The Office of the Public Advocate has recommended HHC require in-house LGBT sensitivity training for all HHC employees, that it designate an LGBT liaison in each HHC facility, establish, display, and enforce a zero-tolerance discrimination policy and establish a review process to monitor progress. Gotbaum also recommended that the Department of Health and Mental Hygiene increase research on LGBT health issues to accurately assess the quality of healthcare services provided to LGBT individuals and to help medical providers address the needs of LGBT patients. Health concerns common among and male bisexual patients include HIV/AIDS, depression, hepatitis, colon cancer, substance, eating disorders, and HPV infection. Health concerns common among lesbian and female bisexual individuals include breast and some gynecological cancers, obesity, heart disease, and osteoporosis. For transgender individuals, the most pressing health concerns include HIV/AIDS and other STDs, substance, depression and suicide. Transgender people also commonly face no insurance coverage for trans-health services or care that does not address transgender considerations like hormone therapy.
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