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| YP Statement on Non-Discrimination |

By Sandeep Kishore Moderator | 06 Mar, 2014

Dear YP,

In light of the recent discussion in YP on criminalizing homosexuality in
Uganda, we believe it is crucially important to take a firm stand against
non-discrimination in all forms as a matter of fundamental human rights and
a core value of our community.

The leadership and concerned members of this community have prepared a
non-discrimination statement to this effect.

We invite you to view the statement here:

Our community was formed initially with just 12 members across 2 countries
five years ago; and now features 2028 members in 126 countries.

Targeting social and societal injustice is inherent to our mission, our
purpose and the basic ties that bind us a global community committed to
social change. We do not discriminate based on gender, age, disability,
race, religion, or sexual orientation.

Our mission statement is: "To build a cohesive, diverse and young global
community who will drive policy, research, and social change for a healthy
and equitable future. Our mission is accomplished through action targeting
the social injustice levied by non-communicable diseases (NCDs)."



Socrates Kakoulides Replied at 10:50 AM, 6 Mar 2014

I think this is great. I approve.

Mary Frances Ross Replied at 4:22 PM, 6 Mar 2014

Well stated; I wholeheartedly agree.

Jonathan Liberman Replied at 5:12 PM, 6 Mar 2014

Great that YP has made this statement.
Thanks to all involved.
And thanks again to you, Sunny, for sharing the Jim Kim piece that got the discussion started.

Jo Jewell Replied at 3:46 AM, 7 Mar 2014

Thank you for coordinating Sunny! Great statement.

Jonathan Monis Replied at 4:37 AM, 7 Mar 2014

Much better if we will establish the effect of discrimination in the care for chronic diseases especially how it affects the access and utilization of health services.

Ben Seligman Replied at 4:51 AM, 7 Mar 2014


"Perceived Discrimination and Adherence to Medical Care in a Racially
Integrated Community":

"Perceived discrimination, socioeconomic disadvantage and refraining from
seeking medical treatment in Sweden":

Or even just type discrimination care seeking into pubmed or Google
Scholar. There's a wealth of literature out there describing how
discrimination or perceived discrimination affect whether an individual in
need of care will even seek it out.

Jonathan Monis Replied at 5:07 AM, 7 Mar 2014

I understand that there's a wealth of literature showing the influence of discrimination over access to health services and even health seeking behavior. I even conducted a qualitative research on that topic. What I would like to point out is that since the focus of the group is chronic diseases, then we should stick with that and show how discrimination affects our profession and the clients/patients we are serving. That would make our statement our own and different from others who are writing against discrimination happening in Uganda and other country.

It is also good that Ben shared some studies. We should not just say we are against something for some reasons. It should be backed by evidences.

Just my thought,

Katherine Ellington Replied at 8:36 AM, 7 Mar 2014

Discrimination in all forms predisposes the most vulnerable in the world to chronic illnesses. I agree with the YPD Non-Discrimination statement. When we discuss eliminating discrimination we are moving health strategies that aim not only to cure, but to heal even in th absence of cure with the aim of a more well society. Health is NOT the mere absence of disease.

Systemic discrimination due to inequalities in health drives stressors that can lead to illness, hold barriers to treatment and care as well as threaten not only those who experience poor health outcomes, but impact society.

Let's carry on for justice!

Ben Seligman Replied at 2:19 PM, 7 Mar 2014


I'm all for an evidence-based statement, perhaps it's possible to addend
the current one with some of the evidence. Given the overwhelming
evidence, however, and the time (and person-power) constraints, a statement
that does not specifically refer to the literature is not unreasonable.


Geneviève Bois Moderator Emeritus Replied at 6:03 PM, 7 Mar 2014

Thanks Sunny for the statement, I think it's an important reminder.

If we are truly working "against the social injustice levied by chronic,
non-communicable diseases" we must be concerned with discrimination and
particularly policies that limit access to vulnerable groups. The world is
not short of examples of bad laws that only contributed to drive
underground certain groups.

When it comes to basic rights, we must remember they are there - amongst
others things - to protect minorities.

Katherine Ellington Replied at 12:13 PM, 8 Mar 2014

Discrimination involves the treatment of a person because of group membership, such as sexual- or gender-minority status.

"The most significant health disparity among LGBT (and other vulnerable populations) people arises from the avoidance of routine health care and dissatisfaction with the health care they do receive as a result of perceived lack of sensitivity of health care personnel and fear of the consequences of revealing their sexual identity.”

Bonvicini , K.A. , and Perlin , M.J. The Same but Different: Clinician-Patient Communication with Gay and Lesbian Patients. Patient Education and Counseling 51 , no. 2 ( October 2003 ): 115 – 122 .

Modi Mwatsama Replied at 6:18 AM, 10 Mar 2014

Thanks for the statement Sunny. It’s well crafted.

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