From Acute Palliation to Chronic Care: Using the Narratives of Two Gay Caregivers to Explore Experiences of Providing HIV Support Across Sociohistorical Contexts

Centering sexual and gender diversity within Compassionate Communities: insights from a community network of LGBTQ2S+ older adults

“…Specifically, these now may ‘occur routinely and diffusely across formal systems of care involved indefinitely in the provision of chronic care’ (p. 497). 55 Thus, while expressions of homophobia and stigma may change with time, their existence as a force that affects LGBTQ2S+ health experience continues into the present. For example, in their interviews with an older lesbian woman (Esther) after the death of her wife (Cathy), Candrian and Cloyes 56 describe the insidious ways that LGBTQ2S+ people are harmed when seeking health-related help: Cathy and Esther started noticing subtle changes with the way the nurse was interacting with them.…”

“…53,54 Consideration of how the past relates to the present is also valuable for considering the implications for LGBTQ2S+ health experience of societal changes that occur with time. In analysing narratives of HIV caregiving among gay men, Kia 55 theorizes that as HIV was transformed from a condition requiring short-term end-of-life care to longer-term support, experiences of marginalization in relation to systemic homophobia and HIV stigma transformed as well. Specifically, these now may 'occur routinely and diffusely across formal systems of care involved indefinitely in the provision of chronic care' (p. 497).…”