Roadmap for LGBTQ+ Inclusiveness

In the academic community there has been discussion about ways to increase the support of people from underrepresented backgrounds. It is not always clear—sometimes even to members of those backgrounds—how to increase inclusion. Fortunately, many of the ideas and solutions to accomplish this apply across disciplines and academic departments, so we are sharing an article on this topic written by three statisticians and data scientists. While the article focuses on inclusion of LGBTQ+ people, the principles may also apply to underrepresented ethnic and racial minorities and women.

Source: https://rss.onlinelibrary.wiley.com/doi/10...

PRISM’s Healthcare Initiative: Stigma Free STI screening, nPEP and PrEP Coverage Available at Occupational Health

PRISM, in conjunction with Occupational Health Services, HR, and the benefits department, would like to break down the barriers to access of quality health care for the LGBTQ+ community. Access to medications like the HIV preventatives PEP and PrEP is often limited by the lack of education amongst healthcare providers for the unique medical needs of the LGBTQ+ community, as well as the continuous stigma our community faces especially in the healthcare field. In efforts to combat these issues Occupational Health Services offers stigma free assessment for PEP and PrEP Coverage! HIV affects many communities, and stigma free assessment for PEP and PrEP is available to anyone who wishes to be evaluated by OHS, not just those who are LGBTQ+. OHS also offers STI screening for anyone who wishes to be screened.

nPEP Coverage
nPEP, Non-Occupational Post-Exposure Prophylaxis, is a 28-day multi-medication regimen that prevents the spread of HIV after a person has had a potential exposure. Monday-Friday between the hours of 9am-5pm OHS is able to evaluate a person’s potential exposure, risk level, initiate appropriate testing, and prescribe a course of nPEP when indicated. The medications for nPEP—Tenofovir & Emtricitabine (Truvada) and Raltegravir (Isentress)—are kept in stock, and OHS can dispense a 72-96 hour supply for immediate care, as well as write a prescription for the remaining 28 day course. Patients will also be referred to specialized health care providers for follow-ups.

While PEP is effective when started within the first 72 hours post exposure, it is significantly more effective in preventing HIV if started within the first 24 hours. Since Occupational Health is open Monday-Friday 9am-5pm, those in need of evaluation for nPEP outside those hours are strongly encouraged to go to an Emergency Room location for 24/7 evaluation. It is not recommended to wait until the next day that OHS is open.

nPEP is also available from the CityMD Urgent Care Upper East location (67th& 3rd) on the weekends between 8am-6pm and weekdays 8am-8pm. See links below for further information about nPEP, including other clinics where it is available, and a hotline to call if you think you have been exposed.

PrEP Coverage
PrEP (Pre-Exposure Prophylaxis) is a daily medication the greatly reduces the risk of contracting HIV; PrEP is different from PEP in that it’s taken pre-exposure by patients that could potentially be exposed to HIV and would like to take a medication that is highly effective at preventing contraction of the virus. OHS can assess, test, and prescribe PrEP (Truvada) as necessary. The prescription will be sent to the patient’s preferred pharmacy, and OHS will connect patients to appropriate follow-up care.

STI Screening and Treatment/Referral
Comprehensive screening, treatment, and referral (if needed) for sexually transmitted infections (STIs) is available at OHS during office hours. We encourage you to make an appointment in order to lessen your wait time. Same day appointments are usually available. If your need is urgent, OHS staff will work with you to ensure you receive timely care.

More Information:
-24/7 NYC PEP Hotline at (844) 3-PEPNYC (844-373-7692)
-NYC Locations for PEP Evaluation
-User’s Guide to PEP
-User’s Guide to PrEP

Video recordings of our past “Out in Science” panels

We now have recordings of two of our past “Out in Science” panel discussions where we welcomed LGBTQ+ people in STEM careers to discuss their professional and personal experiences. For privacy reasons, the 2018 video is accessible only by password, which we are distributing upon email request to prism@rockefeller.edu. The 2017 video is available without password.

2017 Video – no password required

2018 Video – please request the password by emailing prism@rockefeller.edu

The Importance of Gender-Neutral Spaces

by Tom Wiley

We are thrilled to announce that The Rockefeller University has opened its first gender-neutral restroom, just outside of the Faculty Club! It may not occur to the well-meaning cisgender person that the women’s or men’s room sign can actually serve as a barrier to entry for transgender, non-binary, and gender-non-conforming (TGNC) people.

Have you ever needed to pee and done six or seven passes by the gendered bathroom door and were dying to go in but were too afraid that you may get verbally harassed—or worse?  Instead, you think, “that’s okay—I can hold it for the next seven hours until I get home from work.” For many TGNC people, this scenario is routine life.

In 2013 The Williams Institute, part of UCLA’s School of Law, did a survey of TGNC people in Washington, DC, about harassment in public restrooms. “Overall, 65 respondents (70 percent) reported experiencing one or more of these problems. Eighteen percent of respondents have been denied access to a gender-segregated public restroom, while 68 percent have experienced some sort of verbal harassment and 9 percent have experienced some form of physical assault when accessing or using gender-segregated public restrooms.”

This survey was done before passage of North Carolina’s HB2 bill that specifically targeted TGNC people, preventing them from using the bathroom that corresponds to their gender identity. This bill was passed on March 23, 2016, and repealed March 30, 2017. For many, especially cisgender folks, North Carolina put the struggle for transgender rights in national the forefront, as the bathroom bill garnered significant media attention. Now, speaking from personal experience and having been verbally harassed and barred access to bathrooms (though never at Rockefeller!), I would not be surprised if a new survey would show that the percentage of TGNC people who have been harassed using bathrooms would be significantly higher since the advent of the HB2 law. Even though the law was repealed, lasting damage is there.

For those of us who are fortunate enough to live in New York City, an anti-discrimination law was passed in the early 2000s that bars employers from disallowing TGNC people from using facilities that match their gender identity. This year, the GENDA law was passed and extended that protection to all TGNC people in New York State. Despite protections, harassment often goes undeclared.

In our current political climate, we need action. The Rockefeller University has exhibited true support the TGNC population by creating a necessary gender-neutral bathroom facility, which benefits the TGNC population at Rockefeller as well as transgender visitors, including the many speakers and guests PRISM has hosted at our events. This action sets a standard for universities and other employers.

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Sexual Misconduct Climate Survey

Rockefeller University issued a climate survey in November 2018 to gather data to combat sexual misconduct better. The PRISM board met with Rockefeller officials to ensure that that LGBTQ+ demographics were recorded. Previous studies have shown that LGBTQ+ people experience higher rates of sexual misconduct, suggesting that special attention may be needed to protect this class. Language was added to the survey that allowed people to identify as straight, lesbian, gay, bisexual, queer, transgender, nonbinary, or as other sexual and gender minorities.  

Aaron Mertz honored with oSTEM Global STEM Service Award

At oSTEM’s 8th Annual Conference in Houston, Texas, PRISM co-founder Aaron Mertz was awarded the oSTEM Global STEM Service Award for his advocacy work for LGBTQ+ scientists.

This award is presented to an active member, alumnus/a, chapter mentor, or organization leader of oSTEM who has demonstrated a strong dedication to oSTEM, LGBTQ people in STEM, and STEM education. They are an outstanding role model for the future of our community. They are accomplished in their academic or professional lives and they regularly advocate for the full inclusion of people of all marginalized identities. They are committed to and continually strive to understand the most effective methods for reaching equality for all people.

You can view his acceptance speech here. Congratulations, Aaron!

NIH behind on LGBTQ data

The National Institutes of Health (NIH) has an interest in promoting diversity among researchers it funds to increase the quality of scientific research and mitigate disadvantages and discrimination toward underrepresented groups. According to the “Notice of NIH's Interest in Diversity,” these groups include underrepresented racial and ethnic minorities, people with disabilities, people from low income backgrounds, people from educationally disadvantaged rural and urban communities, and women “at senior faculty levels in most biomedical-relevant disciplines.”

Although consideration of diversity by the NIH is critically important and should be extended to additional funding initiatives, we question the NIH’s exclusion of LGBTQ identified individuals in their “interest in diversity.” Numerous studies demonstrate discrimination toward LGBTQ individuals in scientific contexts, and several demonstrate underrepresentation:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851677/

This study finds that college students identifying as LGBTQ were 7% less likely than control students to remain in STEM majors after 4 years (n=4162).

http://www.mdpi.com/2076-0760/6/1/12

This study of six STEM related federal agencies (including the NSF) finds that LGBTQ-identified workers report across-the-board lower levels of workplace satisfaction and perceived treatment (n=37,219).

http://www.dl.begellhouse.com/journals/00551c876cc2f027,761a7b37493b2d86,6fe4cda94f55abdf.html

This study of LGBT faculty members across disciplines (n=279) found that many experienced exclusionary behavior and harassment, and a majority of LGBT STEM faculty surveyed considered leaving their institution as a result.

https://www.ncbi.nlm.nih.gov/pubmed/26241115

This survey of LGBTQ workers in STEM found that many work in environments they see as hostile to their identity, and most could not recall a single openly LGBTQ faculty member during their training (n=1427).

https://www.aps.org/programs/lgbt/

This report summarizes a few surveys of the climate for LGBTQ physicists. It finds that their experiences are highly variable across different locations, and that transgender or gender-nonconforming physicists experienced higher levels of isolation and harassment.

The NIH interest in diversity cites studies of similar scope and findings for underrepresentation of other minority groups, although these studies are more abundant. We wrote to the NIH Division of Biomedical Research Workforce to ask why they do not recognize that LGBTQ individuals are underrepresented in scientific disciplines. Here is their response:

Individuals who are from sexual and gender minority (SGM) groups have not been identified as underrepresented populations by the NSF.  The revised Notice of Interest in Diversity does not address SGM groups. It is certainly an issue of which NIH is mindful.

I agree wholeheartedly about the need to collect sexual orientation data for NIH researchers because without those data it is impossible to highlight LGBTQ as an underrepresented group. Our office has begun discussions with the Sexual & Gender Minority Research Office at NIH . As you may be aware, NIH does not currently have the authority to collect sexual orientation and gender identity questions for applicants at this time.  OMB has convened the Federal Interagency Working Group on Measuring Sexual Orientation and Gender Identity (SOGI) to begin addressing concerns regarding the availability of data for sexual and gender minority (SGM) populations and the methodological issues in collecting such data.  The All of Us program is asking about sexual orientation but that is of study participants. The EPA and NIH have some pilot programs inquiring about employee sexual orientation to get at some of the SGM populations within federal workforce issue. As far as I’m aware, federal standards have not been developed regarding the collection of data regarding SGM populations.   I am hoping there is movement on this soon.

The working group cited (SOGI) completed their work in 2016, suggesting there is still no movement on even starting to collect the data that the NIH deems necessary to determine whether the LGBTQ community (or subsets within the community) are underrepresented in the NIH workforce. We feel that the NIH should not ignore peer-reviewed publications documenting discrimination against LGBTQ workers in the meantime.

The interest in diversity statement is also lacking in its treatment of intersectional minority groups, i.e. those who fall into two or more underrepresented groups. The statement mentions that women who have another minority status face additional challenges, but ignores other types of intersectionality. We feel the NIH is well behind current areas of diversity research and should work quickly to improve data collection and implementation of initiatives.

 

What Pride Means to You: Being Transgender in Science

June is the month of Gay Pride in New York and many other states that celebrate gay pride. Historically June is the month of Gay Pride because it commemorates the 1969 Stonewall Riots, that began in the early morning of June 28, 1969.  Gay Pride has evolved in several ways over the decades, starting as Gay Day on the last day of June, close to the day the riots started, and culminating today as an entire month to celebrate the LGBTQ+ community and continue the fight for equality. In this post, I would like to highlight one of the most pivotal an influential people that fought for our rights in the Stonewall Riots, Marsha P. Johnson, a transgender woman of color.

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Financial services firm AllianceBernstein’s “Is is really getting better?” Pride event

Employees of the financial services firm AllianceBernstein invited the PRISM Board to its Pride event entitled “Is is really getting better?” on June 21 in Midtown Manhattan.

Anthony Thompson, a Principal at Bernstein Private Wealth Management, opened the event with very moving remarks, explaining that, in the past 20 years, there have been many positive changes for the LGBTQ+ community in the United States, including new developments in HIV and Hepatitis C treatment and prevention, as well as equal rights and marriage legalization for same-sex couples. Mr. Thompson then discussed how, despite these advances, some members of the LGBTQ+ community are still particularly vulnerable, especially transgender people of color, dozens of whom were murdered in recent years. Even though things really are getting better for some segments of the LGBTQ+ community, there are still many arenas where LGBTQ+ people need legal protections and societal respect and acceptance. After this sobering beginning to the presentation, the host mentioned four notable quotations from country music icon Dolly Parton, a resident of Nashville, Tennessee, where AllianceBernstein will open a new office in the coming years:

  • "It costs a lot of money to look this cheap."
  • "I'm not offended by all the dumb blonde jokes because I know I'm not dumb... and I also know that I'm not blonde."
  • "The way I see it, if you want the rainbow, you gotta put up with the rain."
  • "We cannot direct the wind, but we can adjust the sails."

Then, the company debuted its latest video about being openly LGBTQ+ at the firm, as an update to the video they produced five years ago. Next, four LGBTQ+ AllianceBernstein employees shared, in a panel discussion, their experiences coming out to their families and at work in the financial sector, which has a reputation for being conservative relative to other industries. The event concluded with a reception with sweeping views of Central Park from AllianceBernstein’s 41st-story office space.

The PRISM Survey: 2018

In late 2015, five trainees at Rockefeller created People at Rockefeller Identifying as Sexual/Gender Minorities (PRISM), to address a perceived lack of community for LGBTQ+ people at Rockefeller University. Along with that lack of community came a lack of data, so PRISM’s first action was to survey our constituency in 2016.

Two years later, we at PRISM wanted to update those data to make sure that the activities we provide are still in line with what our community needs. While the goal of the 2016 survey was to get a broad view of what it was like to be LGBTQ+ at Rockefeller, we decided this year to more narrowly collect information about our membership and the activities they enjoyed, as well as what more they wanted to see from us going forward. Here we present data on two main findings:

  1. LGBTQ+ people continue to exist at all levels at Rockefeller (except, still, heads of lab)

  2. More LGBTQ+ people here feel a sense of community, but there’s still much more that PRISM can do

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New Rockefeller app lists gender-neutral bathrooms

The new RU app has improved the communications and knowledge about the campus. Now, you can search for the lunch menu, employee benefits, or the latest news of the University as well as locate the gender-neutral/single-stall bathrooms. In order to access to the list, you first need to download the app (called “The Rockefeller University”) to your phone, and once you create a username and password to enter the app, you will find the bathroom information under the folder “Getting around RU.”

Rockefeller-Mount Sinai LGBTQ happy hour

On June 1, 2018 Rockefeller PRISM hosted a joint happy hour with a newly formed Mount Sinai LGBTQ organization. The event included approximately 25 people from the two institutions and lasted for about 4 hours. One participant later wrote on social media, "For the first time in a while, my friendly inquiries about the life stories of strangers were welcomed with colorful elaborations rather than viewed with suspicion followed by a minimal answer." We look forward to hosting more events to facilitate meaningful connections among the LGBTQ science community. 

PRISM's Lunch with Paul Beirne

On April 19, some of the PRISM board members had lunch with Paul Beirne, a friend of PRISM. Mr. Beirne is a National Managing Director with AllianceBernstein, a global investment management firm based in New York that manages over $500 billion for individuals, families, pension plans, unions, foundations, public funds, and other entities. Mr. Beirne has been involved in various developments in the Rockefeller campus. During lunch we discussed similarities and differences between science and finance for LGBTQ+ people. We also talked about the importance of having a work organization representing the LGBTQ+ interests in order to make the work environment a safer and more reliable place to grow professionally and personally. He also talked about his experience and the importance of having role models that would share the vision and values of the profession. He shared with us AllianceBernstein's video produced for Pride a few years ago.

(L to R) Paul Beirne (AllianceBernstein) and PRISM board members Mariano Cardenas, Aylesse Sordillo, Molly Liu, Gabriella Spitz-Becker, and Aaron Mertz in the Abby Aldrich Rockefeller Lounge.

(L to R) Paul Beirne (AllianceBernstein) and PRISM board members Mariano Cardenas, Aylesse Sordillo, Molly Liu, Gabriella Spitz-Becker, and Aaron Mertz in the Abby Aldrich Rockefeller Lounge.

PRISM/WISeR Breakfast with Dr. Clare Waterman highlights

We are very happy to share that a lot of people attended the PRISM and WISeR breakfast with Dr. Clare Waterman, NIH Distinguished Investigator on Friday, April 6, at 9am. First of all, we would like to congratulate Dr. Waterman for have recently gotten married and for sharing that exciting news with us! On the one hand, we discussed about her experience as a successful scientist and mentor, as well as how she motivates and trains the future scientists in her lab.

On the other hand, we asked her about her coming out as a lesbian and her experience in science. Dr. Waterman replied “I came out when I was 13 years old and I never had any issues with that. Being gay has never been part of my job. I am a good scientist. That’s all”. She shared that she never felt any discrimination in her work environment and emphasized that her successful career allowed her to ask her employers for health insurance for her partner among other benefits.

Dr. Waterman shared that she was involved in many demonstrations to claim the legalization of marriage equality in California. Thanks, Dr. Waterman, for all the things you have done for our community!

Dr. Waterman is a NIH Distinguished Investigator and has received numerous awards and honors for her work, including the Arthur S. Flemming Award for Public Service (Basic Science) from George Washington University. Dr. Waterman has made fundamental advances in the understanding of cytoskeletal interactions and has authored or coauthored more than 90 papers.