COLLECT DATA ON SOGI AND 4980 03:05:04,120 --> 03:05:05,520 OTHER SOCIAL IDENTITIES THAT SO 4981 03:05:05,520 --> 03:05:08,680 THAT RESEARCHERS HAVE THE DATA 4982 03:05:08,680 --> 03:05:10,400 NECESSARY TO UNDERSTAND AND 4983 03:05:10,400 --> 03:05:13,840 ADDRESS HEALTH DISPARITIES FROM 4984 03:05:13,840 --> 03:05:15,280 A STRUCTURAL AND INTERSECTIONAL 4985 03:05:15,280 --> 03:05:16,840 LENS? 4986 03:05:16,840 --> 03:05:18,520 AND THEY'RE PARTICULARLY 4987 03:05:18,520 --> 03:05:23,320 INTERESTED IN WHAT 4988 03:05:23,320 --> 03:05:24,040 DRS. BLOSNICH AND MAYS MAY HAVE 4989 03:05:24,040 --> 03:05:33,760 TO SAY ABOUT THIS. 4990 03:05:33,760 --> 03:05:36,400 >>DOLLAR? 4991 03:05:36,400 --> 03:05:37,320 >>DOCTOR? 4992 03:05:37,320 --> 03:05:37,760 >>YOU GO FIRST. 4993 03:05:37,760 --> 03:05:39,600 >>THIS MIGHT BE WHERE MY 4994 03:05:39,600 --> 03:05:41,440 INSTITUTION'S LIKE, WE DON'T 4995 03:05:41,440 --> 03:05:42,120 CLAIM HIM. 4996 03:05:42,120 --> 03:05:45,960 I THINK WE JUST MEASURE THE 4997 03:05:45,960 --> 03:05:47,440 WRONG THING. 4998 03:05:47,440 --> 03:05:50,200 YOU KNOW WHEN WE--I LIKEN THIS 4999 03:05:50,200 --> 03:05:51,960 TO LIKE HOW ASTRONOMERS DON'T 5000 03:05:51,960 --> 03:05:54,320 KNOW IF THERE'S A PLANET AROUND 5001 03:05:54,320 --> 03:05:55,480 THE STAR, DOES THE STAR WOBBLE 5002 03:05:55,480 --> 03:05:57,360 OR THE LIGHT DIMS AND THAT'S A 5003 03:05:57,360 --> 03:05:58,600 SIGN THAT THERE'S A PLANET 5004 03:05:58,600 --> 03:06:00,320 AROUND THAT STAR BUT WE CAN'T 5005 03:06:00,320 --> 03:06:04,240 SEE THAT PLANET, WITH ALL OF 5006 03:06:04,240 --> 03:06:06,240 THE, YOU KNOW--HOW WE MEASURE 5007 03:06:06,240 --> 03:06:08,560 THINGS LIKE INTERGENERATIONAL 5008 03:06:08,560 --> 03:06:09,360 POVERTY, INSTITUTIONALIZED 5009 03:06:09,360 --> 03:06:10,200 RACISM, SEXISM, WE DON'T MEASURE 5010 03:06:10,200 --> 03:06:11,960 ANY OF THAT STUFF. 5011 03:06:11,960 --> 03:06:13,960 WHAT WE SEE, WHAT WE MEASURE IS 5012 03:06:13,960 --> 03:06:14,840 PEOPLE'S IDENTITIES AS THE 5013 03:06:14,840 --> 03:06:17,240 PRODUCT OF ALL OF THIS SORT OF 5014 03:06:17,240 --> 03:06:19,120 LEGACY, BUT TO ACTUALLY MEASURE 5015 03:06:19,120 --> 03:06:21,200 THAT LEGACY, WE'VE NEVER, TO MY 5016 03:06:21,200 --> 03:06:23,320 KNOWLEDGE BEEN VERY GOOD AT 5017 03:06:23,320 --> 03:06:24,120 MEASURING THAT. 5018 03:06:24,120 --> 03:06:26,480 AND SO ALL OF THESE WICKED 5019 03:06:26,480 --> 03:06:31,200 PROBLEMS WE HAVE, GET 5020 03:06:31,200 --> 03:06:33,760 UNFORTUNATELY SORT OF SIDLED TO 5021 03:06:33,760 --> 03:06:35,840 PEOPLE'S IDENTITIES AND WITHOUT 5022 03:06:35,840 --> 03:06:39,000 REALLY ACCURATE CAREFUL 5023 03:06:39,000 --> 03:06:41,400 QUALIFICATION BY RESEARCHERS, WE 5024 03:06:41,400 --> 03:06:42,760 ARE REALLY CIRCUMSPECT IN WHAT 5025 03:06:42,760 --> 03:06:45,160 OUR RESULTS ARE TALKING ABOUT, 5026 03:06:45,160 --> 03:06:46,440 IT CAN SEND UNFORTUNATE MESSAGES 5027 03:06:46,440 --> 03:06:53,240 OR OFTEN BE TWISTED IN THE 5028 03:06:53,240 --> 03:06:53,760 PUBLIC. 5029 03:06:53,760 --> 03:06:55,480 >>I'M GOING TO AGREE WHOLE 5030 03:06:55,480 --> 03:06:58,440 HEARTEDLY WITH DR. BLOSNICH, 5031 03:06:58,440 --> 03:07:01,120 WHICH ISN'T SURPRISING, I DON'T 5032 03:07:01,120 --> 03:07:02,520 THINK WE CAN MEASURE SOME OF 5033 03:07:02,520 --> 03:07:05,720 THESE THINGS YET BECAUSE WE LACK 5034 03:07:05,720 --> 03:07:07,000 THE LANGUAGE, WE ALSO AND I'M 5035 03:07:07,000 --> 03:07:11,800 GOING TO USE MY STUDENTS, WE ARE 5036 03:07:11,800 --> 03:07:12,280 CONFLATING THINGS. 5037 03:07:12,280 --> 03:07:15,000 SO FOR EXAMPLE, I HAVE STEPPED 5038 03:07:15,000 --> 03:07:19,400 BACK FROM SUCH A FOCUS ON 5039 03:07:19,400 --> 03:07:20,840 STRUCTURAL ISSUES, BECAUSE, I'M 5040 03:07:20,840 --> 03:07:23,520 NOT SURE THAT WE HAVE WHAT WE 5041 03:07:23,520 --> 03:07:25,080 NEED IN ORDER TO KNOW, WELL, 5042 03:07:25,080 --> 03:07:27,040 WHAT PART OF THE STRUCTURE? 5043 03:07:27,040 --> 03:07:31,280 LIKE AS AN EXAMPLE, MOST DATA 5044 03:07:31,280 --> 03:07:33,360 SETS WILL COLLECT EDUCATIONAL 5045 03:07:33,360 --> 03:07:35,280 ATTAINMENT, THAT'S ACTUALLY NOT 5046 03:07:35,280 --> 03:07:36,760 THE STRUCTURAL ASPECT BECAUSE 5047 03:07:36,760 --> 03:07:38,800 YOU HAVE THIS KIDS IN FIFTH 5048 03:07:38,800 --> 03:07:41,000 GRADE AND THIS KID'S IN FIFTH 5049 03:07:41,000 --> 03:07:42,120 GRADE SO WE SAY THEY'RE EQUAL, 5050 03:07:42,120 --> 03:07:44,040 AND I WANT TO GO TO FIFTH GRADE 5051 03:07:44,040 --> 03:07:47,560 IN A RURAL AREA AND A FIFTH 5052 03:07:47,560 --> 03:07:53,200 GRADE THAT'S IN BELL AIR IN LA, 5053 03:07:53,200 --> 03:07:54,600 THER NOTHING ALIKE AND WE KEEP 5054 03:07:54,600 --> 03:07:55,360 THINKING WE'VE DONE SOMETHING 5055 03:07:55,360 --> 03:07:57,760 WHEN WE DO THIS SO I'M REALLY 5056 03:07:57,760 --> 03:07:59,440 STARTING TO DO MORE BRICK BY 5057 03:07:59,440 --> 03:08:04,040 BRICK WORK WHERE I START TO LOOK 5058 03:08:04,040 --> 03:08:05,600 AT WHAT ARE SOCIAL 5059 03:08:05,600 --> 03:08:07,000 VULNERABILITIES AND SOCIAL RISK 5060 03:08:07,000 --> 03:08:08,560 AND THEN AT THE INDIVIDUAL 5061 03:08:08,560 --> 03:08:11,840 LEVEL, AT THE COMMUNITY LEVEL, I 5062 03:08:11,840 --> 03:08:22,360 TRY AND BUMP THOSE UP IF WE'RE 5063 03:08:23,080 --> 03:08:23,760 TALKING ABOUT HEALTH WE'RE 5064 03:08:23,760 --> 03:08:26,000 TRYING TO COME UP WITH THE SOGI 5065 03:08:26,000 --> 03:08:27,240 CHARACTERISTICS THAT ARE GOING 5066 03:08:27,240 --> 03:08:28,880 TO BE IN ELECTRONIC HEALTH 5067 03:08:28,880 --> 03:08:31,840 RECORDS, I DON'T KNOW HOW YOU DO 5068 03:08:31,840 --> 03:08:32,840 THAT WITHOUT MISCLASSIFICATION 5069 03:08:32,840 --> 03:08:37,040 AND BOX BEING SOMEONE IN. 5070 03:08:37,040 --> 03:08:38,240 AGAIN THE ISSUE, WE ARE NOT 5071 03:08:38,240 --> 03:08:40,520 ADDRESSING THE ISSUE OF FLUIDITY 5072 03:08:40,520 --> 03:08:41,840 AND HOW IN THIS COMMUNITY IT'S 5073 03:08:41,840 --> 03:08:46,040 NOT LIKE ANY OTHER COMMUNITY NOW 5074 03:08:46,040 --> 03:08:47,240 AS AN AX FRIC ARN AMERICAN IN 5075 03:08:47,240 --> 03:08:48,400 THE UNITED STATES, I'VE HAD 5076 03:08:48,400 --> 03:08:49,920 DIFFERENT NAMES THAT WE'VE BEEN 5077 03:08:49,920 --> 03:08:53,280 CALLED BUT THAT'S USUALLY OVER 5078 03:08:53,280 --> 03:08:54,360 10 YEARS, AND 20 YEARS AND A 5079 03:08:54,360 --> 03:08:55,920 MOVEMENT WITH IT THAT HELPS YOU 5080 03:08:55,920 --> 03:08:58,440 TO UNDERSTAND, THAT'S NOT WHAT'S 5081 03:08:58,440 --> 03:08:58,720 HAPPENING. 5082 03:08:58,720 --> 03:09:01,360 THIS IS MOVING QUICKLY, SO THIS 5083 03:09:01,360 --> 03:09:04,120 16 THINGS THAT I SHOWED YOU THAT 5084 03:09:04,120 --> 03:09:06,000 JUDY WAS FACED WITH, IT'S LIKE 5085 03:09:06,000 --> 03:09:07,040 NO ELECTRONIC HEALTH RECORDS 5086 03:09:07,040 --> 03:09:08,040 SYSTEM IS GOING TO GET IT 5087 03:09:08,040 --> 03:09:13,440 STRAIGHT AND THEN WE HAVE A DATA 5088 03:09:13,440 --> 03:09:13,800 QUALITY PROBLEM. 5089 03:09:13,800 --> 03:09:18,040 SO IT REALLY IS THAT WE NEED TO 5090 03:09:18,040 --> 03:09:19,400 USE DIFFERENT APPROACHES OTHER 5091 03:09:19,400 --> 03:09:26,360 THAN JUST THIS LARGE SCALE DATA 5092 03:09:26,360 --> 03:09:29,680 WE NEED TO HAVE FOCUS GROUPS AND 5093 03:09:29,680 --> 03:09:32,440 YOU NEED RIGHT NOW ALL OF THEM 5094 03:09:32,440 --> 03:09:35,320 BECAUSE I THINK WE KNOW A LOT 5095 03:09:35,320 --> 03:09:36,600 ABOUT LGBTQI COMMUNITIES BUT 5096 03:09:36,600 --> 03:09:38,920 WHAT WE DON'T KNOW IS ABOUT 5097 03:09:38,920 --> 03:09:43,840 RURAL 1S AND BEING WITHIN, 5098 03:09:43,840 --> 03:09:45,640 WITHIN, WITHIN AND STARTED THIS 5099 03:09:45,640 --> 03:09:46,800 PURPOSELY BECAUSE IT'S THE WHIFF 5100 03:09:46,800 --> 03:09:48,960 END THAT WE DON'T KNOW VERY WELL 5101 03:09:48,960 --> 03:09:49,960 AND THAT'S WHO'S SUFFERING THE 5102 03:09:49,960 --> 03:09:57,840 MOST WHEN WE LOOK AT HEALTH 5103 03:09:57,840 --> 03:09:59,040 OUTCOMES. 5104 03:09:59,040 --> 03:09:59,760 >>WOW, VERY EXCELLENT POINT. 5105 03:09:59,760 --> 03:10:01,480 >>I HAD A QUESTION WHICH 5106 03:10:01,480 --> 03:10:03,160 YOU--YOU KNOW YOU BOTH ALLUDED 5107 03:10:03,160 --> 03:10:04,600 TO IN YOUR PRESENTATIONS AND 5108 03:10:04,600 --> 03:10:07,480 ALSO IN THESE CONVERSATIONS AND 5109 03:10:07,480 --> 03:10:09,400 YOU KNOW I WAS CURIOUS WHAT YOU 5110 03:10:09,400 --> 03:10:13,480 SEE ARE SOME OF THE BENEFITS AND 5111 03:10:13,480 --> 03:10:14,840 CHALLENGES GOING INTO YOU KNOW 5112 03:10:14,840 --> 03:10:18,400 AS WE GO MORE INTO DATA SCIENCE, 5113 03:10:18,400 --> 03:10:20,240 ARTIFICIAL INTELLIGENCE WHARKS 5114 03:10:20,240 --> 03:10:21,640 THESE POPULATIONS, WHAT ARE SOME 5115 03:10:21,640 --> 03:10:26,920 THINGS THAT WE SHOULD BE 5116 03:10:26,920 --> 03:10:28,640 COGNIZANT OF THAT YOU KNOW OR 5117 03:10:28,640 --> 03:10:30,040 CONSIDER OR WHAT ARE SOME 5118 03:10:30,040 --> 03:10:36,600 BENEFITS THAT MAY OPEN DOORS. 5119 03:10:36,600 --> 03:10:39,400 >>ANY OF US OR PARTICULAR 1 OF 5120 03:10:39,400 --> 03:10:40,080 US? 5121 03:10:40,080 --> 03:10:40,600 >>ANY OF YOU. 5122 03:10:40,600 --> 03:10:45,840 I THINK YOU WOULD HAVE GREAT 5123 03:10:45,840 --> 03:10:46,200 INSIGHTS? 5124 03:10:46,200 --> 03:10:51,840 >>WHY DON'T YOU START THAT 1. 5125 03:10:51,840 --> 03:10:55,200 >>OH, WELL, YOU KNOW 5126 03:10:55,200 --> 03:10:56,480 THERE'S--PEOPLE IMAGINE THAT 5127 03:10:56,480 --> 03:11:00,120 DATA SCIENCE IS THE PANACEA FOR 5128 03:11:00,120 --> 03:11:01,960 ALL OF THESE QUESTIONS THAT 5129 03:11:01,960 --> 03:11:06,240 WE'VE PRESENTED HERE TODAY THAT 5130 03:11:06,240 --> 03:11:08,800 WE'RE STRUGGLING WITH AND DATA 5131 03:11:08,800 --> 03:11:10,760 SCIENCE STRUGGLES WITH MANY EVER 5132 03:11:10,760 --> 03:11:12,960 THESE QUESTIONS, TOO, SO I MEAN 5133 03:11:12,960 --> 03:11:16,800 IN FROM THE PUBLIC VIEW, IT'S AN 5134 03:11:16,800 --> 03:11:18,520 EASY ANSWER, IT WILL WORK AND 5135 03:11:18,520 --> 03:11:21,360 EVERYTHING WILL WORK, BUT IN 5136 03:11:21,360 --> 03:11:23,080 ACTUAL DATA SCIENCE, THEY 5137 03:11:23,080 --> 03:11:25,680 STRUGGLE WITH THINGS LIKE THE 5138 03:11:25,680 --> 03:11:27,600 KOREFERENCE PROBLEM. 5139 03:11:27,600 --> 03:11:31,400 WE CAN READ A NARRATIVE FOR 5140 03:11:31,400 --> 03:11:33,880 EXAMPLE AND KNOW IMMEDIATELY 5141 03:11:33,880 --> 03:11:35,520 WHOSE IN THIS NARRATIVE, HOW 5142 03:11:35,520 --> 03:11:37,160 MANY PEOPLE ARE THERE, WHO'S 5143 03:11:37,160 --> 03:11:40,360 RELATED TO WHOM AND IT'S VERY 5144 03:11:40,360 --> 03:11:44,040 EASY FOR A HUMAN BEING TO READ 5145 03:11:44,040 --> 03:11:47,600 THE NVDRS NARRATIVES AND DETECT 5146 03:11:47,600 --> 03:11:48,560 THE SEXUAL ORIENT OF AN 5147 03:11:48,560 --> 03:11:50,840 INDIVIDUAL IF THE INFORMATION IS 5148 03:11:50,840 --> 03:11:53,840 IN THE NARRATIVE BUT A 99 TRYING 5149 03:11:53,840 --> 03:11:58,440 TO READ THIS REALLY HAS TROUBLE 5150 03:11:58,440 --> 03:12:01,800 WITH FIGURING OUT FIGURING OUT 5151 03:12:01,800 --> 03:12:05,520 WHAT PERSON IS BEING REFERRED TO 5152 03:12:05,520 --> 03:12:08,360 BY A PARTICULAR NOUN OR A 5153 03:12:08,360 --> 03:12:09,680 PARTICULAR ADGATIVE OR 5154 03:12:09,680 --> 03:12:13,040 PARTICULAR ADVERB AND THERE ARE, 5155 03:12:13,040 --> 03:12:15,520 WE HAVE AN ENGINEER THAT WE WORK 5156 03:12:15,520 --> 03:12:16,760 WITH THAT'S HIS WHOLE RESEARCH 5157 03:12:16,760 --> 03:12:24,240 AREA, TRYING TO FIGURE OUT HOW, 5158 03:12:24,240 --> 03:12:27,640 THIS KOREFERENCEING WITHIN A 5159 03:12:27,640 --> 03:12:28,880 PARTICULAR EDESCRIPTION OF 5160 03:12:28,880 --> 03:12:32,320 EVENTS ENDS UP WITH A BIASED 5161 03:12:32,320 --> 03:12:33,600 OUTCOME SO YOU'LL SEE THAT THE 5162 03:12:33,600 --> 03:12:35,720 MACHINE WILL SAY OH IT'S A 5163 03:12:35,720 --> 03:12:40,120 PHYSICS PROFESSOR, IT MUST BE A 5164 03:12:40,120 --> 03:12:40,320 MALE. 5165 03:12:40,320 --> 03:12:42,640 THAT'S SOME OF THE THINGS THAT 5166 03:12:42,640 --> 03:12:45,040 MACHINES DO WHERE WHEN WE READ 5167 03:12:45,040 --> 03:12:49,800 IT WE HAVE NO TROUBLE FIGURING 5168 03:12:49,800 --> 03:12:51,560 IT OUT, SO I HOPE THAT DATA 5169 03:12:51,560 --> 03:12:52,200 SCIENCE WILL ANSWER THESE 5170 03:12:52,200 --> 03:12:54,400 QUESTIONS FOR US AND WE WON'T 5171 03:12:54,400 --> 03:12:55,920 HAVE TO THINK ABOUT THEM VERY 5172 03:12:55,920 --> 03:12:58,280 DEPRIVATIONLY, I DON'T THINK IT 5173 03:12:58,280 --> 03:13:00,600 WILL I THINK IT WILL, ALL THE 5174 03:13:00,600 --> 03:13:02,600 QUESTIONS THAT DR. MAYS 5175 03:13:02,600 --> 03:13:04,960 PRESENTED AND DR. BLOSNICH, WE 5176 03:13:04,960 --> 03:13:07,640 WILL HAVE TO DO THE HARD LABOR 5177 03:13:07,640 --> 03:13:10,240 OF FIGURING OUT WHAT IT IS IN 5178 03:13:10,240 --> 03:13:12,880 DATA SCIENCE ISSUES IT JUST 5179 03:13:12,880 --> 03:13:16,120 BASICALLY ARK PLIES WHAT WE 5180 03:13:16,120 --> 03:13:19,920 ALREADY THINK IS THERE, SOME 5181 03:13:19,920 --> 03:13:22,200 REALLY GOOD TECHNIQUES IT ALSO 5182 03:13:22,200 --> 03:13:23,080 NEEDS ENORMOUSLY LARGE DATABASES 5183 03:13:23,080 --> 03:13:27,800 TO BE ABLE TO DO IT SO IF YOU 5184 03:13:27,800 --> 03:13:32,160 WANT TO STUDY SMALL SUBGROUPS 5185 03:13:32,160 --> 03:13:33,280 WITHIN THE LGPTQ COMMUNITY AND 5186 03:13:33,280 --> 03:13:36,040 YOU WILL NEVER GO IT WITH DATA 5187 03:13:36,040 --> 03:13:37,040 SCIENCE. 5188 03:13:37,040 --> 03:13:39,280 JUST BECAUSE YOU KNOW YOU NEED A 5189 03:13:39,280 --> 03:13:42,920 COUPLE MILLION PEOPLE TO DO 5190 03:13:42,920 --> 03:13:45,760 SOMETHING EFFECTIVELY SO I HOPE 5191 03:13:45,760 --> 03:13:48,720 THAT WE DON'T DEPEND TOO MUCH ON 5192 03:13:48,720 --> 03:13:50,560 DATA SCIENCE TO HELP US TO DO 5193 03:13:50,560 --> 03:13:57,960 THE HARD WORK WE HAVE TO DO. 5194 03:13:57,960 --> 03:13:58,600 >>THANK YOU. 5195 03:13:58,600 --> 03:14:02,480 ANY OTHER THOUGHTS FROM THE 5196 03:14:02,480 --> 03:14:02,760 PANELISTS? 5197 03:14:02,760 --> 03:14:03,800 I HAVE 1 MORE QUESTION. 5198 03:14:03,800 --> 03:14:07,240 >>LET ME COMMENT ON DATA 5199 03:14:07,240 --> 03:14:08,120 SCIENCE BECAUSE, 1 OF THE THINGS 5200 03:14:08,120 --> 03:14:11,000 I CAN SAY WAS A REAL PLESESSING 5201 03:14:11,000 --> 03:14:13,360 IS THAT WHEN WE WERE FUNDED BY 5202 03:14:13,360 --> 03:14:16,760 NIMH TO PUT A TEAM TOGETHER WHAT 5203 03:14:16,760 --> 03:14:22,120 I LEARNED WAS A LOT ABOUT DATA 5204 03:14:22,120 --> 03:14:24,320 SCIENTISTS WHO WERE ENGINEERS, 5205 03:14:24,320 --> 03:14:25,080 COMPUTATIONAL PEOPLE AND THEY 5206 03:14:25,080 --> 03:14:31,560 REALLY DON'T HAVE A LOT OF 5207 03:14:31,560 --> 03:14:32,560 EXPERIENCE WITH HUMAN DATA SO I 5208 03:14:32,560 --> 03:14:35,280 THINK A LOT OF PEOPLE FORGET 5209 03:14:35,280 --> 03:14:36,720 THEY ACTUALLY NEED US, SO IF 5210 03:14:36,720 --> 03:14:38,200 THERE'S ANY POPE YOU NEED THIS, 5211 03:14:38,200 --> 03:14:40,520 IT HAS TO BE IN COLLABORATION 5212 03:14:40,520 --> 03:14:43,400 AND I THINK IT'S A DEMAND WE 5213 03:14:43,400 --> 03:14:44,600 REALLY HAVE TO DO BECAUSE WHAT 5214 03:14:44,600 --> 03:14:49,560 THEY DO IS USE THE TOOLS THEY 5215 03:14:49,560 --> 03:14:51,680 HAVE AND MACHINES AND DOING 5216 03:14:51,680 --> 03:14:53,000 EXACTLY WHAT SUSAN SAYS AND 5217 03:14:53,000 --> 03:14:56,880 AGAIN I'M GOING TO SOUND LIKE 5218 03:14:56,880 --> 03:14:58,040 I'M BEATING I DEAD HORSE HERE 5219 03:14:58,040 --> 03:15:00,040 BUT ISSUES WITH FLUIDITY AND 5220 03:15:00,040 --> 03:15:00,640 BEDDING RELATIONSHIPS IS 5221 03:15:00,640 --> 03:15:03,360 PROBABLY THE MOST CRITICAL 5222 03:15:03,360 --> 03:15:08,000 ASPECT OF SUCCESSFULLY USING 5223 03:15:08,000 --> 03:15:10,320 DATA SCIENCE AND IT STARTED WHEN 5224 03:15:10,320 --> 03:15:12,440 I FIRST STARTED IN HIV, THE 5225 03:15:12,440 --> 03:15:15,440 FIRST PAPER I DID WAS 1 WE WERE 5226 03:15:15,440 --> 03:15:17,600 WORKING ON WAS A PAPER OF BLACK 5227 03:15:17,600 --> 03:15:19,080 MEN WHO HAVE SEX WITH MEN 5228 03:15:19,080 --> 03:15:20,400 BECAUSE THEY HAVE TO COME UP 5229 03:15:20,400 --> 03:15:22,240 WITH THE RELATIONSHIPS BECAUSE 5230 03:15:22,240 --> 03:15:23,760 THE TYPICAL NOTION OF HOW THE 5231 03:15:23,760 --> 03:15:24,800 RELATIONSHIPS WERE TALKED ABOUT 5232 03:15:24,800 --> 03:15:27,040 DID NOT FIT IN THE 5233 03:15:27,040 --> 03:15:27,840 DISCRIMINATORY ENVIRONMENT IN 5234 03:15:27,840 --> 03:15:30,800 WHICH THEY LIVED AND COMMUNITIES 5235 03:15:30,800 --> 03:15:32,960 AND NEEDED TO BE KIND OF HIDDEN 5236 03:15:32,960 --> 03:15:34,440 SOEE WE HAD TO SAY HERE'S HOW 5237 03:15:34,440 --> 03:15:37,760 THEY ASK ABOUT THIS AND I THINK 5238 03:15:37,760 --> 03:15:39,000 IN MACHINE SCIENCE WE NEED THAT 5239 03:15:39,000 --> 03:15:43,000 AT THIS POINT IN TIME, IT'S THE 5240 03:15:43,000 --> 03:15:44,320 HUMANNESS FROM THE THAT THE 5241 03:15:44,320 --> 03:15:45,480 SOCIAL SCIENCE PEOPLE AND PEOPLE 5242 03:15:45,480 --> 03:15:47,640 IN CLINICAL HEALTH CAN BRING TO 5243 03:15:47,640 --> 03:15:49,160 THE FOREFRONT OR ELSE THE TOOL 5244 03:15:49,160 --> 03:15:56,120 WILL LEAD US THE WRONG WAY. 5245 03:15:56,120 --> 03:16:00,320 >>WELL SAID, AND GREAT POINTS. 5246 03:16:00,320 --> 03:16:07,680 >>WE HAD 1 MORE QUESTION ABOUT 5247 03:16:07,680 --> 03:16:09,240 CLASS APPROACHES FOR LATENT 5248 03:16:09,240 --> 03:16:11,200 ANALYSIS TO GENERATE INFORMATION 5249 03:16:11,200 --> 03:16:17,400 ABOUT INTERSECTIONAL INIQUITIES 5250 03:16:17,400 --> 03:16:17,960 AND EXPERIENCES? 5251 03:16:17,960 --> 03:16:20,400 >>SURE, THAT'S A GOOD 5252 03:16:20,400 --> 03:16:21,640 TECHNIQUE, IT WOULD BEPEND ON 5253 03:16:21,640 --> 03:16:24,280 THE DATABASE BUT THAT IS A 5254 03:16:24,280 --> 03:16:29,760 REASONABLE APPROACH TO TRY TO 5255 03:16:29,760 --> 03:16:33,520 FIGURE OUT HOW TO CLASSIFY 5256 03:16:33,520 --> 03:16:38,360 CASES, IT DEPENDS ON WHAT YOUR 5257 03:16:38,360 --> 03:16:40,360 UNDERLYING ASSUMPTION IS ON 5258 03:16:40,360 --> 03:16:42,160 CLASSIFICATION. 5259 03:16:42,160 --> 03:16:43,440 SO FOR EXAMPLE, LATENT CLASS 5260 03:16:43,440 --> 03:16:50,920 ANALYSIS IS PARTICULARLY GOOD 5261 03:16:50,920 --> 03:16:58,200 WITH FEATURES THAT ARE ORGANIZED 5262 03:16:58,200 --> 03:17:00,960 IN A WAY THAT FLOW--LET ME GIVE 5263 03:17:00,960 --> 03:17:04,080 YOU AN EXAMPLE SO IF YOU HAD, 5264 03:17:04,080 --> 03:17:13,160 YOU'RE TRYING TO FIGURE OUT THE 5265 03:17:13,160 --> 03:17:14,680 DEVELOPMENTAL, YOU KNOW THEY 5266 03:17:14,680 --> 03:17:16,720 SMILE BEFORE THEY CAN ROLL OVER, 5267 03:17:16,720 --> 03:17:18,760 OR THEY ROLL OVER BEFORE THEY 5268 03:17:18,760 --> 03:17:19,960 CAN SMILE AND/OR THEY CAN SIT 5269 03:17:19,960 --> 03:17:21,800 BEFORE THEY RUN OR WALK, IF THEY 5270 03:17:21,800 --> 03:17:23,400 CAN RUN, THEY CAN DEFINITELY 5271 03:17:23,400 --> 03:17:25,680 SIT, YOU KIND OF KNOW THESE 5272 03:17:25,680 --> 03:17:27,360 THINGS, LATENT CLASS ANALYSIS IS 5273 03:17:27,360 --> 03:17:29,560 PERFECT FOR THAT KIND OF 5274 03:17:29,560 --> 03:17:29,840 SITUATION. 5275 03:17:29,840 --> 03:17:32,880 SO IF YOU HAVE A DATABASE WHERE 5276 03:17:32,880 --> 03:17:34,160 YOU THINK THERE'S THIS 5277 03:17:34,160 --> 03:17:35,520 DEVELOPMENTAL PHASE OR THAT'S 5278 03:17:35,520 --> 03:17:36,840 YOUR THEORY THAT YOU'RE WORKING 5279 03:17:36,840 --> 03:17:37,880 FROM, THAT WOULD BE A 5280 03:17:37,880 --> 03:17:45,240 PARTICULARLY GOOD TECHNIQUE TO 5281 03:17:45,240 --> 03:17:45,400 USE. 5282 03:17:45,400 --> 03:17:47,360 IT WAS A LITTLE WONKY BUT I HOPE 5283 03:17:47,360 --> 03:17:47,640 YOU GOT IT. 5284 03:17:47,640 --> 03:17:48,960 >>THANK YOU SO MUCH FOR THIS, 5285 03:17:48,960 --> 03:17:51,040 THIS IS SUCH A WONDERFUL PANEL, 5286 03:17:51,040 --> 03:17:52,800 WE HAD GREAT QUESTIONS, I WANT 5287 03:17:52,800 --> 03:17:56,040 TO THANK OWEVER PANELISTS FOR 5288 03:17:56,040 --> 03:17:57,120 OUR PRESENTATIONS AND THEIR TIME 5289 03:17:57,120 --> 03:18:00,480 AND I WANT TO NOW HAND IT OVER 5290 03:18:00,480 --> 03:18:11,040 TO MY COLLEAGUE DR. RADA D AGHER 5291 03:18:11,520 --> 03:18:13,080 WHO WILL MODERATE THE NEXT 5292 03:18:13,080 --> 03:18:13,520 PANEL. 5293 03:18:13,520 --> 03:18:14,880 ALL RIGHT SO NOW WE GET TO 5294 03:18:14,880 --> 03:18:17,240 SOCIAL AND STRUCTURAL DRIVERS OF 5295 03:18:17,240 --> 03:18:18,120 SGM HEALTH DISPARITIES. 5296 03:18:18,120 --> 03:18:20,840 THIS SESSION WILL DISCUSS SOCIAL 5297 03:18:20,840 --> 03:18:22,000 AND STRUCTURAL DRIVERS OF SIS 5298 03:18:22,000 --> 03:18:24,480 PARITIES SUCH AS RACISM, 5299 03:18:24,480 --> 03:18:25,560 DISCRIMINATION, ACCESS TO 5300 03:18:25,560 --> 03:18:27,520 HEALTHCARE, QUALITY OF CARE, 5301 03:18:27,520 --> 03:18:34,840 STRESSORS AND OTHER SOCIAL 5302 03:18:34,840 --> 03:18:35,800 DETERMINANTS OF HEALTH. 5303 03:18:35,800 --> 03:18:42,400 SO OUR FIRST PEEKER WILL BE 5304 03:18:42,400 --> 03:18:43,800 DR. MORGAN PH ILBIN, SHE WILL 5305 03:18:43,800 --> 03:18:44,880 DISCUSS HOW SOCIAL MOLL SEES 5306 03:18:44,880 --> 03:18:46,520 SHAPE THE HEALTH AND BEING OF 5307 03:18:46,520 --> 03:18:49,640 SEX IMRUL AND GENDER-MINORITY 5308 03:18:49,640 --> 03:18:53,960 YOUTH AND LIMPLICATIONS FOR LIFE 5309 03:18:53,960 --> 03:18:55,360 COURSE TRAJECTORIES. 5310 03:18:55,360 --> 03:18:55,840 DR. PH ILBIN,. 5311 03:18:55,840 --> 03:18:56,800 >>THANK YOU SO MUCH. 5312 03:18:56,800 --> 03:19:07,240 LET ME SHARE MY SLIDES. 5313 03:19:10,000 --> 03:19:11,640 >>CAN YOU SEE MY SLIDES. 5314 03:19:11,640 --> 03:19:12,200 >>YES NTHANK YOU. 5315 03:19:12,200 --> 03:19:22,480 FIRST I WANT TO THANK NIMHD, AND 5316 03:19:22,480 --> 03:19:23,840 AND TODAY I WILL TALK ABOUT THE 5317 03:19:23,840 --> 03:19:25,440 VARIOUS WAYS THAT POLICIES 5318 03:19:25,440 --> 03:19:26,280 ACCIDENT PARTICULARLY SOCIAL 5319 03:19:26,280 --> 03:19:28,160 POLICIES SHAPE THE HEALTH AND 5320 03:19:28,160 --> 03:19:29,640 WELL BEING OF SGM YOUNG PEOPLE. 5321 03:19:29,640 --> 03:19:31,640 SO JUST BRIEFLY TO START, AND TO 5322 03:19:31,640 --> 03:19:32,840 MAKE SURE WE'RE ALL ON THE SAME 5323 03:19:32,840 --> 03:19:34,960 PAGE, I WANT TO TALK ABOUT WHY 5324 03:19:34,960 --> 03:19:36,800 SOCIAL AND STRUCTURAL FACTORS 5325 03:19:36,800 --> 03:19:37,000 MATTER. 5326 03:19:37,000 --> 03:19:39,760 SO BREFLY AS YOU ALL KNOW THEY 5327 03:19:39,760 --> 03:19:41,200 SHAPE NEARLY EVERY ASPECT OF OUR 5328 03:19:41,200 --> 03:19:43,520 LIVES AND THAT INCLUDES POLICIES 5329 03:19:43,520 --> 03:19:44,480 THAT EXPLICITLY REGULATE HEALTH 5330 03:19:44,480 --> 03:19:46,480 AS WELL AS BROADER SOCIAL 5331 03:19:46,480 --> 03:19:47,760 POLICIES AROUND URBAN PLANNING 5332 03:19:47,760 --> 03:19:50,160 OR HOUSING AND THIS CAN INCLUDE 5333 03:19:50,160 --> 03:19:50,840 UNIVERSAL POLICIES THAT AFFECT 5334 03:19:50,840 --> 03:19:51,920 EVERYBODY AND THEN TARGETED 5335 03:19:51,920 --> 03:19:53,320 POLICIES THAT ARE AIMED DIRECTLY 5336 03:19:53,320 --> 03:19:55,080 AT SEXUAL AND GENDER MINORITY 5337 03:19:55,080 --> 03:19:57,200 INDIVIDUALS SO THINKING ABOUT 5338 03:19:57,200 --> 03:20:01,920 NONDESCRIMINATION POLICIES AND 5339 03:20:01,920 --> 03:20:03,920 EMPLOYMENT FOR EXAMPLE. 5340 03:20:03,920 --> 03:20:04,800 AND POLICIES ARE IMPORTANT 5341 03:20:04,800 --> 03:20:09,640 BECAUSE THEY SIRVE AS SYMBOLIC 5342 03:20:09,640 --> 03:20:10,880 MARKERS OF WHO BELONGS OR 5343 03:20:10,880 --> 03:20:11,920 MEMBERS OF THE SOCIETY. 5344 03:20:11,920 --> 03:20:13,440 SO THINKING ABOUT MARRIAGE 5345 03:20:13,440 --> 03:20:15,440 EQUALITY OR IMMIGRATION POLICIES 5346 03:20:15,440 --> 03:20:16,440 OR STRUCTURAL RACISM MORE 5347 03:20:16,440 --> 03:20:16,680 BROADLY. 5348 03:20:16,680 --> 03:20:17,640 IT'S IMPORTANT TO STUDY THESE 5349 03:20:17,640 --> 03:20:19,480 BECAUSE THEY HAVE DIRECT AND 5350 03:20:19,480 --> 03:20:21,680 LARGE SCALE IMPACTS ON THE 5351 03:20:21,680 --> 03:20:22,160 PUBLIC'S HEALTH. 5352 03:20:22,160 --> 03:20:25,920 MUCH MORE SO THAN CHANGING 5353 03:20:25,920 --> 03:20:28,600 INDIVIDUAL BEHAVIORS AND THEY 5354 03:20:28,600 --> 03:20:31,520 CAN MAKE THE HEALTH PROMOTERS A 5355 03:20:31,520 --> 03:20:31,760 DEFAULT. 5356 03:20:31,760 --> 03:20:33,080 SO IT'S IMPORTANT TO THINK ABOUT 5357 03:20:33,080 --> 03:20:34,600 POLICIES BECAUSE THE PATHS ARE 5358 03:20:34,600 --> 03:20:36,560 CROSSED SO MANY DIFFERENT LEVELS 5359 03:20:36,560 --> 03:20:37,920 BECAUSE THEY'RE CITIES, STATES 5360 03:20:37,920 --> 03:20:40,000 AND FEDERAL POLICIES AND THEN 5361 03:20:40,000 --> 03:20:41,080 ALSO THEIR MULTISECTORRAL O THE 5362 03:20:41,080 --> 03:20:42,920 PATHS OF SCHOOLS HAVE POLICIES, 5363 03:20:42,920 --> 03:20:44,400 CLINICAL GUIDELINES AND THIS IS 5364 03:20:44,400 --> 03:20:46,440 PARTICULARLY IMPORTANT BECAUSE 5365 03:20:46,440 --> 03:20:48,440 ITY MEANS THAT LOCAL POLICIES 5366 03:20:48,440 --> 03:20:49,640 CAN BUFFER THE FEDERAL POLICIES 5367 03:20:49,640 --> 03:20:51,400 SO WHAT WE SAW WITH MARRIAGE, 5368 03:20:51,400 --> 03:20:52,680 QUALITY AND WHAT WE'RE CURRENTLY 5369 03:20:52,680 --> 03:20:54,880 SEEING WITH IMMIGRATION OR THE 5370 03:20:54,880 --> 03:20:59,720 FALL OF ROW V. WADE. 5371 03:20:59,720 --> 03:21:01,320 AND THEN LASTLY AND MOST 5372 03:21:01,320 --> 03:21:02,320 IMPORTANTLY, THIS HIGHLIGHTS THE 5373 03:21:02,320 --> 03:21:04,320 NEED TO CREATE EVIDENCE BASE TO 5374 03:21:04,320 --> 03:21:05,920 SHOW WHICH POLICIES TO TARGET 5375 03:21:05,920 --> 03:21:07,760 AND HOW TO COLLABORATE WITH 5376 03:21:07,760 --> 03:21:08,960 ADVOCATES AND KEY STAKEHOLDERS 5377 03:21:08,960 --> 03:21:10,800 AND POLICY MAKERS TO SUPPORT THE 5378 03:21:10,800 --> 03:21:12,760 ADOPTION OF POLICIES THAT 5379 03:21:12,760 --> 03:21:14,280 IMPROVE DAILY LIFE FROM 5380 03:21:14,280 --> 03:21:14,920 MARGINALIZED INDIVIDUALS AND 5381 03:21:14,920 --> 03:21:15,320 COMMUNITIES. 5382 03:21:15,320 --> 03:21:17,000 SO WHAT I WILL TALK ABOUT TODAY 5383 03:21:17,000 --> 03:21:18,880 ARE THE DIFFERENT PERMIAITATIONS 5384 03:21:18,880 --> 03:21:21,520 THROUGH WHICH STRUCTURAL FACTORS 5385 03:21:21,520 --> 03:21:23,600 WHICH INCLUDE POLICIES CAN 5386 03:21:23,600 --> 03:21:24,000 AFFECT SGM HEALTH. 5387 03:21:24,000 --> 03:21:25,480 SO I WILL LIST THEM BRIEFLY HERE 5388 03:21:25,480 --> 03:21:26,800 AND I WILL TALK THROUGH EXAMPLES 5389 03:21:26,800 --> 03:21:28,680 IN THE REST OF THE TALK, SO THE 5390 03:21:28,680 --> 03:21:29,920 FIRST AND MOST OBVIOUS THAT 5391 03:21:29,920 --> 03:21:32,360 PEOPLE THINK ARE ARE POLICIES 5392 03:21:32,360 --> 03:21:33,640 THAT TARGET SGM HEALTH SO 5393 03:21:33,640 --> 03:21:35,640 THINKING ABOUT HATE CRIMES OR 5394 03:21:35,640 --> 03:21:36,400 SAME SEX ADOPTION. 5395 03:21:36,400 --> 03:21:37,880 THEN THIS WORK HAS BEEN EXTENDED 5396 03:21:37,880 --> 03:21:39,520 TO EXPLORE HOW THE POLICY 5397 03:21:39,520 --> 03:21:41,000 CLIMATE MORE BROADLY AFFECTS SGM 5398 03:21:41,000 --> 03:21:42,080 INDIVIDUALS AND I WILL TALK MORE 5399 03:21:42,080 --> 03:21:43,960 ABOUT WHAT I MEAN BY THE POLICY 5400 03:21:43,960 --> 03:21:44,440 CLIMATE. 5401 03:21:44,440 --> 03:21:45,880 AND THEN LASTLY, I WILL TALK 5402 03:21:45,880 --> 03:21:47,000 ABOUT HOW UNIVERSAL POLICIES 5403 03:21:47,000 --> 03:21:48,400 THAT ARE NOT SPECIFICALLY 5404 03:21:48,400 --> 03:21:50,560 DESIGNED TO TARGET SEXUAL AND 5405 03:21:50,560 --> 03:21:53,240 GENDER MINORITY INDIVIDUALS CAN 5406 03:21:53,240 --> 03:21:58,480 DIFFERENTIA 5407 03:21:58,480 --> 03:21:59,320 DIFFERENTIALLY AND IMPACT THEIR 5408 03:21:59,320 --> 03:21:59,720 HEALTH. 5409 03:21:59,720 --> 03:22:03,680 SO I KNOW HOW OTHER PEOPLE HAVE 5410 03:22:03,680 --> 03:22:04,920 SPOKE ON THESE POINTS BUT 5411 03:22:04,920 --> 03:22:08,600 THERE'S A LARGE BODY OF RESEARCH 5412 03:22:08,600 --> 03:22:11,160 THAT PASS SGM POLICIES AND POOR 5413 03:22:11,160 --> 03:22:13,440 HEALTH OUTCOME AND THIS INCLUDES 5414 03:22:13,440 --> 03:22:16,360 STATES THAT BAN MARRIAGE 5415 03:22:16,360 --> 03:22:17,240 EQUALITY, LGB INDIVIDUALS LIVING 5416 03:22:17,240 --> 03:22:20,080 WITHIN THEM HAD MOOD DISORDERS 5417 03:22:20,080 --> 03:22:21,240 AND ANXIETY DISORDERS, ORGT 5418 03:22:21,240 --> 03:22:23,400 FOUND INCREASE IN ALCOHOL AND 5419 03:22:23,400 --> 03:22:26,040 TOBACCO USE AFTER THE PASSAGE OF 5420 03:22:26,040 --> 03:22:27,320 DISCRIMINATORY POLICIES AND IN 5421 03:22:27,320 --> 03:22:30,240 THOSE POLICIES THEY DID NOT SEE 5422 03:22:30,240 --> 03:22:31,280 SIMILAR CHANGES AMONG 5423 03:22:31,280 --> 03:22:33,920 HETEROSEXUAL OR SIS GENDER 5424 03:22:33,920 --> 03:22:35,400 INDIVIDUAL, SUGGESTING THEY HAVE 5425 03:22:35,400 --> 03:22:37,160 AN TARGETED IMPACT ON SGM 5426 03:22:37,160 --> 03:22:37,880 INDIVIDUALS SPECIFICALLY. 5427 03:22:37,880 --> 03:22:39,440 SO I WILL SPEBD MORE TIME 5428 03:22:39,440 --> 03:22:40,720 TALKING ABOUT POLICY CLIMATES, 5429 03:22:40,720 --> 03:22:42,080 SINCE RESEARCH IS MOVING 5430 03:22:42,080 --> 03:22:43,360 FORWARDS USING MULTIPLE POLICIES 5431 03:22:43,360 --> 03:22:44,680 AS A SINGULAR EXPOSURE AND WE 5432 03:22:44,680 --> 03:22:46,440 REFER TO THIS AS THE POLICY 5433 03:22:46,440 --> 03:22:50,680 CLIMATE AND BY THAT I MEAN, 5434 03:22:50,680 --> 03:22:52,400 USING A COMPOSITE MEASURE OF 5435 03:22:52,400 --> 03:22:54,520 DRIVERS AND FUNDING AND 5436 03:22:54,520 --> 03:22:55,200 POLITICAL DETERMINANTS AMONG 5437 03:22:55,200 --> 03:22:57,160 OTHER THINGS AND USING THAT AS A 5438 03:22:57,160 --> 03:22:58,280 SINGULAR EXPOSURE. 5439 03:22:58,280 --> 03:23:00,640 SO FOR SGM POLICIES THAT COULD 5440 03:23:00,640 --> 03:23:02,240 INCLUDE POLICIES THAT FOR 5441 03:23:02,240 --> 03:23:04,120 EXAMPLE REGULATE HATE CRIME, 5442 03:23:04,120 --> 03:23:06,200 SAME SEX ADOPTION AND MARRIAGE 5443 03:23:06,200 --> 03:23:07,200 AND EQUALITY DISRIM NATION AND 5444 03:23:07,200 --> 03:23:09,040 I'M SHARING THE MAP SO CAN YOU 5445 03:23:09,040 --> 03:23:11,360 SEE THE VARIATION ACROSS THE 5446 03:23:11,360 --> 03:23:12,840 CLIMB CLIMATES AS THEY RELATE TO 5447 03:23:12,840 --> 03:23:14,000 GENDER AND MINORITY INDIVIDUALS, 5448 03:23:14,000 --> 03:23:17,120 AND SIMILAR TO MANY OTHER MAPS 5449 03:23:17,120 --> 03:23:18,840 THEY IT WORSE IN THE SOUTH AND 5450 03:23:18,840 --> 03:23:20,000 MORE SUPPORTIVE IN THE NORTHEAST 5451 03:23:20,000 --> 03:23:20,640 AND WEST. 5452 03:23:20,640 --> 03:23:22,160 AND LOOKING AT POLICY CLIMATE IS 5453 03:23:22,160 --> 03:23:23,120 IMPORTANT BECAUSE IF WE ONLY 5454 03:23:23,120 --> 03:23:26,440 LOOK AT THE IMPACT OF A SINGULAR 5455 03:23:26,440 --> 03:23:28,680 POLICY WE MAY MISS THE FACT INTO 5456 03:23:28,680 --> 03:23:29,760 WHICH THE POLICY IS PASSED 5457 03:23:29,760 --> 03:23:31,600 ACROSS STATES AND MAY BE ALSO 5458 03:23:31,600 --> 03:23:32,520 AFFECTERRING THAT OUTCOME OF 5459 03:23:32,520 --> 03:23:33,760 INTEREST, SO TO SHOW WHAT THIS 5460 03:23:33,760 --> 03:23:35,440 LOOKS LIKE IN A RESEARCH SENSE, 5461 03:23:35,440 --> 03:23:37,240 I WORKED WITH COLLEAGUES AT 5462 03:23:37,240 --> 03:23:38,880 NORTH WEFERN UNIVERSITY 5463 03:23:38,880 --> 03:23:40,640 INCLUDING GREGORY PHILLIPS WHO 5464 03:23:40,640 --> 03:23:41,560 PRESENTED EARLIER TODAY TO 5465 03:23:41,560 --> 03:23:44,000 EXPLORE HOW SCHOOL BASED POLICY 5466 03:23:44,000 --> 03:23:45,520 PRACTICE RESEARCHS AFFECT SEXUAL 5467 03:23:45,520 --> 03:23:46,480 BEHAVIOR, AND WE THOSE THIS 5468 03:23:46,480 --> 03:23:49,280 BASED ON HOW MANY HOURS A DAY 5469 03:23:49,280 --> 03:23:50,480 YOUNG PEOPLE SPEND AT SCHOL AND 5470 03:23:50,480 --> 03:23:58,360 THE POLICIES CAME FROM THE CDC 5471 03:23:58,360 --> 03:24:04,360 COOL HEGHT PROFILES AND HER 5472 03:24:04,360 --> 03:24:05,320 CEIVED SEXUAL ORIENTATION, AND I 5473 03:24:05,320 --> 03:24:09,480 WANT TO AS YOU CAN SEGREEN 5474 03:24:09,480 --> 03:24:10,560 SPECIAL IS MORE INCLUSIVE AND 5475 03:24:10,560 --> 03:24:13,240 THERE IS LESS SO AND THERE IS 5476 03:24:13,240 --> 03:24:14,720 VERYIATION, AND WE LINK THESE TO 5477 03:24:14,720 --> 03:24:16,400 THE SURVEY I WILL DISCUSS IN THE 5478 03:24:16,400 --> 03:24:17,680 NEXT SLIDE, BUT AS YOU WILL SEE 5479 03:24:17,680 --> 03:24:21,120 HERE A LOT OF STATES NEAR GRAY 5480 03:24:21,120 --> 03:24:23,880 BECAUSE THAT'S BECAUSE THE YRBS 5481 03:24:23,880 --> 03:24:28,160 DOES NOT MANDATE THE STATE ASK 5482 03:24:28,160 --> 03:24:29,360 ABOUT SEXUAL IDENTITY OR 5483 03:24:29,360 --> 03:24:29,760 ORIENTATION. 5484 03:24:29,760 --> 03:24:31,560 AND BECAUSE OF THAT WHEN WE THIS 5485 03:24:31,560 --> 03:24:33,800 SOCIAL WORK, WE ARE BEHOLDEN TO 5486 03:24:33,800 --> 03:24:35,440 THE EXPOSURE TO GET THE POLICY 5487 03:24:35,440 --> 03:24:37,000 OUTCOME FOR EVERY STATE BUT ALSO 5488 03:24:37,000 --> 03:24:38,360 INDIVIDUAL OUTCOMES AND IT'S 5489 03:24:38,360 --> 03:24:39,800 HARD TO FIND NATIONAL LEVEL 5490 03:24:39,800 --> 03:24:43,320 STATE WEIGHTED SURVEYS THAT ASK 5491 03:24:43,320 --> 03:24:44,840 ABOUT SEXUAL GENDER IDENTITY AND 5492 03:24:44,840 --> 03:24:46,080 PREVLY WHAT WE FOUND AS I SAID 5493 03:24:46,080 --> 03:24:48,480 WE USE DATA FROM THE YOUTH RISK 5494 03:24:48,480 --> 03:24:49,480 BEHAVIOR SURVEILLANCE SURVEY AND 5495 03:24:49,480 --> 03:24:51,160 THEN OUR OBESE CHILDREN POSURE 5496 03:24:51,160 --> 03:24:52,960 WAS DAT ON THE LGB SCHOOL 5497 03:24:52,960 --> 03:24:56,640 CLIMATE FROM THE PROFILES AND WE 5498 03:24:56,640 --> 03:24:57,760 USE MULTILEVEL, MULTIVALID AND 5499 03:24:57,760 --> 03:24:58,680 RELIABLEIATE REGRESSION TO LOOK 5500 03:24:58,680 --> 03:25:00,560 AT ASSOCIATION BETWEEN LGBT 5501 03:25:00,560 --> 03:25:01,480 SCHOOL CLIMATE AND SOCIAL 5502 03:25:01,480 --> 03:25:03,200 BEHAVIORS AND AS CAN YOU SEE, 5503 03:25:03,200 --> 03:25:04,640 JUST BRIEFLY WE FOUND THERE WAS 5504 03:25:04,640 --> 03:25:06,240 A SIGNIFICANT ASSOCIATION 5505 03:25:06,240 --> 03:25:07,720 BETWEEN THE SCHOOL CLIMATE 5506 03:25:07,720 --> 03:25:11,240 OVERALL AND YOUNGER AGE AT FIRST 5507 03:25:11,240 --> 03:25:13,840 SEX AND LESS CONDOM USE FOR SEX 5508 03:25:13,840 --> 03:25:15,600 AND THAT WAS FOR EVERYBODY, AND 5509 03:25:15,600 --> 03:25:18,200 THEN WE FOUND EFFECT 5510 03:25:18,200 --> 03:25:19,240 MODIFICATION SHOWING THAT THESE 5511 03:25:19,240 --> 03:25:20,440 RELATIONSHIPS WERE STRONGER FOR 5512 03:25:20,440 --> 03:25:21,840 PEOPLE FOR SEX FOR EXAMPLE THAT 5513 03:25:21,840 --> 03:25:24,360 WERE NOT SURE OF SEXUAL IDENTITY 5514 03:25:24,360 --> 03:25:26,920 AND CONDOM USE AT LEFT SEX WAS 5515 03:25:26,920 --> 03:25:27,880 LOWER AMONG PEOPLE WHO WERE 5516 03:25:27,880 --> 03:25:30,760 LOWER AND GAY BISEXUAL AHEAD OF 5517 03:25:30,760 --> 03:25:31,720 THEIR SECURITIZATION.UAL PEERS 5518 03:25:31,720 --> 03:25:33,560 EMPLOY SO I WANT TO SHIFT NOW TO 5519 03:25:33,560 --> 03:25:42,880 THINK BEING SOCIAL POLICIES MORE 5520 03:25:42,880 --> 03:25:45,000 BROADLY, IN THIS MAP SHOWS 5521 03:25:45,000 --> 03:25:46,840 STATES CANNABIS POLICIES AND 5522 03:25:46,840 --> 03:25:49,480 INITIAL RESEARCH LOOKS AT 5523 03:25:49,480 --> 03:25:51,200 SOAKERS BETWEEN CANNABIS AND 5524 03:25:51,200 --> 03:25:53,280 POLICY OVERALL BUT MORE RECENT 5525 03:25:53,280 --> 03:25:55,360 RESEARCH HAS LOOKEDDA IMPACTS 5526 03:25:55,360 --> 03:25:56,800 LIKE RACE, SEXUAL IDENTITY AND 5527 03:25:56,800 --> 03:25:58,920 GENDER SO IN WORKING WITH 5528 03:25:58,920 --> 03:25:59,720 COLLEAGUESA THE COLUMBIA, WE 5529 03:25:59,720 --> 03:26:01,920 FOUND THEY HAD A DIFFERENTIAL 5530 03:26:01,920 --> 03:26:03,840 IMPACT ON CANNABIS USE PATTERNS 5531 03:26:03,840 --> 03:26:05,680 BY GENDER, PARTICULARLY AMONG 5532 03:26:05,680 --> 03:26:07,880 BISEXUAL WOMEN AND WE 5533 03:26:07,880 --> 03:26:09,960 HYPOTHESIZE THIS WAS DUE TO 5534 03:26:09,960 --> 03:26:11,720 ELEVATED RATES OF CANNABIS USE 5535 03:26:11,720 --> 03:26:14,040 AHEAD OF SEXUAL WOMEN PRIOR TO 5536 03:26:14,040 --> 03:26:15,920 CANNABIS LAW THIS IS LIKELY TO 5537 03:26:15,920 --> 03:26:18,160 SELF-MEDICATION AS A RESULT OF 5538 03:26:18,160 --> 03:26:25,440 LIVING IN STIGMATIZING 5539 03:26:25,440 --> 03:26:25,760 ENVIRONMENTS. 5540 03:26:25,760 --> 03:26:28,120 AND LOOKEDDA HOW THEY SPILL OVER 5541 03:26:28,120 --> 03:26:29,520 AND AFFECT GENDER MINORITY YOUTH 5542 03:26:29,520 --> 03:26:34,840 AROUND FEARS OF REST AND JAIL 5543 03:26:34,840 --> 03:26:35,960 FOR CANNABIS USE. 5544 03:26:35,960 --> 03:26:37,520 SO KEEPING WITH THE CLED OF 5545 03:26:37,520 --> 03:26:38,440 UNIVERSAL POLICIES I WANT TO 5546 03:26:38,440 --> 03:26:39,880 THINK ABOUT HOW THESE ORPHLAP IN 5547 03:26:39,880 --> 03:26:41,880 WAYS THAT CAN DIRECTLY CARINGET 5548 03:26:41,880 --> 03:26:43,480 SEXUAL AND GENDER MINORITIES SO 5549 03:26:43,480 --> 03:26:45,880 WE DEVELOP THIS FIGURE BASED ON 5550 03:26:45,880 --> 03:26:48,080 INTERVIEWS WITH 30 SEXUAL GENDER 5551 03:26:48,080 --> 03:26:49,920 AND MINORITY AND YOUTH IN 5552 03:26:49,920 --> 03:26:52,600 NEW YORK AND OTHERS ACROSS THE 5553 03:26:52,600 --> 03:26:54,600 U.S. TO FIND OUT HOW POLICIES 5554 03:26:54,600 --> 03:26:57,360 AFFECT THE HEALTH AND WELL BEING 5555 03:26:57,360 --> 03:26:58,600 OF SGM, AND YOU CAN SEE THE WELL 5556 03:26:58,600 --> 03:27:00,640 BEING IN THE MISDZ AND HOW 5557 03:27:00,640 --> 03:27:01,840 THEY'RE IMPACTED BY BROADER 5558 03:27:01,840 --> 03:27:03,280 SOCIAL POLICIES SO THINKING 5559 03:27:03,280 --> 03:27:13,720 ABOUT ECONOMIC POLICIES OR FAITH 5560 03:27:13,720 --> 03:27:14,560 BASED INITIATIVE SO THINKING 5561 03:27:14,560 --> 03:27:16,880 ABOUT THE WAYS THAT POLICY SHAPE 5562 03:27:16,880 --> 03:27:18,080 THE LIVES OF THESE YOUNG PEOPLE. 5563 03:27:18,080 --> 03:27:19,520 SO NOW I WILL SHOW YOU A MODEL 5564 03:27:19,520 --> 03:27:21,280 WE DEVELOPED TO THINK ABOUT THE 5565 03:27:21,280 --> 03:27:22,880 PATHWAYS THROUGH WHICH THIS 5566 03:27:22,880 --> 03:27:23,840 POLICY CLIMATE AFFECTS THESE 5567 03:27:23,840 --> 03:27:28,680 OUTCOMES SO KEEP THIS FIGURE IN 5568 03:27:28,680 --> 03:27:32,520 MIND AND NOW IMAGINE IT'S 5569 03:27:32,520 --> 03:27:35,280 LOCATED AT THE TOP WHERE IT SAYS 5570 03:27:35,280 --> 03:27:37,080 TARGETED AND UNIVERSAL POLICIES 5571 03:27:37,080 --> 03:27:37,720 THAT AFFECT SGMY. 5572 03:27:37,720 --> 03:27:42,360 AND WE FOUND THERE WERE DIRECT 5573 03:27:42,360 --> 03:27:43,960 PATHWAYS THROUGH SGM RELATED 5574 03:27:43,960 --> 03:27:48,280 AFFECTED STRESS AND STIGMA WHIH 5575 03:27:48,280 --> 03:27:50,960 WE KNEW, BUT THEY WERE ALSO 5576 03:27:50,960 --> 03:27:53,600 SHAPED THROUGH INSTITUTIONAL 5577 03:27:53,600 --> 03:27:54,840 SUPPORT AND INCLUSION. 5578 03:27:54,840 --> 03:27:56,760 AND THOSE PATHWAYS APPEAR INDEED 5579 03:27:56,760 --> 03:27:58,000 THE HOUSING, EDUCATION AND 5580 03:27:58,000 --> 03:27:59,320 EMPLOYMENT AND I'M SHOWING THE 5581 03:27:59,320 --> 03:28:00,440 MODTOLL HELP DEMONSTRATE THE 5582 03:28:00,440 --> 03:28:01,760 NEED TO THINK BEYOND 5583 03:28:01,760 --> 03:28:02,680 ASSOCIATIONS BETWEEN POLICIES 5584 03:28:02,680 --> 03:28:04,440 AND OUTCOMES TO CAPTURE HOW, TO 5585 03:28:04,440 --> 03:28:05,880 REALLY GET AT THOSE PATHWAYS AS 5586 03:28:05,880 --> 03:28:07,280 TO HOW WE GET FROM THE STRUCTURE 5587 03:28:07,280 --> 03:28:08,600 AND OFTEN TIMES STATE POLICY 5588 03:28:08,600 --> 03:28:09,880 CLIMATE TO THE DIRECT OUTCOMES 5589 03:28:09,880 --> 03:28:13,920 THAT AFFECT THE LIVES OF YOUNG 5590 03:28:13,920 --> 03:28:17,440 PEOPLE, PARTICULARLY THEIR LIFE 5591 03:28:17,440 --> 03:28:17,680 COURSE. 5592 03:28:17,680 --> 03:28:18,680 SO 1 OF THE POLICIES THAT CAME 5593 03:28:18,680 --> 03:28:20,640 UP A LOT WAS HOUSING SO I WANT 5594 03:28:20,640 --> 03:28:22,240 TO SHARE AN EXAMPLE QUOTE 5595 03:28:22,240 --> 03:28:24,360 BECAUSE THESE HOUSING AND 5596 03:28:24,360 --> 03:28:25,600 SHELTER POLICYINGS PERPETUATE 5597 03:28:25,600 --> 03:28:27,760 STRESS AND INEQUALITY FOR SEXUAL 5598 03:28:27,760 --> 03:28:29,240 AND GENDER MINORITY YOUTH AS 5599 03:28:29,240 --> 03:28:31,400 THEY RESULT IN HOMELESSNESS, SO 5600 03:28:31,400 --> 03:28:32,840 AS 120 YEAR-OLD THAT WE SPRUED 5601 03:28:32,840 --> 03:28:34,840 NOTED, LOOK WHEN I SAW THE 5602 03:28:34,840 --> 03:28:36,040 SHELTER POLICIES, THEY'RE NOT 5603 03:28:36,040 --> 03:28:36,760 GOOD TOWARDS YOUTH. 5604 03:28:36,760 --> 03:28:38,960 THEY SHOULDN'T STOP AT 21, THEY 5605 03:28:38,960 --> 03:28:40,360 SHOULD STOP AT 25 BECAUSE IF 5606 03:28:40,360 --> 03:28:42,000 WE'RE STILL WALLIFIED ON YOUTH 5607 03:28:42,000 --> 03:28:43,400 FOR FINANCIAL AID UNTIL THEN WE 5608 03:28:43,400 --> 03:28:44,480 SHOULD HAVE HOUSING, TOO. 5609 03:28:44,480 --> 03:28:46,200 I FEEL LIKE NEW YORK IS SO FULL 5610 03:28:46,200 --> 03:28:47,400 OF ITSELF IT DOESN'T KNOW HOW TO 5611 03:28:47,400 --> 03:28:48,480 HELP OTHER PEOPLE AND THE OTHER 5612 03:28:48,480 --> 03:28:51,720 ISSUE THAT CAME UP WITH WAS 5613 03:28:51,720 --> 03:28:53,360 FAITH BASED ORGANIZATIONS NEAR 5614 03:28:53,360 --> 03:28:54,600 EMERGENCY SHELTERS NATIONALLY 5615 03:28:54,600 --> 03:28:56,400 BUT THEY'RE EXEMPT FROM HOUSING 5616 03:28:56,400 --> 03:28:59,440 LAWS AND OFFER A GENDER TO 5617 03:28:59,440 --> 03:29:01,000 SEXUAL AND MINORITY YOUTH. 5618 03:29:01,000 --> 03:29:02,240 SO BRINGING THIS ALTOGETHER, I 5619 03:29:02,240 --> 03:29:03,920 WANT TO SHARE A LOST FEW 5620 03:29:03,920 --> 03:29:05,320 EXAMPLES OF HOW THE POLICY 5621 03:29:05,320 --> 03:29:06,640 CLIMATE CAN GET MEASURED SO WHAT 5622 03:29:06,640 --> 03:29:08,640 I MENTIONED BEFORE WAS SGM 5623 03:29:08,640 --> 03:29:10,480 POLICIES, SPECIFICALLY SOME OF 5624 03:29:10,480 --> 03:29:12,240 THE BROADER UNIVERSAL POLICIES 5625 03:29:12,240 --> 03:29:13,680 BUT THEN THINKING QUANTITATIVELY 5626 03:29:13,680 --> 03:29:15,080 HOW DO WE LOOK AT THESE TOGETHER 5627 03:29:15,080 --> 03:29:17,760 TO BETTER CAPTURE THE POLICY 5628 03:29:17,760 --> 03:29:19,520 CLIMATE AS A WHOLE SO FOR 5629 03:29:19,520 --> 03:29:30,000 EXAMPLE, AROUND SEXISM OR RACISM 5630 03:29:30,000 --> 03:29:32,400 OR CLASS EMPLOY CAN THERE'S A 5631 03:29:32,400 --> 03:29:34,560 FIELD HERE, IF THAT WORK IS MADE 5632 03:29:34,560 --> 03:29:37,400 MAJOR KRIEWKS OF KNOWLEDGE AND 5633 03:29:37,400 --> 03:29:39,360 HEALTH INIQUITIES BY THESE 5634 03:29:39,360 --> 03:29:40,520 INTERLOCKING SYSTEMS OF 5635 03:29:40,520 --> 03:29:42,720 STRATIFICATION, SUCH AS GENDER, 5636 03:29:42,720 --> 03:29:43,800 RACE, CLASS AND SEXUAL 5637 03:29:43,800 --> 03:29:44,720 IDIDN'TITY AND THERE ARE A 5638 03:29:44,720 --> 03:29:45,840 NUMBER OF CHAL ERVELGS TO THIS 5639 03:29:45,840 --> 03:29:47,920 WORK AS WE'VE BEEN ABLE DO IT SO 5640 03:29:47,920 --> 03:29:50,120 FAR, LIKE I MENTIONED, CLIMATE 5641 03:29:50,120 --> 03:29:52,120 RESEARCH FOCUSED ON A SPECIFIC 5642 03:29:52,120 --> 03:29:54,320 CATEGORIES OF POLICY CLIMATE, SO 5643 03:29:54,320 --> 03:29:56,840 THINKING ABOUT SGP STIGMA, 5644 03:29:56,840 --> 03:30:02,960 STRUCTURAL XENOPHOBIA OR 5645 03:30:02,960 --> 03:30:04,000 STRUCTURAL RACISM OVER TIME. 5646 03:30:04,000 --> 03:30:06,680 AND WE LOOK AT IT AT 1 AT A 5647 03:30:06,680 --> 03:30:06,920 TIME. 5648 03:30:06,920 --> 03:30:12,240 SO THINKING ABOUT RACE, GENDER 5649 03:30:12,240 --> 03:30:15,240 SEXUAL IAT IDENTITY, AND SEXUAL 5650 03:30:15,240 --> 03:30:16,880 GENDER MINORITY STIGMA AND SO 5651 03:30:16,880 --> 03:30:19,400 ON, AND SO THIS MEANS WE'VE ONLY 5652 03:30:19,400 --> 03:30:21,600 BEEN ABLE TO MEASURE HEALTH 5653 03:30:21,600 --> 03:30:22,480 DISPARITIES THROUGH INDIRECT 5654 03:30:22,480 --> 03:30:23,280 APPROACHES SO 1 OF THE THINGS 5655 03:30:23,280 --> 03:30:25,040 THAT A LOST US HAVE BEEN WORKING 5656 03:30:25,040 --> 03:30:26,480 ON AND LUCKILY SRO BEEN 5657 03:30:26,480 --> 03:30:27,880 INCREASING CALLS FROM THE NIH TO 5658 03:30:27,880 --> 03:30:29,520 DO THIS IS THINK THROUGH HOW WE 5659 03:30:29,520 --> 03:30:31,720 CAN MEASURE THIS AT A STRUCTURAL 5660 03:30:31,720 --> 03:30:31,920 LEVEL. 5661 03:30:31,920 --> 03:30:33,040 THERE'S A LOT OF CHALLENGES WITH 5662 03:30:33,040 --> 03:30:34,240 THIS BUT THE WORK I WANT TO 5663 03:30:34,240 --> 03:30:35,760 HIGHLIGHT IS THAT WE ARE MOVING 5664 03:30:35,760 --> 03:30:37,480 FORWARD, SO THERE'S A PAPER, 5665 03:30:37,480 --> 03:30:39,800 THAT WAS LED BY DR. BETHANY 5666 03:30:39,800 --> 03:30:40,920 EVERETT WHO IS PRESENTING LATER 5667 03:30:40,920 --> 03:30:42,520 AND I HAD THE PLEASURE OF 5668 03:30:42,520 --> 03:30:44,200 WORKING WITH HER ON NAIRP AND WE 5669 03:30:44,200 --> 03:30:45,240 REALLY WORKED TO CAPTURE 5670 03:30:45,240 --> 03:30:46,560 VARIATIONS AND STATE LEVEL 5671 03:30:46,560 --> 03:30:49,040 SYSTEMS OF OPPRESSION, BY 5672 03:30:49,040 --> 03:30:49,880 FOCUSING ON STRUCTURAL 5673 03:30:49,880 --> 03:30:51,160 DISCRIMINATION THAT TARGETS 5674 03:30:51,160 --> 03:30:52,360 WOMEN AND SEXUAL MINORITY 5675 03:30:52,360 --> 03:30:52,920 INDIVIDUALS. 5676 03:30:52,920 --> 03:30:55,280 SO WE CREATED A POLICY CLIMATE 5677 03:30:55,280 --> 03:30:57,480 MEASURE THAT INCLUDED LGB 5678 03:30:57,480 --> 03:30:58,760 COLPEES, STRUCTURAL SEXISM AND 5679 03:30:58,760 --> 03:31:00,120 FAMILY PLANNING POLICIES AND WE 5680 03:31:00,120 --> 03:31:02,640 REFERRED TO THIS OVERARCHING 5681 03:31:02,640 --> 03:31:03,480 MEASURES AS HETEROPATRIARCHY AND 5682 03:31:03,480 --> 03:31:05,200 A LOT OF OTHER KEYINGS OF OURS 5683 03:31:05,200 --> 03:31:06,600 HAVE BEEN, WOOING IN THIS SPACE 5684 03:31:06,600 --> 03:31:08,720 AND LOOKINGA THE IRPT SECTIONS 5685 03:31:08,720 --> 03:31:11,360 AROUND SAY FOR EXAMPLE, LGB 5686 03:31:11,360 --> 03:31:13,560 STIGMA AND STRUCTURAL RACISM AND 5687 03:31:13,560 --> 03:31:14,520 STRUCTURE AT RACISM, SO IT'S 5688 03:31:14,520 --> 03:31:15,440 IMPORTANT TO TRY TO THINK ABOUT 5689 03:31:15,440 --> 03:31:18,200 HOW TO DO THIS AND TO PAIR IT 5690 03:31:18,200 --> 03:31:18,880 WITH QUALITATIVE RESEARCH IN 5691 03:31:18,880 --> 03:31:20,440 TOARD TORE THINK ABOUT THOSE 5692 03:31:20,440 --> 03:31:22,000 PATHWAYS BECAUSE AS MANY OTHER 5693 03:31:22,000 --> 03:31:23,160 PRESENTER VS TALKED ABOUT TODAY, 5694 03:31:23,160 --> 03:31:25,280 IT IS HARD TO ACTUALLY GET AT 5695 03:31:25,280 --> 03:31:29,560 EXACTLY WHAT IS GOING ON WOREEE 5696 03:31:29,560 --> 03:31:31,880 SAY IN ANOTHER PANEL, A FIFTH 5697 03:31:31,880 --> 03:31:34,000 GRADE CLASS IS 1 CITY IS NOT THE 5698 03:31:34,000 --> 03:31:34,800 SAME AS ANOTHER. 5699 03:31:34,800 --> 03:31:36,000 SO REALLY TRY FOCUSED ON FIGURE 5700 03:31:36,000 --> 03:31:37,080 OUT WHAT HAPPENING ON THE 5701 03:31:37,080 --> 03:31:37,400 GROUND. 5702 03:31:37,400 --> 03:31:42,120 I WANT TO WRAP UP BY 5703 03:31:42,120 --> 03:31:46,480 HIGHLIGHTING CHALLENGES IN 5704 03:31:46,480 --> 03:31:47,360 STRUCTURE AT SGN. 5705 03:31:47,360 --> 03:31:52,000 SO FIRST IT IT'S WHAT CONITUTES 5706 03:31:52,000 --> 03:31:54,240 FACTOR OR POLICY. AND SO MUCH 5707 03:31:54,240 --> 03:31:56,240 OF THAT TAKES THE CANNABIS 5708 03:31:56,240 --> 03:31:59,640 OUTCOMES BUT THIS FAILURES TO 5709 03:31:59,640 --> 03:32:01,920 CAPTURE HOW THEY HAD UNINTENDED 5710 03:32:01,920 --> 03:32:03,680 OR SPILL OVER CONSEQUENCES THAT 5711 03:32:03,680 --> 03:32:05,280 MIGHT HARM SEXUAL GENDER 5712 03:32:05,280 --> 03:32:05,920 DIFFERENCESSER ANDINORRITY 5713 03:32:05,920 --> 03:32:09,080 HEALTH AND IT ALSO HELPS FAIL TO 5714 03:32:09,080 --> 03:32:11,880 CAPTURE THAT THE CLIMATE WHICH 5715 03:32:11,880 --> 03:32:12,920 WHICH IT'S PATIONZED CAN CAPTURE 5716 03:32:12,920 --> 03:32:14,160 FROM STATE TO STATE AND OTHER 5717 03:32:14,160 --> 03:32:15,360 POLICIES MAY BE AFFECTING THE 5718 03:32:15,360 --> 03:32:16,280 OUTCOME AND IT'S IMPORTANT WHEN 5719 03:32:16,280 --> 03:32:18,600 WE THINK ABOUT POLICIES WE TEND 5720 03:32:18,600 --> 03:32:22,360 TO USE THAT TERM INTERCHANGEABLY 5721 03:32:22,360 --> 03:32:23,160 WITH SGM, BUT IT'S IMPORTANT TO 5722 03:32:23,160 --> 03:32:24,880 THINK ABOUT WHAT ELSE CAN DRIVE 5723 03:32:24,880 --> 03:32:27,960 THESE SO IT CAN BE ATTITUDES, 5724 03:32:27,960 --> 03:32:30,440 CLINICAL GUIDE LINES AND FUNDING 5725 03:32:30,440 --> 03:32:31,960 STREEMENTS FOR EXAMPLE, AND IT'S 5726 03:32:31,960 --> 03:32:33,600 ALL INTO MEASURES MORE BROADLY. 5727 03:32:33,600 --> 03:32:35,040 AND THEN ANOTHER ISSUE IS THAT 5728 03:32:35,040 --> 03:32:36,560 WORK ON STATE POLICIES USES DATA 5729 03:32:36,560 --> 03:32:38,160 SETS THAT ARE STATE WEIGHTED AND 5730 03:32:38,160 --> 03:32:39,280 INCLUDE ALL 50 STATES. 5731 03:32:39,280 --> 03:32:42,040 HOWEVER, MANY EVER THESE DATA 5732 03:32:42,040 --> 03:32:43,480 SETS COME AT THE FEDERAL LEVEL 5733 03:32:43,480 --> 03:32:45,240 AND THEY LACK THE VARIABLES WE 5734 03:32:45,240 --> 03:32:47,480 NEED FOR STUDYING SEXUAL AND 5735 03:32:47,480 --> 03:32:48,200 GENDER MINORITY HEALTH. 5736 03:32:48,200 --> 03:32:50,160 SO FOR EXAMPLE, THE NATIONAL 5737 03:32:50,160 --> 03:32:53,040 DRUG USE ON ADDED IDENTITY IN 5738 03:32:53,040 --> 03:32:54,800 15, AND VERY FEW NATIONAL LEVEL 5739 03:32:54,800 --> 03:32:57,320 DATA SETS EACH ASK ABOUT GENDER 5740 03:32:57,320 --> 03:32:58,800 IIT OR IF THEY DO IT'S NOT 5741 03:32:58,800 --> 03:33:01,040 ASKING THE PERSON BUT SAYING OH 5742 03:33:01,040 --> 03:33:02,400 IDENTIFY THEM BASED ON THEIR 5743 03:33:02,400 --> 03:33:04,360 VOICE OR WHAT THEY LOOK LOOK OR 5744 03:33:04,360 --> 03:33:05,920 THINGS LIKE THAT AND THESE DATA 5745 03:33:05,920 --> 03:33:07,880 SETS ARE ALSO HARD TO ACCESS SO 5746 03:33:07,880 --> 03:33:09,720 FOR EXAMPLE, THE NATIONAL USE 5747 03:33:09,720 --> 03:33:12,080 WITH HEALTH REQUIRES MULTIPLE 5748 03:33:12,080 --> 03:33:13,680 LAYERS CLIEWRANCE, EVEN THOUGH 5749 03:33:13,680 --> 03:33:16,120 I'M LOOKINGA AT STATE WEIGHTED 5750 03:33:16,120 --> 03:33:16,840 DATA, IT'S EXPENSIVE AND YOU 5751 03:33:16,840 --> 03:33:19,360 HAVE TO GO TO REMOTE RESEARCH 5752 03:33:19,360 --> 03:33:21,880 DATA CENTERS THAT ARE HOURS AWAY 5753 03:33:21,880 --> 03:33:23,360 SO IT LIMITS ACCESS. 5754 03:33:23,360 --> 03:33:24,600 AND LASTLY OUR STATISTICAL 5755 03:33:24,600 --> 03:33:26,480 MODELS AND POLICIES HAVE TO MAKE 5756 03:33:26,480 --> 03:33:27,840 ASSUMPTIONS THAT THE POLICIES 5757 03:33:27,840 --> 03:33:30,800 ARE IMP LEMED AND ENFORCED AND 5758 03:33:30,800 --> 03:33:32,040 THAT IMPLEMENTATION IS THE STAIM 5759 03:33:32,040 --> 03:33:33,480 ACROSS STATES SO IT'S IMPORTANT 5760 03:33:33,480 --> 03:33:34,520 TO CONDUCT MIXED METHODS 5761 03:33:34,520 --> 03:33:36,640 RESEARCH TO SHOW HOW THESE 5762 03:33:36,640 --> 03:33:42,960 VARIATIONS IN POLICY IMPLEMENT 5763 03:33:42,960 --> 03:33:44,520 FINDINGS. 5764 03:33:44,520 --> 03:33:46,520 AND THEN LASTLY, MIXED METHODS 5765 03:33:46,520 --> 03:33:48,560 WORK SO WE CAN SHARE PEOPLE'S 5766 03:33:48,560 --> 03:33:49,320 LIVED EXPERIENCE AND EFFECT 5767 03:33:49,320 --> 03:33:50,720 CHANGE AND PUSH PER POLICIES TO 5768 03:33:50,720 --> 03:33:51,720 SUPPORT THE HEALTH AND WELL 5769 03:33:51,720 --> 03:33:52,880 BEING OF INDIVIDUALS WE WORK 5770 03:33:52,880 --> 03:33:55,640 WITH SO WE NEED TO CONTINUE TO 5771 03:33:55,640 --> 03:33:57,680 ADVIDEOICATE FOR FUNDING FOCUSED 5772 03:33:57,680 --> 03:34:00,320 ON SGP POPULATIONS, INCLUDING 5773 03:34:00,320 --> 03:34:02,160 YOUNG ACROSS THE LIFE CORS AND 5774 03:34:02,160 --> 03:34:04,280 IT WAS JUST LAST YEAR THAT I 5775 03:34:04,280 --> 03:34:05,480 NOSI WAS ISSUED LAST YEAR ON 5776 03:34:05,480 --> 03:34:07,000 WOMEN AND WE NEED TO KEEP MOVE 5777 03:34:07,000 --> 03:34:07,920 FIGURE FORWARD NOT JUST FOCUSED 5778 03:34:07,920 --> 03:34:09,000 ON FIGHT FOR POLICIES THAT 5779 03:34:09,000 --> 03:34:10,040 SUPPORT HEALTH BUT ALSO TO MAKE 5780 03:34:10,040 --> 03:34:11,840 SURE WE HAVE FUNDING AND DATA 5781 03:34:11,840 --> 03:34:16,080 ACCESS TO CONTINUE THIS 5782 03:34:16,080 --> 03:34:16,360 RESEARCH. 5783 03:34:16,360 --> 03:34:17,280 SO THANK YOU AGAIN FOR LISTENING 5784 03:34:17,280 --> 03:34:18,360 AND I LOOK FORWARD TO THE REST 5785 03:34:18,360 --> 03:34:28,760 OF THE PANEL AND SHARING 5786 03:34:33,000 --> 03:34:34,080 DISCUSSIONS LATER. 5787 03:34:34,080 --> 03:34:38,560 THANK YOU DR. PH ILBIN FOR THE 5788 03:34:38,560 --> 03:34:40,040 LECTURE, VERY THOUGHT PROVOKING. 5789 03:34:40,040 --> 03:34:45,840 NOW I WOULD LIKE TO WELCOME 5790 03:34:45,840 --> 03:34:48,680 DR. DAPH NA SIT, ROUMSA, WHO 5791 03:34:48,680 --> 03:34:50,760 WILL TALK ON IMPROVING ACCESS TO 5792 03:34:50,760 --> 03:34:54,120 GENDER ARK FIRMING CARE: 5793 03:34:54,120 --> 03:34:55,360 THREATS AND OPPORTUNITIES. 5794 03:34:55,360 --> 03:34:55,920 NTHANK YOU VERY MUCH. 5795 03:34:55,920 --> 03:35:06,360 LET ME SHARE MY SLIDES. 5796 03:35:28,200 --> 03:35:38,440 SORRY ABOUT THAT. 5797 03:35:41,800 --> 03:35:45,200 >> SO I WANT TO ADD A FEW 5798 03:35:45,200 --> 03:35:47,160 STRUCTURAL ISSUES TO ACCESSING 5799 03:35:47,160 --> 03:35:48,640 CARE THAT SPECIFICALLY GENDER 5800 03:35:48,640 --> 03:35:50,360 AFFIRMING CARE FOR TRANSAND 5801 03:35:50,360 --> 03:35:51,240 NONBINARY PEOPLE. 5802 03:35:51,240 --> 03:35:54,120 I WILL USE THE TERM TRANSOR 5803 03:35:54,120 --> 03:35:55,520 TRANSGENDER AS AN UMBRELLA TERM 5804 03:35:55,520 --> 03:36:00,240 TO INCLUDE ALL PEOPLE WHO'S 5805 03:36:00,240 --> 03:36:01,440 GENDER IDENTITY DIFFERS FROM 5806 03:36:01,440 --> 03:36:11,920 THEIR SEX ASSIGNED AT BIRTH. 5807 03:36:16,040 --> 03:36:23,280 AND JUST--I HAVE NO FINANCIAL 5808 03:36:23,280 --> 03:36:23,640 DISCLOSURES. 5809 03:36:23,640 --> 03:36:25,400 SO I WILL DIVIDE THIS TALK INTO 5810 03:36:25,400 --> 03:36:26,520 3 PARTS, FIRST I WILL TALK ABOUT 5811 03:36:26,520 --> 03:36:29,720 THE FRAMEWORK AND SOME OF THIS 5812 03:36:29,720 --> 03:36:30,560 WILL OVERLAP WITH OTHER TOWKS 5813 03:36:30,560 --> 03:36:33,080 WITH HOW WE THINK ABOUT THIS AND 5814 03:36:33,080 --> 03:36:34,520 THEN SOME THREATS AND TIEWPTS. 5815 03:36:34,520 --> 03:36:38,920 SO TO START OFF WITH THE 5816 03:36:38,920 --> 03:36:42,440 FRAMEWORK, I THINK AN IMPORTANT, 5817 03:36:42,440 --> 03:36:43,600 REALLY IMPORTANT PAPER THAT HAS 5818 03:36:43,600 --> 03:36:46,040 SHAPED THE WAY MANY OF US THINK 5819 03:36:46,040 --> 03:36:49,000 ABOUT TRANSHEALTH AND THE WAY 5820 03:36:49,000 --> 03:36:52,680 TRANSHEALTH IS EFFECTED BY 5821 03:36:52,680 --> 03:36:55,880 STIGMA, IS THAT DR. WHITE HUGHTO 5822 03:36:55,880 --> 03:36:59,040 FROM 2019 AND IN THAT PAPER THEY 5823 03:36:59,040 --> 03:37:01,800 DIVIDED THE WAY STIGMA AND 5824 03:37:01,800 --> 03:37:03,360 TRANSPEOPLE EFFECT HEALTHOT 5825 03:37:03,360 --> 03:37:04,880 INDIVIDUAL AND INTERPERSONAL AND 5826 03:37:04,880 --> 03:37:06,960 STRUCTURAL LEVELS AND AS WE'LL 5827 03:37:06,960 --> 03:37:10,160 SEE TODAY, THE STRUCTURAL LEVEL 5828 03:37:10,160 --> 03:37:11,320 REALLY PERMEATES BOTH THE 5829 03:37:11,320 --> 03:37:12,720 INTERPERSONAL AND THE INDIVIDUAL 5830 03:37:12,720 --> 03:37:14,040 LEVELS AND IT'S BACK TO THAT 5831 03:37:14,040 --> 03:37:15,440 STRUCTURAL LEVEL THAT WE NEED TO 5832 03:37:15,440 --> 03:37:17,960 TURN IN ORDER TO IMPROVE CARE 5833 03:37:17,960 --> 03:37:21,040 AND ACCESS TO CARE. 5834 03:37:21,040 --> 03:37:22,560 SO SPECIFICALLY WHEN YOU'RE 5835 03:37:22,560 --> 03:37:26,400 THINKING ABOUT PEOPLE ACCESSING 5836 03:37:26,400 --> 03:37:27,560 HEALTHCARE, YOU ARE THINKING 5837 03:37:27,560 --> 03:37:29,160 ABOUT THE HEALTHCARE SYSTEM SO 5838 03:37:29,160 --> 03:37:31,920 NOT JUST KIND OF THE SPECIFICS 5839 03:37:31,920 --> 03:37:33,120 OF ACCESSING GENDER AFFIRMING 5840 03:37:33,120 --> 03:37:34,280 CARE COME DOWN TO THE INDIVIDUAL 5841 03:37:34,280 --> 03:37:36,120 OF LEVEL OF COURSE. 5842 03:37:36,120 --> 03:37:38,280 THE PROVIDERS, THE HELT SYSTEM 5843 03:37:38,280 --> 03:37:39,840 WITH WHICH THEY WORK AND OF 5844 03:37:39,840 --> 03:37:41,800 COURSE THE STRUCTURAL KIND OF 5845 03:37:41,800 --> 03:37:44,480 BIGGER STRUCTURES AFFECTED BY 5846 03:37:44,480 --> 03:37:45,440 SOCIETAL TRANSPHOBIA. 5847 03:37:45,440 --> 03:37:48,640 ON THE INDIVIDUAL LEVEL, A 5848 03:37:48,640 --> 03:37:51,240 COUPLE OF EXAMPLES WHERE 5849 03:37:51,240 --> 03:37:55,080 TRANSPEOPLE ARE AFFECTED BY 5850 03:37:55,080 --> 03:37:57,080 STIGMA, AND THAT AFFECTS THEIR 5851 03:37:57,080 --> 03:38:00,200 AIBLGHT TO ACCESS CARE IS THIS 5852 03:38:00,200 --> 03:38:01,440 DIRECT DISCRIMINATION, WHICH IS 5853 03:38:01,440 --> 03:38:02,640 OF COURSE IS INTERSECTIONAL, SO 5854 03:38:02,640 --> 03:38:04,040 OF COURSE, YOU HAVE TO THINK 5855 03:38:04,040 --> 03:38:04,840 ABOUT THEIR DISCROSS EXAMINE 5856 03:38:04,840 --> 03:38:08,280 NATION NOT JUST BECAUSE THEY'RE 5857 03:38:08,280 --> 03:38:09,840 TRANS, BUT OTHER IDENTITIES AND 5858 03:38:09,840 --> 03:38:12,920 LIFE EXPERIENCES AND THINGS THEY 5859 03:38:12,920 --> 03:38:13,880 BRING TO CARE. 5860 03:38:13,880 --> 03:38:15,920 AND THAT OFTEN LEADS DIRECTLY TO 5861 03:38:15,920 --> 03:38:16,320 CARE AVOIDANCE. 5862 03:38:16,320 --> 03:38:17,720 SO WHETHER OR NOT YOU'RE 5863 03:38:17,720 --> 03:38:23,240 AVOIDING CARE, YOU MAY WELL 5864 03:38:23,240 --> 03:38:24,760 RECEIVE SUBPARCARE AND THAT'S 5865 03:38:24,760 --> 03:38:26,880 JUST A COUPLE OF EXAMPLES THERE. 5866 03:38:26,880 --> 03:38:29,440 OT PROVIDER LEVELS YOU THINK 5867 03:38:29,440 --> 03:38:32,560 ABOUT WHAT INHIBITS PROVIDERS 5868 03:38:32,560 --> 03:38:34,440 FROM PROVIDING CARE TO 5869 03:38:34,440 --> 03:38:35,440 TRANSPEOPLE AND PROVIDING THE 5870 03:38:35,440 --> 03:38:37,000 RIGHT KIND OF AFFIRMING CARE AND 5871 03:38:37,000 --> 03:38:39,920 THAT'S OF COURSE THE KNOWLEDGE 5872 03:38:39,920 --> 03:38:41,680 THEY HAVE BUT AS WE'LL SEE IN A 5873 03:38:41,680 --> 03:38:45,480 COUPLE OF SLIDES LATER, THAT IS 5874 03:38:45,480 --> 03:38:47,200 DRIVEN BY TRANSPHOBIA THAT IS 5875 03:38:47,200 --> 03:38:49,080 BOTH IMPLICIT AND OVERT THAT IS 5876 03:38:49,080 --> 03:38:51,600 BOTH ON INDIVIDUAL AND 5877 03:38:51,600 --> 03:38:52,000 STRUCTURAL LEVEL. 5878 03:38:52,000 --> 03:38:53,440 ON THE HEALTH SYSTEM LEVEL, OF 5879 03:38:53,440 --> 03:38:54,920 COURSE THERE ARE MANY EXAMPLES 5880 03:38:54,920 --> 03:38:57,960 THERE, THERE ARE BILLING 5881 03:38:57,960 --> 03:38:59,320 MECHANISMS THAT DISCRIMINATE 5882 03:38:59,320 --> 03:39:00,960 AGAINST TRANSPEOPLE, ELECTRONIC 5883 03:39:00,960 --> 03:39:05,120 MEDICAL RECORDS, THAT ARE OFTEN 5884 03:39:05,120 --> 03:39:06,240 ILSUITED FOR TRANSPEOPLE, 5885 03:39:06,240 --> 03:39:06,880 INSURANCE POLICIES AND WE WILL 5886 03:39:06,880 --> 03:39:11,440 TALK ABOUT THAT LATER, AND 5887 03:39:11,440 --> 03:39:12,400 UNSAFE STRUCTURES SO FOR 5888 03:39:12,400 --> 03:39:13,880 EXAMPLE, NOBODY WANTS TO GO TO 5889 03:39:13,880 --> 03:39:15,200 THE EMERGENCY ROOM AND HAVE TO 5890 03:39:15,200 --> 03:39:20,920 BE SEEN IN AN OPEN TRIAGE AREA 5891 03:39:20,920 --> 03:39:22,280 WHERE WHERE YOU DON'T HAVE 5892 03:39:22,280 --> 03:39:23,520 PRIVACY BUT FOR TRANSPEOPLE THAT 5893 03:39:23,520 --> 03:39:27,280 LACK OF PRIVACY CAN ACTUALLY 5894 03:39:27,280 --> 03:39:29,000 CAUSE DANGER AND DIRECT HARM SO 5895 03:39:29,000 --> 03:39:32,960 THAT LACK OF SAFETY CAUSED BY 5896 03:39:32,960 --> 03:39:34,280 THE STRUCTURE IS MUCH MORE 5897 03:39:34,280 --> 03:39:35,760 DIRECT OR BATHROOMS ARE ANOTHER 5898 03:39:35,760 --> 03:39:36,080 EXAMPLE THERE. 5899 03:39:36,080 --> 03:39:39,480 AND OF COURSE THE KIND OF BIGGER 5900 03:39:39,480 --> 03:39:40,600 STRUCTURAL ISSUES ON THE 5901 03:39:40,600 --> 03:39:45,040 ECONOMIC LEVEL, ON THE INSURANCE 5902 03:39:45,040 --> 03:39:46,320 AND EMPLOYMENT LEVELS, 5903 03:39:46,320 --> 03:39:47,240 SUSCEPTIBILITY TO VIOLENCE, I 5904 03:39:47,240 --> 03:39:48,880 WILL HAVE DIRECT EFFECT ON 5905 03:39:48,880 --> 03:39:51,920 PEOPLE'S ABILITY TO ACCESS CARE. 5906 03:39:51,920 --> 03:39:54,120 AND SO REALLY IT'S THE 5907 03:39:54,120 --> 03:39:56,280 STRUCTURAL TRANSPHOBIA AND THE 5908 03:39:56,280 --> 03:39:57,720 STIGMA, THAT PERMEATES INTO THE 5909 03:39:57,720 --> 03:40:00,160 HEALTH SYSTEM AND TO THE 5910 03:40:00,160 --> 03:40:02,560 PROVIDER LEVEL CREATING BARRIERS 5911 03:40:02,560 --> 03:40:06,600 TO CARE, AND THEREBY CREATING 5912 03:40:06,600 --> 03:40:07,440 HEALTH DISPARITIES FOR THE 5913 03:40:07,440 --> 03:40:08,840 INDIVIDUAL JUST TO BE VERY CLEAR 5914 03:40:08,840 --> 03:40:10,960 WHEN I SAY GENDER AFFIRMING 5915 03:40:10,960 --> 03:40:13,400 CARE, I'M REFERRING TO 2 5916 03:40:13,400 --> 03:40:14,520 SPECIFIC THINGS ACTUALLY. 5917 03:40:14,520 --> 03:40:17,160 FIRST IS THE GENERAL ABILITY OF 5918 03:40:17,160 --> 03:40:20,640 TRANSPEOPLE TO GET CARE THAT IS 5919 03:40:20,640 --> 03:40:24,440 RESPECTFUL AND SUPPORT OF THEIR 5920 03:40:24,440 --> 03:40:26,360 GENDER IDENTITY IT'S TRUE FOR 5921 03:40:26,360 --> 03:40:28,040 ANY PERSON BUT FOR CISGENDER 5922 03:40:28,040 --> 03:40:30,240 PEOPLE TAKE IT FOR GRANDED THAT 5923 03:40:30,240 --> 03:40:32,680 THEIR GENDERS ARE AFFIRMED BUT 5924 03:40:32,680 --> 03:40:35,280 ALSO WE'RE TALKING SPECIFICALLY 5925 03:40:35,280 --> 03:40:36,440 ABOUT TRANSITION RELATED CARE 5926 03:40:36,440 --> 03:40:38,920 WHICH CAN INCLUDE HORMONES, 5927 03:40:38,920 --> 03:40:39,600 SURGERY, SIN SILLARY SERVICES 5928 03:40:39,600 --> 03:40:43,400 AND SO OF COURSE INCLUDES A WIDE 5929 03:40:43,400 --> 03:40:45,400 VARIETY OF HEALTHCARE SETTINGS 5930 03:40:45,400 --> 03:40:48,880 AND PROVIDERS THAT TRANSPEOPLE 5931 03:40:48,880 --> 03:40:51,560 NEED TO ACCESS FROM 5932 03:40:51,560 --> 03:40:52,240 ESTHISITITIONS TO 5933 03:40:52,240 --> 03:40:53,240 ENDOCRINOLOGIST TO PLASTIC 5934 03:40:53,240 --> 03:40:55,040 SURGEONS TO PRIMARY CARE TO 5935 03:40:55,040 --> 03:40:58,080 MENTAL HEALTH, ET CETERA. 5936 03:40:58,080 --> 03:41:03,960 NOW THIS IS A GROWINGISSIBLELY 5937 03:41:03,960 --> 03:41:09,520 GROWING POPULATION, SO DATA FROM 5938 03:41:09,520 --> 03:41:12,840 FLORESC ET ALL FROM 2011 SAID IT 5939 03:41:12,840 --> 03:41:15,480 WAS .3%, THAT HAS TABLIZED 5940 03:41:15,480 --> 03:41:16,920 AROUND .6% FROM MORE RECENT DATA 5941 03:41:16,920 --> 03:41:21,400 AND THE YOUNGER POPULATION AND 5942 03:41:21,400 --> 03:41:24,120 MWR BASED ON 2017 DATA PLACED 5943 03:41:24,120 --> 03:41:27,920 THAT AS 1.8% OF HIGH SCHOOLERS, 5944 03:41:27,920 --> 03:41:31,680 5% OF YOUNGER ADULTS BASED ON 5945 03:41:31,680 --> 03:41:36,840 MORE RECENT PEW DATA. 5946 03:41:36,840 --> 03:41:39,080 AND OF COURSE WE KNOW ALL THE 5947 03:41:39,080 --> 03:41:40,240 SOCIAL DISADVANTAGES AND JUST TO 5948 03:41:40,240 --> 03:41:42,280 GIVE A HANDFUL OF EXAMPLES, 5949 03:41:42,280 --> 03:41:44,480 POVERTY IS GREATER, UNEMPLOYMENT 5950 03:41:44,480 --> 03:41:46,080 IS GREATER, HOMELESSNESS IS 5951 03:41:46,080 --> 03:41:47,480 GREATER AMONG TRANSPEOPLE 5952 03:41:47,480 --> 03:41:50,240 COMPARED TO THE GENERAL 5953 03:41:50,240 --> 03:41:50,720 CISGENDER POPULATION. 5954 03:41:50,720 --> 03:41:52,400 AND OF COURSE THIS IS HIGHER 5955 03:41:52,400 --> 03:41:56,960 AMONG PEOPLE OF COLOR AND OTHER 5956 03:41:56,960 --> 03:41:57,600 INTERSECTIONALLY DISADVANLTAGED 5957 03:41:57,600 --> 03:41:59,880 GROUPS, AND ALL OF THESE 5958 03:41:59,880 --> 03:42:01,680 DISADVANLAGES LEAD DIRECTLY TO 5959 03:42:01,680 --> 03:42:06,040 VIOLENCE, SUCH AS VERBAL 5960 03:42:06,040 --> 03:42:07,200 HARASSMENT, SEXUAL ATTACK AND 5961 03:42:07,200 --> 03:42:09,080 PHYSICAL ATTACK AND ALL THESE 5962 03:42:09,080 --> 03:42:10,800 TRANSLATE INTO THE CLINICAL 5963 03:42:10,800 --> 03:42:12,240 SPACE TO EITHER AVOIDANCE OF 5964 03:42:12,240 --> 03:42:13,520 CARE, INABILITY TO GET TO THE 5965 03:42:13,520 --> 03:42:15,240 PLACE WHO GETS CARE OR 5966 03:42:15,240 --> 03:42:18,600 INSUFFICIENT CARE EITHER BECAUSE 5967 03:42:18,600 --> 03:42:20,400 YOU DON'T DISCLOSE, OR AN 5968 03:42:20,400 --> 03:42:22,280 INDIVIDUAL DOESN'T FEEL SAFE 5969 03:42:22,280 --> 03:42:24,800 DISCLOSING THEIR IDENTITY OR 5970 03:42:24,800 --> 03:42:28,640 BECAUSE THEY RECEIVED 5971 03:42:28,640 --> 03:42:29,560 SUBPARCARE. 5972 03:42:29,560 --> 03:42:31,640 AND SO, WHAT ARE KIND OF SOME OF 5973 03:42:31,640 --> 03:42:39,800 THE STRUCTURAL LEVEL THREATS 5974 03:42:39,800 --> 03:42:43,600 THAT CREATE THIS ENVIRONMENT. 5975 03:42:43,600 --> 03:42:45,040 WESP ET ALL CREATEAD I VERY 5976 03:42:45,040 --> 03:42:45,600 INTERESTING MODEL THAT 5977 03:42:45,600 --> 03:42:47,960 DISCIPLINARY VIDS THE WAY WE 5978 03:42:47,960 --> 03:42:49,440 THINK ABOUT TRANSHEALTH JUSTICE 5979 03:42:49,440 --> 03:42:56,360 AND NOT JUST TRANSHEALTH FROM AN 5980 03:42:56,360 --> 03:42:57,640 INTERSECTIONAL PERSPECTIVE AND 5981 03:42:57,640 --> 03:42:58,800 THEY CREATED 3 LAYERS WE NEED TO 5982 03:42:58,800 --> 03:43:00,440 THINK OF. 5983 03:43:00,440 --> 03:43:01,600 FIRST IS STRUCTURED OF 5984 03:43:01,600 --> 03:43:04,640 DOMINATION, THE SECOND IS 5985 03:43:04,640 --> 03:43:06,040 INSTITUTIONAL SYMPTOMS, AND THE 5986 03:43:06,040 --> 03:43:09,440 THIRD IS SOCIAL STRUCTURAL 5987 03:43:09,440 --> 03:43:10,960 PROCESSES, AND THINKING THROUGH 5988 03:43:10,960 --> 03:43:14,000 THESE LAYERS, GIVES US TOOLS TO 5989 03:43:14,000 --> 03:43:19,120 UNDUE SOME OF THE HARM CREATED 5990 03:43:19,120 --> 03:43:24,120 THROUGH INJUSTICE ON AN 5991 03:43:24,120 --> 03:43:24,920 INTERSECTIONAL LEVEL. 5992 03:43:24,920 --> 03:43:28,440 SO FOR EXAMPLE, NAMES 5993 03:43:28,440 --> 03:43:29,600 INTERSECTING POWER RELATIONS, 5994 03:43:29,600 --> 03:43:32,800 WHITE SUPREMACY AND RACISM, 5995 03:43:32,800 --> 03:43:35,760 CAPITALISM, THE WAY PEOPLE IN 5996 03:43:35,760 --> 03:43:38,440 OUR SOCIETY ARE DEPENDENT UPON 5997 03:43:38,440 --> 03:43:39,960 HEALTH INSURANCE TO ACCESS 5998 03:43:39,960 --> 03:43:44,000 HEALTHCARE IS 1 EXAMPLE THERE. 5999 03:43:44,000 --> 03:43:47,080 ON THE STATE AND FEDERAL LEVEL 6000 03:43:47,080 --> 03:43:48,920 IF WE THINK STRUCTURALLY WE 6001 03:43:48,920 --> 03:43:50,720 DIVIDE THAT IN SOCIAL AND STATE 6002 03:43:50,720 --> 03:43:54,000 AND FEDERAL LEVELS THINKING 6003 03:43:54,000 --> 03:43:56,080 ABOUT STRUCTURAL THREATS TO 6004 03:43:56,080 --> 03:43:58,120 TRANSPEOPLE ACCESSING CARE, 6005 03:43:58,120 --> 03:44:01,280 THERE HAVE BEEN A SLEW 6006 03:44:01,280 --> 03:44:02,800 OF--THERE'S BEEN A SLEW OF 6007 03:44:02,800 --> 03:44:06,600 LEGISLATION ACROSS THE COUNTRY 6008 03:44:06,600 --> 03:44:07,680 TARGETING DIRECTLY TRANSPEOPLE 6009 03:44:07,680 --> 03:44:08,880 VERY DIRECTLY TRANSPEOPLE AND 6010 03:44:08,880 --> 03:44:11,000 THEIR ABILITY TO ACCESS CARE. 6011 03:44:11,000 --> 03:44:13,680 MOSTLY FOCUSING ON YOUTH BUT 6012 03:44:13,680 --> 03:44:17,240 WITH AN INCREASING AMOUNT OF 6013 03:44:17,240 --> 03:44:19,000 EFFORT BEING PUT INTO TARGETING 6014 03:44:19,000 --> 03:44:22,920 TRANSADULT ANDS THEIR ABILITY TO 6015 03:44:22,920 --> 03:44:23,560 ACCESS CARE. 6016 03:44:23,560 --> 03:44:27,560 AND TO STAY AT THE FOREFRONT OF 6017 03:44:27,560 --> 03:44:32,360 THAT IS FLORIDA WHERE IT WAS 6018 03:44:32,360 --> 03:44:34,760 ACTUALLY THE MEDICAL BOARDS WHO 6019 03:44:34,760 --> 03:44:36,600 BANNED GENDER AFFIRMING CARE FOR 6020 03:44:36,600 --> 03:44:39,880 TRANSYOUTH SO THIS IS IT'S A 6021 03:44:39,880 --> 03:44:41,080 POLICY THAT VERY DIRECTLY BLOCKS 6022 03:44:41,080 --> 03:44:42,240 PEOPLE FROM ACCESSING THE CARE 6023 03:44:42,240 --> 03:44:48,000 THEY NEED AND SIMILARLY IN TEXAS 6024 03:44:48,000 --> 03:44:49,800 ABBOTT'S CALLED TO INVESTIGATOR 6025 03:44:49,800 --> 03:44:52,280 AND INVESTIGATE GENDER AFFIRMING 6026 03:44:52,280 --> 03:44:52,480 CARE. 6027 03:44:52,480 --> 03:44:56,320 SO THOUSANDS IF NOT NOR, 10S OF 6028 03:44:56,320 --> 03:45:01,480 THOUSANDS PROBABLY OF 6029 03:45:01,480 --> 03:45:02,320 TRANSPEOPLE WHO ARE FINDING 6030 03:45:02,320 --> 03:45:03,280 ALTERNATIVES TO CARE OR JUST 6031 03:45:03,280 --> 03:45:05,240 UNABLE TO REACH THE CARE THAT 6032 03:45:05,240 --> 03:45:06,040 THEY NEED. 6033 03:45:06,040 --> 03:45:13,320 THE FEDERAL GOVERNMENT HAS SOME 6034 03:45:13,320 --> 03:45:14,680 ABILITY TO MITIGATE SOME OF THIS 6035 03:45:14,680 --> 03:45:16,680 HARM OR MODEL CITIZEN MAKE IT 6036 03:45:16,680 --> 03:45:18,320 WORSE POTENTIALLY SO OVER THE 6037 03:45:18,320 --> 03:45:19,160 PAST FEW ADMINISTRATIONS THERE 6038 03:45:19,160 --> 03:45:21,000 VISIT BEEN SOME BACK AND FORTH 6039 03:45:21,000 --> 03:45:25,960 ON THE RULES REGULATING SECTION 6040 03:45:25,960 --> 03:45:27,840 1557 OF THE AFFORDABLE CARE ACT 6041 03:45:27,840 --> 03:45:29,400 WHICH IS THE NONDESCRIMINATION 6042 03:45:29,400 --> 03:45:32,080 SECTION OF THE AFFORDABLE CARE 6043 03:45:32,080 --> 03:45:34,520 ACCOUNT AND THAT HAS BROAD 6044 03:45:34,520 --> 03:45:37,760 IMPLICATIONS ON WHAT PROVIDERS 6045 03:45:37,760 --> 03:45:39,960 DO AND DON'T DO AND WHAT PAYORS 6046 03:45:39,960 --> 03:45:42,720 DO AND DON'T COVER WITHIN STATES 6047 03:45:42,720 --> 03:45:45,760 AND SO DIRECTLY, DIRECT 6048 03:45:45,760 --> 03:45:46,360 IMPLICATIONS ON 6049 03:45:46,360 --> 03:45:49,040 PEOPLE'S--TRANSPEOPLE'S ABILITY 6050 03:45:49,040 --> 03:45:51,680 TO ACCESS CARE, THIS CAN GO BOTH 6051 03:45:51,680 --> 03:45:54,240 WAYS, THE FEDERAL GOVERNMENT CAN 6052 03:45:54,240 --> 03:45:57,200 LIMIT, CAN INCREASE ACCESS, OF 6053 03:45:57,200 --> 03:46:02,800 COURSE, THERE ARE POSSIBILITIES 6054 03:46:02,800 --> 03:46:04,320 FOR LEGISLATION, AND THROUGH 6055 03:46:04,320 --> 03:46:05,600 FEDERAL LEGISLATION AS WELL, BUT 6056 03:46:05,600 --> 03:46:10,040 THIS IS ALL THROUGH RULES AND 6057 03:46:10,040 --> 03:46:10,680 REGULATIONSA THE THIS POINT. 6058 03:46:10,680 --> 03:46:12,560 AND I WANT TO GIVE 1 EXAMPLE OF 6059 03:46:12,560 --> 03:46:15,360 THE WAYS WHEN WE THINK ABOUT THE 6060 03:46:15,360 --> 03:46:16,480 INTERPERSONAL LEVEL, WE NEED TO 6061 03:46:16,480 --> 03:46:18,000 REMEMBER THAT IT'S NOT 6062 03:46:18,000 --> 03:46:21,480 DISCONNECTED FROM THE STRUCTURAL 6063 03:46:21,480 --> 03:46:22,320 AND SOCIAL LEVELS. 6064 03:46:22,320 --> 03:46:25,200 SO WE KNOW THAT THERE ARE MANY 6065 03:46:25,200 --> 03:46:27,160 BARRIERSA THE PROVIDER LEVEL TO 6066 03:46:27,160 --> 03:46:27,720 ACCESSING CARE. 6067 03:46:27,720 --> 03:46:30,120 WE KNOW FROM THE U.S. 6068 03:46:30,120 --> 03:46:32,120 TRANSGENDER SURVEY, THAT MANY 6069 03:46:32,120 --> 03:46:35,280 TRANSPEOPLE HAVE BEEN REFUSED 6070 03:46:35,280 --> 03:46:36,400 CARE HAVE EXPERIENCED HARASSMENT 6071 03:46:36,400 --> 03:46:38,240 IN A MEDICAL SETTING, HAD TO 6072 03:46:38,240 --> 03:46:39,440 TEACH THEIR PROVIDERS ABOUT CARE 6073 03:46:39,440 --> 03:46:42,480 FOR TRANSPEOPLE AND WE KNOW THAT 6074 03:46:42,480 --> 03:46:43,880 TEACHING YOUR PROVIDER, IF YOU 6075 03:46:43,880 --> 03:46:46,160 WERE SOMEONE WHO HAD TO TEACH 6076 03:46:46,160 --> 03:46:48,240 YOUR PROVIDER ABOUT GENDER 6077 03:46:48,240 --> 03:46:50,200 AFFIRMING CARE, THAT WAS 6078 03:46:50,200 --> 03:46:51,840 CORRELATED WITH MORE LIKELIHOOD 6079 03:46:51,840 --> 03:46:52,920 OF HAVING DELAYED CARE YOU 6080 03:46:52,920 --> 03:46:56,120 NEEDED IN THE PAST YEAR. 6081 03:46:56,120 --> 03:47:00,160 SO AGAIN, DIRECTLY CORRELATION 6082 03:47:00,160 --> 03:47:00,360 THERE. 6083 03:47:00,360 --> 03:47:01,600 BUT WHAT'S IMPORTANT TO REMEMBER 6084 03:47:01,600 --> 03:47:02,680 IS THAT WHEN--THIS IS AN EXAMPLE 6085 03:47:02,680 --> 03:47:06,680 OF A STUDY WE DID WITH PRIMARY 6086 03:47:06,680 --> 03:47:08,000 CARE PROVIDERS AND WE SURVEYED 6087 03:47:08,000 --> 03:47:11,840 THEM ON THEIR KNOWLEDGE OF BAKE 6088 03:47:11,840 --> 03:47:13,720 ASPECT OF GENDER AFFIRMING CARE 6089 03:47:13,720 --> 03:47:15,920 SO CARE FOR TRANSGENDER PEOPLE 6090 03:47:15,920 --> 03:47:17,520 AND TRANSITION RELATED CARE. 6091 03:47:17,520 --> 03:47:19,160 AND THE HYPOTHESIS WAS THAT IF 6092 03:47:19,160 --> 03:47:22,240 WE WERE ONLY TO INCREASE THE 6093 03:47:22,240 --> 03:47:24,120 FORMAL EDUCATION OF PHYSICIANS 6094 03:47:24,120 --> 03:47:25,960 AND OTHER PROVIDERS, THE 6095 03:47:25,960 --> 03:47:27,240 KNOWLEDGE WOULD EVENTUALLY IN 6096 03:47:27,240 --> 03:47:29,880 CREASE OR THAT PROVIDERS WHO HAD 6097 03:47:29,880 --> 03:47:31,880 MORE FORM HOURS OF FORMAL 6098 03:47:31,880 --> 03:47:34,880 EDUCATION WOULD HAVE GREATER 6099 03:47:34,880 --> 03:47:35,120 KNOWLEDGE. 6100 03:47:35,120 --> 03:47:36,680 BUT WHAT WE FOUND IS NOT ONLY 6101 03:47:36,680 --> 03:47:37,840 DID FORMAL EDUCATION NOT 6102 03:47:37,840 --> 03:47:38,640 CORRELATE WITH KNOWLEDGE BUT 6103 03:47:38,640 --> 03:47:44,760 NEITHER DID ANY OF THE POTENTIAL 6104 03:47:44,760 --> 03:47:45,680 CONFOUNDERS; TRANSPHOBIA WAS 6105 03:47:45,680 --> 03:47:47,240 REALLY THE ONLY VARIABLE THAT WE 6106 03:47:47,240 --> 03:47:50,880 FOUND THAT CORRELATED WITH 6107 03:47:50,880 --> 03:47:51,160 KNOWLEDGE. 6108 03:47:51,160 --> 03:47:54,000 SO PROVIDERS WHO SCORED HIGHER 6109 03:47:54,000 --> 03:47:55,200 ON TRANSPHOBIA SCALES HAD LOWER 6110 03:47:55,200 --> 03:47:57,480 LEVELS OF KNOWLEDGE AND THIS 6111 03:47:57,480 --> 03:47:59,600 REALLY BRINGS HOME KIND OF HOW 6112 03:47:59,600 --> 03:48:01,880 WE CAN SEPARATE THE PROVIDERS 6113 03:48:01,880 --> 03:48:02,840 ARE NOT DISTINCT FROM THE 6114 03:48:02,840 --> 03:48:07,080 SOCIETY THEY LIVE IN. 6115 03:48:07,080 --> 03:48:08,800 SO HOW CAN WE FIX THESE. 6116 03:48:08,800 --> 03:48:11,360 WHAT ARE OPPORTUNITIES TO 6117 03:48:11,360 --> 03:48:12,400 IMPROVE THE ACCESS. 6118 03:48:12,400 --> 03:48:16,520 I'LL CIRCLE BACK TO DR. WHITE 6119 03:48:16,520 --> 03:48:18,680 HUGHTO HERE AND WHAT THEY DID 6120 03:48:18,680 --> 03:48:22,160 THERE WAS IN THE KIND OF POOLS 6121 03:48:22,160 --> 03:48:23,760 OF STRUCTURAL INTERPERSONAL AND 6122 03:48:23,760 --> 03:48:24,920 INDIVIDUAL STIGMA THERE ARE 6123 03:48:24,920 --> 03:48:26,080 DIRECT INTERVENTIONS THAT CAN BE 6124 03:48:26,080 --> 03:48:28,920 OFFERED SO FOR EXAMPLE ON THE 6125 03:48:28,920 --> 03:48:31,280 STRUCTURAL LEVEL, 6126 03:48:31,280 --> 03:48:33,760 NONDESCRIMINATION POLICIES LIKE 6127 03:48:33,760 --> 03:48:35,520 RULES TO SECTION 1557 ON THE 6128 03:48:35,520 --> 03:48:40,640 FEDERAL LEVEL, OR STATE LEVEL, 6129 03:48:40,640 --> 03:48:41,320 NONDESCRIMINATION POLICIES, 6130 03:48:41,320 --> 03:48:46,960 ACCESS TO CARE POLICIES AGAIN 6131 03:48:46,960 --> 03:48:48,120 LINK THEIR TRANSHEALTH CONTENT 6132 03:48:48,120 --> 03:48:49,640 AND MEDICAL SCIEL RICK LA AND WE 6133 03:48:49,640 --> 03:48:51,720 KNOW THAT KNOWLEDGE AGAIN IS NOT 6134 03:48:51,720 --> 03:48:54,760 SUFFICIENT IF IT COMES WITHOUT 6135 03:48:54,760 --> 03:48:56,200 ADDRESSING KIND THE TRANSPHOBIA 6136 03:48:56,200 --> 03:49:01,400 OR STIGMA THAT'S ASSOCIATE WIDE 6137 03:49:01,400 --> 03:49:02,080 TRANSNESS. 6138 03:49:02,080 --> 03:49:03,600 SORRY THIS IS AN EXTRA SLIDE 6139 03:49:03,600 --> 03:49:06,200 THERE, SO WE NEED TO KIND OF 6140 03:49:06,200 --> 03:49:08,200 CIRCLE BACK AND ADDRESS BOTH THE 6141 03:49:08,200 --> 03:49:09,720 STRUCTURAL LEVEL ON HEALTH 6142 03:49:09,720 --> 03:49:14,680 SYSTEM AND PROVIDER LEVEL, AND 6143 03:49:14,680 --> 03:49:16,400 THAT IS REALLY NECESSARY FOR FOR 6144 03:49:16,400 --> 03:49:18,680 US TO BREAK DOWN THE BARRIERS TO 6145 03:49:18,680 --> 03:49:19,040 CARE. 6146 03:49:19,040 --> 03:49:20,840 WHAT CAN WE AS RESEARCHERS DO? 6147 03:49:20,840 --> 03:49:22,120 WELL ON EACH OF THESE LEVELS 6148 03:49:22,120 --> 03:49:24,320 THERE'S A SLEW OF QUESTIONS THAT 6149 03:49:24,320 --> 03:49:26,440 WE CAN--THAT HAVE KNOW BEEN 6150 03:49:26,440 --> 03:49:29,480 UNANSWERED YET AND CAN BE 6151 03:49:29,480 --> 03:49:31,560 ANSWERED TO DIRECTLY EFFECT 6152 03:49:31,560 --> 03:49:33,760 POLICIES AND THAT MEAN NEEDS TO 6153 03:49:33,760 --> 03:49:34,760 LAND ON POLICY MAKERS DESKS IN 6154 03:49:34,760 --> 03:49:36,480 ORDER FOR THEM TO MAKE BETTER 6155 03:49:36,480 --> 03:49:43,360 POLICIES, SO A FEW EXAMPLES, OR 6156 03:49:43,360 --> 03:49:45,240 A FEW POINTERS TO THINGS I 6157 03:49:45,240 --> 03:49:46,360 SUGGIEST TO INCOMING RESEARCHERS 6158 03:49:46,360 --> 03:49:48,480 TO THE FIELD TO THINK ABOUT, 6159 03:49:48,480 --> 03:49:53,080 FIRST IS THE METHODOLOGY USED, 6160 03:49:53,080 --> 03:49:55,880 REMEMBER TO THINK AND STUDY 6161 03:49:55,880 --> 03:49:56,280 INTERSECTIONALLY. 6162 03:49:56,280 --> 03:49:57,040 REMEMBER THAT THE TRANSCOMMUNITY 6163 03:49:57,040 --> 03:50:00,280 IS NOT A MONOLITH, SO WE WILL, 6164 03:50:00,280 --> 03:50:01,400 ONCE YOU THINK INTERSECTIONALLY, 6165 03:50:01,400 --> 03:50:02,960 OF COURSE YOU WILL REMEMBER 6166 03:50:02,960 --> 03:50:05,240 THAT, IT IS VERY DANGEROUS TO GO 6167 03:50:05,240 --> 03:50:07,800 DOWN A PATHWAY WHERE WE SAY 6168 03:50:07,800 --> 03:50:09,960 TRANSPEOPLE ARE OR AREN'T AND WE 6169 03:50:09,960 --> 03:50:12,720 FORGET THAT THAT'S IT'S ACTUALLY 6170 03:50:12,720 --> 03:50:13,880 HUGELY DIVERSE POPULATION WITH 6171 03:50:13,880 --> 03:50:15,200 HUGE LOW DIVERSE NEED, AND I 6172 03:50:15,200 --> 03:50:18,800 THINK 1 OF THE MOST IMPORTANT 6173 03:50:18,800 --> 03:50:22,320 LESSONS THAT KIND THE RESEARCH 6174 03:50:22,320 --> 03:50:24,160 COMMUNITY HAD TALKED ABOUT IN 6175 03:50:24,160 --> 03:50:25,480 PAST DECADES AND MORE RECENTLY 6176 03:50:25,480 --> 03:50:27,080 WITH THE TRANSCOMMUNITY IS TO 6177 03:50:27,080 --> 03:50:31,360 COMMIT TO COMMUNITY-DRIVEN 6178 03:50:31,360 --> 03:50:31,640 RESEARCH. 6179 03:50:31,640 --> 03:50:34,840 TRANSPEOPLE KNOW BEST WHAT THEY 6180 03:50:34,840 --> 03:50:36,360 NEED BOTH IN TERMS OF CARE BUT 6181 03:50:36,360 --> 03:50:39,240 ALSO IN TERMS OF THE QUESTIONS 6182 03:50:39,240 --> 03:50:41,200 THAT NEED TO BE ANSWERED AND HOW 6183 03:50:41,200 --> 03:50:45,560 BEST TO ANSWER THEM. 6184 03:50:45,560 --> 03:50:47,160 AND COURSE, THIS IS GOING TO 6185 03:50:47,160 --> 03:50:48,040 PERMEATE EVERYTHING WE TALK 6186 03:50:48,040 --> 03:50:50,200 ABOUT TODAY AND TOMORROW, IS 6187 03:50:50,200 --> 03:50:53,040 THAT, NEEDS FOR SOGI DATA 6188 03:50:53,040 --> 03:50:55,480 COLLECTION AND IMPLICATIONS OF 6189 03:50:55,480 --> 03:50:57,080 HOW GIVEN THAT, DATA IS 6190 03:50:57,080 --> 03:50:58,600 COLLECTED AND THE WAYS THAT IT 6191 03:50:58,600 --> 03:51:00,840 IS NOW, TO BE THOUGHTFUL ABOUT 6192 03:51:00,840 --> 03:51:04,040 WHAT THE IMPLICATIONS ARE OF 6193 03:51:04,040 --> 03:51:05,160 THOSE METHODOLOGIES. 6194 03:51:05,160 --> 03:51:07,760 FROM A CONTENT PERSPECTIVE, I 6195 03:51:07,760 --> 03:51:09,400 THINK THERE ARE MANY QUESTIONS 6196 03:51:09,400 --> 03:51:11,400 ON THE POLICY LEVEL THAT NEED TO 6197 03:51:11,400 --> 03:51:12,960 BE ANSWERED, CARE DELIVERY 6198 03:51:12,960 --> 03:51:16,040 MECHANISMS, COSTS OF CARE AND 6199 03:51:16,040 --> 03:51:17,880 VARIATIONS THEREOF, FEDERAL AND 6200 03:51:17,880 --> 03:51:19,400 STATE PROTECTIONS, MANY CLINICAL 6201 03:51:19,400 --> 03:51:21,400 QUESTIONS THAT ARE COMPLETELY 6202 03:51:21,400 --> 03:51:22,680 UNKNOWN, AND BRINGING THAT DATA 6203 03:51:22,680 --> 03:51:26,480 BACK TO POLICY MAKERS, IS 6204 03:51:26,480 --> 03:51:27,240 EXTREMELY IMPORTANT. 6205 03:51:27,240 --> 03:51:29,120 SO OUTCOMES OF CARE, THERE ARE 6206 03:51:29,120 --> 03:51:30,800 ALREADY SOME DATA BUT POLICY 6207 03:51:30,800 --> 03:51:32,080 MAKERS APPEAR TO BE WANTING MORE 6208 03:51:32,080 --> 03:51:32,880 OF THAT. 6209 03:51:32,880 --> 03:51:35,120 A WORD OF CAUTION AROUND GOING 6210 03:51:35,120 --> 03:51:38,040 DOWN THE GREAT DEEP TRANSITION 6211 03:51:38,040 --> 03:51:41,360 AND RE TRANSITION ROUTE, NOT 6212 03:51:41,360 --> 03:51:43,000 THAT THERE ISN'T STUFF TO STUDY 6213 03:51:43,000 --> 03:51:44,200 THERE BUT BE THOUGHTFUL ABOUT 6214 03:51:44,200 --> 03:51:49,800 THE IMPLICATIONS OF YOUR WORK 6215 03:51:49,800 --> 03:51:52,520 WHEN YOU'RE WORKING WITH VERY 6216 03:51:52,520 --> 03:51:53,160 TARGETED MINORITIZED POPULATION. 6217 03:51:53,160 --> 03:51:55,840 SO THESE ARE JUST SOME OF MY 6218 03:51:55,840 --> 03:51:57,240 TIPS ABOUT KIND OF THINGS THAT 6219 03:51:57,240 --> 03:51:59,480 WE CAN DO AS RESEARCHERS AND WE 6220 03:51:59,480 --> 03:52:10,000 WILL END THERE, THANK YOU VERY 6221 03:52:10,240 --> 03:52:10,360 MUCH. 6222 03:52:10,360 --> 03:52:17,000 >>THANK YOU VERY MUCH 6223 03:52:17,000 --> 03:52:17,400 DR. STROUMSA, VERY 6224 03:52:17,400 --> 03:52:18,040 THOUGHT-VOAKING AND ISSUES WE 6225 03:52:18,040 --> 03:52:19,600 NEED TO THINK ABOUT AS WE 6226 03:52:19,600 --> 03:52:23,360 IMPRIEWEVER CARE FOR TRANSGENDER 6227 03:52:23,360 --> 03:52:23,640 POPULATIONS. 6228 03:52:23,640 --> 03:52:25,560 NOW I WOULD LIKE TO WELCOME 6229 03:52:25,560 --> 03:52:27,800 DR. LISA DIAMOND WHO WILL TALK 6230 03:52:27,800 --> 03:52:29,520 ABOUT TRAUMA INFORMED APPROACHES 6231 03:52:29,520 --> 03:52:31,480 TO SEXUAL AND GENDER STIGMA AT 6232 03:52:31,480 --> 03:52:36,200 DIFFERENT STAGES OF DEVELOPMENT. 6233 03:52:36,200 --> 03:52:36,680 PLEASE GO AHEAD. 6234 03:52:36,680 --> 03:52:37,920 >>SUCH A PLEASURE TO BE WITH US 6235 03:52:37,920 --> 03:52:42,240 THIS GROUP OF INDIVIDUALS AND I 6236 03:52:42,240 --> 03:52:43,720 WANT TO SHIP THE 1S OF WHAT 6237 03:52:43,720 --> 03:52:46,320 WE'RE TALKING ABOUT A LITTLE BIT 6238 03:52:46,320 --> 03:52:49,440 TO FOCUS ON DEVELOPMENT ON THE 6239 03:52:49,440 --> 03:52:51,440 DEVELOPMENTAL PSYCHOLOGIST AND 6240 03:52:51,440 --> 03:52:52,840 IF YOU WERE EVER IN DOUBT ABOUT 6241 03:52:52,840 --> 03:52:55,160 THE FACT THAT DEVELOPMENT 6242 03:52:55,160 --> 03:53:01,040 MATTERS, I'M SURE THAT COVID HAS 6243 03:53:01,040 --> 03:53:02,000 DIFFUSED YOU OF THAT NOTION 6244 03:53:02,000 --> 03:53:03,480 BECAUSE WE'RE SEE NOTHING 6245 03:53:03,480 --> 03:53:04,800 REALTIME VERY, VERY DIFFERENT 6246 03:53:04,800 --> 03:53:08,400 EFFECTS OF A WORLD WIDE STRESSOR 6247 03:53:08,400 --> 03:53:11,080 ON INDIVIDUALS BASED UPON 6248 03:53:11,080 --> 03:53:11,680 DEVELOPMENTAL TIMES. 6249 03:53:11,680 --> 03:53:12,480 WE'RE SEEING DIFFERENTIAL 6250 03:53:12,480 --> 03:53:15,120 EFFECTS OF THE CHANGES THAT 6251 03:53:15,120 --> 03:53:17,920 HAPPEN WITH COVID, IN SECOND 6252 03:53:17,920 --> 03:53:19,120 GRADERS, IN TEENAGERS, IN YOUNG 6253 03:53:19,120 --> 03:53:21,400 ADULTS AND THAT IS NOT 6254 03:53:21,400 --> 03:53:24,680 ACCIDENTAL, IT'S BECAUSE WE HAVE 6255 03:53:24,680 --> 03:53:26,280 VERY PLASTIC SLOW DEVELOPING 6256 03:53:26,280 --> 03:53:30,840 BRAINS AS A SPECIES AND THE 6257 03:53:30,840 --> 03:53:32,360 TIMING AND NATURE OF DIFFERENT 6258 03:53:32,360 --> 03:53:33,880 THREATS MATTERS A LOT, PROBABLY 6259 03:53:33,880 --> 03:53:36,640 THE BIGGEST CHANGE IN RESEARCH 6260 03:53:36,640 --> 03:53:37,840 AND DEVELOPMENTAL PSYCHOLOGY 6261 03:53:37,840 --> 03:53:39,480 OVER THE PAST SEVERAL DECADES 6262 03:53:39,480 --> 03:53:41,040 HAS BEEN OUR INCREASED 6263 03:53:41,040 --> 03:53:42,120 UNDERSTANDING OF THE NEURAL 6264 03:53:42,120 --> 03:53:43,680 PLASTICITY THAT THE BRAIN IS NOT 6265 03:53:43,680 --> 03:53:44,800 FINISHED WHEN WE ARE BORN AND 6266 03:53:44,800 --> 03:53:47,520 THE PERIOD OF TIME OVER WHICH IT 6267 03:53:47,520 --> 03:53:52,520 IS DEVELOPING IS QUITE LONG AND 6268 03:53:52,520 --> 03:53:54,880 THE PORE WE KNOW ABOUT IT, THE 6269 03:53:54,880 --> 03:53:55,840 MORE THAT DEPRIVATIONMENTAL 6270 03:53:55,840 --> 03:54:00,360 WINDOW COMES AND IT BEGINS 6271 03:54:00,360 --> 03:54:00,680 PREINATEALLY. 6272 03:54:00,680 --> 03:54:05,800 WE NOW KNOW THERE ARE EPIGENETC 6273 03:54:05,800 --> 03:54:09,040 CHANGES THAT ARE AFFECTED BY 6274 03:54:09,040 --> 03:54:11,240 ENDOCRINEOLOGICAL FACTORS BY 6275 03:54:11,240 --> 03:54:12,120 THEIR MOTHERS, INTERGENERATIONAL 6276 03:54:12,120 --> 03:54:14,280 OPPRESSION IS A THING AND WE 6277 03:54:14,280 --> 03:54:15,360 HAVE NOW IDENTIFIED THE 6278 03:54:15,360 --> 03:54:19,280 MECHANISMS THROUGH WHICH THAT 6279 03:54:19,280 --> 03:54:19,560 TAKES PLACE. 6280 03:54:19,560 --> 03:54:21,400 WE ALSO KNOW THERE'S A BIG 6281 03:54:21,400 --> 03:54:22,480 PLASTICITY IN THE FIRST YEAR OF 6282 03:54:22,480 --> 03:54:25,720 LIFE WHICH IS WHEN THE 6283 03:54:25,720 --> 03:54:27,280 ATTACHMENT SYSTEM COMES ONLINE 6284 03:54:27,280 --> 03:54:28,120 AND IERKTS DEPTIFYS THE CARE GIR 6285 03:54:28,120 --> 03:54:31,400 AS A SOURCE EVER PROTECTION. 6286 03:54:31,400 --> 03:54:33,200 THEN THERE IS ANOTHER BIG WINDOW 6287 03:54:33,200 --> 03:54:34,280 OF PLASTICITY IN THE FIRST 5 6288 03:54:34,280 --> 03:54:37,400 YEARS THAT A LOT OF 6289 03:54:37,400 --> 03:54:40,520 ENVIRONMENTAL EXPOSURES DURING 6290 03:54:40,520 --> 03:54:42,000 THAT PERIOD OF TIME FOR EXAMPLE, 6291 03:54:42,000 --> 03:54:44,160 SIMPLY WHETHER YOU ARE LIVING IN 6292 03:54:44,160 --> 03:54:45,880 A HOME OR A RENTED ENVIRONMENT, 6293 03:54:45,880 --> 03:54:48,520 EVEN THAT IN THE FIRST 5 YEARS 6294 03:54:48,520 --> 03:54:51,400 HAS BIG PREDICTIVE EFFECTS AND 6295 03:54:51,400 --> 03:54:53,360 IT CONTINUES EARLY AND MIDDLE 6296 03:54:53,360 --> 03:54:55,920 CHILDHOOD ANOTHER WINDOW OF 6297 03:54:55,920 --> 03:54:56,720 PLASTICITY, ESPECIALLY FOR 6298 03:54:56,720 --> 03:54:57,640 SOCIAL RELATIONSHIPS BECAUSE 6299 03:54:57,640 --> 03:55:00,480 THAT AT THE AGE AT WHICH 6300 03:55:00,480 --> 03:55:02,080 CHILDREN START TO INTERACT IN 6301 03:55:02,080 --> 03:55:03,360 PEER GROUPS. 6302 03:55:03,360 --> 03:55:08,920 AND THEN WE HAVE THE PIEWBURAL 6303 03:55:08,920 --> 03:55:10,600 TRANSITION AND THERE'S ANOTHER 6304 03:55:10,600 --> 03:55:12,440 INCREASE IN PLASTICITY THAT 6305 03:55:12,440 --> 03:55:14,600 BEFEINBERGS AROUND THE TIME OF 6306 03:55:14,600 --> 03:55:15,960 PIEWBITTAL MATURATION AND GOES 6307 03:55:15,960 --> 03:55:18,040 UP TO AGE 25 AND A LOT OF THE 6308 03:55:18,040 --> 03:55:19,080 CHANGE THAT HAPPENS AT THIS 6309 03:55:19,080 --> 03:55:20,640 PERIOD OF TIME IS RELATED TO 6310 03:55:20,640 --> 03:55:23,400 WHAT WE NOW CALL THE SOCIAL 6311 03:55:23,400 --> 03:55:24,680 BRAIN, THE ASPECTS OF THE BRAIN 6312 03:55:24,680 --> 03:55:28,120 THAT ARE SENSITIVE TO SOCIAL 6313 03:55:28,120 --> 03:55:29,360 JUDGMENT, TO SELF-PERCEPTION, TO 6314 03:55:29,360 --> 03:55:30,960 PERACCEPTINGS OF WHAT THE SOCIAL 6315 03:55:30,960 --> 03:55:32,640 GROUP THINKS OF YOU, THIS HAS 6316 03:55:32,640 --> 03:55:34,040 GOTTEN A LOT OF ATTENTION 6317 03:55:34,040 --> 03:55:36,360 RECENTLY WITH REGARD TO SOCIAL 6318 03:55:36,360 --> 03:55:38,360 MEDIA USE, AND THE FACT THAT 6319 03:55:38,360 --> 03:55:41,800 YOUTHS APPEAR TO BE PARTICULARLY 6320 03:55:41,800 --> 03:55:42,840 VULNERABILITY, TO THE NEGATIVE 6321 03:55:42,840 --> 03:55:44,000 EFFECTS OF SOCIAL JUDGMENT ON 6322 03:55:44,000 --> 03:55:45,560 SOCIAL MEDIA BUT THESE EFFECTS 6323 03:55:45,560 --> 03:55:47,840 GO BEYOND THAT, THESE ARE JUST 6324 03:55:47,840 --> 03:55:49,400 LARGER KIND OF BRAIN PLASTICITY 6325 03:55:49,400 --> 03:55:50,360 EFFECTS AND 1 OF THE THINGS THAT 6326 03:55:50,360 --> 03:55:51,640 I THINK IS REALLY IMPORTANT TO 6327 03:55:51,640 --> 03:55:54,880 UNDERSTAND IS THAT BY THE TIME 6328 03:55:54,880 --> 03:55:59,080 YOU ARE SEEING ANY SOURCE OF 6329 03:55:59,080 --> 03:56:00,640 STRESS EXPOSURES OR ANYTHING 6330 03:56:00,640 --> 03:56:02,600 YOU'RE MEASURING IN,A DULT WHICH 6331 03:56:02,600 --> 03:56:04,040 WHEN WE NORMALLY ASSESS SEXUAL 6332 03:56:04,040 --> 03:56:05,760 GENDER DIFFERENCESSER AND 6333 03:56:05,760 --> 03:56:07,960 IDENTITY IS IN ADULTHOOD SO IF 6334 03:56:07,960 --> 03:56:08,760 YOU'RE PLEASURING SOMEONE 6335 03:56:08,760 --> 03:56:10,360 EXPERIENCING SOMETHING IN THEIR 6336 03:56:10,360 --> 03:56:11,680 LIFE AND HAVING CERTAIN HEALTH 6337 03:56:11,680 --> 03:56:21,360 EFFECTS AT AGE 25 OR 828 OR IN 6338 03:56:21,360 --> 03:56:22,280 THEIR 30S. 6339 03:56:22,280 --> 03:56:23,560 ORALATEER ON, BY THE TIME YOU 6340 03:56:23,560 --> 03:56:24,920 GET THERE THERE HAS ALREADY BEEN 6341 03:56:24,920 --> 03:56:29,160 A VERY LONG PERIOD OF BRAIN 6342 03:56:29,160 --> 03:56:30,360 ENVIRONMENTAL SENSITIVITY THAT 6343 03:56:30,360 --> 03:56:31,320 GOES UNASSESSED EVEN THOUGH WE 6344 03:56:31,320 --> 03:56:33,320 KNOW THOSE THINGS HAVE PRETTY 6345 03:56:33,320 --> 03:56:34,480 PROFOUND EFFECTS. 6346 03:56:34,480 --> 03:56:36,840 THE OTHER REASON WE REALLY HAVE 6347 03:56:36,840 --> 03:56:37,800 TO PAY SUCH CLOSE ATTENTION 6348 03:56:37,800 --> 03:56:42,760 THORS THIS IS THAT ALL FORMS OF 6349 03:56:42,760 --> 03:56:43,760 CHILD ADVERSITY, 6350 03:56:43,760 --> 03:56:44,320 DISPROPORTIONATELY AFFECT 6351 03:56:44,320 --> 03:56:45,680 MARGINALIZED GROUPS AND THAT IS 6352 03:56:45,680 --> 03:56:48,360 TRUE FOR SEXUAL AND GENDER 6353 03:56:48,360 --> 03:56:51,080 MARGINALIZATION AS WELL AS 6354 03:56:51,080 --> 03:56:52,840 ETHNIC RACIAL SOCIOECONOMIC 6355 03:56:52,840 --> 03:56:53,200 MARGINALIZATION. 6356 03:56:53,200 --> 03:56:55,200 THESE, YOU KNOW DATA OVER THE 6357 03:56:55,200 --> 03:56:57,200 YEARS HAVE HAD VARIED DEGREING 6358 03:56:57,200 --> 03:56:58,680 OF QUALITY, BUT THE DATA QUALITY 6359 03:56:58,680 --> 03:57:00,320 AS REALLY GONE UP, SO THIS IS 6360 03:57:00,320 --> 03:57:04,680 DATA THAT WAS RECENTLY AND 6361 03:57:04,680 --> 03:57:05,880 MULTISTATE DATA, REVIEWED BY 6362 03:57:05,880 --> 03:57:06,920 AUSTIN AND COLLEAGUES AND 1 6363 03:57:06,920 --> 03:57:07,920 THING THAT'S IMPORTANT TO POINT 6364 03:57:07,920 --> 03:57:13,720 OUT IS THAT NOT ALL FORMS OF 6365 03:57:13,720 --> 03:57:14,480 CHILDHOOD ADVERSITY ARE 6366 03:57:14,480 --> 03:57:15,960 DIFFERENTIAL BETWEEN SEXUAL AND 6367 03:57:15,960 --> 03:57:19,120 GENDER DIVERSE FOLKS AND 6368 03:57:19,120 --> 03:57:21,080 HETEROSEXUAL AND CISGENDER FOLKS 6369 03:57:21,080 --> 03:57:22,000 FOR EXAMPLE, PARENT SEPARATION 6370 03:57:22,000 --> 03:57:22,520 AND DIVORCE. 6371 03:57:22,520 --> 03:57:25,720 THERE ARE NO LARGE SCALE 6372 03:57:25,720 --> 03:57:28,840 DISPARITIES THERE, BUT YOU START 6373 03:57:28,840 --> 03:57:30,440 TO SEE DISPARITY WHEN YOU LOOK 6374 03:57:30,440 --> 03:57:32,240 MORE CLOSE LOW AT DIFFERENT 6375 03:57:32,240 --> 03:57:35,560 TYPES OF ADVERSITY, THAT EFFECT 6376 03:57:35,560 --> 03:57:37,680 SOCIAL CONDUCK, SEXUAL ABUSE 6377 03:57:37,680 --> 03:57:38,400 HISTORICALLY AS GOTTEN THE 6378 03:57:38,400 --> 03:57:41,280 LION'S SHARE OF ATTENTION PARTLY 6379 03:57:41,280 --> 03:57:43,720 BECAUSE OF CULTURAL STEREOTYPES 6380 03:57:43,720 --> 03:57:46,680 THAT PEOPLE ARE TURNED GAY 6381 03:57:46,680 --> 03:57:47,120 THROUGH SEXUAL 6382 03:57:47,120 --> 03:57:49,240 PREDOMINANTLIATION, AND THERE IS 6383 03:57:49,240 --> 03:57:51,440 NO EVIDENCE OF THAT AT ALL AND 6384 03:57:51,440 --> 03:57:55,000 ALSO, A LOT OF THOSE EARLY 6385 03:57:55,000 --> 03:57:56,240 SUPPOSITIONS WERE NOT REALLY 6386 03:57:56,240 --> 03:57:58,120 LOOKING AT THE WHOLE PICTURE AND 6387 03:57:58,120 --> 03:57:59,520 WHEN YOU LOOK AT MORE BROADLY 6388 03:57:59,520 --> 03:58:01,280 YOU FIND WELL, IT'S NOT JUST 6389 03:58:01,280 --> 03:58:04,200 SEXUAL ABUSE THAT IS MORE 6390 03:58:04,200 --> 03:58:06,480 PREVALENT IN MARGINALIZED 6391 03:58:06,480 --> 03:58:07,880 POPULATIONS, IT'S ALSO PHYSICAL 6392 03:58:07,880 --> 03:58:13,800 ABUSE, IT IS ALSO EMOTIONAL 6393 03:58:13,800 --> 03:58:14,080 ABUSE. 6394 03:58:14,080 --> 03:58:15,880 THAT'S A CATEGORY THAT REFERS TO 6395 03:58:15,880 --> 03:58:19,160 SEVERE NEGLECT IN THE 6396 03:58:19,160 --> 03:58:20,560 CAREGIVERRING ENVIRONMENT, 6397 03:58:20,560 --> 03:58:22,440 SPURNING, PARENTAL SPURNING, 6398 03:58:22,440 --> 03:58:23,600 REYEKS, HOSTILITY, INSULTING OR 6399 03:58:23,600 --> 03:58:28,280 SHAMING THE CHILD OR 6400 03:58:28,280 --> 03:58:28,800 INVALIDATION. 6401 03:58:28,800 --> 03:58:30,600 INTERESTINGLY IT USED TO BE THAT 6402 03:58:30,600 --> 03:58:32,000 WE DIDN'T REALLY CONSIDER THOSE 6403 03:58:32,000 --> 03:58:34,120 THINGS OF ABUSE AND I THINK 6404 03:58:34,120 --> 03:58:35,480 GENERATIONALLY, YOU KNOW MY 6405 03:58:35,480 --> 03:58:36,360 MOTHER'S GENERATION WOULD HAVE 6406 03:58:36,360 --> 03:58:37,440 SAID THAT'S NOT ABUSE THAT'S 6407 03:58:37,440 --> 03:58:39,920 JUST GROWING UP IN A HARD 6408 03:58:39,920 --> 03:58:40,240 ENVIRONMENT. 6409 03:58:40,240 --> 03:58:41,840 NOW THAT WE KNOW A LITTLE BIT 6410 03:58:41,840 --> 03:58:44,680 MORE ABOUT THE DEVELOPMENT OF 6411 03:58:44,680 --> 03:58:45,640 THE SOCIAL BRAIN, WE UNDERSTAND 6412 03:58:45,640 --> 03:58:47,920 THAT THAT SORT OF MALTREATMENT 6413 03:58:47,920 --> 03:58:52,560 FOR A SOCIAL BRAIN IS IN FACT AS 6414 03:58:52,560 --> 03:58:54,320 IMPACTFUL AS THE PHYSICAL 6415 03:58:54,320 --> 03:58:55,320 VIOLENCE. 6416 03:58:55,320 --> 03:58:58,120 THERE'S ALSO SEXUAL MINORITY AND 6417 03:58:58,120 --> 03:58:59,480 GENDER MINORITY HEALTH 6418 03:58:59,480 --> 03:59:01,440 DISPARITIES IN THE PRESENCE OF A 6419 03:59:01,440 --> 03:59:03,240 CAREGIVER WHO IS A CHRONIC 6420 03:59:03,240 --> 03:59:03,640 SUBSTANCE ABUSER. 6421 03:59:03,640 --> 03:59:05,600 THE PRESENCE IN THE HOME OF AN 6422 03:59:05,600 --> 03:59:07,680 ADULT OR CAREGIVER WITH SERIOUS 6423 03:59:07,680 --> 03:59:10,440 MENTAL ILLNESS, PARTICULARLY 6424 03:59:10,440 --> 03:59:12,160 DEPRESSION, AND HAVING A 6425 03:59:12,160 --> 03:59:13,320 HOUSEHOLD OR A FAMILY MEMBER 6426 03:59:13,320 --> 03:59:15,560 THAT IS IN CARCERATED, AND 6427 03:59:15,560 --> 03:59:19,080 WITNESSING VIOLENCE IN THE HOME 6428 03:59:19,080 --> 03:59:22,080 AND ALL OF THESE ARE 6429 03:59:22,080 --> 03:59:23,000 SIGNIFICANT, THEY'RE PROBABLY 6430 03:59:23,000 --> 03:59:24,320 UNDER REPORTS GIIVE THAT ALL 6431 03:59:24,320 --> 03:59:25,720 THESE ARE UNDERREPORTED AND 6432 03:59:25,720 --> 03:59:27,120 THESE DISPARITIES WHICH ARE 6433 03:59:27,120 --> 03:59:29,400 ROUGHLY, BY A FACTOR OF 2 SEXUAL 6434 03:59:29,400 --> 03:59:31,640 MINORITIES HAVE GREATER RACE OF 6435 03:59:31,640 --> 03:59:33,240 THESE DISPARITIES, GENDER 6436 03:59:33,240 --> 03:59:34,080 DIVERSE INDIVIDUALS AND 6437 03:59:34,080 --> 03:59:35,720 DISPARITIES ARE EVEN GREATER AND 6438 03:59:35,720 --> 03:59:37,120 SOME IS STUDIES SUGGEST THEY 6439 03:59:37,120 --> 03:59:38,000 HAVE ROUGHLY TRIPLED THE RATES 6440 03:59:38,000 --> 03:59:41,160 OF SOME OF THESE ADVERSITIES. 6441 03:59:41,160 --> 03:59:41,440 WHY? 6442 03:59:41,440 --> 03:59:44,920 THAT IS THE BIG QUESTION THAT 6443 03:59:44,920 --> 03:59:45,720 PEOPLE ALWAYS ASK. 6444 03:59:45,720 --> 03:59:47,640 TO SOME DEGREE DIFFERENTIAL 6445 03:59:47,640 --> 03:59:49,600 REPORTING PLAYS A ROLE HERE. 6446 03:59:49,600 --> 03:59:50,960 INDIVIDUALS WHO GO THROUGH A 6447 03:59:50,960 --> 03:59:55,280 PROCESS OF SEXUAL AND GENDER 6448 03:59:55,280 --> 03:59:56,160 QUESTIONING OFTEN ASK THEMSELVES 6449 03:59:56,160 --> 03:59:59,920 WHAT HAPPENED TO ME, WHY AM I 6450 03:59:59,920 --> 04:00:00,200 LIKE THIS? 6451 04:00:00,200 --> 04:00:01,320 WHY AM I DIFFERENT? 6452 04:00:01,320 --> 04:00:03,320 SO THEREYA A GREATER LIKELIHOOD 6453 04:00:03,320 --> 04:00:04,720 OF INDIVIDUALS GOING THROUGH 6454 04:00:04,720 --> 04:00:06,160 SEXUAL GENDER QUESTIONING 6455 04:00:06,160 --> 04:00:08,760 PROCESS OF FOCUSING IN ON THEIR 6456 04:00:08,760 --> 04:00:11,400 BACKGROUNDS, LOOKING AT THEIR 6457 04:00:11,400 --> 04:00:13,080 CHILDHOOD, BECOMING MORE 6458 04:00:13,080 --> 04:00:14,600 CONSCIOUSLY AWARE OF JUST WHAT 6459 04:00:14,600 --> 04:00:17,120 THEIR CHILDHOOD WAS LIKE. 6460 04:00:17,120 --> 04:00:20,280 CAN CONVERSELY INDIVIDUAL WHO IS 6461 04:00:20,280 --> 04:00:21,400 HAVE EXPERIENCED ADVERSITY 6462 04:00:21,400 --> 04:00:23,680 ESPECIALLY FORMS OF ADVERSITY 6463 04:00:23,680 --> 04:00:26,280 THAT INVOLVE SHAME OR 6464 04:00:26,280 --> 04:00:27,920 DEGRADATION OR SHUNNING AND 6465 04:00:27,920 --> 04:00:29,440 SPURNING OFTEN THEM ASK 6466 04:00:29,440 --> 04:00:30,240 THEMSELVES WHY, WHY ME? 6467 04:00:30,240 --> 04:00:31,520 WHAT IS WRONG WITH ME? 6468 04:00:31,520 --> 04:00:33,440 WHY IS THIS HAPPENING TO ME? 6469 04:00:33,440 --> 04:00:34,880 AND AGAIN TURNING INWARD AND 6470 04:00:34,880 --> 04:00:45,200 LOOKINGA THE SELF, THAT CAN 6471 04:00:45,200 --> 04:00:46,240 ACCELERATE THAT. 6472 04:00:46,240 --> 04:00:49,920 SO A LOT OF YOUTH, ADVERSITY CAN 6473 04:00:49,920 --> 04:00:51,640 SPEED UP THE PATHWAY TO WHICH 6474 04:00:51,640 --> 04:00:53,080 THEY BRING IT INTO CONSCIOUS 6475 04:00:53,080 --> 04:00:53,800 AWARENESS. 6476 04:00:53,800 --> 04:00:54,640 ANOTHER THING THAT'S BEEN SHOWN 6477 04:00:54,640 --> 04:00:56,080 IS THAT KIDS WHO APPEAR TO BE 6478 04:00:56,080 --> 04:00:59,120 DIFFERENT FROM OTHER KIDS ARE 6479 04:00:59,120 --> 04:01:02,760 OFTEN TARGETED BY ADULTS, BEING 6480 04:01:02,760 --> 04:01:06,440 DIFFERENT CAN OFTEN ELICIT 6481 04:01:06,440 --> 04:01:07,480 MALTREATMENT FROM PARENTS OR 6482 04:01:07,480 --> 04:01:09,520 CAREGIVERS, SO THERE ARE THESE 6483 04:01:09,520 --> 04:01:10,440 BI-DIRECTIONAL EFFECTS, WHAT THE 6484 04:01:10,440 --> 04:01:11,960 KID IS PUTTING OUT TO THE 6485 04:01:11,960 --> 04:01:13,360 ENVIRONMENT, WHAT THE ADULTS IN 6486 04:01:13,360 --> 04:01:16,440 THE ENVIRONMENT ARE DOING IN 6487 04:01:16,440 --> 04:01:18,800 RETURN, THAT STILL LEAVES IN 6488 04:01:18,800 --> 04:01:20,320 QUESTION OF ARE THERE ANY 6489 04:01:20,320 --> 04:01:23,040 EFFECTS OF ADVERSITY ONCE IT 6490 04:01:23,040 --> 04:01:25,840 OCCURS ON YOUTH DEVELOPMENT. 6491 04:01:25,840 --> 04:01:33,360 AND ABSOLUTELY THERE ARE. 6492 04:01:33,360 --> 04:01:35,400 BECAUSE THE HUMAN BRAINL IS A SO 6493 04:01:35,400 --> 04:01:36,800 DEVELOPING SOCIAL BRAIN AND WHEN 6494 04:01:36,800 --> 04:01:38,120 A CHILD DEVELOPS, THE BRAIN DOES 6495 04:01:38,120 --> 04:01:40,680 WHEN IT'S BEEN DOING FOR 60,000 6496 04:01:40,680 --> 04:01:43,520 YEARS, IT ADAPTED, IT FIGURING 6497 04:01:43,520 --> 04:01:45,160 OUT UTR HO TO SURVIVE IN THIS 6498 04:01:45,160 --> 04:01:45,760 PARTICULAR ENVIRONMENT AND WE 6499 04:01:45,760 --> 04:01:47,760 KNOW THAT MANY OF THOSE 6500 04:01:47,760 --> 04:01:50,160 ADAPTATIONS CAN BE VERY LONG 6501 04:01:50,160 --> 04:01:50,760 LASTING. 6502 04:01:50,760 --> 04:01:55,280 WE ALSO KNOW THAT DIFFERENT KIDS 6503 04:01:55,280 --> 04:01:56,240 ARE DIFFERENTIALLY SENSITIVE TO 6504 04:01:56,240 --> 04:01:57,840 WHAT'S GOING ON IN THEIR 6505 04:01:57,840 --> 04:01:58,160 ENVIRONMENT. 6506 04:01:58,160 --> 04:01:59,280 WE KNOW THAT THERE ARE GENES 6507 04:01:59,280 --> 04:02:01,480 THAT ARE RELATED TO ENVIRONMENTS 6508 04:02:01,480 --> 04:02:03,480 IN SUSCEPTIBILITY AND WE ALSO 6509 04:02:03,480 --> 04:02:06,600 KNOW THAT YOUR SUSCEPTIBILITY TO 6510 04:02:06,600 --> 04:02:07,880 ENVIRONMENTAL INFLUENCE CAN BE 6511 04:02:07,880 --> 04:02:09,720 CALIBRATED BY EXPOSE TOWER 6512 04:02:09,720 --> 04:02:11,320 DIFFERENT ENVIRONMENTS. 6513 04:02:11,320 --> 04:02:13,400 YOUR SENSITIVITY TO THE NURTURE 6514 04:02:13,400 --> 04:02:14,720 ANT TO THE ENVIRONMENT CAN BE 6515 04:02:14,720 --> 04:02:18,240 DIALED UP OR DOWN, BASED ON WHAT 6516 04:02:18,240 --> 04:02:22,400 IS MOST ADAPTIVE TO THAT BRAIN 6517 04:02:22,400 --> 04:02:23,200 AND THAT ENVIRONMENT. 6518 04:02:23,200 --> 04:02:28,600 SO I'M GRAD THAT VICKI MAYS 6519 04:02:28,600 --> 04:02:29,800 TALKED ABOUT FLUIDITY BECAUSE 6520 04:02:29,800 --> 04:02:31,240 THAT APPLIES TO THE BRAIN AND 6521 04:02:31,240 --> 04:02:33,240 DIFFERENT FOLKS ARE GOING TO BE 6522 04:02:33,240 --> 04:02:34,720 MORE OR LESS SENSITIVE TO WHAT'S 6523 04:02:34,720 --> 04:02:36,000 HAPPENING AROUND THEM AND SO 6524 04:02:36,000 --> 04:02:39,680 THAT CREATES A LOT OF DIVERSITY 6525 04:02:39,680 --> 04:02:40,240 IN DEVELOPMENTAL OUTCOMES. 6526 04:02:40,240 --> 04:02:42,840 ONE OF THE THINGS WE DO KNOW 6527 04:02:42,840 --> 04:02:43,680 WITH REGARD TO EFFECTIVE 6528 04:02:43,680 --> 04:02:45,880 ADVERSITY ON SEXUAL DEVELOPMENT 6529 04:02:45,880 --> 04:02:47,000 IS THAT THERE'S--ALTHOUGH 6530 04:02:47,000 --> 04:02:50,640 THERE'S NO EVIDENCE THAT 6531 04:02:50,640 --> 04:02:52,200 ADVERSITY CHANGES THE GENDER 6532 04:02:52,200 --> 04:02:54,160 PATTERNING OF AN INDIVIDUAL'S 6533 04:02:54,160 --> 04:02:55,680 SEXUAL DESIRES, IT DOES APPEAR 6534 04:02:55,680 --> 04:02:58,200 TO SPEED UP MATURATION. 6535 04:02:58,200 --> 04:02:59,080 INDIVIDUALS WHO HAVE BEEN 6536 04:02:59,080 --> 04:03:01,480 EXPOSED TO A LOT OF ADVERSITY 6537 04:03:01,480 --> 04:03:03,680 TEND TO REACH PUBERTY A LITTLE 6538 04:03:03,680 --> 04:03:05,640 EARLIER, OFTEN THEY'RE ENTRY 6539 04:03:05,640 --> 04:03:07,720 INTO SEXUAL RELATIONSHIPS 6540 04:03:07,720 --> 04:03:08,440 DEVELOPMENTALLY, COMES EARLIER, 6541 04:03:08,440 --> 04:03:11,200 THERE ARE MORE LIKELY TO HAVE 6542 04:03:11,200 --> 04:03:12,320 MULTIPLE SEXUAL PARTNERS, THEY 6543 04:03:12,320 --> 04:03:15,240 ARE MORE LIKELY TO PURSUE SEX IN 6544 04:03:15,240 --> 04:03:16,520 NONCOMMITTED OR CASUAL 6545 04:03:16,520 --> 04:03:19,960 RELATIONSHIPS AND WHAT 6546 04:03:19,960 --> 04:03:22,360 DEVELOPMENTAL EVOLUTIONARY 6547 04:03:22,360 --> 04:03:23,160 DEVELOPMENTAL PSYCHOLOGISTS HAVE 6548 04:03:23,160 --> 04:03:25,160 THEORORRIZED IS THAT REFLEBS A 6549 04:03:25,160 --> 04:03:27,840 SORT OF ORIENTATION TOWARD AN 6550 04:03:27,840 --> 04:03:28,440 UNCERTAIN FUTURE. 6551 04:03:28,440 --> 04:03:30,800 THAT WHEN THE BRAIN IS GETTING 6552 04:03:30,800 --> 04:03:34,040 THE MESSAGE DEVELOPMENTALLY, 6553 04:03:34,040 --> 04:03:37,840 THAT THE FUTURE IS 6554 04:03:37,840 --> 04:03:39,120 UNPREDICTABLE, IT SPEEDS UP 6555 04:03:39,120 --> 04:03:40,680 DEVELOPMENT IN THIS FAST LIFE 6556 04:03:40,680 --> 04:03:41,120 HISTORY STRATEGY. 6557 04:03:41,120 --> 04:03:43,680 FIGURE OUT WHERE THE REWARDS 6558 04:03:43,680 --> 04:03:46,520 ARE, GET THEM, AND IF THERE ARE 6559 04:03:46,520 --> 04:03:49,560 RISKS JUST DO IT ANYWAY, SO IT'S 6560 04:03:49,560 --> 04:03:51,720 A SORT OF SHORT-TERM STRATEGY, 6561 04:03:51,720 --> 04:03:53,080 YOU KNOW IN THIS UNCERTAIN WORLD 6562 04:03:53,080 --> 04:03:55,240 GET WHAT YOU CAN AND GIVEN THAT 6563 04:03:55,240 --> 04:03:59,840 WE KNOW THAT MARGINALIZED 6564 04:03:59,840 --> 04:04:01,320 COMMUNITIES HAVE HIGH LEVELS OF 6565 04:04:01,320 --> 04:04:02,600 RISK BEHAVIORS, IT'S IMPORTANT 6566 04:04:02,600 --> 04:04:04,400 TO THABD THAT'S NOT A PARKER OF 6567 04:04:04,400 --> 04:04:07,000 BEING UNCONTROLLED OR 6568 04:04:07,000 --> 04:04:08,680 UNREGULATED TO SOME DEGREE, THAT 6569 04:04:08,680 --> 04:04:09,920 IS ADAPTIVE, THAT IS ADAPTIVE 6570 04:04:09,920 --> 04:04:12,800 FOR A BRAIN THAT'S EXPOSED TO 6571 04:04:12,800 --> 04:04:13,440 ADVERSITY. 6572 04:04:13,440 --> 04:04:15,360 THIS OF COURSE, IS WHERE THE 6573 04:04:15,360 --> 04:04:17,720 HEALTH IMPLICATIONS COME IN. 6574 04:04:17,720 --> 04:04:19,480 BECAUSE ALL OF THOSE CHILDHOOD 6575 04:04:19,480 --> 04:04:21,880 EVENTS SO UP NOT JUST 6576 04:04:21,880 --> 04:04:23,320 IMMEDIATELY, BUT OVER THE LIFE 6577 04:04:23,320 --> 04:04:25,840 COURSE AND THERE'S A LOT OF 6578 04:04:25,840 --> 04:04:27,040 LONG-TERM DEVELOPMENTAL STUDIES 6579 04:04:27,040 --> 04:04:28,600 SHOWING YOU CAN IDENTIFY 6580 04:04:28,600 --> 04:04:29,440 LONG-TERM HEALTH EFFECTS OF 6581 04:04:29,440 --> 04:04:33,120 EARLY EXPOSE TOWER CERTAIN 6582 04:04:33,120 --> 04:04:33,480 ADVERSITIES. 6583 04:04:33,480 --> 04:04:36,920 IN PEOPLES 50S AND 60S IN THEIR 6584 04:04:36,920 --> 04:04:38,000 RESPONSES TO MEDICATION, IN 6585 04:04:38,000 --> 04:04:39,400 THEIR RESPONSES TO CHEMO THERAPY 6586 04:04:39,400 --> 04:04:42,160 AND SO IN ORDER TO FIGURE OUT 6587 04:04:42,160 --> 04:04:44,160 WHAT'S HAPPENING WITH HEALTH 6588 04:04:44,160 --> 04:04:46,440 DISPARITIES IN ADULTS, WE HAVE 6589 04:04:46,440 --> 04:04:49,320 TO ATTEND TO SOME OF THE 6590 04:04:49,320 --> 04:04:51,440 MEDIATING EFFECTS, SOME OF WHAT 6591 04:04:51,440 --> 04:04:53,640 ARE CALLED BIOLOGICAL EMBEDDING 6592 04:04:53,640 --> 04:04:54,480 EFFECTS, EFFECTS OF ADVERSITY ON 6593 04:04:54,480 --> 04:04:56,960 THE WAY THE STRESS RESPONSE 6594 04:04:56,960 --> 04:05:00,480 SYSTEM FUNCTIONS AND CASCADE 6595 04:05:00,480 --> 04:05:02,440 EEIVETS THAT CERTAIN BEHAVIORS 6596 04:05:02,440 --> 04:05:04,000 FEED FORWARD TO CHANGE THE 6597 04:05:04,000 --> 04:05:04,760 ENVIRONMENT EVENT FURTHER SO YOU 6598 04:05:04,760 --> 04:05:06,600 HAVE TO THINK OF DEVELOPMENT AT 6599 04:05:06,600 --> 04:05:08,440 THIS SPIRAL THAT IT'S ADAPTING 6600 04:05:08,440 --> 04:05:11,200 AND CHANGING AND ADAPTING AND 6601 04:05:11,200 --> 04:05:12,000 READAPTING OVER TIME AND THAT 6602 04:05:12,000 --> 04:05:14,320 YOU HAVE TO SORT OF LOOK AT THAT 6603 04:05:14,320 --> 04:05:15,480 PROCESS IF YOU WANT TO TRY TO 6604 04:05:15,480 --> 04:05:16,160 UNDERSTAND WHAT'S GOING ON BY 6605 04:05:16,160 --> 04:05:17,640 THE TIME HAVE YOU AN ADULT. 6606 04:05:17,640 --> 04:05:22,000 AND IN TERMS OF BIOLOGICAL 6607 04:05:22,000 --> 04:05:24,480 MECHANISMS, AND BRIAN 6608 04:05:24,480 --> 04:05:25,680 [INDISCERNIBLE] SAID EARLIER ON 6609 04:05:25,680 --> 04:05:27,280 THAT THERE'S MUCH MORE RESEARCH 6610 04:05:27,280 --> 04:05:29,200 THESE DAYS ON BIOMARKERS AND 6611 04:05:29,200 --> 04:05:30,800 BIOLAGEICAL MECHANISMS, AND I 6612 04:05:30,800 --> 04:05:32,520 THINK THE MOST IMPORTANT 6613 04:05:32,520 --> 04:05:35,960 EMERGING SORT OF FOCUS OF 6614 04:05:35,960 --> 04:05:37,000 ATTENTION FOR BIOLOGICAL 6615 04:05:37,000 --> 04:05:39,400 MECHANISMS IS THE IMMUNE SYSTEM 6616 04:05:39,400 --> 04:05:40,800 AND SPECIFICALLY SYSTEMIC 6617 04:05:40,800 --> 04:05:42,840 INFLAMMATION WHICH IS A BROAD 6618 04:05:42,840 --> 04:05:45,720 PROCESS IN THE BODY THAT IS 6619 04:05:45,720 --> 04:05:49,760 TRIGGERS BY PERCEPTIONS OF 6620 04:05:49,760 --> 04:05:51,840 SOCIAL THREAT, AND WHICH TENDS 6621 04:05:51,840 --> 04:05:56,000 TO EXACERBATE OVER TIME SO THAT 6622 04:05:56,000 --> 04:05:58,880 EARLY EXPOSURE TO THREAT 6623 04:05:58,880 --> 04:05:59,520 TIGHTENED THE INFLAMMA TORPRO 6624 04:05:59,520 --> 04:06:02,720 ASSESSES IN THE BODY AND THAT 6625 04:06:02,720 --> 04:06:03,840 CAN DOUBLE AND TRIPLE RISK LATER 6626 04:06:03,840 --> 04:06:05,000 ON AND THE REASON IT'S SO 6627 04:06:05,000 --> 04:06:07,280 IMPORTANT IS THAT'S A PRETTY 6628 04:06:07,280 --> 04:06:11,080 BROADLY PATHOGENIC PROCESS IN 6629 04:06:11,080 --> 04:06:12,360 THE BODY THAT THAT IS 6630 04:06:12,360 --> 04:06:17,760 RESPONSIBLE FOR ABOUT 50% OF THE 6631 04:06:17,760 --> 04:06:19,840 DEATHS WORLD WIDE: INFLAMMATION 6632 04:06:19,840 --> 04:06:23,160 IS RELATED TO CARDIOVASCULAR 6633 04:06:23,160 --> 04:06:24,160 DISEASE, ARTHRITIS, CANCER, 6634 04:06:24,160 --> 04:06:24,840 RESPIRATORY PROBLEMS, ASTHMA, 6635 04:06:24,840 --> 04:06:31,200 ALL OF THE DISPARITIES THAT WE 6636 04:06:31,200 --> 04:06:33,680 HAVE SEEN IN SEXUAL AND GENDER 6637 04:06:33,680 --> 04:06:35,600 MINORITY PATHWAYS INCLUDING 6638 04:06:35,600 --> 04:06:36,400 DEPRESSION AND SUICIDALLITY. 6639 04:06:36,400 --> 04:06:38,200 THERE'S BEEN A LOT OF DEBATE 6640 04:06:38,200 --> 04:06:39,840 OVER THE WHETHER THE LINK 6641 04:06:39,840 --> 04:06:41,760 BETWEEN INFORMATION AND SUICIDAL 6642 04:06:41,760 --> 04:06:49,000 8 IS BI-DIRECTIONAL, CAUSAL WE 6643 04:06:49,000 --> 04:06:51,240 KNOW THAT YOUTHS WITH COMPLETED 6644 04:06:51,240 --> 04:06:53,280 SUICIDE HAVE HIGHER LEVELS OF 6645 04:06:53,280 --> 04:06:55,440 INFLAMMATION IN THE BRAIN THAN 6646 04:06:55,440 --> 04:06:55,840 ATTEMPTED SUICIDE. 6647 04:06:55,840 --> 04:06:56,520 THERE'S A LOT INFORMATION, I 6648 04:06:56,520 --> 04:06:57,840 WILL PUT THIS OUT HERE, I DIDN'T 6649 04:06:57,840 --> 04:07:00,040 KNOW ANYTHING ABOUT THE IMMUNE 6650 04:07:00,040 --> 04:07:02,440 SYSTEM 10 YEARS AGO. 6651 04:07:02,440 --> 04:07:04,280 I--AS I STARTED TO REALIZE HOW 6652 04:07:04,280 --> 04:07:05,680 CENTRAL THIS PROCESS WAS I GOT 6653 04:07:05,680 --> 04:07:16,160 UP TO SPEED FAST--TO COLLECT 6654 04:07:26,040 --> 04:07:29,000 VERY HEALTH RELEVANT MECHANISMIC 6655 04:07:29,000 --> 04:07:30,680 BIOLOGICAL DATA I WOULD 6656 04:07:30,680 --> 04:07:32,360 RECOMMEND THAT PEOPLE REALLY, 6657 04:07:32,360 --> 04:07:34,680 REALLY FOCUS ON THE IMMUNE 6658 04:07:34,680 --> 04:07:37,480 SYSTEM AND INFLAMMATION, SO 1 OF 6659 04:07:37,480 --> 04:07:38,360 THE IMPORTANT THINGS TO REMEMBER 6660 04:07:38,360 --> 04:07:44,640 WHEN WE THINK ABOUT ADITY - 6661 04:07:44,640 --> 04:07:47,600 -ADVERSITY IS NOT 6662 04:07:47,600 --> 04:07:48,520 NONAPOPTOTIC WILLAL. 6663 04:07:48,520 --> 04:07:50,040 IT'S NOT JUST WHETHER ADVERSITY 6664 04:07:50,040 --> 04:07:53,600 OCCURS, IT'S THE TYPE AND THE 6665 04:07:53,600 --> 04:07:54,040 TIMING. 6666 04:07:54,040 --> 04:07:55,600 MOST EVOLUTIONARY PSYCHOLOGISTS 6667 04:07:55,600 --> 04:07:56,400 HAVE FOCUSED ON THE FACT THAT 6668 04:07:56,400 --> 04:07:59,920 THE HUMAN BRAIN AS A VERY 6669 04:07:59,920 --> 04:08:00,280 PARTICULAR TASK. 6670 04:08:00,280 --> 04:08:01,440 IT NOT ONLY HAS TO RESPOND IN 6671 04:08:01,440 --> 04:08:03,320 THE NOW BUT IT HAS TO PREDICT 6672 04:08:03,320 --> 04:08:05,320 THE FUTURE AND SO SOME FOLKS 6673 04:08:05,320 --> 04:08:07,400 HAVE TALKED ABOUT THE BEIGE AND 6674 04:08:07,400 --> 04:08:17,720 BRAIN, USING PAST 6675 04:08:54,080 --> 04:08:55,320 EXPERIENCES--UNPREDICTABILITY 6676 04:08:55,320 --> 04:08:57,040 WHICH DID NOT USED TO FOCUS A 6677 04:08:57,040 --> 04:08:59,120 LOT OF ATTENTION ON, WE NOW KNOW 6678 04:08:59,120 --> 04:09:00,520 THAT FOR EXAMPLE HAVING A 6679 04:09:00,520 --> 04:09:01,680 CAREGIVER, WHO IS A SUBSTANCE 6680 04:09:01,680 --> 04:09:05,240 USER WHO HAS DEPRESSION CHANGES 6681 04:09:05,240 --> 04:09:09,040 THE CHILD'S ABILITY TO SEELET 6682 04:09:09,040 --> 04:09:10,360 THE FUTURE AS SAFE AND 6683 04:09:10,360 --> 04:09:13,280 PREDICTABLE AND THAT TRIGGERS 6684 04:09:13,280 --> 04:09:14,120 ADAPTATIONS, ADAPTATIONS FOR THE 6685 04:09:14,120 --> 04:09:15,880 MOMENT AND THAT WILL BE USEFUL 6686 04:09:15,880 --> 04:09:16,280 LATER ON. 6687 04:09:16,280 --> 04:09:19,960 ONE OF THE REASONS I THINK IT'S 6688 04:09:19,960 --> 04:09:22,520 SO IMPORTANT IS IT HELPS TO PULL 6689 04:09:22,520 --> 04:09:24,040 ADVERSITY IS THE SOURCE OF 6690 04:09:24,040 --> 04:09:31,200 PROBINGNESS, THAT A CHILD WHO 6691 04:09:31,200 --> 04:09:33,960 HAS BEEN ABUSED IS JUST DONE 6692 04:09:33,960 --> 04:09:35,000 FOR. 6693 04:09:35,000 --> 04:09:36,320 OUR SPECIES IS DESIGNED TO COPE 6694 04:09:36,320 --> 04:09:39,400 WITH THESE THINGS BY ADAPTING 6695 04:09:39,400 --> 04:09:40,120 BUT THOSE AX DATA 6696 04:09:40,120 --> 04:09:41,480 PROTECTIONATIONS HAVE 6697 04:09:41,480 --> 04:09:43,280 CONSEQUENCES SO HYPER VIG LANSZ, 6698 04:09:43,280 --> 04:09:43,920 HYPER PROTECTIVENESS, SOME OF 6699 04:09:43,920 --> 04:09:45,000 THE THINGS YOU SLEEP APNEA AND 6700 04:09:45,000 --> 04:09:46,720 OBESITYY IN KIDS EXPOSED TO 6701 04:09:46,720 --> 04:09:49,000 ADVERSITY ARE VERY ADAPTIVE FOR 6702 04:09:49,000 --> 04:09:50,680 THE NOW AND THEY HELP TO PREPARE 6703 04:09:50,680 --> 04:09:52,520 FOR AN UNCERTAINTY FUTURE BUT 6704 04:09:52,520 --> 04:09:54,200 THEY HAVE COSTS, WHEN THERE'S A 6705 04:09:54,200 --> 04:09:56,320 MISMATCH WITH THE ENVIRONMENT. 6706 04:09:56,320 --> 04:09:57,560 AND O SOME CLINICAL 6707 04:09:57,560 --> 04:09:58,720 PSYCHOLOGISTS TALK ABOUT THE 6708 04:09:58,720 --> 04:10:01,120 ADAPTED CHILD ARE THE CHILD THAT 6709 04:10:01,120 --> 04:10:03,200 LEARNS TO DEAL WITH THE 6710 04:10:03,200 --> 04:10:05,560 ALCOHOLIC PARENT OR THE 6711 04:10:05,560 --> 04:10:06,760 UNPREDICTABLE ENVIRONMENT AND 6712 04:10:06,760 --> 04:10:09,200 THEN AS A AN ARK DULT YOU MAY 6713 04:10:09,200 --> 04:10:12,760 HAVE THESE ADAPTATIONS THAT NO 6714 04:10:12,760 --> 04:10:13,160 LONGER SERVE YOU. 6715 04:10:13,160 --> 04:10:15,440 SO IF ALL OF THAT IS TRUE THEN 6716 04:10:15,440 --> 04:10:17,200 WHERE DOES THIS NOTION OF TRAUMA 6717 04:10:17,200 --> 04:10:20,000 FIT IN, IF ADVERSITY IS NORMAL, 6718 04:10:20,000 --> 04:10:22,880 WHAT--WHAT IS TRAUMA, WHAT'S THE 6719 04:10:22,880 --> 04:10:24,160 DIFFERENCE BETWEEN TRAUM AND 6720 04:10:24,160 --> 04:10:24,880 ADVERSITY RESEARCH WHAT MOST 6721 04:10:24,880 --> 04:10:27,240 WOULD SAY IS THAT TRAUM IS ABOUT 6722 04:10:27,240 --> 04:10:29,000 PRIME AT THREAT, THREAT TO LIFE, 6723 04:10:29,000 --> 04:10:31,200 WHICH HISTORICALLY IN A LOT OF 6724 04:10:31,200 --> 04:10:33,360 THE INITIAL PTSD RESEARCH WAS 6725 04:10:33,360 --> 04:10:35,840 FOCUSED ON BIG EVENTS CALLED 6726 04:10:35,840 --> 04:10:40,600 KRIST FERIA A EEIVETS 6727 04:10:40,600 --> 04:10:42,320 DIAGNOSTICALLY, AN ASSAULT, 6728 04:10:42,320 --> 04:10:43,600 SOMETHING THAT POSED AN 6729 04:10:43,600 --> 04:10:47,400 IMMEDIATE THREAT TO LIFE, THAT 6730 04:10:47,400 --> 04:10:49,920 CAUSES SELF-PROTECTIVE 6731 04:10:49,920 --> 04:10:50,960 ADAPTATION AND TRAUMA 6732 04:10:50,960 --> 04:10:52,240 SYMPTOMOLOGY AND I STAY STICKY 6733 04:10:52,240 --> 04:10:53,880 BECAUSE THEY'RE THOORD GET RID 6734 04:10:53,880 --> 04:10:54,280 OF. 6735 04:10:54,280 --> 04:10:57,840 THAT'S WHAT A TRAUMA THERAPY IS 6736 04:10:57,840 --> 04:10:59,400 FOR AND THEY OFTEN DON'T MAKE A 6737 04:10:59,400 --> 04:11:00,720 LOT OF SENSE. 6738 04:11:00,720 --> 04:11:02,400 THESE ARE ADAPTATIONS TO DANGER 6739 04:11:02,400 --> 04:11:04,320 THAT ARE SELF-PROECTOMYOSIN 6740 04:11:04,320 --> 04:11:06,920 ITIVE AND THEY SOMETIMES DON'T 6741 04:11:06,920 --> 04:11:08,560 MATCH THE CURRENT SITUATION 6742 04:11:08,560 --> 04:11:09,640 BECAUSE THE BRAIN HAS ADAPT 6743 04:11:09,640 --> 04:11:11,000 INDEED A WAY TAKEN--THEY DIDN'T 6744 04:11:11,000 --> 04:11:20,080 SERVE IT WHEN WHEN IT'S IN A 6745 04:11:20,080 --> 04:11:21,200 DANGER ENVIRONMENT. 6746 04:11:21,200 --> 04:11:22,400 PROTECT 1S SELF-FROM DANGER, 6747 04:11:22,400 --> 04:11:24,680 HYPER PROTECTION AND THAT 6748 04:11:24,680 --> 04:11:25,640 INCLUDES SELF-SOOTHING BEHAVIOR, 6749 04:11:25,640 --> 04:11:27,280 AND THEN HYPER SUBMISSION, GIVE 6750 04:11:27,280 --> 04:11:31,120 IN, GIVE IN TO THE THREAT TO 6751 04:11:31,120 --> 04:11:32,160 PROTECT YOURSELF FURTHER IN 6752 04:11:32,160 --> 04:11:32,400 DANGER. 6753 04:11:32,400 --> 04:11:34,280 ONE OF THE THINGS THAT'S REALLY 6754 04:11:34,280 --> 04:11:35,600 BEEN MOST INTERESTING AND SORT 6755 04:11:35,600 --> 04:11:37,120 OF LITERATURE ON RESEARCH ON 6756 04:11:37,120 --> 04:11:40,160 TRAUMA, IS THAT AS MORE RESEARCH 6757 04:11:40,160 --> 04:11:41,920 GOT DONE, ESPECIALLY IF IT 6758 04:11:41,920 --> 04:11:44,000 INCLUDE TD EXPOSURES WHO HAD 6759 04:11:44,000 --> 04:11:44,760 EXPOSED TO CHILDHOOD DIVERSITY 6760 04:11:44,760 --> 04:11:46,360 WE FOUND A LOT OF FOLKS HAVE 6761 04:11:46,360 --> 04:11:49,720 THESE SORTS OF SYMPTOMS, BUT 6762 04:11:49,720 --> 04:11:52,000 WITHOUT THE CRITERIA A EVENT. 6763 04:11:52,000 --> 04:11:53,200 THEY WEREN'T PHYSICALLY 6764 04:11:53,200 --> 04:11:55,800 THREATENS, THEY WEREN'T AT RISK 6765 04:11:55,800 --> 04:11:56,560 OF DEATH. 6766 04:11:56,560 --> 04:11:59,920 AND THE CATEGORY OF COMPLEX 6767 04:11:59,920 --> 04:12:03,960 TRAUMA OR OF LITTLE CPTSD HAS 6768 04:12:03,960 --> 04:12:05,960 EMERGED IN THE LITERATURE AS AN 6769 04:12:05,960 --> 04:12:06,840 EXPLANATION OF THIS. 6770 04:12:06,840 --> 04:12:08,160 BASICALLY SOME INDIVIDUALS WILL 6771 04:12:08,160 --> 04:12:09,280 DEVELOP THESE DEFENSIVE 6772 04:12:09,280 --> 04:12:12,000 ADAPTATIONS NOT BECAUSE OF A 6773 04:12:12,000 --> 04:12:13,840 SINGLE ADVERSE EVENT, BUT 6774 04:12:13,840 --> 04:12:17,920 THROUGH A LONG-TERM ADAPTATION 6775 04:12:17,920 --> 04:12:21,680 TO CHRONIC UNCONTROLLABLE FEAR. 6776 04:12:21,680 --> 04:12:22,680 UN PREICTIBILITY IS REALLY 6777 04:12:22,680 --> 04:12:23,560 IMPORTANT HERE BECAUSE IF IT 6778 04:12:23,560 --> 04:12:27,800 WERE A MEMBER OF YOUR PSYCHE 6779 04:12:27,800 --> 04:12:28,440 101, INTERMITTENT REINFORCEMENT 6780 04:12:28,440 --> 04:12:30,360 IS A REALLY POWERFUL 6781 04:12:30,360 --> 04:12:32,080 CONDITIONING MECHANISM IN THE 6782 04:12:32,080 --> 04:12:32,320 BRAIN. 6783 04:12:32,320 --> 04:12:37,880 SO FEAR THAT IS UNPREDICTABLE, 6784 04:12:37,880 --> 04:12:38,920 TRIGGERS EVEN MORE SOURCE OF 6785 04:12:38,920 --> 04:12:39,600 ASBESTOS DATA PROTECTIONATIONS 6786 04:12:39,600 --> 04:12:40,480 BECAUSE IF ADDITION TO 6787 04:12:40,480 --> 04:12:41,360 RESPONDING TO THE THREAT, WE 6788 04:12:41,360 --> 04:12:43,480 HAVE TO TRY AND PREDICT IT, WE 6789 04:12:43,480 --> 04:12:44,560 YOU HAVE TO TRY AND WATCH FOR 6790 04:12:44,560 --> 04:12:47,000 IT, YOU HAVE TO TRY AND SEE HOW 6791 04:12:47,000 --> 04:12:49,840 TO ESCAPE IT, AND WHAT IS THAT 6792 04:12:49,840 --> 04:12:50,360 FEAR OF? 6793 04:12:50,360 --> 04:12:51,560 IT'S MORE THAN JUST VIOLENCE AND 6794 04:12:51,560 --> 04:12:53,080 I THINK 1 OF THE THINGS WE 6795 04:12:53,080 --> 04:12:55,000 REALLY LEARNED IN THE WHOLE 6796 04:12:55,000 --> 04:12:58,200 MINORITY TRADITION IS THAT, IT'S 6797 04:12:58,200 --> 04:13:00,560 NOT JUST THE IMMEDIATE THREAT OF 6798 04:13:00,560 --> 04:13:02,160 PHYSICAL VIOLENCE, IT IS SOCIAL 6799 04:13:02,160 --> 04:13:05,840 VIOLENCE AS WELL. 6800 04:13:05,840 --> 04:13:10,360 BECAUSE HUMANS ARE AN ALTRICIA 6801 04:13:10,360 --> 04:13:12,000 AND WERE BORN VULNERABLE AND 6802 04:13:12,000 --> 04:13:14,080 DEPENDENT ON SOCIAL TIES. 6803 04:13:14,080 --> 04:13:15,520 SOPHISTICATED ARERY DR. DIAMOND, 6804 04:13:15,520 --> 04:13:19,480 IF YOU CAN WRAP UP PLEASE? 6805 04:13:19,480 --> 04:13:19,880 >>NO PROBLEM. 6806 04:13:19,880 --> 04:13:24,080 I LET ME GET MY MOUSE TO WORK, 6807 04:13:24,080 --> 04:13:26,160 SOCIAL REJECTION, IS A PRIMAL 6808 04:13:26,160 --> 04:13:27,680 THREAT, WHICH MEANS THAT THERE'S 6809 04:13:27,680 --> 04:13:30,680 NO SUCH THING AS BEING OVERLY 6810 04:13:30,680 --> 04:13:31,760 SENSITIVE TO REJECTION, 6811 04:13:31,760 --> 04:13:32,600 MICROAGGRESSIONS ARE NOT MICRO, 6812 04:13:32,600 --> 04:13:35,000 FROM THE PERSPECTIVE OF THE 6813 04:13:35,000 --> 04:13:36,520 SOCIAL BRAIN, THEY ARE HIGH 6814 04:13:36,520 --> 04:13:37,360 PRIORITY SIGNALS AND WHEN WE 6815 04:13:37,360 --> 04:13:39,120 THINK ABOUT THE STRESSORS THAT 6816 04:13:39,120 --> 04:13:40,880 ARE FACING SEXUAL AND GENDER 6817 04:13:40,880 --> 04:13:42,680 MINORITY YOUTH, WE HAVE TO 6818 04:13:42,680 --> 04:13:50,200 REMEMBER FROM THAT DEVELOPING 6819 04:13:50,200 --> 04:13:51,600 BRAIN, REJECTION FEELS LIKE 6820 04:13:51,600 --> 04:13:54,200 IMMINENT DANGER TO THE BRAIN AND 6821 04:13:54,200 --> 04:13:55,120 PROVOKES AN ADAPTIVE RESPONSE. 6822 04:13:55,120 --> 04:13:58,560 SO YOU KNOW, THE MAIN POINT OF 6823 04:13:58,560 --> 04:14:02,240 THIS, IS THAT STIGMA IS 6824 04:14:02,240 --> 04:14:03,480 ACTUALLY--IT BEHAVES IN THE 6825 04:14:03,480 --> 04:14:05,240 BRAIN LIKE TRAUM A. WE NEED TO 6826 04:14:05,240 --> 04:14:06,560 STOP THINKING ABOUT STIGMA AS A 6827 04:14:06,560 --> 04:14:07,600 STRESSOR AND THINK ABOUT STIGMA 6828 04:14:07,600 --> 04:14:12,960 AS A FORM OF TRAUMA THAT 6829 04:14:12,960 --> 04:14:15,480 PROVOKES DEFENSIVE ADAPTATION 6830 04:14:15,480 --> 04:14:17,680 AND VIGILANCE, HYPOPROTECTION 6831 04:14:17,680 --> 04:14:19,160 WHICH INCLUDES OBSESSIVE 6832 04:14:19,160 --> 04:14:20,720 SELF-SOOTHING WHICH RELATES TO 6833 04:14:20,720 --> 04:14:22,120 SUBSTANCE USE, HYPER SUBMISSION, 6834 04:14:22,120 --> 04:14:23,840 WHAT FINISHES WOULD CALL THE 6835 04:14:23,840 --> 04:14:30,200 FOND RESPONSE AND THESE SYMPTOMS 6836 04:14:30,200 --> 04:14:31,360 WILL LOOK CRAZY IF YOU JUST 6837 04:14:31,360 --> 04:14:33,160 THINK ABOUT THEM AS RESPONSE TO 6838 04:14:33,160 --> 04:14:34,240 STRESS BECAUSE IT'S OFTEN NOT 6839 04:14:34,240 --> 04:14:36,120 OBSERVABLE BUT IF YOU THINK 6840 04:14:36,120 --> 04:14:37,360 ABOUT IT DEVELOPMENTALLY, 6841 04:14:37,360 --> 04:14:38,720 THEY'RE ADAPTATIONS TO FEAR AND 6842 04:14:38,720 --> 04:14:43,120 THOSE ADAPTATIONS THROUGH THE 6843 04:14:43,120 --> 04:14:45,440 PROCESS OF INFLAMMATION, HAVE 6844 04:14:45,440 --> 04:14:47,040 BOTH MENTAL AND PHYSICAL 6845 04:14:47,040 --> 04:14:48,280 DESCRIPTIONS THAT SOMETIMES ARE 6846 04:14:48,280 --> 04:14:50,880 NOT EVIDENT RIGHT AWAY WILL SHOW 6847 04:14:50,880 --> 04:14:55,480 UP, 10, 20, 30 YEARS LATER. 6848 04:14:55,480 --> 04:14:57,840 >>THANK YOU VERY MUCH. 6849 04:14:57,840 --> 04:15:01,760 THIS WAS AN AMAZING TALK. 6850 04:15:01,760 --> 04:15:03,480 BUT SORRY, WE HAVE TO--WE HAVE 6851 04:15:03,480 --> 04:15:06,920 TO MOVE ON BECAUSE, YOU KNOW 6852 04:15:06,920 --> 04:15:11,800 THERE IS ANOTHER LECTURE AGAIN. 6853 04:15:11,800 --> 04:15:14,920 SO, I WILL WOULD LIKE TO INVITE 6854 04:15:14,920 --> 04:15:16,320 DR. BETHANY EVERETT WHO WILL 6855 04:15:16,320 --> 04:15:18,160 TALK ABOUT THE STRUCTURAL 6856 04:15:18,160 --> 04:15:20,840 DETERMINE NABTS OF SEXUAL 6857 04:15:20,840 --> 04:15:22,640 MINORITY WOMEN'S REPRODUCTIVE 6858 04:15:22,640 --> 04:15:23,560 HEALTH. 6859 04:15:23,560 --> 04:15:29,840 >>HI, CAN YOU ALL SEE MY 6860 04:15:29,840 --> 04:15:30,920 SCREEN? 6861 04:15:30,920 --> 04:15:35,640 >>NOT YET. 6862 04:15:35,640 --> 04:15:38,000 >>SORRY. 6863 04:15:38,000 --> 04:15:38,640 SHARE SCREEN. 6864 04:15:38,640 --> 04:15:39,960 ALL RIGHT, HOW ABOUT NOW. 6865 04:15:39,960 --> 04:15:50,400 >>YES, WE CAN SEE IT. 6866 04:16:01,040 --> 04:16:02,520 >>OKAY, GREAT. 6867 04:16:02,520 --> 04:16:03,480 THE ZOOM BUTTONS ARE GETTING IN 6868 04:16:03,480 --> 04:16:05,720 THE WAY OF ME BEING ABLE TO HIT 6869 04:16:05,720 --> 04:16:06,560 THE SHARE SCREEN BUTTON. 6870 04:16:06,560 --> 04:16:12,160 SORRY ABOUT THAT. 6871 04:16:12,160 --> 04:16:13,000 OKAY, THANK YOU. 6872 04:16:13,000 --> 04:16:15,040 THANK YOU FOR BEING HERE, I 6873 04:16:15,040 --> 04:16:18,040 APOLOGIZE I WOKE UP SICK THIS 6874 04:16:18,040 --> 04:16:19,120 MORNING, BUT IF YOU'RE A 6875 04:16:19,120 --> 04:16:20,280 PATIENT, YOU KNOW IT'S BEEN A 6876 04:16:20,280 --> 04:16:22,440 TOUGH YEAR FOR KIDS BEING SICK 6877 04:16:22,440 --> 04:16:25,520 AND I THINK IT'S BEEN ALSO HARD 6878 04:16:25,520 --> 04:16:27,040 FOR THEIR OLDER PARENTS WITH 6879 04:16:27,040 --> 04:16:28,680 WEAKER IMMUNE SYSTEMS SPEAKING 6880 04:16:28,680 --> 04:16:30,040 OF IMMUNE SYSTEMUNE FUNCTIONING 6881 04:16:30,040 --> 04:16:31,480 SO PLEASE BEAR WITH ME. 6882 04:16:31,480 --> 04:16:35,600 SOIME GOING TO ZOOM IN ON 1 SET 6883 04:16:35,600 --> 04:16:37,920 OF RESULTS RELATED TO STRUCTURAL 6884 04:16:37,920 --> 04:16:39,680 DETERMINANTS OF HEALTH BY 6885 04:16:39,680 --> 04:16:42,480 LOOKING AT SEXUAL MINORITY WOMEN 6886 04:16:42,480 --> 04:16:45,520 PERINATAL AND OBSTETRICAL 6887 04:16:45,520 --> 04:16:45,920 OUTCOMES. 6888 04:16:45,920 --> 04:16:47,160 AND THIS I THINK IS REALLY GOING 6889 04:16:47,160 --> 04:16:48,720 TO RELATE TO SOME OF THE THINGS 6890 04:16:48,720 --> 04:16:50,120 WE TALKED ABOUT ALREADY SO WE 6891 04:16:50,120 --> 04:16:51,520 SHOULD HAVE A NICE RICH 6892 04:16:51,520 --> 04:16:56,680 DISCIPLINARYIS CUSHION AT THE 6893 04:16:56,680 --> 04:16:57,320 END. 6894 04:16:57,320 --> 04:16:58,600 SO THE SEXUALITY LITERATURE 6895 04:16:58,600 --> 04:17:01,400 TELLS US THAT SEXUAL ORIENTATION 6896 04:17:01,400 --> 04:17:02,680 IS MULTIDIMENSIONAL AND DYNAMIC 6897 04:17:02,680 --> 04:17:04,920 SO DEPENDING ON THE DATA SET YOU 6898 04:17:04,920 --> 04:17:08,880 ARE USING, THE SIZE OF THE 6899 04:17:08,880 --> 04:17:10,160 POPULATION IS AROUND 20-25% OF 6900 04:17:10,160 --> 04:17:12,720 U.S. WOMEN WHO ARE IN THE 6901 04:17:12,720 --> 04:17:13,520 REPRODUCTIVE AGE CATEGORY. 6902 04:17:13,520 --> 04:17:14,880 AND JUST A NOTE - LANGUAGE 6903 04:17:14,880 --> 04:17:17,400 REALLY QUICKLY, I'M GOING TO BE 6904 04:17:17,400 --> 04:17:18,720 USING THE WORD WOMEN TO TALK 6905 04:17:18,720 --> 04:17:19,640 THROUGH THE RESULTS IN MY 6906 04:17:19,640 --> 04:17:21,560 STUDIES THAT I'M GOING TO BE 6907 04:17:21,560 --> 04:17:22,200 PRESENTING HERE BECAUSE THESE 6908 04:17:22,200 --> 04:17:23,880 ARE INDIVIDUAL WHO IS IDENTIFY 6909 04:17:23,880 --> 04:17:26,440 AS FEMALE AND WHO HAVE GIVEN 6910 04:17:26,440 --> 04:17:28,440 BIRTH AT LEAST ONCE OR 6911 04:17:28,440 --> 04:17:29,160 EXPERIENCED AT LEAST 1 6912 04:17:29,160 --> 04:17:29,640 PREGNANCY. 6913 04:17:29,640 --> 04:17:31,040 THIS IS NOT TO SAY THAT ALL 6914 04:17:31,040 --> 04:17:37,960 PEOPLE WHO HAVE PREGNANCY, ARE 6915 04:17:37,960 --> 04:17:39,520 WOMEN AND FAST FORWARD TO 6916 04:17:39,520 --> 04:17:42,720 LIMITATIONS AND HOW WE CAN BE 6917 04:17:42,720 --> 04:17:44,320 MORE GENDER INCLUSIVE IN GENDER 6918 04:17:44,320 --> 04:17:46,360 IDENTITY IN PREGNANCY RESEARCH. 6919 04:17:46,360 --> 04:17:48,000 SO AROUND 2025% OF THE U.S. 6920 04:17:48,000 --> 04:17:49,160 FEMALE PRODUCTIVE POPULATION CAN 6921 04:17:49,160 --> 04:17:50,840 BE CATEGOR EYED TO SEXUAL 6922 04:17:50,840 --> 04:17:51,160 MINORITY. 6923 04:17:51,160 --> 04:17:52,520 WE KNOW THE SIZE OF THIS 6924 04:17:52,520 --> 04:17:56,480 POPULATION IS GROWING AMONG 6925 04:17:56,480 --> 04:17:57,200 YOUNGER COHORTS. 6926 04:17:57,200 --> 04:17:59,400 AND SOME OF THE PIONEERING WORK 6927 04:17:59,400 --> 04:18:00,800 BY DR. LISA DIAMOND WHO JUST 6928 04:18:00,800 --> 04:18:04,600 SPOKE BEFORE ME AND MY COLLEAGUE 6929 04:18:04,600 --> 04:18:07,400 SHOWS US THAT IT'S FLUID ISSUES 6930 04:18:07,400 --> 04:18:08,680 IT'S MULTIDIMENSIONAL, IT'S 6931 04:18:08,680 --> 04:18:09,880 DYNAMIC AND CHANGES OVER TIME. 6932 04:18:09,880 --> 04:18:11,880 SO DEPENDING ON THE DAT SET YOU 6933 04:18:11,880 --> 04:18:13,280 ARE LOOKING AT, I FOUND IN THE 6934 04:18:13,280 --> 04:18:16,760 DATA I USED TO 20% OF THE FEMALE 6935 04:18:16,760 --> 04:18:17,920 MOPPULATION REPORTS IDENTITY 6936 04:18:17,920 --> 04:18:19,320 CHANGES IN THEIR SEXUAL 6937 04:18:19,320 --> 04:18:20,280 ORIENTATION OVER TIME AND AT 6938 04:18:20,280 --> 04:18:22,600 LEAST 1 AND WHEN YOU LOOK AT 6939 04:18:22,600 --> 04:18:23,520 POPULATIONS OF SEXUAL MINORITY 6940 04:18:23,520 --> 04:18:24,960 WOMEN THAT 50% OF THAT 6941 04:18:24,960 --> 04:18:26,240 POPULATION WILL REPORT AT LEAST 6942 04:18:26,240 --> 04:18:29,360 1 CHANGE IN THEIR SEXUAL 6943 04:18:29,360 --> 04:18:30,640 ORIENTATION IDENTITY OVER TIME 6944 04:18:30,640 --> 04:18:32,480 AND THIS FLUIDITY IS NOT JUST 6945 04:18:32,480 --> 04:18:34,000 EMILYED IN CHAIMPLES IN IDENT I 6946 04:18:34,000 --> 04:18:36,120 BUT IT'S ALSO RELATED TO THE 6947 04:18:36,120 --> 04:18:38,120 GENDER OF PARTNERS, SO 6948 04:18:38,120 --> 04:18:39,280 NATIONALLY REPRESENTATIVE DATA 6949 04:18:39,280 --> 04:18:41,040 SUGGESTS THAT 80% OF THE 6950 04:18:41,040 --> 04:18:43,440 BISEXUAL WOMEN AND 25% OF 6951 04:18:43,440 --> 04:18:45,280 LESBIAN WOMEN REPORT HAVING HAD 6952 04:18:45,280 --> 04:18:54,240 SEX IN WITH A MAN IN THE PAST 12 6953 04:18:54,240 --> 04:18:54,480 MONTHS. 6954 04:18:54,480 --> 04:19:00,640 SO IN 2012 I WAS AWARDED AN NIH 6955 04:19:00,640 --> 04:19:03,920 BELLING FELLOWSHIP, WHEN I GOT 6956 04:19:03,920 --> 04:19:08,280 IT I WAS SURROUND BIDE OBGYN AND 6957 04:19:08,280 --> 04:19:09,560 THEY WERE TALKING ABOUT 6958 04:19:09,560 --> 04:19:10,600 PREGNANCY AND PREGNANCY RISK AND 6959 04:19:10,600 --> 04:19:13,360 IT GOT ME THINKING ABOUT SEXUAL 6960 04:19:13,360 --> 04:19:15,040 ORYEBTATION AND FLUIDITY AND 6961 04:19:15,040 --> 04:19:15,800 OPPORTUNITIES FOR PREGNANCY THAT 6962 04:19:15,800 --> 04:19:19,280 I SHOULD TECH OUT WHAT EXISTED 6963 04:19:19,280 --> 04:19:20,800 AND WHAT I FOWNTD WAS BASICALLY 6964 04:19:20,800 --> 04:19:31,160 2 STREAMS OF RESEARCH. 6965 04:19:33,040 --> 04:19:34,920 THE FIRST FOCUSED ON 6966 04:19:34,920 --> 04:19:35,840 TECHNOLOGIES ON LESBIAN WOMEN 6967 04:19:35,840 --> 04:19:37,680 WITH SAME SEX PARTNERS AND THE 6968 04:19:37,680 --> 04:19:39,080 WAY I THOUGHT ABOUT THOSE 2 6969 04:19:39,080 --> 04:19:42,080 LINES OF RESEARCH MATCHED UP 6970 04:19:42,080 --> 04:19:43,960 WITH TRADITIONAL MODELS OF 6971 04:19:43,960 --> 04:19:45,320 SEXUAL ORIENTATION DEVELOPMENT 6972 04:19:45,320 --> 04:19:46,920 THAT PIONEERS IN THE 80S AND 90S 6973 04:19:46,920 --> 04:19:50,160 THAT SUGGESTED IT DIDN'T IN 6974 04:19:50,160 --> 04:19:51,680 ADOLESCENCE, THERE'S AN EXPECTED 6975 04:19:51,680 --> 04:19:52,720 AMOUNT OF EXPERIMENTATION THAT 6976 04:19:52,720 --> 04:19:55,040 HAPPENS AS PEOPLE ARE SORT OF 6977 04:19:55,040 --> 04:19:56,160 TRYING TO SOLIDIFY SEXUAL 6978 04:19:56,160 --> 04:19:58,320 ORIENTATION AND YOU WOULD SEE A 6979 04:19:58,320 --> 04:19:59,920 RISK FOR TEEN PREGNANCY THEN BUT 6980 04:19:59,920 --> 04:20:02,080 BY THE TIME THESE KIDS GROW UP 6981 04:20:02,080 --> 04:20:04,600 THEY TURN INTO 100% EXCLUSIVELY 6982 04:20:04,600 --> 04:20:06,440 LESBIAN WOMEN WHO ARE ONLY 6983 04:20:06,440 --> 04:20:07,600 PARTNERED WITH OTHER WOMEN AND 6984 04:20:07,600 --> 04:20:09,360 THE ONLY WAY THEY WOULD GET 6985 04:20:09,360 --> 04:20:16,240 PREGNANT WOULD BE IN THE SORT OF 6986 04:20:16,240 --> 04:20:18,320 HYPER PLAN CONTEXT. 6987 04:20:18,320 --> 04:20:19,640 THIS DIDN'T MATCHUP SO WITH 6988 04:20:19,640 --> 04:20:20,960 COLLEAGUES WE THOUGHT TO 6989 04:20:20,960 --> 04:20:21,320 COMPLICATE THIS. 6990 04:20:21,320 --> 04:20:22,880 WE WERE INTERESTED IN A FEW 6991 04:20:22,880 --> 04:20:24,640 THINGS, 1, WHAT ABOUT BISEXUAL 6992 04:20:24,640 --> 04:20:26,480 WOMEN, THEY WERE COMPLETELY 6993 04:20:26,480 --> 04:20:30,040 EXCLUDED FROM THESE 2 STREAMS OF 6994 04:20:30,040 --> 04:20:32,120 RESEARCH. 6995 04:20:32,120 --> 04:20:33,720 ALSO,LE MOTHERS, SO WOMEN WHO 6996 04:20:33,720 --> 04:20:35,040 ARE NOT PARTNER WIDE ANYBODY ARE 6997 04:20:35,040 --> 04:20:36,880 NOT CAPTURED IN THOSE LEVEL DATA 6998 04:20:36,880 --> 04:20:39,400 SETS AND ALSO SEXUAL 9ORITY 6999 04:20:39,400 --> 04:20:42,320 WOMEN WHO ARE PARTNER WIDE MEN. 7000 04:20:42,320 --> 04:20:44,320 SO WE PUBLISHED STUDIES USING 7001 04:20:44,320 --> 04:20:45,400 THE NATIONAL SURVEY FAMILY 7002 04:20:45,400 --> 04:20:45,640 GROWTH. 7003 04:20:45,640 --> 04:20:47,600 SO THIS FIRST 1 WE LOOK AT 7004 04:20:47,600 --> 04:20:49,600 WHETHER SEXUAL MINORITY WOMEN 7005 04:20:49,600 --> 04:20:51,600 RECEIVED SEXUAL AND REPRODUCTIVE 7006 04:20:51,600 --> 04:20:52,200 HEALTHCARE COUNSELING IN 7007 04:20:52,200 --> 04:20:54,440 CLINICAL SETTINGS AND WE FOUND 7008 04:20:54,440 --> 04:20:56,840 THAT BISEXUAL AND WOMEN WERE 7009 04:20:56,840 --> 04:21:04,120 LESS LIKELY TO REPORT STIs, 7010 04:21:04,120 --> 04:21:05,840 CONCONDUSE, RELACES AND THAT 7011 04:21:05,840 --> 04:21:07,040 HELD IF THEY HADN'T SEX WITH THE 7012 04:21:07,040 --> 04:21:08,920 MAN IN THE PAST 12 MONTHS. 7013 04:21:08,920 --> 04:21:10,920 WE THEN LOOKED AT 7014 04:21:10,920 --> 04:21:11,600 SECURITIZATION.UAL ORIENTATION 7015 04:21:11,600 --> 04:21:15,560 DISPARITIES AND TIME ON UNWANTED 7016 04:21:15,560 --> 04:21:16,520 PREGNANCIES AMONG WOMEN, SO WE 7017 04:21:16,520 --> 04:21:18,160 USE IT AGAIN AS SEXUAL 7018 04:21:18,160 --> 04:21:19,320 ORIENTATION LOOKING AT COUPLE 7019 04:21:19,320 --> 04:21:21,320 STATUS AND WE FOUND THAT IN 7020 04:21:21,320 --> 04:21:23,960 ADULTHOOD, SO MOVING OUT OF THIS 7021 04:21:23,960 --> 04:21:28,720 PERIOD OF ADOLESCENT 7022 04:21:28,720 --> 04:21:30,080 EXPERIMENTATION THAT SOME CITIES 7023 04:21:30,080 --> 04:21:32,880 CLASSIFY THIS AS, WE FOUND THAT 7024 04:21:32,880 --> 04:21:35,400 BISEXUAL AND LESBIAN WOMEN WERE 7025 04:21:35,400 --> 04:21:37,600 CHARACTERIZED THEIR PREGNANCY AS 7026 04:21:37,600 --> 04:21:39,960 MISTIMED OR UNWANTED COMPARED TO 7027 04:21:39,960 --> 04:21:40,400 HETEROSEXUAL WOMEN. 7028 04:21:40,400 --> 04:21:41,760 AND FINALLY WE WERE INTERESTED 7029 04:21:41,760 --> 04:21:44,560 IN, OKAY, WE KNOW THAT 7030 04:21:44,560 --> 04:21:45,160 CONTRACEPTIVE CARE COUNSELING 7031 04:21:45,160 --> 04:21:46,960 ISN'T HAPPEN, WE KNOW THAT 7032 04:21:46,960 --> 04:21:48,040 MISTIMED AND UNWANTED 7033 04:21:48,040 --> 04:21:48,520 EGULATION--REGULATORY 7034 04:21:48,520 --> 04:21:49,400 PREGNANCIES ARE HAPPENING AND WE 7035 04:21:49,400 --> 04:21:52,120 KNOW FROM THE BROADER LITERATURE 7036 04:21:52,120 --> 04:21:54,000 ON SEXUAL ORIENTATION AND HEALTH 7037 04:21:54,000 --> 04:21:55,480 BEHAVIORS THAT THERE COULD BE A 7038 04:21:55,480 --> 04:21:57,560 WHOLE HOST OF POTENTIAL PRENATAL 7039 04:21:57,560 --> 04:21:58,640 RISK FACTORS THAT ARE SETTING 7040 04:21:58,640 --> 04:22:01,520 THESE WOMEN UP TO HAVE POOR 7041 04:22:01,520 --> 04:22:02,240 PREGNANCY OUTCOMES. 7042 04:22:02,240 --> 04:22:04,200 SO USING THAT NATIONAL SURVEY 7043 04:22:04,200 --> 04:22:05,480 FAMILY GROWTH AGAIN, WE FOUND 7044 04:22:05,480 --> 04:22:08,280 THIS WAS INDEED THE CASE THAT 7045 04:22:08,280 --> 04:22:09,520 BISEXUAL AND LESBIAN WOMEN WERE 7046 04:22:09,520 --> 04:22:11,240 MORE LIKELY TO HAVE PREGNANCIES 7047 04:22:11,240 --> 04:22:13,160 THAT WERE PRETERM, LOW BIRTH 7048 04:22:13,160 --> 04:22:16,600 WEIGHT AND MORE LIKELY TO HAVE 7049 04:22:16,600 --> 04:22:20,600 MISCARRIAGES AND STILL BIRTH 7050 04:22:20,600 --> 04:22:20,840 INFANTS. 7051 04:22:20,840 --> 04:22:22,680 SO, WE THEN WANTED TO KNOW, 7052 04:22:22,680 --> 04:22:25,000 WELL, ONCE WE'VE GOT THESE 7053 04:22:25,000 --> 04:22:26,280 DISPARITIES DOCUMENTED, WHAT 7054 04:22:26,280 --> 04:22:27,880 WILL WE DO ABOUT IT, WHAT ARE 7055 04:22:27,880 --> 04:22:29,080 THE MECHANISMS AND THE PROBLEM 7056 04:22:29,080 --> 04:22:30,480 WITH NATIONAL SURVEY OF GROWTH, 7057 04:22:30,480 --> 04:22:32,000 WHILE IT WAS 1 OF THE FIRST 7058 04:22:32,000 --> 04:22:33,200 REPRODUCTIVE HEALTH STUDIES TO 7059 04:22:33,200 --> 04:22:34,640 INCORPORATE MEASURES OF SEXUAL 7060 04:22:34,640 --> 04:22:35,720 ORIENTATION, THE WAY THE DATA 7061 04:22:35,720 --> 04:22:37,320 STRUCTURE IS SET UP IS THAT AT 7062 04:22:37,320 --> 04:22:41,880 THE TIME OF INTERVIEW, WOMEN ARE 7063 04:22:41,880 --> 04:22:43,160 ASKED THEIR SEXUAL ORIENTATION 7064 04:22:43,160 --> 04:22:45,160 IDENTITY AT THE TIME OF 7065 04:22:45,160 --> 04:22:47,520 INTERVIEW AND ALL PREGNANCY 7066 04:22:47,520 --> 04:22:48,240 HISTORIES ARE RETROSPECTIVE SO. 7067 04:22:48,240 --> 04:22:50,960 WE CAN'T BE SURE THAT THE SEXUAL 7068 04:22:50,960 --> 04:22:54,560 IDENTITY MEASUREDDA THE TIME OF 7069 04:22:54,560 --> 04:22:57,440 THE VIEW, MATCHES AT THE TIME OF 7070 04:22:57,440 --> 04:22:58,680 PREGNANCY ESPECIALLY GIVEN WHAT 7071 04:22:58,680 --> 04:23:01,720 WE KNOW ABOUT SEXUAL FLUIDITY IN 7072 04:23:01,720 --> 04:23:03,080 THIS POPULATION, THE SECOND 7073 04:23:03,080 --> 04:23:07,520 THING IS WE GET GET AT PRENATAL 7074 04:23:07,520 --> 04:23:08,440 OR PERINATAL, CAN THESE INFANCY 7075 04:23:08,440 --> 04:23:10,520 AND OUTCOMES BECAUSE THE HEALTH 7076 04:23:10,520 --> 04:23:11,960 BEHAVIORS ARE ALSO ASKED THE 7077 04:23:11,960 --> 04:23:17,080 TIME OF INTERVIEW, AND WE KNOW 7078 04:23:17,080 --> 04:23:18,800 THAT PREGNANCY AND PARENTS 7079 04:23:18,800 --> 04:23:20,080 CHANGE AMONG BEHAVIORS IN WOMEN 7080 04:23:20,080 --> 04:23:21,920 SO WE COULD NOT GET THAT CORRECT 7081 04:23:21,920 --> 04:23:23,040 TIME ORDERING HAPPENING THERE. 7082 04:23:23,040 --> 04:23:25,840 SO I ASKED NICHD, VERY NICELY TO 7083 04:23:25,840 --> 04:23:27,800 GIVE ME SOME MONEY TO STUDY THIS 7084 04:23:27,800 --> 04:23:32,000 USING THE NATIONAL LONGITUDINAL 7085 04:23:32,000 --> 04:23:38,440 STUDY OF ADOLESCENT TO ADULT 7086 04:23:38,440 --> 04:23:40,240 HEALTH WHICH IS NOT BUT FOR 7087 04:23:40,240 --> 04:23:42,800 BEFFITY SAKE I WILL LEAN ON THAT 7088 04:23:42,800 --> 04:23:45,320 SO THE REASON WHY WE ASKED TO 7089 04:23:45,320 --> 04:23:47,400 USE THE NATIONAL LONGITUDINAL 7090 04:23:47,400 --> 04:23:48,120 STUDY OF ADOLESCENT TO ADULT 7091 04:23:48,120 --> 04:23:50,120 HEALTH IS A FEW REASONS, 1 THE 7092 04:23:50,120 --> 04:23:52,320 DATA SET IS LONGITUDINAL SO 7093 04:23:52,320 --> 04:23:54,560 WE'RE ABLE TO GET AT THAT DIRECT 7094 04:23:54,560 --> 04:23:58,080 TIME ORDERING ISSUES, IT STARTED 7095 04:23:58,080 --> 04:24:01,360 IN 19, AND 95, IT'S A POPULATION 7096 04:24:01,360 --> 04:24:02,800 SAMPLE OF MIDDLE SCHOOLERS AND 7097 04:24:02,800 --> 04:24:04,920 HIGH SCHOOLS WHO HAVE BEEN 7098 04:24:04,920 --> 04:24:06,440 FOLLOWED UP FOR 2 DECADES NOW, I 7099 04:24:06,440 --> 04:24:08,640 THINK WAVE 6 IS IN THE FIELD 7100 04:24:08,640 --> 04:24:09,000 BEING COLLECTED. 7101 04:24:09,000 --> 04:24:11,120 IT ASKS MEASURES OF SEXUAL 7102 04:24:11,120 --> 04:24:12,360 ORIENTATION IN MULTIPLE WAVES 7103 04:24:12,360 --> 04:24:15,040 AND IT ALSO ASKED A VARIETY OF 7104 04:24:15,040 --> 04:24:16,280 HEALTH BEHAVIORS AND PREGNANCY 7105 04:24:16,280 --> 04:24:16,680 OUTCOMES. 7106 04:24:16,680 --> 04:24:20,080 SO THE SAMPLE HERE IS, SINGLETON 7107 04:24:20,080 --> 04:24:22,480 LIVE BIRTHS, WE USE THE 7108 04:24:22,480 --> 04:24:23,720 PREGNANCY ROSTER INFORMATION 7109 04:24:23,720 --> 04:24:25,400 FROM WAVES 4 AND 5 ASK WHAT WE 7110 04:24:25,400 --> 04:24:27,480 DID IS BECAUSE YOU HAVE ALL 7111 04:24:27,480 --> 04:24:28,640 THESE WAVES OF SURVEY DATA 7112 04:24:28,640 --> 04:24:30,520 COLLECTION AND YOU HAVE THE DATE 7113 04:24:30,520 --> 04:24:32,560 OF THE BIRTH, CAN YOU SORT OF 7114 04:24:32,560 --> 04:24:35,080 PLOP BABIES INTO AN INDIVIDUAL'S 7115 04:24:35,080 --> 04:24:37,360 LIFE COURSE AND LOOK AT THE 7116 04:24:37,360 --> 04:24:38,400 RELATIONSHIP BETWEEN THEIR 7117 04:24:38,400 --> 04:24:42,440 BEHAVIORS BEFORE AND POTENTIALLY 7118 04:24:42,440 --> 04:24:42,840 AFTER. 7119 04:24:42,840 --> 04:24:43,680 OUR OUTCOME VARIABLES THAT I 7120 04:24:43,680 --> 04:24:46,120 WILL SHOW YOU ARE PRENATAL 7121 04:24:46,120 --> 04:24:47,280 BIRTH, AND THE MATERNAL HEGHT 7122 04:24:47,280 --> 04:24:50,480 CONDITION I WILL SHOW IS 7123 04:24:50,480 --> 04:24:51,280 MATERNAL HYPERTENSION, THE 7124 04:24:51,280 --> 04:24:52,800 INDEPENDENT VARIABLE HERE IS 7125 04:24:52,800 --> 04:24:54,080 SEXUAL IDENT IITY PRIOR TO 7126 04:24:54,080 --> 04:24:55,280 BIRTH, SO AGAIN BECAUSE WE HAVE 7127 04:24:55,280 --> 04:24:56,960 TO USE THE TIME ORDERING ISSUE, 7128 04:24:56,960 --> 04:24:59,920 WE ARE ABLE TO USE THE SEXUAL 7129 04:24:59,920 --> 04:25:00,680 ORIENTATION REPORTED CLOSEST AT 7130 04:25:00,680 --> 04:25:03,160 THE TIME OF BIRTH, WE WE'VE DONE 7131 04:25:03,160 --> 04:25:05,240 A BUNCH OF SENSITIVITY ANALYSIS 7132 04:25:05,240 --> 04:25:06,760 LOOKING THERE, AND CLOSEST AS 7133 04:25:06,760 --> 04:25:08,400 OPPOSE TO PRIOR, AND TO THE 7134 04:25:08,400 --> 04:25:09,480 RESULTS ARE LARGELY ROBUST TO 7135 04:25:09,480 --> 04:25:12,440 ALL OF THESE DIFFERENT 7136 04:25:12,440 --> 04:25:13,600 SPECIFICATIONS. 7137 04:25:13,600 --> 04:25:15,880 AND IMPORTANTLY IN 2019, THEY 7138 04:25:15,880 --> 04:25:16,440 RELEASED THE SUPPLEMENTAL 7139 04:25:16,440 --> 04:25:18,240 CONTEXTURAL FILE THAT ADDED 7140 04:25:18,240 --> 04:25:19,720 THESE 4 LGB SPECIFIC POLICIES, 7141 04:25:19,720 --> 04:25:22,160 TO THE DATA SET AT WAVES 3 AND 7142 04:25:22,160 --> 04:25:22,480 4. 7143 04:25:22,480 --> 04:25:24,360 SO ALL OF OUR BIGGERS HAPPEN 7144 04:25:24,360 --> 04:25:27,440 AFTER WAVE 3 OF DATA COLLECTION 7145 04:25:27,440 --> 04:25:28,880 SO WE'RE NOT INCLUDING TEEN 7146 04:25:28,880 --> 04:25:30,640 PREGNANCIES IN IN DATA SET BUT 7147 04:25:30,640 --> 04:25:31,480 EVERYTHING THAT HAPPENED, ALL 7148 04:25:31,480 --> 04:25:34,520 THE WEBS THAT HAPPENED AFTER 7149 04:25:34,520 --> 04:25:35,040 THAT HAVE 3. 7150 04:25:35,040 --> 04:25:36,960 AGAIN BECAUSE OF THIS 7151 04:25:36,960 --> 04:25:37,640 LONGITUDINAL DATA STRUCTURE 7152 04:25:37,640 --> 04:25:39,560 WE'RE ABLE TO CONTROL FOR A 7153 04:25:39,560 --> 04:25:41,160 VARIETY OF PRECONCEPTION AND 7154 04:25:41,160 --> 04:25:43,440 PERRY NATAL CO VARIANTS IN OUR 7155 04:25:43,440 --> 04:25:44,640 MODELS AND A NUMBER OF CONTROLS. 7156 04:25:44,640 --> 04:25:46,560 SO THE REEL KEEPSAKES SULTS I 7157 04:25:46,560 --> 04:25:49,840 WILL SHOW YOU ARE FROM RANDOM 7158 04:25:49,840 --> 04:25:51,240 EFFECT MODELS TO EFFECT CLUSTERS 7159 04:25:51,240 --> 04:25:56,560 TO A SINGLE PERSON AND THEY 7160 04:25:56,560 --> 04:25:59,000 ACOULD YOU WANT FOR COMPLEX 7161 04:25:59,000 --> 04:25:59,680 SAMPLING FRAME. 7162 04:25:59,680 --> 04:26:01,680 SO THE FIRST SET OF RESULTS WAS 7163 04:26:01,680 --> 04:26:04,000 PUBLISHED LAST YEAR, AND THESE 7164 04:26:04,000 --> 04:26:06,680 WERE LOOKING AT STATE LEVEL 7165 04:26:06,680 --> 04:26:07,760 REGULATIONS, POLICIES AND BIRTH 7166 04:26:07,760 --> 04:26:08,960 OUTCOMES SO WHAT YOU'RE SEEING 7167 04:26:08,960 --> 04:26:10,360 HERE IS 2 MODELS SHOWING IN 7168 04:26:10,360 --> 04:26:11,960 STATES WHERE THERE WAS 0 7169 04:26:11,960 --> 04:26:13,960 PROTECTION, WE SAW HIGHER RISK 7170 04:26:13,960 --> 04:26:16,160 OF PRETERM BIRTH AMONG LESBIAN 7171 04:26:16,160 --> 04:26:17,720 WOMEN COMPARED TO BOTH 7172 04:26:17,720 --> 04:26:19,920 HETEROSEXUAL AND FIGURE 1 AND 7173 04:26:19,920 --> 04:26:21,280 BISEXUAL IN FIGURE 4 THERE AND 7174 04:26:21,280 --> 04:26:24,440 WE SEE ALMOST NO EFFECT OF THE 7175 04:26:24,440 --> 04:26:26,240 POLICIES AMONG HETEROSEXUAL OR 7176 04:26:26,240 --> 04:26:26,840 BISEXUAL WOMEN. 7177 04:26:26,840 --> 04:26:28,440 IMPORTANTLY IF YOU LOOK DOWN AT 7178 04:26:28,440 --> 04:26:30,120 THE STATE'S WHERE THERE ARE 3 OR 7179 04:26:30,120 --> 04:26:32,760 MORE PROTECTIONS IN PLACE, WE 7180 04:26:32,760 --> 04:26:34,280 SAW THAT THERE'S ACTUALLY 7181 04:26:34,280 --> 04:26:36,160 PROTECTIVE EFFECTS, SO THAT 7182 04:26:36,160 --> 04:26:37,280 LESBIAN WOMEN WERE ACTUALLY LESS 7183 04:26:37,280 --> 04:26:39,800 LIKELY TO HAVE A PRETERM BIRTH 7184 04:26:39,800 --> 04:26:42,840 IN THOSE HIGHLY PROTECTIVE 7185 04:26:42,840 --> 04:26:43,160 ENVIRONMENTS. 7186 04:26:43,160 --> 04:26:48,000 AND WE SEE THE SAME EFFECT HERE 7187 04:26:48,000 --> 04:26:49,160 FOR PREDICTED BIRTH WEIGHT. 7188 04:26:49,160 --> 04:26:50,960 SO IN STATES WHERE THERE'S 0 7189 04:26:50,960 --> 04:26:52,600 PRACTICES TEKS, WE SEE LESBIAN 7190 04:26:52,600 --> 04:26:54,280 HAVE LOWER RATE INFANTS AND AS 7191 04:26:54,280 --> 04:26:56,640 THEY GO UP, THEY ACTUALLY LOOK 7192 04:26:56,640 --> 04:27:01,440 SIGNIFICANTLY BETTER THAN 7193 04:27:01,440 --> 04:27:02,200 HETEROSEXUAL WOMEN. 7194 04:27:02,200 --> 04:27:04,360 THIS NEXT SET OF RESULTS USING 7195 04:27:04,360 --> 04:27:05,400 POLICY INDICATORS WERE PUBLISHED 7196 04:27:05,400 --> 04:27:06,920 JUST IN JANUARY IS OF THIS YEAR 7197 04:27:06,920 --> 04:27:09,920 AND THEY'RE LOOKING AT THE 7198 04:27:09,920 --> 04:27:10,760 PREDICTED PROBABILITY OF 7199 04:27:10,760 --> 04:27:12,120 MATERNAL HYPERTENSION AND THIS 7200 04:27:12,120 --> 04:27:14,120 TIME WE ALSO STRATIFIED BY RACE 7201 04:27:14,120 --> 04:27:17,080 ETHNICITY HERE AND WHAT WE FOUND 7202 04:27:17,080 --> 04:27:18,960 IS THAT, FOR ALL WHITE WOMEN, 7203 04:27:18,960 --> 04:27:21,680 REGARDLESS OF THEIR SEXUAL 7204 04:27:21,680 --> 04:27:22,720 ORIENTATION, PROTECTIVE 7205 04:27:22,720 --> 04:27:23,640 POLICIES, LGB POLICIES WERE 7206 04:27:23,640 --> 04:27:25,200 ASSOCIATE WIDE THE DECREASED 7207 04:27:25,200 --> 04:27:27,000 RISK OF MATERNAL HYPERTENSION, 7208 04:27:27,000 --> 04:27:28,480 BUT THAT AMONG PLAQUE WOMEN, THE 7209 04:27:28,480 --> 04:27:31,320 BENEFITS OF THIS POLICY WERE 7210 04:27:31,320 --> 04:27:36,160 REALLY CONCENTRATED AMONG QUEER 7211 04:27:36,160 --> 04:27:37,640 WOMEN OF COLOR. 7212 04:27:37,640 --> 04:27:39,120 AND FINALLY THE LAST BIT OF 7213 04:27:39,120 --> 04:27:40,000 EVIDENCE I WILL SHOW YOU COMES 7214 04:27:40,000 --> 04:27:41,760 FROM A SET OF RESULTS THAT ARE 7215 04:27:41,760 --> 04:27:42,600 CURRENT LOAMACYY UNDER REVIEW 7216 04:27:42,600 --> 04:27:44,240 RIGHT NOW BUT THIS IS LOOKINGA 7217 04:27:44,240 --> 04:27:45,720 THE PRENATAL CARE IN THE FIRST 7218 04:27:45,720 --> 04:27:47,400 TRIMESTER AND SO WHAT YOU CAN 7219 04:27:47,400 --> 04:27:49,600 SEE IS THAT IN STATES AGAIN WITH 7220 04:27:49,600 --> 04:27:51,200 YOUR PROTECTION, WE SEE NO 7221 04:27:51,200 --> 04:27:52,720 DIFFERENCE BUT SLIGHTLY LOWER 7222 04:27:52,720 --> 04:27:55,040 POINT ESTIMATES FOR SEXUAL 7223 04:27:55,040 --> 04:27:55,800 MINORITY WOMEN RECEIVING 7224 04:27:55,800 --> 04:27:57,480 PRENATAL CARE IN THE FIRST 7225 04:27:57,480 --> 04:27:59,600 TRIMESTER AND AS THESE POLICIES 7226 04:27:59,600 --> 04:28:01,240 INCREASED AND THEY ACTUALLY LOOK 7227 04:28:01,240 --> 04:28:03,640 BETTER IN TERMS OF ACCESSING 7228 04:28:03,640 --> 04:28:10,160 PRENATAL CARE THAN THEIR 7229 04:28:10,160 --> 04:28:10,600 HETEROSEXUAL PEERS. 7230 04:28:10,600 --> 04:28:12,200 SO I THINK THERE ARE A FEW 7231 04:28:12,200 --> 04:28:13,120 IMPORTANT TAKE AWAYS FROM THIS, 7232 04:28:13,120 --> 04:28:15,200 THE FIRST IS THAT THESE FINDINGS 7233 04:28:15,200 --> 04:28:17,080 CONTRIBUTE TO EVIDENCE THAT 7234 04:28:17,080 --> 04:28:20,040 MACROFORMS OF STIGMA AND 7235 04:28:20,040 --> 04:28:20,840 DISCRIMINATION NEGATIVELY IMPACT 7236 04:28:20,840 --> 04:28:21,800 HEALTH OUTCOME AND THIS IS 7237 04:28:21,800 --> 04:28:23,560 REALLY IMPORTANT IN PART BECAUSE 7238 04:28:23,560 --> 04:28:24,640 PREGINANCE SESUCH A UNIQUE STATE 7239 04:28:24,640 --> 04:28:27,760 IN TERMS OF ITS IMPLICATIONS FOR 7240 04:28:27,760 --> 04:28:29,080 INTERGENERATIONAL HEALTH THAT 7241 04:28:29,080 --> 04:28:31,160 LISAA ALLUDED TO EARLIER, BUT 7242 04:28:31,160 --> 04:28:32,520 ALSO THE LONG-TERM HEALTH OF THE 7243 04:28:32,520 --> 04:28:32,920 PREGNANT PERSON. 7244 04:28:32,920 --> 04:28:38,920 WE KNOW THAT THERE IS JUST THE 7245 04:28:38,920 --> 04:28:40,960 BEGINNING OF LITERATURE AROUND 7246 04:28:40,960 --> 04:28:43,280 HOW PRETERM BIRTH AND LOW BIRTH 7247 04:28:43,280 --> 04:28:45,160 WEIGHT IN INFANTS IMPACT WOMEN'S 7248 04:28:45,160 --> 04:28:46,640 FUTURE CARDIO VASCULARY HEALTH 7249 04:28:46,640 --> 04:28:48,480 AND THAT'S SOMETHING I HOPE I 7250 04:28:48,480 --> 04:28:53,880 CAN CONTINUE TO STUDY. 7251 04:28:53,880 --> 04:28:55,360 THE SECOND REALLY IMPORTANT 7252 04:28:55,360 --> 04:28:58,760 THING TO TAKE AWAY IS THAT THESE 7253 04:28:58,760 --> 04:28:59,760 RESURVEYSS MODIFY POLICIES FOR 7254 04:28:59,760 --> 04:29:01,520 SEXUAL WOMEN AND NOT ONLY CAN 7255 04:29:01,520 --> 04:29:02,960 THEY REDUCE THESE RISKS BUT THEY 7256 04:29:02,960 --> 04:29:05,840 CAN RESULT IN POTENTIAL BETTER 7257 04:29:05,840 --> 04:29:07,240 OUTCOMES THAN HETEROSEXUAL WOMEN 7258 04:29:07,240 --> 04:29:08,600 SO WE HAVE THE OPPORTUNITY TO 7259 04:29:08,600 --> 04:29:12,920 FLIP THIS SCRIPT AND LOOK AT, 7260 04:29:12,920 --> 04:29:14,640 WHAT QUEER WOMEN A STIGMATIZED 7261 04:29:14,640 --> 04:29:16,200 GROUP ARE DOING IN THESE STATES 7262 04:29:16,200 --> 04:29:17,680 WHERE THEY'RE PROTECTED THAT,A 7263 04:29:17,680 --> 04:29:19,240 LOW THEM TO THRIVE IN A WAY THAT 7264 04:29:19,240 --> 04:29:22,000 THEY'RE ACTUALLY HAVING BETTER 7265 04:29:22,000 --> 04:29:24,680 OUTCOMES THAN THEIR HETEROSEXUAL 7266 04:29:24,680 --> 04:29:25,040 COUNTERPARTS. 7267 04:29:25,040 --> 04:29:25,960 AND FINALLY, IT'S IMPORTANT TO 7268 04:29:25,960 --> 04:29:29,840 REALLY KEEP IN MIND THAT, WE'RE 7269 04:29:29,840 --> 04:29:31,280 GETTING ALL THESE REALLY 7270 04:29:31,280 --> 04:29:33,480 COMPELLING SETS OF RESULTS ABOUT 7271 04:29:33,480 --> 04:29:34,640 HOW POLICIES IMPACT INDIVIDUAL 7272 04:29:34,640 --> 04:29:35,960 HEALTH FOR SGM POPULATIONS AT 7273 04:29:35,960 --> 04:29:37,600 THE SAME TIME AS WE'RE SEEING 7274 04:29:37,600 --> 04:29:41,360 THIS INCREASING NUMBER OF 7275 04:29:41,360 --> 04:29:43,560 POLITICAL ATTACKS ON LGBTQ 7276 04:29:43,560 --> 04:29:45,440 PERSONS AND REPRODUCTIVE REETS 7277 04:29:45,440 --> 04:29:47,640 AND AS MORGAN ALLUDED TO 7278 04:29:47,640 --> 04:29:49,160 EARLIER, WE HAVE IN OTHER PLACES 7279 04:29:49,160 --> 04:29:53,360 MADE THE ARGUMENT THAT THE 7280 04:29:53,360 --> 04:29:55,480 ATTACK ON FAMILY PLANNING AND 7281 04:29:55,480 --> 04:29:57,160 ACCESS TO,A BORGZ ARE HEIGHTLY 7282 04:29:57,160 --> 04:29:59,520 RELATED TO THOSE IN LGBTQ 7283 04:29:59,520 --> 04:30:00,880 POPULATION AND THEY MAY BE PART 7284 04:30:00,880 --> 04:30:04,120 OF A LARGER WHAT WE CALL 7285 04:30:04,120 --> 04:30:04,960 STRUCTURAL HETEROPATRIARCHAL 7286 04:30:04,960 --> 04:30:08,920 SYSTEM THAT ENFORCES A WHITE 7287 04:30:08,920 --> 04:30:14,200 MALE SEXIST RACIST POLITICAL 7288 04:30:14,200 --> 04:30:14,440 AGENDA. 7289 04:30:14,440 --> 04:30:18,200 SO LIMITATIONS AND FUTURE 7290 04:30:18,200 --> 04:30:20,360 DIRECTIONS SO IN ADD HEALTH 7291 04:30:20,360 --> 04:30:23,160 THERE ARE NO GENDER IDENTITY AT 7292 04:30:23,160 --> 04:30:23,960 THIS TIME. 7293 04:30:23,960 --> 04:30:25,200 IT WAS ONLY MEASURED AT WAVE 5 7294 04:30:25,200 --> 04:30:26,480 FOR THE FIRST TIME WHICH IS 7295 04:30:26,480 --> 04:30:28,520 GREAT BUT AT WAVE 5 WE FOUND 7296 04:30:28,520 --> 04:30:30,000 THERE WERE NO PREGNANCY REPORTED 7297 04:30:30,000 --> 04:30:31,880 TO INDIVIDUALS WHO IDENTIFIED AS 7298 04:30:31,880 --> 04:30:34,440 MEN AND WE ONLY HAD 17 7299 04:30:34,440 --> 04:30:35,720 PREGNANCIES RELATED TO PEOPLE 7300 04:30:35,720 --> 04:30:37,640 WHO IDENTIFIED AS OTHER OR 7301 04:30:37,640 --> 04:30:38,560 MISSING GENDER IDENTITY AND WE 7302 04:30:38,560 --> 04:30:41,560 DIDN'T WANT TO INCLUDE THIS 7303 04:30:41,560 --> 04:30:43,680 GROUP AND MAKE STATISTICAL 7304 04:30:43,680 --> 04:30:48,000 CLAIMS ABOUT THEM GIVEN THAT 7305 04:30:48,000 --> 04:30:51,040 THIS SAMPLE SIZE IS SO SMALL AND 7306 04:30:51,040 --> 04:30:52,600 THAT OTHER ARE REALLY MEANINGFUL 7307 04:30:52,600 --> 04:30:57,080 CATEGORIES FOR US TO MAKE GOOD 7308 04:30:57,080 --> 04:30:57,400 ASSERTIONS. 7309 04:30:57,400 --> 04:30:59,720 BASED UPON THIS WORK AND THE 7310 04:30:59,720 --> 04:31:00,720 WORK THAT MYSELF AND OTHER 7311 04:31:00,720 --> 04:31:02,680 COLLEAGUES HAVE DONE, THERE'S NO 7312 04:31:02,680 --> 04:31:04,320 REASON FOR SGM MEASURES TO BE 7313 04:31:04,320 --> 04:31:07,320 LEFT OFF ANY SURVEY, ESPECIALLY 7314 04:31:07,320 --> 04:31:08,360 REROUGH ATOM DUCTIVE HEALTH 7315 04:31:08,360 --> 04:31:09,680 SURVEYS AND IT'S BEEN REALLY 7316 04:31:09,680 --> 04:31:12,560 DIFFICULT IN THIS FIELD TO GET 7317 04:31:12,560 --> 04:31:15,120 THESE GOOD MEASURES, OF SEXUAL 7318 04:31:15,120 --> 04:31:16,600 ORIENTATION OR GENDER IDENTITY 7319 04:31:16,600 --> 04:31:19,240 ON REPRODUCTIVE HEALTH SURVEYS 7320 04:31:19,240 --> 04:31:21,840 BECAUSE OFTEN TIMES PEOPLE IN 7321 04:31:21,840 --> 04:31:23,960 THE FIELD OF OBSTETRICAL AND 7322 04:31:23,960 --> 04:31:26,440 GUIN COALING THEY DON'T THINK OF 7323 04:31:26,440 --> 04:31:28,440 THEIR PATIENTS AS BEING SEXUAL 7324 04:31:28,440 --> 04:31:29,760 MINORITY UNLESS THEY'RE WORKING 7325 04:31:29,760 --> 04:31:31,200 SORT OF WITH SAME SEX COUPLES 7326 04:31:31,200 --> 04:31:33,640 WHO ARE TRYING TO GET PREGNANT. 7327 04:31:33,640 --> 04:31:36,280 I AM HAPPY TO SAY THAT MY CLIEG 7328 04:31:36,280 --> 04:31:39,040 BRITDNY CHARLTON AND I WE PUT IN 7329 04:31:39,040 --> 04:31:40,880 AN APPLICATION FOR PRAMS TO 7330 04:31:40,880 --> 04:31:42,080 INCLUDE SGN MEASURES AND THEY 7331 04:31:42,080 --> 04:31:43,360 WERE INCLUDED AS AN OPTIONAL 7332 04:31:43,360 --> 04:31:46,360 MEASURE FOR STATES TO ADD IN THE 7333 04:31:46,360 --> 04:31:48,920 NEW ROUND OF PRAMS DATA SO 7334 04:31:48,920 --> 04:31:50,520 HOPEFULLY ALL STATES WILL KNOW 7335 04:31:50,520 --> 04:31:53,400 ELECT TO INCLEEZ THESE SGM 7336 04:31:53,400 --> 04:31:54,760 MEASURES OR EVEN HALF WE WOULD 7337 04:31:54,760 --> 04:31:58,720 BE VERY, VERY HAPPY AND FINALLY, 7338 04:31:58,720 --> 04:32:01,400 YOU THINKING AGAIN ABOUT THESE 7339 04:32:01,400 --> 04:32:02,200 INTERSENSIONAL APPROACHES, HOW 7340 04:32:02,200 --> 04:32:05,360 DO WE MEASURE THEM WITH 7341 04:32:05,360 --> 04:32:06,160 STRUCKURAL RACISM AND MOVING 7342 04:32:06,160 --> 04:32:07,720 FORWARD I THINK IT WILL BE 7343 04:32:07,720 --> 04:32:08,760 SOMETHING REALLY, REALLY 7344 04:32:08,760 --> 04:32:09,480 IMPORTANT AND SOMETHING I'M 7345 04:32:09,480 --> 04:32:10,680 TRYING TO THINK ABOUT AND LEARN 7346 04:32:10,680 --> 04:32:12,520 FROM OTHERS AND WITH THAT I WILL 7347 04:32:12,520 --> 04:32:12,960 END. 7348 04:32:12,960 --> 04:32:16,760 THANK YOU SO MUCH FOR THE 7349 04:32:16,760 --> 04:32:19,160 SUPPORT, OF NICHD AND MY 7350 04:32:19,160 --> 04:32:27,160 COLLEAGUES AND ADD HEALTH. 7351 04:32:27,160 --> 04:32:29,360 >>THANK YOU SO MUCH DR. REF 7352 04:32:29,360 --> 04:32:30,400 RETINAL LOCATION, GREAT TALK AND 7353 04:32:30,400 --> 04:32:34,280 NOW WE HAVE A NUMBER OF 7354 04:32:34,280 --> 04:32:36,960 QUESTIONS FROM THE VIDEOCAST 7355 04:32:36,960 --> 04:32:39,440 AUDIENCE AS WELL AS 7356 04:32:39,440 --> 04:32:49,960 DR. MUSTANSKI, DO YOU WANT TO 7357 04:32:51,480 --> 04:32:53,480 ASK YOUR QUESTION? 7358 04:32:53,480 --> 04:32:55,160 IS DR. MUSTANSKI STILL ON? 7359 04:32:55,160 --> 04:32:55,920 MAYBE NOT. 7360 04:32:55,920 --> 04:33:06,440 OKAY, I WILL ASK HIS QUESTION. 7361 04:33:06,840 --> 04:33:09,240 SO HIS QUESTION IS FOR 7362 04:33:09,240 --> 04:33:11,560 DR. DIAMOND, HAS THE QUESTION OF 7363 04:33:11,560 --> 04:33:19,920 MATURITY, RISK TAKING, BEEN 7364 04:33:19,920 --> 04:33:21,840 STUDIED SPECIFICALLY IN SGM 7365 04:33:21,840 --> 04:33:24,760 POPULATIONS, GIVEN THE SOAKERS 7366 04:33:24,760 --> 04:33:26,360 SGM IDENTIFIES AND EARLY 7367 04:33:26,360 --> 04:33:28,520 ADVERSITY THERE COULD BE SOME 7368 04:33:28,520 --> 04:33:30,200 CONFOUNDING RELATIONSHIPS THAT 7369 04:33:30,200 --> 04:33:33,040 WOULD BE RESOLVE INDEED IN SGM 7370 04:33:33,040 --> 04:33:33,240 YOUTH. 7371 04:33:33,240 --> 04:33:34,280 >>IT HASN'T BEEN STUDIED, THIS 7372 04:33:34,280 --> 04:33:36,280 IS 1 OF THOSE THINGS WHERE 7373 04:33:36,280 --> 04:33:38,160 THEY'RE SILOED AND A LOT OF WORK 7374 04:33:38,160 --> 04:33:40,840 ON EARLY ADVERSITY AND 7375 04:33:40,840 --> 04:33:41,760 EVOLUTIONARY DEVELOPMENTAL 7376 04:33:41,760 --> 04:33:43,400 PARADIGMS IS NOT REALLY EVEN 7377 04:33:43,400 --> 04:33:48,320 FOCUSED ON SGM POPULATIONS AT 7378 04:33:48,320 --> 04:33:48,600 ALL. 7379 04:33:48,600 --> 04:33:51,720 IS 7380 04:33:51,720 --> 04:33:53,880 --AND SO THAT'S A BIG 7381 04:33:53,880 --> 04:33:54,280 MISUNDERSTANDING. 7382 04:33:54,280 --> 04:33:55,640 WE DO KNOW THERE'S HUGE 7383 04:33:55,640 --> 04:33:58,560 DIVERSITY AT WHICH THE TIME 7384 04:33:58,560 --> 04:33:59,560 YOUTH SELF-IDENTIFY AS SEXUALLY 7385 04:33:59,560 --> 04:34:00,960 GENDER DIVERSE AND IN GENERAL 7386 04:34:00,960 --> 04:34:01,960 THE AGES HAVE BEEN GETTING 7387 04:34:01,960 --> 04:34:04,000 YOUNGER AND I THINK THAT YOU CAN 7388 04:34:04,000 --> 04:34:06,400 JUST BLAME THE INTERNET. 7389 04:34:06,400 --> 04:34:06,680 YOU KNOW? 7390 04:34:06,680 --> 04:34:09,760 I THINK TO SOME DEGREE IT IS AN 7391 04:34:09,760 --> 04:34:11,320 AMAZING TRANSFORMATION IN OUR 7392 04:34:11,320 --> 04:34:13,560 WORLD THAT NOW EVERY ADOLESCENT 7393 04:34:13,560 --> 04:34:15,720 LIKE ON THE PLANET CAN LOOK AT 7394 04:34:15,720 --> 04:34:19,520 THE SEXUAL AND GENDER EXPRESSION 7395 04:34:19,520 --> 04:34:23,320 OF FAR FLUNG INDIVIDUALS INSTAIN 7396 04:34:23,320 --> 04:34:24,720 TAINIOUSLY CHEAPLY AND PRIVATELY 7397 04:34:24,720 --> 04:34:28,000 AND THAT HAS RADICALLY CHANGED 7398 04:34:28,000 --> 04:34:29,320 THE CLIMATE FOR 7399 04:34:29,320 --> 04:34:30,560 SELF-IDENTIFICATION AND 1 THING 7400 04:34:30,560 --> 04:34:32,240 I THINK WE NEED TO TAKE INTO 7401 04:34:32,240 --> 04:34:33,960 ACCOUNT WHEN WE DO THESE BIG 7402 04:34:33,960 --> 04:34:35,040 NATIONAL STUDIES AND THAT WE 7403 04:34:35,040 --> 04:34:37,360 NEED TO TREAT THE TIMING OF 7404 04:34:37,360 --> 04:34:38,960 SMART PHONE USE AND SOCIAL 7405 04:34:38,960 --> 04:34:42,200 MEDIA, WE NEED TO TREAT THAT AS 7406 04:34:42,200 --> 04:34:43,960 A HISTORICAL MARKER BECAUSE, WE 7407 04:34:43,960 --> 04:34:45,000 ALREADY DIDN'T KNOW VERY MUCH 7408 04:34:45,000 --> 04:34:46,520 ABOUT WHY SOME KIDS COME OUT 7409 04:34:46,520 --> 04:34:48,240 EARLY AND OTHERS KIDS DON'T AND 7410 04:34:48,240 --> 04:34:51,480 THEN WE HAD THIS HUGE 7411 04:34:51,480 --> 04:34:52,080 TRANSFORMATIVE TECHNOLOGICAL 7412 04:34:52,080 --> 04:34:53,800 EEIVET THAT IS REALLY A BRAIN 7413 04:34:53,800 --> 04:34:55,800 ISHT VENTION IN TERMS OF SEXUAL 7414 04:34:55,800 --> 04:34:56,840 AND GENDER IDENTITY DEVELOPMENT 7415 04:34:56,840 --> 04:34:57,760 AND WE NEED TO MAKE SURE THAT 7416 04:34:57,760 --> 04:35:00,520 MEN WITH HIGHER WE'RE COMPARING 7417 04:35:00,520 --> 04:35:05,720 SAMPLES AFTER THAT TIME TO 7418 04:35:05,720 --> 04:35:08,360 SAMPLES BEFORE, THAT IS A 7419 04:35:08,360 --> 04:35:09,560 HISTORICAL CHANGE TO INTEGRATE 7420 04:35:09,560 --> 04:35:12,600 INTO THE MODELS. 7421 04:35:12,600 --> 04:35:13,240 >>GREAT. 7422 04:35:13,240 --> 04:35:15,760 OKAY SO THERE'S A MESSAGE FOR 7423 04:35:15,760 --> 04:35:16,920 DR. PH ILBIN, CAN YOU SPEAK TO 7424 04:35:16,920 --> 04:35:22,440 THE NEEDS AND BARRIERS FOR LGBTQ 7425 04:35:22,440 --> 04:35:24,280 + INCLUSIVE POLICIES OR WHERE 7426 04:35:24,280 --> 04:35:26,800 MORE INTERVENTION SHOULD BE 7427 04:35:26,800 --> 04:35:29,560 FOCUSED FOR EXAMPLE, PARENT 7428 04:35:29,560 --> 04:35:30,400 ACCEPTANCE, COMMUNITY NORMS, 7429 04:35:30,400 --> 04:35:31,720 SCHOOL STAFF, PROFESSIONAL 7430 04:35:31,720 --> 04:35:32,640 DEVELOPMENT, ET CETERA. 7431 04:35:32,640 --> 04:35:34,000 >>YEAH, THE SHORT ANSWER IS ALL 7432 04:35:34,000 --> 04:35:35,440 OF IT AND ANYTHINGEE CAN GET AND 7433 04:35:35,440 --> 04:35:39,680 I DON'T MEAN THAT TO BE GLIB BUT 7434 04:35:39,680 --> 04:35:40,960 I LEGITIMATELY MEAN WE HAVE TO 7435 04:35:40,960 --> 04:35:42,960 COME AT THIS FROM ALL SIDES. 7436 04:35:42,960 --> 04:35:44,960 IT'S SO OBVIOUS HE ON MUCH THE 7437 04:35:44,960 --> 04:35:48,200 VERY EXISTENCE PARTICULARLY OF 7438 04:35:48,200 --> 04:35:49,120 TRANSPEOPLE AND UNDER ATTACK IN 7439 04:35:49,120 --> 04:35:51,120 THE MAJORITY OF THE STATES IN 7440 04:35:51,120 --> 04:35:54,000 THE U.S., I THINK THERE IS A 7441 04:35:54,000 --> 04:35:54,920 DIFFERENCE BETWEEN CHIPPING AWAY 7442 04:35:54,920 --> 04:35:57,080 AT RIGHTS AND ACTUALLY TRYING TO 7443 04:35:57,080 --> 04:35:57,880 FUNDAMENTAL ERASE A GROUP OF 7444 04:35:57,880 --> 04:35:59,160 PEOPLE AND THAT IS WHAT IS 7445 04:35:59,160 --> 04:36:00,800 HAPPENING RIGHT NOW I THINK WE 7446 04:36:00,800 --> 04:36:02,360 HAVE TO KEEP PUSHING AT THE 7447 04:36:02,360 --> 04:36:03,880 POLICY LEVEL, THAT GOING TO BE 7448 04:36:03,880 --> 04:36:05,160 REALLY HARD, I DON'T HOLD OUT A 7449 04:36:05,160 --> 04:36:07,000 LOT OF HOPE THAT SOUTH DAKOTA OR 7450 04:36:07,000 --> 04:36:07,640 LOUISIANA OR NARRATIVE REVIEW 7451 04:36:07,640 --> 04:36:12,600 FLOOR IS GOING --OR FLORIDA IS 7452 04:36:12,600 --> 04:36:14,240 GOING TO DO ANYTHING ANYTIME 7453 04:36:14,240 --> 04:36:15,760 SOON SO WE NEED TO THINK ABOUT 7454 04:36:15,760 --> 04:36:17,400 WHERE WE CAN ENGAGE, I THINK 7455 04:36:17,400 --> 04:36:19,120 ABOUT OKAY IF WE CAN'T GET THE 7456 04:36:19,120 --> 04:36:22,200 STATE TO CHANGE THEN MAYBE MIAMI 7457 04:36:22,200 --> 04:36:23,640 FT. LAUDERDALE AND TAMPA CAN 7458 04:36:23,640 --> 04:36:25,160 FIND WAY TOTS CREATE FOLKS--THIS 7459 04:36:25,160 --> 04:36:26,320 SEES THAT WILL BUFFER WHAT'S 7460 04:36:26,320 --> 04:36:28,240 HAPPENING AND/OR MAYBE THE COOLS 7461 04:36:28,240 --> 04:36:29,200 CAN CREATE CLIMATES TO DO IT AND 7462 04:36:29,200 --> 04:36:30,880 I THINK TO WORK WITH PARENTS AND 7463 04:36:30,880 --> 04:36:32,360 HOPEFULLY MAYBE FROM THE 7464 04:36:32,360 --> 04:36:33,920 CLINICIANS TO START FINDING WAYS 7465 04:36:33,920 --> 04:36:35,240 TO SUPPORT STUDENTS AND MAKING 7466 04:36:35,240 --> 04:36:36,760 SURE PARENTS AND FOR SOME OF 7467 04:36:36,760 --> 04:36:38,720 THEM THAT HAVE THE MEANS I THINK 7468 04:36:38,720 --> 04:36:40,080 THIS FARE TALKING ABOUT IF THAT 7469 04:36:40,080 --> 04:36:40,800 MEANS THEY ARE MOVING OUT OF 7470 04:36:40,800 --> 04:36:43,680 STATE TO GET THE CHILDCARE THEY 7471 04:36:43,680 --> 04:36:45,360 NEED, THEN THAT'S WHAT HAPPENS, 7472 04:36:45,360 --> 04:36:46,760 IT'S NOT IDEAL BUT I THINK IT IS 7473 04:36:46,760 --> 04:36:47,800 SOMETHING THAT WE REALLY HAVE TO 7474 04:36:47,800 --> 04:36:49,120 COME AUGHT FROM ALL LEVELS AND 7475 04:36:49,120 --> 04:36:50,560 THAT'S WHY JUST TO MAKE A PLUG, 7476 04:36:50,560 --> 04:36:51,760 IT'S SO IMPORTANT THAT WE HAVE 7477 04:36:51,760 --> 04:36:53,920 THE DATA TO PROVE THIS AND LIKE, 7478 04:36:53,920 --> 04:36:55,680 I KNOW I KEEP HARPING ON FLORIDA 7479 04:36:55,680 --> 04:37:00,520 BUT THEY JUST PULLED OUT OF THE 7480 04:37:00,520 --> 04:37:06,480 IRBS, SO WE WON'T BE ABLE TO 7481 04:37:06,480 --> 04:37:07,600 TRACK PEOPLE, AND SOW NOW WE 7482 04:37:07,600 --> 04:37:08,800 NEED TO MAKE SURE THROUGH THE 7483 04:37:08,800 --> 04:37:11,520 GRANTS THAT WE HAVE THE DATA TO 7484 04:37:11,520 --> 04:37:13,040 SHOW OVERTIME HOW THESE POLICIES 7485 04:37:13,040 --> 04:37:14,200 IMPACT THE "LIKE" US ON 7486 04:37:14,200 --> 04:37:18,560 FACEBOOKS OF MINORITIZED 7487 04:37:18,560 --> 04:37:18,960 INDIVIDUALS. 7488 04:37:18,960 --> 04:37:21,680 SO I WOULD SAY ANY AND ALL 7489 04:37:21,680 --> 04:37:23,240 EFFORTS WE HAVE TO MUSTER. 7490 04:37:23,240 --> 04:37:25,600 >>YEAH, SO THERE'S A MESSAGE IS 7491 04:37:25,600 --> 04:37:28,040 FOR DR. DIAMOND FROM THE 7492 04:37:28,040 --> 04:37:29,720 VIDEOCAST AUDIENCE, I HAVE 7493 04:37:29,720 --> 04:37:30,440 FASCINATING PRESENTATION, WHEN 7494 04:37:30,440 --> 04:37:31,760 THINKING OF EEIVETS ON 7495 04:37:31,760 --> 04:37:33,400 MATURATION AS A RESPONSE TO 7496 04:37:33,400 --> 04:37:37,960 ADVERSITY, IT MAKES ME THINK OF 7497 04:37:37,960 --> 04:37:38,800 SUCH EMOTIONAL MATURATION, 7498 04:37:38,800 --> 04:37:41,760 THINGS LIKE SOCIAL AWARENESS, 7499 04:37:41,760 --> 04:37:42,760 SELF-REGULATION, EMPAPGHTY, 7500 04:37:42,760 --> 04:37:45,920 OFTEN TALK ABOUT AS POSITIVE 7501 04:37:45,920 --> 04:37:48,320 ASPECT BUT MAY ALSO BE 7502 04:37:48,320 --> 04:37:50,600 MANIFESTING OUT OF IDENTITY 7503 04:37:50,600 --> 04:37:51,920 CONCEALMENT AS ASHES DATA 7504 04:37:51,920 --> 04:37:52,960 PROTECTIONATION TO ADVERSITY CAN 7505 04:37:52,960 --> 04:37:54,520 YOU SPEAK TO THE INTERSECTION OF 7506 04:37:54,520 --> 04:37:58,600 THESE PROTECTIVE FACTORS AND 7507 04:37:58,600 --> 04:37:59,720 POSITIVEAZ LESSENT DEVELOPMENT 7508 04:37:59,720 --> 04:38:01,000 AND MENTAL WELL BEING? 7509 04:38:01,000 --> 04:38:03,080 >>I REALLY APPRECIATE THAT 7510 04:38:03,080 --> 04:38:04,840 QUESTION, I THINK THE SINGLE 7511 04:38:04,840 --> 04:38:06,960 BIGGEST MOST IMPORTANT 7512 04:38:06,960 --> 04:38:07,840 PROTECTIVE FACTOR AND THAT 7513 04:38:07,840 --> 04:38:10,880 LUCKILY ALL OF US CAN SORT OF 7514 04:38:10,880 --> 04:38:12,720 PULL THAT LEVER IN OUR OWN LIVES 7515 04:38:12,720 --> 04:38:15,000 AND INNS TUITION SYSTEM WHAT I 7516 04:38:15,000 --> 04:38:17,520 CALL SOCIAL SAFETY WHICH IS 7517 04:38:17,520 --> 04:38:19,240 UNCONDITIONAL SOCIAL CONNECTION 7518 04:38:19,240 --> 04:38:20,320 AND PROTECTION FROM THOSE AROUND 7519 04:38:20,320 --> 04:38:24,680 YOU AND I THINK FOR YOUTH, THAT 7520 04:38:24,680 --> 04:38:25,560 IS DEVELOPMENTALLY CRITICAL. 7521 04:38:25,560 --> 04:38:27,760 OUR SOCIAL BRAINS WERE DESIGNED 7522 04:38:27,760 --> 04:38:30,200 TO DEVELOP IN A SOCIALLY SAFE 7523 04:38:30,200 --> 04:38:31,280 ENVIRONMENT BECAUSE HUMANS ARE 7524 04:38:31,280 --> 04:38:32,920 SOCIAL, WE NEED OTHER PEOPLE 7525 04:38:32,920 --> 04:38:36,360 PROTECTING US, AND SO, A LOT OF 7526 04:38:36,360 --> 04:38:41,240 THE HEALTH OUTCOMES THAT WE HAVE 7527 04:38:41,240 --> 04:38:43,040 HISTORICALLY TRIBUTED TO STRESS 7528 04:38:43,040 --> 04:38:44,920 ARE EQUALLY ATTRIBUTABLE TO THE 7529 04:38:44,920 --> 04:38:47,840 ABSENCE OF NUTTURING 7530 04:38:47,840 --> 04:38:48,480 UNCONDITIONALLY PROTECTED SOCIAL 7531 04:38:48,480 --> 04:38:48,960 TIES. 7532 04:38:48,960 --> 04:38:52,120 AND THAT GOES, THAT'S 7533 04:38:52,120 --> 04:38:52,400 MULTILEVEL. 7534 04:38:52,400 --> 04:38:53,000 INSTITUTIONAL DISCRIMINATION, 7535 04:38:53,000 --> 04:38:55,360 WHAT IS THE SOCIETY FOR IF NOT 7536 04:38:55,360 --> 04:38:55,800 PROTECTION? 7537 04:38:55,800 --> 04:38:58,360 AND YET THAT PROTECTION IS 7538 04:38:58,360 --> 04:38:59,120 UNEQUALLY DISTRIBUTED. 7539 04:38:59,120 --> 04:39:01,200 SO, 1 OF THE THINGS THAT WE CAN 7540 04:39:01,200 --> 04:39:04,200 DO TO SORT OF FOSTER RESILIENCE, 7541 04:39:04,200 --> 04:39:06,040 BECAUSE THE BRAIN KNOWS HOW TO 7542 04:39:06,040 --> 04:39:08,160 HEAL, THE BRAIN KNOWS HOW TO 7543 04:39:08,160 --> 04:39:11,800 ADAPT, BUT WHAT IT NEEDS TO DO 7544 04:39:11,800 --> 04:39:14,040 THAT IS SAFETY IN THE IMMEDIATE 7545 04:39:14,040 --> 04:39:14,920 ENVIRONMENT. 7546 04:39:14,920 --> 04:39:17,040 I THINK SHIPPING THE 7547 04:39:17,040 --> 04:39:19,840 CONVERSATION AROUND PARENTAL 7548 04:39:19,840 --> 04:39:21,240 ACCEPTANCE, TO SAFETY, TO HEY, 7549 04:39:21,240 --> 04:39:24,120 MOM AND DAD, WHEN YOU LOOK AT 7550 04:39:24,120 --> 04:39:25,840 YOUR CHILD AS IF THEY'RE 7551 04:39:25,840 --> 04:39:27,680 DISGUSTING, YOU MAY NOT THINK 7552 04:39:27,680 --> 04:39:29,640 YOU'RE HITTING THAT HIELD BUT 7553 04:39:29,640 --> 04:39:31,760 THAT IS COMMUNICATING A LACK OF 7554 04:39:31,760 --> 04:39:35,360 SAFETY AND THAT IS GOING TO 7555 04:39:35,360 --> 04:39:36,320 PREVENT THE DEVELOPMENT OF 7556 04:39:36,320 --> 04:39:36,760 RESILIENCE. 7557 04:39:36,760 --> 04:39:38,640 IN THE SCHOOL SYSTEM, IS THERE A 7558 04:39:38,640 --> 04:39:41,320 PLACE WHERE--IS THERE A TEACHER, 7559 04:39:41,320 --> 04:39:44,320 IS THERE A COUNSELOR WHERE THE 7560 04:39:44,320 --> 04:39:45,920 KID FEELS THAT NO MATTER WHAT 7561 04:39:45,920 --> 04:39:47,160 HAPPENS, THAT DOOR IS OPEN TO 7562 04:39:47,160 --> 04:39:47,960 ME. 7563 04:39:47,960 --> 04:39:49,680 IN THE HEALTHCARE SYSTEM, I 7564 04:39:49,680 --> 04:39:50,960 THINK INSTITUTIONS THAT ARE 7565 04:39:50,960 --> 04:39:52,680 NORMALLY SUPPOSED TO PROVIDE 7566 04:39:52,680 --> 04:39:54,600 CARE, HEALTHCARE SYSTEMS, 7567 04:39:54,600 --> 04:39:55,560 RELIGIOUS INSTITUTIONS, SCHOOL, 7568 04:39:55,560 --> 04:40:00,680 WHEN THEY FAIL TO COMIEWPICATE 7569 04:40:00,680 --> 04:40:01,400 UNCONDITIONAL SAFETY, THAT'S 7570 04:40:01,400 --> 04:40:02,800 ACTUALLY AN ADDITIONAL FORM OF 7571 04:40:02,800 --> 04:40:05,960 TRAUMA AND IT'S CALLED SANCTUARY 7572 04:40:05,960 --> 04:40:06,160 TRAM. 7573 04:40:06,160 --> 04:40:07,920 THE REQUESTED IF YOU HAVE A 7574 04:40:07,920 --> 04:40:09,880 SYSTEM WHOSE ONLY PURPOSE IS TO 7575 04:40:09,880 --> 04:40:11,720 PROTECT YOU AND THEY DON'T, IT'S 7576 04:40:11,720 --> 04:40:15,920 A DOUBLE HIT TO THE SYSTEM AND 7577 04:40:15,920 --> 04:40:18,080 SO FINDING WAYS TO UP KIDS, 7578 04:40:18,080 --> 04:40:20,760 FEELINGS OF SOCIAL SAFETY AND 7579 04:40:20,760 --> 04:40:23,960 CONNECTION, AT SCHOOLS, AT HOME, 7580 04:40:23,960 --> 04:40:25,240 IN THE COMMUNITY, FINDING WAYS 7581 04:40:25,240 --> 04:40:27,440 TO FILL IN THOSE GAPS AT 7582 04:40:27,440 --> 04:40:30,800 MULTIPLE LEVELS, THOSE SORTS OF 7583 04:40:30,800 --> 04:40:32,560 PROTECTIVE EFFECTS, ALLOW THE 7584 04:40:32,560 --> 04:40:34,680 BRAINS EMPATHY CONNECTION TO 7585 04:40:34,680 --> 04:40:39,760 THEM TO THEN COME ONLINE AND 7586 04:40:39,760 --> 04:40:40,880 DRIVE THEM. 7587 04:40:40,880 --> 04:40:47,280 >>GREAT, THANK YOU. 7588 04:40:47,280 --> 04:40:49,800 DR. LENARES, YOU HAD A QUESTION 7589 04:40:49,800 --> 04:40:50,960 FOR DR. DIAMOND. 7590 04:40:50,960 --> 04:40:51,240 >>SURE. 7591 04:40:51,240 --> 04:40:52,320 THANKS DR. DIAMOND AND THANKS 7592 04:40:52,320 --> 04:40:55,680 FOR THE WHOLE PANEL FOR 7593 04:40:55,680 --> 04:40:56,240 INTERESTING PRESENTATIONS. 7594 04:40:56,240 --> 04:40:58,960 THE QUESTION I HAD FOR 7595 04:40:58,960 --> 04:41:01,120 DR. DIAMOND WAS WHAT MIGHT BE 7596 04:41:01,120 --> 04:41:03,200 KEY LIFE STAGES OR TIME POINTS 7597 04:41:03,200 --> 04:41:04,920 FOR INTERVENTION TO REDUCE THE 7598 04:41:04,920 --> 04:41:07,840 EFFECTS OF THE STRESS OR TRAUMA 7599 04:41:07,840 --> 04:41:10,160 AS YOU DISCUSSED ON THIS 7600 04:41:10,160 --> 04:41:13,560 POPULATION AND PERHAPS IMPROVE 7601 04:41:13,560 --> 04:41:14,240 WELL BEING? 7602 04:41:14,240 --> 04:41:17,560 >>I THINK THE PERIOD AROUND THE 7603 04:41:17,560 --> 04:41:18,480 PIEWBITTAL TRANSITION IS A HUGE 7604 04:41:18,480 --> 04:41:21,000 1 AND IT'S AN OBVIOUS 1, RIGHT? 7605 04:41:21,000 --> 04:41:22,560 EVERYONE KNOWS THAT HIGH SCHOOL 7606 04:41:22,560 --> 04:41:24,080 AND BLAH, BLAH, BLAH BUT THAT IS 7607 04:41:24,080 --> 04:41:25,480 ESPECIALLY FOR THE SOCIAL PARTS 7608 04:41:25,480 --> 04:41:30,680 OF THE BRAIN, THAT IS WHEN YOU 7609 04:41:30,680 --> 04:41:32,880 ARE SENSITIVITY TO SHAME AND 7610 04:41:32,880 --> 04:41:34,120 REJECTION DIALS UP TREMENDOUSLY 7611 04:41:34,120 --> 04:41:35,840 WHICH IS WHY WE'RE SEEING ALL OF 7612 04:41:35,840 --> 04:41:36,880 THESE ALARMS DAILY BASIS THEA 7613 04:41:36,880 --> 04:41:38,640 ABOUT THE MENTAL HEALTH EFFECTS 7614 04:41:38,640 --> 04:41:39,680 OF SOCIAL MEDIA USE. 7615 04:41:39,680 --> 04:41:42,000 SO DURING A PERIOD OF BRAIN 7616 04:41:42,000 --> 04:41:44,400 DEVELOPMENT, WHERE THE BRAIN IS 7617 04:41:44,400 --> 04:41:45,800 VERY SOCIALLY SENSITIVE, IF YOU 7618 04:41:45,800 --> 04:41:48,200 ARE COMING INTO AN AWARENESS OF 7619 04:41:48,200 --> 04:41:52,600 BEING DIFFERENT AND BEING IN A 7620 04:41:52,600 --> 04:41:54,680 SHAMED AND STIGMATIZED GAT GORY 7621 04:41:54,680 --> 04:41:57,000 AT THAT TIME IT CAN BE A WORST 7622 04:41:57,000 --> 04:41:59,440 CASE SCENARIO BECAUSE YOUR BRAIN 7623 04:41:59,440 --> 04:42:02,320 IS MORE SENSITIVE TO THAT AND 7624 04:42:02,320 --> 04:42:04,280 THE ANTIDOTE IS CONNECTION, 7625 04:42:04,280 --> 04:42:05,000 CONNECTION, CONNECTION, IN REAL, 7626 04:42:05,000 --> 04:42:06,720 NONAPOPTOTIC THE ON MEDIA, LIKE 7627 04:42:06,720 --> 04:42:09,280 REAL PEOPLE IN THE SCHOOLS, I 7628 04:42:09,280 --> 04:42:10,920 FEEL LIKE EVERY SINGLE 7629 04:42:10,920 --> 04:42:13,320 ELEMENTARY AND HIGH SCHOOL NEEDS 7630 04:42:13,320 --> 04:42:18,360 A TRAUMA INFORMED MENTAL HEALTH 7631 04:42:18,360 --> 04:42:19,000 PROFESSIONAL WHO KNOWINGS HOW TO 7632 04:42:19,000 --> 04:42:22,280 RECOGNIZE THE SIGNS OF COMPREKS 7633 04:42:22,280 --> 04:42:24,160 TRAUMA WHO IS MY DOOR'S ALWAYS 7634 04:42:24,160 --> 04:42:26,040 OPEN, THERE'S NO TIME OF DAY YOU 7635 04:42:26,040 --> 04:42:27,760 CAN'T FIND ME, THAT'S THE BEST 7636 04:42:27,760 --> 04:42:30,840 WAY TO FORESTALL SOME OF THE 7637 04:42:30,840 --> 04:42:33,200 VULNERABILITY TO HAPPENS AROUND 7638 04:42:33,200 --> 04:42:34,280 THE PIEWBITTAL TRANSITION. 7639 04:42:34,280 --> 04:42:34,960 >>GREAT. 7640 04:42:34,960 --> 04:42:35,360 THANK YOU. 7641 04:42:35,360 --> 04:42:37,120 SO I HAVE A QUESTION TO THE 7642 04:42:37,120 --> 04:42:40,760 WHOLE PANEL, I GUESS, IF YOU ARE 7643 04:42:40,760 --> 04:42:43,960 TO PICK SOME SPECIFIC SOCIAL 7644 04:42:43,960 --> 04:42:46,520 DETERMINANTS OF HEALTH, TO 7645 04:42:46,520 --> 04:42:48,680 ADDRESS, IN ORDER TO REDUCE 7646 04:42:48,680 --> 04:42:50,680 HEALTH DISPARITIES AMONG SEXUAL 7647 04:42:50,680 --> 04:42:52,080 AND GENDER MINORITIES WHAT WOULD 7648 04:42:52,080 --> 04:42:57,080 THOSE BE AS PRIORITIES? 7649 04:42:57,080 --> 04:42:58,600 AND YEAH, I WOULD LIKE EACH OF 7650 04:42:58,600 --> 04:43:09,080 THE PANEL MEMBERS TO ANSWER 7651 04:43:09,080 --> 04:43:09,280 THAT. 7652 04:43:09,280 --> 04:43:11,400 >>I DON'T KNOW HOW TO ANSWER 7653 04:43:11,400 --> 04:43:11,880 THAT. 7654 04:43:11,880 --> 04:43:13,600 AND IN PART BECAUSE I FEEL LIKE 7655 04:43:13,600 --> 04:43:17,120 IN SOME WAYS WE'RE PLAYING KIND 7656 04:43:17,120 --> 04:43:21,400 OF WHACK-A-MOLE WITH POLICIES 7657 04:43:21,400 --> 04:43:23,240 AND LIKE I ALLUDED TO IN MY TALK 7658 04:43:23,240 --> 04:43:29,080 AND MORGAN DID, TOO, THAT THE 7659 04:43:29,080 --> 04:43:30,720 ATTACKS ON TRANSPEOPLE ARE ALSO 7660 04:43:30,720 --> 04:43:32,400 YOU KNOW THEY'RE INHERENTLY 7661 04:43:32,400 --> 04:43:36,600 RELATED TO THE ATTACKS ON CISLGB 7662 04:43:36,600 --> 04:43:40,280 PEOPLE AND THE ATTACKS ON 7663 04:43:40,280 --> 04:43:41,320 WOMEN'S REPRODUCTIVE RIGHT, THIS 7664 04:43:41,320 --> 04:43:44,440 IS ALL KIND OF PART OF THE SAME 7665 04:43:44,440 --> 04:43:47,480 AGENDA AND YOU KNOW YOU BOP 1 7666 04:43:47,480 --> 04:43:51,640 AND ANOTHER 1 REARS ITS HEAD AND 7667 04:43:51,640 --> 04:43:53,320 SO, YOU KNOW TRY TO THINK OF 7668 04:43:53,320 --> 04:43:54,920 WHERE DO WEIGH START IN TERMS OF 7669 04:43:54,920 --> 04:44:03,120 PICKING 1 POLICY IS REALLY I 7670 04:44:03,120 --> 04:44:05,200 HAVE A HARD TIME CPS ABOUT 7671 04:44:05,200 --> 04:44:07,160 POSSIBLY WHAT THIS WOULD BE WITH 7672 04:44:07,160 --> 04:44:09,160 THIS WHOLE IRPT CONNECTED 7673 04:44:09,160 --> 04:44:10,920 SYSTEM, AS DOING HARM SO HA IS A 7674 04:44:10,920 --> 04:44:15,160 NONANSWER TO YOUR QUESTION. 7675 04:44:15,160 --> 04:44:18,440 >> LI FERS THINKING ABOUT, YOU 7676 04:44:18,440 --> 04:44:19,720 KNOW THE MAIN SOCIAL 7677 04:44:19,720 --> 04:44:21,360 DETERMINANTS LIKE THE STRUCTURAL 7678 04:44:21,360 --> 04:44:25,960 1S LIKE, FOR EXAMPLE, 7679 04:44:25,960 --> 04:44:28,400 SOCIOECONOMIC STATUS, RACE 7680 04:44:28,400 --> 04:44:30,000 RACISM, DISCRIMINATION, I DON'T 7681 04:44:30,000 --> 04:44:40,520 KNOW ALONG THOSE LINES AND YOU 7682 04:44:41,480 --> 04:44:42,680 KNOW DIFFERENT POLICIES OR 7683 04:44:42,680 --> 04:44:44,640 INTERVENTIONS OR EVEN SOCIAL 7684 04:44:44,640 --> 04:44:45,360 DETERMINANTS EVEN THE PROXIMAL 7685 04:44:45,360 --> 04:44:45,960 1. 7686 04:44:45,960 --> 04:44:47,880 >>I THINK TO BETHANY'S POINT 7687 04:44:47,880 --> 04:44:49,680 TOO BECAUSE IT IS SO INNER 7688 04:44:49,680 --> 04:44:51,080 CONNECTED IT'S ALSO A QUESTION 7689 04:44:51,080 --> 04:44:54,480 TOO OF ARE WE TALKING ABOUT 7690 04:44:54,480 --> 04:44:55,480 SURVIVING OR THRIVING? 7691 04:44:55,480 --> 04:44:57,040 AND I THINK YES, OBVIOUSLY WE 7692 04:44:57,040 --> 04:44:59,280 NEED HOUSING POLICY AND WE NEED 7693 04:44:59,280 --> 04:45:00,240 NONDISCROSS EXAMINE NATION AND 7694 04:45:00,240 --> 04:45:01,320 EMPLOYMENT AND BUT THAT FEELS, - 7695 04:45:01,320 --> 04:45:03,440 IT IS SO BASIC AND THAT IS JUST 7696 04:45:03,440 --> 04:45:05,960 ABOUT GETTING BY, THAT'S NOT 7697 04:45:05,960 --> 04:45:07,160 ACTUALLY ABOUT LIVING THE LIVES 7698 04:45:07,160 --> 04:45:10,360 THAT EVERYBODY DESERVES AND SO, 7699 04:45:10,360 --> 04:45:12,800 TRYING TO THINK ABOUT, AND I 7700 04:45:12,800 --> 04:45:14,280 WOULD SAY ALSO ABOUT TRYING TO 7701 04:45:14,280 --> 04:45:15,760 THINK ABOUT IT IN A WAY 7702 04:45:15,760 --> 04:45:17,640 TAKEN--THEY POLICIES, THEY ARE 7703 04:45:17,640 --> 04:45:19,080 SYMBOLIC MARKERS OF BELONGING, 7704 04:45:19,080 --> 04:45:20,560 LIKE HOW CAN WE SHOW PEOPLE THAT 7705 04:45:20,560 --> 04:45:21,520 THEY ARE ALLOWED TO EXIST. 7706 04:45:21,520 --> 04:45:23,240 THAT THEY ARE ON IA FUNDAMENTAL 7707 04:45:23,240 --> 04:45:24,240 LEVEL THAT CAN YOU GROW UP 7708 04:45:24,240 --> 04:45:26,080 KNOWING WHOEVER YOU ARE IS FINE 7709 04:45:26,080 --> 04:45:27,280 AND THOSE ARE NOT NECESSARILY 7710 04:45:27,280 --> 04:45:28,520 TIED TO A SPECIFIC DETERMINANT 7711 04:45:28,520 --> 04:45:30,920 BUT IN SOME WAYS ARE SO 7712 04:45:30,920 --> 04:45:32,640 FUNDAMENTAL, I MEAN I THINK TO 7713 04:45:32,640 --> 04:45:34,640 DR. DIAMOND'S POINT OF BEING YOU 7714 04:45:34,640 --> 04:45:36,320 GROW UP FEELING LIKE YOU HAVE 7715 04:45:36,320 --> 04:45:38,720 THAT SECURITY AND I WOULD SAY, 7716 04:45:38,720 --> 04:45:39,920 TOO, ALSO MAKING SURE WE DO IT 7717 04:45:39,920 --> 04:45:42,360 IN A WAY THAT DOESN'T EXACERBATE 7718 04:45:42,360 --> 04:45:42,800 DISPARITIES. 7719 04:45:42,800 --> 04:45:43,760 WE WANT TO SUPPORT EVERYBODY BUT 7720 04:45:43,760 --> 04:45:46,400 WHAT'S GOING TO HAPPEN IS IT'S 7721 04:45:46,400 --> 04:45:47,600 GOING--I MEAN IS IT ALREADY 7722 04:45:47,600 --> 04:45:49,000 VERY, VERY DIFFERENT TO BE A 7723 04:45:49,000 --> 04:45:50,440 TRANSPERSON OF COLOR IN 7724 04:45:50,440 --> 04:45:52,160 CALIFORNIA AND NEW YORK THAN IT 7725 04:45:52,160 --> 04:45:52,880 IS IN ALABAMA. 7726 04:45:52,880 --> 04:45:54,960 SO MAKING SURE WE ALSO THINK 7727 04:45:54,960 --> 04:45:57,040 CAREFULLY ABOUT WHERE TO WORK, 7728 04:45:57,040 --> 04:45:59,120 SO THAT WE DON'T DO IT WHERE IT 7729 04:45:59,120 --> 04:46:03,680 IS EASIER, NOT THAT IT IS EASY 7730 04:46:03,680 --> 04:46:05,720 BUT EASIER, SO AT LEAST START 7731 04:46:05,720 --> 04:46:06,560 WITH THE FUNDAMENTALS,A ROUND DO 7732 04:46:06,560 --> 04:46:08,560 YOU HAVE A PLACE TO LIVE, DO YOU 7733 04:46:08,560 --> 04:46:09,840 HAVE A JOB, DO HAVE YOU FOOD 7734 04:46:09,840 --> 04:46:11,160 WHILE MAKING SURE WE ARE 7735 04:46:11,160 --> 04:46:12,880 THINKING ABOUT MARRIAGE OR 7736 04:46:12,880 --> 04:46:19,440 ADOPTION OR SORT OF LARGER 7737 04:46:19,440 --> 04:46:20,400 SOCIAL ISSUES. 7738 04:46:20,400 --> 04:46:23,200 >>TO SOME DEGREE, WE CAN GO 7739 04:46:23,200 --> 04:46:24,840 BACK TO MASLOW'S HIERARCHY OF 7740 04:46:24,840 --> 04:46:29,960 NEEDS AND SELF-PROTECTION IS A 7741 04:46:29,960 --> 04:46:31,560 BASIC FUNDAMENTAL RIGHT FOR 7742 04:46:31,560 --> 04:46:32,640 HUMANS AND SELF-PROTECTION 7743 04:46:32,640 --> 04:46:33,360 INCLUDES SOCIAL JUDGMENT BECAUSE 7744 04:46:33,360 --> 04:46:35,440 THE BRAIN IS SOY SENSITIVE TO 7745 04:46:35,440 --> 04:46:35,880 THREAT. 7746 04:46:35,880 --> 04:46:37,000 SO 1 WAY I SORT OF TRY TO THINK 7747 04:46:37,000 --> 04:46:39,600 ABOUT THIS AND YOU KNOW I THINK 7748 04:46:39,600 --> 04:46:43,800 ECONOMIC POSITION FOR EACH WOB, 7749 04:46:43,800 --> 04:46:45,000 POVERTY SETHE FASTEST WAY TO 7750 04:46:45,000 --> 04:46:49,400 ERODE ALL YOUR SOURCES OF 7751 04:46:49,400 --> 04:46:49,640 SAFETY. 7752 04:46:49,640 --> 04:46:51,360 SAFETY ON THE STREET, SAFETY IN 7753 04:46:51,360 --> 04:46:51,880 YOUR HOME. 7754 04:46:51,880 --> 04:46:53,200 POVERTY WILL DO IT PRETTY FAST, 7755 04:46:53,200 --> 04:46:55,440 BUT I THINK IN TERMS OF LOOKING 7756 04:46:55,440 --> 04:46:57,040 AT POLICY APPROACHES, AND 7757 04:46:57,040 --> 04:46:59,040 BECAUSE DIFFERENT STATES ARE SO 7758 04:46:59,040 --> 04:47:00,400 DIFFERENT, I THINK 1 WAY TO,A 7759 04:47:00,400 --> 04:47:05,280 PROACH IT IS TO JUST KEEP IN 7760 04:47:05,280 --> 04:47:06,720 MIND THIS LENS OF SAFETY AND 7761 04:47:06,720 --> 04:47:08,000 PROTECTION, SAFETY IS A 7762 04:47:08,000 --> 04:47:08,960 FUNDAMENTAL HUMAN NEED AND 7763 04:47:08,960 --> 04:47:12,680 PROTECTION IS A FUNDAMENTAL 7764 04:47:12,680 --> 04:47:14,200 HUMAN THRIVE SO WHEN YOU LOOK AT 7765 04:47:14,200 --> 04:47:15,640 THE SOCIAL SAFETY NET, LOOK, 7766 04:47:15,640 --> 04:47:18,400 WHERE ARE PEOPLE FEELING 7767 04:47:18,400 --> 04:47:18,760 UNPROTECTED. 7768 04:47:18,760 --> 04:47:19,760 YOU KNOW? 7769 04:47:19,760 --> 04:47:22,120 INABILITY TO ACCESS HEGHT CARE, 7770 04:47:22,120 --> 04:47:23,600 INABILITY TO TO HAVE A DOOR YOU 7771 04:47:23,600 --> 04:47:26,760 CAN CLOSE AND PROTECT YOURSELF 7772 04:47:26,760 --> 04:47:27,000 FROM HARM. 7773 04:47:27,000 --> 04:47:29,000 WHERE ARE THE GAPS IN PROTECTION 7774 04:47:29,000 --> 04:47:39,480 BECAUSE THE BRAIN WILL CHOOSE 7775 04:47:43,080 --> 04:47:43,480 SAFETY EVERY TIME. 7776 04:47:43,480 --> 04:47:44,920 SO LOOK AT THE HOLES IN THE 7777 04:47:44,920 --> 04:47:46,840 FABRIC THAT WILL LEAVE CHILDREN 7778 04:47:46,840 --> 04:47:50,480 AND ADULTS VULNERABLE, FEELING 7779 04:47:50,480 --> 04:47:50,800 LEFT BEHIND. 7780 04:47:50,800 --> 04:47:53,000 THE WAY I THINK OF THIS IS 7781 04:47:53,000 --> 04:47:54,960 THERE'S THIS VAN MORI GUESSON 7782 04:47:54,960 --> 04:47:58,840 SONG, SOMETIMES I FEEL LIKE A 7783 04:47:58,840 --> 04:47:59,240 MOTHERLESS CHILD. 7784 04:47:59,240 --> 04:48:00,520 LIKE THAT FEELING OF SAFETY IS 7785 04:48:00,520 --> 04:48:03,080 NO 1'S COMING FOR ME, NO 1 WILL 7786 04:48:03,080 --> 04:48:04,720 RESCUE ME, IF I FALL DOWN A 7787 04:48:04,720 --> 04:48:06,160 WELL, NO 1 AM COME AFTER ME, 7788 04:48:06,160 --> 04:48:07,880 THAT IS THE SORT OF FEELING WE 7789 04:48:07,880 --> 04:48:10,920 SHOULD LIKE WEAR IN THESE SOCIAL 7790 04:48:10,920 --> 04:48:13,880 POLICY FRAMEWORK ARE PEOPLE 7791 04:48:13,880 --> 04:48:15,560 FEELING NO 1 IS INCLUDING ME, I 7792 04:48:15,560 --> 04:48:17,560 AM JUST, YOU KNOW, I'M JUST ON 7793 04:48:17,560 --> 04:48:20,840 THE GROUND, HOW CAN WE MAKE SURE 7794 04:48:20,840 --> 04:48:23,360 THAT EVERYONE WITH THEIR 7795 04:48:23,360 --> 04:48:24,320 DIFFERENT INTERSECTIONAL 7796 04:48:24,320 --> 04:48:25,160 FORMINGS OF MARGINALIZATION 7797 04:48:25,160 --> 04:48:26,560 FEELS THAT SOMEONE IS COMING TO 7798 04:48:26,560 --> 04:48:27,960 THEM, IF THERE'S SOME WAY THAT 7799 04:48:27,960 --> 04:48:34,080 THEY ARE CONNECTED TO THE WORLD. 7800 04:48:34,080 --> 04:48:35,360 >>THANK YOU DR. DIAMOND, YOU 7801 04:48:35,360 --> 04:48:37,200 WROTE UP A VERY IMPORTANT POINT 7802 04:48:37,200 --> 04:48:42,400 DURING YOUR PRESENTATION ABOUT 7803 04:48:42,400 --> 04:48:44,640 HOW CHILDREN, CHILDREN WHO ARE 7804 04:48:44,640 --> 04:48:46,320 SEXUAL MINORITIES EXPERIENCE 7805 04:48:46,320 --> 04:48:49,960 MORE EMOTIONAL PHYSICAL ABUSE 7806 04:48:49,960 --> 04:48:52,120 AND HAVE CAREGIVERS WITH MORE 7807 04:48:52,120 --> 04:48:56,920 SUBSTANCE ABUSE AND SO ON. 7808 04:48:56,920 --> 04:48:59,480 SO WHAT WOULD YOU SUGGEST IN 7809 04:48:59,480 --> 04:49:01,200 TERMS OF HOW DO YOU PROVIDE 7810 04:49:01,200 --> 04:49:03,040 SAFETY FOR CHILDREN LIKE, WHO 7811 04:49:03,040 --> 04:49:05,000 GROW UP IN HOUSEHOLDS LIKE THAT? 7812 04:49:05,000 --> 04:49:07,600 >>I THINK A LOT OF--IN LARGER 7813 04:49:07,600 --> 04:49:09,240 CITIES AND I WISH I COULD SPEAK 7814 04:49:09,240 --> 04:49:11,440 MORE BROADLY, A LOT OF LARGER 7815 04:49:11,440 --> 04:49:12,520 CITIES HAVE FANTASTIC YOUTH 7816 04:49:12,520 --> 04:49:15,920 PROGRAMS LIKE WE HAVE 1 MERE IN 7817 04:49:15,920 --> 04:49:16,880 SALT LAKE CITY, AND 1 OF THE 7818 04:49:16,880 --> 04:49:19,400 THINGS THAT IS REALLY BENEFICIAL 7819 04:49:19,400 --> 04:49:22,480 IS THAT THEY PROVIDE 7820 04:49:22,480 --> 04:49:24,440 ENVIRONMENTS WHERE SEXUAL AND 7821 04:49:24,440 --> 04:49:25,920 GENDER MINORITY YOUTH CAN PLAY, 7822 04:49:25,920 --> 04:49:27,120 WHERE THEY CAN DRESS UP, THEY 7823 04:49:27,120 --> 04:49:29,520 CAN DO THEIR NAILS, THER CAN GO 7824 04:49:29,520 --> 04:49:33,680 TO A PROMULGATE, PLAY IS A 7825 04:49:33,680 --> 04:49:34,920 BEHAVIOR THAT HUMANS ONLY BEN 7826 04:49:34,920 --> 04:49:37,680 GAUGE IN WHEN THEY FEEL SAFE. 7827 04:49:37,680 --> 04:49:39,880 PLAY STOPS AS SOON AS YOU'RE IN 7828 04:49:39,880 --> 04:49:41,760 DANGER SO PROVIDING AND PLAY IS 7829 04:49:41,760 --> 04:49:43,240 NORMAL FOR THE HUMAN BRAIN, 7830 04:49:43,240 --> 04:49:45,120 THAT'S HOW WE LEARN SOCIAL 7831 04:49:45,120 --> 04:49:47,760 RULES, THAT'S HOW WE CONNECT, WE 7832 04:49:47,760 --> 04:49:51,080 PLAY, WE JOKE, WE TEASE, WE HUG 7833 04:49:51,080 --> 04:49:52,640 AND PROVIDING YOUTH SPACES AND 1 7834 04:49:52,640 --> 04:49:53,680 THING THAT HAPPENS IS WHENEVER 7835 04:49:53,680 --> 04:49:56,280 YOU SET UP THESE SPACES FOR 7836 04:49:56,280 --> 04:49:57,960 QUEER YOUTH, HETEROSEXUAL KIDS 7837 04:49:57,960 --> 04:49:59,920 COME ALONG TOO BECAUSE THEY FEEL 7838 04:49:59,920 --> 04:50:01,560 GOOD, BECAUSE EVEN THE 7839 04:50:01,560 --> 04:50:03,160 HETEROSEXUAL KIDS ARE LIKE 7840 04:50:03,160 --> 04:50:05,920 REJECTION DOESN'T HAPPEN THERE, 7841 04:50:05,920 --> 04:50:12,120 THAT'S LIKE DEFINED AS AN 7842 04:50:12,120 --> 04:50:12,560 ANTIGE 7843 04:50:12,560 --> 04:50:13,800 ANTIREJECTION ZONE SO PROVIDING 7844 04:50:13,800 --> 04:50:15,560 PLACES WITH SAFE AND TRUSTED 7845 04:50:15,560 --> 04:50:17,800 ADULTS WHICH IN BIG CITIES CAN 7846 04:50:17,800 --> 04:50:20,640 BE HARD, WHERE KIDS CAN BE KIDS 7847 04:50:20,640 --> 04:50:22,480 SO THAT EVEN IF THEIR HOME 7848 04:50:22,480 --> 04:50:26,280 ENVIRONMENT IS REALLY 7849 04:50:26,280 --> 04:50:27,560 PROBLEMATIC THEY HAVE A PLACE 7850 04:50:27,560 --> 04:50:29,000 AND WOB OF THE HOACHFUL THINGS 7851 04:50:29,000 --> 04:50:30,280 ABOUT THIS RESEARCH IS TO 7852 04:50:30,280 --> 04:50:32,400 SUGGEST IF IF YOU LACK SAFETY IN 7853 04:50:32,400 --> 04:50:35,720 1 DOMAIN, HAVING A LOT OF IT, IN 7854 04:50:35,720 --> 04:50:36,760 ANOTHER, WILL WORK, YOU KNOW 7855 04:50:36,760 --> 04:50:40,400 BECAUSE OUR BRAINS ARE LOOKING, 7856 04:50:40,400 --> 04:50:42,720 LOOKING FOR THE SAFE PERSON SO 7857 04:50:42,720 --> 04:50:43,960 WE IF CAN CREATE THAT AND 7858 04:50:43,960 --> 04:50:46,760 SUPPORT THAT AND SAY OUR DOORS 7859 04:50:46,760 --> 04:50:49,680 ARE OPEN FROM 7 AMTO MIDNIGHT 7860 04:50:49,680 --> 04:50:50,800 AND SOMEONE'S ALWAYS HERE, 7861 04:50:50,800 --> 04:50:52,000 SOMEONE'S ALWAYS HERE AND WE 7862 04:50:52,000 --> 04:50:54,800 KNOW THAT IN THE SUICIDE 7863 04:50:54,800 --> 04:50:55,840 PREVENTION REALM, JUST CHOOT 7864 04:50:55,840 --> 04:50:57,600 LINES, ABILITY TO FIND SOMEONE 7865 04:50:57,600 --> 04:51:00,440 AT ANY POINT IN TIME WHENEVER 7866 04:51:00,440 --> 04:51:02,080 YOU FEEL SAFE, YOU DON'T HAVE TO 7867 04:51:02,080 --> 04:51:02,800 ACCESS THAT SERVICE, YOU DON'T 7868 04:51:02,800 --> 04:51:05,920 HAVE TO GO TO THE GAY AND 7869 04:51:05,920 --> 04:51:07,080 LESBIAN YOUTH CENTER TO KNOW 7870 04:51:07,080 --> 04:51:10,440 THAT IT'S THERE AND KNOWING THAT 7871 04:51:10,440 --> 04:51:12,760 IT'S THERE IS ACTUALLY JUST AS 7872 04:51:12,760 --> 04:51:14,760 PROTECTIVE FOR SOME KIDS. 7873 04:51:14,760 --> 04:51:18,360 AND THAT'S GREAT, BUT I THINK 7874 04:51:18,360 --> 04:51:20,320 YOU KNOW THIS PLAY APPLY TO 7875 04:51:20,320 --> 04:51:21,840 YOUTH BUT I'M TALKING ABOUT 7876 04:51:21,840 --> 04:51:26,560 YOUNGER KIDS, WHEN THEIR 7877 04:51:26,560 --> 04:51:28,040 BRAINMENT IS HAPPENING AND YOU 7878 04:51:28,040 --> 04:51:29,240 KNOW I'M THINKING, YOU COULD 7879 04:51:29,240 --> 04:51:31,360 THINK OF SCHOOLS FOR EXAMPLE, OR 7880 04:51:31,360 --> 04:51:36,080 KINDERGARTEN AS A PLACE FOR 7881 04:51:36,080 --> 04:51:37,160 INTERVENTION, BUT I'M JUST 7882 04:51:37,160 --> 04:51:38,120 WONDERING LIKE WHAT'S THE STATE 7883 04:51:38,120 --> 04:51:44,920 OF SCIENCE ON THAT RIGHT NOW ARE 7884 04:51:44,920 --> 04:51:45,720 THESE GOOD VIERPTS. 7885 04:51:45,720 --> 04:51:47,560 >>ONE OF THE MOST OPTIMISTIC 7886 04:51:47,560 --> 04:51:49,320 STUDIES I FOUND, 1 THAT SHOWS 7887 04:51:49,320 --> 04:51:53,800 THAT EACH REALLY TINY, KINDS OF 7888 04:51:53,800 --> 04:52:01,800 LIKE LGBTQ INCLUSION, IN 7889 04:52:01,800 --> 04:52:03,000 ELEMENTARY SCHOOL AND 1 TEACH 7890 04:52:03,000 --> 04:52:07,200 WHO ARE WORE RAINBOW SOCKS EVERY 7891 04:52:07,200 --> 04:52:09,360 DAY THAT HAS DEMONSTRATABLE 7892 04:52:09,360 --> 04:52:10,800 EFFECTS EVERY DAY, KID ARE 7893 04:52:10,800 --> 04:52:13,080 LOOKING FOR THAT, JUST HAVING IN 7894 04:52:13,080 --> 04:52:15,200 A SCHOOL, A PERSON THAT 7895 04:52:15,200 --> 04:52:18,520 EVERYBODY KNOWS IS THE SAFE 7896 04:52:18,520 --> 04:52:20,760 PERSON, AND HAVING ACTUAL REAL 7897 04:52:20,760 --> 04:52:22,960 RELATIONSHIPS, NOT JUST SYMBOLIC 7898 04:52:22,960 --> 04:52:25,800 BUT REAL RELATIONSHIPS, AND 7899 04:52:25,800 --> 04:52:27,400 MAKING SURE THAT THE STAFF ARE 7900 04:52:27,400 --> 04:52:29,400 TRAINED UP AND THAT THE SCHOOL 7901 04:52:29,400 --> 04:52:30,760 SYSTEM KNOWS, HEY, WE MAY NOT 7902 04:52:30,760 --> 04:52:33,200 THINK THIS IS RELEVANT BECAUSE 7903 04:52:33,200 --> 04:52:34,600 THESE KIDS ARE 6 AND 7 YEARS OLD 7904 04:52:34,600 --> 04:52:38,200 BUT YOU KNOW WHAT? 7905 04:52:38,200 --> 04:52:41,080 THOSE 6 AND 7 YEAR-OLD KIDS 7906 04:52:41,080 --> 04:52:43,400 SEEING LGBT INCLUSION, THEY 7907 04:52:43,400 --> 04:52:43,680 REMEMBER. 7908 04:52:43,680 --> 04:52:45,680 THERE'S 1 STUDY WHERE A KID CAME 7909 04:52:45,680 --> 04:52:48,520 OUT AT 13 AND HE ACTUALLY TOLD 7910 04:52:48,520 --> 04:52:50,640 THE PEOPLE HE CAME OUT TO AT 7911 04:52:50,640 --> 04:52:52,160 SCHOOL, I KNEW IT WOULD BE OKAY 7912 04:52:52,160 --> 04:52:53,360 BECAUSE I REMEMBER A COUPLE 7913 04:52:53,360 --> 04:52:55,760 YEARS AGO MY TIECHER HAD A 7914 04:52:55,760 --> 04:52:57,920 RAINBOW PIN. 7915 04:52:57,920 --> 04:53:00,560 SO, EFFORTS TO SIGNAL INCLUSION 7916 04:53:00,560 --> 04:53:03,280 CONSISTENTLY AND EVEN FOR 7917 04:53:03,280 --> 04:53:04,280 YOUNGER KIDS HAVE REALLY 7918 04:53:04,280 --> 04:53:05,440 PROFOUND CENTER FOR EXCELLENCE 7919 04:53:05,440 --> 04:53:07,560 ON AGING TO WHY IT WAS GOING ON 7920 04:53:07,560 --> 04:53:08,960 WITH FLORIDA IS SO TRAG 7921 04:53:08,960 --> 04:53:09,560 ECTOMYOSIN BECAUSE IT'S 7922 04:53:09,560 --> 04:53:16,880 LITERALLY GOING IN THE OPPOSITE 7923 04:53:16,880 --> 04:53:18,240 DIRECTION. 7924 04:53:18,240 --> 04:53:24,480 >>YEAH, SO, I GUESS DR. LI 7925 04:53:24,480 --> 04:53:26,360 NARES IS HAS I QUESTION, YOU 7926 04:53:26,360 --> 04:53:29,200 GUESS WE ARE PICKING ON FLOWER 7927 04:53:29,200 --> 04:53:30,760 FLOOR A LOT TODAY DOCTOR, ARE 7928 04:53:30,760 --> 04:53:34,400 YOU STILL ON? 7929 04:53:34,400 --> 04:53:37,240 DID EMPLOY. 7930 04:53:37,240 --> 04:53:39,000 >>SORTING SIGNALS SORRY, I GOT 7931 04:53:39,000 --> 04:53:40,840 MUTED ISSUES IT'S MY QUESTION, 7932 04:53:40,840 --> 04:53:43,440 IT'S 1 FROM THE VIDEOCAST. 7933 04:53:43,440 --> 04:53:44,840 >>OH, OKAY, SORRY, I THOUGHT IT 7934 04:53:44,840 --> 04:53:45,520 WAS FROM YOU. 7935 04:53:45,520 --> 04:53:47,600 >>OKAY, SO HOW CAN WE IN THE 7936 04:53:47,600 --> 04:53:52,840 FIELD OF PUBLIC HEALTH PRACTICE 7937 04:53:52,840 --> 04:53:54,040 [INDISCERNIBLE] QUEER 7938 04:53:54,040 --> 04:53:57,760 EXCLUSIONARY DATA WITHOUT 7939 04:53:57,760 --> 04:54:00,960 CONTRIBUTING TO QUEER 7940 04:54:00,960 --> 04:54:04,480 TRANSERASURE AND SIMULTANEOUSLY 7941 04:54:04,480 --> 04:54:05,520 WITHOUT MAKING ASSUMPTIONS ABOUT 7942 04:54:05,520 --> 04:54:07,440 QUEER TRANSFOLK THAT WE DON'T 7943 04:54:07,440 --> 04:54:09,000 YET HAVE THE EVIDENCE TO STAY 7944 04:54:09,000 --> 04:54:11,040 FROM DATA THIS IS ESPECIALLY 7945 04:54:11,040 --> 04:54:12,440 WITH WRITING ABOUT PREGNANCY 7946 04:54:12,440 --> 04:54:14,480 WHEN DATA ONLY INCLUDES WOMEN 7947 04:54:14,480 --> 04:54:18,920 BUT WE KNOW NOT ALL PEOPLE WHO 7948 04:54:18,920 --> 04:54:23,320 BIRTH ARE WOMEN. 7949 04:54:23,320 --> 04:54:30,720 ANYBODY WOULD LIKE TO ANSWER 7950 04:54:30,720 --> 04:54:30,920 THAT? 7951 04:54:30,920 --> 04:54:32,080 >>YEAH, I'M NOT SURE WHAT THE 7952 04:54:32,080 --> 04:54:34,480 QUESTION WAS IN THERE BUT YEAH, 7953 04:54:34,480 --> 04:54:38,000 ABSOLUTELY, WE DON'T HAVE GOOD 7954 04:54:38,000 --> 04:54:39,640 MEASURES OF SEXUAL ORIENTATION 7955 04:54:39,640 --> 04:54:45,680 OR GENDER IDENTITY IN PREGNANCY 7956 04:54:45,680 --> 04:54:46,040 DATA ESPECIALLY. 7957 04:54:46,040 --> 04:54:47,480 WITH ADD HEALTH AND THE NATIONAL 7958 04:54:47,480 --> 04:54:48,840 SURVEY OF FAMILY GROWTH, LIKE I 7959 04:54:48,840 --> 04:54:55,480 SAID YOU HAVE TO BE--YOU HAVE TO 7960 04:54:55,480 --> 04:54:57,920 SELECT THE FEMALE FORM OR 7961 04:54:57,920 --> 04:54:59,240 WOMAN'S SURVEY SO WE ASSUME THAT 7962 04:54:59,240 --> 04:55:01,880 WOMENS WHO ARE SELECTING THAT 7963 04:55:01,880 --> 04:55:03,800 SURVEY ARE IDENTIFYING AS WOMEN 7964 04:55:03,800 --> 04:55:05,320 BUT THAT'S AN ASSUMPTION THAT 7965 04:55:05,320 --> 04:55:07,160 WE'RE MAKING AND THEY HAVE TO 7966 04:55:07,160 --> 04:55:09,000 HAVE GIVEN BIRTH TO BE IN THESE 7967 04:55:09,000 --> 04:55:10,760 SAMPLES SO THERE IS SOME LEVEL 7968 04:55:10,760 --> 04:55:13,880 OF CONFIDENCE THAT THESE ARE 7969 04:55:13,880 --> 04:55:14,440 CISWOMEN. 7970 04:55:14,440 --> 04:55:16,880 IN THE SAMPLES THAT I'VE USED, 7971 04:55:16,880 --> 04:55:19,280 HOWEVER, IF YOU'RE JUST LOOKING 7972 04:55:19,280 --> 04:55:23,320 AT MEDICAL RECORDS FOR EXAMPLE, 7973 04:55:23,320 --> 04:55:25,200 AND WHERE THEY'RE NOT SELECTING 7974 04:55:25,200 --> 04:55:26,360 FOR A FEMALE SURVEY OR SOMETHING 7975 04:55:26,360 --> 04:55:28,440 LIKE THAT, IT'S POSSIBLE YOU GET 7976 04:55:28,440 --> 04:55:30,520 A DIVERSITY OF GENDER IDENTITIES 7977 04:55:30,520 --> 04:55:32,720 IN THAT DATA, AND MAKING THE 7978 04:55:32,720 --> 04:55:34,000 ASSUMPTION THAT ALL THE PEOPLE 7979 04:55:34,000 --> 04:55:37,320 IN THAT DATA ARE HETEROSEXUAL 7980 04:55:37,320 --> 04:55:38,480 CISWOMEN IS REALLY PROBLEMATIC 7981 04:55:38,480 --> 04:55:39,960 EMPLOY THE ONLY THING I THINK OF 7982 04:55:39,960 --> 04:55:42,600 THAT HAS TRIED TO LOOK AT SOME 7983 04:55:42,600 --> 04:55:44,920 OF THESE USING A PROBABILITY 7984 04:55:44,920 --> 04:55:46,440 DACED BATTA SET IS 1 THAT CAME 7985 04:55:46,440 --> 04:55:49,320 OUT OF CALIFORNIA, THEY USED 7986 04:55:49,320 --> 04:55:52,120 BIRTH DERSIEVEICATE DATA BECAUSE 7987 04:55:52,120 --> 04:55:53,960 CALIFORNIA ALLOWS TO YOU 7988 04:55:53,960 --> 04:55:56,160 IDENTIFY THAT YOUR GENDER ON THE 7989 04:55:56,160 --> 04:55:57,000 BIRTH CERTIFICATE AND SO THEY 7990 04:55:57,000 --> 04:56:00,680 WERE ABLE TO LOOK AT BIRTHING 7991 04:56:00,680 --> 04:56:07,360 FATHERS AND BIRTHING MOTHERS AND 7992 04:56:07,360 --> 04:56:09,320 AND THE GENDER OF THE PARTNER ON 7993 04:56:09,320 --> 04:56:10,240 THE BIRTH DERSIEVEICATE. 7994 04:56:10,240 --> 04:56:12,280 AND THIS IS LOOKING AT COUPLE 7995 04:56:12,280 --> 04:56:14,000 LEVEL DATA, THEY FOUND THAT 7996 04:56:14,000 --> 04:56:14,800 BIRTHING MOTHERS THAT WERE 7997 04:56:14,800 --> 04:56:16,560 MARRIED TO OTHER WOMEN HAD 7998 04:56:16,560 --> 04:56:19,000 HIGHER RISK FOR MATERNAL 7999 04:56:19,000 --> 04:56:20,120 MORBIDITIES AND ADVERSE BIRTH 8000 04:56:20,120 --> 04:56:21,400 OUTCOMES BUT THEY FOUND THAT 8001 04:56:21,400 --> 04:56:22,440 BIRTHING FATHERS, THERE WAS 8002 04:56:22,440 --> 04:56:25,000 EITHER NO DIFFERENCES OR A 8003 04:56:25,000 --> 04:56:26,480 DECREASED RISK, SO THEY DIDN'T 8004 04:56:26,480 --> 04:56:30,320 SEE IN THE TRANSPOPPULATION OF 8005 04:56:30,320 --> 04:56:35,120 PREGNANT PEOPLE THAT ELEVATED 8006 04:56:35,120 --> 04:56:37,080 RISK BUT YOU KNOW WE NEED PEOPLE 8007 04:56:37,080 --> 04:56:39,240 TO INCLUDE THESE MEASURES ON 8008 04:56:39,240 --> 04:56:39,920 REPRODUCTIVE HEALTH SURVEYS LIKE 8009 04:56:39,920 --> 04:56:42,360 I SAID FOR THE LONGEST TIME, I 8010 04:56:42,360 --> 04:56:44,120 THINK THAT REPRODUCTIVE HEALTH 8011 04:56:44,120 --> 04:56:45,520 AND LGBT HEALTH HAVE BEEN SILOED 8012 04:56:45,520 --> 04:56:48,160 FROM EACH OTHER AND LGBTQSPAY 8013 04:56:48,160 --> 04:56:52,360 RESEARCH HAS NOT THOUGHT ABOUT 8014 04:56:52,360 --> 04:56:53,360 PREGNANT PEOPLE AND PREPRO 8015 04:56:53,360 --> 04:56:56,720 HEALTH PEOPLE HAVE NOT THOUGHT 8016 04:56:56,720 --> 04:56:57,760 ABOUT LGBTQPEOPLE AND SO TRYING 8017 04:56:57,760 --> 04:56:59,160 TO BRIDGE THESE FIELDS ITTH IS 8018 04:56:59,160 --> 04:57:00,400 REALLY IMPORTANT FOR GETTING 8019 04:57:00,400 --> 04:57:02,240 BETTER DATA AND BETTER 8020 04:57:02,240 --> 04:57:02,520 ASSUMPTIONS. 8021 04:57:02,520 --> 04:57:03,760 >>DO YOU THINK THIS HAS TO DO 8022 04:57:03,760 --> 04:57:08,840 WITH HOW YOU COLLECT THE DATA 8023 04:57:08,840 --> 04:57:10,360 BASICALLY LIKE YOU FRAME THE 8024 04:57:10,360 --> 04:57:10,640 QUESTIONS? 8025 04:57:10,640 --> 04:57:18,920 >>I MEAN THE QUESTIONS AREN'T 8026 04:57:18,920 --> 04:57:21,320 EVENOT SURVEYS MOST OF THE TIME. 8027 04:57:21,320 --> 04:57:24,600 SO IT'S NOT EVEN A POSSIBLE. 8028 04:57:24,600 --> 04:57:27,920 BUT THEY'RE STARTING TO INCLUDE, 8029 04:57:27,920 --> 04:57:29,160 LIKE THE PRAMS, THE PREGNANCY 8030 04:57:29,160 --> 04:57:33,440 RISK AND MONITORING STUDY IS NOW 8031 04:57:33,440 --> 04:57:35,400 HAVING GENDER IDENTITY AND 8032 04:57:35,400 --> 04:57:37,440 SEXUAL ORIENT AS AN OPTION, THE 8033 04:57:37,440 --> 04:57:39,680 MEASURES ARE INCLUDED PRETTY 8034 04:57:39,680 --> 04:57:40,960 BRIEF, AND YOU KNOW THEY DON'T 8035 04:57:40,960 --> 04:57:43,960 GET IN A LOT OF THE NUANCE OF 8036 04:57:43,960 --> 04:57:47,280 GENDER IDENTITIES AND SEXUAL 8037 04:57:47,280 --> 04:57:48,560 ORIENTATION THAT WE'VE SEEN ARE 8038 04:57:48,560 --> 04:57:53,240 IMPORTANT FOR COLLECTING GOOD 8039 04:57:53,240 --> 04:57:53,640 DATA. 8040 04:57:53,640 --> 04:57:58,600 SO ARE THERE SOME MEASURES THAT 8041 04:57:58,600 --> 04:57:59,800 ARE WELL VALIDATED THAT YOU GUYS 8042 04:57:59,800 --> 04:58:01,720 IN THE FIELD WOULD RECOMMEND? 8043 04:58:01,720 --> 04:58:03,760 >>YEAH, I MEAN THERE ARE 8044 04:58:03,760 --> 04:58:05,360 DEFINITELY WELL VALIDATED GENDER 8045 04:58:05,360 --> 04:58:07,840 MEASURES, I MEAN OBVIOUSLY IT'S 8046 04:58:07,840 --> 04:58:09,200 CONSTANTLY CHANGING BUT WE DO 8047 04:58:09,200 --> 04:58:10,240 HAVE EMPLOY ANDS SO IT'S NOT 8048 04:58:10,240 --> 04:58:11,880 THAT WE DON'T HAVE THEM, IT'S 8049 04:58:11,880 --> 04:58:13,520 SIMPLY THAT EITHER THEY'RE NOT 8050 04:58:13,520 --> 04:58:19,240 PUT IN, DUE TO POLITICAL WILL OR 8051 04:58:19,240 --> 04:58:21,840 PEEL ARE AFRAID TO LOOK LONG 8052 04:58:21,840 --> 04:58:24,800 NUDEINALLY, I THINK THE YRBS IS 8053 04:58:24,800 --> 04:58:26,360 GREAT FOR THIS, THE WAY THEY 8054 04:58:26,360 --> 04:58:29,520 ADDED IT WE CANNOT TELL, WE CAN 8055 04:58:29,520 --> 04:58:30,600 TELL IF SOMEONE'S TRANSBUOY 8056 04:58:30,600 --> 04:58:32,000 DON'T KNOW BECAUSE WE ASK THE 8057 04:58:32,000 --> 04:58:33,520 SEX, NOT SEX AT BIRTH SO THAT'S 8058 04:58:33,520 --> 04:58:34,960 THE PROBLEM, NOW WE ADDED A 8059 04:58:34,960 --> 04:58:37,440 QUESTION WE CAN'T USE IN AN 8060 04:58:37,440 --> 04:58:37,840 ACCURATE WAY. 8061 04:58:37,840 --> 04:58:39,920 SO I THINK WE HAVE TO BE VERY, 8062 04:58:39,920 --> 04:58:41,120 VERY CAREFUL ABOUT WHICH 8063 04:58:41,120 --> 04:58:43,400 QUESTIONS WE ADD AND HOW WE DO 8064 04:58:43,400 --> 04:58:43,560 IT. 8065 04:58:43,560 --> 04:58:45,760 I WOULD ALSO LIKE TO PUT IN A 8066 04:58:45,760 --> 04:58:46,880 PLUG FOR MIXED METHODS RESEARCH 8067 04:58:46,880 --> 04:58:47,880 HERE BECAUSE I THINK THAT'S 8068 04:58:47,880 --> 04:58:49,560 WHERE WE WILL FIGURE THIS OUT IN 8069 04:58:49,560 --> 04:58:50,720 THE BEGINNING TO YOUR POINT 8070 04:58:50,720 --> 04:58:54,320 ABOUT DEVELOPING THESE MEASURES. 8071 04:58:54,320 --> 04:58:56,800 AND SOME OF THESE MORE DETAILED 8072 04:58:56,800 --> 04:58:57,920 NUANCED EXPERIENCES THAT PEOPLE 8073 04:58:57,920 --> 04:58:59,040 FOR EXAMPLE, PREGNANT PEOPLE ARE 8074 04:58:59,040 --> 04:59:00,760 HAVING, IS WE'RE GOING TO FIGURE 8075 04:59:00,760 --> 04:59:02,480 THAT OUT QUAL FATIVELY AND THAT 8076 04:59:02,480 --> 04:59:03,720 CAN HELP INFORM SOME OF THESE 8077 04:59:03,720 --> 04:59:13,160 QUESTIONS IN THE SURVEYS MOVING 8078 04:59:13,160 --> 04:59:13,400 FORWARD. 8079 04:59:13,400 --> 04:59:13,840 >>GREAT. 8080 04:59:13,840 --> 04:59:15,040 THANK YOU SO MUCH, THIS WAS A 8081 04:59:15,040 --> 04:59:17,240 GREAT PANEL AND WE KIND OF WENT 8082 04:59:17,240 --> 04:59:18,880 OVERTIME BECAUSE I JUST REALIZED 8083 04:59:18,880 --> 04:59:21,240 IN THE AGENDA THERE WAS A MIX UP 8084 04:59:21,240 --> 04:59:24,200 IN THE TIME SO WE HAD MORE TIME 8085 04:59:24,200 --> 04:59:27,280 TO ASK QUESTIONS, AND ANSWER 8086 04:59:27,280 --> 04:59:27,600 THEM. 8087 04:59:27,600 --> 04:59:30,760 SO WE'RE GOING ON BREAK FOR 15 8088 04:59:30,760 --> 04:59:33,560 MINUTES AND THEN WE ARE GOING TO 8089 04:59:33,560 --> 04:59:35,400 HAVE DR. KAREN PARKER WHO IS THE 8090 04:59:35,400 --> 04:59:38,080 DIRECTOR OF THE SEXUAL AND 8091 04:59:38,080 --> 04:59:38,880 GENDER MINORITY RESEARCH OFFICE 8092 04:59:38,880 --> 04:59:43,320 WHO IS GOING TO BASICALLY 8093 04:59:43,320 --> 04:59:45,960 SUMMARIZE THE THEMES FROM TODAY, 8094 04:59:45,960 --> 04:59:48,280 AND DISCUSS WITH THE SPEAKERS, 8095 04:59:48,280 --> 04:59:51,680 YOU KNOW SOME OF THEIR IDEAS FOR 8096 04:59:51,680 --> 04:59:54,880 FUTURE RESEARCH AND DIRECTIONS. 8097 04:59:54,880 --> 04:59:57,200 SO, I GUESS THANK YOU SO MUCH 8098 04:59:57,200 --> 05:00:01,160 EVERYONE AND THANKS TO ALL THE 8099 05:00:01,160 --> 05:00:05,360 SPEAKERS THAT CAME TODAY AND 8100 05:00:05,360 --> 05:00:07,960 GAVE THEIR TALKS AND YEAH, SO 8101 05:00:07,960 --> 05:00:09,680 LET'S GO ON BREAK FOR 15 MINUTES 8102 05:00:09,680 --> 05:00:11,200 AND COME BACK TO WRAP UP THE 8103 05:00:11,200 --> 05:00:12,560 DAY. 8104 05:00:12,560 --> 05:00:15,080 THANK YOU. 8105 05:00:15,080 --> 05:00:16,240 >>GOOD AFTERNOON, IT IS MY 8106 05:00:16,240 --> 05:00:18,440 PLEASURE TO INTRODUCE DR. KAREN 8107 05:00:18,440 --> 05:00:20,200 PARKER THE DIRECTOR OF THE 8108 05:00:20,200 --> 05:00:21,960 SEXUAL AND GENDER MINORITY 8109 05:00:21,960 --> 05:00:23,480 RESEARCH OFFICE WHO'S GOING TO 8110 05:00:23,480 --> 05:00:25,640 MODERATE OUR SESSION TODAY THAT 8111 05:00:25,640 --> 05:00:27,440 INTEGRATES ACROSS THE SESSIONS 8112 05:00:27,440 --> 05:00:30,080 THAT WE'VE HEARD TODAY AND 8113 05:00:30,080 --> 05:00:32,400 DISCUSS SOME FUTURE RESEARCH 8114 05:00:32,400 --> 05:00:35,880 DIRECTIONS WITH THE SPEAKERS. 8115 05:00:35,880 --> 05:00:41,280 DR. KAREN PARKER PLEASE GO 8116 05:00:41,280 --> 05:00:41,880 AHEAD. 8117 05:00:41,880 --> 05:00:42,200 >>GREAT. 8118 05:00:42,200 --> 05:00:44,040 THANK YOU SO MUCH, RADA, I AM SO 8119 05:00:44,040 --> 05:00:45,560 HAPPY TO BE HERE TODAY AND I 8120 05:00:45,560 --> 05:00:48,720 WOULD LIKE TO TAKE A MEMORY 8121 05:00:48,720 --> 05:00:52,720 CLONE TONIGHT THANK THE NATIONAL 8122 05:00:52,720 --> 05:00:54,720 INSTITUTE OF MENTAL HEALTH, AS A 8123 05:00:54,720 --> 05:00:55,760 REMINDER WE'RE ONLY HALFWAY 8124 05:00:55,760 --> 05:00:57,720 THROUGH, WE WILL BE TOGETHER 8125 05:00:57,720 --> 05:00:58,800 AGAIN TOMORROW TO CONTINUE THESE 8126 05:00:58,800 --> 05:01:01,560 DISCUSSIONS BUT MY TASK FOR 8127 05:01:01,560 --> 05:01:03,600 TODAY IS REALLY TO THINK ABOUT 8128 05:01:03,600 --> 05:01:05,640 EVERYTHING I HEARD TODAY, PULL 8129 05:01:05,640 --> 05:01:07,840 OUT IN KEY THEMES, AND THEN, WE 8130 05:01:07,840 --> 05:01:09,960 WILL ASK ALL OF THE FOLKS WHO 8131 05:01:09,960 --> 05:01:11,840 PARTICIPATED TODAY TO TURN ON 8132 05:01:11,840 --> 05:01:13,880 THEIR VIDEO, I WOULD LOVE TO 8133 05:01:13,880 --> 05:01:17,680 HAVE A CONVERSATION SORT OF 8134 05:01:17,680 --> 05:01:18,240 AMONGST THOSE FOLKS. 8135 05:01:18,240 --> 05:01:20,840 SO IF YOU HAVE QUESTIONS FOR 8136 05:01:20,840 --> 05:01:21,840 YOUR FELLOW PANELLIVES, THIS 8137 05:01:21,840 --> 05:01:23,880 WILL BE A TIME WE CAN DO THAT WE 8138 05:01:23,880 --> 05:01:26,040 WILL TAKE Q, ANDA FROM PER TIS 8139 05:01:26,040 --> 05:01:27,840 PANTS WHO ARE WATCHING VIA 8140 05:01:27,840 --> 05:01:29,040 VIDEOCAST IF WEB CONNECTEDS 8141 05:01:29,040 --> 05:01:30,960 REMAIN AND OF COURSE I HAVE A 8142 05:01:30,960 --> 05:01:33,360 FEE QUESTIONS OF MY OWN I WOULD 8143 05:01:33,360 --> 05:01:34,800 LIKE TO POSE IF TIME ALLOWS. 8144 05:01:34,800 --> 05:01:35,960 SO FIRST I WOULD LIKE TO TALK 8145 05:01:35,960 --> 05:01:38,720 ABOUT SOME OF THE MAIN THING I 8146 05:01:38,720 --> 05:01:41,360 THAT I HEARD TODAY, I WILL TALK, 8147 05:01:41,360 --> 05:01:43,440 I CLUMP THESE INTO 3 CATEGORIES, 8148 05:01:43,440 --> 05:01:45,040 SO THE FIRST IS COLLECTION, SO 8149 05:01:45,040 --> 05:01:47,480 OF COURSE, WE'RE TALKING ABOUT 8150 05:01:47,480 --> 05:01:49,880 DATA COLLECTION S&P VERY NEAR 8151 05:01:49,880 --> 05:01:52,720 AND DEAR TO THE HEARTS OF 8152 05:01:52,720 --> 05:01:56,120 EVERYONE HERE AT THE SEX AND 8153 05:01:56,120 --> 05:01:57,360 GENDER MINORITY OFFICE HERE AT 8154 05:01:57,360 --> 05:01:58,880 THE NIH, THE OTHER IS CLIMATE 8155 05:01:58,880 --> 05:02:00,280 IMPORTANCE, WHEN YOU THINK ABOUT 8156 05:02:00,280 --> 05:02:01,960 THOSE AND RESEARCH. 8157 05:02:01,960 --> 05:02:04,680 AND THEN THE LAST IS CONDITION, 8158 05:02:04,680 --> 05:02:05,800 SO THINKING ABOUT KEY RESEARCH 8159 05:02:05,800 --> 05:02:08,000 AREAS THAT WERE HIGHLIGHTED 8160 05:02:08,000 --> 05:02:10,160 TODAY AND THE KINDS OF THINGS 8161 05:02:10,160 --> 05:02:12,160 THAT WE HEARD THAT I SORT OF 8162 05:02:12,160 --> 05:02:13,440 LIFTED OUT AS BEING PARTICULARLY 8163 05:02:13,440 --> 05:02:16,960 SORT OF CRITICAL IN THESE 8164 05:02:16,960 --> 05:02:17,320 DISCUSSIONS. 8165 05:02:17,320 --> 05:02:19,520 SO FIRST I WILL TALK ABOUT DATA 8166 05:02:19,520 --> 05:02:21,080 COLLECTION AND YOU KNOW THINKING 8167 05:02:21,080 --> 05:02:22,280 ABOUT DATA COLLECTION, I THINK 8168 05:02:22,280 --> 05:02:24,440 IN SOME WAYS FEELS LIKE IT'S 8169 05:02:24,440 --> 05:02:25,720 VERY SIMPLE, WE SHOULD JUST 8170 05:02:25,720 --> 05:02:29,680 START TO DO DATA COLLECTION 8171 05:02:29,680 --> 05:02:31,560 ACROSS THE BOARD. 8172 05:02:31,560 --> 05:02:32,760 YOU KNOW FREQUENTLY, WHEREVER 8173 05:02:32,760 --> 05:02:33,840 THERE'S OPPORTUNITY AND WHERE 8174 05:02:33,840 --> 05:02:35,160 ARE WE COLLECT DEMOGRAPHICS AND 8175 05:02:35,160 --> 05:02:37,160 I BELIEVE THAT IS TRUE, AND WE 8176 05:02:37,160 --> 05:02:39,000 ARE WORKING SORT OF AT THE 8177 05:02:39,000 --> 05:02:40,960 NATIONAL LEVEL TO THINK ABOUT 8178 05:02:40,960 --> 05:02:44,320 WAYS WE CAN GET SOGI DATA 8179 05:02:44,320 --> 05:02:46,080 INTEGRATED INTO THE FEDERAL DATA 8180 05:02:46,080 --> 05:02:48,080 FOR COLLECTIONS, FOR EXAMPLE, 8181 05:02:48,080 --> 05:02:49,240 ALL FEDERAL SURVEYS, WE KNOW 8182 05:02:49,240 --> 05:02:50,200 IT'S IMPORTANT. 8183 05:02:50,200 --> 05:02:54,040 WE HAVE BEEN WORKING AT NIH FOR 8184 05:02:54,040 --> 05:02:55,720 EXAMPLE, IN FUNDING THE NATIONAL 8185 05:02:55,720 --> 05:02:57,920 ACADEMIES OF REPORT THAT WAS 8186 05:02:57,920 --> 05:02:58,480 MENTIONED. 8187 05:02:58,480 --> 05:02:59,520 I'M REALLY THINKING DEEPLY ABOUT 8188 05:02:59,520 --> 05:03:01,440 HOW CAN WE MAKE SURE THAT WE ARE 8189 05:03:01,440 --> 05:03:03,720 LOOKING TO THE EVIDENCE TO GUIDE 8190 05:03:03,720 --> 05:03:05,240 THE WAYS THAT WE ASK THESE 8191 05:03:05,240 --> 05:03:08,000 QUESTIONS AND HOW CAN WE THINK 8192 05:03:08,000 --> 05:03:09,240 ABOUT WHEN IT IS APPROPRIATE TO 8193 05:03:09,240 --> 05:03:10,920 ASK WHAT KINDS OF QUESTIONS, SO 8194 05:03:10,920 --> 05:03:12,200 FOR EXAMPLE, A QUESTION WE MIGHT 8195 05:03:12,200 --> 05:03:16,240 ASK ON A NATIONAL SURVEY MIGHT 8196 05:03:16,240 --> 05:03:17,080 BE VERY DIFFERENT THAN A 8197 05:03:17,080 --> 05:03:18,480 QUESTION WE WOULD ASK IN A 8198 05:03:18,480 --> 05:03:20,880 RESEARCH PROJECT THAT IS FOCUSED 8199 05:03:20,880 --> 05:03:22,480 SPECIFICALLY ON SEXUAL AND 8200 05:03:22,480 --> 05:03:23,360 GENDER MINORITY COMMUNITIES. 8201 05:03:23,360 --> 05:03:25,600 WE KNOW THAT THERE ARE ALSO 8202 05:03:25,600 --> 05:03:26,600 CHALLENGES RELATED TO 8203 05:03:26,600 --> 05:03:27,480 ADMINISTRATIVE DATA COLLECTION, 8204 05:03:27,480 --> 05:03:32,880 WE HEARD ABOUT THAT, FROM JOHN 8205 05:03:32,880 --> 05:03:35,920 BLOSNICH TODAY THINKING ABOUT 8206 05:03:35,920 --> 05:03:37,560 DATA COLLECTION THAT IS TIED TO 8207 05:03:37,560 --> 05:03:38,640 A DELIVERABLE OR SERVICE, THINK 8208 05:03:38,640 --> 05:03:40,160 ABOUT WHAT THAT MEANS FOR 8209 05:03:40,160 --> 05:03:41,240 BARRIER ANALYSIS ISSUES RIGHT? 8210 05:03:41,240 --> 05:03:43,880 IF PEOPLE ARE AFRAID TO ANSWER A 8211 05:03:43,880 --> 05:03:46,160 QUESTION ON A FORM, THEY FEEL 8212 05:03:46,160 --> 05:03:48,800 THEY MAY BE DENIED A SERVICE, 8213 05:03:48,800 --> 05:03:53,320 THEN HOW DO WE REALLY UNDERSTAND 8214 05:03:53,320 --> 05:03:54,040 POTENTIAL DISCRIMINATION 8215 05:03:54,040 --> 05:03:55,880 HAPPENING AT THAT LEVEL OR OTHER 8216 05:03:55,880 --> 05:03:57,680 CHALLENGES RELATED TO SERVICE 8217 05:03:57,680 --> 05:03:58,000 DELIVERY. 8218 05:03:58,000 --> 05:04:00,840 OF COURSE, THERE ARE CONCERNS 8219 05:04:00,840 --> 05:04:03,440 ABOUT THE COST OF VISIBILITY DHS 8220 05:04:03,440 --> 05:04:06,120 IS A PHRASE THAT JOHN USED AND 8221 05:04:06,120 --> 05:04:07,880 THEN WITH WE THINK ABOUT OTHER 8222 05:04:07,880 --> 05:04:10,240 KINDS OF DATA COLLECTION, WE 8223 05:04:10,240 --> 05:04:12,680 HEARD FROM SUSAN COCHRAN ABOUT 8224 05:04:12,680 --> 05:04:13,840 THE NATIONAL VIOLENT DEATH 8225 05:04:13,840 --> 05:04:17,040 REPORTING SYSTEM AND SOME OF THE 8226 05:04:17,040 --> 05:04:18,200 PROMISING FUTURE THAT MACHINE 8227 05:04:18,200 --> 05:04:20,080 LEARNING MIGHT HOLD FOR THINKING 8228 05:04:20,080 --> 05:04:22,640 ABOUT IDENTIFYING SEXUAL AND 8229 05:04:22,640 --> 05:04:24,360 GENDER MINORITY POPULATIONS. 8230 05:04:24,360 --> 05:04:26,120 WE KNOW THAT CLINICAL DATA IS 8231 05:04:26,120 --> 05:04:26,720 INCREDIBLE LOAMACYY IMPORTANT 8232 05:04:26,720 --> 05:04:28,680 AND I THINK THAT THE LACK OF 8233 05:04:28,680 --> 05:04:30,480 DATA RELATED TO THE COVID-19 8234 05:04:30,480 --> 05:04:31,640 PANDEMIC IS A REALLY GREAT 8235 05:04:31,640 --> 05:04:35,600 EXAMPLE OF WHY WE NEED GOOD 8236 05:04:35,600 --> 05:04:36,520 CONSISTENT DATA COLLECTION 8237 05:04:36,520 --> 05:04:40,520 WITHIN CLINICAL SPACES AND THEN 8238 05:04:40,520 --> 05:04:42,600 OF COURSE, BRIAN MUSTANSKI, 8239 05:04:42,600 --> 05:04:44,560 BROUGHT UP THE NEED FOR DATA 8240 05:04:44,560 --> 05:04:45,760 WITHIN THE STEM WORKFORCE AND 8241 05:04:45,760 --> 05:04:46,360 THAT'S SOMETHING WE'RE 8242 05:04:46,360 --> 05:04:47,680 INTERESTED IN AS WE THINK ABOUT, 8243 05:04:47,680 --> 05:04:50,360 YOU KNOW BEING ABLE TO GROW, THE 8244 05:04:50,360 --> 05:04:51,840 FIELD OF SGM HEALTH RESEARCH, 8245 05:04:51,840 --> 05:04:55,240 WHO'S ASKING THE QUESTIONS, 8246 05:04:55,240 --> 05:04:57,480 WHO'S CONDUCTING THE RESEARCH, 8247 05:04:57,480 --> 05:04:59,080 HOW CAN WE MAKE SURE THAT 8248 05:04:59,080 --> 05:05:01,760 SCIENCE IS A WELCOMING AND 8249 05:05:01,760 --> 05:05:05,480 AFERMING PLACE FOR ALL SO THAT 8250 05:05:05,480 --> 05:05:06,680 WE AREN'T LOOSING PEOPLE YOU 8251 05:05:06,680 --> 05:05:08,520 KNOW STARTING OUT IN VERY EARLY 8252 05:05:08,520 --> 05:05:09,680 AGES BUT REALLY THINK BEING 8253 05:05:09,680 --> 05:05:12,520 MAKING SURE WE'RE NOT LOSING 8254 05:05:12,520 --> 05:05:14,800 PEOPLE THROUGH THAT SCIENTIFIC 8255 05:05:14,800 --> 05:05:16,640 PATHWAY, FROM UNDERGRAD TO 8256 05:05:16,640 --> 05:05:19,760 GRADUATE STOOL TO POST DOC AND 8257 05:05:19,760 --> 05:05:21,280 TO FUNDED NIH RESEARCHER. 8258 05:05:21,280 --> 05:05:22,560 OF COURSE, WITH WE TALK ABOUT 8259 05:05:22,560 --> 05:05:24,880 DATA WE ALSO HAVE TO THINK 8260 05:05:24,880 --> 05:05:29,520 THINGS LIKE SUBPOPULATION DATA, 8261 05:05:29,520 --> 05:05:31,040 SO, VICKI MAYS TALKED ABOUT 8262 05:05:31,040 --> 05:05:32,080 SMALL GROUP DATA AND THE 8263 05:05:32,080 --> 05:05:33,040 IMPORTANCE OF THINKING ABOUT 8264 05:05:33,040 --> 05:05:35,400 DATA IN WAYS THAT INCORPORATE 8265 05:05:35,400 --> 05:05:38,280 MIXED METHODS, THINKING ABOUT 8266 05:05:38,280 --> 05:05:39,480 NARRATIVES, QUALITATIVE DATA 8267 05:05:39,480 --> 05:05:41,200 USING FOCUS GROUPS AND THEN OF 8268 05:05:41,200 --> 05:05:43,080 COURSE, WE WANT TO THINK ABOUT 8269 05:05:43,080 --> 05:05:45,120 SORT OF WHAT DOES DATA LOOK LOOK 8270 05:05:45,120 --> 05:05:48,320 ACROSS THE LIFE SPAN AND WE WERE 8271 05:05:48,320 --> 05:05:53,280 REMINDED THAT THERE ARE SORT OF 8272 05:05:53,280 --> 05:05:54,160 COHORT ISSUES RELATED TO HOW 8273 05:05:54,160 --> 05:05:56,400 WELL PEOPLE ARE DOING OR 8274 05:05:56,400 --> 05:05:57,600 CHALLENGES THAT PEOPLE ARE 8275 05:05:57,600 --> 05:05:59,120 FACING, AND SO UNDERSTANDING 8276 05:05:59,120 --> 05:06:00,720 THAT WE NEED TO CONTINUE TO 8277 05:06:00,720 --> 05:06:04,000 COLLECT ACROSS THE LIFE SPAN AND 8278 05:06:04,000 --> 05:06:08,000 EACH TIME FOR EXAMPLE IN A 8279 05:06:08,000 --> 05:06:09,000 LONGITUDINAL STUDY FOR 8280 05:06:09,000 --> 05:06:09,760 DEMOGRAPHICS DAILY BASIS THEA 8281 05:06:09,760 --> 05:06:12,440 MAKE SURE WE'RE COLLECTING IT AT 8282 05:06:12,440 --> 05:06:13,400 EACH WAVE, BETHANY EFFORT ALSO 8283 05:06:13,400 --> 05:06:16,040 TALKED ABOUT THAT AND SOME OF 8284 05:06:16,040 --> 05:06:17,080 THOSE CHALLENGES WITH 8285 05:06:17,080 --> 05:06:19,520 LONGITUDINAL DATA SO BEING 8286 05:06:19,520 --> 05:06:20,760 REALLY MINDFUL ABOUT HOW AND 8287 05:06:20,760 --> 05:06:22,600 WHEN WE COLLECT THE DATA IS 8288 05:06:22,600 --> 05:06:23,640 REALLY CRITICAL, IN EMERGING ITS 8289 05:06:23,640 --> 05:06:25,160 OF CONTEXT AND CLIMATES, 1 OF 8290 05:06:25,160 --> 05:06:27,920 THE THINGS THAT WE HEARD LOUD 8291 05:06:27,920 --> 05:06:30,760 AND CLEAR, EARLY THIS AFTERNOON, 8292 05:06:30,760 --> 05:06:34,760 IS THE IMPORTANCE OF THINKING 8293 05:06:34,760 --> 05:06:35,600 ABOUT FRAMEWORK OF 8294 05:06:35,600 --> 05:06:36,400 INTERSECTIONALITY AND REALLY 8295 05:06:36,400 --> 05:06:37,600 MAKING SURE THAT WE'RE GOING 8296 05:06:37,600 --> 05:06:41,960 BACK TO ITS ROOTS, WITH KIMBERLY 8297 05:06:41,960 --> 05:06:44,280 CRENSHAW AND THINKING ABOUT 8298 05:06:44,280 --> 05:06:45,600 POWER, PRIVILEGE, OPPRESSION, 8299 05:06:45,600 --> 05:06:47,840 AND I THINK YOU KNOW VICKI MAYS 8300 05:06:47,840 --> 05:06:49,280 DID A REALLY GREAT JOB OF LAYING 8301 05:06:49,280 --> 05:06:50,480 OUT SOME OF THESE ISSUES THAT 8302 05:06:50,480 --> 05:06:52,760 NEED TO BE THOUGHT OF, 8303 05:06:52,760 --> 05:06:59,240 CLASSIFICATION VERSUS, IDENTITY 8304 05:06:59,240 --> 05:07:00,800 AND INTERSECTIONALITY AND HOW 8305 05:07:00,800 --> 05:07:04,840 IT'S NOT JUST SPECIFIC TO 8306 05:07:04,840 --> 05:07:06,200 INTERREPRESENTATIONAL 8307 05:07:06,200 --> 05:07:06,960 INTERSECTIONALITY BUT POLITICAL 8308 05:07:06,960 --> 05:07:07,320 AND STRUCTURAL. 8309 05:07:07,320 --> 05:07:08,600 AND OF COURSE EVERYTHING WE DO 8310 05:07:08,600 --> 05:07:10,560 SOME OF THE COMPLEXITIES AROUND 8311 05:07:10,560 --> 05:07:14,760 FLUIDITY AND WHAT THOSE MEAN IN 8312 05:07:14,760 --> 05:07:15,400 THE RESEARCH CONTEXT. 8313 05:07:15,400 --> 05:07:17,320 WE HEARD ABOUT THE IMPORTANCE OF 8314 05:07:17,320 --> 05:07:18,720 LANGUAGE AND EVEN IN THE WAY WE 8315 05:07:18,720 --> 05:07:20,800 TALK ABOUT THINGS LIKE 8316 05:07:20,800 --> 05:07:23,080 EDUCATIONAL ATTAINMENT AND HOW 8317 05:07:23,080 --> 05:07:24,320 THAT CAN MEAN DIFFERENT THINGS 8318 05:07:24,320 --> 05:07:25,880 TO DIFFERENT PEOPLE AND IN 8319 05:07:25,880 --> 05:07:26,800 DIFFERENT CONTEXTS AND THAT 8320 05:07:26,800 --> 05:07:28,760 THERE'S A DEEP NEED TO ELECTRIC 8321 05:07:28,760 --> 05:07:33,120 AT SOCIAL VULNERABILITIES AND 8322 05:07:33,120 --> 05:07:34,160 RISK. 8323 05:07:34,160 --> 05:07:34,920 DR. MANDY PRATT-CHAPMAN TALKED 8324 05:07:34,920 --> 05:07:36,960 ABOUT THE WEALTH GAP, POWER, 8325 05:07:36,960 --> 05:07:38,240 VULNERABILITY I WOULD ADD IN 8326 05:07:38,240 --> 05:07:41,120 THERE THE IMPORTANCE OF 8327 05:07:41,120 --> 05:07:42,400 GEOGRAPHY AND THEN WE HEARD A 8328 05:07:42,400 --> 05:07:44,560 LOT ABOUT SORT OF POLICY, SO 8329 05:07:44,560 --> 05:07:46,360 THINKING ABOUT STRUCTURAL 8330 05:07:46,360 --> 05:07:47,760 POLICIES, NOT JUST FEDERAL 8331 05:07:47,760 --> 05:07:49,640 LEGISLATION FOR EXAMPLE, WHICH 8332 05:07:49,640 --> 05:07:50,840 IS INCREDIBLE LOAMACYY 8333 05:07:50,840 --> 05:07:52,760 IMPORTANT, BUT ALSO THINGS LIKE 8334 05:07:52,760 --> 05:07:55,400 SCHOOL POLICIES, AND 8335 05:07:55,400 --> 05:07:56,960 INSTITUTIONAL POLICIES AND HOW 8336 05:07:56,960 --> 05:07:59,520 THOSE CAN IMPACT THINGS LIKE 8337 05:07:59,520 --> 05:08:00,320 BELONGING AND INCLUSION. 8338 05:08:00,320 --> 05:08:01,720 WE KNOW THAT POLICIES, YOU KNOW 8339 05:08:01,720 --> 05:08:06,000 NEED TO BE LOOKED AT IN A 8340 05:08:06,000 --> 05:08:06,800 MULTILEVEL, MULTISECTORRAL WAY, 8341 05:08:06,800 --> 05:08:10,800 AND WE NEED TO LOOK AT POLICIES, 8342 05:08:10,800 --> 05:08:13,160 ALONGSIDE OTHER POLICIES, 8343 05:08:13,160 --> 05:08:14,000 ALONGSIDE OTHER POLICIES. 8344 05:08:14,000 --> 05:08:16,400 AND SO IT'S NOT THAT JUST 1 8345 05:08:16,400 --> 05:08:17,480 POLICY WILL LEAD US TO 8346 05:08:17,480 --> 05:08:22,000 UNDERSTAND 1 THING IN A PERFECT 8347 05:08:22,000 --> 05:08:22,320 WAY. 8348 05:08:22,320 --> 05:08:25,160 IN TOMORROWS OF SOCIAL AND 8349 05:08:25,160 --> 05:08:26,680 STRUCTURAL DEPERMANENTS WE HEARD 8350 05:08:26,680 --> 05:08:27,640 ABOUT STRUCTURES OF DOMINATION 8351 05:08:27,640 --> 05:08:33,440 AND THERE ARE A VARIETY OF 8352 05:08:33,440 --> 05:08:36,400 THOSE, TRANSPHOBIA HETEROSEXISM, 8353 05:08:36,400 --> 05:08:38,000 RACISM, CLASSISM, SEXISM, + +, 8354 05:08:38,000 --> 05:08:39,200 AND SO, WE NEED TO MAKE SURE 8355 05:08:39,200 --> 05:08:41,720 THAT AS WE'RE THINK BEING 8356 05:08:41,720 --> 05:08:43,320 RESEARCH WE'RE CONSIDERING ALL 8357 05:08:43,320 --> 05:08:44,960 OF THESE ISSUES NOT JUST FOR 8358 05:08:44,960 --> 05:08:46,880 EXAMPLE, WITHIN THE HEALTHCARE 8359 05:08:46,880 --> 05:08:48,080 SETTING BUT ALSO WITHIN RESEARCH 8360 05:08:48,080 --> 05:08:50,240 SETTINGS AND HOW IS THAT 8361 05:08:50,240 --> 05:08:51,640 IMPACTING NOT JUST SORT OF WHAT 8362 05:08:51,640 --> 05:08:56,760 WE FIND BUT WHO PARTICIPATES. 8363 05:08:56,760 --> 05:09:00,760 GREGORY PHILLIPS TALKED ABOUT 8364 05:09:00,760 --> 05:09:04,080 PANDEMICS, AND THE STIGMA 8365 05:09:04,080 --> 05:09:04,840 DISCRIMINATION, DATA MESSAGING, 8366 05:09:04,840 --> 05:09:07,320 ALL THE CHALLENGES WE HAVE FOUND 8367 05:09:07,320 --> 05:09:08,080 ACROSS SEVERAL DIFFERENT 8368 05:09:08,080 --> 05:09:09,760 PANDEMICS AND AS I MENTIONED 8369 05:09:09,760 --> 05:09:11,440 BEFORE THE COVID-19 PANDEMIC 8370 05:09:11,440 --> 05:09:13,120 REALLY SHOWN LIGHT ON THE NEED 8371 05:09:13,120 --> 05:09:14,080 FOR VERY MINDFUL DATA COLLECTION 8372 05:09:14,080 --> 05:09:18,040 AND THEN OF COURSE, MPOX WAS 8373 05:09:18,040 --> 05:09:20,440 ALSO HIGHLIGHTED AS A REAL 8374 05:09:20,440 --> 05:09:22,760 CHALLENGE JUST IN RECENT MONTHS 8375 05:09:22,760 --> 05:09:25,480 AND ALL OF THE SORT OF ISSUES 8376 05:09:25,480 --> 05:09:26,800 RELATED TO STIGMA AND 8377 05:09:26,800 --> 05:09:28,840 DISCRIMINATION AND HOW THESE 8378 05:09:28,840 --> 05:09:39,240 PLAY INTO OUR RESPONSE. 8379 05:09:41,600 --> 05:09:45,120 BOTH MANDY PRATT-CHAPMAN AND 8380 05:09:45,120 --> 05:09:47,520 DAPH NA STROUMSASHELLS, TALKED 8381 05:09:47,520 --> 05:09:48,800 ABOUT CLINICAL CARE AND WE NEED 8382 05:09:48,800 --> 05:09:50,880 TO THINK ABOUT EDUCATION, 8383 05:09:50,880 --> 05:09:52,000 KNOWLEDGE OF PROVIDERS THINK OF 8384 05:09:52,000 --> 05:09:53,640 RESEARCHERS AND HOW CANY WE MAKE 8385 05:09:53,640 --> 05:09:55,200 SURE THAT THE WAY WE ARE 8386 05:09:55,200 --> 05:09:56,960 IMPARTING THAT KNOWLEDGE IS DONE 8387 05:09:56,960 --> 05:09:59,040 IN AN EVIDENCE-BASED WAY, OF 8388 05:09:59,040 --> 05:10:01,760 COURSE, I'M THINKING ABOUT HOW 8389 05:10:01,760 --> 05:10:03,320 NIH CAN PLAY A BIGGER ROLE, I 8390 05:10:03,320 --> 05:10:04,640 WOULD SAY IN FUNDING THE 8391 05:10:04,640 --> 05:10:08,600 RESEARCH, TO MAKE SURE THAT THE 8392 05:10:08,600 --> 05:10:10,680 EDUCATION IS HAPPENING IN WAYS 8393 05:10:10,680 --> 05:10:13,640 THAT ARE HELPFUL FOR NOT JUST 8394 05:10:13,640 --> 05:10:15,480 ENGAGING PEOPLE TO DO SGM HEALTH 8395 05:10:15,480 --> 05:10:16,600 RESEARCH BUT TO MAKE SURE THAT 8396 05:10:16,600 --> 05:10:19,680 FOLKS ARE DOING IT IN A WAY THAT 8397 05:10:19,680 --> 05:10:21,280 BENEFITS COMMUNITY, AND THEN OF 8398 05:10:21,280 --> 05:10:22,480 COURSE WE HEARD ABOUT COMMUNITY 8399 05:10:22,480 --> 05:10:24,400 DRIIVE AND LED CARE AND RESEARCH 8400 05:10:24,400 --> 05:10:29,120 AND THAT THAT SORT OF HAS 8401 05:10:29,120 --> 05:10:31,000 BUBBLED UP IN RECENT YEARS AT 8402 05:10:31,000 --> 05:10:33,040 NIH AT THE MORE IMPORTANT FACTOR 8403 05:10:33,040 --> 05:10:34,800 AND OF COURSE, WE KNOW THAT 8404 05:10:34,800 --> 05:10:35,680 THAT'S REALLY IMPORTANT AND 8405 05:10:35,680 --> 05:10:36,960 SOMETHING WE SHOULD CONTINUE TO 8406 05:10:36,960 --> 05:10:39,360 DO AND THINK ABOUT AS WE MOVE 8407 05:10:39,360 --> 05:10:43,880 FORWARD, THE ENTIRE SGM RESEARCH 8408 05:10:43,880 --> 05:10:44,080 AGENDA. 8409 05:10:44,080 --> 05:10:45,320 AND AS WE THINK ABOUT KEY 8410 05:10:45,320 --> 05:10:48,760 CONDITIONS AND AREAS OF RESEARCH 8411 05:10:48,760 --> 05:10:50,520 THAT WERE HIGHLIGHTED, WE HEARD 8412 05:10:50,520 --> 05:10:52,040 ABOUT CARDIOVASCULAR DISEASE AND 8413 05:10:52,040 --> 05:10:53,680 THINGS LIKE FOOD INSECURITY AND 8414 05:10:53,680 --> 05:11:02,640 SLEEP DISPARITIES AND HOW THOSE 8415 05:11:02,640 --> 05:11:03,120 THINGS INTERACT, MANDY 8416 05:11:03,120 --> 05:11:03,680 PRATT-CHAPMAN TALKED ABOUT 8417 05:11:03,680 --> 05:11:06,040 CANCER AND THINGS LIKE STRESS, 8418 05:11:06,040 --> 05:11:08,240 ISSUES RELATED TO MEDIA, 8419 05:11:08,240 --> 05:11:09,640 MARKETING, TOBACCO USE, 8420 05:11:09,640 --> 05:11:11,160 SCREENING GUIDELINES AND THEN OF 8421 05:11:11,160 --> 05:11:12,440 COURSE SOCIAL SUPPORT WHICH WAS 8422 05:11:12,440 --> 05:11:15,200 BROUGHT BACK TO TOWARDS THE END 8423 05:11:15,200 --> 05:11:17,280 OF THE DAY. 8424 05:11:17,280 --> 05:11:18,160 >>DR. SCHULER TALKS ABOUT 8425 05:11:18,160 --> 05:11:19,080 MENTAL HEALTH AND SOME OF THE 8426 05:11:19,080 --> 05:11:22,640 HISTORY OF THE STRUCTURAL ISSUES 8427 05:11:22,640 --> 05:11:24,960 RELATED TO WAYS IN WHICH FOR 8428 05:11:24,960 --> 05:11:26,680 EXAMPLE, SEXUAL ORIENTATION AND 8429 05:11:26,680 --> 05:11:29,960 GENDER IDENTITY HAVE BEEN 8430 05:11:29,960 --> 05:11:33,080 CHARACTERIZED WITHIN MENTAL 8431 05:11:33,080 --> 05:11:34,640 HEALTH COMMUNITIES. 8432 05:11:34,640 --> 05:11:36,280 DR. SCHULER TALKED ABOUT 8433 05:11:36,280 --> 05:11:37,800 CONVERGENT THERAPIES AND STATE 8434 05:11:37,800 --> 05:11:39,160 VARIABILITY AND MENTAL HEALTH 8435 05:11:39,160 --> 05:11:40,400 DISTRESS AND WE KNOW THAT 8436 05:11:40,400 --> 05:11:42,360 LOOKING AT STRUCTURAL ISSUES AND 8437 05:11:42,360 --> 05:11:44,200 POLICIES, ARE KEY TO SORT OF 8438 05:11:44,200 --> 05:11:45,520 UNDERSTANDING SOME OF THESE 8439 05:11:45,520 --> 05:11:49,080 MENTAL HEALTH OUTCOMES. 8440 05:11:49,080 --> 05:11:53,080 IN TERMS OF GENDER AFFIRMING 8441 05:11:53,080 --> 05:11:54,480 KAY, DR. STROUSMA, DID A GREAT 8442 05:11:54,480 --> 05:11:57,320 JOB OF LAYING OUT AN ECOLOGICAL 8443 05:11:57,320 --> 05:11:58,080 MODEL AND IMPORTANT IN 8444 05:11:58,080 --> 05:12:00,000 UNDERSTAND ISING THE MULTILAYERS 8445 05:12:00,000 --> 05:12:01,280 OF GENDER AIF I WERING CARE IN 8446 05:12:01,280 --> 05:12:03,240 OUR OFFICE WE ARE TALKING A LOT 8447 05:12:03,240 --> 05:12:05,000 ABOUT GENDER ARK FIRMING CARE 8448 05:12:05,000 --> 05:12:06,560 AND ALSO THINKING ABOUT IT QUITE 8449 05:12:06,560 --> 05:12:06,800 BROADLY. 8450 05:12:06,800 --> 05:12:09,080 WE WILL BE HOLDING A WORKSHOP AT 8451 05:12:09,080 --> 05:12:11,240 THE END OF THIS MONTH ON GENDER 8452 05:12:11,240 --> 05:12:12,480 AFFIRMING CARE FOR TRANSGENDER 8453 05:12:12,480 --> 05:12:13,840 AND GENDER DIVERSE POPULATIONS 8454 05:12:13,840 --> 05:12:16,680 AND WE'RE REALLY DEFINING CARE 8455 05:12:16,680 --> 05:12:17,960 AS BROADLY AS POSSIBLE SO 8456 05:12:17,960 --> 05:12:20,280 THINKING NOT JUST ABOUT SPECIFIC 8457 05:12:20,280 --> 05:12:25,880 MEDICAL CARE BUT ALSO ABOUT FOR 8458 05:12:25,880 --> 05:12:26,880 EXAMPLE, SOCIAL TRANSITION. 8459 05:12:26,880 --> 05:12:28,000 AND OF COURSE LISA DIAMOND 8460 05:12:28,000 --> 05:12:28,960 TOWARD THE END OF THE DAY 8461 05:12:28,960 --> 05:12:31,360 BROUGHT US INTO A DISCUSSION 8462 05:12:31,360 --> 05:12:34,440 ABOUT TRAUMA AND CHILDHOOD 8463 05:12:34,440 --> 05:12:35,280 ADVERSITIES AND AGAIN, BROUGHT 8464 05:12:35,280 --> 05:12:39,280 US BACK TO THE DEVELOPMENTAL 8465 05:12:39,280 --> 05:12:39,840 FRAMEWORK, THINKING ABOUT 8466 05:12:39,840 --> 05:12:42,040 WINDOWS OF PLAOF THE I GUESSITY, 8467 05:12:42,040 --> 05:12:45,600 AND THE SOCIAL BRAIN AND THE 8468 05:12:45,600 --> 05:12:47,680 HEALTH SMLICATION OF DIFFERENT 8469 05:12:47,680 --> 05:12:50,440 TYPES OF CHILDHOOD ADVERSITIES, 8470 05:12:50,440 --> 05:12:52,880 THIS SYSTEMIC INFLAMMATION AND 8471 05:12:52,880 --> 05:12:54,080 PATHWAYS WERE DISCUSSED AND ALSO 8472 05:12:54,080 --> 05:12:55,480 SORT OF A TAKE HOME MESSAGE THAT 8473 05:12:55,480 --> 05:12:58,000 I THINK WE HEARD OVER AND OVER 8474 05:12:58,000 --> 05:13:00,080 AGAIN, IS ABOUT THE NEED FOR 8475 05:13:00,080 --> 05:13:01,920 SAFETY AND PROTECTION OF ALL 8476 05:13:01,920 --> 05:13:03,080 PEOPLE AND SO I THINK IT'S 8477 05:13:03,080 --> 05:13:05,160 IMPORTANT TO THINK OF THOSE 8478 05:13:05,160 --> 05:13:06,760 CONCEPTS AS WE THINK ABOUT 8479 05:13:06,760 --> 05:13:13,200 ROLLING OUT FOR EXAMPLE, NEW 8480 05:13:13,200 --> 05:13:13,800 RESEARCH AGENDAS. 8481 05:13:13,800 --> 05:13:16,960 SO AT THE VERY END OF THE DAY, 8482 05:13:16,960 --> 05:13:18,200 BETHANY EVERETT TALKED ABOUT 8483 05:13:18,200 --> 05:13:19,760 REPRODUCTIVE HEGHT WHICH IS A 8484 05:13:19,760 --> 05:13:20,840 SPACE ARE THERE'S VERY LITTLE 8485 05:13:20,840 --> 05:13:23,520 RESEARCH IN TERPS OF SGM 8486 05:13:23,520 --> 05:13:26,600 POPULATIONS, AND WE TALK A LOT 8487 05:13:26,600 --> 05:13:27,760 THERE ABOUT LONGITUDINAL HEALTH 8488 05:13:27,760 --> 05:13:31,640 DATA AND THE NEED FOR INCREASING 8489 05:13:31,640 --> 05:13:33,120 DATA COLLECTION WITHIN 8490 05:13:33,120 --> 05:13:35,320 REPRODUCTIVE HEALTH SPACES, AND 8491 05:13:35,320 --> 05:13:36,480 THEN OF COURSE, SOME OF THE 8492 05:13:36,480 --> 05:13:38,480 REALLY INTERESTING WORK THAT WAS 8493 05:13:38,480 --> 05:13:40,960 HIGHLIGHTED, WAS THIS WORK 8494 05:13:40,960 --> 05:13:43,360 RELATED TO POLICY AT THE STATE 8495 05:13:43,360 --> 05:13:47,080 LEVEL THAT IMPACT VERY DISCREET 8496 05:13:47,080 --> 05:13:48,080 WORTH OUTCOMES. 8497 05:13:48,080 --> 05:13:49,400 SO I THINK EVERYBODY WOULD 8498 05:13:49,400 --> 05:13:50,960 AGREE, WE HEARD SO MUCH TODAY 8499 05:13:50,960 --> 05:13:54,160 AND THERE'S SO MUCH MORE TO HEAR 8500 05:13:54,160 --> 05:13:56,120 ABOUT TOMORROW, BUT REALLY I 8501 05:13:56,120 --> 05:13:59,400 THINK WHAT ALL OF THIS SAYS TO 8502 05:13:59,400 --> 05:14:01,960 ME, IS, AS OUR RESEARCH 8503 05:14:01,960 --> 05:14:03,360 PORTFOLIO AS GROWN, THERE ARE IS 8504 05:14:03,360 --> 05:14:04,960 STILL SO MUCH WORK TO BE DONE 8505 05:14:04,960 --> 05:14:08,160 AND SO MANY OPPORTUNITIES WITHIN 8506 05:14:08,160 --> 05:14:10,840 SGM HEALTH RESEARCH. 8507 05:14:10,840 --> 05:14:12,520 I WOULD LIKE TO SORT OF TAKE US 8508 05:14:12,520 --> 05:14:16,760 BACK TO WHERE WE STARTED BEFORE 8509 05:14:16,760 --> 05:14:20,960 I OPEN UP THE DISCUSSION, BRIAN 8510 05:14:20,960 --> 05:14:21,920 MUSTANSKI, TALKED AT THE 8511 05:14:21,920 --> 05:14:23,640 BEGINNING ABOUT WHERE WE ARE AND 8512 05:14:23,640 --> 05:14:24,760 WHERE WE NEED TO HEAD. 8513 05:14:24,760 --> 05:14:28,360 SO AS WE START TO THINK ABOUT 8514 05:14:28,360 --> 05:14:29,640 KEY RESEARCH OPPORTUNITIES AND 8515 05:14:29,640 --> 05:14:32,360 SGM HEALTH, --I WOULD LIKE TO 8516 05:14:32,360 --> 05:14:35,480 UNDERSCORE THIS NOTION OF REALLY 8517 05:14:35,480 --> 05:14:36,520 MOVING BEYOND DESCRIBING 8518 05:14:36,520 --> 05:14:36,960 DISPARITIES, RIGHT? 8519 05:14:36,960 --> 05:14:39,680 SO THAT WE NEED TO MOVE BEYOND 8520 05:14:39,680 --> 05:14:40,720 DESCRIBING DISPARITIES, WE NEED 8521 05:14:40,720 --> 05:14:43,680 TO BETTER UNDERSTAND MECHANISMS, 8522 05:14:43,680 --> 05:14:45,120 WE NEED TO DEVELOP INTERVENTIONS 8523 05:14:45,120 --> 05:14:47,040 AND THEN WE NEED TO DO 8524 05:14:47,040 --> 05:14:48,120 IMPLEMENTATION SCIENCE SO THAT 8525 05:14:48,120 --> 05:14:50,080 ALL OF THE EVIDENCE CAN ACTUALLY 8526 05:14:50,080 --> 05:14:55,760 GET INTO THE COMMUNITIES AND 8527 05:14:55,760 --> 05:14:56,360 IMPROVE PEOPLE'S LIVES. 8528 05:14:56,360 --> 05:14:57,480 SO I'M GOING TO END THERE AND 8529 05:14:57,480 --> 05:15:00,160 I'M GOING TO INVITE ALL OF THE 8530 05:15:00,160 --> 05:15:01,040 PANELISTS FROM TODAY WHO ARE 8531 05:15:01,040 --> 05:15:02,640 STILL WITH US TO TURN YOUR 8532 05:15:02,640 --> 05:15:05,600 VIDEOS ON AND THEN I WILL OPEN 8533 05:15:05,600 --> 05:15:07,160 IT UP FOR DISCUSSION AND WE WILL 8534 05:15:07,160 --> 05:15:17,720 BEGIN TO TAKE Q&A FROM FOLKS WHO 8535 05:15:23,800 --> 05:15:24,440 ARE WATCHING. 8536 05:15:24,440 --> 05:15:26,000 SO FOLKS IF YOU HAVE YOUR VIDEO 8537 05:15:26,000 --> 05:15:27,560 ON, IF YOU WANT TO ASK EACH 8538 05:15:27,560 --> 05:15:28,800 OTHER A QUESTION, OR PUT A HAND 8539 05:15:28,800 --> 05:15:30,160 IN THE CHAT, EITHER WAY WILL 8540 05:15:30,160 --> 05:15:30,360 WORK. 8541 05:15:30,360 --> 05:15:31,680 IF WE FIND THERE ARE NO 8542 05:15:31,680 --> 05:15:34,560 QUESTIONS AMONGST THE GROUP, I'M 8543 05:15:34,560 --> 05:15:39,000 HAPPY TO MOVE TO VIDEOCAST 8544 05:15:39,000 --> 05:15:39,840 QUESTIONS OR--AND JOHN, I SEE 8545 05:15:39,840 --> 05:15:41,320 YOU HAVE A QUESTION. 8546 05:15:41,320 --> 05:15:45,120 >>I WILL DART FOR THAT OPEN 8547 05:15:45,120 --> 05:15:45,320 DOOR. 8548 05:15:45,320 --> 05:15:46,760 THANK YOU. 8549 05:15:46,760 --> 05:15:48,720 I WONDERED, I HAD TO MEET 8550 05:15:48,720 --> 05:15:49,800 BRIEFLY WITH A STUDENT DURING 8551 05:15:49,800 --> 05:15:51,800 THE LAST GROUP OF SEGS ON THE 8552 05:15:51,800 --> 05:15:53,560 STRUCTURAL STUDIES AND SORT OF 8553 05:15:53,560 --> 05:15:54,880 THE PERSPECTIVES, AND I DON'T 8554 05:15:54,880 --> 05:16:00,360 KNOW IF MORGAN OR BETHANY ALL OF 8555 05:16:00,360 --> 05:16:03,000 WANT TO DISCUSS IS, 1 THING I 8556 05:16:03,000 --> 05:16:04,920 WRESTLE WITH AND I DON'T DO 8557 05:16:04,920 --> 05:16:06,480 THESE STUDIES BUT WE HAVE THE 8558 05:16:06,480 --> 05:16:07,840 STRUCTURAL POLICY STUFF AND WE 8559 05:16:07,840 --> 05:16:10,040 HAVE INDIVIDUAL LEVEL DATA BUT, 8560 05:16:10,040 --> 05:16:11,880 YOU KNOW THERE'S THIS 8561 05:16:11,880 --> 05:16:13,160 MESOSECTION OF THE FAMILY 8562 05:16:13,160 --> 05:16:16,080 SYSTEM, AND HOW THESE MIGHT--HOW 8563 05:16:16,080 --> 05:16:17,720 THESE POLICIES IMPACT FAMILIES, 8564 05:16:17,720 --> 05:16:21,000 HOW FAMILIES SORT OF EITHER 8565 05:16:21,000 --> 05:16:24,040 BUFFER OR MAY MAG FIELD 8566 05:16:24,040 --> 05:16:25,440 FUNCTIONSIFY OR AMPLIFY THESE 8567 05:16:25,440 --> 05:16:28,920 INDIVIDUAL PERSON, ARE THERE 8568 05:16:28,920 --> 05:16:30,760 LIKE STUDIES ABOUT HOW WE CAN 8569 05:16:30,760 --> 05:16:35,200 DATA AND DATA AND DATA, I DON'T 8570 05:16:35,200 --> 05:16:36,600 KNOW IF AN [INDISCERNIBLE] WILL 8571 05:16:36,600 --> 05:16:38,000 TAKE CARE OF ALL THESE THINGS 8572 05:16:38,000 --> 05:16:40,040 BUT HOW DO WE MAKE MORE SENSE OF 8573 05:16:40,040 --> 05:16:42,640 ALL THESE SYSTEMS THAT ARE 8574 05:16:42,640 --> 05:16:45,280 EVOLVED AND THESE COOL POLICY 8575 05:16:45,280 --> 05:16:46,080 AND STRUCTURAL STUDIES. 8576 05:16:46,080 --> 05:16:50,480 >>I MEAN TO BE HONEST I'LL HAVE 8577 05:16:50,480 --> 05:16:51,760 TO THINK, I DON'T KNOW IF 8578 05:16:51,760 --> 05:16:52,840 THERE'S A DATA SET THAT WOULD 8579 05:16:52,840 --> 05:16:57,360 ALLOWS US TO DO FROM A PURELY 8580 05:16:57,360 --> 05:16:58,160 QUANTITATIVE PERSPECTIVE. 8581 05:16:58,160 --> 05:16:59,440 IT'S REALLY HARD TO GET DATA 8582 05:16:59,440 --> 05:17:01,040 THAT WILL LET YOU KNOW WHAT 8583 05:17:01,040 --> 05:17:02,680 STATES A PERSON IS IN, SO CAN 8584 05:17:02,680 --> 05:17:03,760 YOU LINK THE POLICY AND ALSO 8585 05:17:03,760 --> 05:17:05,040 HAVE THE INDIVIDUAL OR FAMILY 8586 05:17:05,040 --> 05:17:07,400 LEVEL DATA AND IT HAS SEXUAL 8587 05:17:07,400 --> 05:17:09,600 IDENTITY, IT JUST BECOMES THIS 8588 05:17:09,600 --> 05:17:11,760 DIAGRAM WHERE YOU GET TO DOWN TO 8589 05:17:11,760 --> 05:17:13,560 0 IN THE MIDDLE UNFORTUNATELY. 8590 05:17:13,560 --> 05:17:14,520 I KNOW 1 THING WE TALKED ABOUT 8591 05:17:14,520 --> 05:17:16,160 IN THE PANEL WAS HAVING TO RELY 8592 05:17:16,160 --> 05:17:17,600 ON MIXED METHODS BECAUSE THAT'S 8593 05:17:17,600 --> 05:17:20,600 SORT OF AGAIN, IT'S NOT PERPECT 8594 05:17:20,600 --> 05:17:21,440 BECAUSE YOU CAN'T CONTROL 8595 05:17:21,440 --> 05:17:22,880 EVERYTHING IN A SINGLE MODEL BUT 8596 05:17:22,880 --> 05:17:24,360 TRYING TO FIGURE OUT THAT 8597 05:17:24,360 --> 05:17:24,960 PATHWAY TO YOUR POINT BECAUSE 8598 05:17:24,960 --> 05:17:28,160 THERE IS SO MUCH THAT GOES ON 8599 05:17:28,160 --> 05:17:29,760 BETWEEN THE STATE LEVEL AND THE 8600 05:17:29,760 --> 05:17:30,840 INDIVIDUAL OUTCOMES AND OFTEN 8601 05:17:30,840 --> 05:17:32,360 TIMES WHY CAN'T EVEN GET AT THE 8602 05:17:32,360 --> 05:17:33,440 LOCAL POLICY, RIGHT IN WE DON'T 8603 05:17:33,440 --> 05:17:34,880 HAVE ENOUGH PEOPLE IN A DATA SET 8604 05:17:34,880 --> 05:17:37,120 IN A REGION TO LACK AT A COUNTY 8605 05:17:37,120 --> 05:17:37,320 LEVEL. 8606 05:17:37,320 --> 05:17:42,400 SO IT'S SORT OF A FRUSTRATING 8607 05:17:42,400 --> 05:17:43,400 CIRCLE BECAUSE WE DON'T HAVE THE 8608 05:17:43,400 --> 05:17:45,400 DATA WE NEED AND THEN WE GO TO 8609 05:17:45,400 --> 05:17:49,560 STUDY SECTION BUT WE GET 8610 05:17:49,560 --> 05:17:50,960 CRITICIZED FOR NOT HAVING THE 8611 05:17:50,960 --> 05:17:52,880 DATA BUT IT'S A CYCLE BUT 8612 05:17:52,880 --> 05:17:53,800 BECAUSE WE CAN'T DO IT BECAUSE 8613 05:17:53,800 --> 05:17:56,320 OF THE WAY THE WORK IS THERE. 8614 05:17:56,320 --> 05:17:57,080 BETHANY DO HAVE YOU THOUGHTS ON 8615 05:17:57,080 --> 05:18:06,960 OTHER WAYS IN GET AROUND IT. 8616 05:18:06,960 --> 05:18:08,560 >>WELL MYSELF AND 2 OTHERS ARE 8617 05:18:08,560 --> 05:18:10,280 SOCIOLOGIST AND WE'RE WORKING ON 8618 05:18:10,280 --> 05:18:12,040 A MENU SCRIPT THAT LOOKS AT 8619 05:18:12,040 --> 05:18:14,960 STRUCTURAL STIGMA AND FAMILY 8620 05:18:14,960 --> 05:18:15,200 PROCESSES. 8621 05:18:15,200 --> 05:18:18,680 SO IN THE FIELD OF LIKE FAMILY 8622 05:18:18,680 --> 05:18:21,960 SETTINGS SO THINGS LIKE 8623 05:18:21,960 --> 05:18:24,160 MARRIAGE, DIVORCE, CHILDREN, AND 8624 05:18:24,160 --> 05:18:26,760 BRINGING THE STRUCTURAL STIGMA 8625 05:18:26,760 --> 05:18:28,320 PIECE TO THAT WHICH IS WHAT I'M 8626 05:18:28,320 --> 05:18:30,280 CHARGED WITH, IS THE FIELD IS 8627 05:18:30,280 --> 05:18:31,440 KIND OF SMALL IN PART BECAUSE SO 8628 05:18:31,440 --> 05:18:34,240 MANY OF THE SPECIFIC POLICIES 8629 05:18:34,240 --> 05:18:36,200 DIRECTLY IMPACT FAMILY 8630 05:18:36,200 --> 05:18:36,600 PROCESSES, RIGHT? 8631 05:18:36,600 --> 05:18:38,840 LIKE MARRIAGE, IS A HUGE THING 8632 05:18:38,840 --> 05:18:42,640 AND THE FAMILY LITERATURE, BUT I 8633 05:18:42,640 --> 05:18:45,000 MEAN THE POLICY, IMPLICATIONS 8634 05:18:45,000 --> 05:18:47,800 FOR LIKE BANNING MARRIAGE ARE SO 8635 05:18:47,800 --> 05:18:49,600 ON THEIR FACE THAT A LOT OF 8636 05:18:49,600 --> 05:18:50,960 PEOPLE HAVEN'T REALLY DUG INTO 8637 05:18:50,960 --> 05:18:53,120 WHAT THE SOCIAL CLIMATE LIKE 8638 05:18:53,120 --> 05:18:58,880 MEAN FOR LIKE MARRIAGE VERSUS CO 8639 05:18:58,880 --> 05:19:01,720 HABITATION VERSES OTHER THINGS, 8640 05:19:01,720 --> 05:19:03,640 SO I THINK IT'S RIPE FOR STUDY. 8641 05:19:03,640 --> 05:19:04,840 YEAH. 8642 05:19:04,840 --> 05:19:05,440 I'LL STOP THERE. 8643 05:19:05,440 --> 05:19:10,120 AT LEAST I HAVE SOMETHING TO 8644 05:19:10,120 --> 05:19:10,320 ADD. 8645 05:19:10,320 --> 05:19:11,520 >>1 OF THE THINGS I THOUGHT 8646 05:19:11,520 --> 05:19:14,160 ABOUT RECENTLY IS LOOKING FOR 8647 05:19:14,160 --> 05:19:17,360 KRES CREPANCYS BETWEEN LOCAL 8648 05:19:17,360 --> 05:19:20,200 SYSTEMS AND LARGER SYSTEMS. 8649 05:19:20,200 --> 05:19:22,280 WE ALL HEAR ANECDOTES ABOUT A 8650 05:19:22,280 --> 05:19:24,240 SUPPORTIVE FAMILY WITHIN A 8651 05:19:24,240 --> 05:19:26,440 HOSTILE CLIMATE OR 1 SCHOOL 8652 05:19:26,440 --> 05:19:29,760 WITHIN A LARGER HOSTILE THING 8653 05:19:29,760 --> 05:19:33,120 AND I THINK BECAUSE THEY'RE 8654 05:19:33,120 --> 05:19:35,320 NESTED AND SOME EFFECTS OR MORE 8655 05:19:35,320 --> 05:19:37,160 PROXIMAL, SOME ARE DISTAL AND 8656 05:19:37,160 --> 05:19:38,240 SOME ARE TRANSMIT THROOD HEARING 8657 05:19:38,240 --> 05:19:41,000 ABOUT THEM, WE DON'T EVEN KNOW 8658 05:19:41,000 --> 05:19:42,720 OFTEN WHAT ARE THE MECHANISMS 8659 05:19:42,720 --> 05:19:44,000 FOR WHICH POLICY TRICKLES DOWN 8660 05:19:44,000 --> 05:19:45,560 BUT I THINK OUR BEST CHANCE TO 8661 05:19:45,560 --> 05:19:47,520 BE ABLE TO FIGURE THAT OUT AND 8662 05:19:47,520 --> 05:19:52,400 TO LOOK FOR CASES OF LIKE UPON 8663 05:19:52,400 --> 05:19:55,800 OVERT DISCREPANCY WHERE YOU HAVE 8664 05:19:55,800 --> 05:19:57,200 KNOWA OASIS WITHIN A HOSTILE 8665 05:19:57,200 --> 05:19:59,040 ENVIRONMENT OR A HOSTILE 8666 05:19:59,040 --> 05:19:59,680 ENVIRONMENT WITH AN SUPPORTIVE 8667 05:19:59,680 --> 05:20:01,600 CLIMATE AND I THINK THOSE ARE 8668 05:20:01,600 --> 05:20:03,360 EXAMPLES WHERE WE CAN FIND OF 8669 05:20:03,360 --> 05:20:04,480 USE THEM AS LITTLE TESTING 8670 05:20:04,480 --> 05:20:05,800 GROUNDS AND SAY WELL, WHAT IS 8671 05:20:05,800 --> 05:20:09,440 HAPPENING, WHAT IS GETTING 8672 05:20:09,440 --> 05:20:10,680 TRANSMITTED, VERY PROXIMALLY. 8673 05:20:10,680 --> 05:20:11,840 WHAT'S GETTING TRANSMITTED SORT 8674 05:20:11,840 --> 05:20:14,000 OF 1 DEGREE OUT AND THEN 1 8675 05:20:14,000 --> 05:20:17,400 DEGREE OUT FROM THAT SO THAT 8676 05:20:17,400 --> 05:20:19,760 RIGHT, YOU'RE 1 BIG HIERARCHICAL 8677 05:20:19,760 --> 05:20:20,160 MODEL. 8678 05:20:20,160 --> 05:20:22,280 I THINK BECAUSE THESE THINGS ARE 8679 05:20:22,280 --> 05:20:23,800 NESTED, BY LOOKING FOR CASES 8680 05:20:23,800 --> 05:20:26,760 WHERE THEY CLASS, WE MIGHT BE 8681 05:20:26,760 --> 05:20:29,200 ABLE TO AT LEAST BEABLE TO IDENT 8682 05:20:29,200 --> 05:20:38,080 WHAT THE DRIVERS MIGHT BE 8683 05:20:38,080 --> 05:20:38,320 EMPLOY. 8684 05:20:38,320 --> 05:20:39,240 >>THANKS AND THAT LEADS ME TO 8685 05:20:39,240 --> 05:20:41,280 THINK ABOUT SOME OF THE WORK 8686 05:20:41,280 --> 05:20:45,720 THAT BRIAN WAS TALKING ABOUT 8687 05:20:45,720 --> 05:20:47,520 THIS MORNING ABOUT LOOKING AT 8688 05:20:47,520 --> 05:20:50,240 SOME OF THE PROTECTIVE FACTORS. 8689 05:20:50,240 --> 05:20:54,120 BRIAN DO YOU HAVE ANY THOUGHTS 8690 05:20:54,120 --> 05:20:55,000 ABOUT JOHNS QUESTION. 8691 05:20:55,000 --> 05:20:56,520 >>YEAH, I MEAN, I THINK 1 8692 05:20:56,520 --> 05:20:58,240 CONSIDERATION IS THAT THERE'S A 8693 05:20:58,240 --> 05:21:00,120 LOT OF VARIABILITY EVEN WITHIN 8694 05:21:00,120 --> 05:21:01,200 SMALLER GEOGRAPHIC UNITS AND 8695 05:21:01,200 --> 05:21:02,800 STATES SO CITIES WITHIN A STATE 8696 05:21:02,800 --> 05:21:08,000 OR EVEN A CITY LIKE CHICAGO, 8697 05:21:08,000 --> 05:21:10,880 WHEN WE LOOK AT HOW THE YOUNG 8698 05:21:10,880 --> 05:21:12,320 GAY AND BISEXUAL MEN IN OUR 8699 05:21:12,320 --> 05:21:13,840 STUDY REPORT HOW MUCH ACCEPTANCE 8700 05:21:13,840 --> 05:21:15,920 THEY PRESENCE IN THEIR 8701 05:21:15,920 --> 05:21:17,280 NEIGHBORHOOD VERSUS REJECTION, 8702 05:21:17,280 --> 05:21:19,560 WE SEE VARIABILITY WITH 8703 05:21:19,560 --> 05:21:20,320 NEIGHBORHOODS ACROSS CHICAGO IN 8704 05:21:20,320 --> 05:21:22,360 EMERGING ITS OF PERCEIVED SOCIAL 8705 05:21:22,360 --> 05:21:24,800 ACCEPTANCE OR EXPERIENCES WITH 8706 05:21:24,800 --> 05:21:25,560 DISCRIMINATION OR VICTIMIZATION, 8707 05:21:25,560 --> 05:21:26,800 SO I DON'T THINK WE ALWAYS HAD 8708 05:21:26,800 --> 05:21:29,320 TO GO TO THE SORT OF STATE BY 8709 05:21:29,320 --> 05:21:31,160 STATE LEVEL TO LOCK AT THESE 8710 05:21:31,160 --> 05:21:33,520 INTERACTIONS, SO, YOU KNOW IN A 8711 05:21:33,520 --> 05:21:34,800 COHORT STUDY, THAT IS LARGE 8712 05:21:34,800 --> 05:21:38,000 ENOUGH, YOU COULD LOOK AT 8713 05:21:38,000 --> 05:21:39,480 GEOGRAPHIC VARIABILITY, GET DATA 8714 05:21:39,480 --> 05:21:41,360 ON ACCEPTANCE AND LOOK AT THOSE 8715 05:21:41,360 --> 05:21:43,440 KINDS OF THINGS SO YOU KNOW, 8716 05:21:43,440 --> 05:21:46,240 THAT'S THE WAY WE'VE PRIMARILY 8717 05:21:46,240 --> 05:21:49,280 DONE IT IS LOOKING AT DIADIC 8718 05:21:49,280 --> 05:21:50,440 EFFECTS, FAMILY RELATIONSHIPS IN 8719 05:21:50,440 --> 05:21:52,200 OUR COHORT STUDIES AND THEN 8720 05:21:52,200 --> 05:21:54,400 TRYING SOMETIMES TO LACK AT 8721 05:21:54,400 --> 05:21:55,240 GEOGRAPHIC VARIABILITY AND 8722 05:21:55,240 --> 05:21:59,600 STIGMA WITHIN A SINGLE REGION. 8723 05:21:59,600 --> 05:22:03,160 >>GREAT, THANKS AND WE DO HAVE 8724 05:22:03,160 --> 05:22:05,800 ALSO WITH US SOME OF THE 8725 05:22:05,800 --> 05:22:06,640 PRESENTERS FROM TOMORROW DISP WE 8726 05:22:06,640 --> 05:22:09,640 ALSO HAVE SOME OF THE PLANNING 8727 05:22:09,640 --> 05:22:10,840 COMMITTEE MEMBERS FROM NIH, IF 8728 05:22:10,840 --> 05:22:13,360 ANY OF YOU FOLKS WOULD LIKE TO 8729 05:22:13,360 --> 05:22:15,000 JUMP IN, PLEASE FEEL FREE, FEEL 8730 05:22:15,000 --> 05:22:17,520 FREE TO PUT YOUR VIDEO ON BUT 8731 05:22:17,520 --> 05:22:20,160 ABSOLUTELY YOU CAN BE A PART OF 8732 05:22:20,160 --> 05:22:25,640 THIS DISCUSSION. 8733 05:22:25,640 --> 05:22:26,120 BETHANY. 8734 05:22:26,120 --> 05:22:26,400 >>YEAH. 8735 05:22:26,400 --> 05:22:27,920 >>THIS IS A QUESTION PRIMARILY 8736 05:22:27,920 --> 05:22:32,360 FOR BRIAN, I THINK, AS SOMEONE 8737 05:22:32,360 --> 05:22:34,560 WHO WAS TRAINED AS A SOCIAL 8738 05:22:34,560 --> 05:22:37,000 DEMOGRAPHER AND I TRIED TO MOVE 8739 05:22:37,000 --> 05:22:37,960 BEYOND JUST DOCUMENTING 8740 05:22:37,960 --> 05:22:39,200 DISPARITIES TO TRY LOOKINGA THE 8741 05:22:39,200 --> 05:22:43,000 MECHANISMS, THE IDEA OF JUMPING 8742 05:22:43,000 --> 05:22:50,280 TO INTERVENTION WORK IS SO 8743 05:22:50,280 --> 05:22:51,520 ABSOLUTELY DAUNTING MAYBE I'M 8744 05:22:51,520 --> 05:22:53,680 NOT ALONE IN THAT FEELING THAT 8745 05:22:53,680 --> 05:22:55,720 HOW WOULD DESIGNING THE STUDY, 8746 05:22:55,720 --> 05:22:58,720 FINDING THE RIGHT TEAM, PUT IT 8747 05:22:58,720 --> 05:22:59,720 ALTOGETHER AND SEEMS REALLY 8748 05:22:59,720 --> 05:23:01,120 OVERWHELMING AND IT'S A 8749 05:23:01,120 --> 05:23:03,160 LIMITATION OF MY OWN WORK, MY 8750 05:23:03,160 --> 05:23:04,280 OWN APPROACH BUT IT'S SOMETHING 8751 05:23:04,280 --> 05:23:06,960 THAT BOTHERS ME ON I PERSONAL 8752 05:23:06,960 --> 05:23:08,920 LEVEL THAT AT WHAT POINT AM I 8753 05:23:08,920 --> 05:23:10,440 TRYING TO TRANSLATE THE FINDINGS 8754 05:23:10,440 --> 05:23:12,600 AND I'M JUST WONDERING IF YOU 8755 05:23:12,600 --> 05:23:15,720 HAVE ANY ADVICE FOR MAKING THAT 8756 05:23:15,720 --> 05:23:19,680 LEAP OR HOW TO WORK WITH 8757 05:23:19,680 --> 05:23:23,440 TRANSLATIONAL AND INTERVENTION 8758 05:23:23,440 --> 05:23:23,680 TEACHES. 8759 05:23:23,680 --> 05:23:28,440 >>I CAN EMPATHIZE WITH THAT 8760 05:23:28,440 --> 05:23:30,760 HERE, THE HAVE BEEN THE SCARIEST 8761 05:23:30,760 --> 05:23:32,320 PROJECTS I'VE EVER DONE, IT'S 8762 05:23:32,320 --> 05:23:33,760 STRESSFUL TO THINK ABOUT 8763 05:23:33,760 --> 05:23:36,560 INTERVENING IN PEOPLE'S LIVES 8764 05:23:36,560 --> 05:23:38,560 AND IT IS IT DOES FEEL SAFER IN 8765 05:23:38,560 --> 05:23:39,760 SOME WAYS WE DON'T KNOW ENOUGH, 8766 05:23:39,760 --> 05:23:41,400 WE DON'T KNOW ENOUGH, WE NEED TO 8767 05:23:41,400 --> 05:23:42,840 LEARN MORE ABOUT THESE PROCESSES 8768 05:23:42,840 --> 05:23:44,880 AND MECHANISMS BEFORE WE START 8769 05:23:44,880 --> 05:23:45,160 INTERVENING. 8770 05:23:45,160 --> 05:23:47,600 YOU KNOW AT THE SAME TIME, I 8771 05:23:47,600 --> 05:23:48,560 THINK, YOU KNOW UNLESS WE HAVE 8772 05:23:48,560 --> 05:23:50,760 REASONS TO THINK THAT THE 8773 05:23:50,760 --> 05:23:52,360 INTERVENTION IS SUPPOSED TO HAVE 8774 05:23:52,360 --> 05:23:53,480 HARMS ASSOCIATE WIDE IT, THERE 8775 05:23:53,480 --> 05:23:55,760 CAN BE BE A LOT THAT'S LEARNED 8776 05:23:55,760 --> 05:23:56,400 THROUGH INTERVENTIONS, WHETHER 8777 05:23:56,400 --> 05:24:00,000 THEY WORK OR NOT, ULTIMATELY, 8778 05:24:00,000 --> 05:24:02,640 AND SO, YOU KNOW, I WILL SAY 8779 05:24:02,640 --> 05:24:05,240 LIKE WITH MY FIRST INTERVENTION 8780 05:24:05,240 --> 05:24:08,920 STUDY, WHICH WAS DEVELOPING THIS 8781 05:24:08,920 --> 05:24:09,720 ONLINE SEX EDUCATION 8782 05:24:09,720 --> 05:24:11,360 INTERVENTION FOR YOUNG GAY AND 8783 05:24:11,360 --> 05:24:13,440 BISEXUAL MEN, A LOT OF IT I 8784 05:24:13,440 --> 05:24:14,520 LEARNED FROM WORKING WITH PEOPLE 8785 05:24:14,520 --> 05:24:16,200 IN THE COMMUNITY, LIKE FOLK WHO 8786 05:24:16,200 --> 05:24:18,320 IS ARE DOING HIV TESTING AND 8787 05:24:18,320 --> 05:24:20,000 COUNSELING AND WHAT THEIR 8788 05:24:20,000 --> 05:24:22,000 EXPERIENCES WERE WITH DOING 8789 05:24:22,000 --> 05:24:22,920 THESE COUNSELING SESSIONS, WHAT 8790 05:24:22,920 --> 05:24:24,720 THEY FELT LIKE THEY COULD COVER, 8791 05:24:24,720 --> 05:24:26,000 WHAT THEY WISH THEY COULD COVER 8792 05:24:26,000 --> 05:24:28,640 BUT NEVER HAD TIME TO GET TO AND 8793 05:24:28,640 --> 05:24:30,720 I FEEL LIKE THAT INSPIRED THE 8794 05:24:30,720 --> 05:24:32,280 CONTENT OF WHAT WENT INTO THAT 8795 05:24:32,280 --> 05:24:34,000 INTERVENTION AND ALSO TALKING TO 8796 05:24:34,000 --> 05:24:35,520 DIVERSE YOUNG GAY AND BISEXUAL 8797 05:24:35,520 --> 05:24:37,120 MEN WHO SAY I DON'T WANT TO SIT 8798 05:24:37,120 --> 05:24:40,320 IN A LECTURE THAT'S LIKE HIV 101 8799 05:24:40,320 --> 05:24:42,520 AND HIV IS A VIRUS AND HERE'S 8800 05:24:42,520 --> 05:24:44,520 HOW IT'S TRANSMITTED I WANT TO 8801 05:24:44,520 --> 05:24:46,480 KNOW ABOUT DATING I WANT TO KNOW 8802 05:24:46,480 --> 05:24:47,560 ABOUT HOOK UP ACTIVITIES AND 8803 05:24:47,560 --> 05:24:49,280 PROJECTS APS, WHAT DO I DO IF 8804 05:24:49,280 --> 05:24:51,680 THE PERSON IS OLDER OR HAS POWER 8805 05:24:51,680 --> 05:24:54,000 OVER MERE ME THAT'S WHEY WANT TO 8806 05:24:54,000 --> 05:24:57,400 LEARN ABOUT AND EMBED YOUR HIV 8807 05:24:57,400 --> 05:24:59,120 EDUCATION IN NACONTEXT SO I'VE 8808 05:24:59,120 --> 05:24:59,840 ALWAYS TAKEN INSPIRATION FROM 8809 05:24:59,840 --> 05:25:03,000 THE PEOPLE WHO ARE DOING OFTEN 8810 05:25:03,000 --> 05:25:06,160 THE WORK WITHOUT NECESSARILY 8811 05:25:06,160 --> 05:25:10,560 HAVING THE SCIENTIFIC BACKGROUND 8812 05:25:10,560 --> 05:25:12,640 OR SITTING IN A UNIVERSITY TO 8813 05:25:12,640 --> 05:25:18,080 SUBJECT TO THAT KIND OF RCT OR 8814 05:25:18,080 --> 05:25:19,160 RESEARCH, I THINK THAT'S GOOD 8815 05:25:19,160 --> 05:25:20,760 MENTORSHIP OF PEOPLE WHO HAVE 8816 05:25:20,760 --> 05:25:21,680 GONE INTERVENTION WORK AND 8817 05:25:21,680 --> 05:25:24,200 WILLING TO SORT OF SIT WITH YOU 8818 05:25:24,200 --> 05:25:27,040 AND ANSWER THE CHALLENGING ALONG 8819 05:25:27,040 --> 05:25:27,760 THE WAY. 8820 05:25:27,760 --> 05:25:30,600 AND ALSO NAVIGATE THE 8821 05:25:30,600 --> 05:25:31,400 INCREASINGLY COMPLICATED 8822 05:25:31,400 --> 05:25:32,200 REGULATORY ENVIRONMENT FOR 8823 05:25:32,200 --> 05:25:36,600 INTERVENTION RESEARCH, IT DOES 8824 05:25:36,600 --> 05:25:37,680 TAKE MENTORSHIP TO HELP YOU 8825 05:25:37,680 --> 05:25:41,440 NAVIGATE THAT BUT I GUESS ARE I 8826 05:25:41,440 --> 05:25:43,320 FEEL LIKE THE REWARDS ARE THERE, 8827 05:25:43,320 --> 05:25:44,600 SEEING THE BENEFITS OF AN 8828 05:25:44,600 --> 05:25:45,440 INTERVENTION AND THE OTHER THING 8829 05:25:45,440 --> 05:25:50,520 I WILL SAY ABOUT IT IS, MY BASIC 8830 05:25:50,520 --> 05:25:51,560 OBSERVATIONAL RESEARCH WHICH I 8831 05:25:51,560 --> 05:25:53,440 CONTINUE TO DO CHANGED SO MUCH 8832 05:25:53,440 --> 05:25:54,960 AFTER I DID MY FIRST 8833 05:25:54,960 --> 05:25:56,200 INTERVENTION BECAUSE THE THINGS 8834 05:25:56,200 --> 05:25:57,760 I THOUGHT THAT INTERVENTIONISTS 8835 05:25:57,760 --> 05:25:59,560 WANTED TO KNOW OR NEEDED TO KNOW 8836 05:25:59,560 --> 05:26:00,960 TO DO INTERVENTIONS, WHEN I 8837 05:26:00,960 --> 05:26:02,560 STARTED DOING MY FIRST 8838 05:26:02,560 --> 05:26:03,400 INTERVENTION, I REALIZED WHOA 8839 05:26:03,400 --> 05:26:04,960 MOST OF MY BASIC STUDIES ARE NOT 8840 05:26:04,960 --> 05:26:06,120 HELPING AT ALL IN TERMS WHAT I 8841 05:26:06,120 --> 05:26:08,320 NEED TO KNOW TO DEVELOP AN 8842 05:26:08,320 --> 05:26:13,400 INTERVENTION, SO I THINK MY 8843 05:26:13,400 --> 05:26:14,560 BASIC RESEARCH BY HAVING LED AN 8844 05:26:14,560 --> 05:26:15,680 ISHT VENTION OR THE THINGS YOU 8845 05:26:15,680 --> 05:26:17,080 NEED TO KNOW TO DO AN 8846 05:26:17,080 --> 05:26:18,360 INTERVENTION SO I THINK IT'S A 8847 05:26:18,360 --> 05:26:20,680 BENEFIT TO YOU EVEN IF YOU 8848 05:26:20,680 --> 05:26:21,720 PRIMARILY DO BASIC RESEARCH TO 8849 05:26:21,720 --> 05:26:24,240 PAIR UP WITH AN INTERVENTION OR 8850 05:26:24,240 --> 05:26:25,080 SEE HOW INTERVENTIONS ARE 8851 05:26:25,080 --> 05:26:26,560 DEVELOPED BECAUSE I THINK IT 8852 05:26:26,560 --> 05:26:30,920 WILL IMPROVE YOUR BASIC RESEARCH 8853 05:26:30,920 --> 05:26:31,640 IN MANY WAYS. 8854 05:26:31,640 --> 05:26:32,600 >>THANK YOU. 8855 05:26:32,600 --> 05:26:39,080 >>SO I'M GOING TO HEAD TO A 8856 05:26:39,080 --> 05:26:40,120 VIDEOCAST QUESTION. 8857 05:26:40,120 --> 05:26:41,880 SO SOMEBODY FROM THE VIDEOCAST 8858 05:26:41,880 --> 05:26:43,600 AUDIENCE COMMENTS THAT ALL THE 8859 05:26:43,600 --> 05:26:47,240 STUDIES PRESENTED TODAY WERE 8860 05:26:47,240 --> 05:26:50,520 U.S. FOCUSED STUDIES, I SUSPECT 8861 05:26:50,520 --> 05:26:54,040 THAT'S BECAUSE NIMHD FUNDS ONLY 8862 05:26:54,040 --> 05:26:58,160 U.S. FOCUSED STUDIES, BUT 8863 05:26:58,160 --> 05:26:59,360 THEY'RE ASKING COULD 8864 05:26:59,360 --> 05:27:02,960 INTERNATIONAL STUDIES HELP US 8865 05:27:02,960 --> 05:27:08,920 ELUC DATE, WHAT UNIQUELY AND 8866 05:27:08,920 --> 05:27:11,360 THINKING ABOUT DIFFERENCES IN 8867 05:27:11,360 --> 05:27:12,360 INSURANCE COVERAGE. 8868 05:27:12,360 --> 05:27:14,080 SO ANYONE HAVE ANY COMMENTS 8869 05:27:14,080 --> 05:27:17,760 ABOUT SORT OF THE U.S. FOCUSED 8870 05:27:17,760 --> 05:27:20,680 VERSUS MORE GLOBAL FOCUSED WORK? 8871 05:27:20,680 --> 05:27:21,080 MANDY? 8872 05:27:21,080 --> 05:27:22,200 >>YEAH, I DON'T KNOW THAT THIS 8873 05:27:22,200 --> 05:27:24,120 IS GOING TO BE SATISFACTORY AS 8874 05:27:24,120 --> 05:27:26,440 AN ANSWER BECAUSE MY STUDY WAS 8875 05:27:26,440 --> 05:27:30,800 SMALL BUT THE QUALITATIVE STUDY 8876 05:27:30,800 --> 05:27:35,240 I DESCRIBED REGARDING RADIATION 8877 05:27:35,240 --> 05:27:37,560 ONCOLOGISTS AND INTERSECTION 8878 05:27:37,560 --> 05:27:39,480 PATIENTS WAS INTERNATIONALLY 8879 05:27:39,480 --> 05:27:40,360 ABOUT EQUALLY DISTRIBUTED 8880 05:27:40,360 --> 05:27:42,040 BETWEEN AUSTRALIA AND THE U.S. 8881 05:27:42,040 --> 05:27:43,400 AND THAT WAS REALLY BASED ON 8882 05:27:43,400 --> 05:27:46,040 CONVENIENCE OF THE CO 8883 05:27:46,040 --> 05:27:47,960 INVESTIGATORS ABILITY TO GET 8884 05:27:47,960 --> 05:27:49,320 COLLEAGUES TO AT A YES IT A 8885 05:27:49,320 --> 05:27:52,080 RAPID STUDY, BUT THERE WERE 8886 05:27:52,080 --> 05:27:53,560 DEFINITELY DIFFERENCES, LOOKER I 8887 05:27:53,560 --> 05:27:56,680 SAID BUILT INTO THE GRIEW BY 8888 05:27:56,680 --> 05:28:00,360 QUESTIONS OR AROUND POTENTIAL 8889 05:28:00,360 --> 05:28:01,760 BILLING ISSUES THAT SAT VERY 8890 05:28:01,760 --> 05:28:04,480 DIFFERENTLY WITH THE AUSTRAILIAN 8891 05:28:04,480 --> 05:28:05,960 PROVIDER GROUPA SO THAT MOST OF 8892 05:28:05,960 --> 05:28:08,280 THE RESPONSES WE GOT WERE OH, 8893 05:28:08,280 --> 05:28:12,400 THAT WOULDN'T BE AN ISSUE HERE 8894 05:28:12,400 --> 05:28:16,240 BECAUSE BECAUSE WE HAVE MEDICAD 8895 05:28:16,240 --> 05:28:18,880 FOR EVERYBODY BUT THERE'S A DUAL 8896 05:28:18,880 --> 05:28:23,520 PAYMENT SYSTEM THAT MAKE ITS 8897 05:28:23,520 --> 05:28:25,400 MORE COMPLICATED, SO IF THERE'S 8898 05:28:25,400 --> 05:28:26,480 NOTHING THERE, THERE THEN 8899 05:28:26,480 --> 05:28:27,280 THRESHOLD NOTHING AT ALL SO 8900 05:28:27,280 --> 05:28:29,480 THERE I THINK THERE'S FINANCIAL 8901 05:28:29,480 --> 05:28:30,280 IMPLICATIONS DEPEBDING ON WHAT 8902 05:28:30,280 --> 05:28:33,200 THE ISSUE IS, BUT MY SMALL STUDY 8903 05:28:33,200 --> 05:28:35,360 WAS ACTUALLY INTERNATIONAL, 8904 05:28:35,360 --> 05:28:38,520 YEAH. 8905 05:28:38,520 --> 05:28:38,680 SO. 8906 05:28:38,680 --> 05:28:39,200 >>JOHN? 8907 05:28:39,200 --> 05:28:40,760 >>I WILL QUICKLY SAY LIKE 8908 05:28:40,760 --> 05:28:41,400 INTERNATIONAL STUDIES ARE 8909 05:28:41,400 --> 05:28:42,960 PROBABLY SOME OF THE ONLY 1S WE 8910 05:28:42,960 --> 05:28:45,920 IN TERMS OF MORTALITY ROUTT 8911 05:28:45,920 --> 05:28:47,440 COMES BECAUSE THEY HAVE SINGLE 8912 05:28:47,440 --> 05:28:48,960 PAYOR SYSTEMS THEY HAVE LINKAGES 8913 05:28:48,960 --> 05:28:51,720 THAT WE DON'T HAVE IN THE UNITED 8914 05:28:51,720 --> 05:28:51,960 STATES. 8915 05:28:51,960 --> 05:28:53,320 DOCTORS COCHRAN AND MAYS HAVE 8916 05:28:53,320 --> 05:28:55,000 USED DATA FROM SWEDEN, DENMARK 8917 05:28:55,000 --> 05:28:56,760 SO IN TERMS OF MORTALITY 8918 05:28:56,760 --> 05:29:02,880 STUDIES, YOU KNOW I KIND OF YOU 8919 05:29:02,880 --> 05:29:04,040 KNOW, BEMOANED ALL THE 8920 05:29:04,040 --> 05:29:04,960 LIMITATIONS IN THE U.S. BUT 8921 05:29:04,960 --> 05:29:07,320 WE'VE BEEN ABLE TO GET SOME 8922 05:29:07,320 --> 05:29:08,840 SIGNALS BY LOOKING TO 8923 05:29:08,840 --> 05:29:10,400 INTERNATIONAL LITERATURE ON 8924 05:29:10,400 --> 05:29:10,960 THAT. 8925 05:29:10,960 --> 05:29:11,320 >>MORGAN? 8926 05:29:11,320 --> 05:29:12,360 >>YEAH, I WOULD SAY TOO AND I 8927 05:29:12,360 --> 05:29:13,400 REALIZE THIS IS NOT HYGLY 8928 05:29:13,400 --> 05:29:15,160 DIFFERENT BUT I'M DOING SIMILAR 8929 05:29:15,160 --> 05:29:17,440 WORK IN CANADA LOOKING AT 8930 05:29:17,440 --> 05:29:19,440 SUBSTANCE USE IN SGN IN YOUNG 8931 05:29:19,440 --> 05:29:19,680 PEOPLE. 8932 05:29:19,680 --> 05:29:21,720 I THINK 1 OF THE MAIN CHALLENGES 8933 05:29:21,720 --> 05:29:25,000 FOR POLICY WORK AND TRYING TO DO 8934 05:29:25,000 --> 05:29:26,480 THE BAUDER HLM FACTOR ANALYSIS 8935 05:29:26,480 --> 05:29:28,040 IS, YOU JUST NEED A CERTAIN 8936 05:29:28,040 --> 05:29:29,440 NUMBER OF STATES OR COUNTRY 8937 05:29:29,440 --> 05:29:32,000 COMPARISONS AND SO IT BECOMES 8938 05:29:32,000 --> 05:29:33,040 CHALLENGING TO DO, THOUGH WE 8939 05:29:33,040 --> 05:29:35,200 HAVE BEEN TALKING TO COLLEAGUES 8940 05:29:35,200 --> 05:29:37,920 ACROSS EUROPE, THEN THE DATA 8941 05:29:37,920 --> 05:29:38,920 INTEGRATION BECOMES CHALLENGING 8942 05:29:38,920 --> 05:29:39,800 BECAUSE YOU DON'T HAVE SURVEYS 8943 05:29:39,800 --> 05:29:47,320 THAT ARE EUROPE WIDE, COUNTRY 8944 05:29:47,320 --> 05:29:49,800 WIDE, WE HAVE DONE THIS FOR 8945 05:29:49,800 --> 05:29:50,760 CANNABIS USE IN SOUTH AMERICA 8946 05:29:50,760 --> 05:29:52,800 AND WE HAVE SEEN THINGS THAT ARE 8947 05:29:52,800 --> 05:29:56,800 QUITE DIFFERENT BUT BASE LINE 8948 05:29:56,800 --> 05:29:57,280 SOCIAL ACCEPTANCE LOOKS 8949 05:29:57,280 --> 05:29:59,480 DIFFERENT SO THE WAY IN WHICH WE 8950 05:29:59,480 --> 05:30:01,160 ASK QUESTIONS SHIFTS IN A WAY 8951 05:30:01,160 --> 05:30:02,080 THAT'S PRETTY FUNDAMENTAL BUT I 8952 05:30:02,080 --> 05:30:03,960 THINK IT KEEPS AND I REALIZE I 8953 05:30:03,960 --> 05:30:06,080 SAID THIS LIKE 18 TIMES ALREADY 8954 05:30:06,080 --> 05:30:07,120 BUT IT COMES BACK TO DATA 8955 05:30:07,120 --> 05:30:08,440 AVAILABILITY AND WE ARE LIMITED 8956 05:30:08,440 --> 05:30:11,120 BY THE QUESTION SAYS WE ASK ASK 8957 05:30:11,120 --> 05:30:11,800 QUAWBTITATIVELY BASED ON WHAT'S 8958 05:30:11,800 --> 05:30:17,320 THERE BUT IT'S A GOOD POINT? 8959 05:30:17,320 --> 05:30:18,800 , MANDY? 8960 05:30:18,800 --> 05:30:24,520 >>I WANT TO GIVE RAIA A CHANCE 8961 05:30:24,520 --> 05:30:25,680 TO RESPONSE--CORINNA, IF YOU 8962 05:30:25,680 --> 05:30:30,280 COULD QUICKLY INTRODUCE 8963 05:30:30,280 --> 05:30:30,560 YOURSELF. 8964 05:30:30,560 --> 05:30:41,200 >>IESM KARI NA WALTERS ERS ANDM 8965 05:30:44,320 --> 05:30:48,120 CARINA WALTERS LOCATED IN 8966 05:30:48,120 --> 05:30:49,480 OKLAHOMA, AND FIRST OF ALL I 8967 05:30:49,480 --> 05:30:51,720 WANT TO SAY THANK TO YOU THE 8968 05:30:51,720 --> 05:30:53,760 PANELISTS TODAY, INCREDIBLE 8969 05:30:53,760 --> 05:30:54,960 PRESENTATIONS, I AM JUST FULL OF 8970 05:30:54,960 --> 05:30:58,080 INFORMATION RIGHT NOW AND 8971 05:30:58,080 --> 05:30:58,880 QUESTIONS BUT 1 THINK THIS I 8972 05:30:58,880 --> 05:31:00,880 WANT TO TAP INTO, BASED ON 8973 05:31:00,880 --> 05:31:01,680 WHAT'S BEING DISCUSSED RIGHT 8974 05:31:01,680 --> 05:31:05,320 NOW, IS THAT PEOPLE FORGET ABOUT 8975 05:31:05,320 --> 05:31:06,120 POPULATIONS QUITE EXPAWVEN WHEN 8976 05:31:06,120 --> 05:31:07,560 WE TALK ABOUT INTERNATIONAL 8977 05:31:07,560 --> 05:31:09,800 RESEARCH IN TERMS OF TRAFFICKING 8978 05:31:09,800 --> 05:31:11,080 SOVEREIGNTYY IT'S 1 WAY TO THINK 8979 05:31:11,080 --> 05:31:12,640 ABOUT OUR COMMUNITIES AND OUR 8980 05:31:12,640 --> 05:31:13,840 TRIBAL RELATIONS SO I WOULD LIKE 8981 05:31:13,840 --> 05:31:15,840 TO PUT A PLUG IN THERE TO BE 8982 05:31:15,840 --> 05:31:18,520 MINDFUL OF THAT AND THINK ABOUT 8983 05:31:18,520 --> 05:31:18,720 THAT. 8984 05:31:18,720 --> 05:31:19,720 SOME OF THE THINGS THAT CAME UP 8985 05:31:19,720 --> 05:31:20,920 FOR ME TODAY, JUST THINK BEING 8986 05:31:20,920 --> 05:31:22,560 IT I WOULD LIKE TO HEAR FROM THE 8987 05:31:22,560 --> 05:31:25,320 PANELISTS ON THIS AND THEN ALSO, 8988 05:31:25,320 --> 05:31:27,760 JUST REPONDING TO THE NOVEL 8989 05:31:27,760 --> 05:31:28,600 INTERVENTIONS, AMERICAN INDIAN 8990 05:31:28,600 --> 05:31:29,760 COMMUNITIES ARE DOING AMAZING 8991 05:31:29,760 --> 05:31:33,120 NOVEL WORK RIGHT NOW, LAND BASED 8992 05:31:33,120 --> 05:31:35,000 HEALING INTERVENTIONS ARE THE 8993 05:31:35,000 --> 05:31:35,720 APPROACHES WITH OUR 2 SPIRIT 8994 05:31:35,720 --> 05:31:37,000 YOUTH YOU SEE GOING ON IN CANADA 8995 05:31:37,000 --> 05:31:40,000 RIGHT NOW WHICH HAS BEEN REALLY 8996 05:31:40,000 --> 05:31:41,400 FAN OF THETIC GETTING YOUTH BACK 8997 05:31:41,400 --> 05:31:43,680 OWN OUT INTO THE ENVIRONMENT AND 8998 05:31:43,680 --> 05:31:47,720 NATURE AS 1 OF THE WAYS FOR 8999 05:31:47,720 --> 05:31:49,360 HEALTH FROM AN INDIGENOUS 9000 05:31:49,360 --> 05:31:52,360 PERSPECTIVE SO THOSE HAVE BEEN 9001 05:31:52,360 --> 05:31:53,000 SUCCESSFUL. 9002 05:31:53,000 --> 05:31:55,720 JAMES IS DOING THAT WORK AT THE 9003 05:31:55,720 --> 05:31:56,160 PROVIDER LEVEL. 9004 05:31:56,160 --> 05:31:59,080 BUT IN TERMS OF I HAD A QUESTION 9005 05:31:59,080 --> 05:32:01,880 FOR THE PANEL I WAS WORRIED WHEN 9006 05:32:01,880 --> 05:32:03,560 SOMETIMES WHEN WE'RE TALKING 9007 05:32:03,560 --> 05:32:04,640 ABOUT INTERSECTIONALITIES AND A 9008 05:32:04,640 --> 05:32:05,960 COUPLE OTHER THINGS IT SOUNDED 9009 05:32:05,960 --> 05:32:09,160 LIKE PEOPLE WERE ALLUDING TO 9010 05:32:09,160 --> 05:32:10,840 PEOPLE'S EXPERIENCE BEING 9011 05:32:10,840 --> 05:32:12,680 DEFIEBED BY OPPRESSION AND OF 9012 05:32:12,680 --> 05:32:16,160 COWER OUR EXPERIENCE IS INFORMED 9013 05:32:16,160 --> 05:32:17,080 BY OPPRESSIVE EXPERIENCES LGBT 9014 05:32:17,080 --> 05:32:18,720 FOLKS BUT FOR AMERICAN INDIAN 9015 05:32:18,720 --> 05:32:20,000 POPULATIONS IN PARTICULAR, AND 9016 05:32:20,000 --> 05:32:22,520 I'M SURE THIS IS PROBABLY TRUE 9017 05:32:22,520 --> 05:32:24,080 FOR OTHER POPULATIONS WE WOULD 9018 05:32:24,080 --> 05:32:25,800 SAY, WE'RE NOT--WE HAVE THOSE 9019 05:32:25,800 --> 05:32:27,640 EXPERIENCES BUT THAT IS NOT WHO 9020 05:32:27,640 --> 05:32:30,520 DEFINES US OR WHAT CONSTITUTES 9021 05:32:30,520 --> 05:32:30,920 OUR IDENTITY. 9022 05:32:30,920 --> 05:32:35,440 OUR IDENTITY IS DEFINED BY THE 9023 05:32:35,440 --> 05:32:36,760 ANCESTRAL VISIONS OF LOVE AND 9024 05:32:36,760 --> 05:32:38,480 LIFE THAT OUR ANCESTORS CARRIED 9025 05:32:38,480 --> 05:32:40,680 FOR US AND THE TEACHINGS THAT GO 9026 05:32:40,680 --> 05:32:42,800 WITH THAT THAT HAVE BEEN WITH US 9027 05:32:42,800 --> 05:32:44,760 FOR ILLUMINATENNIA, THAT IS HOW 9028 05:32:44,760 --> 05:32:48,480 OUR IDENTITY IS CONNECTED. 9029 05:32:48,480 --> 05:32:53,040 SO HOW DOES BEING AN LGBT OR 2 9030 05:32:53,040 --> 05:32:56,680 PIRIT PERSON INTERSECT WITH 9031 05:32:56,680 --> 05:32:57,400 NAVIGATING RACIST AND HOMOPHOBE 9032 05:32:57,400 --> 05:32:59,240 INCREASE IN BODY ENVIRONMENTS 9033 05:32:59,240 --> 05:33:00,400 AND OTHER ENVIRONMENTS WOULD BE 9034 05:33:00,400 --> 05:33:01,680 A QUESTION WE VALID OPPOSE TO 9035 05:33:01,680 --> 05:33:05,160 THINK BEING IT AND FORMING AN 9036 05:33:05,160 --> 05:33:06,280 IESHES DENTITY EXPERIENCE THE 9037 05:33:06,280 --> 05:33:09,120 MAIN 1 FOR US, IT WILL BE. 9038 05:33:09,120 --> 05:33:11,360 SO IT MADE WE THINK ABOUT THAT 9039 05:33:11,360 --> 05:33:11,760 INTERSECTIONALITY. 9040 05:33:11,760 --> 05:33:13,480 WE ARE NOT DEFINED BY THE 9041 05:33:13,480 --> 05:33:14,120 OPPRESSION, THE OPPRESSION IS 9042 05:33:14,120 --> 05:33:15,400 PART OF OUR EXPERIENCE, WE'RE 9043 05:33:15,400 --> 05:33:17,160 DEFINED BY THE DREAMS OUR 9044 05:33:17,160 --> 05:33:18,240 ANCESTORS CARRIED FOR US, SO 9045 05:33:18,240 --> 05:33:19,840 THAT'S 1 THING TO PUT OUT THERE 9046 05:33:19,840 --> 05:33:23,800 AND THE THEN THE RECOLLECT THING 9047 05:33:23,800 --> 05:33:25,000 I WANT TO ACKNOWLEDGE WE TALK 9048 05:33:25,000 --> 05:33:27,240 ABOUT THIS, THE NOTION OF 9049 05:33:27,240 --> 05:33:29,440 CISGENDER IS TIED TO YOU KNOW 9050 05:33:29,440 --> 05:33:31,880 ASSUMING THAT 1'S IDENTITY IS 9051 05:33:31,880 --> 05:33:33,880 TIED TO WHAT THEY WERE ASSIGNED 9052 05:33:33,880 --> 05:33:35,240 AT BIRTH BUT THE PROBLEM IS FOR 9053 05:33:35,240 --> 05:33:37,680 A LOT OF NATIVE COMMUNITY 9054 05:33:37,680 --> 05:33:39,720 MEMBERS SOMETIMES IDENTITY AND 9055 05:33:39,720 --> 05:33:42,200 GENDER EXPRESSION DO NOT ALIGN 9056 05:33:42,200 --> 05:33:44,680 NOR ARE THEY EXPECTED TO ALIGN. 9057 05:33:44,680 --> 05:33:47,080 SO THE ASSUMPTION OF CISGENDER 9058 05:33:47,080 --> 05:33:48,840 ISSUES ARE KIND OF CONFUSING IN 9059 05:33:48,840 --> 05:33:50,520 SOME WAYS IN NATIVE AMERICAN 9060 05:33:50,520 --> 05:33:52,640 COMMUNITIES YOU BECAUSE YOU 9061 05:33:52,640 --> 05:33:55,160 MIGHT IDENTIFY AS FEMALE, YOU 9062 05:33:55,160 --> 05:33:57,440 WERE ASSIGN BIRTH AT FEMALE BUT 9063 05:33:57,440 --> 05:33:59,000 YOUR GENDER EXPRESSION MAY BE 9064 05:33:59,000 --> 05:33:59,600 MASCULINE. 9065 05:33:59,600 --> 05:34:04,560 SO YOU KNOW, YOU'RE GOING TO 9066 05:34:04,560 --> 05:34:05,680 ENCOUNTER HARASSMENT IN 9067 05:34:05,680 --> 05:34:06,760 HEALTHCARE SETTINGS AND SO 9068 05:34:06,760 --> 05:34:09,920 FORTH, SO WE HAVE TO BE CAREFUL 9069 05:34:09,920 --> 05:34:12,200 WITH USING CISGENDER AS A PROXY 9070 05:34:12,200 --> 05:34:15,720 FOR JUST A HETERONORMATIVE 9071 05:34:15,720 --> 05:34:16,760 STRAIGHTISH VIBE, AND 9072 05:34:16,760 --> 05:34:18,480 ASSUMPTIONS OF FELPS NITRIC 9073 05:34:18,480 --> 05:34:19,680 OXIDITY VERSUS MASKUE LYNNITY. 9074 05:34:19,680 --> 05:34:21,440 I KNOW THE SPEAKERS ARE WAY 9075 05:34:21,440 --> 05:34:22,840 NUANCED AND GET ALL THAT BUT I 9076 05:34:22,840 --> 05:34:27,960 WANT TO PUT THAT OUT THERE FOR 9077 05:34:27,960 --> 05:34:29,240 CONVERSATION. 9078 05:34:29,240 --> 05:34:29,840 >>I APPRECIATE THAT. 9079 05:34:29,840 --> 05:34:32,440 YOU'RE SORT OF HIGHLIGHTING 9080 05:34:32,440 --> 05:34:36,480 AGAIN, THE COMPLEXITIES OF 9081 05:34:36,480 --> 05:34:39,200 UNDERSTANDING THIS WORK. 9082 05:34:39,200 --> 05:34:41,600 OKAY, MIYA, I SAW YOU NEXT. 9083 05:34:41,600 --> 05:34:44,640 >>CAN I JUMP BACK IN REAL 9084 05:34:44,640 --> 05:34:44,840 QUICK? 9085 05:34:44,840 --> 05:34:45,760 OR NO? 9086 05:34:45,760 --> 05:34:47,720 >>GO AHEAD MANDY AND THEN WE 9087 05:34:47,720 --> 05:34:49,920 WILL GO TO MIYA AND THEN LISA. 9088 05:34:49,920 --> 05:34:52,920 >>I WAS JUST GOING TO SAY, IN 9089 05:34:52,920 --> 05:34:57,360 TERMS OF THE COMMENT ABOUT 9090 05:34:57,360 --> 05:35:00,240 INTERVENTIONS, I DIDN'T MENTION 9091 05:35:00,240 --> 05:35:02,000 IN MY TALK THAT I'VE BEEN 9092 05:35:02,000 --> 05:35:03,160 WORKING ON WITH COLLEAGUES 9093 05:35:03,160 --> 05:35:04,600 SPONSORED BY THE AMERICAN 9094 05:35:04,600 --> 05:35:05,400 SOCIETY OF CLINICAL ONCOLOGY 9095 05:35:05,400 --> 05:35:07,120 WHERE WE LOOKED AT FACTORS THAT 9096 05:35:07,120 --> 05:35:09,560 WERE ASSOCIATED WITH SEXUAL 9097 05:35:09,560 --> 05:35:10,360 ORIENTATION AND GEPPEDDER 9098 05:35:10,360 --> 05:35:11,360 IDENTITY DATA COLLECTION AND THE 9099 05:35:11,360 --> 05:35:14,040 3 THINGS THAT REALLY BUBBLED UP 9100 05:35:14,040 --> 05:35:15,680 WERE LEADERSHIP SUPPORT, EHR 9101 05:35:15,680 --> 05:35:16,720 DOCUMENTATION AND KIND OF 9102 05:35:16,720 --> 05:35:18,280 UNDERSTANDING OF THE KNOWLEDGE 9103 05:35:18,280 --> 05:35:20,640 OF THE IMPORTANCE OF SOGI DATA 9104 05:35:20,640 --> 05:35:23,280 TO CLINICAL PRACTICE AND THEN WE 9105 05:35:23,280 --> 05:35:26,000 DID A COINCIDENCE ANALYSIS WHICH 9106 05:35:26,000 --> 05:35:26,840 IS A CONFIGURURATIONAL 9107 05:35:26,840 --> 05:35:27,600 METHODOLOGY THAT'S NOT 9108 05:35:27,600 --> 05:35:28,640 REGRESSION BASED AND FOR THOSE 9109 05:35:28,640 --> 05:35:30,400 WHO DON'T KNOW REGRESSION WAS 9110 05:35:30,400 --> 05:35:32,760 ACTUALLY BASED IN THE UGENICS 9111 05:35:32,760 --> 05:35:35,280 MOVEMENT SO I FAVOR 9112 05:35:35,280 --> 05:35:37,240 METHODOLOGIES THAT ARE 9113 05:35:37,240 --> 05:35:39,760 COMPLIMENTARY WHEN POSSIBLE. 9114 05:35:39,760 --> 05:35:41,160 SO CONFIGURATIONAL ANALYSIS IS A 9115 05:35:41,160 --> 05:35:43,360 NEWER METHOD WELL, NEWER FOR 9116 05:35:43,360 --> 05:35:46,600 HEALTH SERVICES THAT TAKES 9117 05:35:46,600 --> 05:35:48,480 CONFIGURURATIONS OF DATA AND TO 9118 05:35:48,480 --> 05:35:49,760 SEE WHAT THE DIFFERENCE MAKERS 9119 05:35:49,760 --> 05:35:51,640 ARE IN RELATION TO A PARTICULAR 9120 05:35:51,640 --> 05:35:56,080 OUTCOME AND SO, THAT DATA VERY 9121 05:35:56,080 --> 05:35:58,160 MUCH COMPLEMENTED THE REGRESSION 9122 05:35:58,160 --> 05:36:00,120 BASED ANALYSIS, BUT ALSO ASKING 9123 05:36:00,120 --> 05:36:01,680 ABOUT PRONOUNS, BUILD UP AS AN 9124 05:36:01,680 --> 05:36:02,240 IMPORTANT FACTOR. 9125 05:36:02,240 --> 05:36:04,200 SO I WOULD SAY IF YOU ARE 9126 05:36:04,200 --> 05:36:05,200 THINKING ABOUT STRUCTURAL 9127 05:36:05,200 --> 05:36:06,840 INTERVENTIONS THAT TECHNOLOGY 9128 05:36:06,840 --> 05:36:07,520 TRANSFERS THAT DRIVE LEADERSHIP 9129 05:36:07,520 --> 05:36:09,840 WERE THE IS, EHR DOCUMENTATION 9130 05:36:09,840 --> 05:36:10,440 AND UNDERSTANDING OF THE 9131 05:36:10,440 --> 05:36:11,800 KNOWLEDGE OF THE IMPORTANCE OF 9132 05:36:11,800 --> 05:36:13,480 THESE DATA IN PRACTICE AT LEAST 9133 05:36:13,480 --> 05:36:15,320 IN TERMS OF OUR ASSESS MGHT 9134 05:36:15,320 --> 05:36:16,280 WOULD BE DESCENT DRIVERS AND 9135 05:36:16,280 --> 05:36:19,400 THEN I JUST WANTED TO GIVE THAT 9136 05:36:19,400 --> 05:36:20,280 PLUG FOR ALTERNATIVE 9137 05:36:20,280 --> 05:36:22,280 METHODOLOGIES THAT WERE NOT 9138 05:36:22,280 --> 05:36:24,200 REGRESSION BASED SO THANKS IF 9139 05:36:24,200 --> 05:36:27,360 THAT ARE MINUTE. 9140 05:36:27,360 --> 05:36:27,840 >>THANK YOU. 9141 05:36:27,840 --> 05:36:29,760 >>THANK YOU EVERYONE FOR THE 9142 05:36:29,760 --> 05:36:30,760 AMAZING DIALOGUE TODAY IT'S BEEN 9143 05:36:30,760 --> 05:36:32,800 SO MEANINGFUL TO BE PART OF THIS 9144 05:36:32,800 --> 05:36:35,880 COLLECTIVE OF SUCH TALENTED 9145 05:36:35,880 --> 05:36:36,200 INVESTIGATORS. 9146 05:36:36,200 --> 05:36:37,520 SO I HAVE A QUESTION, IT'S A BIT 9147 05:36:37,520 --> 05:36:39,680 OF A QUESTION BUT ALSO A 9148 05:36:39,680 --> 05:36:40,480 COMMENT. 9149 05:36:40,480 --> 05:36:43,560 FIRST, THANK YOU DR. DIAMOND AND 9150 05:36:43,560 --> 05:36:44,520 DR. EVERETT FOR SPEAKING ABOUT 9151 05:36:44,520 --> 05:36:48,440 BOTH THE NUANCES OF WORKING WITH 9152 05:36:48,440 --> 05:36:51,160 LGBTQIA + CHILDREN AND YOUTH AND 9153 05:36:51,160 --> 05:36:51,800 ALSO THINKING ABOUT EDUCATIONAL 9154 05:36:51,800 --> 05:36:54,520 TOOLS THAT CAN BE USED TO KIND 9155 05:36:54,520 --> 05:36:56,160 OF PROVIDE SUPPORTS FOR ADULTS 9156 05:36:56,160 --> 05:36:58,840 WHO ARE WORKING IN THAT SPACE. 9157 05:36:58,840 --> 05:37:01,320 OR WORKING WITH SUPPORTING YOUNG 9158 05:37:01,320 --> 05:37:05,040 PEOPLE IN BOTH SEEING THE BEST 9159 05:37:05,040 --> 05:37:06,120 POTENTIAL IN THEMSELVES AND 9160 05:37:06,120 --> 05:37:07,200 LOVING THEMSELVES OR WHATEVER 9161 05:37:07,200 --> 05:37:08,920 AND AND GOING OUT AND LIVING 9162 05:37:08,920 --> 05:37:11,000 WHATEVER THEIR POTENTIAL IS, I'M 9163 05:37:11,000 --> 05:37:11,960 A CLINICAL PSYCHOLOGIST BY 9164 05:37:11,960 --> 05:37:14,480 TRAINING AND DURING MY POST 9165 05:37:14,480 --> 05:37:15,440 DOCTORAL FELLOWSHIP AND WHILE I 9166 05:37:15,440 --> 05:37:17,120 WAS DOING MY TRAINING IN 9167 05:37:17,120 --> 05:37:18,480 GRADUATE SCHOOL, I HAD THE 9168 05:37:18,480 --> 05:37:19,800 OPPORTUNITY TO WORK IN JUVENILE 9169 05:37:19,800 --> 05:37:20,640 CORRECTIONS AND IT JUST SO 9170 05:37:20,640 --> 05:37:22,120 HAPPENED THAT A NUMBER OF THE 9171 05:37:22,120 --> 05:37:23,680 YOUTH I WORKED WITH OR WHO WERE 9172 05:37:23,680 --> 05:37:28,000 ON MY CASE LOAD WERE FROM 9173 05:37:28,000 --> 05:37:30,480 NEIGHBORHOODS THAT WERE 9174 05:37:30,480 --> 05:37:33,360 ADVERSELY IMPACT BY NEIGHBORHOOD 9175 05:37:33,360 --> 05:37:33,640 INCIVILITY. 9176 05:37:33,640 --> 05:37:35,320 THERE WAS THE LAYERING OF 9177 05:37:35,320 --> 05:37:37,160 POVERTY AND MANY OF THEM TOO 9178 05:37:37,160 --> 05:37:40,000 WERE ALSO IN LGBTQIA + 9179 05:37:40,000 --> 05:37:42,200 POPULATIONS, AND IN WORKING WITH 9180 05:37:42,200 --> 05:37:43,600 THE KIDS, OFTEN I FELT LIKE A 9181 05:37:43,600 --> 05:37:45,800 LOT OF THE DIALOGUE WAS GOING 9182 05:37:45,800 --> 05:37:48,840 WITH THE CHILD OR YIEWPGHT IN 9183 05:37:48,840 --> 05:37:50,040 ENGAGEMENT WITH SOME ADULT 9184 05:37:50,040 --> 05:37:51,920 WORKING AT THE FACILITY AND SORT 9185 05:37:51,920 --> 05:37:56,360 OF ROLE MODELING FOR THEM, HOW 9186 05:37:56,360 --> 05:37:59,720 TO NAVIGATE A COMPLEX AND 9187 05:37:59,720 --> 05:38:01,440 MODELING FOR THE ADULT THERE, 9188 05:38:01,440 --> 05:38:04,520 HOW TO BE ACCEPTING, SOCIALLY 9189 05:38:04,520 --> 05:38:05,240 APPROPRIATE CREATING THAT SAIOF 9190 05:38:05,240 --> 05:38:06,560 THE SANCTUARY YOU WERE TALKING 9191 05:38:06,560 --> 05:38:08,320 ABOUT EARLIER, I DON'T THINK I 9192 05:38:08,320 --> 05:38:10,360 USED THE RIGHT NAME YOU USED 9193 05:38:10,360 --> 05:38:11,200 DR. DIAMOND BUT I THOUGHT THAT 9194 05:38:11,200 --> 05:38:12,560 WAS SO IMPORTANT AND 1 THINK 9195 05:38:12,560 --> 05:38:14,720 THIS I WAS STRUCK BY IN DOING 9196 05:38:14,720 --> 05:38:16,920 THAT WORK IS WE DON'T DO ENOUGH 9197 05:38:16,920 --> 05:38:19,200 TO CREATE THAT SCHOOLS ARE 9198 05:38:19,200 --> 05:38:20,640 PLACED OR SOMEWAYSS OF SANCTUARY 9199 05:38:20,640 --> 05:38:22,160 FOR CHILDREN WHERE THEY CAN LIVE 9200 05:38:22,160 --> 05:38:23,320 THEIR POETIC TEBTIAL, WHATEVER 9201 05:38:23,320 --> 05:38:24,640 THAT POTENTIAL IS, AND WHERE WE 9202 05:38:24,640 --> 05:38:27,480 SORPT OF LOVE ON THEM AND REALLY 9203 05:38:27,480 --> 05:38:28,560 CREATE THAT THEY HAVE A GOOD 9204 05:38:28,560 --> 05:38:31,440 SENSE OF WHO THEY ARE, CAN LOVE 9205 05:38:31,440 --> 05:38:32,480 THEMSELVES OVER WHATEVER CAN GO 9206 05:38:32,480 --> 05:38:34,680 OUT THERE AND BE WHOEVER THEY'RE 9207 05:38:34,680 --> 05:38:35,880 INTENDED TO BE EVERYONE WITH 9208 05:38:35,880 --> 05:38:38,040 THAT BEING SAID, I WAS 9209 05:38:38,040 --> 05:38:38,640 WOBDERRING GIVING THE 9210 05:38:38,640 --> 05:38:42,640 OPPORTUNITY THAT WE HAVE HERE, 9211 05:38:42,640 --> 05:38:44,240 ABOUT THE PANELISTS AND THE 9212 05:38:44,240 --> 05:38:45,960 POSSIBILITY OF CREATING A 9213 05:38:45,960 --> 05:38:47,400 NATIONAL NETWORK OF SCHOOL BASED 9214 05:38:47,400 --> 05:38:48,440 INTERVENTIONS THAT STARTS TO DO 9215 05:38:48,440 --> 05:38:52,000 THAT WORK TO CREATE THE SCHOOLS 9216 05:38:52,000 --> 05:38:53,400 OUR SAFE SANCTUARYS, I THINK 9217 05:38:53,400 --> 05:38:55,320 THERE'S AN OPPORTUNITY BEYOND 9218 05:38:55,320 --> 05:38:56,520 JUST THE MENTAL HEALTH 9219 05:38:56,520 --> 05:38:57,560 PROFESSIONAL THAT'S WORKED IN 9220 05:38:57,560 --> 05:39:00,400 THE SCHOOL BECAUSE THERE'S A 9221 05:39:00,400 --> 05:39:01,520 THING CALLED PASSION FATIGUE AND 9222 05:39:01,520 --> 05:39:04,080 IF YOU'RE THE OHM MENTAL HEALTH 9223 05:39:04,080 --> 05:39:05,680 PROFESSIONAL AT A SCHOOL THAT 9224 05:39:05,680 --> 05:39:07,240 HAS--LIKE THE HIGH SCHOOL I HAVE 9225 05:39:07,240 --> 05:39:07,840 WAS HERE IN WASHINGTON D. 9226 05:39:07,840 --> 05:39:10,080 KRMPLET AND THERE WERE 800 KIDS 9227 05:39:10,080 --> 05:39:11,840 ON A GIVEN DAY AND 1 MENTAL 9228 05:39:11,840 --> 05:39:14,360 HEALTH PRSM TRYING TO BE THE 9229 05:39:14,360 --> 05:39:15,760 SAFE SANCTUARY FOR ALL 800 OF 9230 05:39:15,760 --> 05:39:18,840 THOSE KIDS WHO MAY BE GOING 9231 05:39:18,840 --> 05:39:19,480 THROUGH THOSE DIFFICULT THINGS 9232 05:39:19,480 --> 05:39:23,080 THAT HAVE TO DO WITH LIVING IN 9233 05:39:23,080 --> 05:39:23,920 POVERTY AND ENVIRONMENTS THAT 9234 05:39:23,920 --> 05:39:26,000 HAVE CRIME AND VIOLENCE AS PART 9235 05:39:26,000 --> 05:39:29,320 OF THEIR SPACES, COULD WE DO A 9236 05:39:29,320 --> 05:39:30,040 SCHOOL BASED PROGRAM THAT 9237 05:39:30,040 --> 05:39:31,400 PROVIDES THAT KIDS ARE PROVIDED 9238 05:39:31,400 --> 05:39:33,680 WITH TRAINING TO HELP THEM 9239 05:39:33,680 --> 05:39:36,600 BUILD, COPING SKILLS AND 9240 05:39:36,600 --> 05:39:38,440 RESWRELIENCE, AND THE ABILITY TO 9241 05:39:38,440 --> 05:39:39,960 NAVIGATE THE STRESS, BUT ALSO DO 9242 05:39:39,960 --> 05:39:42,040 SOME TRAINING WITH BOTH THE 9243 05:39:42,040 --> 05:39:43,360 TEACHERS, THE MENTAL HEALTH 9244 05:39:43,360 --> 05:39:44,720 PROFESSIONALS AND TD LEADERSHIP 9245 05:39:44,720 --> 05:39:46,680 TEAM MEMBERS IN THOSE SCHOOLS TO 9246 05:39:46,680 --> 05:39:49,400 KIND OF PROVIDE THE NETWORK HAS 9247 05:39:49,400 --> 05:39:50,800 THE CAPACITY OVERALL TO BE THE 9248 05:39:50,800 --> 05:39:52,520 SUPPORTS THAT THOSE CHILDREN 9249 05:39:52,520 --> 05:39:52,720 NEED. 9250 05:39:52,720 --> 05:39:54,400 EVERYBODY OF COURSE CAN'T BE A 9251 05:39:54,400 --> 05:39:55,240 MENTAL HEALTH PROFESSIONAL, I'M 9252 05:39:55,240 --> 05:39:58,600 NOT SAYING THAT AT ALL, BUT TO 9253 05:39:58,600 --> 05:39:59,520 GROW EVERYONE UP, INCLUDING 9254 05:39:59,520 --> 05:40:00,720 ADULT THIS IS BE THE BEST 9255 05:40:00,720 --> 05:40:02,040 POSSIBLE THEY CAN, SO IN THE 9256 05:40:02,040 --> 05:40:03,360 MOMENT IF A CHILD COMES TO AND 9257 05:40:03,360 --> 05:40:06,120 YOU THEY'RE IN NEED, CAN YOU DO 9258 05:40:06,120 --> 05:40:09,320 SOME COACHING WHERE THEY'RE LEFT 9259 05:40:09,320 --> 05:40:11,080 FEELING LIKE, I'M INTACT, I 9260 05:40:11,080 --> 05:40:12,480 MATTER AND THIS PERSON WILL BE 9261 05:40:12,480 --> 05:40:14,440 OF OF SUPPORT TO ME BUT WHOEVER 9262 05:40:14,440 --> 05:40:15,640 WOULD LIKE TO START BUT I WOULD 9263 05:40:15,640 --> 05:40:17,280 LOVE TO HEAR YOUR THOUGHTS 9264 05:40:17,280 --> 05:40:18,200 DR. DIAMOND IN PARTICULAR BUT OF 9265 05:40:18,200 --> 05:40:19,560 COURSE EVERYONE ON THE PANEL AND 9266 05:40:19,560 --> 05:40:26,880 THANKS FOR THE OPPORTUNITY. 9267 05:40:26,880 --> 05:40:29,360 >>THANK YOU SO MUCH FOR SAYING 9268 05:40:29,360 --> 05:40:32,680 THAT I AGREE WHOLE HEARTEDLY, WE 9269 05:40:32,680 --> 05:40:34,960 USED TO THINK SCHOOLS WERE SAFE 9270 05:40:34,960 --> 05:40:36,960 AND NOW MY SISTER IS A SECOND 9271 05:40:36,960 --> 05:40:38,480 GRADE TEACHER AND THEY DO ACTIVE 9272 05:40:38,480 --> 05:40:40,320 SHOOTER DRILLS SO KIDS START OUT 9273 05:40:40,320 --> 05:40:43,000 NOT THINKING OF THE SCHOOL AS A 9274 05:40:43,000 --> 05:40:46,480 SANCTUARY, IT'S NOT JUST 9275 05:40:46,480 --> 05:40:46,720 ANYMORE. 9276 05:40:46,720 --> 05:40:48,520 AND THAT MAY, LIKE WE MAY NOT BE 9277 05:40:48,520 --> 05:40:56,080 ABLE TO UNDO THAT. 9278 05:40:56,080 --> 05:40:58,520 AND AND SO IT'S TYPICAL TO THINK 9279 05:40:58,520 --> 05:41:01,000 ABOUT THIS AND I LOVE WHEN YOU 9280 05:41:01,000 --> 05:41:02,800 MENTIONED LETTING KIDS KNOW THEY 9281 05:41:02,800 --> 05:41:04,600 MATTER AND I'M LINKING THIS TO 9282 05:41:04,600 --> 05:41:06,480 WHAT BRIAN MENTIONED IN TERMS OF 9283 05:41:06,480 --> 05:41:07,040 IBT--INTEGRATE CREASED 9284 05:41:07,040 --> 05:41:09,160 INNERVENTIONS THAT FOCUS ON 9285 05:41:09,160 --> 05:41:10,040 COUPLE RELATIONSHIP. 9286 05:41:10,040 --> 05:41:12,560 YOU KNOW 1 OF THE FIRST WHEN I 9287 05:41:12,560 --> 05:41:14,400 FIRST MOVED HERE TO SALT LAKE 9288 05:41:14,400 --> 05:41:15,800 CITY AND I WAS DOING STUFF WITH 9289 05:41:15,800 --> 05:41:19,080 THE PRIDE CENTER HERE AND 9290 05:41:19,080 --> 05:41:20,880 WORKSHOPS FOR YOUTH AND OVER 9291 05:41:20,880 --> 05:41:23,200 OVER AGAIN YOUTH KEPT SAYING, NO 9292 05:41:23,200 --> 05:41:25,520 1 WANTS TO TALK ABOUT DATING, 9293 05:41:25,520 --> 05:41:29,400 ARE WE ALLOWED TO TALK ABOUT 9294 05:41:29,400 --> 05:41:29,960 DATING. 9295 05:41:29,960 --> 05:41:31,480 AND OF COURSE, IT GETS TRICKY 9296 05:41:31,480 --> 05:41:38,800 BECAUSE WE HAVE A SOCIETY THAT 9297 05:41:38,800 --> 05:41:40,120 DOESN'T WANT YOUTH TO KILL 9298 05:41:40,120 --> 05:41:41,960 THEMSELVES BUT DOESN'T 9299 05:41:41,960 --> 05:41:44,120 NECESSARILY WANT TO ENQUALITY OF 9300 05:41:44,120 --> 05:41:46,560 REVIEWAGE THEM TO DATE AND YET 9301 05:41:46,560 --> 05:41:47,400 SOCIAL CONNECTION ATTACHMENT, 9302 05:41:47,400 --> 05:41:50,400 FEELING THAT YOU MATTER TO 9303 05:41:50,400 --> 05:41:52,800 ANOTHER PERSON IS THE BRAIN'S 9304 05:41:52,800 --> 05:41:55,240 WAY OF HEALING, LIKE THAT'S 9305 05:41:55,240 --> 05:41:55,600 WAWE'RE GIVEN. 9306 05:41:55,600 --> 05:41:56,320 IT'S THE RELATIONSHIPS TO WHERE 9307 05:41:56,320 --> 05:41:58,000 YOU FEEL IF I DISAPPEAR THAT 9308 05:41:58,000 --> 05:42:00,400 PERSON WILL COME FIND ME AND 9309 05:42:00,400 --> 05:42:01,560 THAT'S WHAT I THINK SCHOOLS 9310 05:42:01,560 --> 05:42:06,000 COULD DO A BETTER JOB OF 9311 05:42:06,000 --> 05:42:06,600 CREATING OPPORTUNITY FOR. 9312 05:42:06,600 --> 05:42:08,800 AND 1 OF THE THINGS THAT'S 9313 05:42:08,800 --> 05:42:10,640 HAPPENED AS SCHOOLS GET BIG AND 9314 05:42:10,640 --> 05:42:13,760 THEY'VE GONE ONLINE, IS THAT 9315 05:42:13,760 --> 05:42:14,440 STUDENTS FEEL INVISIBLE, THEY 9316 05:42:14,440 --> 05:42:16,080 FEEL LIKE THEY COULD SHOW UP TO 9317 05:42:16,080 --> 05:42:18,760 CLASS, THEY COULD NOT SHOW UP TO 9318 05:42:18,760 --> 05:42:19,280 CLASS NOBODY CARES. 9319 05:42:19,280 --> 05:42:23,200 ONE OF THE THINGS THAT WE KNOW 9320 05:42:23,200 --> 05:42:25,480 IS THAT UNCERTAINTY CREATES A 9321 05:42:25,480 --> 05:42:27,920 LOT OF STRESS FOR YOUTH AND FOR 9322 05:42:27,920 --> 05:42:28,840 MARGINALIZED POPULATIONS, AND SO 9323 05:42:28,840 --> 05:42:30,600 1 OF THE THINGS THAT I THINK 9324 05:42:30,600 --> 05:42:33,360 THAT TEACHERS CAN DO AND I KNOW 9325 05:42:33,360 --> 05:42:35,360 I'VE DONE THIS, I'VE DONE IN 9326 05:42:35,360 --> 05:42:37,040 THIS MY OWN UNDERGRADUATE 9327 05:42:37,040 --> 05:42:38,000 TEACHINGS AND I FOLLOW UP WITH 9328 05:42:38,000 --> 05:42:39,400 STUDENT WHO IS START 9329 05:42:39,400 --> 05:42:40,400 DISAPPEARING AND LIKE, WELL, YOU 9330 05:42:40,400 --> 05:42:41,920 KNOW IF THEY WANT TO FAIL THE 9331 05:42:41,920 --> 05:42:43,440 CLASS, THEY WANT TO FAIL THE 9332 05:42:43,440 --> 05:42:44,800 CLASS, NOW I'M LIKE I WANT THEM 9333 05:42:44,800 --> 05:42:46,840 TO KNOW THAT I NOTICE THAT THEY 9334 05:42:46,840 --> 05:42:48,760 DIDN'T SHOW UP, AND THAT EVEN IF 9335 05:42:48,760 --> 05:42:53,200 ALL I DO IS SAY, HEY, I NOTICED 9336 05:42:53,200 --> 05:42:59,080 THAT YOU DIDN'T SHOW UP, THAT IS 9337 05:42:59,080 --> 05:43:00,800 ACTUALLY AN INTERVENTION, YOU 9338 05:43:00,800 --> 05:43:04,320 KNOW, IN OUR SOCIETY NOW WHERE 9339 05:43:04,320 --> 05:43:06,960 EVERYONE IS TWITTERING AWAY AND 9340 05:43:06,960 --> 05:43:10,360 WE FEEL DISCONNECTED, ACTUAL 9341 05:43:10,360 --> 05:43:11,640 REAL PHYSICAL CONNECTIONS WHERE 9342 05:43:11,640 --> 05:43:15,840 SAFE ADULTS CAN SAY, I SEE YOU. 9343 05:43:15,840 --> 05:43:16,920 I SEE YOU. 9344 05:43:16,920 --> 05:43:20,400 I REMEMBER YOU. 9345 05:43:20,400 --> 05:43:21,040 YOU KNOW? 9346 05:43:21,040 --> 05:43:24,120 MY DOOR IS OPEN LIKE YEAH NOT 9347 05:43:24,120 --> 05:43:25,280 EVERYBODY IS A MENTAL HEALTH 9348 05:43:25,280 --> 05:43:27,040 PROFESSIONAL BUT WE CAN DO MORE 9349 05:43:27,040 --> 05:43:29,440 TO TRAIN ADULTS THAT WORK WITH 9350 05:43:29,440 --> 05:43:30,640 YOUTH TO SAY, WHAT THEY'RE 9351 05:43:30,640 --> 05:43:34,720 LACKING IS A FEELING THAT THEY 9352 05:43:34,720 --> 05:43:36,800 MATTER AND WHAT'S STRESSING THEM 9353 05:43:36,800 --> 05:43:37,400 OUT IS UNCERTAINTY. 9354 05:43:37,400 --> 05:43:40,360 O DO WHAT YOU CAN TO MAKE YOUR 9355 05:43:40,360 --> 05:43:41,000 INTERACTIONS WITH THEM CERTAIN 9356 05:43:41,000 --> 05:43:42,760 AND I THINK THAT'S 1 OF THE 9357 05:43:42,760 --> 05:43:45,680 THINGS THAT PRONOUNS CAN DO, 9358 05:43:45,680 --> 05:43:46,880 THEY REMOVE UNCERTAINTY FOR THE 9359 05:43:46,880 --> 05:43:49,960 PERSON IRPT ACTING WITH YOU. 9360 05:43:49,960 --> 05:43:51,240 ARE YOU A SAFE PERSON, I'M NOT 9361 05:43:51,240 --> 05:43:52,880 GOING TO LET YOU THINK ABOUT IT 9362 05:43:52,880 --> 05:43:54,440 I'M GOING TO PUT THEM OUT THERE 9363 05:43:54,440 --> 05:43:56,280 SO YOU KNOW. 9364 05:43:56,280 --> 05:43:57,440 REMOVING UNCERTAINTY AND 9365 05:43:57,440 --> 05:44:01,040 CREATING AND SUPPORTING 9366 05:44:01,040 --> 05:44:03,200 RELATIONSHIPS OF MATTERING WHEN 9367 05:44:03,200 --> 05:44:04,360 IT'S ROMANTIC RELATIONSHIPS, AN 9368 05:44:04,360 --> 05:44:11,120 AUNT, A FRIEND, I THINK ANOTHER 9369 05:44:11,120 --> 05:44:13,400 THING THAT TEACHERS IS FIND OUT 9370 05:44:13,400 --> 05:44:14,440 FROM PEOPLE THEMSELVES WHO IS IT 9371 05:44:14,440 --> 05:44:16,160 IN YOUR LIFE RIGHT NOW THAT YOU 9372 05:44:16,160 --> 05:44:19,040 KNOW YOU MATTER TO? 9373 05:44:19,040 --> 05:44:20,400 MAYBE IT'S GRANDMA, MAYBE IT'S 9374 05:44:20,400 --> 05:44:22,920 SOMEBODY ELSE, WHOEVER THAT 9375 05:44:22,920 --> 05:44:25,000 PERSON IS YOU NEED TO GO SPEND 9376 05:44:25,000 --> 05:44:25,880 MORE TIME WITH THEM. 9377 05:44:25,880 --> 05:44:28,520 YOU NEED TO PUT YOUR BRAIN IN AN 9378 05:44:28,520 --> 05:44:32,600 ENVIRONMENT WHERE YOU KNOW THAT 9379 05:44:32,600 --> 05:44:33,160 YOU MATTER. 9380 05:44:33,160 --> 05:44:35,160 SORT OF ACTIVATE THE BRAIN'S 9381 05:44:35,160 --> 05:44:36,800 ATTACHMENT SYSTEM, IF THEY DON'T 9382 05:44:36,800 --> 05:44:37,840 HAVE THAT RELATIONSHIP, YOU 9383 05:44:37,840 --> 05:44:39,920 SHOULD TRY TO CREATE IT BUT IN 9384 05:44:39,920 --> 05:44:41,760 GENERAL SAYING TO KIDS LOOK AT 9385 05:44:41,760 --> 05:44:43,200 YOUR LIFE RIGHT NOW, LOOK AT WHO 9386 05:44:43,200 --> 05:44:45,200 GIVES YOU THAT FEELING, THAT 9387 05:44:45,200 --> 05:44:49,960 FEELING OF TRUST, GO, DO MORE OF 9388 05:44:49,960 --> 05:44:50,400 THAT. 9389 05:44:50,400 --> 05:44:51,120 >>THANK YOU LISA. 9390 05:44:51,120 --> 05:44:52,040 I WOULD ALSO ARGUE THAT YOU 9391 05:44:52,040 --> 05:44:54,760 DON'T HAVE FOCUSED ON WORK 9392 05:44:54,760 --> 05:44:58,760 WITH--TO WORK WITH KIDS TO SHOW 9393 05:44:58,760 --> 05:44:59,600 OUTWARDLY SUPPORTIVE OF PEOPLE, 9394 05:44:59,600 --> 05:45:00,880 JUDGE UOF THE WHEN YOU'RE 9395 05:45:00,880 --> 05:45:02,280 WALKING AROUND YOUR COMMUNITY 9396 05:45:02,280 --> 05:45:04,480 AND ENGAGING WITH SOMEONE WHO 9397 05:45:04,480 --> 05:45:05,640 WORKS AT THE LOCAL ICE CREAM 9398 05:45:05,640 --> 05:45:07,080 SHOP OR IF YOU HAVE CHILDREN IN 9399 05:45:07,080 --> 05:45:10,080 SCHOOL AND YOU ARE GOING TO THE 9400 05:45:10,080 --> 05:45:12,240 SCHOOL YOU COULD ALSO BE A SAFE 9401 05:45:12,240 --> 05:45:12,440 SPACE. 9402 05:45:12,440 --> 05:45:15,640 >>SO WELL SAID KAREN BECAUSE I 9403 05:45:15,640 --> 05:45:18,160 TRULY FIRMLY BELIEVE THAT LIKE 9404 05:45:18,160 --> 05:45:18,800 UNFORT HATELY EVERYBODY DOESN'T 9405 05:45:18,800 --> 05:45:21,360 GET TO GROW UP IN A FAMILY 9406 05:45:21,360 --> 05:45:22,400 ENVIRONMENT WELL PEOPLE LOVE ON 9407 05:45:22,400 --> 05:45:24,840 YOU WELL AND KNOW HOW TO BE 9408 05:45:24,840 --> 05:45:26,240 EFFECTIVE IN TERMS OF MODELING 9409 05:45:26,240 --> 05:45:27,440 SOCIAL SUPPORT AND IMBUING IN 9410 05:45:27,440 --> 05:45:30,280 YOU THAT YOU MATTER OR WHATEVER, 9411 05:45:30,280 --> 05:45:31,480 SO ANY ADULT NO MATTER WHERE 9412 05:45:31,480 --> 05:45:33,680 YOU'RE WORKING IF YOU HAVE THE 9413 05:45:33,680 --> 05:45:34,760 EMOTIONAL AND MENTAL HEALTH 9414 05:45:34,760 --> 05:45:36,320 MATURITY TO KIND OF BE THERE FOR 9415 05:45:36,320 --> 05:45:37,280 SOMEBODY, GO AHEAD AND TAKE THE 9416 05:45:37,280 --> 05:45:38,880 RISK AND DO THAT. 9417 05:45:38,880 --> 05:45:42,200 WELL SAID, KAREN, THANK YOU. 9418 05:45:42,200 --> 05:45:44,080 >>SO, I THINK THAT RADA MIGHT 9419 05:45:44,080 --> 05:45:45,520 GET UP SET WITH ME FOR DOING 9420 05:45:45,520 --> 05:45:46,600 THIS BECAUSE I KNOW WE'RE AT 9421 05:45:46,600 --> 05:45:50,120 TIME BUT THERE IS 1 FINAL 9422 05:45:50,120 --> 05:45:50,840 QUESTION THAT I-- 9423 05:45:50,840 --> 05:45:52,280 >>I COULD NEVER BE UPSET WITH 9424 05:45:52,280 --> 05:45:53,040 YOU. 9425 05:45:53,040 --> 05:45:54,320 >>I FEEL IS REALLY. 9426 05:45:54,320 --> 05:45:58,800 >>YOU TOOK ON THE HARDEST JOB. 9427 05:45:58,800 --> 05:46:00,480 >>THAT IAN PUT IN THE CHAT THAT 9428 05:46:00,480 --> 05:46:02,240 I WOULD LIKE TO POSE AS A LAST 9429 05:46:02,240 --> 05:46:08,760 QUESTION IF ANY OF THE. 9430 05:46:08,760 --> 05:46:12,000 >>SO, THE QUESTION IS, ABOUT 9431 05:46:12,000 --> 05:46:13,680 WAYS TO MAKE RESEARCH FINDINGS 9432 05:46:13,680 --> 05:46:15,640 ACCESSIBLE TO POLICY MAKERS IN 9433 05:46:15,640 --> 05:46:17,680 ORDER TO SHIFT LOCAL STATE AND 9434 05:46:17,680 --> 05:46:20,880 NATIONAL POLICIES THAT IMPACTS 9435 05:46:20,880 --> 05:46:21,920 LGBTQIA + HEALTH AND ARE WELL 9436 05:46:21,920 --> 05:46:25,160 BEING AND I THINK THIS IS A REAL 9437 05:46:25,160 --> 05:46:26,280 CHAL EXPESM 1 THAT WE THINK 9438 05:46:26,280 --> 05:46:27,600 ABOUT A LOT IN OUR OFFICE, IS 9439 05:46:27,600 --> 05:46:30,160 HOW CAN WE GET THE EVIDENCE THAT 9440 05:46:30,160 --> 05:46:33,800 IS GENERATED BY NIH, FUNDING TO 9441 05:46:33,800 --> 05:46:36,080 SORT OF OTHER PARTS OF THE 9442 05:46:36,080 --> 05:46:38,520 FEDERAL GOVERNMENT THAT ARE 9443 05:46:38,520 --> 05:46:40,680 MAKING POLICY DECISIONS, AND 9444 05:46:40,680 --> 05:46:43,240 ALSO TO OTHER FOLKS WHO MADE 9445 05:46:43,240 --> 05:46:44,880 DECISIONS THAT ARE IMPACTING ALL 9446 05:46:44,880 --> 05:46:45,560 OF US. 9447 05:46:45,560 --> 05:46:49,080 SO IF ANYONE HAS ANY FINAL 9448 05:46:49,080 --> 05:46:52,000 THOUGHTS ABOUT, IT FEELS LIKE A 9449 05:46:52,000 --> 05:46:54,440 COMMUNICATIONS PACKAGES, 9450 05:46:54,440 --> 05:46:55,160 MARKETING, QUESTION, IF ANYONE 9451 05:46:55,160 --> 05:46:58,800 WANTS TO TAKE THAT AS THE FINAL? 9452 05:46:58,800 --> 05:47:01,360 I'D LOVE TO HEAR YOUR THOUGHTS? 9453 05:47:01,360 --> 05:47:01,840 BETHANY? 9454 05:47:01,840 --> 05:47:06,520 >>I CAN GO REAL QUICK, SO HAVE 9455 05:47:06,520 --> 05:47:08,280 AN ADJUNCT APPOINTMENT IN THE 9456 05:47:08,280 --> 05:47:09,080 FAMILY PLANNING DEPARTMENT HERE 9457 05:47:09,080 --> 05:47:12,000 AND THEY HAVE DONE A REALLY, 9458 05:47:12,000 --> 05:47:13,840 REALLY WONDERFUL JOB AROUND 9459 05:47:13,840 --> 05:47:16,320 CREATING 1 PAGERS AROUND 9460 05:47:16,320 --> 05:47:18,520 REPRODUCTIVE HEALTH POLICIES AND 9461 05:47:18,520 --> 05:47:19,360 LGBTQ POLICIES WORKING WITH THEM 9462 05:47:19,360 --> 05:47:21,680 AND BEING A REAL LIKE TOUCH 9463 05:47:21,680 --> 05:47:24,320 POINT FOR POLICY MAKERS, THE 9464 05:47:24,320 --> 05:47:25,720 STATE OF UTAH OUR POPULATION 9465 05:47:25,720 --> 05:47:30,520 ISN'T THAT BIG, OUR LEGISLATIVE 9466 05:47:30,520 --> 05:47:32,200 SESSION IS SHORT. 9467 05:47:32,200 --> 05:47:34,160 AND SO IT'S TALLLY FAIRLY EASY 9468 05:47:34,160 --> 05:47:35,920 TO GET LINES OF COMMUNICATION 9469 05:47:35,920 --> 05:47:37,240 GOING BETWEEN RESEARCH AND 9470 05:47:37,240 --> 05:47:38,040 POLICY MAKERS, THE DIFFICULT 9471 05:47:38,040 --> 05:47:44,000 PART IS GETTING PEOPLE TO ACT ON 9472 05:47:44,000 --> 05:47:46,320 IT BUT THERE--IT HAS BEEN MORE 9473 05:47:46,320 --> 05:47:49,040 FEASIBLE THAN I WOULD HAVE EVER 9474 05:47:49,040 --> 05:47:51,160 THOUGHT TO ACTUALLY MEET WITH 9475 05:47:51,160 --> 05:47:52,760 LEGISLATORS AND PRESENT RESEARCH 9476 05:47:52,760 --> 05:47:55,200 TO THEM, AND TO OPEN THOSE LINES 9477 05:47:55,200 --> 05:47:56,600 OF COMMUNICATION. 9478 05:47:56,600 --> 05:47:58,000 SO, I WOULD ADVOCATE FOR FOLKS 9479 05:47:58,000 --> 05:48:00,080 TO LOOK INTO THAT IN THEIR LOCAL 9480 05:48:00,080 --> 05:48:03,160 AREA BECAUSE IT MIGHT BE EASIER 9481 05:48:03,160 --> 05:48:04,280 THAN YOU THINK. 9482 05:48:04,280 --> 05:48:05,720 WILL THEY LISTEN, THAT'S ANOTHER 9483 05:48:05,720 --> 05:48:06,280 STORY. 9484 05:48:06,280 --> 05:48:07,560 >>OKAY, LAST WORD FROM BRIAN 9485 05:48:07,560 --> 05:48:08,520 BEFORE WE WRAP UP. 9486 05:48:08,520 --> 05:48:10,520 >>YEAH I WAS GOING TO PUT IN A 9487 05:48:10,520 --> 05:48:11,920 PLUG THERE'S REALLY GREAT 9488 05:48:11,920 --> 05:48:14,000 REPORTS THAT PUBLICLY AVAILABLE 9489 05:48:14,000 --> 05:48:15,440 FROM THE WILLIAM T. GRAHAM 9490 05:48:15,440 --> 05:48:16,600 FOUNDATIONOT USE OF RESEARCH 9491 05:48:16,600 --> 05:48:19,080 EVIDENCE SORT OF WHAT SITUATION 9492 05:48:19,080 --> 05:48:21,200 SET UP ENVIRONMENTS WHERE POLICY 9493 05:48:21,200 --> 05:48:22,120 MAKERS USE RESEARCH EVIDENCE IS 9494 05:48:22,120 --> 05:48:23,520 1 OF THE THINGS THAT KEEPS 9495 05:48:23,520 --> 05:48:24,840 COMING DOWN TO IS RELATIONSHIPS 9496 05:48:24,840 --> 05:48:27,480 WHICH IS WHAT I THINK BETHANY 9497 05:48:27,480 --> 05:48:29,320 SAID WHICH IS WHEN THEY HAVE A 9498 05:48:29,320 --> 05:48:30,880 QUESTION, DO THEY KNOW WHO TO 9499 05:48:30,880 --> 05:48:32,080 CALL, WILL THEY KNOW YOU, REACH 9500 05:48:32,080 --> 05:48:33,720 OUT TO YOU, ARE YOU SOMEBODY WHO 9501 05:48:33,720 --> 05:48:36,360 RESPONDS IN A TIMELY FASHION AND 9502 05:48:36,360 --> 05:48:37,760 I APPRECIATE WHAT BETHANY WAS 9503 05:48:37,760 --> 05:48:40,160 SAYING ABOUT LOCAL POLICY MAKERS 9504 05:48:40,160 --> 05:48:41,400 WHICH INCLUDED ELECTED OFICIALGS 9505 05:48:41,400 --> 05:48:43,120 BUT INCLUDE A LOT OF APPOINTED 9506 05:48:43,120 --> 05:48:44,760 PEOPLE, YOU KNOW FOLKS WHO ARE 9507 05:48:44,760 --> 05:48:46,120 COMMISSIONERS ON YOUR HEALTH AND 9508 05:48:46,120 --> 05:48:50,040 YOUR CITY OR STATE OR DEPUTY 9509 05:48:50,040 --> 05:48:50,760 COMMISSIONERS OR HIV PORTFOLIO, 9510 05:48:50,760 --> 05:48:52,000 THEY HAVE A LOT OF POWER TO MAKE 9511 05:48:52,000 --> 05:48:54,440 A LOT OF DECISIONS AND OFTEN A 9512 05:48:54,440 --> 05:48:55,960 LOT OF MONEY FLOWS THROUGH THEIR 9513 05:48:55,960 --> 05:48:57,880 CONTROL, FEDERAL MONEY GOES TO 9514 05:48:57,880 --> 05:48:59,040 HEALTH DEPARTMENTS WHO THEN 9515 05:48:59,040 --> 05:49:00,600 DEPLOY IT TO ADDRESS DIFFERENT 9516 05:49:00,600 --> 05:49:02,320 INITIATIVES, SO I HAVE FOUND 9517 05:49:02,320 --> 05:49:05,080 GETTING TO KNOW MY 9518 05:49:05,080 --> 05:49:07,160 LOCAL--CHICAGO DEPARTMENT OF 9519 05:49:07,160 --> 05:49:07,960 PUBLIC HEALTH COMMISSIONER, 9520 05:49:07,960 --> 05:49:09,160 STATE COMMISSIONER OF HEALTH HAS 9521 05:49:09,160 --> 05:49:10,720 BEEN A REALLY FANTASTIC WAY TO 9522 05:49:10,720 --> 05:49:13,760 WORK WITH THEM, AND SHARE OUR 9523 05:49:13,760 --> 05:49:15,760 FINDINGS AND AND OFTEN TIMES IN 9524 05:49:15,760 --> 05:49:16,680 A COLLABORATIVE WAY, THEY WILL 9525 05:49:16,680 --> 05:49:17,960 COME TO US WITH QUESTIONS AND 9526 05:49:17,960 --> 05:49:19,160 SOMETIMES WE HAD THE DATA TO 9527 05:49:19,160 --> 05:49:21,840 ANSWER THEM AND WE CAN DO IT 9528 05:49:21,840 --> 05:49:22,680 QUICKLY SO DEFINITELY GETTING TO 9529 05:49:22,680 --> 05:49:24,720 KNOW YOUR LOCAL FOLKS AND HEALTH 9530 05:49:24,720 --> 05:49:26,440 DEPARTMENTS AND OTHER GOVERNMENT 9531 05:49:26,440 --> 05:49:28,840 AGENCIES, NOT ALL POLICY MAKERS 9532 05:49:28,840 --> 05:49:30,680 ARE ELETTED AND MANY ARE 9533 05:49:30,680 --> 05:49:34,440 APPOINTED AND QUITE INFLUENTIAL. 9534 05:49:34,440 --> 05:49:40,840 >>OKAY I SAID BRIAN HAD THE 9535 05:49:40,840 --> 05:49:43,880 LAST WORD; AND SO LISA HAS TO GO 9536 05:49:43,880 --> 05:49:44,120 QUICKLY. 9537 05:49:44,120 --> 05:49:45,120 >>VERY QUICKLY 1 OF THE THINGS 9538 05:49:45,120 --> 05:49:48,360 THIS IS A PIPELINE ISSUE, AS 9539 05:49:48,360 --> 05:49:50,760 ACADEMIC JOB MARKET CONTINUES TO 9540 05:49:50,760 --> 05:49:52,160 CHANGE, MORE AND MORE GRADUATE 9541 05:49:52,160 --> 05:49:54,480 STUDENTS AND POST DOCS, ARE 9542 05:49:54,480 --> 05:49:59,400 THINKING ABOUT CAREERS IN DATA 9543 05:49:59,400 --> 05:50:01,160 SCIENCE OUTSIDE OF ACADEMIA AND 9544 05:50:01,160 --> 05:50:02,880 THIS ISSUE OF GETTING THE RIGHT 9545 05:50:02,880 --> 05:50:04,400 INFORMATION OUT IS A TRAINING 9546 05:50:04,400 --> 05:50:04,720 OPPORTUNITY. 9547 05:50:04,720 --> 05:50:06,680 I'M TRYING TO SHIP THE TRAINING 9548 05:50:06,680 --> 05:50:08,560 IN MY OWN DEPARTMENT SO WE DO A 9549 05:50:08,560 --> 05:50:09,760 BETTER JOB OF PREPARING GRAD 9550 05:50:09,760 --> 05:50:10,800 STUDENTS FOR THOSE CAREERS. 9551 05:50:10,800 --> 05:50:12,560 THAT I HAVE NEED TO WRITE MORE 9552 05:50:12,560 --> 05:50:14,160 QUICKLY, THEY NEED TO WRITE IN A 9553 05:50:14,160 --> 05:50:17,200 MORE STRAIGHT FORWARD FASHION. 9554 05:50:17,200 --> 05:50:19,280 DISP THOSE ARE TRAINABLE SKILLS 9555 05:50:19,280 --> 05:50:20,000 AND THEY'RE MARKETABLE SKILLS 9556 05:50:20,000 --> 05:50:21,960 AND I THINK WE REALLY NEED TO 9557 05:50:21,960 --> 05:50:24,480 THINK AS A DISCIPLINE, OF A 9558 05:50:24,480 --> 05:50:26,680 BETTER JOB OF TRAINING FOLKS NOT 9559 05:50:26,680 --> 05:50:28,600 JUST PUBLISHING AND PURELY 9560 05:50:28,600 --> 05:50:30,800 ACADEMIC JOURNALS BUT TAKING 9561 05:50:30,800 --> 05:50:32,800 THAT RESEARCH AND WRITING IN THE 9562 05:50:32,800 --> 05:50:34,440 WAY THAT'S COMMUNICABLE AND THAT 9563 05:50:34,440 --> 05:50:36,440 WILL HELP TO PLACE WELL TRAINED 9564 05:50:36,440 --> 05:50:39,040 PEOPLE NOT JUST IN ACADEMIA BUT 9565 05:50:39,040 --> 05:50:43,960 IN THESE SOCIAL SERVICE AND 9566 05:50:43,960 --> 05:50:44,680 GOVERNMENT POSITIONS. 9567 05:50:44,680 --> 05:50:46,600 >>SO WITH THAT I WILL JUST END 9568 05:50:46,600 --> 05:50:50,240 MY PORTION WITH A HEARTY THANK 9569 05:50:50,240 --> 05:50:50,400 YOU. 9570 05:50:50,400 --> 05:50:53,600 TO ALL OF THE PANELISTS TO NIMHD 9571 05:50:53,600 --> 05:50:54,800 TO THE PLANNING COMMITTEE AND TO 9572 05:50:54,800 --> 05:50:57,880 ALL OF THE ATTENDEES FROM TODAY, 9573 05:50:57,880 --> 05:51:01,240 JOHN HAD TO JUMP OFF, BUT HE 9574 05:51:01,240 --> 05:51:02,760 ENDED BY SAYING, THANKS TO ALL 9575 05:51:02,760 --> 05:51:05,000 WHO TOOK THE TIME BECAUSE TIME 9576 05:51:05,000 --> 05:51:06,640 IS PRECIOUS. 9577 05:51:06,640 --> 05:51:08,040 I WILL STEAL THAT FROM JOHN 9578 05:51:08,040 --> 05:51:11,680 TODAY WITH MY THANK YOU. 9579 05:51:11,680 --> 05:51:12,040 RADA? 9580 05:51:12,040 --> 05:51:14,240 >>THEARVEG 9581 05:51:14,240 --> 05:51:15,560 >>--THANK YOU SO MUCH FOR 9582 05:51:15,560 --> 05:51:16,640 MODERATING THIS AND THANK TO YOU 9583 05:51:16,640 --> 05:51:18,720 ALL THE SPEAKER WHO IS SPOKE 9584 05:51:18,720 --> 05:51:22,720 TODAY. 9585 05:51:22,720 --> 05:51:25,720 IT'S BEEN VERY, INTERESTING, YOU 9586 05:51:25,720 --> 05:51:30,800 KNOW TALKS AND YOU KNOW A LOT OF 9587 05:51:30,800 --> 05:51:33,680 THEMES THAT IMPORTANT RESEARCH 9588 05:51:33,680 --> 05:51:34,640 DIRECTIONS HAVE BEEN STATED 9589 05:51:34,640 --> 05:51:38,960 TODAY AND I'M LOOKING FORWARD TO 9590 05:51:38,960 --> 05:51:40,880 TOMORROW'S SPEAKERS AND WHAT 9591 05:51:40,880 --> 05:51:45,200 THEY'RE GOING TO ADD TO OUR 9592 05:51:45,200 --> 05:51:48,320 DISCUSSIONS AND THE WAY WE CAN 9593 05:51:48,320 --> 05:51:52,840 GO FORWARD WITH THE RESEARCH ON 9594 05:51:52,840 --> 05:51:53,360 ACM HEALTH. 9595 05:51:53,360 --> 05:51:55,440 YEAH, SO, THANK YOU AND LOOKING 9596 05:51:55,440 --> 05:51:58,600 FORWARD TO SEE YOU AGAIN 9597 05:51:58,600 --> 05:51:59,240 TOMORROW. 9598 05:51:59,240 --> 00:00:00,000 AND HAVE YOU PARTICIPATE