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Record W4383851715 · doi:10.51952/9781447313519-007

Much to be desired: LGBT health inequalities and inequities in Canada

2015· book-chapter· en· W4383851715 on OpenAlexaboutno aff
Nick J. Mulé

Bibliographic record

VenuePolicy Press eBooks · 2015
Typebook-chapter
Languageen
FieldSocial Sciences
TopicSocial Policy and Reform Studies
Canadian institutionsnot available
Fundersnot available
KeywordsSexual orientationLesbianTransgenderHealth carePopulationQueerGender studiesHealth equityHeterosexismSociologyPolitical scienceLaw

Abstract

fetched live from OpenAlex

This chapter will provide an overview of the health care system in Canada and the degree to which lesbian, gay, bisexual, transgender and queer (LGBT) people are recognized therein. Utilizing a critical structural social work perspective, the internationally renowned health promotion, population health and the associated Sex and Gender-Based Analysis (SGBA) Canada employs as national health models will be excavated to reveal a non-commitment to the LGBT populations. The lack of LGBT presence at the infrastructural level symbolizes the lack of recognition extended to these communities. An illness-based focus on HIV/AIDS contradicts the population health approach ignoring broader LGBT health issues, needs and concerns. The ripple effect of this is the lack of LGBT-specific health policies, funding, programs and services. There has been a long history of programmatic funding that isn’t core leaving LGBT communities in a constant state of vulnerability. Specific to the Canadian social work discipline itself, there is an inconsistency of recognition of ‘sexual orientation’ within professional principles, ethics and standards of practice and complete absence of ‘gender identity’. The chapter will conclude by promoting the Social Determinants of Health as a model inclusive of LGBT people.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.229
Threshold uncertainty score0.895

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0030.008
Science and technology studies0.0250.010
Scholarly communication0.0110.003
Open science0.0020.004
Research integrity0.0020.004
Insufficient payload (model declined to judge)0.0130.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.287
GPT teacher head0.394
Teacher spread0.107 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2015
Admission routes1
Has abstractyes

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Same venuePolicy Press eBooksSame topicSocial Policy and Reform StudiesFrench-language works237,207