Ageism and Lifestyle Perceptions Encountered by Lesbian, Gay, Bisexual, (LGB) Older Adults in Healthcare Systems: This is the Reality?

Julius, Okpodi; Okhakhu, Emmarex

doi:10.32474/lojnhc.2018.02.000127

Cited by 1 publication

(1 citation statement)

References 15 publications

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“…Older adults shared narratives of rejection and disrespect from their providers, often pointing to decades of damaging laws and policies, negative media campaigns, and harmful policies as causing many of the hardships they had to navigate (Figure 3). This finding is confirmed by aging literature, indicating that older adults experience a lack of respect and dismissal of their voices within Western healthcare systems [49,50]. Such barriers can be even worse for people who are additionally marginalized because of gender identity, sexism, racism, or ableism.…”

Section: Provider Engagementsupporting

confidence: 67%

Mapping the Dynamic Complexity of Sexual and Gender Minority Healthcare Disparities: A Systems Thinking Approach

Gillani,

Prince,

Ray-Novak

et al. 2024

Healthcare

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Sexual and gender minority (SGM) populations experience extensive health disparities compared to their straight and cisgender counterparts. The importance of addressing these disparities is paramount, as SGM groups often encounter significant barriers to accessing comprehensive healthcare, including societal stigma, provider bias, and financial constraints. This study utilizes a community-based system dynamics approach to understand and visualize the barriers to and facilitators of healthcare engagement for SGM groups across their life course. It aims to identify core constructs, relationships, and dynamic feedback mechanisms related to the experiences of connection/disconnection with physical, mental, and dental healthcare of SGM individuals. Barriers to access, such as discriminatory practices and the limited availability of SGM-informed healthcare professionals, exacerbate these disparities, underscoring the urgency of developing targeted interventions. System dynamics, a complex systems science (CSS) methodology, was used for this research. Group model building sessions were conducted with diverse SGM groups, including youth, older adults, and trans and gender-expansive community members. Causal loop diagrams were developed according to an iterative process, and a meta-model of their collective experiences was created. The study revealed extensive, dynamic, and shifting structural barriers for SGM community members accessing healthcare. Societal and structural stigma, provider bias, and pathologization were identified as significant barriers throughout their life course. Community-led interventions and SGM-focused holistic healthcare were identified as critical facilitators of SGM healthcare connection. The findings highlight the need for SGM-affirming and culturally responsive healthcare settings. This paper calls for a concerted effort from SGM health researchers to use CSS in developing interventions to reduce SGM health disparities.

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Section: Provider Engagementsupporting

confidence: 67%

Mapping the Dynamic Complexity of Sexual and Gender Minority Healthcare Disparities: A Systems Thinking Approach

Gillani,

Prince,

Ray-Novak

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

Ageism and Lifestyle Perceptions Encountered by Lesbian, Gay, Bisexual, (LGB) Older Adults in Healthcare Systems: This is the Reality?

Abstract: with a research focus on breaking the inequalities and biases in healthcare provision 2 PhD in Organizations and Management with a focus on US and Canadian healthcare leadership, strategic optimization, and regulatory compliance

Cited by 1 publication

References 15 publications

Mapping the Dynamic Complexity of Sexual and Gender Minority Healthcare Disparities: A Systems Thinking Approach

Mapping the Dynamic Complexity of Sexual and Gender Minority Healthcare Disparities: A Systems Thinking Approach

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